Sexual abuse and rape

November 21st, 2008

Sounds suspicious does it not?  But who knows what really went on? One thing is sure, though. Most of us working in health care will say, “Well, nothing like that could ever happen to me.”

Or could it? First, a true story from England. A few years ago, I received an urgent phone call from the pharmacist in the largest of the local supermarkets. A gentleman – we will call him Mr Green - was standing in the supermarket handing out circulars to all who passed by. The circular said that Dr Mary Jones (one of my partners) was an excellent doctor but that every time he went to see her, she asked him to remove his trousers and then tickled his scrotum with her bare hands.

Mary has been in the practice for 15 years, is happily married to an accountant and has two children both at nearby schools. She is well known locally.

That pharmacist arranged for security to get the man to leave the supermarket, but he then stood outside and continued to distribute his circulars. The police arrived and took him home. Mr Green was mentally ill but not sectionable. Mary took advice from her defence union. A stern letter was written and Mr Green stopped handing out circulars. We do not normally remove mentally ill patients from our list but the advice we had, and followed, was that Mr Green should go. We arranged for another local practice, a few miles away, to take him on.

There was no come back from our patients. The allegation was preposterous, Dr Jones is well known and respected, and no one took it seriously. We heard no more about it.

It could have been so different particularly if the allegation had been against a male doctor. “I went to see Dr Crippen with palpations. He insisted I take my bra off and whilst he was pretending to listen to my heart, he felt my breasts” says Mrs Smith. Dr Crippen might well have asked Mrs Smith to take off her bra in order to listen to her heart. Dr Crippen knows full well he should get a chaperone, and always does for vaginal examinations but, well, all the nurses were tied up, and he has known Mrs Smith for years, and there has never been a problem with her, and the examination only takes two minutes and you can go on like this as long as you like, but the seeds have been sewn. And now, another true story, this time from the USA again.

Kevin MD draws my attention to a respected gynaecologist, who refused to prescribe narcotics for a patient and was then accused of a seamy, unpleasant sexual offence.

Is this truly an indiscretion by a 61-year old doctor with an unblemished record, or is the patient out for revenge after being refused a narcotic prescription? No matter what happens, the physician has already lost with the story being published in the local newspaper.

Full details from Kevin MD here

Male doctors are particularly at risk. But it is not just doctors. Anyone working in health care may face allegations of this nature. And woe betides you if you fall foul of the feminists. You may be exonerated in court but, even if you win, you lose. There is no easy answer and you cannot be chaperoned for everything.

Alamosa, Colorado: Water, Water Everywhere But Not a Drop Worth Drinking.

November 21st, 2008

Did you know that this year marks the 100th year of America’s reliance on chlorine to disinfect drinking water?

Jersey City, NJ was the first US city to routinely chlorinate it’s municipal drinking water, followed by Chicago’s union stockyards and many, many more cities around the country. Today, pretty much all U.S. public water systems rely on chlorine in some form for safe drinking water

As a result, waterborne diseases such as cholera and typhoid are virtually eliminated.

But as this guest post by the Chairman of Water Quality & Health Council highlights, there are always cracks in the system…

The Waterborne Outbreak in Alamosa, Colorado
by Chris Wiant, M.P.H, Ph.D.

This year is the 100th anniversary of the first use of chlorination to help ensure safe drinking water supplies.  The most important stories related to this milestone are those that did not have to be written – the outbreaks of waterborne disease that did not occur and the health and economic costs that have been avoided.  Instead we are able to talk about increased life expectancy and improved quality of life achieved by providing clean drinking water.  However, the people of Alamosa, Colorado, were recently reminded that without disinfection, public drinking water supplies are still vulnerable to contamination, just as they were 100 years ago and continued vigilance is necessary to ensure protection. 

In early March 2008, the first cases of a Salmonella outbreak  were reported in Alamosa, a town of 10,000.  Through epidemiologic investigation, the water supply was soon suspected and later confirmed as the source of the outbreak. This was stunning news to many who believed that Alamosa’s water was safe from contamination.

The water supply for Alamosa is drawn from a deep well and maintained in a closed system.  This enabled Alamosa to receive a waiver from rules that would otherwise require disinfection of its drinking water supply.  So, although it was not treated with chlorine or other disinfectant, the water supply was in compliance with applicable drinking water regulations at the time of the outbreak.

The Colorado Department of Public Health and Environment (CDPHE) concluded that contamination likely took place in an underground storage facility that had cracks and was visibly leaking.  Despite the high quality of water coming from the ground, the storage/distribution system presented a risk that could have been eliminated through the use of disinfection, highlighting the need for multiple protective barriers to address potential contamination.  The storage facility was repaired and the entire distribution system was subsequently flushed with superchlorinated water.  The water supply is now chlorinated and monitoring was increased to ensure clean water is provided to customers.

The outbreak resulted in over 400 reported cases of illness.  It is speculated that many more people were ill but didn’t seek treatment or were unable to get treatment as the medical care system became overwhelmed.  The economic cost of the outbreak, including the associated response costs and loss of tourism, has not been calculated.

Although CDPHE and other responders were praised for their prompt ction, which most likely limited the extent of the outbreak, it is now clear that the vulnerable water system could have been protected through the use of a proven and cost effective disinfection method.  100 years after chlorine was first used to help provide safe drinking water, the Alamosa outbreak serves as an important reminder of the value of disinfection in protecting public health. 

(Chris Wiant is President and CEO of Caring for Colorado Foundation in Denver Colorado and chairman of the Water Quality & Health Council.)

Tags: , , ,

Share This

Announcement: Will Host Medicine 2.0 Blog Carnival about Web 2.0 and Medicine

November 21st, 2008

Medicine 2.0 is a bi-weekly blog carnival which collects some of the most interesting posts about Web 2.0 and Medicine. The archive is available here.

A blog carnival is a blog event similar to a magazine dedicated to a particular topic. Each edition of a blog carnival is in the form of a blog article that contains links to other blog articles on the particular topic. According to Wikipedia, “Web 2.0 is a trend in World Wide Web technology, and web design, a second generation of web-based communities and hosted services such as social-networking sites, wikis, blogs, and folksonomies, which aim to facilitate creativity, collaboration, and sharing among users. “

I will be hosting the next edition of Medicine 2.0 at Clinical Cases and Images - Blog. Please submit your links to clinicalcases@gmail.com.

My last hosting is here: Medicine 2.0, Blog Carnival About Web 2.0 and Medicine, Year 1, Issue 9

Last time, I used Google Presentations to show the links (see below) and I will add a word cloud to plug in all blog submissions this time.

An example of word cloud:


The word cloud of food allergen avoidance shows the frequency of term use in that article.

I added a #Medicine2.0 hash tag on Twitter and you can find all related post there as well.

References:
Medicine 2.0, Blog Carnival About Web 2.0 and Medicine, Year 1, Issue 9
Food Allergen Avoidance. Allergy Cases.
Wordle is a website for generating “word clouds”
Image source: ScienceRoll, a Creative Commons License.

Ask Roni _v16s1 - All Exercise Questions

November 21st, 2008

It’s so funny that I’m posting this now as I just return from my 2 hour workout at the gym. Ok, well, maybe it’s not THAT funny, but it struck me that I’m all about exercise lately. I’m really liking this "new active Roni". ;~P

Side note… what is about a turtleneck that makes people look old? oh wait…. that’s just me, I am getting old. :~P

Topics in this video include…

  • Am I doing enough exercise to jump start weight loss?
  • How much exercise should someone get in a day?
  • Did I lose weight before starting to exercise?
  • Just an inspirational comment. :~)

Podcast Version (Audio Only)

Links mentioned or that you may find interesting…

Bath tubs comes in varies categories

November 21st, 2008

There are so many different varieties and categories of bathtubs available nowadays. It could be pretty quite confusing which making selection for the appropriate tub. There are various choices to be…

Brad Online Journal about losing extra pounds with various diet reviews and latest news and tips about obesity, diets and weight loss

Designer sun glasses comes in various forms

November 21st, 2008

Sunglasses are not only the visual aid. They play an important role in the clothing and personality aspects of an individual and represent the overall look of the person. Just like any other fashion…

Brad Online Journal about losing extra pounds with various diet reviews and latest news and tips about obesity, diets and weight loss

Google SearchWiki: make search your own

November 21st, 2008

According to Google, “SearchWiki is a way for you to customize search by re-ranking, deleting, adding, and commenting on search results. With just a single click you can move the results you like to the top or add a new site. You can also write notes attached to a particular site and remove results that you don’t feel belong. These modifications will be shown to you every time you do the same search in the future. SearchWiki is available to signed-in Google users. We store your changes in your Google Account.”

SearchWiki sounds like a good idea and I am planning to use it. I run 2 browsers most of the time:

1. Firefox with Gmail, Blogger, Reader, and other Google services, and Twitter. I am logged in to a Google account in Firefox which means that I will see the SearchWiki results.

2. Opera for general browsing such as CNN, YouTube, etc. I am not logged in to a Google account in Opera which means I will be able to see the “generic” Google results that are available to most users.

References:
SearchWiki: make search your own. Google Official Blog.

I Earned This Headache

November 21st, 2008

My head hurts.  It pounds and it sears and it hurts.But this headache is one I’ve earned.  No longer neglecting my physical nor my emotional health, I’ve been exercising  - and exercising hard.  Now I hold the proof in the…

Hollywood Breast A Listers.. and a Couple B’s

November 21st, 2008


COEDmagazine.com has a photo display of Hollywood stars who do not appear to have had a breast augmentation. They are all A’s and B’s. Check it out here.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.
:

Still Waiting to Hear from the Winner of the S9-HD Motorola Wireless Headset…

November 21st, 2008

Still waiting to hear from the winner of the S9-HD Motorola Wireless Headset.

Don’t sure whether it was you?

Then click on And the Winner of the S9-HD Motorola Wireless Headset… to find out.

………………………………………………………………………………………………………………

Share This

GPs abandon ship

November 20th, 2008


Prodicus has just been to the doctor to find that two nurses are running a “minor illness” clinic. They have a little list of “minor” illnesses they feel competent to treat: 

  • Sore throat
  • Earache
  • Colds and Flu…

…and one or two other conditions. Actually the “little list” runs to over fifty complaints. Trouble is, these well-meaning quacktitioners do not understand the difference between mild symptoms and minor illness and do not have the diagnostic skills to discriminate between minor and major illness. I challenge any one out there to make their little list of 50 “minor” problems that they would be happy to have treated by a nurse. When you have done that, take a look at the full list here.

Now I will give you a little list. A list of, say, three dangerous, possibly even life-threatening conditions that could be behind each “minor” symptom that you mention. That’s the mental card index that diagnosticians flick through every time they see a patient. All nursy can do is reach for the protocol.

I think GPs who employ nurses to do this sort of work should be shot.

Thursday Thoughts IX

November 20th, 2008

Thursday Thoughts

OK, this is VERY weird for me. As I’m writing this I’m recording a video while reviewing a new camera phone. Nokia sent me one of their phones as a trial so I can record a "Day in the Life" video of myself while I review the video phone. I’ll post more about that later, but I started the recording today and I plan on doing clips up until tomorrow morning. It’s weird but fun as you guys know how much I like to talk. ;~P Honestly, I feel like I’m doing my own reality show, it’s kind of crazy. LOL

Anyway, let’s get to these thoughts!

  • First, I have to mention this as I was unaware. I just saw this article about Adderall and how teen are using it for weight loss. Apparently it’s a drug for ADD and one of the side effects is decreased appetite. PLEASE is you have a teenager or college age child (or if you are one yourself) make sure to educate yourself about this drug. I found this site that talks about the side effects, one of them being DEATH! It’s scary that we, as young women would go to such extremes and I’m not going to lie, 10 years ago, if this was available I would probably be considering it. How do we stop this cycle and get these girls to focus on health instead of dangerously thin as the goal??
  • I don’t know the answer but one company that’s trying to help is Dove. They contacted me recently and asked if I would spread the word about their campaign for real beauty. Of course I said OF COURSE! :~) So please click here to check out their site where you can download free self-esteem building tools for girls, moms and mentors like, True You and Mirror, Mirror booklets, Interactive exercises and Workshop Facilitator Guide DVD.
  • Now I’ll shift the focus to a healthy article. I found this one about color in your diet. I love the idea of eating by color and trying to include the most colorful foods in your diet. Last year I got this book, called Eating by Color: For Maximum Health. It’s beautiful and a total inspiration for all us crazy home cooks. :~P
  • Now it’s time for a laugh. Someone left me this link on a comment (I swear I can’t find it now, please let me know who you are, I feel like I’m going crazy) and it is the most hysterical thing I ever saw. Being a "closet inventor" I laughed aloud because I, myself had some pretty bad ideas but this takes the CAKE! Seriously you have to click here and watch it.
  • GreenLiteBites updates this week…. First I made some "healthy" nachos using soy crisps, it’s more of an idea then a recipe. I continued my Thanksgiving Prep series finalizing the perfect Creamy Mashed Potato Recipe (the husbands words, not mine!) and I took my hand at an oatmeal contest with Trail Blazin’ Quick Oats! Oh! and the toddler and I recorded a video for a contest we can’t enter. Long story. :~) This week I’m planning on a sweet potato idea for Thanksgiving and tonight I’m finalizing my Red Rice recipe.
  • Speaking of GreenLiteBites you have to check out my new T-Shirt Model! Christy was nice enough to not only buy the GreenLiteBites shirt but she model it on her site. So sweet of her! Thanks so much Christy, you truely are a friend. :~)
  • Speaking of T-shirts I’m happy to pre-announce 3 new toddler shirt designs inspired by none other then… dun dun dun…. the toddler! :~P You have to check out the "It’s all just chicken to me" shirt and my two egg cracker ideas. I just ordered mine! Can’t wait to get them. I’ll try to do a video or at least take some photos when we do. So CUTE! Thanks to the designer for all the help and visual inspiration! :~)
  • Things in the works…. well for one, this day in the life video using the Nokia phone, an article in prevention I want to mention, I recorded 2 Ask Roni Sessions yesturday, a new scale review and giveaway, more coupons to give to you guys, and…. Ummmmm… hmpf? I think that’s all. Well, besides the fact that it’s Thanksgiving in a WEEK! So I’ll be preparing for that.

OK, gotta run, have a BILLION things to do today!

The “Strictly Come Dancing” brouhaha

November 20th, 2008
I have rather a soft spot for John Sargeant. Obviously I am not alone. He always comes over as a kind and humorous man. His treatment by the Thatcher entourage, which I saw live, always sticks in the mind.

But, dear God, what is all the brouhaha about this dancing programme? I really could not give a monkey’s who wins it but, if a gun was put against my head to force me to choose, I would rather it were John Sargeant than some mindless sequined cipher. All good fun, I suppose, and I should not make a judgment as I have never actually watched Strictly Come Dancing. I am baffled as to why this utter trivia is pre-occupying the mainstream media. It is even less important than the Brand/Ross farrago.

This is the BBC once again being flagrantly irresponsible with their funding. Funding provided by the taxpayer. There are better things on which to spend the money we no longer have. And the comments from the BBC have become deeply distasteful. The BBC now refers to dear old John as “a pig in cuban heels”. As Mike Denham points out on Burning our Money, would they dare describe Sir Trevor MacDonald in that fashion? Deeply distasteful.

Want to Know What Will Happen to Your Body if You Stopped Smoking Right Now?

November 20th, 2008

Today is the American Cancer Society’s Great American Smokeout, an annual event that has been held for the last three decades. with the aim of encouraging smokers to quit by providing information, support, and resources.

An ex-smoker myself, I know how very, very difficult it is to give it up. But I also know the up side of giving up the smokes and I’d encourage anyone who has been thinking about giving up cigarrettes to stop thinking and act.  You’ll thank yourself in the end.

Healthbolt already has a fairly active support system going on at the comment section of a post - What Happens to Your body if you stop smoking Right now? - that was written by the Wade Meredith, the original Healthbolter. 

Here’s the highlights of that post…

  • In 20 minutes your blood pressure will drop back down to normal.
  • In 8 hours the carbon monoxide (a toxic gas) levels in your blood stream will drop by half, and oxygen levels will return to normal.
  • In 48 hours your chance of having a heart attack will have decreased. All nicotine will have left your body. Your sense of taste and smell will return to a normal level.
  • In 72 hours your bronchial tubes will relax, and your energy levels will increase.
  • In 2 weeks your circulation will increase, and it will continue to improve for the next 10 weeks.
  • In three to nine months coughs, wheezing and breathing problems will dissipate as your lung capacity improves by 10%.
  • In 1 year your risk of having a heart attack will have dropped by half.
  • In 5 years your risk of having a stroke returns to that of a non-smoker.
  • In 10 years your risk of lung cancer will have returned to that of a non-smoker.
  • In 15 years your risk of heart attack will have returned to that of a non-smoker.

smoking_timeline_500x370

Click here for a high-quality Graphic representation of this chart.

Does it help you make the decision to stop any easier ?

I sure hope so.  

If it does, head over to the Great American Smokeout for support and advice and have a look at.  And check out these 5 Smoking Gadgets That Might Help You Quit Smoking.

Good Luck…

Tags: , , , , ,

Share This

New Blog: Renal Fellow Network

November 20th, 2008


Screenshot of Renal Fellow Network

Renal Fellow Network (http://renalfellow.blogspot.com) is “a website written for renal fellows by renal fellows with one new “Nephrology Teaching Point” posted on a daily basis.

It is a forum with the intention of making Nephrology fellowship everywhere a more educational experience.”

The blog was started in April 2008 and most articles are signed by Dr. Nathan Hellman who also has a personal blog.

Nathan links to the Nephrology Cases section at Clinical Cases and Images.

I wish more fellows had the time, energy, and skills to maintain a specialty blog. Good luck to the founders in this new endeavor.

References:
Nephrology Cases. Clinical Cases and Images.
Using a Blog to Build an Educational Portfolio
How to write a medical blog and not get fired?
Why Do I Blog?
A Doctor’s Opinion: Why I Started Microblogging on Twitter
Why I Blog: Andrew Sullivan from The Atlantic Shares His Thoughts on Blogging