Could these be the headlines ten or twenty years from now?

Due to the dreaded MRSA super bug, we in the UK are obliged to wash our hands with a special ‘Bacteria-killing’ hand cleanser every time we go through various points within the hospitals. A good idea probably, though I personally think it’s all just ‘politics’.

But what about doctors and nurses? They are obliged to do it all of the time as they move around the hospital, meaning they probably ‘cleanse’ their hands in excess of one hundred times a day with this ‘solution’.

Now I use the painkiller gel ‘Ibuleve’ fairly regularly. I use it because I can’t take ‘Ibupofren’ internally due to an allergic reaction. It’s very similar in consistency to the hand cleanser gel we’re all obliged to use throughout our hospitals.

the reason ‘Ibuleve’ works so well and so fast is because our skin absorbs it very fast and it gets directly to the pain in record time. The worry with doctors and nurses is that if they are constantly cleansing their hands through the day, just how much of the solution is being ‘absorbed’ by their skin and entering the blood stream, travelling through all of the major organs on a regular basis?

If the cleanser is meant to ‘kill’ bacteria, what might it be ‘killing’ as it passes through these people’s body in such a concentrated amount? Has anyone even given it a thought? Or do we have to learn from our mistakes like the millions of people who have had their exposure to asbestos come back to haunt them years down the line?

I only mention Doctors and Nurses because on my regular visits to hospital I see them constantly ‘cleansing’. The cleaners and orderly’s appear to be exempt from this practice.

One old chap pulled a couple of cleaners up as they just walked straight through one of the ‘cleansing’ points. They just turned and laughed at him. Hmmmmmm?

Pete Moring.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

For anyone that has pedaled around the neighborhood or down the street you know that some people think it is great entertainment to see how close they can get their car to your bicycle in hopes you will topple over. I never understood these people because surely they wouldn't throw you from a car moving 20-30 mph but bumping their car into a moving bicycle is much worst . . . isn't it?

A friend of mine carries a steel rod in a tube attached to the frame of his bicycle. It seems that cars getting to close quickly learn the body damage is a two way street when it comes to thrusting a moving automobile into a steel rod. I can't say I condone his actions but I have seen "crazys" become sane when the rod hits their car.

For me I think John Lennon said it best with, "All that I'm saying is let their be peace".

This post is going to be about Jaundice and what you should know about it regarding your newborn.  As always, I want to thank all of you for taking the time to read this post and as always appreciate your input and experiences. 

Jaundice and your newborn:

Jaundice is a yellowish or light orange appearance of the skin and whites of the eyes.  It is a common condition in newborns and is usually not dangerous.

Jaundice usually appears on the 2nd or 3rd day of life in full term healthy infants, often disappearing in 1 week.  About 50% of full term infants get jaundice, but it is more likely in premature babies, more like 80%, and can last longer also.

Infants with bruising from birth, a sibling with jaundice or those who were delivered with help of a vacuum are at higher risk.

In most cases, jaundice is mild and is not problematic, but if it is more severe, present at birth or appears prior to 24 hours of life, treatment may be necessary. 

The causes of juandice :  Babys liver and other organs aren't fully mature.  One function of the liver is to rid the blood of excess Bilirubin, which is formed from the normal breakdown of old red blood cells.  This occurs all through life, but is more pronounced in the newborn period.  Until the babys liver begins to function fully, bilirubin tends to build up in the babys bloodstream, causing the skin and the whites of the eyes to become yellow in appearance.

The color change progresses from head to toe, so an infant with mild jaundice may only be yellow in the face, while one with severe jaundice will be yellow over more of his or her body, possibly all of it.

After being changed by the liver, most bilirubin is removed from the body through the babys bowel movements.  Increasing the feedings will increase bowel movements and help get rid of more bilirubin.

Occasionally jaundice can be caused by other problems.  If a baby and mother have different blood types, the mother may produce antibodies that destroy the newborns red blood cells.  This is called ABO incompatibility ( from the blood groups ), and can cause a sudden serious increase in bilirubin.

Another type of jaundice is called breast feeding jaundice, often because in the first few days baby doesn't get enough breastmilk, his bowels are not moving frequently and the bilirubin cannot be removed as easily.  The best way to treat this is by nursing more frequently.  Giving water feedings WILL NOT help.

The level at which jaundice may be dangerous depends on a few factors:

The babys age, whether the baby was full term or premature, or if the baby has any other medical conditions.  If your pediatrician is concerned they will do a skin or blood test as I discussed in my previous post.  When treatment is needed phototherapy is used.  Ultraviolet lights to help the body remove the bilirubin.  This is done in the nursery, baby is undressed except for his or her diaper and eye covers are used to protect his or her eyes.  The pediatrician will order checks to be sure the level is decreasing as it should.  The nurses will also check babys temps frequently, as the baby will be undressed and we don't want cold-stress to occur.

Report any yellow-orange discoloration to your pediatrician promptly, because if the level becomes extremely high, nervous system damage may occur, though this is very rare.

In my next post I will discuss Circumcisions.  Guys might not want to read that ! :  )

As always, thanks for reading and contributing your experiences. 

God bless you and yours,

Meredith - RNC

More evidence this week internationals view India’s economic dip as more blip, unlikely to abort skyward India Inc. Health insurer Bupa will found a joint venture in India with Max, the subcontinent’s leading healthcare provider.

Long-term, Ray King, Bupa Chief Executive, calls ‘Max-Bupa’ a “great opportunity to get in on the ground floor of a nascent market”. Like other internationals he’s done his buy-power maths, “ India has a population of 1.1 billion, by 2025 it’s going to have a middle class of about 600 million”.

Opportunities for the private sector

PwC ‘s “Healthcare in India, Emerging Market Report 2007”, states the private sector accounts for 80% of India’s healthcare spending, with 90% of that uninsured families meeting expensive illness/accident medical fees. In this environment ‘Max Bupa’ take the short-term risk as manageable against potential long-term reward.

Showing great faith in India’s middle class, ‘Max Bupa’ also profiles the growing divide between the economic IN and OUT. With say 66% of India’s hospitals and health centres in urban areas, 25% of the population with ready access to conventional medicine, many can only cross their fingers, hope for recovery or pray they do not die on the city hospital bound train.

Lack of health infrastructure

McKinsey estimate India has just 1.5 hospital beds per 1,000 people; it’s 4.3 for developed countries. PwC estimate India needs 450,000 new hospital beds by 2010, costing US$ 25.7 billion. Private sector health providers like Apollo Hospitals and Escorts Hospitals will likely meet this. Ergo, health insurance is set to be an essential investment, at least for those who can pay.

Improved lifestyles, deteriorating health

New middle class affluence breeds new disease. Diabetes thrives in changed diet, reduced exercise. increased stress levels and urban areas. An estimated 41 million Indians are diabetic, expected to pass 70 million by 2025. In India it costs US$ 420 per year to treat one diabetic. If prices don’t rise, by 2025 the cost of treating diabetes countrywide will be a staggering US$ 30 billion.

Medical tourists

Discerning medical tourists increasingly benefit from India’s improving private health sector. This year Deloitte found 40% of Americans would consider traveling abroad for a medical procedure if the cost was half US prices. A UK hip operation costs around £15,000, compared to £3,600 in India, the surgeon likely to speak excellent English and possibly UK trained.

‘Max Bupa’ have done more than the maths.

Frumento KS:  The Joint Commission Standards Improvement Initiative: What does it mean for hospital librarians? MLA News 2008 Jun/Jul; (407): 17.   URL, for MLA members who can find their passwords: http://www.mlanet.org/members/mla_news/2008/jun_jul_08/hosp_lib.html

Yesterday morning while waiting for Darío (who was uncharacteristically late) to arrive, we received a call from his son Reubén asking us to tell Darío that he had to return home--someone, whose name I didn't catch, was malissimo.  I immediately went looking for Darío in the truck, intending to drive him straight back home.

I met him walking in the main access road.  The upshot of the story is that it was one of his nietos, 10 year old Alex, whom I had met last year when Darío was installing our fence--Alex came along to "help" one day.  Actually, he did help--he cleared away grass and small stones from the area where Darío was going to sink fence posts.  Kids learn early here.

When 6 years old, Alex suffered blows to his head, resulting in a cerebral lesion.  From time to time, he has episodes of vomiting and convulsions.  One of those episodes was this morning.  I wound up driving Darío, his wife, and Alex to the Obaldia Maternal and Children's Hospital in David, which is across from PriceSmart.  It's a new hospital that opened about 3 years ago.

The government-subsidized medical system here for Panamanians is very good--not free but almost so.  According to acquaintances who have been her for a long time, it's always on the verge of collapse but somehow keeps going.  The same physicians who work in the private hospitals also work in the Social Security hospitals, as they're called.  And this new Maternal and Children's Hospital is a dandy.

Like every hospital I've ever known, however, parking is a problem.  I let them off and then tried to maneuver our long Nissan truck into one of those fiendish narrow little spaces.  By the time I got back, all three had entered the Urgencia waiting area.  Urgencia is a lower level of medical emergency than is Emergencia. (Their names are close enough to the English words that they don't need translation.) Supposedly they do a sorting based on different types of medical conditions, with some getting priority in attention over others.  All I know is that even though Alex's condition fell under that requiring immediate attention, we waited for about 15 minutes until a pediatrician was able to see him.  Darío's wife, whose name I do not know, went in with the boy.  Darío carried him in.

Then Darío and I waited.  I left for a while to pick up medication for Ethel, who has la sarnia, at the vet's, then returned.  Both of us had expected that the boy would be released by that time.  Not so.  A little later, Darío went in to talk with his wife and the doctor, and discovered that they were going to hospitalize the boy--he didn't know for how long.  He urged me to go, saying he didn't know how long they'd be there.  

The other medical "emergency" we're dealing with is la sarnia with Ethel.  We just got through with a round of it with Fred--now Ethel.  There seems to be a relatively bad outbreak of it here in this part of Chiriquí.  Ethel has denuded a large patch on her rump through chewing.  Mary bathed her with the medicated soap, but evidently it still itched in the afternoon, and she enlarged that patch.  We gave her the medication with her dinner, and put aloe vera on her skin as well as an anesthetic cream to numb out the itching.  But today she goes in to the vet for a shot, which I had been hoping to avoid.  

Oh well--the grass will still be there tomorrow, and who wanted to weed eat anyway?

but when you tell me you are lonesome,
and travel the hallowed corridors of day
looking for the same ounce of treatment or pound of cure,
your golden and staccato words call the ghosts
to you, like the beckoning fingers of a new world, to
come make it tremble, make it moan, make it afraid.

but this slow-beating heart of mine is afraid
and steps in time to the beat of a lonesome
drummer, and tonight, I know, will have to
find a chest to lock up the things it felt to-day
and make sentries of the ghosts
and deny that there ever was a cure,

or that there could ever be a cure
and is afraid of the chance of one day being afraid
of losing you, and without you or the ghost
of your glances it could get very lonesome
and there on the calendar I'd unmark the days
since you'd left me with nothing to cling to

because love isn't much to hold on-to
in a world of ills without cures
like a shop open all night and all day
and you reach into your pocket and feel afraid
because in your pocket sits only the lonesome
key to your chest of secrets and a dollar bill's ghost.

but here in the ether, in this house full of ghosts
you will give me a hand to hold on to
and we will make our beds less lonesome
and forget about the silly and eternal things, the cure-
all for us, the troubled beasts afraid
of the troubled beasts that lie in wait for us in the hours between night and day.

no more ghosts, no more cures,
no more need to be afraid,
we are not lonesome, at least not today.

Recently, I was thinking of what John McCain and Phil Gramm had said about the only economic problems really being caused by whiners.  What a lot of lefties don't reallize is that most of this country's health care problems are caused by the exact same whiners.  Whiners like Michael Moore.

What happens when people get insurance is that right away they feel they have to use all their benefits.  If you have a dislocated shoulder and you have health insurance you suddenly feel the need to have a doctor set it instead of popping it back in yourself.  Every fever or cold requires a trip to the doctor.  Elective surgery?  Oh sure I get that too?  Awesome!

Whatever happenned to walking injuries off?  Nowadays, you break a bone and right away you want an expensive cast and if you're in pain--you need a $50 perscription for pain relievers.  A $12 bottle of Jack Daniels won't do anymore.  Whine, whine, whine.  Where are my benefits?  If we really want to get health care costs under control then let's get the winers under control

2 Cheers to Kieran at Fade, and mine's a pint!

Themes emerging are identified as:

• Waiting times
• Patient Choice
• Commissioning
• Shifting care from hospitals to community settings
• Primary care and community services
• Long term conditions, care co-ordinators and direct payments
• Centralising care
• Care pathways
• Public health

Cheers to Kieran over at Fade, thanks sue

World Medical Tourism & Global Health Congress will pre-arrange meetings and connect you with top international hospitals, medical tourism companies and other professionals, Self Fnded Health Plans and Insurance Companies and assist in the development of new relationships and valuable new contracts.

• Over 40 Exhibitors and up to 1,000 attendees
• Over 50 U.S. Healthcare and Insurance Companies Interested in Outsourcing Surgeries Overseas.
• Guaranteed Networking Sessions and Meetings with Top International Hospitals, Medical Tourism Companies, US Insurance and Healthcare Companies
• Industry Players from over 30 Countries
• 500 “Buyers” invited from the United States, Canada, European Union and other countries looking at sending patients overseas
• Special Networking Sessions and one on one pre-arranged meetings

The inquiry headed by former health secretary Jaime Galvez-Tan found that the Ospital ng Makati's neo-natal unit had accepted too many patients and this led to poor sanitary procedures.

The Health Department said there were 55 deaths of infants from neo-natal sepsis between January and June with at least 23 deaths in May alone.

The hospital's neo-natal unit was closed due to the illnesses but has since been allowed to reopen.

The spread of the disease "indicates breakdown in infection control, owing largely to the absence of consistent infection control practices," the investigators concluded.

"Given the fact that the (hospital) is oriented towards service, its management and staff have been inclined to accommodate as many patients as possible," the inquiry said.

"Without realising it, however, their good intentions somehow compromised the hospital's efficiency because its capacity was often stretched beyond tolerable limits," Galvez-Tan concluded.

Eric Tayag, of the National Epidemiology Centre said a parallel investigation by the Health Department had reached similar conclusions.

"We shared the same findings and recommendation with the fact-finding team created by the city government of Makati," Tayag added.

Ospital ng Makati officer-in-charge Doctor Perry Peralta said they have already instituted preventive measures to ensure there will be no repeat of the incident.

As to the liability of the hospital officials, Galvez-Tan said the city legal officer has already issued a memorandum to five high-ranking officials to answer their questions as to why the outbreak was not prevented.

Earlier, Makati Mayor Jejomar Binay said charges would be filed against those found responsible.

The episodes of pain got worse and came more often, became more generalized over my entire middle section, doubling me over until tears came unbidden. Once a week Twice a week. Then an entire weekend. Finally, two weeks ago on Monday, June 23, the pain was so great that I could hardly stand. I asked my spouse to take me to the ER.

A CAT scan showed a partial bowel obstruction. They checked me into the hospital on "Bowel Rest" (no food, not even ice chips, and lots and lots of IV fluids), which the original doc hoped would fix me.

But the surgeon (who looks eerily like my favorite character from St. Elsewhere, Dr. Jack Morrison played by David Morse) came in at 10 AM on Tuesday and said the CAT scan showed a distinct blockage in my bowel caused by a kink, or scar tissue, or something else wrapped around it. It was even more remarkable because above the kink, my bowels were swollen; below they were normal sized.

Since I'd had pain off and on for about a month, he was worried about necrosis (dead or dying tissue). Because this is considered a dangerous situation, the surgeon wanted to perform an exploratory laparoscopy ASAP. It sounded like a sound plan. I said yes (then checked with both my docs, who agreed it sounded sound).

I went in for surgery at 5:30 on 6/24. Dr. Pierce poked around for TWO HOURS because once he got in there, he found:

Nothing.

Seriously.

Everything looked good in the bowel department. No kink. No swelling. Nothing like the CAT scan that had been taken the day before. He told me later that, if it was scar tissue or something else wrapped around the bowel, it could have been snapped loose by just starting the surgery, or it could have gone away on its own. He didn't like the look of my appendix, so he took it out. Basically, the surgery was:

Inconclusive.

Two weeks later, my four little belly scars were pretty much healed, but I was still having twinges that reminded me of the original pain. In my follow-up appointment, my surgeon located the pathology report on the appendix, which said that I had, "early acute appendicitis."

"Boy," said my surgeon. "That sure makes me feel better about taking it out."

But my belly still didn't feel quite right. He told me that it might take two to four more weeks to completely heal. If I still had pain after that, I should give him a call.

But it didn't take two weeks. Two DAYS after my follow up with the surgeon, I had the worst attack of belly pain yet. Yes, ladies and gents. Two days ago at this very time, I was barfing up dinner, bent over in excruciating pain with a fever of 102.4.

Despite my spouse's best effort, I resisted going to the ER because, despite the good pain drugs they have in the hospital, they don't let you sleep. And I really wanted to sleep. Once I stopped ralphing and stopped moving, I actually felt okay. Well, not okay, but better. Moving bad. Sitting still, good.

I got through the night sleeping on our reclining couch propped up and protected by six pillows (lying down was out of the question - likely to lead to more barfing and pain). Yesterday, I talked to the surgeon's nurse for a long time. My symptoms had improved enormously overnight (much less pain, low grade fever, no barfing, just fatigue, a feeling of bloating, and general discomfort), which made us agree that I didn't have an infection from the surgery (that would cause nonstop pain and fever).

Her advice: Wait for it to happen again, and then dash to the ER so they can run more tests on me while I'm in acute pain.

Sorry to say I have to agree. It could be a bowel that's twisting and untwisting. It could be something else (although the CAT scan report said that all my other innards looked fine - including gallbladder, kidneys, etc.)

I'm better still today, but something ain't right, if you know what I mean.

So, if you don't hear from me, it's not because I don't care. I'll do my best to keep you posted.

Health Blog : Computers Wouldn't Have Helped in Overdoses of Texas Babies.

Look, there is good and bad and everything.  And there are good doctors.  I was raised by a family of doctors and lawyers.  So I know there are good doctors.  But over the past several decades, the medical system in the United States has become overly concerned with how much money they're getting in the service are offering.  In addition to that, a kind of religious frenzy has taken over the United States, by the Christian fundamentalist movement in the United States, such that there is a tremendous disregard, for non-Christians, and the poor, and the Native Americans, and the black Americans, in this country.  And as a result, we have people being mistreated by the medical community, and by the white fundamental as Christians, who have come out time and time again and said that they are marching to a strong crusade.  They constantly sing the song onward Christian soldiers.  They are definitely on this march to kill as many Muslims and Jews as they possibly can and to destroy this world in any way that they possibly can.  So that they can rule the entire planet.  This is the frenzy, and the absolute delirious behavior of the hysterical religious movement that I classify as the fundamentalist Christian movement.  That is so hysterical, and so hateful of anyone it's not a Christian, that they are willing to commit mass murder as they've done for 2000 years, as long as they make sure that they are the only ones left living on this planet.

Our medical system is been infected with this extremely horrible behavior for many years.  And it continues to this very day.  I'm not going to say that this example would these children was in fact.  As a result of this Christian fundamentalists hysterical religious behavior.  But I will say that what is happening there is totally and completely inexcusable.  There is no excuse I don't care what the doctors are anyone in the medical community says there's no excuse for this happening.  If someone goes to a hospital or go to a doctor there is no excuse for mistakes like this taking place.  Regardless of anything they might say.  Losers always make excuses, winners never do.

And as I said before, the only way that we the people, are going to force the medical community and the doctors of this country to put up and shut up and turn on the ones who are illegal and doing the horrible crimes against humanity in the medical community is to start holding all doctors equally responsible the laws of this nation.  And the laws of this nation are not Christian Bible.  The laws of this nation are the Constitution of these United States.  And as I said before, no organization, or political group, or religious group or business, has any rights under the Constitution.  In any way, shape or form.  The only way that any business, or group, of any nature, has any rights under the Constitution, is as a result, of those businesses, organizations, having as members of those businesses and organizations, we the people.  Without people being members of these businesses and organizations, these organizations and businesses would not have any rights under constitutional law, which is federal law in these United States.  That is by virtue of not only the Bill of Rights, but article 1 and article 2 of the Constitution.

And that means basically, that the American Medical Association and all these doctors who want to go on TV and do these really cute program showing how caring and wonderful they are, when in actuality 100,000 people are dying in the United States every year because of how filthy and how dirty the hospitals are; are not in fact obeying the law.  They're skirting the law and they are in fact killing people as a result.  We the people, of this country, deserve better.  You deserve better.  I am a totally living example of medical abuse it is been done on me for almost 50 years.  I've never taken any legal action against the medical community, because, for me, having come from a medical and lawyer family, taking such action was not only not a good idea, but in actuality it wouldn't really do any good to resolve the difficulties I'm dealing with.  Not at all.  However, when I look at people who are suffering in this country from all different situations with their children with their husbands and wives with their mothers and fathers, the only recourse you have is to force these doctors and the medical community to put up and shut up and obey the law because they're not willing to do it on their own.

We have seen the Republican Party behave in such a hateful and hysterical political manner that they are willing to kill millions of Americans in order to make sure that they themselves, get all the medical care they want, while they deprive millions of Americans the same equal medical care that day, members of Congress are getting for themselves.  We've also seen members of Congress and the Republican Party, work as hard as they can to deprive all nine Christians of all sorts of benefits under the Constitution, while the same time giving Christians all sorts investor benefits the people that are not Christians do not get.  And mostly when this happens, the Republicans do nothing more than lie and make excuses.

The Republican Party is on the verge of doing exactly what they did in 1932, which is to stage a political coup, whereby they actually incapacitate totally completely, the other faction of the Republican Party to such an extent, whereby this white fundamentalist Christian faction of the Republican Party will then be able to completely destroy the two-party system in the United States, which is their absolute goal.  The Republican Party in the United States no longer believes in the two-party system and they do not support the two-party system and they do not support anyone's right to vote any other way than Republican.  And they will do everything they possibly can to destroy everyone's right to vote any other way than Republican.  Doing this is another spending their money and this is why they're lying so much the general public about everything they do and everything that's happening this country.

As I said before, you deserve better.  If you feel you have in fact been maligned, or abused, or misrepresented or in any way.  Not dealt with fairly by the medical community or the insurance industries or the drug companies do not talk to any of them.  The doctors and the medical communities do not have the right to force you to become medical guinea pigs and medical consumers.  They don't have that right regardless of any of filthy lies they might tell.  And what you need to do is talk to an attorney.  Let the lawyer talk to you.  Members of Congress all use lawyers all the time to defend themselves against us the people.  They all, most of the members of Congress are in fact lawyers themselves.  And since the members of Congress can use lawyers to defend themselves from us.  We can do the same.  We can use lawyers to defend our rights.  And it's time we did that.  The Bill of Rights and the Constitution does those legal benefits upon only the real beneficiaries of the Constitution.  And the only beneficiaries of the Constitution are, we the people.  The beneficiaries of the Constitution are not just the Christians, and not the Republican Party.  The beneficiaries of the Constitution, are we the people.  It is time that we the people stood up and demanded our rights under the Constitution.  And if we don't get those rights we need to go and get a lawyer and get lawyers and get the lawyers to go ahead and confront the government and force the government under the laws of this country to give us our rights.  Because the lawyers are trained to do that.  And the Republican Party and the Christian fundamentalism this country and the medical people of this country are doing everything they can to make sure we don't get our rights.

And if I'm wrong, then why are hundred thousand people dying every year and hospitals as a result of the hospitals being so filthy dirty that these people are going are getting sick when have gone to the hospitals and medical centers to get well!

And let's not talk about medical mistakes with the doctors are so stupid and so arrogant they're not even paying attention when they're operating on you.  And let's also not talk about how in many states and doctors are trying to do everything they can to hide their medical credentials from the general public.  Let me ask you this.  When was it a good idea in your mind, to give someone a knife and let them cut you open without you knowing every bit of their medical qualifications?  There is no way in any world in any life that I may live that I've been a hand someone a knife and let them cut me open, unless I know every single aspect of their medical credentials including how many times they have been sued, including how many times they of May medical mistakes.  And if a doctor is in willing to tell me those things are show me those things and I'm not going to hand him a knife and allow him to cut my body open its as simple as that.

You need to have more respect for yourselves.  Stand up and demand the respect that you deserve.  This country is our country and it doesn't belong to the white fundamentalist Christians and it doesn't belong the Republicans and it doesn't belong to the doctors.  It belongs to we the people.

Take back our country stand up for yourself and don't allow these doctors and the medical community to push around anymore they don't deserve to they don't have that right and it's time that they put up and shut up and realize that they have a responsibility to the Hippocratic oath and do you to be that healers that they're supposed to be and if they can't be healers they don't deserve to be doctors and they don't deserve to be allowed to practice medicine and they most certainly don't deserve to be given an isolate and cut you open and do whatever they want inside your body without you having the absolute authority over them because you're the one that's being cut open not them..

You deserve better...

End of line...

Themes emerging are identified as:

• Waiting times
• Patient Choice
• Commissioning
• Shifting care from hospitals to community settings
• Primary care and community services
• Long term conditions, care co-ordinators and direct payments
• Centralising care
• Care pathways
• Public health

According to the commission, the behavior, which includes “verbal outbursts and physical threats, as well as passive activities such as refusing to perform assigned tasks,” contributes to medical errors and “erodes professional behavior,” producing “an unhealthy or even hostile work environment.”

In its alert, the commission suggests that the field of healthcare has “a history of tolerance and indifference to intimidating and disruptive behaviors,” with both individuals and entire systems contributing to the problem.

The behavior often goes unreported because of the “stigma associated with ‘blowing the whistle’ on a colleague, as well as a general reluctance to confront an intimidator,” the alert said.

The commission’s 11-point plan to eliminate workplace intimidation “will take effect on January 1, 2009, as a rule for all accreditation programs,” McKnights reports. “The Commission is asking facilities to develop a system of reporting bad behavior, educate staff on professional attitudes, implement a method of dealing with unruly physicians and staff, and encourage dialogue between employees.”