Thursday, October 29, 2009

DOCTOR GUIDELINES NOW ORDERS

As a medical physician for over 51 years, I strive to give you the best medical information on controversial medical subjects, and help your read betwwen the lines. You must come to your own conclusions. I have no ties to any organization, pharmaceutical, or lobby group. As an practicing medical acupuncturist since 1982, I find western medicine and medical acupuncture are very complimentary. This results in astounding healing in pain management, addictions to cigarettes and food, and a host of other maladies. Visit drneedles is blogging" at the end of each blog for a complete alphabetical list of all my blogs
Visit http://www.americanacupuncture.com/ for more detailed information on mind, body, and spirit healing.

DOCTOR GUIDELINES NOW ORDERS

It seems that new government guidelines are causing a barrier between a doctor and his patient. As the doctor listens to his patient, sees and evaluates his problem, and feels he is going to do what is necessary, the thought comes into his head: Gee, perhaps this isn’t the right thing to do, according to the Harvard government guidelines? Yet the patient in front of him is no average patient.

Every patient has some unusual or unique symptoms that must be considered in dealing and solving the patient's problems. Yet the guidelines don’t consider them.

We really should only expect average care from our doctors. Guidelines forbid medical care that is better than average. They are set to give the average patient, average medical care. If your doctor gives you better than average medical treatment, he is not following the guidelines. He will be reminded by the hovering tort lawyer waiting to pounce on his care. There is no tort reform to help him.

The guidelines suggest that if an 82-year-old patient cannot walk down the street, is short of breath, and feels lightheaded, or has broken a hip; the guidelines for his care will be minimal. Under White House health care advisers, that patient has outlived its useful years, no matter how many more years he has to live.

SPECIALISTS NOT NEEDED

Fifty years ago people went to the hospital to die. Most died by the age of 68. Medicare and Social Security was planned to pay for two or three years of your retirement. The doctors became the bad guys. They now keep you alive to 85, and this has caused Medicare to go bankrupt.

So now lets change and correct the problem. Since people are living too long, the healthcare must be changed. Lets take the doctor out of the picture and teach him how to practice non-wasteful medicine. The government has learned how to run the auto industry; it can certainly learn how to run the medical industry.

If I have a domestic or a divorce problem, I'm not told to go to a corporative lawyer. But this is what the new guidelines are telling us in medicine. The media has sportswriters, financial writers, personal journal writers, and editorial writers. Yet in medicine and healthcare, we are telling everybody go to the general practioner for everything. If he finds he can’t solve your problem after 3-4 visits, and are sick enough, you will be referred to a government secretary who will find a specialist for you.

If you're having pain in your chest and heart failure, you want to be treated by a cardiologist. He will give you the most up-to-date and accurate treatment for your problem.

Doctors are asked to deliver all your patient records, with their intimate secrets, so they can be converted into electronic medical records to increase transparency. Formerly this was called a breach of code involving his patients.

MANAGED CARE RELIVED

The health reform guidelines are duplicating everything as managed-care did for the last 15 years. It was very hard to overcome the problems with patient care being denied and withheld. We thought this would never be repeated, but our government is in the process of reduplication the same errors. “Let doctors treat the patients, and let us government czars and lawyers in congress manage the care”.

Our president reminds doctors that they “take their Hippocratic oath too seriously”. The philosophy of “doing no harm to our patients” that is held very dear to the doctor's hearts, is now violated.

Plato the philosopher, unlike Hippocrates, said things like: “If you have a poor physical condition you should be allowed to die. If you have a weak constitution, you shall perish”. It seems government programs, limiting above average medical care, which is now being proposed, somehow violates the Hippocratic oath.

If you are sitting in the examining room with your doctor you're wondering: “Why is the doctor not ordering a test for me? Is he going to get penalized by the hospital or Medicare if he does it? Since he's not ordering the test, will the malpractice lawyers have a case if I become disabled or die?

THE FINAL HOUSE HEALTH CARE PACKAGE

The Congressional House Democratic committee have just passed a reform and handed it back to Pres. Obama as a victory. Our world today is defined by nearly 100,000 iPods, and yet we are being pushed into the biggest one-size fits all legislation since 1965.

Obama, has used old Congressmen, all elected to Congress 30 years ago, to formulate his health plan. They put together a healthcare bill of over 2000 pages, big, complex, not comprehensible, and very coercive. Everything that young people hate today.

The powerful new technologies like Face book, twitter, digital and web-based technologies have decentralized virtually everything we know of. These technologies take most of our waking hours, both at work and at home.

Young people want to break things up into many discrete markets. Controlled newspapers and TV media our struggling to stay massive in the world. Our youth are slowly making them less and less influential.

The one thing that won't change is our government. Whether in Congress, California, Las Vegas, or New York---everyone else's job is measured by how he performs, or does not perform. To keep one’s job, one must be reelected. That's up to you the reader.

DECEPTION & DISAPPOINTMENT

Over the last 25 years, many entrepreneurs like those in Silicon Valley, have taken a small idea and ran with it. Our Congress has done just the opposite: They have taken something really big and made it gets bigger.

We have Medicare for our seniors, with their spending claims going to the moon. Now we are creating Medicare for everyone, young and old. Medicaid is now made even bigger yet—despite being the main thing that is financially destroying California.

We were told in the past to contribute to the common good—“Join, the Peace Corps”. Now we are told we can contribute to the common good by being willing to just fall in line behind some huge piece of legislation.

Claiming he was really on the leading edge of politics , our nation elected President Obama. If there were an iPhone for healthcare, he would have proposed it. He used the Internet masterfully, to get young voters aroused. They voted for him, thinking he would have a flexible system to calibrate their needs in the healthcare system that would suit their needs. And over time, despite errors, he would make a better system.

Not much chance of that! Our old health software can't recognize trial and error. The public options that have just come out of the House is not in sync with many younger Americans. It's not the way they want to go.

COMMENTARY

People thought when they elected Obama, someone agile and smart was coming to government. The Democrats, a party of 30-year veterans in Congress, totally dependent on public sector unions, are now the Obama change makers.

Looks like there will be a health reform bill on President Obama’s desk to sign for Christmas. Or should I say " for the Holidays". (The White House announced there would be no Christmas tree lighting this year: It will now be called a “Holiday Tree.”)

Visit www.drneedles.com for more discussion of medical controversial issues.

Source www.defendyourhealthcare.us

Wednesday, October 28, 2009

REFORM EXPENSIVE FOR SENIORS

As a medical physician for over 51 years, I strive to give you the best medical information on controversial medical subjects, and help your read betwwen the lines. You must come to your own conclusions. I have no ties to any organization, pharmaceutical, or lobby group. As an practicing medical acupuncturist since 1982, I find western medicine and medical acupuncture are very complimentary. This results in astounding healing in pain management, addictions to cigarettes and food, and a host of other maladies. Visit drneedles is blogging" at the end of each blog for a complete alphabetical list of all my blogs. Visit http://www.americanacupuncture.com/ for more detailed information on mind, body, and spirit healing.

SENIORS, OPEN YOUR WALLETS

Medicare costs 13% of the federal budget ($391 billion). Because Medicare is an entitlement program, there is no way the government can limit to the number of people who qualify.

Once you retire, you receive a public pension to help you through old age. (We call this Medicare). The taxpayers cover the bill for everyone over 65.

CARROT STICK #1

THE COMMUNITY LIVING ASSISTANCE SERVICES AND SUPPORTS ACT, OR CLASS ACT

Congress is desperately trying to keep the costs of their health care reform under $900 billion. To help cover the costs of Medicare, congress now find people under 65 may kick in another $73 billion into the Medicare program.

Everyone working would be able to pay premiums for at least five years before they could qualify for benefits. The premiums would be $123 a month and would be collected while you are working. You would receive a cash benefit of at least $50 a day if you become disabled.

You could use this money to pay a home care attendant, buy some equipment, supplies, or even make home improvements as adding bathroom railings to defray the cost of nursing home care.

Retirees believe that your long-term care needs are going to be covered by Medicare. As you prepare for retirement, and pay for this disability benefit, your initial premium of $123 for the program keeps rising with time making it unattractive for healthy working age people to keep contributing to this plan.
Eventually this program would need a taxpayer bailout. It certainly keeps the long-term-care fund in the black for the first 10 years. But the true cost of expanding medical coverage are masked.

CARROT STICK #2

Ms. Pelosi and House Congress still want a government insurance plan. Going to college now are proposing a “CONSUMER OPTION” that would compete with private insurers. The government insurance plan would negotiate rates with doctors and hospitals like private insurers do. The payments would not be based on Medicare rates, since the Medicare rates so low hospitals could not survive on them--- (rural American hospitals would go out of business).

This new distorted public option if passed, would have the unintended consequence of forcing private health insurance providers out of business.
We all want reforms that would provide subsidies to the poor, and insure that everyone at least got a basic plan. Insurance companies could not deny coverage because of pre-existing conditions.

YOUR MEDICARE PREMIUMS GOING UP

Your Medicare costs are going over a hundred dollars for the first time. This is a result of the rise in medical costs. About 27% of Medicare beneficiaries will have to pay higher premiums or have someone else pay for the hike.

Many seniors will be shielded from the increase because under federal law their Medicare premiums can't go up more than their increase in Social Security benefits. Because inflation now is extremely low, you may not see an increase in premiums next year. You can also count on Medicare cutting their expenses by $100 billion by eliminating wasteful testing of seniors.

Seniors insist on their own security be protected through any current health care reform. Seniors are also concerned about paying higher insurance premiums than their children. The baby boomers that are between the ages of 50 and 65, who now buy their own insurance, typically pay a much higher premium than anyone else.

In their proposed health reform budget, Congress is using desperate shenanigans to keep the budget under $900 billion. They have shifted money into Medicaid to cover adults for the first time.

Senior Medical Advantage has now been stripped, and federal money is being placed under various other programs to finance this health reform bill under $900 billion. Congress insists there will be no added costs to the Medicare program in the first 10 years. But this overall package is masking the true costs of expanding medical coverage to everyone.

Seniors, help Uncle Sam by opening up your wallets. There is no free lunch.

Visit www.drneedles.com for more discussions of controversial medical subjects.








Tuesday, October 27, 2009

GIVE US YOUR HEALTH PLAN MR SENATOR

As a medical physician for over 51 years, I strive to give you the best medical information on controversial medical subjects, and help your read betwwen the lines. You must come to your own conclusions. I have no ties to any organization, pharmaceutical, or lobby group. As an practicing medical acupuncturist since 1982, I find western medicine and medical acupuncture are very complimentary. This results in astounding healing in pain management, addictions to cigarettes and food, and a host of other maladies. Visit drneedles is blogging" at the end of each blog for a complete alphabetical list of all my blogs
Visit http://www.americanacupuncture.com/ for more detailed information on mind, body, and spirit healing.


GIVE US YOUR HEALTH PLAN MR SENATOR


Our senators, congressmen, their staff, and all federal workers and federal union representatives all belong to the “Federal Employee Health Benefits Program (FEHBP). These fortunate Americans, over 9 million federal workers, don't have to accept a proposed public option plan, but can choose from among 400 healthcare options (including 35 health plans).

We would all like to have the same health plan Congress has carved out for them. Why can't Congress use the same health insurance that our senators and congressmen are now designing for us who have no coverage?

THE FEHBP PLAN

None of the workers are forced into any single standardized comprehensive benefits plan. They can pick and choose from a variety of options that suit them, at prices and co-payments that they feel are best for them.

Federal workers don't get any subsidies, and are not in a public option plan. They buy private insurance coverage. The government kicks in about 72% of the premiums. This is in range with the private sector, where employers generally play between 68 and 81% of their workers premiums.

A federal employee can choose from dozens of policy choices that are offered. They can tailor their plan to their own needs. Employees can choose coverage from the widest selection of health plans in the country. And the federal plan cannot exclude people because of pre-existing conditions as private plans to do. An employee of a private company is usually offered only one or two choices in health plans.

The federal health plan lets every federal worker to take and keep his or her plans. They are allowed to decide which plan is a good value for them. The plan does not have premium caps or price controls, is a voluntary plan, and no one is required to join it.

EXTRA PERKS FOR SENATORS AND CONGRESSMEN

Congress has designed extra perks for themselves that are not available to other federal workers.

They get free outpatient care at Walter Reed Army Medical Center and also at Bethesda Naval Medical Center.

For $500 a year, they have access to the office of the attending physician at the capital. This allows them to get highly professional care for everything from routine physical exams and x-rays to surgery.


KEEP IT SIMPLE (KISS)

Unlike the over 1000 pages in the proposed health care reform plan, the federal plan is only 26 pages long, with 83 pages of rules for regulation, and another 93 pages of guidance in their personnel manual. The whole plan is run by the private sector. The central administrative staff is at the office of personnel and has around 140 employees.

Everyone wants universal health coverage, and believes all Americans should have the same health benefits that the members of Congress have. But Congress's health insurance plan is heavily subsidize with a preferred provider plan, and embraced by most health care workers because it is quite rich. Since it is fee-for-service, there is very little encouragement to be a smart health-care shopper.

The premiums for federal health care are quite high, over $13,000 a year for a family, but 70% of that is paid by the government. So the cost is under $350 a month.

COMMENTARY

If the proposed health care reform plan is good enough for all of us Americans, why is it not good enough for our senators and congressmen?

Most of us Americans are quite satisfied with our own insurance plans. The quality of care we get from doctors, hospitals pharmacists, and other healthcare providers in our insurance system is quite acceptable.

There is no mention of any proposed amendments to scrap the federal health plan which is proven and tested, and replace it with the proposed plan for all of us: one that is untried, untested, and certainly fraught with uncertainty.

Why don't we take a page from a successful health program and make it our working laboratory for change and reform! Let us insist that our federal workers, retirees, and families must have the same plan that Congress has selected for itself.

Let our Senators be forced into a system that's heavily bureaucratic and accept the administrative machinery necessary for the current health care plan, which allows the treasury to perform its customary disbursing functions and is controlled by the government.

Do our senators and congressmen want to be forced into a system characterized by less choice and competition? Let them set an example for us, and drop their FEHBP.

Since 1976, the federal plan has helped to control costs in the system for many years. Many federal workers and their families have been able to benefit directly by pocketing the savings in their plans. The federal plan had a solid cost control performance.

Since our senators and congressmen are getting good health care financing, shouldn't that be a model to build and improve upon the central features of our consumer choice of benefits and competition among plans that have worked well for the federal plan? Shouldn't these market principles be the foundation for a comprehensive reform of our health care system?

We would all like to have the health plan Congress has carved out for themselves. Why can't Congress use the same health insurance that our senators and congressmen are now designing for us who have no coverage?

Our Senators health plan pays for routine expenses like office visits and vaccinations. Can we afford to provide the 45 million Americans who are now insured with such a plan?

Why not, shouldn’t we all suffer together?

Lets keep the playing field level, Senator Reid and gentle congresswoman Pelosi.

Visit www.drneedles.com for more discussion of medical controversial issues.

Monday, October 19, 2009

NASAL SNIFFING BEATS TAKING ORAL MEDS

As a medical physician for over 51 years, I strive to give you the best medical information on controversial medical subjects, and help your read betwwen the lines. You must come to your own conclusions. I have no ties to any organization, pharmaceutical, or lobby group. As an practicing medical acupuncturist since 1982, I find western medicine and medical acupuncture are very complimentary. This results in astounding healing in pain management, addictions to cigarettes and food, and a host of other maladies. Visit drneedles is blogging" at the end of each blog for a complete alphabetical list of all my blogs
Visit http://www.americanacupuncture.com/ for more detailed information on mind, body, and spirit healing.

NASAL SNIFFING BEATS TAKING ORAL MEDS

From painkillers to cancer therapies, the latest research shows that medication can be most effective when taken nasally.

We are losing all our effective antibiotics and we need something else. Many substances that are applied in the nose of patients in vitro work against viruses but failed to work in clinical trials in patients.

A nasal spray to shore up your own natural defense systems may be the answer to beating the cold. A white blood cell compound attacks bacteria viruses and fungi and kills them by creating a chlorine cover around microorganisms. There is no danger of growing resistance since it is based on our immune system (A spray containing an analog of CHLOROTAURINE).

ANTI-FLU SPRAYS

How can we protect the people from getting infected by the flu? Anti-flu drugs are used to treat the infection but fail to kill or resist a virus.

Usually the virus enters the nose throat and lungs by locking onto a sugar sticking out from their surface. Proteins bind to the sugar and stop the flu bug in its tracks. The virus keeps expanding until cells are killed. Targeting the sugar rather than a virus helps the drug work on bugs. The spray is given like an asthma inhaler.
Most drugs, used for the treatment of influenza, cannot work on a virus because it becomes resistant to the drugs.

These nasal sprays may stimulate your own defense system. Intranasal delivery of drugs is under investigation for more than two dozen conditions.

Nasal gels and fluids are used to prevent bacterial and viral infections as varied as MRSA, Flu, Sars, Ebola, cancer alleviation of cancer symptoms, and many new forms of vaccines.

ADVANTAGES OF NASAL DOSING

In order to ensure the therapeutic amount gets to the right place, larger doses of drugs must be given orally and the risk of side effects increases.

Research on antihistamines and hay fever shows that while an oral dose can lead to drowsiness, no such side effect occurs when it is given intranasally. Since the required dose is much smaller, stomach upsets associated with some oral drugs are also less likely.

Another big advantage of nasal sniffing is, that it is a direct route into the circulation. The noses inner surfaces, all 150 square centimeters, are rich in tiny veins that help the drugs get into the circulation directly.
Once in the circulation, the drug has a direct and rapid way to work more quickly.

Nasal sprays can deliver molecules called neuropeptides directly to the brain. These molecules include insulin and other hormones--- that communicate with the brain. Nasal sprays quickly cross the blood-barrier and prevent the accumulation of the drug. Nasal delivery is also useful in treating brain diseases, such as Alzheimer's disease and obesity.

DIABETES

Diabetic patients soon will be able to use a small inhaler containing a cartridge of insulin powder, which is inhaled into the lungs, dissolve there, and then travels through the bloodstream.

The insulin doses will be prepackaged in cartridges. A mouthpiece is used to release the insulin. No electricity or compress gas will be used. The patient's own breathing will do the job. The airflow through the cartridge allows the powder to be inhaled. This small sized inhaler, called dreamboat, soon may enter the market with FDA approval.

WEIGHT LOSS

Insulin plays a pivotal role in regulation of central nervous system functions, as memory processing and energy metabolism, for weight loss.

ALZHEIMER’S

Since part of the malfunction of the nervous systems signaling is involved, nasal spray insulin may help in the treatment of cognitive and metabolic disorders, such as obesity and Alzheimer's.

Gender seems to be a critical factor in brain insulin signaling affecting both food intake and cognitive functions. Insulin given intranasally, decreases food intake in men but surprisingly not in women. The compound improves memory function in women but not in men.

IMPROVING MEMORY


A molecule from the body's immune system (interleukin-6) when administered through the nose helps the brain retain emotional and procedural memories during REM sleep. A nasal spray can improve memory,

Interleukin-6 ,plays a beneficial role in sleep-dependent formation of long-term memory in humans. (University of Lubeck, Germany).

COLD DISORDERS

We are losing all of our effective antibiotics, and we simply need something else. A nasal spray that mimics our own natural defense system may be the answer to beating the common cold, It works like bleach, creating a chlorine cover around bacteria, viruses and fungi, which kills them. The spray has already proved effective against MRSA.

FLU PREVENTIONS


A nasal spray can protect you from getting infected by the flu bug (researchers at St Andrews University).

Usually, a flu virus enters the cells through nose, throat and lungs by locking on to a sugar that is sticking out from the cell’s surface. Once inside the human body, the virus keeps on expanding itself, killing the cells.

Instead of attacking the flu bug directly, ranges of proteins are used to bind the sugar and stop the flu bug in its tracks. Targeting the sugar rather than the virus itself helps the drug to work on bug. The spray is given like an asthma inhaler and gets quickly into the respiratory track.

PAIN RELIEF


Acute pain is a key target for new nasal drugs, largely because of the speed of their action. Morphine is being used to combat cancer pain, while other drugs are nasal sprays tackle cluster headache, post-operative pain, and dental pain.

AUTISM

Autism is a developmental disorder with symptoms that include poor social functioning and repetitive behaviors. Low levels of oxytocin, a brain chemical involved in emotion, may be involved in the development of autism.
A daily nasal spray, based on the hormone oxytocin, has been used to treat autism symptoms in adults. (Mount Sinai School of Medicine, New York). Other studies found that oxytocin plays a role in social bonding, memory, anxiety reduction, and repetitive behaviors.

MEMORY AND FORGETFULNESS

Insulin plays a role in normal memory processes. Insulin abnormalities may contribute to brain changes associated with Alzheimer's.

Nasal insulin can boost memory in both healthy older people and those with Alzheimer's. Both the healthy and the Alzheimer's patients performed significantly better on memory tests after getting insulin than getting a placebo

FEMALE VIAGRA

Nasal delivery may boost libido in women. A nose spray based on testosterone, currently in development, increases libido in women over 40, and improves sexual arousal. Women who had the nasal testosterone, when shown sexual test pictures had a greater emotional response.

OTHER NASAL USES

Health regulators approved a generic nasal spray to treat osteoporosis, making bones stronger. This calcitonin nasal spray is the copycat version of Micalcin, which is marketed by Novartis. The nasal spray is indicated in females who have low bone mass, after five years or more of menopause.

PROSTATE


Buserelin, a class of medicines (called LHRH analogues works by decreasing the production of sex hormones. Suprefact, a nasal spray, is used to treat cancer of the prostate by reducing levels of testosterone.

COMMENTARY

From painkillers to cancer therapies, the latest research shows that medication can be most effective when taken nasally. Nasal sprays can stimulate your own immune system, and prevent bacterial and viral infections.

This method of delivery is now being used for delivering vaccines, cancer symptoms, Alzheimer's disease, obesity, prostate cancer, memory loss, and loss of female libido.

The required doses are much less and side effects are few. It offers a direct route into the circulation. Insulin and other hormones can be directly delivered to the brain, crossing the blood brain barrier and drug accumulation can be prevented.

It has been found useful in the treatment of Alzheimer’s disease obesity. Interleukin-6, administered nasally, helps the brain retain emotional and procedural memories during sleep.

Having lost all our effective antibiotics, the drug companies are turning to nasal sprays for the treatment of many diseases.

Visit www.drneedles.com for more discussion of controversial medical subjects.

ABUSE OF MEDICAL MARIJUANA IN CALIFORNIA

As a medical physician for over 51 years, I strive to give you the best medical information on controversial medical subjects, and help your read betwwen the lines. You must come to your own conclusions. I have no ties to any organization, pharmaceutical, or lobby group. As an practicing medical acupuncturist since 1982, I find western medicine and medical acupuncture are very complimentary. This results in astounding healing in pain management, addictions to cigarettes and food, and a host of other maladies. Visit drneedles is blogging" at the end of each blog for a complete alphabetical list of all my blogs
Visit http://www.americanacupuncture.com/ for more detailed information on mind, body, and spirit healing.

ABUSE OF MEDICAL MARIJUANA


Los Angeles recently started a crackdown closing medical marijuana shops for profit. Target stores are those who are selling to people who don't qualify for medicinal marijuana. Plenty of people are getting high for the wrong reasons in Los Angeles. There are now more marijuana stores than public schools.


Fourteen states currently allow medical marijuana for medicinal purposes:

Alaska, California, Colorado, Hawaii, Maine,

Maryland, Michigan, Montana, Nevada, New Mexico, Oregon, Rhode Island, Vermont, and Washington). Rhode Island and New Mexico are in the process of licensing providers.


THE MARIJUANA LAW


In 1996, California passes proposition 215, allowing sick people with referrals from doctors and identification cards to smoke pot.


The law allowed authorized marijuana users to grow their own plants. Later, the law was revised to allow collective pot to be grown by members. Growers of marijuana can grow up to three crops a year, each worth about $40,000.


FEDERAL INTERPRETATION


The US attorney general Eric Holder said earlier this year that federal agents would only target marijuana distributors who violated both federal and state laws. Under federal law, marijuana is illegal.


Federal prosecutors have issued new policy guidelines stating they will not arrest medical marijuana users and suppliers as long as they conform to state laws.


This resulted in an impression there wasn't going to be any federal investigation or prosecution of any pot shots.


One hundred and eighty dispensaries qualified to remain open when a city law passed a moratorium for two years. This resulted in another 800 new dispensaries opening up in the city of Los Angeles. (In 2005 there were only four).


A GATEWAY DRUG


Many people smoke and drink alcohol before they start using marijuana. This recreational drug is considered a gateway drug, allowing some people to go on to use stronger and more dangerous drugs to obtain a greater high.


COMMON SIDE EFFECTS OF MARIJUANA

PHYSICAL side effects include, tremors, decreased coordination, increased appetite, breathing problems, reduce blood flow to the brain, changes in the reproductive organs, slowed reaction time, and trouble remembering and concentrating, insomnia, anxiety, feeling people are out to get you, red eyes, and altered time perception. Reaction time is much slower while driving.


MENTAL side effects have long been known to trigger attacks of mental illness as bipolar psychoses and schizophrenia. Symptoms include acute toxic psychosis, panic attacks, depersonalization, hallucinations, paranoia, depression, and uncontrollable aggression.


BRAIN effects: THC, the main active chemical in marijuana, changes the way sensory information gets into and is acted on the hippocampus. This area is crucial for learning, memory, and integration of sensory experiences with the emotions and motivations.


The neurons in the information processing system of the hippocampus are suppressed. Learning behaviors that depend on the hippocampus also deteriorate. Many lose interest in schoolwork, relationships, and other activities.


CANCER effects: Since marijuana has more tar in it than in cigarettes, and is usually smoked without filters, lung damage is common. Several reports show a large percentage of marijuana users among cases of cancers of the lung, oral pharynx, and larynx.


IMMUNE SYSTEM depression: Marijuana is a general immuno-suppressant; it lowers defenses against infection by weakening various natural immune mechanisms including macrophages and T cells. It has a very serious negative effect on patients with pre-existing HIV, organ transplants, and cancer chemotherapy (the very conditions suggested as a treatment). It can accelerate AIDS and increase the progression of HIV to full-blown AIDS and Kaposi's sarcoma.


OTHER side effects: Medical studies that showed an increased risk of heart attack and increase rates of anxiety depression and suicide in schizophrenia. Long-term use can result in brain changes.


COMMENTARY


The medical use of marijuana may actually contribute to the dangers of the diseases for which it would be used to combat.


Pot sales in America are the largest source of money for violent Mexican drug cartels.


Because California has vast quantities of marijuana grown, it has been a source of marijuana for the rest of the country. Pot shop owners took advantage of state laws that were intended to create exemptions to marijuana prohibitions for a limited number of ill people.


It doesn't look like a good use of time to arrest all the California people who use or give marijuana and are in strict compliance with state laws.


The government should still must pursue marijuana cases involving violence, illegal use of player arms, selling pot to minors, and money laundering.


Like anything else, the police don't have to arrest everyone who is speeding to make people slow down. It will at least get Californians, who are generally health conscious, to see the dangers of marijuana.


What do you think? Visit www.drneedles.com for more discussion of controversial medical subjects.


Sunday, October 18, 2009

BENEFIT CUTS WILL BE MADE FROM SENIOR CARE

As a medical physician for over 51 years, I strive to give you the best medical information on controversial medical subjects, and help your read betwwen the lines. You must come to your own conclusions. I have no ties to any organization, pharmaceutical, or lobby group. As an practicing medical acupuncturist since 1982, I find western medicine and medical acupuncture are very complimentary. This results in astounding healing in pain management, addictions to cigarettes and food, and a host of other maladies. Visit drneedles is blogging" at the end of each blog for a complete alphabetical list of all my blogs
Visit http://www.americanacupuncture.com/ for more detailed information on mind, body, and spirit healing.

BENEFIT CUTS WILL BE MADE FROM SENIOR CARE

Seniors are very concerned that Medicare will be cut as Congress expands the ranks of the insured. Obama calls of the savings, to reward quality care rather than quantity of services, more efficiency and less waste.


Seniors will be the big losers if this plan is accepted as submitted. Since Medicare was formed 54 years ago, older Americans have been able to avoid disability, live by themselves, and travel. The new health plan will reduce this access to care for seniors, and pressure them to end their lives prematurely, and doomed them to painful years in nursing homes.


It seems that typically Congress sets up a budget formulae and if the formula turns out to give people money it passes. If people are denied money, Congress changes the formula.


CUT TO DOCTORS FEES


Congress passed a sustainable growth rate, SGR, for Medicare to cut federal deficits. Many physicians quit accepting Medicare patients this made Congress coming up with funds to fix the cuts every year since 2003. Now the Democratic Senate wants to end the SGR, to again cut doctor payments.


WHERE IS THE MONEY?


Why on earth is Medicare running out of money? The ratio of seniors compared to fewer workers paying Social Security into the system, has resulted in a deficit in the Medicare budget. Because of this, it has been suggested to push the Medicare eligibility rates to age 70.


Should you pay higher insurance premiums than their children? If you are between the ages of 50 and 65 and buy your own insurance, you typically pay a much higher premium than your children would pay. Once you turn 65, however, Medicare takes over your insurance coverage, and your premium difference is no longer an issue.


If you buy your own insurance you will pay 6-7 times more than the younger generation. If however, your employer buys your insurance, you don’t face a premium. Obama wants to reduce this premium price difference.


HOW INSURANCE COMPANIES THINK!


Seniors need more health care. If there is no premium price difference, to make up for the loss of insurance company revenue, younger people will have to pay higher premiums. If the cost between older and younger workers is no more than two to one, premium prices will go up for younger people by as much as 60%.


If you are in a lower or middle income person, you would need some tax credits or subsidies to keep your premium costs around 12 1/2% of your income. If all policies provided dependent coverage to the age of 26, as proposed, you and your children luck out.


CUTS THAT WILL BE MADE FROM SENIOR CARE


Seniors had no idea they would have to foot the bill for this massive experiment in government health care through cuts to their Medicare. The Medicare advantage will be cut $130 billion, $120 billion will be cut from hospital care for seniors, another $40 billion will be cut from home health agencies, $15 billion cut from nursing homes, and $8 billion cut from hospice care.


Sen. Harkin of Iowa said that if seniors want to have these little added features, it should not be done through Medicare. “They can buy supplemental insurance.”


RIFT OVER MAILINGS BY INSURERS


Insurance company mailings to seniors recently, from Humana, warned seniors of the disastrous Medicare cuts to their health care if present proposed health legislation is approved.


The president. Irate, issued an order to Medicare, to stop all the plans from communicating with their beneficiaries.


Since 25% of all Medicare beneficiaries are signed up in private plans, lawmakers became apprehensive of a potential backlash, and last month, Obama backed away from his Medicare ban on mailings. He rephrased the order, saying insurance companies may lobby seniors, provided they get permission from their beneficiaries first, and that no federal funds or data are used. Medicare official said the directive was only clarifying a long stand policy protecting seniors from nuisance mailings and abusive marketing.


COMMENTARY


Considerable funding has been made for comparative effectiveness research. This is the codename for limiting care based on the patient's age. This formula is used currently in Britain to deny treatment for older patients who have few years to benefit from the care. Treatment for the elderly will be denied on the basis of age. This will result in denying seniors lifesaving care, keeping them disabled, but saving tons of Medicare money.


Because specialty care costs a lot of money, this care will be shifted to the primary care doctor, and there will be less access to medical care. Reducing access to medical treatment ,as hip replacements, knee replacements, and bypass surgery, will make our senior’s lives shorter. Counseling on end of life options should also produce huge cost savings to Medicare.


Do you think these are reasonable solutions to the health care problems of our seniors?


Visit www.drneedles.com for more discussion of controversial medical problems. We strive to have our viewers “read between the lines”.

Saturday, October 17, 2009

OBAMA BLAMES THE INSURANCE COMPANIES

As a medical physician for over 51 years, I strive to give you the best medical information on controversial medical subjects, and help your read betwwen the lines. You must come to your own conclusions. I have no ties to any organization, pharmaceutical, or lobby group. As an practicing medical acupuncturist since 1982, I find western medicine and medical acupuncture are very complimentary. This results in astounding healing in pain management, addictions to cigarettes and food, and a host of other maladies. Visit drneedles is blogging" at the end of each blog for a complete alphabetical list of all my blogs
Visit http://www.americanacupuncture.com/ for more detailed information on mind, body, and spirit healing.

BLAME THE INSURANCE COMPANIES

ITS TIME FOR WHITE HOUSE HARD BALL POLITICS.

In his weekly address, Pres. Obama attacked insurers for trying to block his health-care reforms. Obama accuses the insurance companies of making a last-ditch effort to stop reform even as the costs rise in our health dollars. Since the insurance industry opposes a government-run insurance plan, Obama’s public option plan can succeed if he destroys the insurance industry creditability,

INITIALLY INSURERS COOPERATED WITH REFORM PLAN

Obama's warm working relationship with the insurance companies seems to be over. The industry supported on his reform efforts for months even when he was trying to create a competitor with a public option plan.

The American health insurance plans, AHIP, even made a deal to end the practice of charging more for denying coverage to people with pre-existing conditions, as long as he would require all adults to purchase coverage or pay a penalty.

The Senate in their finance committee reneged by calling for no penalties for failing to buy covers the first year of year. They failed to insure 21 out of the 47 million uninsured, as promised.

NOW WHITE HOUSE MUST PUNISH THE INSURERS


REMOVE INSURERS FEDERAL ANTITRUST BENEFITS
Obama felt that the industry's current exemption from federal antitrust laws should come to an end. This has allowed insurers to establish monopolies in almost every state.

In 1945, the government issued a federal antitrust exemption to insurers allowing them to be regulated by the states. Obama wishes to overturn this act. Saying insurance companies earn profits while enjoying a privileged exemption from our antitrust laws.

BLAME THE INSURANCE COMPANIES FOR EVERYTHING

It is more convenient to paint insurers as greedy than to explain the complex math that shows current health care spending is unsustainable. Most of us do not know the full cost of their employer-sponsored insurance.

Obama is trying to convince the vast majority of Americans who already have coverage that the current system is tilted in favor of corporate profits, not patients, and that insurers are a main obstacle to passing legislation.

Insurers say they support some of the most important Democratic proposals, including a ban on denying coverage or charging higher premiums based on pre-existing medical conditions. The insurance industry does, however, oppose a government-run insurance plan, which the president dearly desires.

THE UN-INSURABLES

Congress is going to prevent insurance companies from denying people coverage or charging different rates under pre-existing conditions. But how do we handle people who are uninsurable?

States have experimented with high-risk pools and health status insurance. It gives people an incentive to postpone buying insurance till they need expensive care. You can only guarantee this kind of insurance if the government requires everyone to have mandatory insurance coverage (the Obama public option plan).

Subsidies will be needed to help lower income people get the coverage they would be otherwise be forced to buy. Many of us would be forced to buy expensive policies without any help from the government.

Workers, who are offered coverage by their employers, will require the employer to offer it. You will not be eligible for any subsidies and would have to accept what they're given. (You know it would be a minimum package of benefits designed by Washington.)

INSURERS RESPONSE

AHIP (American Hospital Insurance Plans), a group of 1300 members, responded to the president’s fire by saying: “they support comprehensive bipartisan health care reform”.

COMMENTARY

The battle is on! It looks like the public option plan will be back in the limelight.

What do you think? Visit www.drneedles.com for more commentaries on controversial medical subjects.

MANDATORY SWINE VACCINATION

As a medical physician for over 51 years, I strive to give you the best medical information on controversial medical subjects, and help your read betwwen the lines. You must come to your own conclusions. I have no ties to any organization, pharmaceutical, or lobby group. As an practicing medical acupuncturist since 1982, I find western medicine and medical acupuncture are very complimentary. This results in astounding healing in pain management, addictions to cigarettes and food, and a host of other maladies. Visit drneedles is blogging" at the end of each blog for a complete alphabetical list of all my blogs
Visit http://www.americanacupuncture.com/ for more detailed information on mind, body, and spirit healing.

MANDATORY SWINE VACCINATION CHALLENGED

Health workers in New York filed legal action to stop the massive swine flu inoculation that is occurring across the country. They filed a Temporary Restraining Order claiming the H1N1 vaccine has not been adequately tested for safety and efficacy. New York is the only state in the country to mandate vaccinations for healthcare workers. This regulation compelled hundreds of thousands of healthcare workers and hospital volunteers to be vaccinated for seasonal and swine flu.

The nurses claimed the order violated their civil rights, they did not need this vaccination, and do not think it's effective or necessary. Unions and hospitals interpreted the regulation to mean that workers who do not comply by getting vaccinated would be fired. The New York public employees Federation and New York United teachers also filed challenges, supporting the nurses.

The health department said it imposed the rule to protect hospital patients whose immune systems are often weakend. The regulation ordered healthcare workers and volunteers in all NY hospitals, home care agencies, and hospice care to be vaccinated by November 30.

Since this is a new drug, the law requires the FDA to insist on proper testing to show the safety and efficacy of this vaccine. There have been no double-blind placebo-controlled study trials, as done according to FDA regulations. FDA scientists, as required by law, have not done dosing and review.

In New York, healthcare professionals are required to be vaccinated against H1N1 as a job requirement. Two and one-half million doses of nasal spray vaccine made last weekend of live H1N1 virus was delivered to New York and around the country.

Officials say the viruses are just like the ordinary flu virus. They don’t need new drug testing because it's the same old virus with a minor change.

If that's the case, why was New York stampeded into taking action that they wouldn't have taken it was just another ordinary flu virus?

To elicit a systematic immune response, live viral vaccines must present or display-neutralizing epitopes, typically through the expression of viral surface proteins. Higher levels of antigen expression have been found to correlate with more rapid and potent induction of anti-viral antibodies. One seeks, in a vaccine, to minimize viral pathogenicity and maximize the vaccine's immunogenicity.

ATTENUATION

Attenuation is reducing the virulence of a virus but keeping it ALIVE! This contrasts to those vaccine produced by killing the virus, and thus making an inactivated vaccine.

DISADVANTAGES OF ATTENUATION


The attenuation mechanism leads to unequally distributed synthesis of viral mRNAs and protein.
Live viral vaccines are given in polio, measles, mumps, rubella, chickenpox, and yellow fever. The process of ‘attenuation,’ the weakening of a virus, to make it suitable for a vaccine, is also a risk factor for HIV patients.

Attenuation' is really induced mutation. The monkey cells in the culture are subjected to enormous stresses in order to make them produce weakened viruses.

What if the viruses they produce mutate to be more virulent, not less? If HIV thus evolved though these highly unnatural transplantations, it would not have been detected. In earlier days, when HIV was not known, one could not test for it. The same must be true for the many other viruses that are present during this highly impure laboratory process.

In an October 1967, Joshua Lederberg (Department of Genetics, Stanford University) warned in a letter to the editor of Science about the lack of safety involved in using live-virus vaccines.

He said: ‘In point of fact, we [are practicing] biological engineering on a rather large scale by use of live viruses in mass immunization campaigns...Crude virus preparations, such as some in common use at the present time, are also vulnerable to frightful mishaps of contamination and misidentification".

ADVANTAGES OF ATTENUATION

There is more durable immunity and boosters are frequently unnecessary (as shown in the H1N1 vaccine). Immunity is rather quick. Live virus vaccines give a higher level of immunity then inactivated virus vaccines, and can give protective immunity more quickly. Fewer doses are needed then if the virus were inactivated.

In populations with no immunity, two doses of inactivated virus vaccine delivered one month apart are required to achieve immunity. Significant immunity is not achieved until 40 days after the second dose is given.

In 1996, Professor Stewart, London University's top vaccine expert said: ‘We know living virus vaccines are dangerous. That is why we are developing alternatives".

DISADVANTAGES OF ATTENUATED VIRUSES


Viruses are very diverse and infect nearly all forms of life. Once inside a cell, all viruses must hunt coats, replicate, and transcribe their genomes. They must repackage their genomes into viral progeny that then are released from cells.

Attenuated viruses can have a secondary mutation causing a reversion back to strong virulence. This means: You may cause a disease, especially in a compromised immune patient.

Attenuated viruses can be difficult to transport because a certain temperature is required for the virus to survive.

UNDERSTANDING VIROLOGY


A detailed knowledge of virus evolution and adaptation is critical to understand vaccine efficacy over time. Virology has become a complex field including large areas of molecular and structural biology, biochemistry, cell biology, epidemiology, and vaccine research.

It is highly unlikely a vaccine, so quickly produced, can be generated, manufactured, and characterized rapidly enough to thwart the spread of a pandemic strain.

We assume that the pre-selected pandemic vaccine virus can prevent disease that is caused by anti-genitally and genetically divergent viruses, all belonging to the same families in nature.

We are in an era of highly advanced genetic technologies. Conventional empirical vaccine development processes are replaced by rational reverse genetics. Attention is focused on mechanism-based design of less pathogenic viral strains. Inactivated viruses are inactivated by chemical or physical treatment to destroy their activity and yet retain the immuno-genicity.

COMMENTARY

We all know that hospitals exist to cure the sick, provide safe places to get well. Usually hospital regulations are tailored to accomplish that end.

Certainly, immunization is an effective way to reduce the risk of getting the flu, but professionals have the right to choose whether or not they wish to be vaccinated. There is enough patient protection achieved by an aggressive voluntary hospital vaccination program, an infection prevention plan, educational support, use of personal protective equipment, and proper hospital hygienic practices.

It is important for us to improve our surveillance abilities so we can detect a pandemic attack, better than we have with this one. We should prepare for influenza seasons, and with more knowledge about influenza, we can improve the public’s acceptance of vaccinations.

We need a vaccine that will include antigens present in all subtypes of swine flu virus, that don't change from year to year, and would not require yearly vaccinations.

These vaccines must be made available to the entire world, and public funding should be available to pay for the excess production of vaccines (as we seem to have in this influenza season).


Studies show that 50% of health personnel currently have refused the H1N1 vaccination. These percentages seem to also be true for the general population in this swine flu season.

Certainly, the government, after buying 200 million doses of H1N1 vaccine, to the tune of $1 billion, and an additional purchase of adjuncts to the tune of $700 million, has a problem. What to do with all this vaccine? The six companies, who hastily this vaccine, certainly want to be paid.

Many countries rely on countries as ours, since they do not have their own vaccine production facilities. Can’t we share the vaccine supplies with these other countries?

As the nurses in New York claim, we do not have influenza H1N1 virus epidemic. Just because the virus is seen in many countries and labeled a pandemic episode, does not make it an epidemic and does not mean that mandatory vaccinations should be implemented.

What do you think? Visit www.drneedles.com for more commentaries on controversial medical subjects.

Source: HINI, National Institute of Allergy and Infectious Diseases (NIAID), Sept 12, 2006/

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