Vol. 122 April 1, 2015 Athena Health Buys Myspace!

March 31, 2015

hub“Even as the public decries government spying programs and panics at the news of the latest data-breach the daily traffic to sites like Facebook and Twitter—especially through mobile devices—not only stays high, but continues to grow. Both the collective behavior of social sharing, and the technology for analyzing and interpreting social data, are already widely in place. The trick is to actually merge the two—which does not necessitate a whole new system.”

– Victoria Wangia, Professor of Health Informatics, University of Cincinnati
quoted in “The Facebook Model for Socialized Health Care” by Edgar Wilson, The Health Care Blog, 2/26/2015

Athena Health, a major provider of electronic health records (EHR) NOT to be confused with Anthem, has announced its purchase of MySpace, the pioneer social network.

MySpace (original spelling) was the first social network on the internet, but has steadily lost users to its competitor Facebook. Myspace (current spelling) was bought by Justin Timberlake in 2008. Despite efforts to revamp and redirect, Myspace user registrations continued to decline, and it has become a limited network for musical performers. Mr. Timberlake is confident that this move with Athena Health will broaden the scope of his company positively, “I am looking forward to making a more significant contribution to society than singing “D**k in a Box” on Saturday Night Live’s Christmas show”.

Jonathan Bush, CEO of Athena Health and related to both presidential Bushes, says he is making this move because it is time that health care providers make more innovative use of the social networks. Athena Health, based in Massachusetts, already provides electronic medical record (EMR) capability to health care providers nationwide. AthenaClinicals, its popular cloud-based electronic medical record and billing program, is available on desktop and mobile computers via AthenaNet. Its 2007 initial stock price of $18 is now at $120.

Using well-tested Facebook-like methodology Athena Health will create a wall, “The Health Wall”, in everyone’s Myspace account which will be renamed AthenaFace. This will add new meaning to “updating your status”. “Sick”, “Well”, “Recovering nicely”, “Waiting to find a doctor”, and “A little worried about what is happening to me” will be examples of clickable boxes.

Pop-up ads and informational banners will be health-oriented. Such as:
“Check your immunization score FREE”,
“Need help figuring out your Health Insurance deductible, Obamacare tax credit, or fine?”,
“Find the Nearest Medical Marijuana Dispensary”, and
“Special discounts on fitness club dues”.

AthenaFace representatives neither denied nor confirmed plans to link up with Groupon, another semi-floundering internet company, that provides discount coupons for a whole variety of services and products.

Record entries will be encrypted and saved, of course, though users will have the “Snapshot option” of having certain parts of the record being deleted within 30 seconds of being read. “The Health Wall” will accept postings of pictures and videos which will certainly enhance the robustness of the medical record for skin rashes, wounds, gait disturbances, and seizure disorders.

Efforts to link with relevant mobile apps like “Breathalyzer”, “Fitbit”, “Sleepbot”, “Whazthat!?”, etc. have already begun.  An app to link with Uber for the “Next available doctor to see you” will be in the first upgrade. However, that app, UberDoc, will include a charge. Prices will vary depending on circumstances, so customers will be urged to settle on the price before taking the appointment.

In response to critics who worry about the security of personal information in a combined health care/social network platform Jonathan Bush has stated, “Lots of people are obviously not at all concerned about such privacy issues. They are sexting and sending pictures of their genitalia all over the internet. Why would they care if somebody knew their blood pressure and cholesterol level? ”

But, AthenaFace will have different levels of privacy options that can be set by the user. On the user-sharing side the options will include:
“All”,
“Family and Friends”,
“Just Family”.
“Just (insert name here) ”, and
“Nobody”.

For provider-sharing the options for the customer will include:
“All”,
“Specialists Only”,
“Primary Care Only”,
“Dr.(insert name here)” , and
“Nobody, especially that nosey office nurse who thinks she runs the place.”

Why wait until your physician and hospital catches up with the federal EMR incentives for establishing a patient portal?

Do it yourself with AthenaFace!

Coming soon to your internet browser, but most probably after 2016 … depending on election results.

HAPPY APRIL FOOLS DAY.


Vol. 117 January 1, 2015 New Year’s Resolutions

December 31, 2014

hub“I can resist everything but temptation.”
-Oscar Wilde

Recent “scientific” surveys reveal that 45% of us in the U.S. make New Year’s resolution but only 8% succeed in fulfilling them. Those under 30 years of age apparently do much better; 16% of them succeed. (1) Here is another statistic that is hard to believe: “38% of 2600 respondents polled by their fitness program failed to accomplish their fitness goals in the past year”. (2) Boy, talk about underreporting!

It makes me wonder, “why bother?”.  But, the social pressure of age-old traditions is unremitting, so here are my 2015 resolutions. (Maybe my first one should  “be stronger against social pressure of age-old traditions”. )

In 2015:

1. I will continue to resist committing myself fully to the social media fray while I patiently wait for the ultimate app, “TwitterFace”, “FaceTube”, “InstantaYou”.

2. I will no longer make wise cracks about brussel sprouts, broccoli, and eggplant dishes now that my grand children like them, but I still don’t eat them.

3. I will start the Paleo diet (no grain, no processed foods, no sugar, no milk – basically “what a caveman would eat”) as soon as Market Basket or Stop and Shop puts saber-tooth tiger steaks on sale.

4. I will try to treat anti-gun control and anti-vaccine advocates with respect since they are probably rational people, even through their arguments are irrational.

5. I will read the computer screen from left to right, line by line, and word-for-word before I call my son when I lose my way, since that is the first instruction he will give me. (It unravels my confusion about 95% of the time.)

6. I will not spend hours this year comparing bills while trying to decide whether Verizon or Comcast has the best “bundle”. (It always seems fruitless no matter how or when I do it.)

7. I will continue to collect articles and study results that promote the health benefits of an afternoon nap, but I will also stop my occasional designation of a nap as my ”accomplishment for that day”.

8. I will wear my new, gifted fit-bit bracelet (Jawbone-UP/24 which apparently measures all my activity and my non-activity) for at least a month, even though I probably won’t understand all of its features by that time. (If all else fails, I will download the manual, if I can find it on their website.)

9. If I find myself using my son-in-law’s or daughter’s Netflix password on my home TV more than once a week, I will get my own subscription.

10. I will complete and publish my compilation of “You may be a Geezer if…” aphorisms.

That’s it.
Nothing magic about the number ten except that it avoids any connotations of the number 12, either disciples or members of a jury.

Feel free to add any of your own resolutions here. Maybe announcing them will generate some needed social pressure on you to succeed.

References:
1. Jour of Clinical Psychology, 1/1/14
2. New.Health.Com/2014/BlueGojjPlatform

 

 

 

 


Vol. 115 June 15, 2014 Sometimes a picture IS worth a thousand words.

June 15, 2014

 

hub

THE LAST OF MY “FOOD BLOGS” FOR A WHILE.

After blogs about the evils of excess added sugar, added trans fats, the obfuscation of ingredient lists, and manipulative marketing by food manufacturers  I find it easy and appropriate to finish up this series with pictures that capture more than I can write.

 

Food cartoons1

 

Some churches have come up with the ultimate answer to WWJD?  Gluten-free communion wafers!!

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Food cartoons2

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Wouldn’t it be great if parents were as paranoid about gun deaths – 500 children per year – as we are about peanut allergy deaths – 150 children and adults per year.

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Food cartoons3

As a pediatrician with 45 years of experience and a grandfather, I think that the moment depicted here is much more important in the long run for the child than reading the % of trans fat or sugar content in the ingredients list.

 


Vol. 111 April 15, 2014 Who’s On First?

April 15, 2014

Abbott_and_Costello_9396

Washington – April 10, 2014
“A welcome relief from rising health care cost for U.S. consumers is being less warmly received by the Federal Reserve.”

Mr. Abbott, a Washington economist, is heard explaining it to Dr. Costello, a physician.

A: The cost of health care services rose just 0.8% this year.
C: That’s good news. We all have been working hard to reduce costs,what with meaningful use, and evidence-based medicine, and transparent patient portals. It’s hard work.
A: Its not good news.
C: What?
A: Health care sevice prices are down from its 10 year average of 2.6% increase.
C: That’s really good.
A: No,its not.
C: Why?
A: It’s a sign of persistent deflation.
C: Aren’t we afraid of inflation?
A: Not now.
C: What?
A: Their current goal is 2% inflation.
C: Whose?
A: The Federal Reserve.
C: Who?
A: They measure the economy.
C: How?
A: Using the Personal Consumption Expenditures or PCE.
C: What?
A: LIke the Consumer Price Index, the PCE measures what people spend on things.
C: Why?
A: People spending more money on things means the economy is growing stronger.
C: Who says?
A: Mr. Bush. Remember, he asked us all to go shopping to get out of the recession.
C: Where?
A: In America, of course.
C: What do health care services have to do with the mall?
A: Health care services make up 25% of the prices measured by the PCE.
C: So what.
A: Physician fees went up only 0.2%, down from 1.6% in 2012.
C: THAT’S not good for me!
A: No, its not.
C: What!?
A: Nursing home prices went up only 0.3% rather than the 1.8% rise of two years ago.
C: I know, I know. That sounds good but its not?
A: Right!
C: Why?
A: If health care prices don’t go up, the PCE doesn’t go up, and our economy looks stagnant.
C: Oh, boy! I think I got it. If all the efforts to reduce health care costs succeed, the PCE will not rise, inflation will be less than 2% a year, deflation will persist, and the Federal Reserve will label the economy as stagnant.
A: Now you’ve got it!
C: What about the impact of the Affordable Care Act?
A: Economists agree that the impact of Obamacare is not yet clear.
C: Oh boy!
A: Any questions?
C: Just one.
A: What?
C: Who’s on first? 


Vol. 110 April 1, 2014 PUTINCARE UNVEILED

April 1, 2014

 

Putin on horseback  PUTIИCAЯE UNVEILED

Vladimir Putin, President of the Russian Federation, today unveiled his country’s plan for universal medical care, the Accessible Care Act (ACA) or Putincare. The act was passed by a unanimous vote in both the Upper and Lower Houses, “an easy task of collective wisdom once we eliminated the ‘individual mandate’ clause.” Mr. Putin remarked that he had hoped to make the announcement while on the crest of success of the Sochi Olympics, but that the unexpected expression of states’ rights in the Ukraine distracted him. “I understand”, Mr. Putin went on to say, “that Mr. Obama sometimes has his own problems with state’s rights, but our Georgia is not like his Georgia”.

Putincare will establish medical care Exchanges in all states belonging to the Russian Federation. Every citizen (Yes, EVERY citizen. After all, the number of immigrants into Russia is not an issue.) will be able to bring in pigs, or chickens, or even potatoes and exchange them for medical care. Each Exchange will set its own eligibility criteria and rates. For example, in Georgia one pig could be exchanged for a throat culture and ten days of penicillin while in Moscow the same would cost one pig PLUS the names of two suspicious neighbors. The urban-based social networks, like “2Facebook”, will encourage this.

Full implementation of Putincare will depend on increasing the number of doctors and nurses in Russia since many towns have none. Despite the concerns expressed by the BAR Association (Babushka Assistants of Russia) that new doctors and nurses will compete unfairly with their services, Putincare calls for the immediate recruiting of as many Indian and Pakistani providers as possible. “It seems to have worked for Britain and America.” Mr. Putin expressed great confidence in their ability to avoid some of the early problems experienced by Obamacare. “Our computer expert, Mr. Snowden, assures us that we will have no problems. Of course, if he is wrong, he will return to America sooner rather than later.”

Putincare, like Obamacare, will not cost any additional money. The medical care provided through the Exchanges will get sick people better and reduce the work days lost due to death. The plan will increase revenue as a result of more pigs, chickens, and even potatoes… not to mention the increased number of State enemies identified in Moscow alone. As proof of the need for this program State spokesmen confirmed reports that one of the Exchanges had collapsed under the weight of 200 pigs. “We were expecting about 25 an hour the first day and so had a floor that could support 100 an hour, but the sudden traffic just overwhelmed us, and we crashed.”

Implementation of the requirement for small business to participate in the Exchanges has been postponed because of unfamiliarity with the term “small business”, some concerns about “creeping capitalism” which would enrich the Exchanges, and the cessation of operations in Russia by Visa and Master Charge brought on by U.S. sanctions. Most of Putin’s close associates were unavailable for comment, being occupied in trying to recover their own frozen assets.

Mrs. Putin, who rarely makes public appearances, will be launching a Russia-wide children’s education effort to support this plan; SISCAK, “Stay In School, the Chinese Are Coming” (rough translation).

Foreign critics of Putincare dismissed this announcement as an obvious attempt to deflect international attention away from the Ukraine. If you read the plan carefully, and we’re not certain anyone has, you will see that there is no Exchange designated for the Crimea. “Federal Russia will provide.”

Donald Berwick, MD, failed-appointee for Chief of Obamacare in America, commented, “Russia needs to improve its cost/quality ratios a great deal. Putincare is a step in the right direction, but I am not certain that even Mother Russia is ready for a Health Czar.”

Several courageous  Soviet scientists introduced a sense of urgency to the discussion, “Because of the current state of the world we should not delay. The Siberian permafrost is already getting squishy, … and the Chinese are coming.”

Putin officially ended the press conference with, “We are confident that all the States and Provinces in the Russian Federation will embrace and implement this plan, …and also visit Sochi to help us pay for it. If they do not, the army will march.”  Putin’s exit words, whispered aside, were unintentionally recorded, rebroadcast on both The Daily Show and The Colbert Report, and immediately went viral;  “Eat your heart out Barrack!

hubHAPPY APRIL FOOLS DAY.

 

 

 

 


Vol 87 April 1, 2013 Pope Francis Bails Out Obamacare

April 1, 2013

hubIn a solemn Easter Mass Pope Francis dramatically offered the help of the Roman Catholic Church in funding universal health care in the U.S. He noted that because the U.S. is the only civilized Western country without universal health care and is currently having financial problems, it is the Christian thing to do. “Since we all recognize that we are in a global economy and a global health care community, where neither disease nor money is restricted by national boundaries, it makes good sense to protect the rest of the world from the health problems of  the beleaguered U.S. ” He felt that it was most fitting and proper to announce this during an Easter Mass with its tradition of hope and renewal. The plan was immediately dubbed, “Francincare” (pronounced  as “Frankincare” with the Italian hard “c”).

In an immediately following press conference papal staffers presented details of the plan. Premiums will be collected in envelopes at weekly services and delivered to Medicare headquarters the next week.  The premiums collected will be used to pay for all services except contraception and abortion. Those seeking that coverage may attend an additional weekly session at a synagogue, Episcopal, or Presbyterian church once a month. Each parish church will be designated as an Accountable Care Organization (ACO). Participation will not be denied because of pre-existing conditions or previous religious affiliations.

In response to questions from the press, papal staffers did concede that this plan might help bring U.S. Catholics back to church. Dispensing Pneumovax and flu  shots after Christmas Mass was one example they gave. HIV screening could be added to pre-Cana programs, but local parishes could opt out of this benefit if they requested a waiver. Plans to convert St. Vincent De Paul consignment shops into dispensaries of low-cost generic drugs are also under consideration.

Papal staffers also emphasized that the system would not waste a lot of money on developing no-return electronic data capability or a questionably effective quality improvement bureaucracy. “We don’t want another large bureaucracy competing with the Curia.  All the money collected will be spent on direct patient care… after the usual percentage to the Papal Office is taken out, of course.”

Dr. Jeremy Lazarus, AMA President, referring to the church’s foray into the intricacies of Accountable Care Organizations welcomed the move saying, “It is about time the Catholic church was accountable for something.”

Prelates in France felt that it just might work in the U.S. but it had no relevance for France “where people stopped going to church a long time ago.”

Christina Kirchner, President of Argentina, stated that “Pope Francis and I have had our conflicts in the past over church vs. state matters, and I am pleased that he is first trying this out in North America.”

Mitt Romney, contacted on the floor of a Tea Party conference in Arizona, immediately referred to the offer as “a naked grab for power by a foreign potentate… Frankenstein could be dangerous, I think we should just stay against Obamacare.”

Sean O’Malley, Bishop of Boston, tweeted “gives new meaning to the word frankincense. can’t wait to use it in my Christmas homily. #thenewchurch.”

Obama was reported to have been pleased by the idea, but mused, “I wonder what he thinks of gun control? The Roman Catholic church may be the only organization big enough to take on the NRA.”

The plan was developed in secret over several months and received the final vote of approval during the recent conclave. Earlier drafts of the plan were used to blacken the smoke from the  Sistine Chapel prior to Francis’s election.

Papal staffers assured all that the financial reserves of the world-wide church was adequate to sustain the program though its implementation might be slowed by the scarcity of both primary care physicians and priests in the U.S. Efforts to train nuns as both physician and priest delegates will be stepped up. They did note that the plan would not cover any mental health services with the explanation that “We are already conducting weekly, even daily, group therapy sessions. If you add in the out reach efforts of our after-school training classes (used to be called CCD), organized family retreats, and sponsored pilgrimages/cruises to foreign lands, we feel no further mental health coverage will be needed.”

At the end of the press conference Pope Francis returned briefly, bestowed the usual Papal Blessing on the gathering (see Hubslist March 15), and closed with a benediction in Italian, Spanish, and English:  “Felice Aprile Ingannare Giorno”,
“Felize Abril Enganar Dia”, and
 “Happy April Fools Day”


Vol. 86 March 15, 2013 Papal Medical Fun Facts

March 15, 2013



popesign1Now that Francis I has succeeded Benedict XVI we should expect some early spring sprouting of stories about Benedict’s medical issues. We already know he had a cardiac pacemaker implanted before he was elected Pope, and that it was “recharged” or “replaced” in a “secret surgical procedure” three months before he retired. He had arthritis (so much for the positive energy of red shoes), a stroke in 1991, and maybe another in 2009 when he fell and hit his head (Oh, NO, one of those currently dreaded “concussions” maybe). Francis I has his own past medical issues, of course.  One of his lungs was removed due to a lung infection in his youth. We will, I’m sure, hear a lot more about both of their medical histories.

A more compelling medical speculation surrounded the death of Pope John Paul I in 1978. His death just 33 days after his election spawned several conspiratorial scenarios  including links to Chicago (“where Al Capone used to rule”) and the Sicilian mafioso (linked mostly by shared bankers). The non-smoker Pope took medicine only for low blood pressure. He was found sitting up in bed with reading material in his lap the morning after sharing a simple meal with others who drank the wine. He drank only water. He was discovered in bed by a nun which, of course, added to the intrigue. Actually she had delivered his morning cup of coffee every day for forty years. His personal physician examined him in his bed, declared him dead of a ‘heart attack”, and a hurried, “poorly supervised” autopsy was performed. John Paul I was not the shortest-lived Pope. Urban VII (1590) died only 13 days after election, but everyone seemed to agree that malaria killed him.

The medical question I have not been able to answer despite my extensive, exhaustive research (at least an hour on Google) is:  Which Pope had the ulnar nerve palsy?
The classic hand gesture of the “Papal Blessing” or “Papal Benediction”, despite erudite analysis by reverent writers on the religious symbolism of his hand and fingers, is, in fact, the result of a nerve palsy of the hand. Even the Vatican tourist guides know this.

There is disagreement over which nerve palsy the originating Pope had. You can find reasoned arguments that it was a median nerve palsy, not an ulnar nerve palsy. Either one results in the curved 3rd and 4th fingers with straight 1st and 2nd ones. The median nerve palsy would result in the gesture if the Pope were trying to make a fist. The ulnar palsy would create the gesture as he tried to wave keeping all fingers straight. The early centuries of the papacy were filled with intrigue, plots, poisonings, warfare, and murder, but somehow I can’t picture the Pope blessing the people with a raised, clenched fist. I vote for him attempting a royal wave, and so align with the ulnar palsy school.

Pope Clement I (92-99 AD) was the third or fourth Bishop of Rome, consecrated by St. Peter himself, and one of his portraits shows him with the classic papal hand gesture.But his portrait was painted at a much later date, so the painter was probably just giving Clement I the “sign of the Pope”. Screen Shot 2013-03-13 at 11.48It doesn’t mean that Clement originated it. For some reason in the back of my brain, the name of Urban keeps peeking out, but there were VIII of them so I couldn’t narrow it down. A more learned source attributes the original gesture to Pius V (1566-1572). Others have noted that the gesture historically has not been restricted only to Popes, and has been depicted in photos and portraits of lots of other clergy.

Cardinal Bishop Fulton Sheen of New York and TV

Bishop Fulton Sheen of New York and TV

One of the oddest elements of a papal election is the use in the conclave of the Sedia Stercoraria (pierced chair) as described by a learned source, a “creative club of independent Rome tour guides”.

 “In 855, some scholars believe a woman named Joan dared to falsify her gender and was nominated as Pope John VIII. As the story goes, no one was aware of her “double identity” until her death when one of the doctors examined her body and discovered that not only she was a woman but a pregnant woman! Scandal was in the air, so to prevent any kind of misleadings the cardinals came up with a very simple method to make sure that pope is a man. After the election the new pontiff needed to proof that he had…we’ll say, the proper equipment to be a pope. The newly elected Pope has to sit on the chair, while one of the cardinals would examine the situation by placing his head under the chair. As the story goes, if everything was ok the cardinal would say “He has two balls, and they are well hung” bringing a cheerful smile on other cardinals’ faces.” 

I doubt that they still use that chair, what with inexpensive rapid DNA testing available.

The Italian bishops were surprised that the Bishop of Milan, Angelo Scola, was not elected, and much to their embarrassment they prematurely released a report that he had been. I, too, was very disappointed that Angelo Scola did not get elected because we all could have called him Pope Scola. … don’t get it?  Re-read that last sentence out loud.


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