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Tuesday, 17 April 2012

Princess Health and 1 in 4 grandparents keep meds where kids can reach them.Princessiccia

Princess Health and 1 in 4 grandparents keep meds where kids can reach them.Princessiccia

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A new poll shows nearly one in four grandparents say they store prescription medicines in places that can be accessed by children. Unintentional poisonings cause more visits to the emergency room for young children � one every 10 minutes � than car accidents, to say nothing of the threat of theft, a factor in the prescription-drug epidemic that is killing more Kentuckians than such accidents.

The most common type of prescriptions that are accidentally ingested are opioids, the poll found. The most common type of over-the-counter medicine ingested is acetaminophen, the active ingredient in Tylenol, reports research-reporting service Newswise.

The poll found that 23 percent of grandparents and 5 percent of parents store prescription meds in easy-to-access places. Eighteen percent of grandparents and 8 percent of parents said they store over-the-counter medicine in easily accessible spots.

"Emergency room visits for accidental poisonings among young children have become much more frequent in the last decade," said Matthew Davis, director of the C.S. Mott Children's Hospital National Poll on Children's Health. "We hope the results of this poll are a reminder to parents, grandparents and all those who care for young children: check around your homes to make sure that medicines are safely stored out of reach." (Read more)

Though the numbers are on the rise, on the whole, American children are safer than they ever were, according to the Centers for Disease Control and Prevention. The rate of death from unintentional injuries dropped 29 percent from 2000 to 2009. Deaths dropped from 12,400 in 2000 to about 9,100 in 2009.

Poisoning death rates rose dramatically, however� going up 91 percent in youths aged 15 to 19, "a byproduct of the rising prescription-drug abuse among teens who either obtain the pills illegally or swipe them from medicine cabinets of their parents or others," reports Timothy Martin for The Wall Street Journal. (Read more)

Princess Health and Where you live can affect your weight, studies find.Princessiccia

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A child's weight can be determined in part by what neighborhood he or she grows up in, a new series of studies indicate. (Photo by Getty Images)

In one of the studies, published in the American Journal of Preventive Medicine, researchers examined neighborhoods in King County, Wash., and San Diego County, Calif., and rated them in terms of physical activity and nutrition for kids ages 6 to through 11. A neighborhood received a high rating if its residents could easily walk to places like stores, libraries and parks. They also got a good grade if they had several grocery stores where healthy foods are sold, reports Kim Carollo for ABC News.

Poor-rated neighborhoods had few grocery stores or had lots of fast food restaurants. They also had few parks. "The biggest difference we found in rates of obesity were in the places where the environment was good for both nutrition and physical activity, the rates were less than 8 percent, but if the nutrition and physical activity were not good, the rates went up to 16 percent," said Brian Saelens, a co-author and professor of pediatrics at Seattle Children's Research Institute. (Read more)

The findings, explored using geographic information systems, are in keeping with an op-ed piece by Susan Blumenthal, public-health editor for the Huffington Post. Making the link between poverty and obesity, she points out the difference an affordable housing project has made in Greenbridge in King County, an immigrant community where more than 54 percent of adults are overweight or obese and more than 85 percent of children in grades 8, 10 and 12 do not meet federal physical activity recommendations.

The neighborhood is "being designed and built as models for creating an environment that promotes healthy diets and active lifestyles for their residents," she explains. The neighborhood now boasts an elementary school, a Head Start program, a Boys and Girls Club, community gardens to grown fresh fruits and vegetables, a library, play areas, walking path, a food bank, a community center and a public health clinic.

"This integrative approach has turned a trouble neighborhood into a welcoming place to live," she writes. "Initiatives like this one that involve not only individuals but the entire family and community provide a model for how to improve the health of cities across our nation." (Read more)


Princess Health and A healthy recess during school can cut down on bullying, improve learning, study finds.Princessiccia

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New research shows a healthy recess period during the school day can cut down on bullying and strengthen the school climate.

The report from researchers at Mathematica Policy Research and Stanford University compared schools in five cities who used Playworks � a program that uses a full-time coach to work to engage students in safe, healthy play during recess and throughout the day � to similar schools who did not use the program.

Schools that used the Playworks method had less bullying; better recess behavior and readiness for class. Teachers reported quicker transition to learning activities after recess and the students felt safer and more included at recess. Nearly 100 percent of teachers in Playworks said they wanted to use the program again the next school year. (Read more)
Princess Health and University of Louisville delays choosing hospital partner.Princessiccia

Princess Health and University of Louisville delays choosing hospital partner.Princessiccia

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To allow time for more "discussions and negotiations," the University of Louisville has put off deciding on University Hospital's new health-care partner until the end of June.

It is not known how many entities are interested in partnering with the indigent-care hospital, nor have any entities been identified. The deadline for applications, which was last month, has not been extended. "The university has said it needs a partner with deep pockets that can inject cash required to expand the hospital and attract new patients," reports Andrew Wolfson for The Courier-Journal.

Kerri Richardson, chief spokeswoman for Gov. Steve Beshear, said he is hopeful the hospital will find "a suitable path forward to preserve its public mission and continue to successfully serve citizens in the region."

Last year, Beshear rejected a proposed merger between University Hospital, Jewish Hospital & St. Mary's HealthCare and Saint Joseph Health System, which is owned by Catholic Health Initiatives. Because Saint Joseph would have had majority control in the initial deal, the other facilities would have had to adhere to Catholic health directives, which affect procedures like elective abortions, sterilizations, artificial insemination and euthanasia. Those limitations raised concerns and that the move would have been a loss of control of a public asset, meaning University Hospital.

After Beshear's decision, Jewish & St. Mary's and St. Joseph merged, forming KentuckyOne. (Read more)
Princess Health and NIGHTMARE PATIENTS ON THE HCG PROTOCOL. Princessiccia

Princess Health and NIGHTMARE PATIENTS ON THE HCG PROTOCOL. Princessiccia

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There is predictability to whether or not people are going to be difficult to work with during the hCG protocol. The most telling information is their denial of emotional eating and their emotional reaction to when food is limited, even without hunger.

These patients complain immediately (even before starting) of their disappointment in the protocol restrictions. Like how punished they are because they can�t put cream in their coffee. How bored they are with the food, within days of starting. They�re miffed by the fact they can�t have cheese, or add oil to their cooking. Usually these patients feel it is their right to eat, and their right to lose fat. These patients are so entitled they are ignorant to their own addiction.

IT�S YOUR FAULT IF THEY FAIL AND YOUR FAULT IF THEY ARE FAT.
These patients are the most difficult to assist. Why? Because they want you to take on the burden of their issues. They want you to give them a pill so they never have to admit faults.
They complain they are feeling deprived, but admit they aren�t hungry. They obsess over the scale, are disappointed in the fat losses (no matter how miraculous), and believe there is someone else to blame. They admit they continually break the protocol with licks and tastes of foods that aren�t on the protocol, but deny they cheat at all. They ignore the science of leptin, but are astonished by their lack of fat loss eating less than 600 calories (after you include their cheats). These patients think the protocol is flawed and their body is flawed, but not their entitled view of gluttony as virtuous.
These patients don�t want any responsibility and think because they invested money in your program, they are entitled to you as their savior.  And if you don�t meet their unattainable expectations, you are at fault. They believe a pound of fat loss a day is guaranteed because they were told by some shmucky Internet person (selling an amino product with appetite suppressants) that, �By using our liquid drops, the hCG protocol (even though there is no hCG in their product) would allow your body to release one pound of fat a day!�
Despite the fact that you explained thoroughly not to expect that type of loss unless they have a metabolism they requires over 4000 calories a day. Despite the explanation of gains with minor cheats. Despite the warning that the hCG protocol is a hormonal therapy and that there is no guarantee they will adherence to the process, they demand a  100% return policy, even when they ignore every warning, and break all boundaries of the protocol.  
Even though they paid for real expertise, they go to the Internet for �credible� guidance, and continue to argue that you don�t know how the protocol works.  �I saw on YouTube this woman who said you could eat macadamia nuts to lose weight when you stall. I saw another video where they said not to load in the beginning. I called another clinic that said you can eat 1000 calories and the protocol would still work. I�m not hungry but I want an appetite suppressant. Can you prescribe those fat burning injections? I swear you told me fat loss was guaranteed. � What a nightmare!
Some people refuse to read anything. You�ve spent three hours preparing them, given them Dr. Simeons� Pounds & Inches,  a workbook, blogs, videos, Weight-Loss Apocalypse,  and everything possible so they have the tools to understand the process from every angle. But yet, they only want you to be there so they have someone to blame when they f*ck up. As if there was something you did that made them cheat!   They schedule appointments just to complain about the protocol, and they hate you because you�re the one who is punishing them.  And they want you to spend another three hours to verbally explain (again) how the entire protocol works.
They grumble about the cost of your program when Internet sales of hCG costs far less. REALLY? There is no value to our expertise and we should work as slaves to your emotional illness?  Should we take on this type of abuse, because you are entitled to ignorance? HELL NO.
I have very little tolerance for this type of bullsh*t. Ask anyone who comes to our clinic and has immediately been shut down and refused a prescription as soon as the complaining begins and entitlement surfaces.  If you are not willing to take personal responsibility for your problems, you are not welcome into our practice. Why? Because there is no one but yourself capable of changing your flawed view of yourself. I refuse to work with an abuser no matter how much money they offer. There is no value in accepting that type of abuse.
If this patient sounds like you, you are in denial. DENIAL. Do the medical community a favor and order your hCG on the Internet.  The people who give FREE help on-line will love to work with you!
Good luck with that and don�t call back. : )

Monday, 16 April 2012

Princess Health and Fighting prescription drug abuse back on legislative agenda.Princessiccia

Princess Health and Fighting prescription drug abuse back on legislative agenda.Princessiccia

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As expected, finding a way to fight prescription drug abuse was back on the legislative agenda as lawmakers gathered for Day 1 of their special session. House Speaker Greg Stumbo introduced a bill today that will make it "mandatory for doctors to use the state's electronic reporting system for prescriptions, which would be moved from the Cabinet for Health and Family Services to the attorney general's office," report Jack Brammer and Beth Musgrave for the Lexington Herald-Leader.

Filed as House Bill 1, Stumbo said it "will correct damages caused by lobbyists for the Kentucky Medical Association in the final days of the regular session, when KMA inserted last-minute language that prevented mandatory use of this basic tool."

The bill also makes it possible for doctors who teach pain and addiction medicine at the University of Kentucky and University of Louisville to be appointed by the governor to the boards that license doctors and nurses. "The KMA's lobbyists can no longer argue that such experts do not exist or, if they do, that they should not be on the licensing boards," Stumbo said. "It is unfortunate that KMA lobbyists sought to obscure this provision."

The bill, slightly altered from House Bill 4 that did not pass before the end of the legislative session Thursday, is considered by experts to be the cornerstone of this legislative session. (Read more)
Princess Health and Online training could help rural doctors offer better mental health care.Princessiccia

Princess Health and Online training could help rural doctors offer better mental health care.Princessiccia

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More than half of all U.S. mental health care takes place at the primary-care level, and that percentage is even higher in rural areas, where mental-health doctors are often hundreds of miles away, reports Newswise, a research-reporting service. A new online training program could help rural primary-care doctors better treat patients with mental health issues, and that could be important in Kentucky.

The Behavioral Health Education Center of Nebraska, a part of the University of Nebraska Medical Center, designed the program. Educational Director Howard Liu said primary care doctors are overwhelmed by the amount of mental health care they must provide. Newswise reports "the goal is to help primary care providers get more comfortable as they prescribe medications and refer patients to psychiatrists and therapists." The adolescent version of the program was released last fall and is being used by doctors worldwide. The adult and geriatric version will be released this spring.

Primary care doctor Angie Brennan estimates 35 percent of all visits to her practice have been mental health related. She said there are specific rural challenges to treatment, including "reluctance to see a counselor and a lack of mental health insurance coverage � combined with an intensified fear that someone in the community will find out a patient has mental health issues." (Read more)
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