Welcome to the 12/16/16 version of 5-Shot Friday.
We’re rounding the bend towards Christmas, which for physicians is a stunner: we’re so frickin’ busy that it’s hard to believe we’re not still in November.
I saw a patient recently who was as bullet proof as they come, nary once getting sick, hasn’t seen a doc in decades, and earns a living in all weather conditions out of doors. I can’t teach him much – I rarely mess with success, though we did discuss the black swan fallacy – but for everyone else prone to getting badly sick in the winter, please consider getting a flu shot.
We now return to our regularly scheduled programming.
Per the American Hospital Association and the Federation of American Hospitals, “the negative fallout from repealing the ACA without a replacement would extend beyond patient health outcomes and hospital finances”:
“Losses of this magnitude cannot be sustained and will adversely impact patients’ access to care, decimate hospitals’ and health systems’ ability to provide services, weaken local economies that hospitals help sustain and grow, and result in massive job losses,” Pollack and Kahn wrote. “As you know, hospitals are often the largest employer in many communities, and more than half of a hospital’s budget is devoted to supporting the salaries and benefits of caregivers who provide 24/7 coverage, which cannot be replaced.”
Like the Affordable Care Act or not, the cost of reversing Obamacare’s course is estimated in the hundreds of billions of dollars.
2. Quote/Tweet Of The Month
More seasonally, from @tinybuddha:
What the pros do to prevent hand-to-hand infection spread.
The 5 second version: WASH IF GRIMY FOR 15 SECONDS, ELSE USE HAND SANITIZER GEL.
From John Romaniello, who is always a sheer joy to read:
“One afternoon, I happened to be in the kitchen while he was preparing his meal. Glancing over to the stove, it became apparent that despite needing to do it several times per day Chris actually didn’t know how to make eggs quickly and easily.”
“I watched in horror as he poured freshly beaten eggs into a lukewarm pan, and sort of just poked at them with a wooden spatula for a while. This went on for about five minutes, during which the eggs eventually cooked, at which point he dumped his sludgy abomination onto a plate, pausing only to scrape the bottom of the pan, which a large portion had firmly taken hold.
“Truly, it was awful to behold.”
“I’m not going to sit here like some culinary snob and tell you that eggs need to be treated with the same care as cooking the perfect steak – but, to be honest, it’s just something that’s so easy to do that messing it up seems criminal.”
“The remarkable recovery of a woman with advanced colon cancer, after treatment with cells from her own immune system, may lead to new options for thousands of other patients with colon or pancreatic cancer, researchers are reporting.”
As I’ve said a number of times, the bleeding cutting edge of medical science and biotech isn’t a prediction, isn’t science fiction – it’s HERE.
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