Showing posts with label Other Items of Interest. Show all posts
Showing posts with label Other Items of Interest. Show all posts

Monday, June 25, 2012

Madonna On Tour Uses “DNA Sterilization Team” to Clean and Disinfect Her Dressing Rooms–Beware of the DNA Snatchers…

I wrote the post back in December of 2010 with the title to bewareimage of the DNA Snatchers of the future and now it looks like the future is here, or at least Madonna is not taking any chances.  Private investigators soon may take on a whole new identify.  As we have all read your DNA can easily be picked up off a glass where you drank some water, a beverage at a bar and so on.

Beware of the DNA Snatchers of the Future

What happens when your DNA gets stolen and used illegally?  We all know what a hassle it is with our personal information but what do you do about something like this?  As sequencing becomes cheaper and folks have time on their hands, who knows what could occur.  There’s black market everything out there today and she’s making sure that she or any part of her doesn’t get cloned in some fashion or another.  This kind of gives a new meaning to the words “material girl” when someone could be seeking DNA:)  BD 




The pop star apparently uses a "DNA Sterilization Team" on her current tour, according to Britain's Daily Mail. The team cleans and disinfects each dressing room Madonna uses on the tour, literally wiping away any trace of the singer.

"We have to take extreme care, like I have never seen for any other artist," said Álvaro Ramos, the promoter handling the Portugal dates on Madonna's tour.

"We cannot even look at the dressing room after it is ready, or even open the door," he says. "We can only enter after her sterilization team has left the room. There will not be any of Madonna's DNA, any hair, or anything. They will clean up everything. In the end it is all to protect her and make her feel comfortable. I do understand it, but it is taken to extremes."

http://www.mercurynews.com/entertainment/ci_20934876/hicks-madonna-using-dna-sterilization-team-tour

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Cook Medical Sponsors Clinical Study–New Endovascular Technique With Potential to Reduce A Large Number of Leg Amputations For Patients Suffering from PAD

this is the first study to examine the a new, endovascular approach to treating critical limb ischemia (CLI) – a symptom of peripheral arterial imagedisease (PAD) and if you are not familiar with PAD (peripheral arterial disease) , here’s a couple back links and an interview I did with Cook Medical a while back with Rob Lyles with Cook Medical..  CLU occurs when PAD goes to the worst case and leads to amputation to where 25% of the patients die due to the procedures.  Let’s face it nobody wants to lose a leg.  Back in 2009 I first spoke with Rob Lyles from the peripheral intervention division. 

Cook Medical Interview Discussing PAD Leg Therapies– Rob Lyles, VP Peripheral Intervention Division
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In addition you can also read up here with the interview I did with Dr. Peter Lawrence at the UCLA Gonda Vascular treatment center to see what they currently do with treating PAD. 


The UCLA Gonda Vascular Center Treats PAD (Peripheral Arterial Disease)-Interview with Dr. Peter Lawrence Chief of Vascular Surgery


Cook has a stent that can be utilized to bring the blood flow back and unlike a heart stent, they have to be rugged, in other words your heart stays in one place, but no so for the legs as they are in constant motion, thus the importance of the stent remaining in place and being secure.  12 locations will participate in the Tibiopedal Access for Crossing Infrainguinal Artery Occlusions study and the Zilver stent was last reported consistent outcomes with treating pad over a 24 month period.  BD


Cook Medical Zilver PTX Drug Eluding Stent Clinical Trial Shows Consistent Outcomes Over 24 Months in Treating PAD


Press Release:

Cook Medical Sponsors First Clinical Study to Examine New Endovascular Technique

 

Study designed to evaluate retrograde tibiopedal vascular access

 

Bloomington, Ind., June, 25, 2012 – Clinical investigators are for the first time examining the retrograde tibiopedal interventional approach, an endovascular technique that has the potential to reduce the rate of leg amputations by as much as 50 percent[1] in patients with critical limb ischemia (CLI), a manifestation of peripheral arterial disease (PAD). Cook Medical, a global pioneer in interventional medical device technologies, is sponsoring the Tibiopedal Access for Crossing Infrainguinal Artery Occlusions study. 

 

With the retrograde tibiopedal approach, a physician gains vascular access at the foot and advances wire guides and catheters up the leg to reach and cross arterial blockages. Individuals1 and single centers[2] have reported initial success with the technique, which is often tried after a traditional antegrade approach fails. This is the first prospective, multicenter study to collect data on this technique.

 

“This endovascular approach developed by leading physicians has the demonstrated potential to address life-limiting and lower-limb-threatening occlusions,” said Rob Lyles, vice president and global leader of Cook’s Peripheral Intervention business unit. “We are committed to enhancing the delivery of quality patient care and look forward to the initial study results in 2013.”

 

An estimated 27 million people in Europe and North America suffer from PAD,[3] which can lead to CLI, a severe obstruction of the arteries that decreases blood flow to the extremities, producing pain and skin ulcers or sores. CLI, which affects up to 300,000 people a year in the U.S.,[4] is the end stage of lower-extremity PAD and poses a significant risk for limb loss. Currently, 25 percent of CLI patients undergo amputation as a primary treatment.4 Within two years of treatment, 25 percent of these patients die and another 30 percent experience additional lower-limb amputation.4 The mortality rate at five years following amputation can be as high as 68 percent.[5]

 

Twelve sites in the United States and Europe will participate in the Tibiopedal Access for Crossing Infrainguinal Artery Occlusions study led by global principal investigator, Craig Walker, M.D., founder, president and medical director of the Cardiovascular Institute of the South in Louisiana. Up to 200 patients with a totally occluded lower-limb artery will be enrolled, and physicians will assess the technical success rates of the new procedure both for gaining vascular access via the foot and for crossing the lesion. Patient follow-up will consist of a telephone interview approximately 30 days after the procedure. J.A. Mustapha, M.D., director of endovascular intervention at Metro Health Hospital, has enrolled and treated the first patients in this study. Drs. Walker and Mustapha are compensated by Cook Medical for educational lectures they present to physicians on the tibiopedal access procedure.

 

_______________________________________

1  Kavteladze Z. Retrograde recanalization of tibial CTOs. Presented at: TCT 2010; September 21-25, 2010; Washington, DC.

2  Montero-Baker M, Schmidt A, Bräunlich S, et al. Retrograde approach for complex popliteal and tibioperoneal occlusions. J Endovasc Ther. 2008;15(5):594-604.

3 Belch JJ, Topol EJ, Agnelli G, et al. Critical issues in peripheral arterial disease detection and management: a call to action. Arch Intern Med. 2003;163(8):884-892.

4 Norgren L, Hiatt WR, Dormandy JA, et al. Inter-society consensus for the management of peripheral arterial disease (TASC II). Eur J Vasc Endovasc Surg. 2007;33(suppl 1):S1-S75.

5 Reiber GE, Boyko EJ, Smith DG. Lower extremity foot ulcers and amputations in diabetes. In: Harris MI, Cowie CC, Stern MP, et al., eds. Diabetes in America. 2nd ed. Washington, DC: National Institute of Diabetes and Digestive and Kidney Diseases, 1995:409-428.

 

ABOUT COOK MEDICAL

A global pioneer in medical breakthroughs, Cook Medical is committed to creating effective solutions that benefit millions of patients worldwide. Today, we combine medical devices, drugs, biologic grafts and cell therapies across more than 16,000 products serving more than 40 medical specialties. Founded in 1963 by a visionary who put patient needs and ethical business practices first, Cook is a family-owned company that has created more than 10,000 jobs worldwide. For more information, visit www.cookmedical.com.

[1]  Kavteladze Z. Retrograde recanalization of tibial CTOs. Presented at: TCT 2010; September 21-25, 2010; Washington, DC.

[2]  Montero-Baker M, Schmidt A, Bräunlich S, et al. Retrograde approach for complex popliteal and tibioperoneal occlusions. J Endovasc Ther. 2008;15(5):594-604.

[3] Belch JJ, Topol EJ, Agnelli G, et al. Critical issues in peripheral arterial disease detection and management: a call to action. Arch Intern Med. 2003;163(8):884-892.

[4] Norgren L, Hiatt WR, Dormandy JA, et al. Inter-society consensus for the management of peripheral arterial disease (TASC II). Eur J Vasc Endovasc Surg. 2007;33(suppl 1):S1-S75.

[5] Reiber GE, Boyko EJ, Smith DG. Lower extremity foot ulcers and amputations in diabetes. In: Harris MI, Cowie CC, Stern MP, et al., eds. Diabetes in America. 2nd ed. Washington, DC: National Institute of Diabetes and Digestive and Kidney Diseases, 1995:409-428.

Sunday, June 24, 2012

HMOs in Israel Score a Judicial Win Over Formulas Used For Funding–State Has 6 Months To Create New Methodologies to Measure and Project Medical Costs–HMOs Anticipate Greater Funding To Arise

Sometimes it’s interesting to take a look at what’s happening in other countries relative to the rising cost of healthcare and when you read this it’s apparent that this is not only an US problem.  Granted Israel is a much smaller country but the problem are the same, money or lack of.  Just a couple months ago, doctors who work for the state received an order that they needed to punch a time clock.  How would that work in the US…I don’t think it would accomplish much here. 


Israel Judge Issues Court Order For Doctors To Punch A Time Clock


To go a little further here, the country also realizes that allowing private care and selling supplementary insurance contributed to the problem.  The country has 4 HMOs and all are required to join one of the four and there’s always the option to pay for private care.  Some of the same doctors working in the government facilities have referred patients to their private practice or those of other doctors.  The government pays $59% of the cost for the imagecitizens, the lowest compensation percentage for a country with socialized medicine.  If you read further, the doctors are threatened with losing 20% of their pay checks.  The government pays $59% of the cost for the citizens, the lowest compensation percentage for a country with socialized medicine.

Officials In Israel Blame Themselves for Allowing Private Care and the Selling Supplementary Insurance For Degrading Their Public Healthcare System

In addition medical students and state doctors have ongoing protests and strikes to draw attention.  It sounds as if the HMOs could stand to see an influx of funding.  Technology is great but we still need the over all doctor-patient relationship. 
Medical Students and Doctors Protest in Israel Demanding Improvements in the Healthcare System

Two of the largest HMOs filed their complaints 9 years ago questioning the lack of hospitalization not being included. The court will not be creating a formula, but rather told the state and the HMOs to settle it.  Does this sound a bit similar to what we have in the US?  I think so and the cost of healthcare is a global concern for all economies.  BD


 

The High Court of Justice handed down a major decision on health care funding Thursday. It took the state to task for inadequate government funding of the country's health maintenance organizations due to the formula through which it funds hospital stays by the HMOs' patients.

"The right of the citizens of the State of Israel to health [care], as shaped and enshrined in the state health insurance law, is slowly being emptied of content in light of the systematic erosion of the health maintenance organizations' budgets," Justice Salim Joubran stated, ruling on a petition filed by the Clalit and Maccabi HMOs.

The HMOs were challenging the mix of components the government has been using to calculate the cost of medical care. They said it did not accurately reflect the cost of hospitalization and, in the process, was eating away at their budgets.

Justice Joubran, who was joined in the ruling by Supreme Court President Asher Grunis and Justice Hanan Melcer, gave the state six months to come to an agreement on a new method of measuring medical costs. In the process, the state is expected to provide the HMOs with hundreds of millions of shekels in additional funding each year. If adjustments were to apply retroactively, the sums would be in the billions of shekels.

http://www.haaretz.com/business/hmos-to-receive-huge-cash-injection-after-high-court-rules-against-state-1.443423

Attack of the Killer Algorithms–Digest & Links for All Chapters–How Math and Crafty Formulas Today Running on Servers 24/7 Make Life Impacting Decisions About You–Updated 6-24-2012

If you have not caught up with this yet, I started this series by accident as an awareness outreach, I know just like everyone else has out there, but having been a former software writer, hopefully some of this will explain in layman’s terms how some of this works behind the scenes it may offer some answers.  It’s not going to make you happy but it will open your eyes as to how the world of technology functions today with decision making and perhaps give you an idea of where it’s headed too.

I like technology and how it makes me smarter and more observant but as with everything today, there’s the dark side of how formulas and math are used for profit with some very intelligent and crafty programmers and developers out there and we get fooled.  Everything in here is all public knowledge so there was no digging for any exclusive interviews and so forth, just stuff you can find on the web as well and I’m just connecting some “big dots” to where you may not see this otherwise. 

This blog can be a source of discomfort at times as along with years ago in learning about math, code and formulas, it transitioned me into something very scary indeed, a female that uses logic <grin>. 

So if you have wondered why the Medical Quack is different, there you have it and I have to laugh at myself too as I never intended to become logical and think back quite bit of the days before logic entered the picture and those are some fine memories too.  So there you have it, what’s wrong with this blog…<grin> a female using logic.  I have also been pondering this question since August of 2009….this is a “one duck” think tank <grin>.

 
“Department of Algorithms – Do We Need One of These to Regulate Upcoming Laws?

So without further chat, here’

  

s

  

the Attacks as I see them as it’s all in the math and formulas…Nothing will happen until new code runs through those servers and I feel this is truly the backbone of what started the “Occupy” movement, frustration and nowhere to go for answers as we have leaders in denial that don’t have a clue of how all of this works.   Today I am adding 5 more chapters since the last update. BD


Occupying Wall Street–It’s All About the “Attack of the Killer Algorithms”–The Unfair and Marketing Exploit of Ethics Using Math–This Could be a Subject for Michael Moore to Explore and Document In a Movie

 
“Killer Algorithms: Part 2” Disturbing News for Consumers With Credit Scoring Adding New Data Analytics–Some of the Same Methodologies Used by Insurers With Flawed/Potential Erroneous Data–One More Reason to Continue Occupying Wall Street


 
“Attack of the Killer Algorithms” Part 3–Vatican Doesn’t Like It Either–Occupy Wall Street Belongs in New York As They Don’t Do Code or Algorithms in Washington–Only Find time To Talk Abortions


 
Attack of the Killer Algorithms-Occupy Wall Street Part 4 Health Insurance Style - One More App For Folks Who Are Tired of Flawed Algorithms That Require A Ton of Work and Research Time To Create “Perfect” Data Files for Insurers And Others Analytics Processes

 
“Occupy Algorithms”–”The Attack of the Killer Algorithms Part 5” - Nothing Will Improve Until Audits and Actions Takes Place To Correct Formulas Built for Profit Only by Corporations And We Battle Back With Math

 
Attack of the Killer Algorithms Part 6–Discrimination With Consumer Credit-Same As Health Insurance Wanting Consumers to Reconstruct Records From Many Years Past As Middle Class Turns Into Data Chasers-Days of Taking Risks to Get Ahead Will Be Limited For Most…Occupy Algorithms


 
Flawed Data–Mined by Corporations Online Provides Background Checks Riddled With Errors–Attack of the Killer Algorithms Part 7


 
Consumers Lose More Privacy With New CoreLogic Credit Reporting–”Score” Marketed For Insurers and Employers To Gain Information-California Prohibits Potential Employers – From Using As Jan 1 - Killer Algorithms Part 8


 

Freddie Mac Found to be Betting Against Home Owners Being Able to Refinance - “Attack of the Killer Algorithms” On Consumers Part Nine–Home Mortgage Style


 

Komen Reverses Decision With Planned Parenthood–Hard Lesson on How Business Analytics Are Misunderstood And/Or Abused–Attack of the Killer Algorithms Chapter 10


 

Gamification–You Have Won and Now We Know All About You - It Didn’t Cost One Cent-Insurance Companies Have Games To Find Out More About You Too– “Attack of Killer Algorithms” Chapter 11


 

Colonoscopies–The Bait and Switch on Screenings–If Polyps Are Found You Get A Bill-Some Other Screenings Too–Killer Algorithms Part 12–Medical Billing Codes Style

 

Attack of the Killer Algorithms Part 13–Bank of America Style - Flawed Data With Credit Scoring Agencies–Dead Man Banking And Currently A Consumer Under Attack


 
Insurers to Provide User Friendly Summaries of What’s Covered–Good Luck As Constant Revisions Will Be Required as Business Intelligence Algorithms For Profit Change–Attack of the Killer Algorithms Chapter 14

 

Story of Duke University - The Sad Case of Flawed Data Published in Medical Journals That Was Declared Inaccurate 60 Minutes –Attack of the Killer Algorithms Chapter 15


 

Medicare Low Safety Rankings At Harvard Teaching Hospitals Disputed and Flawed–Attack of the Killer Algorithms Chapter 16


 

Start Licensing and Taxing the Data Sellers of the Internet Making Billions of Profit Dollars Mining “Free Taxpayer Data”–Attack of the Killer Algorithms Chapter 17 - “Occupy Algorithms”– Help Stop Inequality in the US 

 

Pharmacies File Suit Against Texas Human and Health Services Commission - Managed Care Contracts Begin Delegating Reimbursements Too Soon – Attack of the Killer Algorithms Chapter 18


 

AMA Announces Doctors And Patients Can Expect To See the UnitedHealthCare/Ingenix Class Action Settlement Checks In the Mail Soon - Out of Network Short Payments–Attack of the Killer Algorithms Chapter 19


 

Healthcare Blogger Gets Spammed by Hedge Fund Using Internet “Reputation Restore” With Some Really Bad Algos–Attack of the Killer Algorithms Chapter 20


 

Senator Introduces Bill to Prohibit Companies From Using Medical Debt With Assessing Consumer Credit Scores–Attack of the Killer Algorithms Chapter 21 With Flawed Data


 

IBM Watson Going to Work At Citigroup on Wall Street–Congress Didn’t See Big Data As A Tool (Hadoop Framework) When They Had Their Chance…For Consumers The Attack of the Killer Algorithms–Chapter 22


 

Independent Pharmacies Not Able to Compete with Big Chains and Fear Going Out of Business–They Don’t Have Same High Levels of Data To Sell to Profit- Attack of the Killer Algorithms Chapter 23


CVS/Caremark Sends Letters to Tufts Members Containing Personal Information Like Medical Conditions/Meds Info to Wrong Patients–Attack of the Killer Algorithms Chapter 24


Aetna States Letters Mailed to Thousands of California Customers Were A Mistake–Their Doctors Are Still In Network–”Rogue Algorithms and Flawed Data”–Attack of the Killer Algorithms Chapter 25



Medicare Agrees to Settle Hospital Reimbursement Dispute With 2,200 Hospitals in the US To Receive Approximately $3 Billion–Hospitals Paid Short–Killer Algorithms Chapter 26


 

UnitedHealthCare Sends Letter to Teenager Telling Her She Had Diabetes With No Parent or Doctor Involvement–Only Blood Test Was For Lyme Disease–Analytic Attack of the Killer Algorithms?–Reader Writes



 

Accretive Medical Collections and Analytics Cited by Minnesota by Attorney General For Collecting from Patients At Bedside and Worse–Employees on Pay for Performance Too? Killer Algorithms Chapter 28

 

San Diego Hospitals Having Issues With Anthem Blue Cross Refusing Claims for Psychiatric Emergency Services–Attack of the Killer Algorithms Chapter 29
 


Colbert Talks Accretive Care–Collections in the Hospital ER (Video) Attack of the Killer Algorithms Chapter 30!



Insurers Add 4th Tier to Prescription Pricing–Higher Costs for Patients–Attack of the Killer Algorithms Part 31 As That is What Calculates the Cost


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Facebook IPO – The Ultimate “Attack of the Killer Algorithms” Chapter 32 - Nobody is Immune In the World of Complicated Computer Code and Formulas Today


Predictive Modeling–Business and Consumer Algorithmic Data Screening Parameters Used With Insurance Underwriting–Same Stuff Wall Street Does - Attack of Killer Algorithms Chapter 33



BATS Stock Exchange IPO Rogue Algos–Attack of the Killer Algorithms Chapter 34–See How Other Killer Algorithms Occur in Every Day Life With Healthcare & Credit



New York Subway Worker, Dubbed as a Hero Has Pension Reduced to $5.00 a Month–Retirement System Error–Attack of the Killer Algorithms Chapter 35




I think there’s a little bit of something in here for everyone and again I do this as an awareness and how we and our government moves forward with this reality, it remains to be seen if we can scoot around the big white elephant in the living room that nobody can see, touch or talk to <grin> but it roars.  Richard Cordray has his work cut out for him and that is an understatement.   

Also because it belongs here and is on the same topic, when you have time listen in here and see how someone with greater intelligence than myself will help explain how this process works too with marketing, media and flawed data as simple math is no longer 100% credible for proving accuracy.  This is a great lecture given at Google’s offices in New York.  It’s hard to tell the difference sometimes between the good stuff and the algorithms created solely for profit as again their crafters are very good and collaborate with media to ensure we have a full diet every day.  BD 

Context is Everything–More About the Dark Arts of Mathematical Deception–Professor Siefe Lecture Given at Google’s New York Office–Big Healthcare Focus



There’s also something here for thought, de-valuate some of these profiteering algorithms so we can balance tangibles and intangibles and not have an economy so out of balance and that promotes the continuation of generating more inequality as that’s the kicker behind the scenes at the root of all of this. 



“Devaluate the Algorithm” And “Tax the Data Sellers”–A Cure for Both Healthcare and an Economy Based Heavily on Intangibles–We’ve Lost Our Balance



NYU Siefe talks at Google

Saturday, June 23, 2012

US Captures The Top Number For the Most Powerful Computer in the World–First Time Since 2009 - IBM Sequoia At the DOE Lab In California

This is a little break away from the normal healthcare blogs but it’s related as these supercomputers are in healthcare.  DOE even rents space imageout for other agencies and I wrote about that a while back.  Too bad our Congress has not figured out that they too could maybe ask the DOE for some super computing space to figure out their data needs when making laws:)  Looks like we booted China out of the #1 spot, at least for now. 

1.7 Billion Super Computer Hours Awarded by the DOE–Biomedical Research Projects Included for Parkinson’s and Cancer


I have mentioned it a few times around here how Congress would benefit and get smarter and bonus points as with intelligence grows, the lobbyists efforts will drop a bit as our lawmakers could tell the difference a little better between marketing information an actual data. 

Use of IBMWatson Technology in Congress Would Allow For Smarter Laws and Decision Processes With Bonus Points For Lowering Over All Impact of Lobbyists

This is kind of an important computer too as it is used the understanding of weapons science as well as vastly improved estimates of uncertainty in predictions of weapons behavior, the nuke-puter that simulates and crunches numbers as a pace surpassing all others.  It has 1.6 petabytes of memory 96 racks and 1.6 million cores…that last number kind of blows me away and this is IBM engineering at work.  BD

image

The twice-a-year list of the Top 500 supercomputers documents the most powerful systems on the planet. Many of these supercomputers are striking not just for their processing power, but for their design and appearance as well. Here’s a look at the top finishers in the latest Top 500 list, which was released Monday, June 18 was announced at the 2011 convention.

The new Top 500 champion is Sequoia, a Blue Gene/Q supercomputer built on IBM Power architecture at the Department of Energy’s Lawrence Livermore National Laboratory in California. The emergence of Sequoia has returned the U.S. to the top spot of the Top500 list for the first time since November 2009. Sequoia consists of 96 racks; 98,304 compute nodes, 1.6 million cores and 1.6 petabytes of memory, and hit an impressive new record of 16.32 Petaflops  on the Linpack benchmark. The National Nuclear Security Administration uses Sequoia to research the safety, security and reliability of the United States’ nuclear deterrent – replacing the need for underground testing. The Blue Gene/Q Sequoia is eight times more powerful than its predecessor BlueGene/L technology.

http://www.datacenterknowledge.com/top-10-supercomputers-illustrated-june-2012/

Thursday, June 21, 2012

Recalls Have Gone to the Toilet, Really As Flushmate Recalls Exploding Toilets

You don’t really get to take your toilet back but can get a repair imagekit to fix it so it won’t blow up on you.  Over 300 tank explosions I guess made the case for the fix. 
You can call Flushmate at (800) 303-5123 weekdays between 8 a.m. and 4:30 p.m. Eastern TIme or by visit their recall site.  BD




Flushmate
is recalling its Flushmate III Pressure-Assist Flushing System after it received 304 reports of toilets “bursting,” causing property damage and 14 “impact or laceration injuries.”

The system is used in more than 2.3 million toilets in the U.S. and is sold at Home Depot and Lowe’s. It is also sold to toilet manufacturers that include American Standard, Crane, Eljer, Gerber, Kohler, Mansfield and St. Thomas.

http://abcnews.go.com/blogs/business/2012/06/flushmate-recalls-2-3-million-bursting-toilets/

PKC Clinical Knowledge Software Purchased by Sharecare Social Network Website Owned By Dr. Oz and WebMD Founder Jeff Arnold–Soap Notes For Patient and Doctor

The full press release can be read here.  PKC founder Dr. Lawrence Weed is known as the founder of the SOAP note and any in medical imagepractices knows what that is as it continued on from the original structure with paper charts right into electronic medical records and basically is the ground work to cover all the important items in a visit with a patient.  The PKC data base was created to give support for “meaningful use” as well.  What is interesting here is the access that patients will have to the data base of information and will be able to use it and forward to a physician and this way to put it in simple terms the doctor has the basis of the information he needs with contributions from the patient, and in the process the patient gets smarter too, so it sounds like this is a win-win.  When Sharecare first came out, I had some reservations as we all do until we see it in actual operation and how it is formatted for use on the web.  The big key here is to get “credible” information as the web is a jungle today. 


New Website Sharecare.com–Some Health Advice Will Be From Advertisers So the Line Between Professional Information and Marketing Could Get Just A Bit More Grey and Confusing


I looked around the site a little bit today and you can joinimage networks and become friends, a little like Facebook in format and each physician or other professional contributor has a profile of how many questions they have answered and where they are so in essence it looks like it drives some potential business to them if they might happen to be in the area of an inquiring consumer.

You can also explore the PKC website to see what services imagethey offer and for the layman in looking it might be a little confusing as there’s a lot on there about the three specific services they offer but the Profiler option is the one created to work with electronic medical record systems and the Clinical Knowledge Management is the data base of journal publications and more.  One thing to note here from the data side, look at how long it took to compile all of this, a long time. 

So consumers get ready to learn about SOAP notes and how they come together to ensure that all subjectives of an office visit are addressed and you get to contribute, which this is what it’s all about with communication and having factual information to discuss.  You won’t be required to know all the details but the process will walk you through to get the information that will be best utilized by all.  Back about a year and a half ago I participated on a group interview over the phone with Dr. Oz when he announced his 11 weeks program.  You can read more a the link and I got a kick out of the use of “11” and the interest in numerology here birthday wise he’s an “11” and I’m an “11” too so it’s interesting on some of the topics he discusses and has some fun with it too.  It’s all his enthusiasm and non ending energy that makes him addictive, in a good way as that stuff is contagious.  BD    

 

Dr. Oz “11 Weeks to Move It and Lose It” Revolutionary Weight Loss Challenge to Launching Jan. 3, 2011



A clinical decision support company founded by medical informatics pioneer Dr. Lawrence Weed is now in the hands of TV host Dr. Mehmet Oz and WebMD founder Jeff Arnold.

Sharecare, the Atlanta-based health and wellness social network started by Arnold and Oz, announced Monday that it has purchased PKC, maker of clinical knowledge management software for clinicians and consumers.

PKC, of Burlington, Vt., gives Sharecare a clinical engine for its social media-oriented system and Sharecare provides the outlet to consumers that PKC had sought for years, according to Pierce. "This is actually going to plan" from the time he joined the company 20 years ago, "but I had to add 10 years to the plan," Pierce joked.

http://www.informationweek.com/news/healthcare/patient/240002394

Cellular Dynamics–World’s Largest Producer of Human Stem Cells Talks About the Value of iPS Cells and Their Contributions to Biotech Research and Development–Video

The chief Operating Officer from Cellular Dynamics  take a few minutes to describe the value of iPS cells and how they are created.  iPS imagecells have huge value as they are the ones that can be converted to other stem cell types, in other words you can take skin stem cells and turn them in heart cells for an example with reprogramming the production process.  iPS cells were probably one of the biggest advances we have had with stem cell creation and what it enables science to accomplish.  Disease treatments, growing human body parts for example are all wrapped into this area of R and D.

iPS gives you the opportunity to access every stem cell type in the human body. The whole mission here is provide cells for research and create biological models.  Cellular Dynamics makes thousands and thousands of stem cells day after day, and the video is worth listening to as the COO takes you through the processes and describes the many variations that they deal with.  BD 


iPS Cell Cultures–What’s this all about?


Emile Nuwaysir is Chief Operating Officer and Vice President of Cellular Dynamics International, the world's largest producer of human cells derived from induced pluripotent stem (iPS) cells. He is responsible for research and development, manufacturing, and quality systems and leads a team of 80 people.
In this short video, Dr Nuwaysir discusses the current challenges in iPS cell research, why reproducibility is so critical when working with iPS cells and how variability in cell culture media is impacting iPS cell culture performance.

http://www.youtube.com/watch?v=D813VQK-swc&feature=em-subs_digest

Wednesday, June 20, 2012

Lawsuit Against Accretive Healthcare Grows as More Patients are Coming Forward to Speak Out

 

 

The list is getting longer with patients coming forward speaking about the company’s collection efforts, one on a morphine drip was approached to pay and another was told to pay up $1500.00 or they would not get the surgery needed to remove a tumor on their lung.  In case you missed it the link below has more information about the lawsuit and again all this was uncovered due to a stolen lap top where confidential information about patients was being shared with companies on Wall Street looking to invest.  BD


 


Accretive Medical Collections and Analytics Cited by Minnesota by Attorney General For Collecting from Patients At Bedside and Worse–Employees on Pay for Performance Too? Killer Algorithms Chapter 28


The amended complaint includes more than two dozen additional patients who feared they would not get proper medical treatment if they did not pay their bill on the spot.

Terry Mackel, one of these patients, spoke about a $363 hospital bill he owed.

Mackel arrived at Fairview Hospital in Burnsville with a kidney stone and was put on a morphine drip when an Accretive Health Bill collector stepped into his room.

In a similar situation,

Amy Morris went to Southdale Hospital after being diagnosed with lung cancer.

Before surgery to try and remove the tumor, Morris was told she needed to pay the estimated $1,500 bill.

"They came out and said you have to pay this or you won't get the surgery," Morris said.

Both Mackel and Morris joined a lawsuit filed by the Attorney General's office six months ago, along with dozens of others.




http://www.myfoxtwincities.com/story/18830924/more-people-speaking-out-over-accretive-health-care-complaints

Political Integrity Day at the Medical Quack–Should Jamie Dimon, CEO of JP Morgan Join Michael Bloomberg at CodeAcademy to Learn About The Algorithms That Make Him Rich And Better Yet The Ones That Go Rogue & Lose Everyone’s Money?

I have not done a poll in a long time and if you read here often imageenough then you know about “The Attack of the Killer Algorithms” and they are out there with code that goes rogue and some queries that focus more on “desired” results than accuracy.  Some do both like they should, but look at the financial world today, how many “desired” queries exist versus the “accurate” ones?  I don’ t know but it would be interesting to find out:)

If you don’ t know about CodeAcademy visit theirimage website and they have something there for everyone to learn about computer coding and you can do as much or as little as you like but just being a part you’ll learn something and it will help you comprehend the algorithms that work behind the scenes with computer coding that you can’t see, touch or feel, but it’s there.  My next poll will be asking about the members of the Senate banking committee on whether or not they should enroll too:)

“Codecademy is the easiest way to learn how to code. It's interactive, fun, and you can do it with your friends.”



Before you vote though this video from Jon Stewart says it all….”I don’t know” so get some schooling to figure out a better answer on Dodd Frank:) If Michael Bloomberg makes the commitment, what’s wrong with Dimon getting a little smarter with evaluating “risk” models, which are not much more than a bunch of algorithms that give information so they can play with the millions and billions:)  BD 




Poll results can be seen here: 
http://www.vizu.com/poll-results.html?n=253119



Also this is a great educational video about the rogue algorithms on Wall Street and worth watching as Kevin Slavin gives you some insight as how the algos and Wall Street work…if” you are an algorithm the future looks pretty bright but not so much if you are a person, he states.”  BD

Life looks good for the algorithms, not so hot for the humans….


http://www.huffingtonpost.com/2012/06/15/jon-stewart-senate-jamie-dimon-video_n_1599689.html?utm_hp_ref=comedy

Tuesday, June 19, 2012

Digital Illiterate Congress Drops Drug Tracking System From FDA Bill–The One Part Needed Most By Consumers For Information and Drug Safety

If you have hung around the Medical Quack long enough then you know I have had a little campaign on here for about 3 years now about using bar codes to find FDA recalls, whether it be prescriptions drugs, over the counter and medical devices.  It’s the same old story that they can’t come to an agreement on how to create the system so nothing gets done.  Did anyone think about bringing some data engineers to help with the building process or even a company like Microsoft who has the technology and has a patent for labels that can’t be compromised?  Duh?  Duh?  Duh? 
Let me start off here and repeat this important article about how a man died as he was implanted with a device that had been recalled, except it was missed and not pulled from the inventory…sad story.  I realize that some of the bigger hospitals have some RFID systems in place but what about smaller hospitals, surgical centers and doctors offices that do some procedures?  Duh?

Micro-Cap FDA Recalls Never End

Here’s a  screenshot of the patent that can make labels tamper proof too.

Microsoft Receives Patent-Techniques to Create Counterfeit and Tamper Resistant Labels Using Fiber Optic Strands-Bar Codes Getting Closer for Drug/Device Recalls?


What is interesting is to see the alcohol beverage industry jump in to this so you can read about the vodka you are about to digest but for something that could potentially have a deadly or bad side effect…nothing.

Skyy Vodka Using Microsoft Tags-We Can Find Out More About What We are Drinking-Would Be Nice if Tylenol & Others Did This

This is really the “shitty” deal for consumers as when you look at how mHealth and other mobile technologies are moving to where the phone is your best ally at times, to not have this in the “developed” country that we are is a shame. 


More Birth Control Pill Recalls–Patient Found This Error with Pills in Bubble Pack in Reverse Order–The “Shitty Deal” With No Bar Codes to Make Them Easier to Find…


The nice folks over at the Journal Sentinel even took some time to interview me on the topic while the big Triad mess was ongoing with contaminated wipes and not too long after that I saw a “tiny” attempt from J and J with using barcodes on their wipes.  You can see the bar code in the image below.  Those can be easily changed with content in case of a recall too from giving general product information as an example.  Here’s a “tech tweeting on the topic below. 


"It's alarming," said Mary Ann Beaumont, a Milwaukee resident who had a package of recalled swabs at home and only learned of the contamination months after the recall when she read a story in the Journal Sentinel in June.

Johnson and Johnson Puts Microsoft Tag Bar Codes on Baby Wipes But Can’t Do the Same to Give Consumers the Chance to Find Their FDA Recalls - BarCode Baby Steps?


Long and short of it, digital illiterates in Congress that couldn’t agree on this portion of the bill as they probably don’t use their phones to scan bar codes but a hell of a lot of other folks do.  What’s even more incredible too is to use a heat map to find the location of either recalled or stolen drugs once they are scanned too…oh well I gave my best to promote this to the “deaf” ears of our lawmakers.  Sad thing too is that when you look at the vote, it’s a huge bi-partisan in agreement, but they left out the real meat and potatoes that would help consumers.  BD 


 

WASHINGTON — A bill designed to beef up the safety of the nation’s prescription drug supply is poised to pass Congress, but without a tracking system that public health advocates say is critical to weeding out counterfeit pharmaceuticals.

House and Senate lawmakers agreed late Monday on compromise legislation that helps supplement the Food and Drug Administration’s budget. The two chambers previously passed separate versions of the bill, which also increases safety inspections and penalties against drug counterfeiters.

The House is expected to vote on the compromise FDA legislation Wednesday afternoon. Lawmakers there previously passed the bill by an overwhelming 387-5 vote. A vote in the Senate is expected early next week.

http://www.washingtonpost.com/politics/federal_government/drug-tracking-system-dropped-from-fda-bill-aimed-at-bolstering-pharmaceutical-safety/2012/06/19/gJQATMqDoV_story.html

Walgreens to Invest in Alliance Boots Drug Chain in Europe With Option to Buy in Full in 3 Years

Walgreens would stand to become the largest international imageretailer and wholesaler with this acquisition.  Boots is very similar to drug stores in the US with subsidizing income with products that are not drugs, so again like entering a typical US drug store like Walgreens. 
Last year in the UK and I don’t know if this came through or not but the NHS put through a proposal for patients to receive their chemotherapy treatments at the retail stores.  “Chemo on aisle 7” at Walgreens in our future?  There also has been talk about the chain selling health insurance in their stores as well.  Not too long ago Steven Colbert jokes about pap smears at Walgreens in a humorous way with a news station, Fox misunderstanding some of the daily news. 

NHS-Health Secretary Submits Plan for Patients to Receive Chemotherapy at Local Retail Boots Store as Part of Reorganization

Boots also has their wholesale division with purchasing power.  A couple months ago we heard a little bit about that when a woman bought a box of tampons at a close out center, and I’m guessing these were items liquidated from Boots and found cocaine inside.  So again we might wonder how far integration will go with brands of drugs and other products sold by the chain. 

Woman Buys A Box of Tampons at Close Out Bargain Store and Finds Cocaine–Obviously Not for Internal Use On This Box

This is one to watch to see how it all unfolds and again I say everyone is selling data and making big money today all over the world and it’s time to tax some of those billions made from cheap data mining ride on the web and I also ask, how much revenue will Walgreens get from the availability of the data that Boots sells?  Walgreens made just short of $800 million in 2010 so there’s a lot of money out there to tax with “data grave robbers.  BD



Walgreen
WAG -5.85% Co. is spending $6.7 billion to buy nearly half of European pharmacy giant Alliance Boots GmbH, a bet by the largest U.S. drugstore chain that it can expand in Europe as it grapples with declining sales back home.

In an interview, Walgreen Chief Executive Greg Wasson defended the deal—the largest in Walgreen's 111-year history. "We think this is about bringing two iconic brands together... and creating something new to the world," he said.

The 53-year-old executive, who joined Walgreen as a pharmacy intern in 1980 and rose through the corporate ranks and became CEO in 2009, said he has "every intention" of exercising the company's option to take full control of Alliance Boot.

To Walgreen, the deal is a wager on a global pharmacy chain panning out as the company sees its U.S. sales slide. An unresolved contract dispute with pharmacy-benefit manager Express Scripts Holding Co. ESRX +0.41% forced millions of customers who had regularly filled their prescriptions at Walgreen to go elsewhere, as arranged through Express Scripts. Alliance Boots, based in Zug, Switzerland, operates more than 3,300 stores in the U.K., Europe the Middle East and Asia. Most of its stores are in the U.K., where its contract manufacturing is based.

http://online.wsj.com/article/SB10001424052702303836404577476091902791460.html

Sunday, June 17, 2012

Chief Medical Officer At Northwest Community Hospital in Chicago Leaves Position as CMO - He Was Not Licensed

This is one of those somewhat embarrassing moments for the hospital as the Chief Medical Officer is usually in charge of physician credentialsimage, and maybe he somehow forgot his own in the process?  His license expired in 1999 but the state of Illinois does not have licensing rules for CMOs, also a bit strange.  One doctor commented that they knew he was not licensed when he was hired eight years ago but money wise was not doing bad making a quarter of a million a year.  BD 




The top doctor at Northwest Community Hospital wasn't licensed to practice medicine, an embarrassing setback for a medical center that has struggled after missing out on the health care merger boom.

Dr. Leighton Smith left his position this month as chief medical officer and vice president of medical affairs at the 496-bed hospital, where his duties included setting policy and managing relationships with Northwest's physicians. He had held the post for nearly eight years, even though state records show his license expired in 1999.

Dr. Smith denies that his employment ended because he is not licensed but declines to comment further, citing a confidentiality agreement. He was paid $785,000 in 2010, according to a hospital tax filing.

Having an unlicensed chief medical officer could complicate the hospital's defense against some lawsuits, particularly if a hospital policy is alleged to have resulted in negligent care, says malpractice attorney Keith Hebeisen,



http://www.chicagobusiness.com/article/20120616/ISSUE01/306169974/top-doc-lacked-medical-license

New York Subway Worker, Dubbed as a Hero Has Pension Reduced to $5.00 a Month–Retirement System Error–Attack of the Killer Algorithms Chapter 35

Here we go again with checking the books and making a decision, but is this the right thing to do ethically?  People on pensions use this money to imagepay rent, bills, etc.  As I have mentioned before on a few occasions, the middle class and I should add retirees are just becoming “data chasers”.  Was it his fault this mistake was made? No, but this “bad” consumer at the mercy of a retirement “algorithmic error” is going to pay the price…how analytics looks at us humans at times as we have very few folks that ethically know how to work with “flawed data” and this is a classic case.  Punish that “bad” consumer who on a couple occasions risked his life doing his job! 

This was not just a short term error, it has gone on for 22 years and with more sophisticated Business Intelligence systems in use everywhere, errors are being caught and again it was not due to any of the information entered by the retiree, it’s the system finding errors within and incriminating the retiree, which all of this is not his fault and is purely one more example of the “Attack of the Killer Algorithms.  His case is not alone as we see businesses and others doing the same thing and where’ the ethics here?  When numbers and profit enter the picture folks who lack balance and accountability for “their” errors make the consumers the “bad guy”. 

For this very reason I started this series called “The Attack of the Killer Algorithms” to bring this to light and make consumers aware of how servers that run 24/7 make life impacting decisions about them and this certainly fits the bill.  The link below has several other chapters with examples of how this occurs.  This important enough that it has a “static” place on the Medical Quack, along with some videos that also help explain how and why this occurs. 

Attack of the Killer Algorithms–Digest & Links for All 30 Chapters–How Math and Crafty Formulas Today Running on Servers 24/7 Make Life Impacting Decisions About You–Updated 5-03-2012


I’m pretty active here with social networking and use it to try to educate as best I can and NYU Professor Siefe and I have had this conversation too on how we don’t have enough people educated in the US on “how to intelligently work with flawed data”.  He has tweeted about his own issues with trying to get information from HHS for a scientific article he wants to produce and you can see it all with the links on Twitter, all public. 

No more is this evident as with the Senate Banking Committee and the testimony of JP Morgan Dimon and Jon Stewart just absolutely nailed it in a humorous way. If you have not see it, watch this video as Dimon says “I don’t know” and yet if you watch the PBS documentary about derivatives, JP Morgan invented them, but again “I don’t know”.  This video definitely is about the most absurd “frick and frack” routine that has been published on the web.  I also added my own commentary on the post I made earlier as well at the post.  The bets were on and due to lack of algorithmic knowledge with formulas, this retiree is the the “bad guy”. 

“The Person the Hardest on Jamie Dimon Was Jamie Dimon” Testifying Before Congress This Week at the Senate Banking Committee Jon Stewart Video






So the witch-hunt goes on here with bad math and again those who are not qualified ethically or otherwise to deal with “flawed data” and they walk along and just destroy lives as in this example.  “Algorithm says”…where’s the ethics and intelligence with all of this today?  In the link I provided above you can see many examples of how consumers are hurt. 

So where do we go from here I ask?  Do we keep destroying lives as we don’t have enough “accountable” and “intelligent” individuals that know how to ethically work with “flawed data”?  I have an answer to part of this to generate money and that is to tax “the data sellers” who make billions and this is part of business every day and with such a huge focus on intangibles is a big reason we can’t overcome the lack of manufacturing in the US as companies can hire a few geeks and with very little overhead start mining and selling data and thus once more the “greed” to sell formulas takes over with little regard for human ethics and turns consumers into “bad guys”.

If you think about this as a whole, what do you think started the entire “Occupy” movement..you have it right here with the roots and even some of the protesters themselves may not understand it, but they know something is burning on the kitchen stove and the algorithms without a balance of ethics is what is behind all of this and goes to further grow inequality. 

Start Licensing and Taxing the Data Sellers of the Internet Making Billions of Profit Dollars Mining “Free Taxpayer Data”–Attack of the Killer Algorithms Chapter 17 - “Occupy Algorithms”– Help Stop Inequality in the US

 
If companies are smart enough to create “algorithms” for profit with “desired” results, they should also be held accountable for their accuracy and we don’t’ have much of this as lawmakers and others, including bank executives sit in denial or kind of play dumb and it gets reported in the news as yet one more OMG story, but nobody digs to the bottom to find the “cause”.   Maybe I was ahead of myself here, but back in August of 2009 I asked the question, “do we need a department of algorithms” when the Madoff case was discovered.  He even figured out how to “fake” algorithms” he never had and created his Ponzi scheme based on the naïve nature on which lawmakers react today and look at the people who were  hurt there. 

“Department of Algorithms – Do We Need One of These to Regulate Upcoming Laws?


The developer who worked for Goldman Sachs was recently released from his sentence a smart judge through it out and I myself questioned the bulls run he received with his court case.  I’m not saying he was innocent or guilty but the dog and pony show done by Goldman played on the lack of education with high tech data today and again, luckily a judge finally came to terms with this and saw it for what it was and over turned the conviction.  You can’t get a jury of peers today with some of the very complicated algorithms we have working today just about. 

Goldman Sachs Programmer Who Went to Jail for Stealing Code Has His Conviction Overturned–You Can’t Get A Jury of Peers Off the Street for Crimes With High Tech Algos

Here’s one of my original posts on the topic before he was tried in court. 

Goldman Stolen Code – Has Algorithmic Fraud Become A Business Model in HealthCare Too?
Are We Ever Going to Get Some Algorithm Centric Laws Passed for Healthcare!


So let’s continue to attack the naïve consumer for all the “bad algos” that were written by businesses and banks?  Not hardly an ethical answer by any means and algorithmic greed” still exists and is on the rise and moves forward with a lot of “flawed data”.  Write some algos to fix this and protect the consumers that were bit, they can do that if they want and it might cost a little money but it certainly beats this story on how stupid and unethical this all is and again it will continue to contribute to inequality in the US until we come to terms with it.   

High Frequency Electronic Trading Methodologies And Algorithms Work Their Way Into Healthcare With Human Bodies Losing Liquidity With the “Data Game”

As a short side note, I kind of wonder how Bloomberg is doing with his “coding” lessons as he said he was going to line up and learn.  That’s really a good thing as he will become compassionate and understanding too on how all of this transpires…hope we hear more about his efforts too:)  BD




In a 19-year career as a subway worker, Perry Kinard was almost killed twice. In 1978, a bandit stabbed him in the lung while he was mopping stairs in a Manhattan station. In 1990, he was shot in the chest and head by a crazed drunk in a Queens station.

But New York has repaid Kinard’s sacrifices with a slap.

The city’s biggest pension system — claiming it overpaid him for 22 years — has slashed his monthly allowance from $1,414 to $5.

In March, the New York City Employee Retirement System (NYCERS) notified Kinard that his disability pension should have been “offset” by the $150 a week in workers’-compensation payments he has received. Instead of $1,414, he deserved only $762 a month, NYCERS said.

On June 1, NYCERS informed Kinard it had overpaid him $163,422 since he retired because it didn’t deduct the workers’ comp. It cut his pension to $5 a month until 2030 to repay the money.

But John Murphy, a former executive director of NYCERS, said the current administrators may be in error. He has already helped a transit cop, retired 28 years, whose pension was wrongly slashed 75 percent because he received workers’- comp payments for a different injury. The pension was reinstated.

http://www.nypost.com/p/news/local/pound_of_flesh_HBIrKwyCY3oTkpxuMxMEgM?utm_source=SFnewyorkpost&utm_medium=SFnewyorkpost