I need an MD or DO.


Thanks to Medicare stupidity, I need an MD or a DO to sign off on home health orders or on DME — home oxygen, a hospital bed, a wound vac, etc.

Anyone out there willing to sign off on these?  I’ll happily pay you more than the Medicare rate along with a stipend.  Given that most of my patient population is elderly, this is a really important thing.

You will have access to all my records via the electronic health system so you can sign on the electronic orders, and review my notes regarding patients.

You do have to have a US NPI though.  🙂

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Hospitality violation


My neighbor, whom I’ve written about before Here.  Came over today to buy some eggs.  Three dozen eggs.  She paid cash for them.

Now, I’m never really happy to see her, she wore out her welcome a while ago by constantly begging for food when she was here.  That finally stopped when we started telling her “No, we need that for lunch at work.”  Well mostly stopped.

Let me give you some more history and background.

She was discharged from her own medical practitioner last year because of drug shopping.  She came to me to gripe about it, and I told her they have that right.  She is the one who agreed to the terms when she began going there, she has no one to blame but herself.  She then tried to say she has the right to get a second opinion and I agreed with her, but told her she is the one who signed the contract, she maybe should have read it a little more closely before deciding to get a second opinion AND filling a narcotic script from the other practitioner.

She has no job, no visible means of support, yet she gets tattoos regularly – she is covered from neck to feet.  She says people just give them to her, my husband says she is trading sex for them (which might actually be true).  She worked for many years as a stripper.

She has tried to tell me for a year that there is something wrong with her thyroid (there’s not, I saw the tests myself), that there’s something wrong with her sinuses (she saw a specialist who told her there’s nothing wrong), that there’s something wrong with her heart (there’s not, she had an angiogram but before that for months her excuse for lying in bed all day was chest pain), that she has anxiety and insomnia (but when asked how much she sleeps she says about 12-15 hours per day), that she can’t lose weight and feels tired all the time (yes you probably do, you sleep too much and you don’t exercise – and you’re nearly 50!).  There’s a word for this:  malingerer.

She says she can’t get a job (well probably not, your top lip is pierced twice and your bottom lip once, your head is partially shaved and neon red where the hair is actually growing, and your tatted from neck to toes).  This is rural Arizona.  That crap is seriously frowned on.

Today was the final straw.   Nearly every time she comes over here she tries to use me as a free second opinion.  Today she asked me about doxepin.  And tried to tell me she’s going to try to get on Adderall.  Which is legal meth.  I lost it.  I told her flat out that I’ve known her for a year and she does NOT have ADD.  Or ADHD.  She said that yes she does, she took a test and it said she probably does (one of these on line self tests mind you).  Now seriously.  Think about the previous two paragraphs, what I’ve said about her, and tell me if that looks like ADD/ADHD to you.  She’s spent the last year bitching about her heart, her metabolism, her fatigue, her sinuses and NOT ONCE about anything remotely compatible with ADD.  Other than the changing focus on different body parts when they are proven to be just fine, mind you.

I actually began yelling at her.  “Bull $h!T!!  Bull $h!T!!  No you do not! You F*ing do not!  I’ve known you for a year, you do NOT have ADD!  You took a F*ing self test, they’re very easily manipulated to get the results you want!  You just want F*ing legal meth!”  I basically threw her out of the house.  I actually told her right before I shut the door in her face that she just wants it to sell it.  Which is probably a huge hospitality violation.  But really.  Does coming over and bouncing a bogus diagnosis of ADD/ADHD off your practitioner neighbor when you’re purportedly there to buy eggs really count as visiting?

I seriously think she wants the meth so she can sell it – there are several people here in the community who were getting it from the previous physician (who has since gone on to more lucrative pastures) and were selling it as well as using it.  I know there’s a market.  And I know who was selling it.  And she can’t get a job, so the logical thing would be to fake an illness in order to get a controlled substance for sales purposes.

Man I get sick of the people who are bleeding the system dry.  I work 6 days per week, and I have insurance that I can’t use because the deductible is $6500.  My husband doesn’t even have insurance, we can’t afford it.  I’ve been to the doctor maybe once for an actual physical since we’ve been together (nearly 20 years) and twice for employment related physicals, and maybe 3 times for urgent care type issues.  He’s been to the doctor three times  for a physical (all employment related) and once to the emergency room for an allergic reaction.

Our neighbor goes to the doctor, courtesy of the taxpayer, at least once a month!  And gets very expensive medications prescribed, for which she pays nothing, courtesy of the taxpayer!  And then proceeds to refuse to take them.  And there’s no reason she can’t work other than the fact that she deliberately makes herself unemployable!  These are the people who are breaking the system, not the hard working poor people who really do need a little help.  And believe me, I live in a very low income community.  I know which of my neighbors work and which are milking the system.  For all the good it does.

I actually do not have words for the amount of anger I am feeling right now.  And a little shame that I let her get to me.

 

 

 

 

 

 

 

 

 

 

 

How modern medicine has set us up for a looming cancer epidemic


This is long but well worth the read. I’ve been vaccinated against, and also had, most of these childhood diseases: chickenpox, measles, mumps, pertussis (this one really sucked), scarlet fever (no vaccine, just a strep infection). Which just goes to show that the vaccines are 1. not as effective as everyone assumes, 2. don’t last as long as everyone assumed (though they are coming to realize that now as more people like me get vaccine preventable diseases), 3. have unintended consequences.

The Seneca Effect

Last year I wrote an article that pointed out that viruses are not per definition malignant. Many of the viral pathogens to which we are exposed should instead be seen as symbiotic organisms, that perform important functions for our health. The effects they cause include a long-lasting protection against cancer.

Unfortunately, it is easier for us to detect the acute effects of a viral infection than to detect the long-term role that viral infection plays in our health. As a result, modern medicine has led us to make a number of decisions that are ultimately detrimental to our health.

I recently encountered a study that provides a long list of cases where childhood natural infections with diseases we now vaccinate against was associated with a reduced risk of cancer. Even viruses like Influenza are mentioned in the literature as playing an important role in “teaching” the body how to cope with future…

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It may be time to boycott YouTube.


Huh.  I just discovered today, via looking around at various videos, that for anyone who has turned off the advertisements for their own videos, they no longer load or play without interruptions.  Like constant buffering interruptions. But the ones with the annoying advertisements play like butter – smooth.

Time to maybe start either a campaign to have everyone turn off the advertisements in their videos or boycott YouTube altogether.

I cannot tell you how very SICK of Dove commercials about strong women being proud of their looks and hair I am.  Who gives a flying $%)%(?

 

Tough call.


Probably going to sound like a really stupid thing.
I called the police on the couple next door. I heard their little girl screaming a high piercing shriek over and over like she was witnessing a murder, then I heard the mom screaming, and heard her saying “Get off me! Stop it! I can’t believe you did that, stop it, get off!” Over and over. And more that I don’t remember.
I walked over to the house and banged on the door (well first I knocked but there was so much going on they didn’t hear me). When the dad opened the door I said “Getting a little loud in there. Getting a little physical. I advise you to knock it off.” He said OK and basically slammed the door in my face.
Turns out a cousin died of a drug overdose and everyone was pretty over wrought.
I don’t feel good about calling the police, but I also don’t feel good about leaving a woman and two small children in possible danger if they were being physically threatened or abused in any way.
It was a tough call.