Thursday, 25 June 2015

Princess Health and Childish, petty and vindictive: UPMC hospitals ban sale of Post-Gazette from their gift shops. Princessiccia

Here's a new angle on how a healthcare organization might react to unfavorable press:

Ban the sale of the newspaper in question from their territory:

UPMC hospitals ban sale of Post-Gazette from their gift shops
June 24, 2015 12:00 AM
http://www.post-gazette.com/business/pittsburgh-company-news/2015/06/24/UPMC-hospitals-ban-sale-of-Post-Gazette-from-their-gift-shops/stories/201506240066

By Steve Twedt / Pittsburgh Post-Gazette

Some UPMC hospitals are banning the Post-Gazette from sale in their gift shops, a move UPMC spokesman Paul Wood said was precipitated by �fairness issues� in the newspaper�s coverage of the health system.

At least three UPMC hospitals -- UPMC Shadyside, UPMC Mercy and Children�s Hospital of Pittsburgh of UPMC -- say they will no longer sell the newspaper.

This seems simply retaliatory and in fact silly, as (at least hopefully) the newspaper will remain on sale in the rest of the city, as well as available online.  That is, assuming UPMC does not go on a vendetta against the newspaper, in its own in-house PR campaigns and mailings, in other media, or in the courts.

Twice in recent years, UPMC executives have canceled the health giant�s advertising in the PG, citing dissatisfaction with the way UPMC was covered in the news pages and how it was portrayed in editorials and editorial cartoons.

One wonders if UPMC has specifically identified false and inaccurate reporting.  Editorial cartoons are also standard fare for newspapers, and if they are not liked, the answer is written response, not banning IMO.

''The Post-Gazette is edited without regard to any special interest, and our news columns are not for sale, at any price,'' said John Robinson Block, publisher of the newspaper. ''We have been here since 1786, and have as our purpose the same goal that UPMC was established for -- to serve the public's interest, not a narrow purpose.''

As pointed out many times at Healthcare Renewal, the purpose of healthcare systems may not entirely be for serving the public's interests anymore.  Rather, they are serving the private interests of a small executive group who reward themselves handsomely for all being such uniformly superb, excellent and deserving managers.

As Roy Poses wrote at http://hcrenewal.blogspot.com/2015/02/outsize-compensation-for-teflon-coated.html, and elsewhere:

... As we have said before, in US health care, the top managers/ administrators/ bureaucrats/ executives - whatever they should be called - continue to prosper ever more mightily as the people who actually take care of patients seem to work harder and harder for less and less. This is the health care version of the rising income inequality that the US public is starting to notice.

Thus, like hired managers in the larger economy, non-profit hospital managers have become "value extractors."  The opportunity to extract value has become a major driver of managerial decision making.  And this decision making is probably the major reason our health care system is so expensive and inaccessible, and why it provides such mediocre care for so much money. 

Back to the newspaper:

... UPMC officials did not respond Tuesday to questions asking which specific stories they found objectionable.

Perhaps anything that does not read like PR from a large advertising firm painting the organization in the finest light, and editorial cartoons showing executive halos....

''We believe that our coverage of UPMC has been fair-minded in every respect,'' said David M. Shribman, the newspaper's executive editor. ''Every entity in every town feels aggrieved at some point by what a good newspaper writes. It's part of living in a free society where the exchange of news and information is prized, not punished.''

It's sad when newspapers have to state the obvious.

But health system officials have often criticized stories, editorials, and editorial cartoons published in the Post-Gazette in recent years, most frequently in its coverage of the ongoing contract battle with insurer Highmark and, in years past, about the health giant's real-estate holdings and its business practices.

The answer to free speech is more free speech.  Colleges and universities are painfully learning this lesson (e.g., see the website of the Foundation for Individual Rights in Eduction, FIRE, at https://www.thefire.org/).

I actually think a ban on selling the newspaper at UPMC facilities is childish.  UPMC executives seem a bunch of petty, vindictive crybabies for banning sale of the paper from their shops.




-- SS

Wednesday, 24 June 2015

Princess Health and Doctor discusses myths about sun exposure and sunburn.Princessiccia

Princess Health and Doctor discusses myths about sun exposure and sunburn.Princessiccia

As the weather grows warmer and more people spend longer periods of time outside in the sun, it's important to understand the dangers of sun exposure. "Ultraviolet radiation is a known carcinogen, which means, similar to cigarette smoking, it can cause lasting damage to the body," said Dr. Holly Kanavy, assistant professor of medicine at the Albert Einstein College of Medicine and director of pharmacology at Montefiore Health System. Kanavy discussed five myths people often believe about sun damage:

Myth 1: Some people believe they only need to protect themselves from the sun during peak hours. Although extra precautions should be taken between the hours of 10 a.m. and 4 p.m., people are susceptible to damage from the sun anytime it's out.

Myth 2: Some people think if children do not get burned, they must be wearing enough sunblock. However, young children are particularly susceptible to sun damage and should wear and reapply SPF 30 or higher sunblock. Hats and sunglasses as well as clothing are also helpful, but wet clothes don't offer much protection from the sun.

Myth 3: Some individuals think sun exposure is required to obtain vitamin D. In truth, it only takes 10-15 minutes of sun exposure several times per week. Some people do not wear sunscreen because they're trying to get vitamin D. However, that isn't necessary because it takes sunscreen about 20 minutes to start working, and people can get their vitamin D intake during that time. Also the vitamin can be acquired through certain foods.

Myth 4: Some people believe that the only important factor to look for in sunscreen is the SPF. However, people should make sure their sunblock protects against both UVA and UVB rays. UVA rays age the skin and can cause skin cancer. To make sure a sunblock protects against both kinds of rays, look for the words "broad spectrum" and ingredients like avobenzone, oxybenzone, zinc oxide and/or titanium oxide.

Myth 5: Some people think sun protection is unnecessary indoors or on cold days. However, temperature doesn't affect radiation, and UVA rays can go through clouds and glass. UVA rays don't cause tanning, but can cause damage.

Kanavy also recommended steps to take after getting sunburn. "Immediately after a burn, take a cool shower and keep the burn moisturized," he said. "Ingredients like vitamin C and vitamin E can help control damage."

Tuesday, 23 June 2015

Princess Health and Annual health policy forum set Sept. 28 in Bowling Green.Princessiccia

Princess Health and Annual health policy forum set Sept. 28 in Bowling Green.Princessiccia

This year's annual Howard L. Bost Health Policy Forum "will offer new insights and opportunities from a range of civic sectors for a shared vision, policies, and actions for community health," says its lead sponsor, the Foundation for a Healthy Kentucky.

"Local, regional, and national speakers will share their knowledge and experiences in building healthy communities, with a focus on transportation and housing, education, food systems and policy, and employers and workplaces," the foundation says. "TED style" speakers will make presentations on each of the forum's four focus areas: education, food systems and policy, employer/workplace, and transportation/housing.

The forum will be held at the Sloan Convention Center in Bowling Green on Monday, Sept. 28. For the registration website, click here.

Sunday, 21 June 2015

Princess Health and Race Weekend: June 20-21st, 2015.Princessiccia

The Waterloo Classic wasn't our only race this weekend, we were also in action on the trails, in ultras, and in the multisport world!  Here's how the team did:

Guelph Lake 1 Sprint Triathlon

Tracy Urquhart had a break through performance.  She dominated her AG, winning by 7 minutes,
with a final time of 1:22!

Jan had a great performance as well.  In his first triathlon since being hit by a car 4 years ago, he completed his epic comeback to place 5th in his AG.  Nicely done Jan!

Guelph Lake 1 Sprint Duathlon

Steve Schmidt had a great season debut, placing 4th OA and 1st in his AG!


Guelph Lake 1 Olympic Triathlon

Adam Dixon had one of his best performances ever- he managed a great time of 2:20, finishing 4th in his very competitive AG. 

TTF

Lucas Shwed had an outstanding Olympic triathlon debut in Toronto.  He posted an amazing time of 2:16:59, winning his AG.

NOTL

Dave Rutherford posted an outstanding new personal best of 1:22:03, good enough for the OA win.

Jordan Schmidt also had a great race- treating it 100% as a long run training day, he still managed 5th OA in 1:27.

In the 50K, Vicki Zandbergen had an outstanding day, finishing 5th OA for females with a time of 4:26!
Charlotte finished her training run with a great time of just over 5 hours, placing 60th OA. 

Andrew ran just over 5 hours, placing 54th OA!


5-Peaks Rattlesnake Point
In the 5.3K, Jonathan Fugelsang ran a solid 25:04, winning his AG and placing 11th OA!
Justin hit the technical 12.7K, finishing in 1:12:24 coming in 9th in his AG.

IM Syracuse
Graham Dunn had a very solid performance finishing in 5:17:02.  This placed him 33rd in his very competitive AG.

Tour de Waterloo
Bill Frier had a very solid performance, managing to finish well inside the top 100, placing 77th OA!

Outstanding work team!  As always, please let us know if we missed your results.

#cantwontstop

Princess Health and 2015 Waterloo Classic.Princessiccia

This is our 4th consecutive year doing the Waterloo Classic.  It has been a staple for the team since our inception, and has always been a great way to start summer off on the right track.  We were excited to try a new course on the West end of Waterloo this year, and it did not disappoint.  Here is how the team did:

5K

Dave Rutherford, just 1 day removed from his 1:22 half marathon PB, was in first for the team with a
great time of 18:31, placing 2nd in his AG and 7th OA.

Steph Hortian came in 2nd OA and 1st in her AG.

Aidan Rutherford ran an outstanding PB of 19:19, good enough for 10th OA and 4th in his AG!

Mike Piazza showed that his fitness is coming along nicely with a solid 19:43, placing him 2nd in his AG.

Coming off a stress fracture, Gillian decided last minute to follow Sean and surprise him with a sprint finish at the line, finishing in 20:07, placing 4th OA and 2nd in her AG.

Coach Sean ran 20:08, placing 3rd in his AG, and emotionally crushed from Gill's ruthless sprint. 

Dan Nakluski ran 23:35, good enough for 3rd in his AG!

Derek Hergott ran a very solid 25:05 WHILE pushing Miles in a stroller!

Samara ran a great time of 36:22, placing 7th in her AG.

Olivia came in just behind 38:36, placing 8th in her AG!

10K

Johana made an outstanding return to the team running a very solid sub-34, winning the race OA.

RunnerRob was in next for the team with an outstanding time on a hot day of 34:32, placing 2nd
OA.

Chris Goldsworthy had, quite honestly, the most ridiculous come from behind finish ever, barely taking 3rd place OA at the line, completing the podium sweep for H+P!

Nick was in next for the team in 39 minutes, placing 3rd OA and well inside the top 10.

Andrea Sweny was our first female to finish, running an excellent new PB of 42:22, placing 2nd OA and winning her AG!

Eric came in right after Andrea with a great time just over 43 minutes, placing 2nd in his AG.

Don MacLeod was in right after Eric with an outstanding new personal best of 43:10, bringing him in 3rd in his AG.

Emily was in next for the team with a very solid 10K of 43:52, placing 1st in her AG and 4th OA!

Paul pushed a solid pace on a training day, running just under 46 minutes and placing 4th in his AG.

Howie was in next for the team with a time of 48:51, just under a minute ahead of his rival Manny!  The epic HowieVsManny battle will continue at the ENDURrun in August!

Kristin Marks, Kim Chan and Tracey Kuchma were in next for the team all with times very close to 53 minutes.  Kristin placed 3rd in her AG, Kim got 4th, and Tracey got 2nd!  Nice work girls!

Juan had a solid 10K of 56 minutes placing just within the top 10 of his AG.

Heidi was in next for the team with a very solid time well under 59 minutes.  This allowed her to comfortably win her AG!


Up next for the team is the H+P SummerTT and the ENDURrun!

#cantwontstop 

Princess Health and Kentucky is cracking down on Suboxone, a heroin substitute that has become a big part of the illegal trade in painkillers.Princessiccia

A drug that was supposed to help people get off heroin has "created a new cash-for-pills market and a street trade" that state officials are trying to stop, Mary Meehan reports for the Lexington Herald-Leader.

The drug is buprenorphine, the active ingredient in the brand-name drugs Suboxone and Subutex, which became more popular in 2012, when the state cracked down on "pill mills" that were freely handing out prescriptions for painkillers. "A lot of the pill mills morphed into facilities that dispense these prescriptions," Dr. John Langefeld, medical director for the state's Medicaid program, told Meehan.

Also, Meehan writes, the Patient Protection and Affordable Care Act required insurance plans to cover treatment for substance abuse, and "as more Medicaid patients and others got health-insurance coverage, more people obtained prescriptions for buprenorphine, Langefeld said. . . . According to a state report, one user obtained prescriptions from nine doctors."
Read more here: http://www.kentucky.com/2015/06/20/3910362_the-drug-that-was-supposed-to.html?rh=1#storylink=cpy
Read more here: http://www.kentucky.com/2015/06/20/3910362_the-drug-that-was-supposed-to.html?rh=1#storylink=cpy

Lexington Herald-Leader chart by Chris Ware from state data
Use of the drug in Kentucky "has increased 241 percent since 2012," Meehan reports. "And 80 percent of the prescriptions for it were being written by 20 percent of the state's 470 certified prescribers, said Dr. Allen Brenzel, medical director of the state's Department of Behavioral Health. . . . Since 2011, 10 doctors have been sanctioned by the Kentucky Board of Medical Licensure because of problems prescribing Suboxone."

Suboxone is supposed to be taken in conjunction with therapy and drug testing. "a patient receives a controlled dose of a legal drug as the dose is tapered by a physician for a safe and effective withdrawal," Meehan notes. However, "doctors started to see Suboxone patients on a cash basis, asking for as much as $300 for an office visit that included a prescription for the maximum allowable amount of Suboxone. Patients often received no therapy or drug testing. Some patients were on the maximum dose indefinitely, Brenzel said." Some doctors prescribed the drug with other painkillers, creating an illegal market.

To prevent such abuse by unscrupulous doctors, the medical-licensure board has issued regulations that require "more physician education and the requirement that the drug be prescribed only for medically supervised withdrawal and not be given to pregnant women," Meehan writes. "Patients should also be closely monitored and drug tested. If those rules are not followed, a doctor can face sanctions or restrictions to his medical license."

Suboxone was in the national news recently because the accused killer in the Charleston, S.C., shootings was arrested for illegal possession of it four months ago at a South Carolina shopping mall, the Herald-Leader notes.
Read more here: http://www.kentucky.com/2015/06/20/3910362_the-drug-that-was-supposed-to.html?rh=1#storylink=cpy

Read more here: http://www.kentucky.com/2015/06/20/3910362_the-drug-that-was-supposed-to.html?rh=1#storylink=cpy

Saturday, 20 June 2015

Princess Health and Lake Cumberland District Health Department using polls in an effort to get school boards to make campuses tobacco-free.Princessiccia

Countywide smoking bans are unlikely to pass anytime soon in most of rural Kentucky, but more county school districts are making their campuses tobacco-free. Now a multi-county health department is trying to get rural school boards to do that, with public-opinion polls showing that county residents overwhelmingly favor the move.

Department logo has been altered to
show Clinton County in yellow.
The Lake Cumberland District Health Department conducted the poll in Clinton County, and said it found that 86.55 percent were in favor and 7.16 percent were opposed. The rest had no opinion.

Making a campus tobacco-free means that members of the public are not free to smoke at school athletic events, so the poll also asked, �Would you like to see our school become tobacco-free at all events?� The results were virtually the same: 85.3 percent answered yes and 8.7 percent answered no, even though one-fourth to one-fifth of the county's residents smoke and it has a long history of raising tobacco.

"The results are perhaps surprising to some, considering the rate of tobacco usage in the county," reports the Clinton County News. The poll of 749 residents has an error margin of plus or minus 3.6 percentage points.

The department also surveyed 100 teachers in the school system and found that 77 percent would "definitely" support making the schools 100 percent tobacco-free.

The health department presented the survey and other findings to the Clinton County Board of Education June 15, but the board took no action. The department noted that a recent survey found that 28 percent of the county's students in eighth through 12th grades had used smokeless tobacco in the previous 30 days. "That level was the highest in the Lake Cumberland District," the Clinton County News reports.

The Casey County Board of Education adopted a smoke-free policy after a poll by the health department showed 70 percent of the county's residents favored it, the Casey County News reported.