An open letter to central line packaging engineers

Dear Sirs,

First, thank you for putting all the tools I need into one sterile package, minimizing the amout of running around finding little pieces to start central lines on my patients. (A central line goes into the central venous circulation, allowing the use of hypertonic medications and monitoring of venous pressures to guide fluid resuscitation).

Now, to my gripe: apparently none of you have thought about the order in which these devices are used when starting a line. Yes, everything has a special place, but it tells me you haven’t thought out the actual use of the kit when I have to dig the Seldinger wire out of the bottom of the kit despite its use being necessary very early in the process, and getting it out dislodges many of the other items from their pockets, then making the whole shebang a mess.

Therefore, I offer my assistance in designing a kit that makes more sense when it’s used.

Respectfully,

GruntDoc

FYI, here’s a nicely done animation of how to place a central line:

I do mine a little differently (direct sonographic guidance usually), but this is good for the gist. (The wire is there, but it’s really hard to see…).

What to Say to a Friend Who’s Ill – WSJ.com

Well done.

‘A closed mouth gathers no feet.” It’s a charming axiom, but silence isn’t always an option when we’re dealing with a friend who’s sick or in despair. The natural human reaction is to feel awkward and upset in the face of illness, but unless we control those feelings and come up with an appropriate response, there’s a good chance that we’ll blurt out some cringe-worthy cliché, craven remark or blunt question that, in retrospect, we’ll regret.
via What to Say to a Friend Who’s Ill – WSJ.com.

Health-Care Costs: A State-by-State Comparison – WSJ.com

Nice graphs of spending by state, then another breakdown of where the money goes per state. Click through and enjoy the graphics.

Health-care spending in the U.S. averaged $6,815 per person in 2009. But that figure varies significantly across the country, for reasons that go beyond the relative healthiness, or unhealthiness, of residents in each state.

via Health-Care Costs: A State-by-State Comparison – WSJ.com.

Physicians: Don’t take UAE jobs

Via @Skepticscalpel on Twitter:

JOHANNESBURG — For Dr. Cyril Karabus, it was a routine job, albeit in an exotic location. For six weeks in 2002, he filled in for another doctor in Abu Dhabi, lured like many other foreign professionals by the big paychecks that doctors, bankers, lawyers and architects can earn in the United Arab Emirates and other Persian Gulf nations.

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A decade later, while Dr. Karabus was passing through Dubai on his way home to South Africa after attending his son’s wedding in Canada, officials abruptly arrested him, calling him a murderer and hauling him away from his stunned wife.

via United Arab Emirates’ Laws Ensnare a Doctor – NYTimes.com.

Just say no. Australia and NZ are supposed to be nice, civilized places to practice.

An open letter to UnitedHealth Group CEO Stephen Hemsley about my family’s canceled COBRA insurance | Mike Holden’s blog

It’s stuff like this that makes even trying to support the idea of private insurance untenable.

Mr. Stephen Hemsley:

I made an honest mistake, wasn’t given a fair opportunity to correct it and now my family’s COBRA coverage has been canceled by your company.

via An open letter to UnitedHealth Group CEO Stephen Hemsley about my family’s canceled COBRA insurance | Mike Holden’s blog.

UnitedHealth, fix this!

Obamacare Incompetence | TIME.com

I link to Ezra Klein approvingly about one a decade, so…

Let me try to understand this: the key incentive for small businesses to support Obamacare was that they would be able to shop for the best deals in health care superstores — called exchanges. The Administration has had three years to set up these exchanges. It has failed to do so.

This is a really bad sign.

via Obamacare Incompetence | TIME.com.

Bubba Watson’s Hovercraft Golf Cart Will Fill You with Intense Jealousy | Bleacher Report

They’ve made a hovercraft golf cart. Very cool.

Bubba Watson, owner of brilliant pink golf clubs and provider of epic shots around trees, has a hovercraft golf cart. Yahoo! Sports spotted this video of Watson hanging out on the course in his very own hovercraft. Apparently, the vehicle is a collaboration between Watson and Oakley in an effort to make something better designed for the intricacies of the golf course.

via Bubba Watson’s Hovercraft Golf Cart Will Fill You with Intense Jealousy | Bleacher Report.

Video at the link.