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Montana Votes To Deny State’s Department of Health and Human Services From Accepting Federal Funding For Medical Records

The Governor has stepped in here with urging the lawmakers to reconsider their refusal as hospitals will lose out and jobs will go.  Doctors also will lose their incentives to receive funding from the federal government, and there goes the big attraction and incentive.  I can only say we might have some folks out of focus here as to turn down federal funds its somewhat reckless in my opinion.  We are talking about 47 hospitals in the state and a big number of doctors.  image

Montana is the only state to deny access so far and they voted on it 4 times.  The governor states that without the additional funding it looks like just under 2000 jobs could be lost, we need money to pay them.  If they continue to reject the money, it will go to other states.  I don’t think we have a very good understanding here of Health IT from what I am reading and it will only stand to delay and make Health IT much more difficult.  Perhaps this is a bunch still living in the 70s with their 8 track tapes and those seem to surface all over the US these days, but technology and transparency is beginning to expose the luddites, thank goodness as that’s what needs to be done.  I can almost bet that none of the lawmakers has an electronic chart and has not a clue on what a PHR might be.  Hopefully the governor might have some powers of persuasion here to change some minds.  You can lead a horse to water but I guess some are not thirsty enough yet.  BD 

WASHINGTON – Montana's governor is urging lawmakers to reconsider their refusal of federal funding for electronic healthcare technology. Gov. Brian Schweitzer (D-Mont.) says rejecting the incentive money will increase healthcare costs and decrease jobs.

Montana hospitals and doctors are eligible to receive an estimated $35 million in federal funding for meeting meaningful use of electronic health records under the HITECH Act. The state has 47 critical access hospitals in smaller communities across the state, and almost all will likely qualify for the funding, according to the governor.

Governor pleas for state's $35M in EHR incentives | Healthcare IT News

Stem Cell Trial Reports Success With Cardiovascular Repair With Reducing Size of Enlarged Heart and Increased Ability to Pump Blood

This is amazing what stem cells are doing in the field of cardiology.  One patient in imagethe trial referenced has a heart attack 11 years ago and is doing better.  New cells are being produced and some of the scaring from heart attacks is going away.  There are also no serious side effects for the patients.  Stem cells are used from the patient’s own bone marrow.  We also have a trial ongoing at Cedar Sinai in Los Angeles and participants are experiencing almost miraculous results.  Listen to a patient from Cedar Sinai below. 

Heart Stem Cell Trial at Cedars Sinai – Patient’s Own Cells Injected to Reverse Heart Attack Damage

Watch CBS News Videos Online

Back in 2009 at a TED conference, a talk was given about the “Marrow Miner” a device created to make harvesting bone marrow quick and simple.

The Marrow Miner – A Better Way to Harvest Bone Marrow

One item definitely worth a mention here too is with the cost of healthcare in the US, this is one vital area not to be over looked as treatments as such can in fact reduce the need for additional care and hospital admissions.  The heart can repair itself. It’s a shame as we have 2 states that want to outlaw stem cell research and all I can say there is they just don’t get it as far as where science is and seem to not have much of an interest.  Below is a study that shows patients with severe heart failures after 6 months after a stem cell injection showed that the number of follow up problems were cut in half.  A 66-year-old Louisville man with congestive heart failure has regained some heart function one week after undergoing a new treatment to heal the organ with his own stem cells.

Mesoblast's Heart Stem Cell Treatment to Rebuild Blood Vessels and Heart Muscles Has Positive Results–Regenerative Medicine

Heart Can Repair Itself

One more trial in the Netherlands is about to get underway, so for cardiology, stem cells are hot to say the least with regenerating heart cells.  This can help with using less medications and provide better outcomes.  BD 

Cytori To Begin Stem Cell Treatment in the Netherlands for Heart Attack Victims And Trial Results are Looking Very Good

University of Miami cardiologists Thursday reported success in a small, preliminary human clinical trial of a new stem cell therapy they hope some day will routinely mend human hearts and reduce the need for lifelong medication, even for transplants.

“That’s the Holy Grail, the quest the whole field has been pursuing for close to a decade, and this is evidence we’re on the right track,” said Dr. Joshua Hare, director of the UM Medical School’s Interdisciplinary Stem Cell Institute. He’s lead author of the study that appears in Thursday’s peer-reviewed Circulation Research: Journal of the American Heart Association.

In the study, stem cells were taken from the patient’s own bone marrow and injected by catheter into scar tissue in the patient’s heart caused by an earlier heart attack. It worked in patients such as Eaton, whose heart attack was 11 years ago, Hare said. The hope was that the immature adult stem cells would turn into heart muscle, replacing the scar tissue.

Some of the stem cells did become heart muscle, Hare said; they also triggered the heart to produce more of its own stem cells which became new heart muscle as well, he said.

New stem cell study promises to heal the heart - Health - MiamiHerald.com

Oklahoma And Minnesota Legislatures Pass Bills to Prohibit Embryonic Stem Cell Research–Algorithm-Centric Laws Needed

In the news both states have passed laws to prohibit stem cell research, but the laws are not specific enough as relates to research.  Stem cell research is on the imagecusp of creating cures or treatments for many critical diseases and to stop the research is a shame.  Now I can agree with the “human cloning” fear and to begin creating babies based on this just doesn’t fit, but with prohibiting research, the potential loss of creating cures for diseases is lost. 

I read through both articles below and to me it appears we have one big mass of confusion here and perhaps another return to the drawing board might be a possibility.  Creating laws is getting to be a tough matter today and again somewhat reiterates the need for “digital laws” so they can be searched, analyzed and enforced properly.  Without a proper and quick search process, it’s going to almost become impossible to enforce such laws.  Visuals are definitely needed today to help define the text in laws that are being passed.  From the healthcare side of things we have focused on electronic medical records and we do have a good push in this direction; however in the total scheme of things we have said nothing about certifying the algorithms uses by insurance carriers and this plays out in the news every day. 

Rules on EHR Certification Should Take Back Seat to Certifying Insurance Algorithms At Present – We Need This First

We do need some algorithmically centric created laws, otherwise it keeps the judicial business over burdened with interpretations along with a ton of unintended consequences with the current process of creating laws.  BD 

With just a handful of Democrats opposing, the House of Representatives overwhelmingly passed a measure Thursday that would prohibit embryonic stem cell research in Oklahoma.

A“We value life here in Oklahoma,” said the bill’s author, Rep. George Faught, R-Muskogee. “While we in no way dispute the fact that the ability to treat or heal suffering persons is a great good, we also recognize that not all methods of achieving a desired good are morally or legally justifiable.”

Oklahoma House passes bill banning embryonic stem cell research | NewsOK.com

Committees in both the Minnesota Senate and House passed a bill this week that would criminalize the somatic cell nuclear transfer (SCNT) process in embryonic stem cell research as well as prohibit the products of that research from entering the state of Minnesota. Despite expert testimony that the bill would hamper medical research in Minnesota, it passed three key committees this week.

The Senate’s Committee on Judiciary and Public Safety heard the bill on Thursday.

John Wagner, professor of pediatrics at the University of Minnesota and the Stem Cell Institute, said the bill would harm research at the university. He also implied that the bill’s title, The Human Cloning Prohibition Act of 2011, was misleading.

“If it’s already unlawful then I don’t see why we need this legislation,” Marty said. “Then this is not to stop a cloned human being, this is to stop research into cures for Parkinson's, ALS and other diseases.”

The University of Minnesota provided legislators with a fact sheet that calls the bill a “law to make stem cell research a crime.” The university also created a website to oppose the bill.

http://minnesotaindependent.com/79013/bill-to-criminalize-embryonic-stem-cell-research-passes-through-house-senate-committees

Hospital Using Kinect Technology In the Operating Room To View and Manipulate Imaging-Saves Having to Rescrub! (Video)

No this not using Kinect to do the surgery, but rather to use gestures (which means they don’t have to touch anything) and view patient images.  This is huge and a big imagetimesaver for the OR.  The motions are translated into commands.  It has been used six times so far and is working, so we are not playing games in the OR, but rather using the technology for efficiency here and saving the surgery crew scrub time, since they don’t have to touch anything. 

As patient having surgery, this will get you out of the OR faster.  If they want to zoom in on an image, Kinect can do it.  A computer is not a sterile instrument in the OR. 

There’s a few more instances of physicians working with Kinect too and the links below can fill you in on a couple of other possibilities.  The daVinci and Kinect could become friends and working partners before too long. 

Kinect And daVinci Surgical Robot Do Simulated Surgery Suturing Together (Video)image

Here’s yet one more example of using a PACS imaging system with Kinect.

Microsoft Kinect Working with a PACS Server-Images on Steroids Via Gestures (Video)

The “no touch” system allows doctors to stop the image, go backwards, and so on.  When removing a cancerous tumor and the location being available to view with no touch can change the way surgery is done and it’s very affordable!  The hospital has focused so far on tumor removal but will be experimenting on other types of surgeries too.  The surgeon never has to leave the patient’s side or try and commit the image to memory.  This is very cool!  BD 

TORONTO - Doctors at a Toronto hospital are banking on video game technology to save time and prevent contamination in the operating room.

A team at Sunnybrook Hospital has started using the Xbox Kinect, a hands-free gaming console equipped with a motion sensor, to virtually manipulate key medical images during surgery.

The doctors use hand gestures to zoom in and out of the images or freeze a particular shot without leaving the operating table.

Surgeons typically have to leave the sterile field around the patient to pull up images such as MRI or CT scans on a nearby computer.

He compares the Kinect technology to a car's global positioning system, because it allows the user to get oriented without stopping.

With better control over the images, surgeons can be more precise, Law said. For a cancer surgeon, that could mean saving more healthy tissue when removing a tumor, he said.

Video games in the OR? Doctors say new technology makes surgery more efficient - Winnipeg Free Press

Drivers From Stolen Pfizer Shipments in Russia Have Been Missing-Found Unharmed

In my former life in logistics, this is huge problem and from what I read today the shift from hijacking electronics seems to be moving over to drugs.  In the Los imageAngeles area there’s a group called “Cargo Cats” that is up to date and uses technology to track and find such shipments.  The thieves are organized and within a few hours sometimes, the stolen good are already loaded on a ship going out of the country.  It was not unusual for the drivers to be locked up in the truck trailers when the cargo was removed.  I used to do business with Pfizer in my logistics days and there’s really not enough that can be done to help prevent some of this without using modern day technologies. 

Counterfeit and stolen drugs is a huge problem.  If you happened to see 60 Minutes recently they did a good story on how dirty and crappy factories create fake drugs, scary as they make their way to the US and all over the world.

Counterfeit Drug Factories Outside the US-60 Minutes Reports (Video)-Solution With Bar Codes for Pharma, FDA, DEA, Medical Devices

Bar coding is the answer for both stolen and counterfeits as a nice heat map can identify their location once scanned.  It may not be the criminals scanning but rather a consumer but this would help the authorities track the trail. 

There are some efforts being made, but more is needed soon.

One Drug Company Exploring Using Bar Codes for Authenticity-Lacks Recall and Other Valuable Consumer/Physician Information

Pfizer is not alone and all pharma companies are targets.

Counterfeit Johnson & Johnson OneTouch Products Investigation – One More Good Reason to Start “Tagging” Products for Consumers So We Can Scan for Authenticity

This could work with over the counter, prescription drugs and for medical devices.  BD

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Two truck drivers from the Netherlands - missing following the theft of two trucks carrying Pfizer medicines in Russia earlier this week - have been found unharmed.
The two men - aged 60 and 25 - had not been seen since March 13, leading to fears for their safety. The two trucks were subsequently found empty and abandoned, with the license plates removed, in the Saint Petersburg area of Russia.

Russia is emerging as a hot spot for cargo thefts in Europe, especially in main cities such as Moscow, Novosibirsk and Saint Petersburg, according to security specialist Freightwatch.
Armed hijacking by fake police is the most common modus operandi for cargo thieves in Russia, and in a report published in 2009 by Eurowatch, virtually every listed cargo theft incident in the country involved the use of automatic weapons.

SecuringPharma - Drivers of stolen Pfizer shipment in Russia found unharmed

St. Jude Medical CEO Arrested in India For Allegedly Being in Possession of a Live Cartridge

What he had was one single shell left in an item of his clothing so it looks like the imagesecurity was doing their screening job.  He is having to coordinate with the US Embassy to resolve the matter and was not carrying a gun.  Next time when one may be out hunting, check those pockets and make sure your US arms license is up to date.  BD 

St. Jude Medical Inc. Chairman and Chief Executive Daniel Starks was detained in India Wednesday, after a single ammunition shell was found while he traveled through the New Delhi airport, the company confirmed.

He is cooperating with local authorities and working with the U.S. Embassy, the medical-devices company said. He was traveling on business and was not carrying a firearm, the company said.

According to local media reports, he was arrested during baggage checking at Indira Gandhi International Airport for allegedly carrying a "live cartridge." He produced an invalid U.S. arms license, the reports said.

St. Jude Medical CEO Detained in Indian Airport - WSJ.com

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Nevada Doctor's License Suspended for Re-Using Medical Devices Endocavity Needle Guides for Biopsies

There were a lot of nice comments about the doctor on the page but re-using equipment as such as we all remember can spread disease.  Again, it’s hard to tell why he directed staff to re-use the devices and thus until things change his license has been suspended.  Patient who went to Dr. Kaplan are advised to get tested for HIV or hepatitis.  The case still needs to go to court.  BD 

HENDERSON, Nev. -- Doctor Michael Kaplan is a board-certified urologist specializing in prostate cancer and vasectomies. Patients spoke highly of him but the board of medical examiners allege he broke the law and put his patients at risk.image

There were no cars in the parking lot and no lights on at Dr. Michael Kaplan's Green Valley office Wednesday. On Monday night, Kaplan's medical license was suspended by the State Board of Medical Examiners.

But in the suspension summary, Kaplan's staff told FDA and medical board investigators he told them to re-use plastic endocavity needle guides for prostate and rectal biopsies starting in December. When questioned about it, Kaplan admitted to directing his staff to re-use the guides several times even though they were for single-use only.

Doctor's License Suspended for Re-Using Medical Devices

Radioactive Boars Roam Through Germany-Long Time Effects of Chernobyl

Sometimes even long after exposure, some things can linger for years, such as the imagewild boars in Germany.  It’s been 25 years or more and due to the fact that they eat the vegetation such as mushrooms, etc. they become radio active.  Wild boars have been a delicacy in Germany but now they are all checked for their radio active levels when killed.  There are 70 measuring stations in Bavaria to track and measure.  This is a problem that will continue on for at least another 50 years. 

As the processes go in Japan this is also something else they may dealing with, maybe not boars but wild life and plants after the fact.  Hunters get paid to hunters that harvest contaminated animals and sometimes they can appear aggressive in knocking people over and charging through the streets.  BD 

It sounds like the plot of a B-movie, yet it’s bizarrely true: Radioactive boars are on the loose and thriving in Germany’s forests.

A succession of mild winters has left Germany scrambling to deal with a skyrocketing wild boar population. Tales of swarming beasts rampaging through city streets and attacking citizens occur with alarming regularity. 

The problem has been aggravated by the lingering effects of the Chernobyl disaster from twenty-five years ago; a large portion of the wild animals are contaminated by radioactivity.

Berlin compensated hunters to the tune of over $500,000 in 2009, writes German newspaper Der Spiegel -- quadruple the payment in 2007.

Though the Chernobyl explosion happened a quarter century ago, high levels of radiation remain in the region’s vegetation. And wild boars are especially susceptible because of their proclivity for mushrooms and truffles, which are especially efficient at absorbing radiation.

Radioactive Boars Rampaging Through Germany - Fox News.com

LA Clippers Team Members Chipped in to Pay for Coach’s Treatment for Prostate Cancer When the Team Owner Declined Coverage

The Clippers, as stated in this article play in a rent-free arena in Los Angeles and with any professional sport team, that’s usually a big cost, but the real story here is that it paints a very bad picture of the owner and how self centered and selfish imagepeople can be.  To not allow healthcare coverage for the team coach is horrible.  Good thing the players didn’t see it that way and are actually the real reason he was able to get his care, which was around $70k. 

We have a few of these types of folks that exist today and we read about it in the business section of the news all the time where they seem to have no value on human life, except for maybe their own and if they need care then all hell breaks loose.  Here’s a run down on Donald Sterling, now branded one of the worst people on earth from Wikipedia.  As the article states, this may turn the way we may sometimes think about those in professional sports, especially this owner and the coach who needed care and thank goodness for the players, who are still human.  BD 

Seven years ago, former Los Angeles Clippers head coach Kim Hughes was diagnosed with prostate cancer, and the ensuing aftermath will change the way you feel about several NBA types significantly.

Up until Tuesday afternoon, the only functional knowledge I had of imageformer Los Angeles Clippers head coach Kim Hughes was that he was, in fact, a former Los Angeles Clippers head coach, and that he once touched his elbows on the rim in a lay-up line at a high school tournament in Illinois, which really impressed my father.

And now we're passing the feel-good savings on to you, in the form of an anecdote that reveals that NBA players Corey Maggette(notes), Marko Jaric(notes), Chris Kaman(notes) and Elton Brand(notes) all chipped in to pay for expensive life-saving surgery for Hughes, after the Clippers organization (read: Donald Sterling, noted worst person in the world) declined to cover the costs.

Players chip in to save coach’s life after Clippers decline medical coverage - Ball Don't Lie - NBA Blog - Yahoo! Sports

Dendritic Cell Vaccine Study Identifies Subset of Patients More Likely to Respond to Immunotherapy

If you have read any of the news over the last few years about Dendreon and Provenge, then this press release will make sense as the process used for imageProvenge is similar with using the patient’s own cells to create the vaccine that extends life.  The life expectancy on this study was up to 8 additional months.  You can read about one patient in the press release who is still around 8 years later so this is some very long term and time consuming research.  BD 

Press Release:

A dendritic cell vaccine personalized for each individual based on the patient’s own tumor may increase median survival time in those with a deadly form of brain cancer called glioblastoma, an early phase study at UCLA’s Jonsson Comprehensive Cancer Center has found.   

Published this week in the peer-reviewed journal Clinical Cancer Research, the study also identified a subset of patients more likely to respond to the vaccine, those with a subtype of glioblastoma known as mesenchymal, which accounts for about one-third of all cases. This is the first time in brain cancer that a subset of patients more likely to respond to an immunotherapy has been identified, said Dr. Linda Liau, a Jonsson Cancer Center researcher, professor of neurosurgery and senior author of the study.

The study found that the vaccine, administered after the conventional treatments of surgery and radio-chemotherapy, was associated with a median survival of 31.4 months, double the 15 months of historical controls in the published literature. In all, 23 patients were enrolled in the Phase I study that was launched in 2003. Of those, about one third of participants are still alive, some more than eight years after their diagnosis.

The study also found that the vaccine was safe and that side effects were minimal, limited mostly to flu-like symptoms and rashes near the vaccine injection site.

“This is quite an encouraging result, especially in an early phase study like this,” Liau said. “It’s promising to see patients with this type of brain cancer experience such long survivals.”

However, Liau cautioned that the findings need to be confirmed in larger, randomized studies. She currently is leading a Phase II, randomized study at UCLA testing the vaccine in newly diagnosed glioblastoma patients. The patients will receive either the standard of care (surgery, radiation and chemotherapy) or the standard of care plus the vaccine. The study is a multi-center trial, and UCLA is the only site offering it in California.

It has recently been discovered that there are at least three subtypes of glioblastoma: proneural, proliferative and mesenchymal. During the course of her study, Liau and her colleagues saw that one group of patients seemed to be responding very well to the vaccine and examined their tumors using a microarray analysis of their DNA. They found that those with a gene expression profile identifying their cancers as mesenchymal responded better to the vaccine.

The finding was surprising, Liau said, because patients with the mesenchymal subtype generally have more aggressive disease and shorter survival than those with the other subtypes. In patients with this type of glioblastoma, several genes that modulate the immune system are dysregulated, meaning they don’t work properly. Liau speculates that the vaccine helped replenish the immune system, allowing that subset of patients to more easily fight the brain cancer.

“Glioblastoma remains one of the diseases for which there is no curative therapy … and the prognosis for patients with primary malignant brain tumors remains dismal,” the study states. “Our results suggest that the mesenchymal gene expression profile may identify an immunogenic sub-group of glioblastoma that may be more responsive to immune-based therapies.”

Brad Silver, 41, who grew up in Southern California and now lives in a Cleveland suburb, was diagnosed with glioblastoma in 2003 and was told that he had, at best, two months to live. He was stunned.

“I was 33 years and my wife was seven months pregnant with my son,” said Silver, a college water polo instructor. ‘I didn’t think I was going to live to see my son born, let alone grow up.”image

Silver sought a second opinion at UCLA and the golf-ball sized tumor in his left lateral lobe was removed. He underwent radiation and chemotherapy and enrolled in the vaccine clinical trial. Today, eight years later, he remains cancer free. His son, named Brad Silver II and a miniature version of his dad, will celebrate his eighth birthday in April.

“If I had listened to that first doctor, I would not be here today. If not for Dr. Liau, I would not be here today,” Silver said. “I’m 100 percent back to being me because of this vaccine and that clinical trial. It’s almost unbelievable.”

The vaccine preparation is personalized for each individual. After the tumor is removed, Liau and her team extract the proteins, which provide the antigens for the vaccine to target. After radiation and chemotherapy, the white blood cells are taken from the patient and grown into dendritic cells, a type of white blood cell that is an antigen-presenting cell. The vaccine preparation from this point takes about two weeks, as the dendritic cells are grown together with the patient’s own tumor antigens. The tumor-pulsed dendritic cells are then injected back in to the body, prompting the T cells to go after the tumor proteins and fight the malignant cells.

“The body may have trouble fighting cancer because the immune system doesn’t recognize it as a foreign invader,” Liau said. “The dendritic cells activate the patient’s T cells to attack the tumor, basically teaching the immune system to respond to the tumor.”

The individualized vaccine is injected into the patient in three shots given every two weeks for a total of six weeks. Booster shots are given once every three months until the cancer recurs. Patients are scanned every two months to monitor for disease recurrence, Liau said.

This study was funded in part by the National Institutes of Health, the Philip R. and Kenneth A. Jonsson Foundation, the Neidorf Family Foundation, STOP Cancer, the Ben & Catherine Ivy Foundation and Northwest Biotherapeutics, Inc.

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UCLA's Jonsson Comprehensive Cancer Center has more than 240 researchers and clinicians engaged in disease research, prevention, detection, control, treatment and education. One of the nation's largest comprehensive cancer centers, the Jonsson center is dedicated to promoting research and translating basic science into leading-edge clinical studies. In July 2010, the Jonsson Cancer Center was named among the top 10 cancer centers nationwide by U.S. News & World Report, a ranking it has held for 10 of the last 11 years. For more information on the Jonsson Cancer Center, visit our website at http://www.cancer.ucla.edu.

Blue Shield Cancels May 1st Rate Increase in California And States Premiums Rates Will Remain Without Change This Year

Thank goodness for small favors I might say.  Earlier this year in January Blue Shield jumped right out there with a very large increase for many members. 

Blue Shield of California Announced Rate Hikes of Up to 59% For Some Individualsimage

The California insurance commissioner asked all to delay their increases and Blue Shield was the last hold out and now it appears to be cancelled with no increases for the rest of the year according to the article in the LA Times.  Blue Shield is a not for profit while most of the other big carriers are for profit and are bought and sold  on the stock exchanges. 

California Insurance Commissioner Asks Blue Cross, Aetna and PacifiCare(United) to Delay Premium Increases-HealthNet Increase Ok

Blue Shield was asked to present a study showing the needs for the increases as well and perhaps this may have entered into the decision making processes too as if that’s not substantiated, then the California Insurance Commission can swing into action.  BD 

Nearly 200,000 customers will be affected by Blue Shield of California's decision to cancel a May 1 rate increase. The hike, averaging 6.5% and going as high as 18%, would have been the third in recent months by the company, which had faced pressure from state officials and consumers.

Blue Shield: Planned Blue Shield rate increase canceled - latimes.com

Female Patient Claims Rape by Hospital Employee in the ER Room in the OC

This is still under investigation and St. Joseph’s is a great hospital but there are bad eggs working everywhere.  This was a woman under the care of a male patient imagetechnician who reportedly committed the crime.  With cutbacks in the governments and the detective bureau in Orange being closed on Fridays, Saturdays and Sundays there was a delay in processing the complaint. 

As you can read further on, the television station had an anonymous email that said the employee was suspended but was scheduled to return to work on Monday.  This is a good issue here to look at, how do you suspend an employee and how does a late investigation like this take place?  As we all know timing is important.  BD 

ORANGE (KTLA) -- Police are investigating an alleged case of sexual assault involving a female patient and a worker at St. Joseph Hospital in Orange.
On March 9, police received a report from hospital officials saying a female patient had reached out to them, claiming she was raped by an emergency room patient care technician the day before.
The hospital itself has declined to provide any details, citing concerns about patient privacy.
According to an anonymous email sent to KTLA by a hospital worker, a male patient care technician was assigned to watch the woman as she lay "defenseless, altered and inebriated" in her hospital bed.
The worker says that's when, "He began consoling her, hugging her, telling her everything was going to be alright."
The caregiver "kissed her," the email claims, and then had the patient "perform oral sex on him" before "repeatedly" raping her.

Hospital Rape: Female Patient Claims She Was Raped by Hospital Worker - ktla.com

SoundBite™ Hearing System Gets European CE Mark–Wireless Hearing Aid That Attaches to Your Teeth

So far in the US, no FDA approval yet.  This is an interesting device as there are 2 parts, one behind the ear and one that goes in your mouth.

image

I first covered the product last year.  Technology is getting very interesting and I’m not sure if I were in need if I would want this system or the Cochlear implant to kind of be done with it.  If one could not have the surgery then this would prove to be an alternative solution.  BD 

A Hearing Aid Inside Your Mouth – Uses Wireless Bone Conduction Via Your Teeth

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SAN MATEO, Calif., March 11, 2011 /PRNewswire/ -- Sonitus Medical, Inc., a medical device company that manufactures the world's first non-surgical and removable hearing prosthetic to transmit sound via the teeth, today announced that it has received CE Mark certification for its SoundBite Hearing System. The company has received its EC Certificate, which indicates Full Quality Assurance System Approval. This is the first European regulatory certification for the company and the product.

"Receiving the CE Mark for our SoundBite Hearing System is a significant milestone toward the global commercialization of our non-surgical bone-conduction hearing device," said Amir Abolfathi, CEO of Sonitus Medical. "We intend to pursue the process of reimbursement registration in the key EU countries in the coming months and then gain initial European clinical experience with the product in partnership with a limited number of Otologists, ENTs, and Acousticians in the EU."image

Apart from the FDA clearance attained by the company earlier this year, CE Marking indicates that Sonitus Medical's design and manufacturing processes for the SoundBite Hearing System comply with certain manufacturing and design standards under the European directive concerning medical devices. This certification enables Sonitus Medical to commercialize the SoundBite Hearing System in Europe.

Sonitus Medical Receives European CE Mark for SoundBite™ Hearing System -- SAN MATEO, Calif., March 11, 2011 /PRNewswire/ --

QualityMetric/Ingenix (United HealthCare) Receives Patent for Patient Health Survey Algorithms-Subsidiary Watch

There’s money in those algorithms or intellectual property as it is generally called.  This patent is for the algorithms that health plans and providers can use to assess health status, using data given by the patients themselves.  Ingenix bought the company back about this time last year. 

Ingenix (Subsidiary of United Health Care) Buys QualityMetric – More Algorithmic Formulas To Choose From To Identify Future Risk and Cost

Dynamic Health Assessments is the name of the program and is to be sued to show a wealth of data about a patient's own assessment.  Input is “scored” (just like is done with claims information) and compared across a large number of areas and patient numbers.  Now it sounds like since they also have a patent, we have another bunch of algorithms to sell and make money with as well as nobody gets a patent these days unless it drives profit and money, otherwise everyone would share the wealth of analytics. 

This is still yet one more set of formulas rolled into predictive behavior analytics so they can can crunch data and see “how patients experience changes in their health status”, in other words it appears to be able to put together large groups and run your information and compare to see if you are in the same groove and ultimately not costing more money.  So if you are a patient and asked for survey information, chances are this is where it may go for more analytic predictions. 

There’s a real bounty out there for this stuff besides just getting a money making patent as discussed above.  One healthcare network in California has hung a 3 million dollar bounty out there for algorithmic formulas that can predict who will be re-admitted to the hospital.  BD

Heritage Providers Continues to Promote $3 Million Dollar Prize to Create An Algorithm To Predict and Prevent Hospitalizations

LINCOLN, R.I., March 14, 2011 /PRNewswire/ -- Two senior scientists at QualityMetric Incorporated, part of Ingenix Life Sciences, were named inventors on the recently issued U.S. Patent No. 7,765,113, for their innovative work using computerized adaptive testing (CAT) technology to improve health surveys.

These surveys, pioneered by Mark Kosinski, MA and Jakob Bjorner, MD, PhD and others, help health plans and care providers assess functional health status as reported by patients themselves, known as patient-reported outcomes.  

"Dynamic Health Assessments, or DYNHA®, yield a wealth of data about an individual's own assessment of his or her well-being," said Kosinski, vice president and senior scientist at QualityMetric. "This information can be used to monitor and compare health outcomes for individual patients as well as across large populations, enabling health plans and care providers to measure how patients experience changes in their health status, daily functioning and other measures as a result of the care they receive."

QualityMetric Receives Patent for Patient Health Survey Technology -- LINCOLN, R.I., March 14, 2011 /PRNewswire/ --

MediSys Chief Fired by Hospital Board- CEO and 2 State Senators Charged with Bribery

In case you missed the news last week, more at the link below.  MediSys is one of the largest Medicaid managed car plans in the state of New York.  The board has imagenamed the CFO to the CEO position.  The board also plans to continue meeting to discuss additional steps and processes that may be needed. 

New York Health/Hospital System CEO and 2 State Senators Charged with Fraud-Funneling Illegal Payments to State Lawmakers

The 2 state senators have been charged but have not entered pleas yet.  David Rosen has been in the system since 1970, so you might say this was pretty much his career with the hospital/managed care company.  BD 

A hospital executive who has been accused of bribery in a federal corruption investigation has been ousted by his board and replaced by his second in command, the board announced on Tuesday.

The executive, David P. Rosen, 63, chief executive of MediSys Health Network, was among eight people, including two state legislators, charged last week by federal authorities in Manhattan with participating in bribery schemes. In his case, prosecutors said the scheme revolved around getting favorable treatment from state officials for his health care organization.

David Rosen, Facing Charges, Is Fired as MediSys Chief - NYTimes.com

Snake Bites Model’s Breast and Dies of Silicone Poisoning (Video)

The model was from Israel and was handling the snake and gave it a kiss on the imagemouth and I guess the snake didn’t care for that.  At any rate, you can watch the snake bite and later it died so does this say something about silicone breast implants being a bit toxic?  The language on the tape is Spanish but you can see what’s going on, wild video. 

This looks like some kind of publicity event with the the model holding the snake and it crawling all over her but I could bet this might be the last stunt like this.  BD 

Snake Bite

A snake that took a bite out of a model's breast on live television died of silicone poisoning shortly after.

Israeli model Orit Fox was handling the reptile while shooting a segment on Spanish TV's Telecino. After Fox kissed it on the mouth, the snake latched onto her left breast.

The snake's handlers quickly went to Fox's aid, removing the snake from the stunned model.

The snake later died.

Fox was treated at a nearby hospital where she reportedly received a tetanus shot. She is said to be doing OK.

Snake Bites Breast: Snake Dies After Biting Israeli Model Orit Fox Breast - ktla.com

Two Sisters on the HHS Most Wanted List For Medicare Fraud Captured in Columbia Boarding a Plane

Their crimes go back to Detroit for the tune of around $4 million in billing Medicare for drug therapies that were either not necessary or not performed at a clinic in Dearborn over the period of 18 months.  It pays to put a list out as you never know who may see the names and faces as the web is world wide and tips can come from anywhere today. 

This is pretty hot stuff and is updated as to when the folks on the list get captured.  There’s even a place on the site where you can report information about any of those listed on the “Most Wanted List” for healthcare fraud.  To report one can either fill in the form on the website or call the hotline, toll-free, 1-888-476-4453.  BD

HHS Creates 'Most Wanted' List Website for Healthcare Fraud - Office of the Inspector General

The hunt for two sisters wanted for health care fraud in the Detroit area ended when they were arrested as they tried to board a plane in Colombia, authorities said Tuesday.
Caridad Guilarte, 54, and Clara Guilarte, 56, were on a most-wanted list on the website of the U.S. Department of Health and Human Services, which runs Medicare.
The sisters are charged with collecting more than $4 million from Medicare for drug therapies that were unnecessary or not performed at a clinic in Dearborn over an 18-month period.
The Guilartes were taken to Miami on Monday, a day after they were arrested while trying to board a plane in Colombia, FBI spokeswoman Sandra Berchtold said.

Sisters charged with health fraud caught overseas - chicagotribune.com

Aflac Duck Gets Fired -“I Want A New Duck” (Video)

I could help this case and perhaps the duck may get his job back.  If you have not imageread the news yet, the Aflac voice was fired due to his recent comments that were perhaps not in the best taste in view of what is happening in Japan right now.  He did apologize and hopefully that has been accepted.

In the meantime, I had to dig up this old video and song.  Could the Medical Quack be the new duck?  I have been a Duck for many years and have lots of experience quacking and if you read this blog often enough, you know all about itSmile 

I Want a New Duck

Everyone should have a duck in their life according to this video and as his owner states, maybe people wouldn’t be so mad all the time.image

Everyone Should Have a Duck to Ride Shotgun!

Ducks even get the President’s attention when nobody else can, and yes I have a cell phone that quacks too.

President Obama Gets Interrupted by a Duck – Cell Phone That Is

Here’s the Duck…Should the Medical Quack become the Aflac duck??  BD

Obama-Duck

http://www.youtube.com/watch?v=eOL2q8leiLw

Counterfeit Drug Factories Outside the US-60 Minutes Reports (Video)-Solution With Bar Codes for Pharma, FDA, DEA, Medical Devices

If you are a regular reader here then you might be aware of my little campaign and perhaps have even voted for this.  It has been sent to the FDA and DEA a couple of times with little response so you can see where our importance as a consumer lies.  Actually it takes almost 2 weeks to get a “canned” response like may web sties send instantly. This is a good video that has one of the executive with Pfizer along for the ride that shows some actual fake pill mills in Peru and how they operate and make huge profits.  Nobody does squat and the problem gets bigger and actually the use of barcodes with heat maps helps find stolen drugs too, duh!  image

Counterfeit Alli Warning from the FDA – We Should Be Using Technology for Easier Identification

Healthcare Bar Code Posts

Actually this recent patent from Microsoft might be a cool solution if applied with their already existing Microsoft Tag bar codes.  This is again why we need folks with some Health IT and tech backgrounds in positions where such decisions and resolutions can be made as those who don’t get it already have a full plate and they never get around to reviewing it.  It’s just like all the talk about personal health records with blazing reviews where none of the authors use one, same thing. 

Microsoft Receives Patent-Techniques to Create Counterfeit and Tamper Resistant Labels Using Fiber Optic Strands-Bar Codes Getting Closer for Drug/Device Recalls?

Counterfeit Johnson & Johnson OneTouch Products Investigation – One More Good Reason to Start “Tagging” Products for Consumers So We Can Scan for Authenticity

image

What is amazing is that you can go to Best Buy and scan Cannon printers and get all kinds of information and gee nobody’s going to think about eating or ingesting one of those, but for items that are life savers, dead ears at the FDA and DEA, let those consumers fend for themselves.  We are too busy here.

Insulin Pump Problems and Recalls – FDA Get Those Tags Out There So Consumers Can Identify Them Easily with Cell Phones

Guess what, you can also use that same technology to connect Google Health and HealthVault personal health records, gee one technology can solve a lot of evils.  Can we not just scan that stent soon!!

Connecting HealthVault/Google Health and More to RazCode Encrypted Microsoft Tags – Automate Data Input

Guess what else, when the product is scanned, we can have a heat map that shows where the product is located too. If a fake product does not produce information, then don’t use it, simple at that as the codes can be encrypted to go through a gateway and the fakes won’t make it and that means the crooks have to do more label work and try to get around it, which if designed correctly, they won’t and would only be able to refer people to a “fake” site, and there is where we have control to shut those down, duh? 

DEA, FDA, can you wake up as this would work for over the counter, prescription drugs and medical devices….lots to think about and also it would make compliance easier for the FDA on recalls, just maintain a synchronized data base with alerts for updates, changes, and what ever other reporting function may be needed. 

Drug companies too, like J and J, wake up or is it cheaper to just let people die which is exactly what pharma is letting happen with little or no prevention using technology.  BD

The fight against counterfeit drugs - 60 Minutes - CBS News

FDA Fast Track Approval of Pre Natal Drug Turns KV Pharmaceutical into a Greedy Money Machine With Pricing for Makena

As the article states this injection, when compounded by local pharmacies used to cost around $10 and now that cost is $1500 per injection, what a rip.  KV has the imageexclusive rights to market under the name Makena.  Obgyns are outraged.  Over the full course of pregnancy the cost for the injections would cost maybe $400 maximum and now the same treatment is $30k.  Greed!  Their former CEO by the way was just sentenced today to 30 days and a $1.9 million dollar fine for misbranding drugs. 

Just at the time when more generic and cheaper drugs are needed, with having the exclusive, this huge mark up takes place, kind of evil if you ask me.  Both estrogen and progesterone have been tried forever to prevent miscarriages and they don’t work.  Makena is an artificial form of progesterone.  KV has stated they will conduct 2 post marketing studies on the drug to see if it does in fact reduce the rate of pre-term births.  KV with their pricing is definitely not popular for women expecting as well as obgyns.  This begins today and along with the big price you also get a free web page with patient assistance information and the new program.  BD 

For decades, special pharmacies have been making and selling a synthetic form of progesterone, a female hormone, to help prevent premature childbirths. However, because of the informal nature of the drug, different pharmacies sometimes made it in differing strengths.

So the Food and Drug Administration, attempting to standardize production and use of the compound, classified the compound as an orphan drug and granted KV Pharmaceutical the exclusive right to produce and market it for the next seven years. The compound went on sale today under the brand name Makena.

However, the FDA is empowered to monitor only the safety and effectiveness of drugs; it does not have the power to control how much KV Pharmaceutical charges for the compound. And KV Pharmaceutical has now announced that a drug compound that has typically cost $10 to $20 an injection will now cost $1,500 an injection. Over the course of a pregnancy, treatment that once cost as much as $400 will now cost $30,000.

Makena: How to turn a $10 drug into a $1,500 drug | Jay Bookman