22 years of Married Bliss

Out of 23, that’s not bad! (It’s our 23rd, that’s just our little joke).

I love you.  I always will.

Wedding

Thanks for marrying me, and taking me away from all that.

Wrapping wreck

We neglected to teach our eldest daughter the finer points of package wrapping.

20121224-223106.jpg

I paid off med school today

Guess that degree is really mine now.

19 years later (with 4 years of deferments in there for training), so really 15 years of payments.

Merry Christmas to me!

12 STI’s of Christmas, 2012

My yearly Christmas favorite, reposted:

Courtesy of the British National Health Service (click the banner):

Hmmm.

NSFW. Funny, but Unsafe for work,unless your work involves STD’s in which case it’s required.

It’s my seasonal favorite post, and I hope it’s one of yours.

Not the STD’s, the funny song with equally amusing illustrations. The backstory, from a previous blog post:

I have seen several searches of this blog for the British National Health Services’ “12 STI’s of Christmas“, and wondered why. The answer: the NHS site no longer carries the wonderful show, for reasons unknown to me. As for the searches, I guess the Christmas season has people thinking about sexually transmitted infections (diseases on this side of the Pond) set to Christmas tunes.

Merry Christmas!

26 States Decline ObamaCare Exchange; ‘Administrative Nightmare’ Seen – Investors.com

So, this is an inauspicious beginning…

The federal government will likely be involved in running the ObamaCare exchange in at least 30 states, 26 of which expressly declined to establish state exchanges. One health-policy expert refers to it as an “administrative nightmare” for the Department of Health and Human Services.

Friday was the deadline for a state to let HHS know if it planned to establish a state exchange. Thus far only 18 states and the District of Columbia are planning on doing so.

Enrolling them will likely prove a daunting challenge for the federal government.

“HHS expected to be running zero exchanges,” said Michael Cannon, director of health policy studies at the libertarian Cato Institute. “They have been throwing money at states to bribe them to start exchanges. HHS maintains they’ll have these things up and running by October 2013. I don’t know anyone who is confident about that and I’m ready to predict that they will not.”

via 26 States Decline ObamaCare Exchange; ‘Administrative Nightmare’ Seen – Investors.com.

Why aren’t the States playing? They aren’t interested in being a conduit for plans they don’t run, the state gets all the blame for decisions they don’t make. (That, plus general opposition to the whole idea: it’s your plan, you run it…).

All this, by the way, projected to insure 25 million Americans through this plan in the next seven years. None of this controls costs, or spending.

Happy Birthday, Brother

Yep. He’s a touch older than in this picture (he was the lead mechanical engineer making this thing fly, in one year):

The Aerospace Genius and one of his creations.

The Aerospace Genius and one of his creations.

 

May you have many more!

Funny present

Got this from one of my several (fun to work with) boss-colleagues…



Ha!

(This, by the way, is the closest I get to swearing on this site; real life, well….)

I have some OCD; also, my wife gets me.

Just went to the kitchen to get a drink. Went to the table to ask my lovely and patient wife how I could help with her sewing.

(This is a transparent thing all men do to make sure we get full credit for Caring; this is also transparent to our wives as a silly thing we do to keep from being Blamed).

Couldn’t help but notice the pad under her sewing machine was upside down, as the tag was up.

“I’d like to help you by getting the pad right-side up”, I said helpfully.
“It’s fine, it’s been like this for days” she said, thinking this would be mollifying. Silly girl.
“No, really, I’d like to help you with this”.
That’s when she grabbed her shears and cut off the tag.
“Cheating”, said I.
“Over”, said she.

I think she may really understand me. Still, I’ll turn the pad over soon.

The astonishing interactive map that show EVERY bomb dropped on London during the Blitz | Mail Online

I thought I knew rather a lot about WWII (for someone who didn’t live through it), but was completely shocked at the graphic representation of all the bombs that struck London:

If you’ve ever wondered how close London’s landmarks came to being blown up in the Blitz, a new interactive map has the answer.

The Bomb Sight project allows people to zoom in on a map of the capital to see the damage inflicted during the heaviest period of bombing by German planes.

via The astonishing interactive map that show EVERY bomb dropped on London during the Blitz | Mail Online.

Astonishing.

TEA Commissioner Strips El Paso ISD Board of Authority — Public Education | The Texas Tribune

Credit where it’s due, this guy was a very imaginative organizer; too bad it was to fraudulently get money from the Government (us).

Texas Education Commissioner Michael Williams announced Thursday that he will strip the trustees of the El Paso Independent School District of their authority and that he is appointing a five-member board of managers to oversee the district for up to two years.The move comes in the wake of accusations that the trustees failed to catch a scheme tied to former Superintendent Lorenzo Garcia that either removed or advanced students who were not passing. Garcia is in federal prison serving a three-and-a-half-year term related to the scandal.

via TEA Commissioner Strips El Paso ISD Board of Authority — Public Education | The Texas Tribune.

Best of luck to that appointed board. Plenty of others were involved in this, and they’re going to have to be dismissed.

Best article first-author, maybe ever

[blackbirdpie url="https://twitter.com/cardionp/status/276145727883866112"]

Following the link gets us:

Made me laugh…I might be 12 today.

CDC – Seasonal Influenza (Flu) – Situation Update: Summary of Weekly FluView

Go get your flu shot, it looks like they hit it on the head (which is remarkable, at least to me). Picking the right antigens is always tricky.

From the CDC:

  • Since October 1, 2012, CDC has antigenically characterized 140 influenza viruses, including two 2009 influenza A (H1N1) viruses, 90 influenza A (H3N2) viruses and 48 influenza B viruses.
  • The 2009 influenza A (H1N1) viruses were characterized as A/California/7/2009-like. This is the influenza A (H1N1) component of the Northern Hemisphere vaccine for the 2012-2013 season.
  • All 90 of the influenza A (H3N2) viruses were characterized as A/Victoria/361/2011-like. This is the influenza A (H3N2) component of the Northern Hemisphere influenza vaccine for the 2012-2013 season.
  • Approximately 71% of the 48 influenza B viruses belonged to the B/Yamagata lineage of viruses, and were characterized as B/Wisconsin/1/2010-like, the influenza B component for the 2012-2013 Northern Hemisphere influenza vaccine.
  • The remaining 29% of the tested influenza B viruses belonged to the B/Victoria lineage of viruses.
  • Since October 1, 2012, CDC has tested two 2009 influenza A (H1N1), 122 influenza A (H3N2), and 81 influenza B virus isolates for resistance to neuraminidase inhibitors this season. Each of the viruses showed susceptibility to the antiviral drugs oseltamivir and zanamivir. High levels of resistance to the adamantanes (amantadine and rimantadine) persist among 2009 influenza A (H1N1) and A (H3N2) viruses. (Adamantanes are not effective against influenza B viruses.)

So, Tamiflu should help (some).

CBS News: (some) ER Docs pressured to admit at a for-profit chain

For the record, nobody’s ever told me I need to admit more (or less).

Hospitals: The cost of admission

December 2, 2012 4:42 PM

Steve Kroft investigates allegations from doctors that the hospital chain they worked for pressured them to admit patients regardless of their medical needs.

 

First thoughts: this HMA company’s about to get an ugly look-at by the feds. I feel bad for the docs (and the admins) that blew the whistle.

Wonder if any of them filed a Qui tam action?

A physician takes his flu vaccine under protest

Good, well written rant-

A physician takes his flu vaccine under protest

by Doug McGuff, MD on November 27th, 2012in Physician

To hospital administration,

I am writing this letter to inform you that when I take my mandated influenza vaccine I will be doing so under protest and with the understanding that failure to do so could result in loss of my ability to earn income for myself and my family. Unfortunately, I do not qualify for any of the exemptions allowed by our facility. Since I am not religious, I have no religious objections, I am not allergic, and I have never had Guillane-Barre as a result of a flu vaccine. My objection to the vaccine is based on rational evidence and moral indignation.

via A physician takes his flu vaccine under protest.

Dr Seuss Does Malaria « Contagions

Terrific!

This Malaria map was illustrated by Theodor Seuss Geisel, better known as Dr. Seuss, during World War II to educate young GIs. According to the Naval Department Library, this map was printed on the back of a Newsmap (two sided poster) that showed the five war fronts in 1943: Russia, Italy, “air offensive”, southwest Pacific and Burma.

via Dr Seuss Does Malaria « Contagions.

Excellent primer on Malaria (and Ann!).

via @doctorgrumpy @docgrumpy on Twitter