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Brian sweeney jr Iraq war veteran dr.Jason newsom returned home to panama city, fl after his service.He took a job running the bay county health department.He became a one man soldier against junk food. All was okay when he posted attacks against hamburgers, french fries, and sweet tea on an electronic sign.It was even fine when he went after kentucky fried chicken. Alas, he unwisely decided to put doughnuts in the cross hairs. "America dies on dunkin'"Was his harsh remark.It turns out a county commissioner owns a doughnut shop.Even worse, two lawyers own a local dunkin' donuts. Liberal friends of mine often complain that bill clinton was the best republican president ever.They hate the fact he eliminated welfare for the most part and allowed newt gingrich to pass 80% of the contract with america. It turns out george w.Bush was the best democrat president ever.He expanded social spending and the role of government. No child left behind(Nclb)Is an example of why we should not have a department of education.It is an issue best left to www.agebc.com the states because one size clearly does not fit all.It is government intervention at its worst judging educators for the actions of people they have almost no ability to change. Twice in the last month i have written prescriptions for triple therapy to treat h.Pylori in alaska medicaid patients.Part of this therapy is a medication called a proton pump inhibitor(Ppi).The available drugs on the medicaid formulary are nexium(Esomeprazole)And prevacid(Lansoprazole). I choose nexium for h.Pylori therapy because it is fda approved for single daily dose in the treatment as http://www.agebc.com/wedding-dress/formal-wedding-dresses/ball-gown-wedding-dresses.html opposed to twice a day.It should cost half as much. This morning i snared a couple of polyps out of a patient on a screening colonoscopy.There was a time when the procedure would not have been covered in alaska.That all changed with a bill passed in 2006. Rep.Norm rokeberg made the best point of the day when i testified for that alaska bill.He pointed out his concern with mandates.At the time, i knew he was right.I justified my support based on what was already being mandated in alaska. The council for affordable health insurance reported in 2007 that there were 28 health care mandates in alaska.That is twice the number of mandates that there are in idaho(14)But less than half of the number(60)In maryland. This morning i went to the town hall meeting that senator mark begich held with health care providers.This is going to be a simple recap of what got discussed. This is clearly on the mind of physicians.It was brought up at least a half a dozen times.One physician pointed out they pay $60k in malpractice insurance.Another pointed out the cost of malpractice insurance to do obstetrics in new york keeps family medicine physicians away from the delivery room. The case of a man who claimed to have a surgery done that was never performed by a surgeon who had never met him was discussed.The cost to all of us was $10k.I do not know who the lawyer was who filed that case and clogged the alaska system with it but he should be disbarred. Some of my most memorable near death experiences happened driving on rotaries in the state of massachusetts.I remember one rainy morning circling around one near faulkner hospital.A large truck zoomed out in front of me.Somehow with a quick yank of the steering wheel i managed to avoid a collision, do a near 360, and end up in the right place. Massachusetts installed many rotaries in the 1940s and 1950s.Most residents curse them.Governor william weld began a program to eliminate the traffic menaces in the 1990s.The last time i visited some of the more dangerous ones had already been ripped out and replaced. Anchorage has been living the"Good vibrations"Of marky mark and the funky bunch for the last 6 years.The problem is, much like the real marky mark, begich moved on to something different.The real marky mark has given us entourage while our version has become merely a little fish in the dc spending pond. Dan sullivan cannot spend his time as mayor blaming the church of begich for anchorage's ills.We already saw that play out with 6 years of whining about wuerch.Sullivan needs to figure out how to get the city moving forward with a long term financial plan. There was a time when call every other night barely phased me.I did it when i was in the icu as a resident.It was an odd existence to show up at work at 8 am one day and leave at 1 pm the next. I would go home agebc Evening Dresses and hit the crib, wake up about 10 pm, catch jay leno and then slip back off to sleep.During those months the rest of the world just passed by.It is a good thing residents are in their 20s because it would kill me now. In 199495 i had 2 weeks off and roughly about 20 other days off in a year.Yes, that means i worked most saturdays and sundays.I averaged about 90 hours a week in the hospital.I had no complaints because at least i was not a surgery resident. There were 13 doctors in my internal medicine residency Bridesmaid Dresses Australia Sale class.We produced 2 cardiologists, 2 oncologists, 2 nephrologists, 2 gastroenterologists, a pulmonologist, a rheumatologist, and an infectious disease specialist.Amazingly, there were 2 that stayed in general internal medicine. Many general internists who do not specialize now are becoming hospitalists.It may only be a matter of time before it becomes its own recognized subspecialty.The days of the internist working as a primary care physician in the office setting appear to be ending. The number of medical school graduates choosing primary care specialties(Internal medicine, family medicine, pediatrics)Has been falling for some time now.This is complicated by the facts that physicians are aging and by 2020 we are projected to be producing only 5 doctors per 100k of population. Anchorage police officer anthony rollins is going to be given a public defender.He made over 140k last year.The adn reports between him and his wife they have made over a million dollars in the past five years. Rollins made bad choices with his money.He has rental properties worth less than the mortgage;He has credit card debt and two liens on the family home.He is like many americans, drowning in debt when he should not be. Judge volland is just following the typical behavior of our government.Sign on to a bad home loan and the government will save you.Drown yourself in credit card debt and the government is there to say it is not your fault.Need a new car and obama rides in on his white horse.We all know what obama wants to give everybody next, government health care. The rage of the american people is not an orchestrated illusion.It is also not a"Food fight"As it has been called by presidential press secretary robert gibbs.

 





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تاریخ انتشار : سه شنبه 19 فروردين 1393 | نظرات ()
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