Category: Health care

G.J. Chamber Opposes Patient Choice in Pharmacies

No-choiceThe Grand Junction Area Chamber of Commerce in their Monday, April 11 ad in the Daily Sentinel, announced that it OPPOSES Colorado House Bill HB 16-1361, the “Patient Choice in Pharmacy” bill, which would prohibit health insurance companies from restricting subscribers’ ability to select a pharmacy or pharmacist of their choice. The bill also prohibits insurance companies from imposing extra co-payments, fees or restrictions on subscribers if they choose to use a pharmacy outside the insurance company’s network, as long the pharmacy/pharmacist has a valid CO license and meets some other criteria.

The G.J Chamber opposes citizens’ ability to freely choose where to shop for medications. Without this bill, smaller locally-owned pharmacies that are not in an insurance company’s network will lose businesses to bigger chains stores or mail order pharmacies that insurance companies tell subscribers they have to use.

Once again, the Chamber opposes a measure that would help smaller and locally-owned businesses, and that is beneficial to all citizens and working people.

 

Slap Down! Mesa County Commissioner Scott Mcinnis Rebukes Ultra Right Wingnut, Defends All the Good the Federal Government Does

Mesa County Commissioner Scott McInnis verbally slapping down an ideologically pure ultra right wing nut who spoke before them multiple times on Monday, Feb. 8, 2016

Mesa County Commissioner Scott McInnis verbally dressed down an ideologically pure Mesa County ultra right wing nut who spoke before them on Monday, Feb. 8, 2016, who urged them not to accept federal funds to fix a dangerous flood area along I-70 where one person has already been killed

In a jaw-dropping political turnabout at Monday’s (2/8/16) Mesa County Commissioner meeting, the county’s farthest ultra-right wing nuts out-right winged the regular right wing nuts, resulting in arch conservative Commissioner Scott Mcinnis strongly defending — yes, defending — all the good the federal government does for Mesa County citizens and our quality of life.

The fireworks started with a discussion of whether Mesa County should accept a $2.1 million grant to build a detention pond in Bosley Wash at the bottom of the Bookcliffs. The wash has been the site of several flash floods in recent years resulting one person getting killed, several private properties being repeatedly covered in mud and silt and massive mudflows pouring over I-70.  Bosley Wash endangers a total of 200 properties near the base of the Bookcliffs between Clifton and Palisade.

Local Woman, Dr. April Goggans, Opens First Solo Concierge Medical Practice in Grand Junction

Dr. April Goggans is the first solo-practitioner to open a concierge medical practice in the Grand Valley

Dr. April Goggans, the first solo medical practitioner to open a concierge practice in the Grand Valley

Doctors in Grand Junction who have gotten frustrated with the modern bureaucracies of health care are adopting an entirely new, less complicated and more satisfying business model that cuts out insurance companies completely and lets them spend generous amounts of time with patients.

It’s called “concierge medicine,” and in this business model, patients pay a single yearly fee to a doctor. In exchange, they get fast access directly to the doctor via phone, secure email, text, 24/7 video chat or in person. At office visits, which can be gotten on short notice, concierge doctors give their patients highly personalized care and spend as much time as necessary to answer every last question their patients may have about their condition. And if later on after the appointment you think of something you forgot to ask, just call, text, or email your doctor and get an answer right away.

The Best Home Health Caregiver in Grand Junction is Available to Help

CaregiverDo you have an elderly parent who needs help around the house cooking, cleaning, shopping and taking medications? Are you struggling to keep a disabled friend in his or her own home? Are you an older person yourself in need of help around the house so you can stay out of a nursing home or institution?

If so, you’re in luck, because the best freelance home health provider in Grand Junction is now available to help.

Sharon Schultz is the freelance home health care giver I hired to take care of my elderly mom full time in 2012. She came highly recommended to me by a friend who employed her for three years to take care of her own mom. I was so lucky Sharon was available just at the time when my Mom started needing extra help. Sharon was Mom’s caregiver and companion for three years, until she died last June 10. Sharon is truly the best caregiver you could ever find, and we were endlessly impressed with her.

Sharon is a skilled and patient memory care specialist who worked for many years in institutional settings locally, but who wanted to provide better care to her charges than she was able to do in an institution. The best way she could do that, she found, was to work on a freelance basis, so that is what she does.

Statement from the CMU BSN Nursing Class of 2015

Colorado Mesa University’s 2015 Bachelor of Science in Nursing class graduating students have issued the following statement about today’s resolution of the Gideon Bible giveaway controversy that has taken place over the last several weeks:

 

November 18, 2015

To whom it may concern;

We, the Colorado Mesa University BSN class of December 2015, have collectively reached a resolution regarding the recent events surrounding our pinning ceremony. We respectfully request that any interested parties cease any further action and involvement. We ask that you allow us to celebrate our accomplishments amongst family and friends without controversy. Thank you.

Sincerely, BSN Class of December 2015

Congratulations to all the graduates on your wonderful accomplishments. You will no doubt do great things in the world!

Foster: Bible Giveaways Over at CMU

Victory

A victory for separation of church and state locally

In a clean win for common sense and the separation of church and state locally, Colorado Mesa University President Tim Foster announced this morning that he is ending all on-campus bible giveaways at CMU.

In a note to people who had contacted him about the issue, Foster thanked those who had provided him feedback and potential solutions about what to do with the longstanding but now highly controversial tradition.

Foster wrote,

I have had additional discussions with Health Sciences faculty and nursing students. I have sought legal counsel and researched legal precedent. I have listened to the divergent viewpoints of others. Taking all that into consideration, the Bible give-away at the pinning ceremony will be discontinued.Though the presentation of Bibles to graduating nurses by the Gideons at the pinning ceremony is a long-standing, international tradition and the pinning ceremony itself does, in fact, have religious roots, it is important to remain focused upon and to celebrate the accomplishment achieved by all of our graduating students at the December 2015 Commencement.”

Freedom From Religion Foundation Weighs in on CMU’s Graduation Bible Giveaway

GradBThe Freedom From Religion Foundation has sent a letter to Colorado Mesa University President Tim Foster urging him to end the practice of allowing Gideons International to hand out bibles to students at on-campus graduation ceremonies.

A group of students who are about to graduate from CMU’s nursing program have protested an administration plan to have Gideon Bibles offered to students at their December 11 pinning ceremony at Moss Auditorium. Program instructors indicated to the nursing students that the bible giveaway was a non-negotiable part of the ceremony. Later, under pressure, program staff held a mandatory vote on it by email only, a method that would allow them to identify the dissenting students.

If You Want to Die Peacefully at Home, You Need to Know This

First page of Colorado's 2015 MOST form

First page of Colorado’s 2015 MOST form

If you want to avoid extensive hospital treatment or heroic measures being used on you towards the end of your life, it’s much harder than you think. It’s far more difficult than you’d ever realized these days to die a peaceful, natural death in your own home, if that’s the way you want your life to end.

These days many people don’t relish the idea of having their death drawn out in a hospital, hooked up to life support machines. If you are one of those people, you can complete an advanced directive and a will, put all your assets in a trust, and even verbally tell your closest family members that you don’t want any more hospitalizations. But that’s not enough.

Chances are very high that unless you do ONE more thing, you’ll still end up in a hospital getting a host of unwanted procedures or mechanical life support at the end of your life.

If near the end of your life you do not want to go to the hospital under any circumstances, and you want to let a natural process take your life, your family members or caregivers risk charges of medical neglect or abuse if they abide by your wishes. This is the case even if you have put all the above due-diligence documents in place. It’s extremely hard for relatives who love you to watch you get weaker and sicker and not do anything to help you. Caregivers fear lawsuits for neglect not giving every last possible measure of care in what they perceive as a desperate time of need. Some paid caregivers may be a different religion that you, and believe it is impermissible for you to determine the time and place of your own death.

These and many other conflicts can abound at the end of your life.

To protect close relatives and caregivers looking after you from a legal onslaught and assure you get the kind of care you really want at the end of your life, there is one more thing you must do: fill out a M.O.S.T. form.

What is a MOST form?

M.O.S.T. stands for Medical Orders for Scope of Treatment.  Most people have never heard of this form, but it in recent years it has become the key to self-determination at the end of your life.

The MOST form is relatively new. Colorado implemented its MOST form only about five years ago, and recently revised it. Every U.S. state now has its own version of a MOST form. In some states they are called a Physicians Order for Life Sustaining Treatment or a POLST form.

The MOST form is a very specific medico-legal instrument that summarizes and documents your personal preferences for a number of common life-sustaining treatments, including things like CPR, antibiotics, artificial nutrition and hydration, and mechanical ventilation. You can choose the extent to which you want these treatments to be used to save or prolong your life, under what circumstances and for how long. The form is usually printed on bright green paper, for quick location and recognition in medical files.

MOST forms assure you the ability to exert more control over your medical care

Individuals may use the MOST form to refuse treatments selectively, request full treatment under certain circumstances, or specify certain treatments they do not want. Any section of the form that is not completed implies full treatment is desired. Filling out a MOST form assures that not only will you get the specific care you want at the end of your life, but it will protect those who are responsible for making medical decisions on your behalf from legal charges of abuse or neglect if they abide by your wishes. Such charges can be brought by relatives who don’t agree with the kind of death you want for yourself, or by law enforcement.

The MOST form is used in conjunction with other legal instruments, like advanced directives and living wills. You must complete the MOST form while you still have your mental capacity. You and your doctor both sign the completed form. Everyone who could even be tangentially involved in your care towards the end of your life should get a copy of your completed MOST form. Make sure to give a copy to whomever has your medical power of attorney, too. Give copies to all of your children, even ones who live elsewhere and visit rarely, and even the crazy ones. Give them to your close friends, too.

The MOST form must be honored in any setting, including at home.

This relatively new form is the key to being able to have the kind of death you want, especially if your choice involves refusing invasive, life-sustaining treatments.

You can view Colorado’s MOST form here (pdf).

For more information on the MOST form, to see one, download a free copy or get answers to frequently asked questions about the form, go to the Colorado Advanced Directives Consortium, or talk to your doctor or your attorney.

Legal Marijuana Linked to Lower Death Rates from Prescription Painkillers

Marijuana-in-a-capsule-4-23-131States that legalize marijuana experience significantly lower death rates from pain medication overdoses, both from prescription painkillers and illicit drugs like heroin, according to a study in the Journal of the American Medical Association.

Authors studied states where medical marijuana laws were fully in effect between 1999 and 2010 and found these states had a 24.8 percent lower average annual death rate from opioid overdoses compared to states without such laws. Authors included all 50 states in the study. The longer the states had their laws in place legalizing medical marijuana, the lower the death rates they experienced from opioid analgesic overdoses.

The use of prescriptions painkillers has increased sharply in the U.S. in recent years. In 2010, doctors prescribed enough painkillers to medicate every American adult every four hours for one month. Prescription drug overdose death rates have more than tripled in the U.S. since 1990. There are now more deaths from prescription pain meds than from cocaine and heroin combined. Every day in the U.S., 100 people die from drug overdoses. Many of these deaths are linked to prescription pain killers.

Marijuana is considered an alternative non-opioid treatment for chronic pain, which is also a major indicator for medical cannabis. The study’s authors conclude that laws making cannabis available may be affecting overdose mortality rates from opioid painkillers.

The study was funded by the National Institutes of Health and the Center for AIDS research at Albert Einstein College of Medicine and Montefiore Medical Center.

Why a Fetus is Not a Person

NotADifficultConcept

Updated November 5, 2014

Colorado’s Amendment 67 did not pass, to the relief of most of the state. The measure would have declared unborn human beings as a “person” or a “child” in the Colorado Criminal Code.

It was yet another a personhood measure, but this year Personhood USA, the group pushing these kinds of measures, tried to disguise that fact by calling it the “Brady Amendment,” after a fetus a woman lost in a 2012 drunk driving accident. Naming the measure after a woman’s lost fetus was an attempt to give the measure emotional appeal, because when you can get people to react through emotion, they’ll often bypass their rational thinking.

A fundamentally flawed argument

Coloradans have rejected personhood measures three times now, for good reason. The thinking behind these ballot initiatives is illogical and thus fundamentally flawed.

A fetus is not a person in any legal sense.

Both fertilized eggs and clones represent potential, not actual human beings.

Zygotes, or fertilized eggs, and fetuses lack many of the physical characteristics of human beings. They don’t have brains, skeletons, or internal organs. A fetus cannot engage in human perception or thought. The analogy that fits is that an acorn is not an oak tree and the egg you eat for breakfast is not a chicken.

Fetuses have no social identity, and there is no precedent for giving them such. Names are not legally conferred upon fetuses, only upon babies after birth.  The first legal recognition of a person’s existence is their birth certificate. No government on Earth issues “pre-birth certificates.” The government does not issue death certificates for miscarried or aborted fetuses. The government does not issue social security numbers to fetuses, nor does the government confer any rights of citizenship on upon conception.

Study: Daughters Bear Biggest Burden of Caring for Aging Parents

WheelchairA new research paper shows that daughters spend more than twice as much time caring for their elderly parents than sons, and when daughters are in the picture, sons tend to reduce what little caregiving efforts they make and leave the burden to the sisters.  The study, titled “When Gender Trumps Everything: The Division of Parent Care among Siblings,” will be presented today at the annual meeting of the American Sociological Association.

The study found that daughters provide an average of 12.3 hours of care to elderly parents per month, compared to just 5.6 hours of care provided by sons.

The study’s author, Princeton sociology doctoral candidate Angelina Grigoryeva, concluded that by pushing most of the duties of caring for aging parents onto their sisters, brothers also shift the financial burden and physical and mental stress of providing that care onto their sisters.

Grigoryeva’s research found that women tend to base how much time they spend caring for elderly parents on competing concerns, like how much time they need to devote to their own families and careers, while men base the the amount of caregiving time they spend on whether or not they have a sister or sisters who can handle those responsibilities.

CO Rep. Ray Scott Throws Women and Kids Under the Bus

Colorado Rep. Ray Scott poses with a fancy car while Mesa County's poorest women and children go without health insurance

Colorado Rep. Ray Scott proudly poses with a hot sports car while Mesa County’s poorest women and children go without health insurance

Colorado House Rep. Ray Scott may love fetuses, but he doesn’t care much about women and apparently doesn’t think much of kids, either.

Besides being a chronic no-show at election-time debates sponsored by the League of Women Voters, in January of 2012 Ray Scott co-sponsored HB1130, a bill titled “Penalties for Violent Offenses Against Fetuses.” The bill’s very title ignores the fact that typically the woman surrounding the fetus would be the primary recipient of any violent acts perpetrated against the fetus. But in Ray Scott’s mind, women matter less than their fetuses.

Ray Scott even supported a fetal personhood amendment in the past. Such proposals are among the ultimate affronts to women, since they are religiously-based efforts that would make it a crime for women to use some forms of contraception, in accordance with Mr. Scott’s own personal religious beliefs.

Botox Victim Wins $18 Million from Allergan after Contracting Botulism Poisoning

Ad for Botox Cosmetic. Allergan hid information from doctors and patients about the dangers of injecting botulinum toxin into the body.

Ad for Botox Cosmetic. Allergan hid information from doctors and patients about the dangers of injecting botulinum toxin into the body.

Dr. Sharla Helton, an accomplished obstetrician in Oklahoma City, won $18 million a long-running legal fight against the maker of Botox, after she contracted botulism poisoning as a result of getting injections of Botox Cosmetic 2006.

Botox Cosmetic, which is injected into people’s faces to reduce the appearance of wrinkles, is made from a highly potent neurotoxin produced by the bacterium Clostridium botulinum. Botulinum toxin is the most acutely lethal toxin known to man, and has been considered for its potential as a biological weapon. Just four hundredths of an ounce of undiluted botulinum toxin is enough to kill one million people by giving them the nerve disease botulism, which causes paralysis. Allergan must dilute their toxin so much that the amounts in its drug Botox cannot be measured in conventional terms. One “unit” of Botox is the amount that will kill one half of a test population of laboratory mice. A typical injection of Botox is 20 times that amount.

Even very slight errors in how and where a doctor injects the drug can potentially cause significant and even lethal health problems.

A Cure for Plantar Fasciitis

The daily walk: so important!

The daily walk: so important!

I’ve walked three miles every morning for the last 25 years. Walking helps keeps me mentally balanced, reduces stress, helps ward off heart disease, depression and diabetes. It gives me time and space to clear my head, and frankly is the closest I ever come to meditating. It’s a must for my dog, too, who expects his daily constitution. To me, daily walking is an indispensable activity.

So last year when I came down with a serious case of plantar fasciitis and heel spurs, it might as well have been the end of the world. The pain was debilitating. I just couldn’t believe it was possible to wear out one’s feet by walking regularly. It didn’t make sense. I was desperate to make the pain go away, so I tried arch supports, shoe inserts, and all sorts of springy shoes that advertised they would help the problem. Nothing helped. I went to a podiatrist who diagnosed the problem with x-rays, recommended traditional physical therapy (at $75/hour) and cortisone injections into my foot, but the idea of sticking a needle into my foot just made me cringe. Plus, the doctor couldn’t give me any assurance that these treatments would cure the problem. It was all just stuff we could try.

Then one day during a chiropractic appointment, I complained to my practitioner, mostly for catharsis, about my plantar fasciitis and heel spurs and how they were keeping me from my daily walks. I didn’t expect him to do anything about it. I just wanted to vent.

To my great surprise, though, he said he could cure it and begged me to give him a chance to treat it.

No one had ever said anything to me like that before.

Court Rules Corporations Aren’t People, Can’t Exercise Religion

The United States 6th Circuit Court of Appeals ruled unanimously today (pdf) that a private, for-profit corporation is not a “person” capable of “religious exercise,” and so cannot be excused from complying with the Patient Protection and Affordable Care Act (“Obamacare”) for religious reasons. The case centered around a lawsuit brought against the U.S. government by Autocam Corporation and Autocam Medical, LLC two for-profit, secular corporations that make products for the automotive and medical industries. The companies are owned and controlled by members of the Kennedy family, all of whom are practicing Roman Catholics. The Kennedy family complained that the Affordable Care Act’s requirement that employees’ health insurance cover FDA- approved contraceptives would force the family to violate the teachings of their church. The Court ruled that since a corporation cannot exercise religion, it cannot claim that its religious rights are being infringed by the Affordable Care Act. The ruling has implications for other corporations, like Hobby Lobby, that have made the same claim.

Female Politicians Fight Republican War on Women

Ohio State Senator Nina Turner has introduced a bill that would require men seeking prescription drugs for the treatment of erectile dysfunction to submit to a mental and physical exams to assure they have appropriate medical reasons for obtaining the drug, and they would also have to get tested for HIV. Rep. Turner says the legislature should show the same concern about men’s reproductive health as they do women’s reproductive health. The bill is part of a growing national backlash against a wave of Republican-enacted bills that restrict women’s access to reproductive health care, including safe and legal abortions. Other female legislators across the U.S. have introduced bills that focus on men’s reproductive systems, too. Oklahoma Senator Constance Johnson introduced an amendment to the state’s “Personhood” bill that would make it illegal for men to ejaculate outside of a woman’s vagina, saying such an act “shall be interpreted and construed as an action against an unborn child.” Illinois House Representative Kelly Cassidy introduced an amendment to a forced ultrasound bill that would order men to watch a graphic video depicting Viagra’s side effects before they could obtain a prescription for the drug. A bill filed by Virginia State Senator Janet Howell would require men to submit to rectal exams before getting a Viagra prescription. In Georgia, a state representative introduced a bill sharply limiting men’s ability to get a vasectomy.

 

Source: Huffington Post, June 28, 2013

House Republicans Renew Attack on Womens Rights

Chart: Guttmacher Institute

Chart: Guttmacher Institute

House Republicans passed symbolic legislation aimed at further restricting women’s ability to obtain an abortion nationwide — legislation that stands no chance of surviving the Senate, and that the President has vowed to veto. This week House Republicans voted to limit women’s right to obtain an abortion until the first 20 weeks after conception. Republicans passed the measure even though they know it is illegal because it defies the Supreme Court’s 1973 Rowe vs. Wade ruling that says women can legally obtain abortions up until the time a doctor deems a fetus is viable, or can live outside the womb, generally around the 24th week of gestation. Rep. Trent Franks (R-Arizona), who brought the bill, initially did not include any exceptions for rape or incest, saying in a committee hearing that that was because “the incidence of pregnancy from rape is very low.” Rep. Michael Burgess (R-Texas), defending the bill, in a crazy statement went even further, saying he felt abortions should be restricted to 15 weeks, because that’s the point at which male fetuses can put their hand between their legs and “feel pleasure.” And Republicans’ war on women doesn’t stop there. In Wisconsin, Republicans just passed a bill that will force women seeking abortions to obtain medically unnecessary ultrasounds first. It also requires doctors who perform abortions to have admitting privileges at hospitals within 30 miles of the clinics in which they work, a provision that will shut down at least one Planned Parenthood clinic in the state. Wisconsin Governor Scott Walker says he will sign the bill. Similar bills have appeared in states throughout the union. In fact, banning abortion is almost all Republicans have been working on with any vigor in the last few years. The number of bills brought to restrict abortion in various ways has skyrocketed in the U.S. since 2010, limiting the rights of women all over the country.