tag:blogger.com,1999:blog-83465094781258771472024-03-20T17:13:47.618-07:00The View from HereA variety of personal diatribes about the medical establishment...social commentary, and humor.
Please scroll down to the bottom of this page for a message of "Peace" Click on the Link and it will take you to "another time and place"Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.comBlogger71125tag:blogger.com,1999:blog-8346509478125877147.post-56088835250984481472020-11-10T08:17:00.026-08:002020-11-10T08:19:00.028-08:0012 Reasons Why You Need to Start Moving – All 33<a href="https://all33.com/blogs/news/12-reasons-why-you-need-to-start-moving">12 Reasons Why You Need to Start Moving – All 33</a><div><br /></div><div><br /></div><div><p style="-webkit-font-smoothing: antialiased; background-color: white; box-sizing: border-box; color: #1c1b1b; font-size: 18px; margin-bottom: 10px; margin-top: 0px;"><span style="font-family: Gilroy;">Th</span><span style="font-family: times;">e average American adult </span><a href="https://www.washingtonpost.com/national/health-science/the-big-numberthe-average-us-adult-sits-65-hours-a-day-for-teens-its-even-more/2019/04/26/7c29e4c2-676a-11e9-a1b6-b29b90efa879_story.html" style="-webkit-font-smoothing: antialiased; background-color: transparent; box-sizing: border-box; color: blue; text-decoration-line: none;"><span style="font-family: times;">sits for 6.5 h</span><span style="font-family: Gilroy;">ours</span></a><span style="font-family: Gilroy;"> a day. Alarmingly, that number is only increasing as we continue to increase the time we spend sitting even while we’re not at work on the computer, watching TV, or just hanging out on the couch.</span></p><p style="-webkit-font-smoothing: antialiased; background-color: white; box-sizing: border-box; color: #1c1b1b; font-family: Gilroy; font-size: 18px; margin-bottom: 10px; margin-top: 0px;">But our bodies were not designed to be sedentary! Sitting has serious, frankly scary, consequences. Spending too much time sitting on our butts increases our risk of many life-threatening conditions.</p><p style="-webkit-font-smoothing: antialiased; background-color: white; box-sizing: border-box; margin-bottom: 10px; margin-top: 0px;"><span style="color: #1c1b1b; font-family: Gilroy;"><span style="font-size: 18px;">Here are the specific ways that too much sitting harms your health: beware.</span></span></p><p style="-webkit-font-smoothing: antialiased; background-color: white; box-sizing: border-box; margin-bottom: 10px; margin-top: 0px;"><span style="color: #1c1b1b; font-family: Gilroy;"><span style="font-size: 18px;">Your Life Expectancy Goes Down, </span></span><span style="background-color: transparent; font-size: 18px;"><span style="color: #1c1b1b; font-family: Gilroy;">Your Risk of Heart Disease Goes Up, </span></span><span style="background-color: transparent; font-size: 18px;"><span style="color: #1c1b1b; font-family: Gilroy;">Cancer is More Probable, </span></span><span style="background-color: transparent; font-size: 18px;"><span style="color: #1c1b1b; font-family: Gilroy;">You’re at Greater Risk for Type 2 Diabetes, </span></span><span style="background-color: transparent; font-size: 18px;"><span style="color: #1c1b1b; font-family: Gilroy;">You’re More Likely to Develop Dementia, </span></span><span style="background-color: transparent; font-size: 18px;"><span style="color: #1c1b1b; font-family: Gilroy;">Osteoarthritis Becomes a Greater Hazard, </span></span><span style="background-color: transparent; font-size: 18px;"><span style="color: #1c1b1b; font-family: Gilroy;">Varicose Veins are Very Likely, </span></span><span style="background-color: transparent; font-size: 18px;"><span style="color: #1c1b1b; font-family: Gilroy;">Added Anxiety, </span></span></p><p style="-webkit-font-smoothing: antialiased; background-color: white; box-sizing: border-box; margin-bottom: 10px; margin-top: 0px;"><span style="background-color: transparent; font-size: 18px;"><span style="color: #1c1b1b; font-family: Gilroy;"><br /></span></span></p><div class="blog_content" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #1c1b1b; font-family: Roboto, sans-serif;"><h1 class="post_title" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-family: Gilroy-Bold; font-weight: inherit; margin-bottom: 20px; margin-top: 0px;"><span style="font-size: large;">You Pack on Pounds</span></h1></div><div class="blog_content" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #1c1b1b; font-family: Roboto, sans-serif; font-size: 14px;"><div class="blog_cnt" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><p style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-family: Gilroy; font-size: 18px; font-weight: inherit; margin-bottom: 10px; margin-top: 0px;">Being sedentary, by definition, involves minimal energy expenditure. In other words, sitting limits the number of calories you burn which can cause you to gain weight. Additionally, when you sit, your body’s production of the enzyme that your body produces to break down fat in your blood (lipoprotein lipase) drops by about 90 percent. Your body can’t use fat, so it stores it.</p></div></div><div class="blog_content" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><h1 class="post_title" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #1c1b1b; font-family: Gilroy-Bold; font-weight: inherit; margin-bottom: 20px; margin-top: 0px;"><span style="font-size: large;">Your Back Takes a Toll</span></h1><div><span style="color: #1c1b1b; font-family: Roboto, sans-serif;">T</span><span style="color: #1c1b1b; font-family: times;">his is probably the easiest side effect of sitting to notice, and one of the most aggravating for our everyday physical and mental health. Sitting (improperly) puts stress on your back, neck, and spine because our bodies were built to be on the move, not at a desk. Additionally, most of us slouch when we sit, which can cause chronic back pain.</span></div><div><span style="color: #1c1b1b; font-family: times;"><br /></span></div><div><div class="blog_content" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #1c1b1b; font-family: Roboto, sans-serif; font-size: 14px;"><h1 class="post_title" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-family: Gilroy-Bold; font-size: 36px; font-weight: inherit; margin-bottom: 20px; margin-top: 0px;">So What Do We Do?</h1></div><div class="blog_content" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #1c1b1b; font-family: Roboto, sans-serif; font-size: 14px;"><div class="blog_cnt" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><p style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-family: Gilroy; font-size: 18px; font-weight: inherit; margin-bottom: 10px; margin-top: 0px;">The evidence that sitting is dangerous is loud and clear. But what are we supposed to do in this day and age when some many of us work desk jobs and so much of our lives take place online?</p></div></div><div class="blog_content" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #1c1b1b; font-family: Roboto, sans-serif; font-size: 14px;"><h1 class="post_title_small" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-family: Gilroy-Bold; font-size: 25px; font-weight: inherit; margin-bottom: 0px; margin-top: 0px;">1. Move More</h1></div><div class="blog_content" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #1c1b1b; font-family: Roboto, sans-serif; font-size: 14px;"><div class="blog_cnt" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><div class="block-left-right blog_cnt" style="-webkit-font-smoothing: antialiased; align-items: center; box-sizing: border-box; display: inline-flex; float: left; width: 761px;"><div class="content-left" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; float: left; padding: 0px 10px; width: 380.5px;"><img alt="" src="https://cdn.shopify.com/s/files/1/0054/1019/3508/files/all33-backstrong-move-more.jpg?v=1602776183" style="-webkit-font-smoothing: antialiased; border-style: none; box-sizing: border-box; height: auto; max-width: 100%; vertical-align: top; width: 360.5px;" /></div><div class="image-right" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; float: left; padding: 10px; width: 380.5px;"><p style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-family: Gilroy; font-size: 18px; font-weight: inherit; margin-bottom: 10px; margin-top: 0px;">The most important thing is to work more movement into your every day. Be diligent about taking breaks during which you stand up, walk around, and stretch. <a href="https://www.hopkinsmedicine.org/health/wellness-and-prevention/sitting-disease-how-a-sedentary-lifestyle-affects-heart-health" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: blue; text-decoration-line: none;">Doctors recommend</a><a style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #019bf2;"></a> you try to stand for eight minutes and move around for two minutes for every 20 minutes of sitting. Using a fitness tracker, app, or pedometer to track your steps can do wonders. While 10,000 steps is recommended, at first just aim to increase your time spent movement and it will be beneficial.</p></div></div></div></div><div class="blog_content" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #1c1b1b; font-family: Roboto, sans-serif; font-size: 14px;"><h1 class="post_title_small" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-family: Gilroy-Bold; font-size: 25px; font-weight: inherit; margin-bottom: 0px; margin-top: 0px;">2. Set Up an Ergonomic Workspace</h1></div><div class="blog_content" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #1c1b1b; font-family: Roboto, sans-serif; font-size: 14px;"><div class="blog_cnt" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><div class="block-left-right blog_cnt" style="-webkit-font-smoothing: antialiased; align-items: center; box-sizing: border-box; display: inline-flex; float: left; width: 761px;"><div class="content-left" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; float: left; padding: 0px 10px; width: 380.5px;"><img alt="" src="https://cdn.shopify.com/s/files/1/0054/1019/3508/files/all33-backstrong-chair-ergonomic-home-office.jpg?v=1602170430" style="-webkit-font-smoothing: antialiased; border-style: none; box-sizing: border-box; height: auto; max-width: 100%; vertical-align: top; width: 360.5px;" /><p style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-family: Gilroy; font-size: 18px; font-weight: inherit; margin-bottom: 10px; margin-top: 0px;"> </p></div><div class="image-right" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; float: left; padding: 10px; width: 380.5px;"><p style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-family: Gilroy; font-size: 18px; font-weight: inherit; margin-bottom: 10px; margin-top: 0px;">Follow these <a href="https://all33.com/blogs/news/8-simple-steps-to-set-up-your-ergonomic-workspace" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: blue; text-decoration-line: none;">8 simple steps for setting up an ergonomic workspace</a><a style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #019bf2;"></a>. Make sure your screen is at eye-level, your feet rest on the floor, and your elbows are at a 90 degree angle.</p></div></div></div></div><div class="blog_content" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #1c1b1b; font-family: Roboto, sans-serif; font-size: 14px;"><p style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-size: inherit; font-weight: inherit; margin-top: 0px;"> </p><h1 class="post_title_small" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-family: Gilroy-Bold; font-size: 25px; font-weight: inherit; margin-bottom: 0px; margin-top: 0px;">3. When You Sit, Sit Smart</h1></div><div class="blog_content" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #1c1b1b; font-family: Roboto, sans-serif; font-size: 14px;"><div class="blog_cnt" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><div class="block-left-right blog_cnt" style="-webkit-font-smoothing: antialiased; align-items: center; box-sizing: border-box; display: inline-flex; float: left; width: 761px;"><div class="content-left" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; float: left; padding: 0px 10px; width: 380.5px;"><img src="https://cdn.shopify.com/s/files/1/0054/1019/3508/files/chair-image-blog.png?v=1603317526" style="-webkit-font-smoothing: antialiased; border-style: none; box-sizing: border-box; height: auto; max-width: 100%; vertical-align: top; width: 360.5px;" /></div><div class="image-right" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; float: left; padding: 10px; width: 380.5px;"><p style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-family: Gilroy; font-size: 18px; font-weight: inherit; margin-bottom: 10px; margin-top: 0px;">When you do sit, you need to sit in a chair that helps instead of hurts you. There’s only one chair that can help you both move more and ensure ergonomics. The BackStrong C1 was designed by chiropractor Dr. Dennis Colonello and industrial engineer Jim Grove specifically to combat the dangers of sitting.</p></div></div></div></div><div class="blog_content" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #1c1b1b; font-family: Roboto, sans-serif; font-size: 14px;"><div class="blog_cnt" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><p style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-family: Gilroy; font-size: 18px; font-weight: inherit; margin-bottom: 10px; margin-top: 0px;">Stationary sitting leaves your muscles completely inactive. The BackStrong C1 has a saddle-like seat that moves, which keeps your blood flowing and counteracts the dangerous effects of being sedentary.</p><div><br /></div></div></div><div class="blog_content" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #1c1b1b; font-family: Roboto, sans-serif; font-size: 14px;"></div></div></div></div>Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0Riverside, CA, USA33.9806005 -117.37549425.6703666638211558 -152.5317442 62.290834336178847 -82.2192442tag:blogger.com,1999:blog-8346509478125877147.post-37988026277008312018-06-11T15:39:00.001-07:002018-06-11T15:40:52.160-07:00Net Neutrality Is Officially Dead. Here’s What’s Next. – Mother Jones<span style="font-family: inherit;"><b>Will your EHR cloud service be affected?<br />The battle is on. The recent FCC ruling will open up the threat of measured ISP services. Despite a federal ruling many states are considering legal opposition to the FCC ruling.</b></span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjp6sYmgpkkXOU2ccdV-VSR03kFdG_n83YRtQ4xqmjTnwBTvl6PUe_RaauRBkmIv-GPNmzqIKaaCaewgeXS9i7BOFeZeZ_7U8S_o2khIMxlAeMuSITQ-lGV9EMDeFyy2XrEZTztNyfVE3c/s1600/netneutrality.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="168" data-original-width="299" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjp6sYmgpkkXOU2ccdV-VSR03kFdG_n83YRtQ4xqmjTnwBTvl6PUe_RaauRBkmIv-GPNmzqIKaaCaewgeXS9i7BOFeZeZ_7U8S_o2khIMxlAeMuSITQ-lGV9EMDeFyy2XrEZTztNyfVE3c/s1600/netneutrality.png" /></a></div>
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<span style="background-color: white; font-family: calluna, serif; font-size: 19px;">After a drawn-out battle between internet advocates and Trump’s Federal Communications Commission, today marks the official end of net neutrality. Led by current Chairman Ajit Pai, the FCC </span><a href="https://www.motherjones.com/politics/2017/12/trumps-fcc-just-killed-net-neutrality-but-the-first-legal-challenges-are-already-coming/" style="background-position: 0px 90%; background-repeat: repeat-x; box-sizing: inherit; color: black; font-family: calluna, serif; font-size: 19px; text-shadow: rgb(255, 255, 255) -1px 0px 0px, rgb(255, 255, 255) 0px 1px 0px, rgb(255, 255, 255) 1px 0px 0px, rgb(255, 255, 255) 0px -1px 0px, rgb(255, 255, 255) -1px -1px 0px, rgb(255, 255, 255) 1px 1px 0px, rgb(255, 255, 255) 1px -1px 0px, rgb(255, 255, 255) -1px 1px 0px;">voted 3-2 in December</a><span style="background-color: white; font-family: calluna, serif; font-size: 19px;"> to repeal the Obama-era open internet rules. The decision went into effect on Monday. </span><br />
The fight has also started playing out at the state level. Three states, including Washington and Oregon, have enacted legislation to enforce net neutrality and governors in six states, including <a href="https://www.motherjones.com/politics/2018/01/montana-just-showed-every-other-state-how-to-protect-the-open-internet/" style="background-color: transparent; background-image: url("/wp-content/themes/motherjones/css/../img/orange-border.png"); background-position: 0px 90%; background-repeat: repeat-x; box-sizing: inherit; color: black; text-decoration-line: none; text-shadow: rgb(255, 255, 255) -1px 0px 0px, rgb(255, 255, 255) 0px 1px 0px, rgb(255, 255, 255) 1px 0px 0px, rgb(255, 255, 255) 0px -1px 0px, rgb(255, 255, 255) -1px -1px 0px, rgb(255, 255, 255) 1px 1px 0px, rgb(255, 255, 255) 1px -1px 0px, rgb(255, 255, 255) -1px 1px 0px;">Montana </a>and <a href="https://www.motherjones.com/politics/2018/01/new-york-is-standing-up-for-net-neutrality-in-a-big-way/" style="background-color: transparent; background-image: url("/wp-content/themes/motherjones/css/../img/orange-border.png"); background-position: 0px 90%; background-repeat: repeat-x; box-sizing: inherit; color: black; text-decoration-line: none; text-shadow: rgb(255, 255, 255) -1px 0px 0px, rgb(255, 255, 255) 0px 1px 0px, rgb(255, 255, 255) 1px 0px 0px, rgb(255, 255, 255) 0px -1px 0px, rgb(255, 255, 255) -1px -1px 0px, rgb(255, 255, 255) 1px 1px 0px, rgb(255, 255, 255) 1px -1px 0px, rgb(255, 255, 255) -1px 1px 0px;">New York,</a> have signed executive orders<div style="background-color: white; box-sizing: inherit; font-family: Calluna, serif; font-size: 19px; margin-bottom: 1rem;">
to enforce net neutrality. As of May, legislators in 29 states <a href="http://www.ncsl.org/research/telecommunications-and-information-technology/net-neutrality-legislation-in-states.aspx" style="background-color: transparent; background-image: url("/wp-content/themes/motherjones/css/../img/orange-border.png"); background-position: 0px 90%; background-repeat: repeat-x; box-sizing: inherit; color: black; text-decoration-line: none; text-shadow: rgb(255, 255, 255) -1px 0px 0px, rgb(255, 255, 255) 0px 1px 0px, rgb(255, 255, 255) 1px 0px 0px, rgb(255, 255, 255) 0px -1px 0px, rgb(255, 255, 255) -1px -1px 0px, rgb(255, 255, 255) 1px 1px 0px, rgb(255, 255, 255) 1px -1px 0px, rgb(255, 255, 255) -1px 1px 0px;">have introduced bills</a> to ensure net neutrality, according to the National Conference of State Legislatures. In its repeal, the FCC asserted that it alone has the authority to write these types of regulations and that states cannot pass laws inconsistent with federal net neutrality rules, something that could lead to a legal battle down the road.<br />
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Advocates have warned that the repeal of the 2015 regulation, which barred internet service providers from creating slow and fast lanes for preferred content, would open the door for ISPs to start charging more for preferred content (paid prioritization), slowing certain content (throttling), and fully blocking content. Advocates often point to the situation in Portugal, where striking net neutrality led to tiered-internet packages that charged more for services like Netflix and Spotify. </div>
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A coalition of nonprofits and tech companies, including the ACLU, National Hispanic Media Coalition, Electronic Frontier Foundation, Netflix, and Reddit have called for an <a href="https://www.battleforthenet.com/july12/" style="background-color: transparent; background-image: url("/wp-content/themes/motherjones/css/../img/orange-border.png"); background-position: 0px 90%; background-repeat: repeat-x; box-sizing: inherit; color: black; text-decoration-line: none; text-shadow: rgb(255, 255, 255) -1px 0px 0px, rgb(255, 255, 255) 0px 1px 0px, rgb(255, 255, 255) 1px 0px 0px, rgb(255, 255, 255) 0px -1px 0px, rgb(255, 255, 255) -1px -1px 0px, rgb(255, 255, 255) 1px 1px 0px, rgb(255, 255, 255) 1px -1px 0px, rgb(255, 255, 255) -1px 1px 0px;">“internet-wide day of action to save Net Neutrality” on July 12th</a>. The group is asking websites to display a “red alert” image that will show what the site would look like without net neutrality. It is also asking users to harness their social media accounts to raise awareness and contact House lawmakers to ask them to overrule the FCC.</div>
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<a href="https://www.motherjones.com/politics/2018/06/net-neutrality-is-officially-dead-heres-whats-next/">Net Neutrality Is Officially Dead. Here’s What’s Next. – Mother Jones</a>Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0tag:blogger.com,1999:blog-8346509478125877147.post-6891187781460558312017-02-03T10:24:00.002-08:002017-02-03T10:24:27.894-08:00When the Doctor Doesn’t Look Like You<div class="story-body-text story-content" data-para-count="400" data-total-count="2340" id="story-continues-3" style="background-color: white; color: #333333; font-family: georgia, "times new roman", times, serif; font-size: 1.0625rem; line-height: 1.625rem; margin-bottom: 1em; margin-left: 75px; max-width: none; width: 570px;">
So, your doctor doesn't look like you ? Don't sweat it !</div>
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<span style="font-size: 1.0625rem;">For more than 50 years, international medical school graduates have </span><a href="http://www.ama-assn.org/ama1/pub/upload/mm/18/img-workforce-paper.pdf" style="color: #326891; font-size: 1.0625rem;" title="American Medical Association report on international graduates.">filled the gaps in the physician work force in the United States</a><span style="font-size: 1.0625rem;">. Currently, they make up fully one-quarter of all practicing physicians, and although a majority are foreign-born, approximately 20 percent are American citizens who have chosen to go abroad, most notably to the Caribbean, for medical school.</span></div>
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Regardless of whether they are United States citizens, all international graduates must go through an arduous regulatory process before practicing in this country, a process that includes verification of medical school diplomas and transcripts, residency training in American <a class="meta-classifier" href="http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/hospitals/index.html?inline=nyt-classifier" style="color: #326891;" title="Recent and archival health news about hospitals.">hospitals</a> and the same national three-part licensing exams and specialty tests that their medical school counterparts in this country take. Many go on to choose specialties or work in the rural and disadvantaged geographic locations that their American counterparts shun. International graduates, for example, <a href="http://protomag.com/statics/SP10_infographic.pdf" style="color: #326891;" title="Massachusetts General Hospital magazine graphic.">now account for nearly 30 percent of all primary care doctors</a>, a specialty that has had increasing difficulties attracting American medical students.</div>
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<span style="color: blue;">Editorial comment:</span></div>
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<span style="color: blue;">That figure, 25% surprised me. However in some regions of the U.S. the figure is much higher, especially in rural areas, or less attractive settings.</span></div>
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Though these doctors have filled an important national health care need for over half a century, doubts regarding the quality of care they provide have continued to plague them. Health care experts interested in this issue have been stymied over the years by inadequate methodologies for evaluating the effectiveness of large groups of physicians and so have chosen instead to focus on exam scores, an admittedly crude proxy for quality of care.</div>
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Though these doctors have filled an important national health care need for over half a century, doubts regarding the quality of care they provide have continued to plague them. Health care experts interested in this issue have been stymied over the years by inadequate methodologies for evaluating the effectiveness of large groups of physicians and so have chosen instead to focus on exam scores, an admittedly crude proxy for quality of care.</div>
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But even that data has proven confusing. Studies initially revealed that international graduates tended to score lower, while more recent research shows that <a href="http://content.healthaffairs.org/cgi/content/abstract/29/8/1461" style="color: #326891;" title="Health Affairs study on international medical school graduates.">they routinely outperform their peers</a> on training exams in areas like internal medicine.</div>
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Now researchers from the Foundation for Advancement of International Medical Education and Research in Philadelphia have published <a href="http://content.healthaffairs.org/cgi/content/abstract/29/8/1461" style="color: #326891;" title="Health Affairs study on international medical school graduates.">the first study</a> incorporating new research methods for evaluating the performance of large groups of physicians. And it turns out that contrary to certain individuals’ worst fears, accent or nationality did not affect patient outcomes. Rather, the main factor was being board-certified: completing a full residency at an accredited training program, passing written and, depending on the specialty, oral examinations, and having proof of experience with a defined set of clinical problems and technical procedures.<br />
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Foreign medical graduates also tend to 'cluster' choosing to practice in like minded communities, Asian, Phillipino, Latino, Jewish, and other minorities. These demographics also tend to refer internally when possible.<br />
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Racial prejudice exists even in health care.<br />
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<a href="http://www.nytimes.com/2010/08/12/health/12chen.html?mwrsm=Twitter">How Good Are Foreign-Trained Doctors? - The New York Times</a>Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0tag:blogger.com,1999:blog-8346509478125877147.post-20115664255062084612017-02-01T13:35:00.001-08:002020-11-07T08:20:01.410-08:00Did President Trump Just Save Western Civilization?My mind has been busy analyzing the UNpredictable actions of Donald Trump.<br />
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It should be no surprise to you Donald Trump grew up as a CEO of an enterprise. His mantra is take charge and own your decisions. CEOs report to their Board of Directors and must inevitably satisfy them and the shareholders. Shareholders like dividends, from profits. Enough said? The U.S.A. by any financial analysis is in debt by 20 trillion dollars. How much are our assets ? Accountants will tell us that our net worth is the amount of assets less our liabilities (debt). Are you getting the picture?<br />
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<span style="font-family: inherit;"><span style="background-color: white; color: #333333;">The mainstream media spent the weekend lying about President Donald Trump instituting a Muslim ban, lying about the contents of the recent executive order, lying about those impacted by the new guidelines and lying about why seven specific countries were included in the travel restrictions.</span><br style="background-color: white; color: #333333;" /><br style="background-color: white; color: #333333;" /><span style="background-color: white; color: #333333;">President Trump was painted as a monster for placing a temporary ban on accepting Syrian refugees - while other world leaders bent over backwards to virtue signal and express their willingness to destabilize their countries.</span><br style="background-color: white; color: #333333;" /><br style="background-color: white; color: #333333;" /><span style="background-color: white; color: #333333;">While the mainstream media, politicians, corporations and Hollywood celebrities were virtue signaling - President Trump made a few phone calls and may have just saved Western Civilization</span></span><br />
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<span style="font-family: inherit;"><span style="background-color: white; color: #333333;">The financial facts are outlined in this You Tube Video by </span><a class="g-hovercard yt-uix-sessionlink spf-link" data-sessionlink="itct=CDUQ4TkiEwjk1fuZle7RAhUCOqoKHRxZAwMo-B0" data-ytid="UCC3L8QaxqEGUiBC252GHy3w" href="https://www.youtube.com/channel/UCC3L8QaxqEGUiBC252GHy3w" style="background: rgb(255, 255, 255); border: 0px; color: #333333; cursor: pointer; display: inline-block; height: 22px; margin: 0px; max-width: 315px; outline: 0px; overflow: hidden; padding: 0px; text-overflow: ellipsis; vertical-align: top; white-space: nowrap;">Stefan Molyneux</a>, the voice of Freedom Radio.</span><br />
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<span style="background-color: white; color: #333333;"><span style="font-family: inherit;">Trump has the integrity to lead, and not follow. The media only reports part of the story choosing to focus on the headline rather than the meat of the story. Hence the great outcry when 500 . or so refugees and Visa cardholders were temporarily held from entering OUR country. They were individually vetted and those who cleared were allowed admission to our free country. Freedom cannot endure without order and a plan. Yes, many were inconvenienced. Trump has our attention, and hopefully, those who sit on the couch never questioning, nor participating in the American experiment will wake up. It will take some time to filter the swamp.</span></span><br />
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<span style="background-color: white; color: #333333;"><span style="font-family: inherit;">Trump is the ultimate negotiator. He leads with a high price from which he can afford to offer relief when the other side contributes to the deal.</span></span><br />
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<span style="background-color: white; color: #333333;"><span style="font-family: inherit;">Mr. Molyneux has given me great hope with his knowledge and explanation of what Donald Trump was up to this past week, while women were marching (by the way that march was planned months ago as a victory parade for the defeated Hillary Clinton, not as an anti-trump protest)</span></span><br />
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<span style="background-color: white; color: #333333;"><span style="font-family: inherit;">DISCLAIMER: I am not an avid supporter</span></span>Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0tag:blogger.com,1999:blog-8346509478125877147.post-52658662500702707662017-01-23T17:37:00.001-08:002017-01-23T17:37:21.990-08:00The Story of Your EnslavementIt seems fitting to analyze the quick shift from liberal to conservative government. Can we even define the change in those terms.?<br />
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The ruling congress is Republican while the President can hardly be called a Republican except for his ties and history of capitalism. The Democrats have been flailing about with larger and larger government and never ending hackneyed sound bytes about social welfare and increasing health care bureaucracy while at the same time blabbering on about health care savings.<br />
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Are we enslaved by either system? Do both systems prey upon us in a universal manner ? The video should prick your interest.<br />
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<iframe allowfullscreen="" frameborder="0" height="270" src="https://www.youtube.com/embed/Xbp6umQT58A" width="480"></iframe>Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0tag:blogger.com,1999:blog-8346509478125877147.post-68116561067374131322017-01-11T11:14:00.001-08:002017-01-23T15:43:36.590-08:00Healthcare Stole the American Dream - Here’s How We Get it Back | Dave C..., Bay Area Cancer Patient.. - gmlevinmd@gmail.com - Gmail<a href="https://mail.google.com/mail/ca/u/0/#inbox/1598eb74a7c8fcc8">Healthcare Stole the American Dream - Here’s How We Get it Back |</a><br />
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Something all patients should know if you live in California and five other states, <span class="m_-467092365763947663mobile-hide">Oregon, District of Columbia,Vermont, Washington and California. It is an ..</span><a data-saferedirecturl="https://www.google.com/url?hl=en&q=https://www.feedspot.com/login?h%3D9i/gxYQyAQMp8fgy5d4yx/Ix4axmTOsYFRfmGQj5HvrgGvq5ZCHk6Rvj50rczkzJ4EPJ5Voa5%2B4e4%2BYa2s4W%26continue%3Dhttp%253A%252F%252Fwww.feedspot.com%252F%253Fhash%253Dfeed%252Ff_4241120%252Farticle%252F3684218115%253Fdd%253D43115121885231&source=gmail&ust=1484247179628000&usg=AFQjCNESUEucqBAVGYuAfId9eP-VRcpIHQ" href="https://www.feedspot.com/login?h=9i/gxYQyAQMp8fgy5d4yx/Ix4axmTOsYFRfmGQj5HvrgGvq5ZCHk6Rvj50rczkzJ4EPJ5Voa5+4e4+Ya2s4W&continue=http%3A%2F%2Fwww.feedspot.com%2F%3Fhash%3Dfeed%2Ff_4241120%2Farticle%2F3684218115%3Fdd%3D43115121885231" style="color: #0077b5; text-decoration: none;" target="_blank">Read More →</a></div>
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Doctors giving regular checkups will get the most bang for their buck if they advise <span class="m_-467092365763947663mobile-hide">adults to quit smoking, convince teens to never start, and keep children </span></div>
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Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0tag:blogger.com,1999:blog-8346509478125877147.post-17957560096502975162017-01-10T17:29:00.002-08:002018-06-01T16:10:00.663-07:0013 Questions to Ask Before Getting Married - The New York Times<header class="story-header interactive-header" style="background-color: white; border: 0px; color: #333333; font-family: nyt-cheltenham, georgia, "times new roman", times, serif; margin: 0px auto; max-width: 1050px; padding: 0px; position: relative;"><div class="story-meta" style="margin-bottom: 10px;">
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<span style="font-size: large;">13 Questions to Ask<br data-owner="balance-text" />Before Getting Married</span></h1>
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<span class="byline last-byline" itemprop="author creator" itemscope="" itemtype="http://schema.org/Person" style="font-family: nyt-cheltenham-sh, georgia, "times new roman", times, serif; font-size: 0.6875rem; font-weight: 700; line-height: 0.75rem; margin-right: 7px;">By <span class="byline-author" data-byline-name="ELEANOR STANFORD" itemprop="name" style="white-space: nowrap;">ELEANOR STANFORD</span></span> <time class="dateline" content="2016-03-24" datetime="2016-03-24" itemprop="dateModified" style="color: black; font-family: nyt-cheltenham-sh, georgia, "times new roman", times, serif; font-size: 0.6875rem; line-height: 0.75rem; margin-left: 0px; white-space: nowrap;">MARCH 24, 2016</time></div>
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When it comes to marriage, what you don’t know really can hurt you.</div>
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Whether because of <span class="ins cts-2">shyness, lack of interest or </span>a desire to preserve romantic mystery, many couples do n<span class="ins cts-1">o</span>t ask each other the difficult questions that can help build the foundation for a stable marriage, according to relationship experts.</div>
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In addition to wanting someone with whom they can raise children and build a secure life, those considering marriage now expect their spouses to be both best friend and confidant. These romantic-comedy expectations, in part thanks to Hollywood, can be difficult to live up to.</div>
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Sure, there are <a data-mce-href="http://www.nytimes.com/2015/01/11/fashion/no-37-big-wedding-or-small.html?_r=0" href="http://www.nytimes.com/2015/01/11/fashion/no-37-big-wedding-or-small.html?_r=0" style="color: #326891; text-decoration: none;" title="The 36 questions that lead to love">plenty of questions</a> couples c<span class="ins cts-2">an</span> ask of each other early in the relationship to help <span class="ins cts-1">e</span>nsure a good fit, but let’s face it: most don’t.</div>
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“If you don’t deal with an issue before marriage, you deal with it while you’re married,” said Robert Scuka, the executive director of the <a data-mce-href="http://www.nire.org/" href="http://www.nire.org/" style="color: #326891; text-decoration: none;">National Institute of Relationship Enhancement</a>. It can be hard to keep secrets decade after decade, and reticence before the wedding can lead to disappointments down the line.</div>
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The following questions, intimate and sometimes awkward, are designed to spark honest discussions and possibly give couples a chance to spill secrets before it’s too late.</div>
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<img alt="" class="media-viewer-candidate ll-init ll-loaded" data-mediaviewer-caption="" data-mediaviewer-credit="Julia Rothman" data-mediaviewer-src="https://static01.nyt.com/images/2016/03/24/style/24Marriage-Questions-slide-H20Z/24Marriage-Questions-slide-H20Z-jumbo.jpg" data-pattern="{{size}}" data-ratio="0.6513671875" data-widths="[{"slug":"https://static01.nyt.com/images/2016/03/24/style/24Marriage-Questions-slide-H20Z/24Marriage-Questions-slide-H20Z-master1050.jpg","size":1050},{"slug":"https://static01.nyt.com/images/2016/03/24/style/24Marriage-Questions-slide-H20Z/24Marriage-Questions-slide-H20Z-master180.jpg","size":180},{"slug":"https://static01.nyt.com/images/2016/03/24/style/24Marriage-Questions-slide-H20Z/24Marriage-Questions-slide-H20Z-blog225.jpg","size":225},{"slug":"https://static01.nyt.com/images/2016/03/24/style/24Marriage-Questions-slide-H20Z/24Marriage-Questions-slide-H20Z-tmagSF.jpg","size":362},{"slug":"https://static01.nyt.com/images/2016/03/24/style/24Marriage-Questions-slide-H20Z/24Marriage-Questions-slide-H20Z-blog427.jpg","size":427},{"slug":"https://static01.nyt.com/images/2016/03/24/style/24Marriage-Questions-slide-H20Z/24Marriage-Questions-slide-H20Z-blog480.jpg","size":480},{"slug":"https://static01.nyt.com/images/2016/03/24/style/24Marriage-Questions-slide-H20Z/24Marriage-Questions-slide-H20Z-master495.jpg","size":495},{"slug":"https://static01.nyt.com/images/2016/03/24/style/24Marriage-Questions-slide-H20Z/24Marriage-Questions-slide-H20Z-blog533.jpg","size":533},{"slug":"https://static01.nyt.com/images/2016/03/24/style/24Marriage-Questions-slide-H20Z/24Marriage-Questions-slide-H20Z-tmagArticle.jpg","size":592},{"slug":"https://static01.nyt.com/images/2016/03/24/style/24Marriage-Questions-slide-H20Z/24Marriage-Questions-slide-H20Z-articleLarge.jpg","size":600},{"slug":"https://static01.nyt.com/images/2016/03/24/style/24Marriage-Questions-slide-H20Z/24Marriage-Questions-slide-H20Z-master675.jpg","size":675},{"slug":"https://static01.nyt.com/images/2016/03/24/style/24Marriage-Questions-slide-H20Z/24Marriage-Questions-slide-H20Z-jumbo.jpg","size":1024},{"slug":"https://static01.nyt.com/images/2016/03/24/style/24Marriage-Questions-slide-H20Z/24Marriage-Questions-slide-H20Z-popup.jpg","size":650},{"slug":"https://static01.nyt.com/images/2016/03/24/style/24Marriage-Questions-slide-H20Z/24Marriage-Questions-slide-H20Z-slide.jpg","size":600},{"slug":"https://static01.nyt.com/images/2016/03/24/style/24Marriage-Questions-slide-H20Z/24Marriage-Questions-slide-H20Z-superJumbo.jpg","size":1788},{"slug":null,"size":null}]" height="278" src="https://static01.nyt.com/images/2016/03/24/style/24Marriage-Questions-slide-H20Z/24Marriage-Questions-slide-H20Z-slide.jpg" style="display: block; max-width: 100%;" width="400" /></div>
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<a href="http://www.nytimes.com/interactive/2016/03/23/fashion/weddings/marriage-questions.html?smid=go-share">13 Questions to Ask Before Getting Married - The New York Times</a>Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0tag:blogger.com,1999:blog-8346509478125877147.post-43632395960106499762017-01-10T17:27:00.001-08:002017-01-10T17:27:38.067-08:00Where Are the Stars? See How Light Pollution Affects Night Skies | Short...<iframe allowfullscreen="" frameborder="0" height="270" src="https://www.youtube.com/embed/0FXJUP6_O1w" width="480"></iframe>Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0tag:blogger.com,1999:blog-8346509478125877147.post-68075687658089076342017-01-02T11:54:00.001-08:002020-11-07T08:22:44.682-08:00Top 12 Inspirational Leadership Quotes For 2017<span style="font-size: large;">New Year's is the time for resolutions. Here is the checklist for your leadership traits.</span><br />
<br />
<span style="background-color: white; font-family: "georgia" , "times new roman" , "times" , serif;">A good place to start is to review the qualities and practices of exceptional leaders, which have remained the same since the beginning of civilization, as summarized in a book M.A. Soupios and I co-authored, </span><a href="http://www.amazon.com/Ten-Golden-Rules-Leadership-Classical/dp/0814434673/ref=sr_1_1?ie=UTF8&qid=1419790524&sr=8-1&keywords=mourdoukoutas" style="background-color: white; border: 0px; box-sizing: border-box; color: #003891; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank"><em style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: inherit; font-stretch: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">The</em> <em style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: inherit; font-stretch: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Ten Golden Rules of Leadership</em></a><span style="background-color: white; font-family: "georgia" , "times new roman" , "times" , serif; font-size: 21px;">.</span><br />
<span style="background-color: white; font-family: "georgia" , "times new roman" , "times" , serif; font-size: 21px;"><br /></span>
<span style="background-color: white; font-family: "georgia" , "times new roman" , "times" , serif; font-size: 21px;">Here are 12 quotes from the book that provides a glimpse into the qualities and practices of great leaders:</span><br />
<ol style="-webkit-margin-after: 0px; -webkit-margin-before: 0px; -webkit-padding-start: 0px; background-color: white; border: 0px; box-sizing: border-box; font-stretch: inherit; font-variant-numeric: inherit; line-height: 1.4em; list-style: none; margin-block: 0px; margin: 0px; padding-inline-start: 0px; padding: 0px; vertical-align: baseline;">
<li style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; line-height: inherit; list-style: decimal; margin: 1em 0px 1em 2em; padding: 0px; vertical-align: baseline;">Skills and experience might land you a leadership position, but they don’t make you a true leader.</li>
<li style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; line-height: inherit; list-style: decimal; margin: 1em 0px 1em 2em; padding: 0px; vertical-align: baseline;">Leadership comes from inside—and the greatest leaders first question themselves before they tackle the world around them. To aid in this critical interrogation.</li>
<li style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; line-height: inherit; list-style: decimal; margin: 1em 0px 1em 2em; padding: 0px; vertical-align: baseline;">The "fate" of organizations is not based on the stars. The character of an organization's leadership determines a company's destiny.</li>
<div article-ad-inbody="inread" class="inread ng-isolate-scope inread-active" id="article-0-inread" style="border: 0px; box-sizing: border-box; clear: both; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">
</div>
<li style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; line-height: inherit; list-style: decimal; margin: 1em 0px 1em 2em; padding: 0px; vertical-align: baseline;">The assumption of authority brings out the leader’s inner world.</li>
<li style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; line-height: inherit; list-style: decimal; margin: 1em 0px 1em 2em; padding: 0px; vertical-align: baseline;">Leadership cannot be done by the numbers.</li>
<li style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; line-height: inherit; list-style: decimal; margin: 1em 0px 1em 2em; padding: 0px; vertical-align: baseline;">Toxic environments are not the result of spontaneous bad fortune. They are the result of toxic leaders.</li>
<li style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; line-height: inherit; list-style: decimal; margin: 1em 0px 1em 2em; padding: 0px; vertical-align: baseline;">Of all the many potential shortcomings an assumed leader might bring to an organization, nothing is more lethal than the arbitrary application of power.</li>
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<a class="thumb ng-scope" data-track="vest-pocket-entry-1" href="http://www.forbes.com/sites/panosmourdoukoutas/2015/12/05/the-ten-golden-rules-of-leadership/" ng-attr-data-track="vest-pocket-entry-{{$index+1}}" ng-attr-target="{{::$root.linkTarget(vest_pocket_item.uri)}}" ng-class="{'hasimage':vest_pocket_item.image}" ng-href="http://www.forbes.com/sites/panosmourdoukoutas/2015/12/05/the-ten-golden-rules-of-leadership/" style="-webkit-tap-highlight-color: transparent; background-color: #797979; border: 0px; box-sizing: border-box; display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; height: 204px; line-height: inherit; margin: 0px; overflow: hidden; padding: 0px; position: relative; text-decoration: none; vertical-align: baseline;" target="_self"><span class="icon" style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"></span></a><br />
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<a class="thumb ng-scope" data-track="vest-pocket-entry-1" href="http://www.forbes.com/sites/panosmourdoukoutas/2015/12/05/the-ten-golden-rules-of-leadership/" ng-attr-data-track="vest-pocket-entry-{{$index+1}}" ng-attr-target="{{::$root.linkTarget(vest_pocket_item.uri)}}" ng-class="{'hasimage':vest_pocket_item.image}" ng-href="http://www.forbes.com/sites/panosmourdoukoutas/2015/12/05/the-ten-golden-rules-of-leadership/" style="-webkit-tap-highlight-color: transparent; background-color: #797979; border: 0px; box-sizing: border-box; display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; height: 204px; line-height: inherit; margin: 0px; overflow: hidden; padding: 0px; position: relative; text-decoration: none; vertical-align: baseline;" target="_self">
<span class="label" style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"></span>The Ten Golden Rules Of Leadership</a></h5>
</div>
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</a></div>
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<a class="thumb gallery-container ng-scope" data-track="vest-pocket-entry-2" href="http://www.forbes.com/pictures/fflf45fkhe/the-richest-person-in-ev/" ng-attr-data-track="vest-pocket-entry-{{$index+1}}" ng-attr-target="{{::$root.linkTarget(vest_pocket_item.uri)}}" ng-href="http://www.forbes.com/pictures/fflf45fkhe/the-richest-person-in-ev/" style="-webkit-tap-highlight-color: transparent; background-color: #797979; border: 0px; box-sizing: border-box; display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; height: 204px; line-height: inherit; margin: 0px; overflow: hidden; padding: 0px; position: relative; text-decoration: none; vertical-align: baseline;" target="_self"></a><br />
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<a class="thumb gallery-container ng-scope" data-track="vest-pocket-entry-2" href="http://www.forbes.com/pictures/fflf45fkhe/the-richest-person-in-ev/" ng-attr-data-track="vest-pocket-entry-{{$index+1}}" ng-attr-target="{{::$root.linkTarget(vest_pocket_item.uri)}}" ng-href="http://www.forbes.com/pictures/fflf45fkhe/the-richest-person-in-ev/" style="-webkit-tap-highlight-color: transparent; background-color: #797979; border: 0px; box-sizing: border-box; display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; height: 204px; line-height: inherit; margin: 0px; overflow: hidden; padding: 0px; position: relative; text-decoration: none; vertical-align: baseline;" target="_self"><span class="reason ng-binding ng-scope popular-video-gallery" face=""noto sans" , "helvetica" , "arial" , sans-serif" ng-class="vest_pocket_item.reason_parsed.display_class" ng-if="vest_pocket_item.reason_parsed" style="background-color: #ffd821; border: 0px; box-sizing: border-box; color: black; display: block; float: left; font-size: 0.55em; font-stretch: normal; font-weight: 800; line-height: normal; margin: 0px; min-height: 18px; padding: 0.15em 0.5em; position: absolute; text-align: left; text-transform: uppercase; top: 5px; vertical-align: baseline; z-index: 100;">MOST POPULAR</span><i class="icon icon-gallery" style="border: 0px; box-sizing: border-box; color: white; font-family: inherit; font-size: 1.12em; font-stretch: inherit; font-variant: inherit; font-weight: inherit; left: 204px; line-height: inherit; margin: 0.25em 0px 0px -1.5em; opacity: 1; padding: 0px; position: absolute; top: 0px; vertical-align: baseline; z-index: 1;"></i></a><br />
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<a class="thumb gallery-container ng-scope" data-track="vest-pocket-entry-2" href="http://www.forbes.com/pictures/fflf45fkhe/the-richest-person-in-ev/" ng-attr-data-track="vest-pocket-entry-{{$index+1}}" ng-attr-target="{{::$root.linkTarget(vest_pocket_item.uri)}}" ng-href="http://www.forbes.com/pictures/fflf45fkhe/the-richest-person-in-ev/" style="-webkit-tap-highlight-color: transparent; background-color: #797979; border: 0px; box-sizing: border-box; display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; height: 204px; line-height: inherit; margin: 0px; overflow: hidden; padding: 0px; position: relative; text-decoration: none; vertical-align: baseline;" target="_self">
</a>
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<a class="thumb gallery-container ng-scope" data-track="vest-pocket-entry-2" href="http://www.forbes.com/pictures/fflf45fkhe/the-richest-person-in-ev/" ng-attr-data-track="vest-pocket-entry-{{$index+1}}" ng-attr-target="{{::$root.linkTarget(vest_pocket_item.uri)}}" ng-href="http://www.forbes.com/pictures/fflf45fkhe/the-richest-person-in-ev/" style="-webkit-tap-highlight-color: transparent; background-color: #797979; border: 0px; box-sizing: border-box; display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; height: 204px; line-height: inherit; margin: 0px; overflow: hidden; padding: 0px; position: relative; text-decoration: none; vertical-align: baseline;" target="_self">
<span class="label" style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Photos:</span> The Richest Person In Every State</a></h5>
</div>
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</a></div>
</div>
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<div class="str-adunit str-clickout str-expanded str-card-exp str-no-share-labels" data-str-campaign-key="DSJknaL8RXKoEGgsDBMpzgsFA9" data-str-native-key="12653cf9" data-str-rendered="1483384094896" data-str-visited-flag="true" style="background-color: #f6f6f6; border: 0px; box-sizing: border-box; clear: both; cursor: pointer; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; height: auto; line-height: inherit; margin: 0px; overflow: hidden; padding: 0px; position: relative; text-align: left; vertical-align: baseline; width: 170px;">
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<a class="thumb ng-scope hasimage" data-track="vest-pocket-entry-4" href="http://www.forbes.com/sites/housemoneystudios/2016/12/31/wwes-top-5-biggest-moments-of-2016-featuring-goldberg-roman-reigns-brock-lesnar-and-more/" ng-attr-data-track="vest-pocket-entry-{{$index+1}}" ng-attr-target="{{::$root.linkTarget(vest_pocket_item.uri)}}" ng-class="{'hasimage':vest_pocket_item.image}" ng-href="http://www.forbes.com/sites/housemoneystudios/2016/12/31/wwes-top-5-biggest-moments-of-2016-featuring-goldberg-roman-reigns-brock-lesnar-and-more/" style="-webkit-tap-highlight-color: transparent; background-color: black; border: 0px; box-sizing: border-box; display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; height: 204px; line-height: inherit; margin: 0px; overflow: hidden; padding: 0px; position: relative; text-decoration: none; vertical-align: baseline;" target="_self"></a><br />
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<a class="thumb ng-scope hasimage" data-track="vest-pocket-entry-4" href="http://www.forbes.com/sites/housemoneystudios/2016/12/31/wwes-top-5-biggest-moments-of-2016-featuring-goldberg-roman-reigns-brock-lesnar-and-more/" ng-attr-data-track="vest-pocket-entry-{{$index+1}}" ng-attr-target="{{::$root.linkTarget(vest_pocket_item.uri)}}" ng-class="{'hasimage':vest_pocket_item.image}" ng-href="http://www.forbes.com/sites/housemoneystudios/2016/12/31/wwes-top-5-biggest-moments-of-2016-featuring-goldberg-roman-reigns-brock-lesnar-and-more/" style="-webkit-tap-highlight-color: transparent; background-color: black; border: 0px; box-sizing: border-box; display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; height: 204px; line-height: inherit; margin: 0px; overflow: hidden; padding: 0px; position: relative; text-decoration: none; vertical-align: baseline;" target="_self"><span class="reason ng-binding ng-scope popular-facebook" face=""noto sans" , "helvetica" , "arial" , sans-serif" ng-class="vest_pocket_item.reason_parsed.display_class" ng-if="vest_pocket_item.reason_parsed" style="background-color: #3664a2; border: 0px; box-sizing: border-box; color: white; display: block; float: left; font-size: 0.55em; font-stretch: normal; font-weight: 800; line-height: normal; margin: 0px; min-height: 18px; padding: 0.15em 0.5em; position: absolute; text-align: left; text-transform: uppercase; top: 5px; vertical-align: baseline; z-index: 100;">TRENDING ON FACEBOOK</span><span class="icon" style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"></span></a><br />
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<a class="thumb ng-scope hasimage" data-track="vest-pocket-entry-4" href="http://www.forbes.com/sites/housemoneystudios/2016/12/31/wwes-top-5-biggest-moments-of-2016-featuring-goldberg-roman-reigns-brock-lesnar-and-more/" ng-attr-data-track="vest-pocket-entry-{{$index+1}}" ng-attr-target="{{::$root.linkTarget(vest_pocket_item.uri)}}" ng-class="{'hasimage':vest_pocket_item.image}" ng-href="http://www.forbes.com/sites/housemoneystudios/2016/12/31/wwes-top-5-biggest-moments-of-2016-featuring-goldberg-roman-reigns-brock-lesnar-and-more/" style="-webkit-tap-highlight-color: transparent; background-color: black; border: 0px; box-sizing: border-box; display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; height: 204px; line-height: inherit; margin: 0px; overflow: hidden; padding: 0px; position: relative; text-decoration: none; vertical-align: baseline;" target="_self">
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<a class="thumb gallery-container ng-scope" data-track="vest-pocket-entry-5" href="http://www.forbes.com/pictures/emjl45efimh/the-worlds-highest-paid/" ng-attr-data-track="vest-pocket-entry-{{$index+1}}" ng-attr-target="{{::$root.linkTarget(vest_pocket_item.uri)}}" ng-href="http://www.forbes.com/pictures/emjl45efimh/the-worlds-highest-paid/" style="-webkit-tap-highlight-color: transparent; background-color: #797979; border: 0px; box-sizing: border-box; display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; height: 204px; line-height: inherit; margin: 0px; overflow: hidden; padding: 0px; position: relative; text-decoration: none; vertical-align: baseline;" target="_self"></a><br />
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<a class="thumb gallery-container ng-scope" data-track="vest-pocket-entry-5" href="http://www.forbes.com/pictures/emjl45efimh/the-worlds-highest-paid/" ng-attr-data-track="vest-pocket-entry-{{$index+1}}" ng-attr-target="{{::$root.linkTarget(vest_pocket_item.uri)}}" ng-href="http://www.forbes.com/pictures/emjl45efimh/the-worlds-highest-paid/" style="-webkit-tap-highlight-color: transparent; background-color: #797979; border: 0px; box-sizing: border-box; display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; height: 204px; line-height: inherit; margin: 0px; overflow: hidden; padding: 0px; position: relative; text-decoration: none; vertical-align: baseline;" target="_self"><span class="reason ng-binding ng-scope popular-video-gallery" face=""noto sans" , "helvetica" , "arial" , sans-serif" ng-class="vest_pocket_item.reason_parsed.display_class" ng-if="vest_pocket_item.reason_parsed" style="background-color: #ffd821; border: 0px; box-sizing: border-box; color: black; display: block; float: left; font-size: 0.55em; font-stretch: normal; font-weight: 800; line-height: normal; margin: 0px; min-height: 18px; padding: 0.15em 0.5em; position: absolute; text-align: left; text-transform: uppercase; top: 5px; vertical-align: baseline; z-index: 100;">MOST POPULAR</span><i class="icon icon-gallery" style="border: 0px; box-sizing: border-box; color: white; font-family: inherit; font-size: 1.12em; font-stretch: inherit; font-variant: inherit; font-weight: inherit; left: 204px; line-height: inherit; margin: 0.25em 0px 0px -1.5em; opacity: 1; padding: 0px; position: absolute; top: 0px; vertical-align: baseline; z-index: 1;"></i></a><br />
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<a class="thumb gallery-container ng-scope" data-track="vest-pocket-entry-5" href="http://www.forbes.com/pictures/emjl45efimh/the-worlds-highest-paid/" ng-attr-data-track="vest-pocket-entry-{{$index+1}}" ng-attr-target="{{::$root.linkTarget(vest_pocket_item.uri)}}" ng-href="http://www.forbes.com/pictures/emjl45efimh/the-worlds-highest-paid/" style="-webkit-tap-highlight-color: transparent; background-color: #797979; border: 0px; box-sizing: border-box; display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; height: 204px; line-height: inherit; margin: 0px; overflow: hidden; padding: 0px; position: relative; text-decoration: none; vertical-align: baseline;" target="_self">
<span class="label" style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Photos:</span> The World's Highest-Paid Models 2016</a></h5>
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<li style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; line-height: inherit; list-style: decimal; margin: 1em 0px 1em 2em; padding: 0px; vertical-align: baseline;">Supervisors who constantly micromanage, who second-guess every subordinate decision, who gleefully await any and all opportunities to criticize and bully, are a toxic presence in any environment.</li>
<li style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; line-height: inherit; list-style: decimal; margin: 1em 0px 1em 2em; padding: 0px; vertical-align: baseline;">The most lethal distortions come not from the lips of our opponents or competitors. They tend to flow, instead, from our own hearts.</li>
<li style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; line-height: inherit; list-style: decimal; margin: 1em 0px 1em 2em; padding: 0px; vertical-align: baseline;">Truth is an invaluable corporate asset. Don’t let it go waste. Embrace it.</li>
<li style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; line-height: inherit; list-style: decimal; margin: 1em 0px 1em 2em; padding: 0px; vertical-align: baseline;">Never underestimate the power of personal integrity; always set an honorable agenda; adhere to a code of professional conduct; never try to justify dishonesty and deceit; rather fail with honor than win by cheating.</li>
<li style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font: inherit; line-height: inherit; list-style: decimal; margin: 1em 0px 1em 2em; padding: 0px; vertical-align: baseline;">Honest assessment is an essential requirement of effective leadership….The problem is that the higher up the ladder you go, the less likely it is that you will receive complete and accurate information.</li>
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<h1 class="article-headline ng-binding" itemprop="headline" ng-bind="article.article.title" style="-webkit-margin-after: 0px; -webkit-margin-before: 0px; -webkit-padding-start: 0px; background-color: white; border: 0px; box-sizing: border-box; font-family: Georgia, "Times New Roman", Times, serif; font-stretch: inherit; font-variant-numeric: inherit; font-weight: 400; line-height: 48.91px; margin-block: 0px; margin: 0px 0px 17px; overflow-wrap: break-word; overflow: hidden; padding-inline-start: 0px; padding: 0px 1em 0px 0px; transition: font-size 0.3s ease-out 0s; vertical-align: baseline; width: auto; word-wrap: break-word;">
<span style="font-size: large;">The Ten Golden Rules Of Leadership</span></h1>
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The answers to these questions are condensed in a little book <em style="border: 0px; box-sizing: border-box; font-family: inherit; font-stretch: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">The Ten Golden Rules Of Leadership </em>(New York: AMACOM, 2015) I co-authored with Michael Soupios.</div>
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<span style="font-family: inherit; font-style: inherit;">Rule 1 Know Thyself</span><br />
<span style="font-family: inherit; font-style: inherit;">Rule 2 Office Shows The Person</span><br />
<span style="font-style: inherit; font-variant-caps: inherit; font-variant-ligatures: inherit;">Rule 3 Nurture Community In The Workplace</span><br />
<span style="font-family: inherit; font-style: inherit;">Rule 4 Do Not Waste Energy On Things You Cannot Change</span></div>
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<span style="background-color: white; font-family: inherit; font-style: inherit;">Rule 5 Always Embrace The Truth</span><br />
<div article-ad-inbody="inread" class="inread ng-isolate-scope inread-active" id="article-0-inread" style="border: 0px; box-sizing: border-box; clear: both; font-family: Tinos; font-stretch: inherit; font-variant-numeric: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">
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<span style="background-color: white; border: 0px; box-sizing: border-box; font-family: "georgia" , "times new roman" , "times" , serif; font-stretch: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Rule 6 Let Competition Reveal Talent</span></div>
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<span style="background-color: white; border: 0px; box-sizing: border-box; font-family: "georgia" , "times new roman" , "times" , serif; font-stretch: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><span style="border: 0px; box-sizing: border-box; font-stretch: inherit; font-variant-numeric: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Rule 7 Live Life By A Higher Code</span></span></div>
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<span style="background-color: white; font-family: inherit; font-style: inherit;">Rule 8 Always Evaluate Information With A Critical Eye</span><br />
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<span style="background-color: white; border: 0px; box-sizing: border-box; font-family: "georgia" , "times new roman" , "times" , serif; font-stretch: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><span style="border: 0px; box-sizing: border-box; font-stretch: inherit; font-variant-numeric: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><span style="border: 0px; box-sizing: border-box; font-stretch: inherit; font-variant-numeric: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Rule 9 Never Underestimate The Power of Personal Integrity</span></span></span></span></div>
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<span style="background-color: white; font-family: inherit; font-style: inherit;">Rule 10 Character Is Destiny</span><br />
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<span style="background-color: white; border: 0px; box-sizing: border-box; font-family: "georgia" , "times new roman" , "times" , serif; font-stretch: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><span style="border: 0px; box-sizing: border-box; font-stretch: inherit; font-variant-numeric: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><span style="border: 0px; box-sizing: border-box; font-stretch: inherit; font-variant-numeric: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><br /></span></span></span></span></span></div>
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<span style="background-color: white; border: 0px; box-sizing: border-box; font-family: "georgia" , "times new roman" , "times" , serif; font-stretch: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><span style="border: 0px; box-sizing: border-box; font-stretch: inherit; font-variant-numeric: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><span style="border: 0px; box-sizing: border-box; font-stretch: inherit; font-variant-numeric: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><span style="font-size: 21px;">True leadership is ultimately traceable to factors of character and personal integrity; much of what called “destiny” lies in our hands, not in mysterious forces beyond our control.</span></span></span></span></span></span></div>
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<a href="http://www.forbes.com/sites/panosmourdoukoutas/2017/01/01/top-12-inspirational-leadership-quotes-for-2017/#1114d6992a7b">Top 12 Inspirational Leadership Quotes For 2017</a>Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0United States35.460669951495305 -122.929694652557379.9386354514953048 -164.23828865255737 60.982704451495309 -81.621100652557374tag:blogger.com,1999:blog-8346509478125877147.post-4248724537943722552015-11-16T17:43:00.001-08:002015-11-16T17:43:59.118-08:00Teaching Doctors the Art of Negotiation - The New York Times<br /><br />
<div class="entry-content" style="background-color: white; color: #333333; font-size: 16px; margin-left: 120px; width: 480px;"><div class="story-body-text" itemprop="articleBody" style="font-size: 1rem; line-height: 1.4375rem; margin-bottom: 1em; max-width: 540px;"><span style="font-family: Arial, Helvetica, sans-serif;">Doctors negotiate every day, almost constantly — sometimes dramatically, often imperceptibly. They hold family meetings to resolve sensitive end-of-life issues. They address barriers to medication adherence. They encourage patients to receive uncomfortable screenings like colonoscopies and mammograms. They refuse treatments that are requested but not medically indicated. Yet they receive almost no formal instruction in how to do so.</span></div><div class="separator" style="clear: both; text-align: center;"><a href="http://1.bp.blogspot.com/-PLbyrYQfUao/VkqF6g00aBI/AAAAAAAAY_Q/pwWaW0jMvFU/s1600/khullar-articleInline-v2.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><span style="font-family: Arial, Helvetica, sans-serif;"><img border="0" height="200" src="http://1.bp.blogspot.com/-PLbyrYQfUao/VkqF6g00aBI/AAAAAAAAY_Q/pwWaW0jMvFU/s200/khullar-articleInline-v2.jpg" width="133" /></span></a></div><div class="story-body-text" itemprop="articleBody" style="font-size: 1rem; line-height: 1.4375rem; margin-bottom: 1em; max-width: 540px;"><span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: 1rem; line-height: 1.4375rem;">Dealing with medical colleagues creates an additional layer of negotiating complexity—especially in busy academic centers with competing demands on specialists’ time. Medicine is increasingly a team sport. In 1970, only about 2.5 full-time clinical staff cared for the average hospital patient; today, that number is</span><span style="font-size: 1rem; line-height: 1.4375rem;"> </span><a href="http://www.newyorker.com/online/blogs/newsdesk/2011/05/atul-gawande-harvard-medical-school-commencement-address.html" style="color: #326891; font-size: 1rem; line-height: 1.4375rem;">greater than 15</a><span style="font-size: 1rem; line-height: 1.4375rem;">.</span></span></div><div class="story-body-text" itemprop="articleBody" style="font-size: 1rem; line-height: 1.4375rem; margin-bottom: 1em; max-width: 540px;"><span style="font-family: Arial, Helvetica, sans-serif;">Doctors consult other doctors many times a day to discuss potential treatment options and decide on the best course of action. They work closely with residents, students, nurses, physician assistants, care coordinators and others to implement those plans. At each interaction, opportunities for collegiality and efficiency — or rancor and resentment — abound. That can mean the difference between a timely or delayed blood draw, accepting or refusing a consult, or getting those biopsy results today versus tomorrow.</span></div><div class="story-body-text" itemprop="articleBody" style="font-size: 1rem; line-height: 1.4375rem; margin-bottom: 1em; max-width: 540px;"><span style="font-family: Arial, Helvetica, sans-serif;">Recognizing the importance of negotiation, medical schools are starting to invest in communication training for students — and it seems to be paying off. Research suggests communication training can improve <a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2728700/" style="color: #326891;">patient adherence</a>, diagnostic <a href="http://www.ncbi.nlm.nih.gov/pubmed/12952997" style="color: #326891;">accuracy</a> and <a href="http://www.ncbi.nlm.nih.gov/pubmed/2646486" style="color: #326891;">chronic disease management</a>. But good communication, by itself, is only part of the solution. We need to teach doctors how to negotiate.</span></div><div class="story-body-text" itemprop="articleBody" style="font-size: 1rem; line-height: 1.4375rem; margin-bottom: 1em; max-width: 540px;"><span style="font-family: Arial, Helvetica, sans-serif;">Negotiation, in this context, is not about winning or losing, or haggling over price or scare resources. It’s about exploring underlying interests and positions to bring parties together in a constructive way. It’s about creative, innovative thinking to create lasting value and forge strong professional relationships. It’s about investigating what is behind positions that may seem irrational at first to understand the problem behind the problem.</span></div><div class="story-body-text" itemprop="articleBody" style="font-size: 1rem; line-height: 1.4375rem; margin-bottom: 1em; max-width: 540px;"><span style="font-family: Arial, Helvetica, sans-serif;">The medical profession is no longer one in which doctors dictate a given treatment course to patients, who are then expected to follow it. Rather, clinicians and patients deliberate about treatment options, weigh costs and benefits together, and determine the best course of action. This approach requires eliciting patient concerns and addressing underlying fears to arrive at the most effective strategy for maximizing health and well-being. As diseases like H.I.V. and some cancers that were once uniformly fatal become chronic conditions, and a greater diversity of treatment options becomes available, the ability to negotiate long-term care plans will only grow in importance.</span></div><div class="story-body-text" itemprop="articleBody" style="font-size: 1rem; line-height: 1.4375rem; margin-bottom: 1em; max-width: 540px;"><span style="font-family: Arial, Helvetica, sans-serif;">Physicians are also increasingly assuming leadership roles. They are expected to negotiate with a vast array of third parties, including health plans, governments and pharmaceutical companies. Health care changes double down on this expectation. The Affordable Care Act creates incentives for doctors and hospitals to band together to create networks known as Accountable Care Organizations — provider groups responsible for caring for an assigned patient population. Under new Medicare rules, providers can be paid less if they have low patient satisfaction scores or <a href="http://newoldage.blogs.nytimes.com/2012/11/27/hospitals-heighten-efforts-to-avoid-readmissions/" style="color: #326891;" title="Blog post about readmissions. ">excessive readmissions</a>. As quality metrics and cost-effectiveness play a larger role in reimbursement, physicians will need to negotiate with governments and insurers to establish fair and reasonable performance measures.</span></div><div class="story-body-text" itemprop="articleBody" style="font-size: 1rem; line-height: 1.4375rem; margin-bottom: 1em; max-width: 540px;"><span style="font-family: Arial, Helvetica, sans-serif;">Each medical encounter, then, becomes a multiparty mini-treaty signed by doctor, patient and family members — and sometimes, consulting physicians, ancillary staff, insurers, hospitals and governments. Law, business and public policy schools all offer classes in negotiation, recognizing the interdisciplinary and interdependent nature of their professions. Isn’t it time medical schools did, too?</span></div><div class="story-body-text" itemprop="articleBody" style="font-size: 1rem; line-height: 1.4375rem; margin-bottom: 1em; max-width: 540px;"><span style="font-family: Arial, Helvetica, sans-serif;">Remember, almost everything is negotiable.</span></div><span style="font-family: Arial, Helvetica, sans-serif;"><hr style="background-attachment: initial; background-clip: initial; background-color: black; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border-image-outset: initial; border-image-repeat: initial; border-image-slice: initial; border-image-source: initial; border-image-width: initial; border: none; clear: none; display: inline-block; height: 1px; line-height: 0; margin: 20px 0px; overflow: hidden; padding: 0px; width: 60px;" /></span><div class="story-body-text" itemprop="articleBody" style="font-size: 1rem; line-height: 1.4375rem; margin-bottom: 1em; max-width: 540px;"><i><span style="font-family: Arial, Helvetica, sans-serif;">Dhruv Khullar is a dual degree candidate at the Yale School of Medicine and Harvard Kennedy School, where he is a fellow at the Center for Public Leadership. Follow him on Twitter:<a href="https://twitter.com/@DhruvKhullar" style="color: #326891;">@DhruvKhullar</a>.</span></i></div></div><footer class="entry-footer" style="clear: both; margin-left: 0px; margin-top: 20px;"><button class="button comments-button theme-speech-bubble" style="border-image-outset: initial; border-image-repeat: initial; border-image-slice: initial; border-image-source: initial; border-image-width: initial; border-radius: 3px; border: none; color: white; cursor: pointer; float: left; font-size: 0.6875rem; line-height: 0.8125rem; margin: 8px 0px 0px; padding: 3px 15px 22px 0px; position: relative; text-transform: uppercase; vertical-align: middle;"><span style="font-family: Arial, Helvetica, sans-serif;"><span class="icon" style="background-attachment: initial; background-clip: initial; background-color: #879cb4; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border-radius: 4px; display: inline-block; height: 55px; line-height: 1em; padding: 0px; position: relative; vertical-align: middle; width: 90px;"></span><span class="categories" style="float: none; text-align: right;"><span style="color: white;"><span style="background-color: #879cb4; line-height: 11px;"> </span><span style="background-color: white; letter-spacing: 0.55px; line-height: 11px;"> </span></span><a href="http://well.blogs.nytimes.com/category/live/doctors/" rel="category tag" style="background-color: white; color: #999999; font-size: 0.625rem; font-weight: 700; line-height: 0.875rem; text-decoration: none;">DOCTORS</a><span style="background-color: white; color: #cccccc;">, </span></span><span class="tags" style="background-color: white; color: #cccccc; float: none; font-size: 0.6875rem; text-align: right;"><a href="http://well.blogs.nytimes.com/tag/doctors/" rel="tag" style="color: #cccccc; font-size: 0.625rem; line-height: 0.875rem; text-decoration: none;">DOCTORS</a>, <a href="http://well.blogs.nytimes.com/tag/hospitals/" rel="tag" style="color: #cccccc; font-size: 0.625rem; line-height: 0.875rem; text-decoration: none;">HOSPITAL</a></span></span></button></footer><span style="font-family: Arial, Helvetica, sans-serif;"><br /></span><br />
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<a href="http://well.blogs.nytimes.com/2014/01/23/teaching-doctors-the-art-of-negotiation/"><span style="font-family: Arial, Helvetica, sans-serif;">Teaching Doctors the Art of Negotiation - </span>The New York Times</a>Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0tag:blogger.com,1999:blog-8346509478125877147.post-20977568731419775282015-11-16T10:49:00.001-08:002015-11-16T10:49:38.554-08:00Landlocked Islanders | Hakai Magazine<div class="separator" style="clear: both; text-align: center;"><a href="http://2.bp.blogspot.com/-89nzUpWbOq4/VkojXLkM8JI/AAAAAAAAY-w/QXRu7JF6GE8/s1600/header-landlocked-marshall-islands.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="305" src="http://2.bp.blogspot.com/-89nzUpWbOq4/VkojXLkM8JI/AAAAAAAAY-w/QXRu7JF6GE8/s640/header-landlocked-marshall-islands.jpg" width="640" /></a></div><br /><br />
<div id="contentHeader" style="background-color: white; box-sizing: inherit; color: #494948; font-family: nimbus-sans, Arial, sans-serif; font-size: 18px; letter-spacing: 0.54px; line-height: 27px; margin: 0px; padding: 0px; text-align: center;"><h1 class="title" style="box-sizing: inherit; color: #1e5d6f; font-size: 2.722rem; line-height: 1; margin: 1rem 0px 0.75rem; padding: 0px; text-rendering: optimizeLegibility;">Landlocked Islanders</h1></div><div id="contentArea" style="background-color: white; box-sizing: inherit; color: #494948; font-family: nimbus-sans, Arial, sans-serif; font-size: 18px; letter-spacing: 0.54px; line-height: 27px; margin: 0px; padding: 0px;"><div class="block block-system block-odd first clearfix" id="block-system-main" style="box-sizing: inherit; margin: 0px; padding: 0px;"><div class="block-inner" style="box-sizing: inherit; margin: 0px; padding: 0px;"><div class="content" style="box-sizing: inherit; margin: 0px; padding: 0px;"><article class="node node-article node-odd" id="node-6128" style="box-sizing: inherit; clear: both; margin: 0px; padding: 0px;"><header style="box-sizing: inherit; margin: 0px; padding: 0px;"></header><div class="content" style="box-sizing: inherit; margin: 0px; padding: 0px;"><div class="field field-name-field-dek field-type-text-long field-label-hidden" style="border-color: rgb(222, 221, 215); border-style: solid; border-width: 1px 0px; box-sizing: inherit; font-size: 1.222rem; line-height: 1.3; margin: 0px 0px 0.5rem; padding: 0.25rem 0px; text-align: center;"><div class="field-items" style="box-sizing: inherit; margin: 0px; padding: 0px;"><div class="field-item even" style="box-sizing: inherit; margin: 0px; padding: 0px;"><div style="box-sizing: inherit; padding: 0px;">Can Marshall Islanders whose lives are tied to the sea maintain their culture in Oklahoma?</div></div></div></div><div class="view view-article-byline view-id-article_byline view-display-id-entity_view_1 view-dom-id-29be9faa0ff6c87375aea0a01b55ea52" style="box-sizing: inherit; font-family: adobe-garamond-pro, Georgia, serif; font-size: 1.111rem; margin: 0px; padding: 0px; text-align: center;"><div class="view-content" style="box-sizing: inherit; margin: 0px; padding: 0px;"><span class="byline__group" style="box-sizing: inherit; margin: 0px; padding: 0px;"><span class="byline__what" style="box-sizing: inherit; margin: 0px; padding: 0px;">by</span> <span class="byline__who" style="box-sizing: inherit; margin: 0px; padding: 0px;"><a href="http://www.hakaimagazine.com/profiles/krista-langlois" style="box-sizing: inherit; color: #494948; margin: 0px; padding: 0px; text-decoration: none; transition: color 0.1s linear;">Krista Langlois</a></span></span></div></div><div class="field field-name-field-date-published field-type-datetime field-label-hidden" style="box-sizing: inherit; color: #959591; font-family: adobe-garamond-pro, Georgia, serif; font-size: 0.778rem; margin: 0px 0px 1rem; padding: 0px; text-align: center;"><div class="field-items" style="box-sizing: inherit; margin: 0px; padding: 0px;"><div class="field-item even" style="box-sizing: inherit; margin: 0px; padding: 0px;"><span class="date-display-single" content="2015-11-16T11:00:00-08:00" datatype="xsd:dateTime" property="dc:date" style="box-sizing: inherit; margin: 0px; padding: 0px;">Published November 16, 2015</span></div></div></div><div class="field field-name-field-body field-type-text-long field-label-hidden" style="box-sizing: inherit; font-family: adobe-garamond-pro, Georgia, serif; margin: 0px 0px 0.9rem; padding: 0px;"><div class="field-items" style="box-sizing: inherit; margin: 0px; padding: 0px;"><div class="field-item even" style="box-sizing: inherit; margin: 0px; padding: 0px;"><div style="box-sizing: inherit; margin-bottom: 0.9rem; padding: 0px;">The amount of water is incomprehensible. We’ve been flying for hours, and just when we’re about as far from a landmass as you can possibly get—a spot where the curving, wave-flecked Pacific Ocean stretches thousands of kilometers in every direction—an island slides into view. It’s no more than a snippet of sand and palm trees, a snake winding through the blue plain of the Pacific. Fanning out around it are 1,200 similar islands, some inhabited, others not, arranged into a constellation of 29 atolls like stars in a universe of ocean. For every square kilometer of land in the Republic of the Marshall Islands, there are 10,732 square kilometers of ocean.</div><div style="box-sizing: inherit; margin-bottom: 0.9rem; padding: 0px;"><br /></div><figure class="image-captioned" style="box-sizing: inherit; letter-spacing: 0.54px; margin: 0px 0px 0.75rem; padding: 0px;"><figcaption style="box-sizing: inherit; color: #959591; font-family: nimbus-sans, Arial, sans-serif; font-size: 0.778rem; margin: 0px; padding: 0.25rem;">For every square kilometer of land in the Marshall Islands, there are 10,732 square kilometers of ocean. The islands are mostly ring-shaped, inviting a unique system of direction: lagoon-side and ocean-side. Photo by Greg Vaughn/VWPics/Newscom</figcaption></figure><div style="box-sizing: inherit; letter-spacing: 0.54px; margin-bottom: 0.9rem; padding: 0px;"></div><div style="box-sizing: inherit; letter-spacing: 0.54px; margin-bottom: 0.9rem; padding: 0px;">By the year 2100, it’s conceivable that climate change will force the entire population of the Marshall Islands to US shores. Already, more than 25,000 Marshallese—over a third of the population—have left the islands, many in the last 15 years. Among them was Sarah Joseph, now 22 and a resident of Enid, Oklahoma.</div><div style="box-sizing: inherit; letter-spacing: 0.54px; margin-bottom: 0.9rem; padding: 0px;">Through all of this, Marshallese culture adapted and survived. But today, it’s facing the one battle that might be impossible to win. Climate experts predict that because of rising sea levels caused by greenhouse gas emissions, the Marshall Islands could be uninhabitable by the end of this century.</div><div style="box-sizing: inherit; letter-spacing: 0.54px; margin-bottom: 0.9rem; padding: 0px;">As the ocean seeps into homes and buckles roads, it’s shifting from a source of inspiration to one of fear. </div><div class="separator" style="clear: both; text-align: center;"><a href="http://4.bp.blogspot.com/-vwnguFkYcPs/VkokYcPTsrI/AAAAAAAAY-4/DtWs5OeaILE/s1600/josa-landlocked-marshall-islands.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="223" src="http://4.bp.blogspot.com/-vwnguFkYcPs/VkokYcPTsrI/AAAAAAAAY-4/DtWs5OeaILE/s320/josa-landlocked-marshall-islands.jpg" width="320" /></a></div><div style="box-sizing: inherit; letter-spacing: 0.54px; margin-bottom: 0.9rem; padding: 0px; text-align: center;">Infant mortality is high, and celebrating the first year of life is an event which is special to Marshall Islanders</div><div style="box-sizing: inherit; letter-spacing: 0.54px; margin-bottom: 0.9rem; padding: 0px; text-align: center;"><br /></div><div style="box-sizing: inherit; letter-spacing: 0.54px; margin-bottom: 0.9rem; padding: 0px; text-align: left;"><span style="letter-spacing: 0.54px;">Unlike many Marshallese-Americans of her generation, though, Marla will later be able to say that once, she knew the ocean. She sat on her mother’s lap at the edge of the lagoon and felt the tropical water tickle her legs. She took her first steps in her paternal grandparents’ gecko-green house that rises from the sea on a piece of land sprouted from oil drums and old tires. She looked into the eyes of the sea turtle that the men speared for her first birthday feast. And, the night before her first birthday, just before midnight, she watched quietly, her brown eyes wide, as a chorus of women and children streamed into the house strumming ukuleles and singing, welcoming her to the world. To her home.</span></div><div style="box-sizing: inherit; letter-spacing: 0.54px; margin-bottom: 0.9rem; padding: 0px; text-align: left;"><span style="letter-spacing: 0.54px;"><b>Paradise lost</b></span></div></div></div></div></div></article></div></div></div></div><br /><br />
<a href="http://www.hakaimagazine.com/article-long/landlocked-islanders">Landlocked Islanders | Hakai Magazine</a>Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0tag:blogger.com,1999:blog-8346509478125877147.post-4248291974095549122015-08-21T08:56:00.001-07:002017-01-02T11:21:24.037-08:00Coca-Cola to Disclose Its Spending on Research Into Soft Drinks and Health - The New York TimesCoca-Cola in a move that echos the tobacco wars of three decades ago has announce the investment they have made in research to study the effects of drinking Coca-Cola. The campaign was announced this week by their CEO.<br /><br />
<br /><br />
Like most industry studies the outcome is pre-ordained to support their mission of proving obesity is not due to Coca-Cola. Their supposition is tat the current obesity epidemic is due to lack of exercise, and not the calories load of a can of cola.<br /><br />
<br /><br />
The impetus for the research was a ban in New York City on 'Super-size drinks in fast food restaurants.<br /><br />
Coca cola is leading this effort. <a href="http://www.huffingtonpost.com/2012/06/14/sugary-beverages-calories_n_1595014.html" target="_blank">T</a>he <a href="http://www.huffingtonpost.com/2012/06/14/sugary-beverages-calories_n_1595014.html" target="_blank">Online edition of the Huffington Post </a>reports there are many drinks whose caloric load is greater than Coke's. <br /><br />
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<div style="text-align: left;"><span style="background-color: white; color: #111111; font-family: Georgia, Century, Times, serif; line-height: 36px;"><b>11 Sugary Beverages With More Calories Than Cola</b></span></div><div style="text-align: left;"><br /></div><div style="text-align: left;"><span style="color: #111111; font-family: Georgia, Century, Times, serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><a href="http://4.bp.blogspot.com/-Eikso4pePq8/VddGNbchYzI/AAAAAAAAYHY/OscpBFEHIRs/s1600/arizonatea.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="145" src="http://4.bp.blogspot.com/-Eikso4pePq8/VddGNbchYzI/AAAAAAAAYHY/OscpBFEHIRs/s200/arizonatea.jpg" width="200" /></a></div><br /><br />
<div class="separator" style="clear: both; text-align: center;"><a href="http://2.bp.blogspot.com/-V9VW9QQcI5E/VddGNaBVAWI/AAAAAAAAYHc/4wyudmNysfE/s1600/dunkindonuts%2Bstrawberrylatte.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="http://2.bp.blogspot.com/-V9VW9QQcI5E/VddGNaBVAWI/AAAAAAAAYHc/4wyudmNysfE/s200/dunkindonuts%2Bstrawberrylatte.jpg" width="133" /></a></div><br /><br />
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<div class="separator" style="clear: both; text-align: center;"><a href="http://1.bp.blogspot.com/-fIuXWs9vGuo/VddGOdcyHeI/AAAAAAAAYHw/0XBqmrJpGoQ/s1600/jambajuice.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="150" src="http://1.bp.blogspot.com/-fIuXWs9vGuo/VddGOdcyHeI/AAAAAAAAYHw/0XBqmrJpGoQ/s200/jambajuice.jpg" width="200" /></a></div><br /><br />
<div class="separator" style="clear: both; text-align: center;"><a href="http://3.bp.blogspot.com/-bqOli9DRGtE/VddGNXo7OaI/AAAAAAAAYHU/WCHCSaIuTDk/s1600/Monsterdrink.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="145" src="http://3.bp.blogspot.com/-bqOli9DRGtE/VddGNXo7OaI/AAAAAAAAYHU/WCHCSaIuTDk/s200/Monsterdrink.jpg" width="200" /></a></div><br /><br />
<div class="separator" style="clear: both; text-align: center;"><a href="http://4.bp.blogspot.com/-cWzJCmyFOOc/VddGOqntP1I/AAAAAAAAYHs/Sw2fSJ8EGow/s1600/nesquic%2Bchocolate%2Blow%2Bfat%2Bmilk%2Bdrink.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="145" src="http://4.bp.blogspot.com/-cWzJCmyFOOc/VddGOqntP1I/AAAAAAAAYHs/Sw2fSJ8EGow/s200/nesquic%2Bchocolate%2Blow%2Bfat%2Bmilk%2Bdrink.jpg" width="200" /></a></div><br /><br />
<div class="separator" style="clear: both; text-align: center;"><a href="http://1.bp.blogspot.com/-pmkstWGTe7o/VddGPKouG4I/AAAAAAAAYIE/N-y5ffdlqMA/s1600/snapple.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="145" src="http://1.bp.blogspot.com/-pmkstWGTe7o/VddGPKouG4I/AAAAAAAAYIE/N-y5ffdlqMA/s200/snapple.jpg" width="200" /></a></div><div style="text-align: left;"><a href="http://www.hsph.harvard.edu/nutritionsource/healthy-drinks-full-story/" style="font-family: Georgia, Century, Times, serif; line-height: 36px;" target="_blank">The Harvard School of Public Health offers these alternative ideas for low calorie drinks</a></div><div style="text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="http://2.bp.blogspot.com/-pKXB48cRQmY/VddGOYNk0lI/AAAAAAAAYHk/Q8ByJ9CXgs0/s1600/h2o.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="212" src="http://2.bp.blogspot.com/-pKXB48cRQmY/VddGOYNk0lI/AAAAAAAAYHk/Q8ByJ9CXgs0/s320/h2o.jpg" width="320" /></a></div><ul style="background-color: white; border: 0px; color: #444444; font-family: Georgia, 'Times New Roman', serif; font-size: 16px; line-height: 1.714285714; list-style-position: outside; margin: 0px 0px 1.714285714rem; padding: 0px; vertical-align: baseline;"><li style="border: 0px; margin: 0px 0px 0px 2.571428571rem; padding: 0px; vertical-align: baseline;"><a class="noprint" href="http://www.hsph.harvard.edu/nutritionsource/healthy-drinks-full-story/#introduction" style="border: 0px; color: #008cc0; line-height: 1.714285714; margin: 0px; outline: none; padding: 0px; text-decoration: none; vertical-align: baseline;">Introduction</a></li>
<li style="border: 0px; margin: 0px 0px 0px 2.571428571rem; padding: 0px; vertical-align: baseline;"><a class="noprint" href="http://www.hsph.harvard.edu/nutritionsource/healthy-drinks-full-story/#guidelines" style="border: 0px; color: #008cc0; margin: 0px; outline: none; padding: 0px; text-decoration: none; vertical-align: baseline;">Beverage Guidelines from the Experts</a><ul style="border: 0px; line-height: 1.714285714; list-style: disc outside; margin: 0px; padding: 0px; vertical-align: baseline;"><li style="border: 0px; margin: 0px 0px 0px 2.571428571rem; padding: 0px; vertical-align: baseline;"><a class="noprint" href="http://www.hsph.harvard.edu/nutritionsource/healthy-drinks-full-story/#level-1" style="border: 0px; color: #008cc0; margin: 0px; outline: none; padding: 0px; text-decoration: none; vertical-align: baseline;">Water</a></li>
<li style="border: 0px; margin: 0px 0px 0px 2.571428571rem; padding: 0px; vertical-align: baseline;"><a class="noprint" href="http://www.hsph.harvard.edu/nutritionsource/healthy-drinks-full-story/#level-2" style="border: 0px; color: #008cc0; margin: 0px; outline: none; padding: 0px; text-decoration: none; vertical-align: baseline;">Tea and Coffee</a></li>
<li style="border: 0px; margin: 0px 0px 0px 2.571428571rem; padding: 0px; vertical-align: baseline;"><a class="noprint" href="http://www.hsph.harvard.edu/nutritionsource/healthy-drinks-full-story/#level-3" style="border: 0px; color: #008cc0; margin: 0px; outline: none; padding: 0px; text-decoration: none; vertical-align: baseline;">Low-Fat and Skim Milk and Soy Beverages</a></li>
<li style="border: 0px; margin: 0px 0px 0px 2.571428571rem; padding: 0px; vertical-align: baseline;"><a class="noprint" href="http://www.hsph.harvard.edu/nutritionsource/healthy-drinks-full-story/#level-4" style="border: 0px; color: #008cc0; margin: 0px; outline: none; padding: 0px; text-decoration: none; vertical-align: baseline;">Noncalorically Sweetened Beverages</a></li>
<li style="border: 0px; margin: 0px 0px 0px 2.571428571rem; padding: 0px; vertical-align: baseline;"><a class="noprint" href="http://www.hsph.harvard.edu/nutritionsource/healthy-drinks-full-story/#level-5" style="border: 0px; color: #008cc0; margin: 0px; outline: none; padding: 0px; text-decoration: none; vertical-align: baseline;">Caloric Beverages with Some Nutrients</a></li>
<li style="border: 0px; margin: 0px 0px 0px 2.571428571rem; padding: 0px; vertical-align: baseline;"><a class="noprint" href="http://www.hsph.harvard.edu/nutritionsource/healthy-drinks-full-story/#level-6" style="border: 0px; color: #008cc0; margin: 0px; outline: none; padding: 0px; text-decoration: none; vertical-align: baseline;">Calorically Sweetened Beverages</a></li>
</ul></li>
</ul><ul style="background-color: white; border: 0px; color: #444444; font-family: Georgia, 'Times New Roman', serif; font-size: 16px; line-height: 1.714285714; list-style-position: outside; margin: 0px 0px 1.714285714rem; padding: 0px; vertical-align: baseline;"><li style="border: 0px; margin: 0px 0px 0px 2.571428571rem; padding: 0px; vertical-align: baseline;"><a class="noprint" href="http://www.hsph.harvard.edu/nutritionsource/healthy-drinks-full-story/#plan" style="border: 0px; color: #008cc0; margin: 0px; outline: none; padding: 0px; vertical-align: baseline;">Putting it All Together: A Sample Beverage Plan</a></li>
<li style="border: 0px; margin: 0px 0px 0px 2.571428571rem; padding: 0px; vertical-align: baseline;"><a class="noprint" href="http://www.hsph.harvard.edu/nutritionsource/healthy-drinks-full-story/#references" style="border: 0px; color: #008cc0; margin: 0px; outline: none; padding: 0px; text-decoration: none; vertical-align: baseline;">References</a></li>
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<a href="http://www.nytimes.com/2015/08/21/business/coca-cola-to-disclose-its-spending-on-research-into-soft-drinks-and-health.html?utm_source=digg">Coca-Cola to Disclose Its Spending on Research Into Soft Drinks and Health - The New York Times</a>Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0tag:blogger.com,1999:blog-8346509478125877147.post-34707060392822972342015-08-17T23:53:00.000-07:002015-08-17T23:53:01.468-07:00The Loss of your IdentityEveryone is fearful of their <a href="http://blog.credit.com/2012/07/8-signs-your-identity-has-been-compromised-60038/"><span style="color: blue;">online identity</span> being stolen and hi-jacked,</a> however what does one do when you lose your identity ? Where does it go?<br />
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It happened to me about 8 years ago for the first time. I was not aware of what was happening, and attributed it to other factors. <br />
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I was operating at a new facility with equipment I had not used previously. Although the equipment was the same brand (a high quality preferred operating microscope) and the most commonly used for microsurgery, including neurosurgery, hand surgery, and eye surgery.<br />
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There were five cataract surgeries scheduled. The first two did not go well. After removing the cloudy lens using an ultrasound probe I attempted to place an<a href="https://en.wikipedia.org/wiki/Intraocular_lens"> <span style="color: blue;">intraocular lens</span> </a>into the space where the normal crystalline lens is located. It usually is placed in a space approximately 8 mm in diameter and less than 3mm in depth. It requires very fine depth perception akin to what fighter pilots must have to fly jets, and extremely fine motor control of one's hands I cancelled my last three cases asking the operating room director to have the microscope checked. <br />
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We all live in <a href="http://www.yourdictionary.com/in-denial"><span style="color: blue;">denia</span>l</a>.....it couldn't be that it was my "fault" I had been operating since 1976 for over thirty years. I considered myself a better than average eye surgeon. I was always an early adopter of new technology, and had good results, as evidenced by the numerous physicians who chose me to perform their cataract surgery. I had been a humble surgeon, not seeking attention although on several occasions was interviewed by a national feature program on NBC news. I never advertised, and after the program the demand for my services increased greatly. I remained current with new skill sets, travelling to take training courses.<br />
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The power of the media is enormous. I was a embarrassed when my colleagues mentioned it and brought attention to my television interview. I immediately regretted my acquiescence to being photographed and having a surgery broadcast (with patient permission and all personal identification of the patient masked for the broadcast). <br />
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I could feel the blood rushing to my head as I felt embarrassment at my sudden notoriety. Somehow or other I felt I had crossed an ethical line. I came from a generation where this type of activity was somewhat unethical and some surgeons have been warned or even had their membership in professional organizations suspended or removed. <br />
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I had agreed to the broadcast not for self-aggrandizement but as an educational message to patients how outpatient surgery which took less than an hour allowed a patient to go home immediately following surgery. Prior to this patients would remain in hospital or the outpatient surgery center for less than 2-3 hours, only long enough for the anesthesia to wear off.<br />
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Several other developments had occurred to allow this. A technique allowing a 3 mm incision to replace a 10 mm incision to remove the cataract with a relatively new ultrasound probe that dissolved the cataract to be dissolved with ultrasound. Also the development of safe intraocular lenses and fine nylon sutures about the width of a spider's fine web which restored normal vision and immediately allowed normal functioning eye sight without glasses or contact lenses.<br />
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<span style="color: blue;"><a href="http://www.yourdictionary.com/egocentricity">Egocentricity</a></span> can be a dangerous personality defect for a surgeon. Denial also can be treacherous to a patient. Self analysis and critique are essential. The first question that should run through a surgeon's mind must be 'did I do something wrong ?' Surgeons must be forward thinking and predict what may go wrong to produce a less than perfect result. I taught this to all my surgical residents as they began their careers.<br />
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Even after I was informed there was no problem with the <span style="color: blue;"><a href="https://en.wikipedia.org/wiki/Operating_microscope">operating microscope</a></span> I pursued the thought that it was an isolated event. I chalked it up to a bad day. In the past I had cancelled surgeries if I did not feel up to snuff, with a cold or some other malady that might effect my performance. (prim um non nocere--first do no harm).<br />
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Losing one's primary identity is a serious event in a surgeon's life. Most physicians primary worth is to help patients. The feeling is enormous and probably related to endorphin release, not unlike an addictive behavior or pleasurable activity such as jogging or other sports events. It often leads to depression and anxiety. Some physicians turn to substance abuse to compensate.<br />
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In my case it led to <span style="color: blue;"><a href="http://www.mayoclinic.org/diseases-conditions/depression/basics/definition/con-20032977">depression</a></span>, even requiring treatment. If severe enough it may even be due to underlying emotional disturbance deriving from underlying psychiatric disease, such as <a href="http://www.webmd.com/bipolar-disorder/"><span style="color: blue;">bipolar disorder</span>.</a> However t hat is another subject. <br />
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Eventually my deterioration became self-evident and my cases were reviewed as my complication rate increased. Vitreous (the gel inside the eye behind the lens should not be disturbed during cataract removal. The incidence of this increased to 50% of my cases. Still I lived in denial rationalizing this occurrences, as acceptable since I had dealt with this event in the prescribed manner....<span style="color: blue;"><a href="http://www.webmd.com/eye-health/vitrectomy" target="_blank">vitrectomy</a>.</span>.a procedure. in which the vitreous is meticulously removed with a special cutting device. All of the cases did well although their recovery was delayed. I felt pretty good being able to handle that complication. But why was that occurring in the first place? (still in denial)<br />
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I had a series of cardiac events, one serious enough to require a four vessel <a href="https://en.wikipedia.org/wiki/Coronary_artery_bypass_surgery" target="_blank">cardiac surgery bypass</a><span style="color: blue;">. </span>In the back of my mind I wondered if the surgeries and/or anesthesia had effected my fine motor coordination. I noted a slight intention tremor when picking up a glass of water....was that a tremor?? Nah...not me, I am fine.<br />
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Eventually I realized how fatigued i had become, missing educational meetings, and in a hurry to get through my operations. Besides fine motor skills and vision, patience is a necessity for any kind of surgery. Complications or difficulty during a case were never a problem for me to deal with. Now they became more than annoying.<br />
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My first cardiac event occurred when I was only 47 years old. My father and mother's family had a history of heart disease and my cholesterol levels were elevated requiring <span style="color: blue;"><a href="https://en.wikipedia.org/wiki/Statin" target="_blank">statin</a> drugs</span> which corrected it to normal levels. (but not me ?!) Only fools tread where no men go) I had evolved into my worst fear.<br />
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After all <span style="color: blue;"><a href="http://www.biography.com/people/dick-cheney-9246063#vice-presidency" target="_blank">Dick Cheney</a></span> continued to be vice-president as his <a href="http://www.usatoday.com/story/news/politics/2013/10/20/cheney-head--and-heart-strong/3107049/" target="_blank">heart condition deteriorated </a>far beyond mine. <span style="color: blue;"><a href="https://en.wikipedia.org/wiki/Arnold_Schwarzenegger" target="_blank">Arnold Schwarzenegger</a> </span>continued as governor of California after <a href="http://www.heart-valve-surgery.com/arnold-schwarzenegger.php" target="_blank">his cardiac surgery</a>. I prided myself how I had glided through angioplasties and open heart surgery...My foolish mantra was, " I am like the Timex watch, I take a licking and keep on ticking" No one mentioned if it still kept correct time.<br />
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I was great at offering advice to others, but not myself. Eventually one night i awoke at midnight unable to move my right arm. I had a<a href="http://www.heart-valve-surgery.com/arnold-schwarzenegger.php" target="_blank"> <span style="color: blue;">stroke</span></a>. Things became crystal clear to me . I was aging. Today I am fortunate that my arm (brain) rewired and the paralysis is completely gone. I have some balance problems and fall wit hout warning when I suddenly turn. I fell down a flight of stairs twice rolling like a basketball and bouncing several times. I could not get up for about ten minutes.<br />
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I completely retired at age 67, my last year of practice was <span style="color: blue;"><a href="http://careers.bmj.com/careers/advice/view-article.html?id=2902" target="_blank">medical ophthalmology</a>.</span> I still had a fantasy of operating...I was (and my patients even more fortunate that I was denied operating privileges) Thanks to my colleagues. It relieved me of making my own decision.....a foolish thought. Age and wisdom are two separate qualities and not related,<br />
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I hope that this article helps young surgeons to look forward and plan retirement voluntarily rather than being passive as I had been.<br />
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I leave this message to my young colleagues as a final passing shot...Enjoy it as much as possible, it will eventually leave. And remember you are not just a surgeon, but a father, a husband, and very educated. Your intellectual skills are transferable. Plan early to have a hobby or a second career. Mine is health reform and health information technology, hoping to improve patient care.Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0tag:blogger.com,1999:blog-8346509478125877147.post-61922758985571812682015-08-04T15:23:00.001-07:002017-01-02T11:22:39.163-08:00“Online doctor visits can be easy, but Congress thinks they increase costs” | mHealth Insight: the blog of 3G DoctorIn this followup article for <i>Why Medicare has been so slow to adopt Telemedicine, from August 1, 2015) the assessment that telemedicine could increase costs for CMS</i><br /><br />
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<span style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;">“</span><em style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;">Nearly 20 years after such videoconferencing technology has been available for health services, fewer than 1 percent of Medicare beneficiaries use it. Anthem and a health plan in western Pennsylvania are the only two Medicare Advantage insurers offering the virtual visits, and the traditional Medicare program has tightly limited telemedicine payments to certain rural areas. And even there, the beneficiary must already be at a clinic, a rule that often defeats the goal of making care more convenient</em><span style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;">”</span><br /><br />
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<div style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;">“<em>Congress has maintained such restrictions out of concern that the service might increase Medicare expenses. The Congressional Budget Office and other analysts have said giving seniors access to doctors online will encourage them to use more services, not replace costly visits to emergency rooms and urgent care centers</em>”</div><div style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;"><br /></div><div style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;">I think this is nothing more than a lack of acceptance that the world has changed and a defence of the outdated approach that’s being taken to maintain the status quo. <a href="http://mhealthinsight.com/2014/01/05/mhealth-toward-a-hospital-without-walls-video/" style="color: #b85b5a; text-decoration: none;" target="_blank">The 2000 year old office visit model is dead thanks to the successes of modern medicine</a> and <a href="http://mhealthinsight.com/2013/08/27/total-access-247365-begins-to-be-achievable-only-when-we-agree-that-the-product-we-choose-to-make-is-not-visits/" style="color: #b85b5a; text-decoration: none;" target="_blank">we now need to serve Patients with chronic conditions in between office visits</a>.</div><br /><br />
<div style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;">“<em>In 2012, the latest year for which data are available, Medicare paid about $5 million for telemedicine services — barely a blip compared with the program’s total spending of $466 billion, according to a study in the journal Telemedicine</em>”</div><div style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;">Can you imagine any other service industry spending just 0.001% of their budgets serving customers remotely? Is it any wonder the US healthcare system wastes so much money on extended hospital stays and avoidable readmissions when you realise insurers are investing so little in supporting Patients the moment they leave the building?</div><div style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;">“<em>“The very advantage of telehealth, its ability to make care convenient, is also potentially its Achilles’ heel,” Ateev Mehrotra, a Rand Corp. analyst, told a House Energy and Commerce subcommittee last year. “Telehealth may be ‘too convenient.’ </em>”</div><div style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;">Ateev hasn’t yet realised that <a href="http://mhealthinsight.com/2015/02/18/mark-bertolini-the-new-definition-of-quality-in-healthcare-is-convenience/" style="color: #b85b5a; text-decoration: none;" target="_blank">the new definition of quality in healthcare is convenience</a>. Arguing against making care convenient while the US spends $3.8 Trillion a year on healthcare is nonsensical, you might as well start building Hospitals on top of very steep hills and build steep staircases in front of the doors of Primary Care Clinics.</div><div style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;">“<em>But the telemedicine industry says letting more beneficiaries get care online would reduce doctor visits and emergency care. Industry officials, as well as the American Medical Association, the American Hospital Association and other health experts, say it’s time for Congress to expand use of telemedicine in Medicare</em>”</div><div style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;">It’s not just the “<em>telemedicine industry</em>” (a term I see being used in the USA to refer to vendors trying to flog expensive outdated bespoke equipment to Doctors <a href="http://mhealthinsight.com/2012/02/23/still-dont-quite-understand-the-benefits-of-mobile-video-access-to-a-doctor/" style="color: #b85b5a; text-decoration: none;" target="_blank">when they could for the large part make do with the mobile devices they already have in their pockets</a>) eg. <a href="https://www.youtube.com/watch?v=uY32p_BqPw0" style="color: #b85b5a; text-decoration: none;" target="_blank">check out the evidence published by John Bachman MD, Professor of Primary Care at the Mayo Clinic</a>, that shows how remote interaction using nothing more than <a href="http://mhealthinsight.com/2013/04/22/seattlemamadoc-imagine-if-we-used-the-tools-of-our-time/" style="color: #b85b5a; text-decoration: none;" target="_blank">the tools of our time</a> can reduce the need for GP visits by 40%.</div><div style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;">“<em>Popular outside Medicare. “There is no question that telemedicine is going to be an increasingly important portal for doctors and other providers to stay connected with patients,” former Surgeon General Richard Carmona said in an interview</em>”</div><div style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;"><br /></div><div style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;"><span style="font-family: Georgia, 'Times New Roman', Times, serif; font-size: small; line-height: 1.1em;"><a href="http://www.forbes.com/sites/glentullman/2012/04/12/facetime-m-d-how-consumer-tech-can-deliver-care-thats-better-faster-and-cheaper/" style="font-family: Georgia, 'Times New Roman', Times, serif; line-height: 1.1em;">FaceTime M.D.: How Consumer Tech Can Deliver Care That's Better, Faster And Cheaper</a></span></div><div style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;">Telemedicine offers all these features.</div><div style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;"><br /></div><div style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;">There are many devices akin to telehealth that offer improvement and significant leverage in bringing technology to patients in their homes.</div><div style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;"><br /></div><div style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;">Microsoft XBOX, Sony Playstation </div><div style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;"><br /></div><div style="background-color: white; color: #333333; font-family: Verdana; font-size: 12px; line-height: 16.7999992370605px;"><a href="http://mhealthinsight.com/2015/06/23/online-doctor-visits-can-be-easy-but-congress-thinks-they-increase-costs/?utm_content=buffer3daaa&utm_medium=social&utm_source=linkedin.com&utm_campaign=buffer" style="background-color: transparent;">“Online doctor visits can be easy, but Congress thinks they increase costs” | mHealth Insight: the blog of 3G Doctor</a></div>Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0tag:blogger.com,1999:blog-8346509478125877147.post-5686069144141275502015-08-04T08:03:00.001-07:002015-08-04T08:11:26.595-07:00When Surgeons listen to their Preferred Music, their Stitches are better and Faster -- ScienceDaily<div style="text-align: center;"><b>Mozart, Beethoven, Country or Rap ?</b></div><div style="text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="http://4.bp.blogspot.com/-MAZYxTObHqo/VcDT_Nh8c3I/AAAAAAAAX6w/Q1XN18I5aPY/s1600/musicnotes.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="220" src="http://4.bp.blogspot.com/-MAZYxTObHqo/VcDT_Nh8c3I/AAAAAAAAX6w/Q1XN18I5aPY/s320/musicnotes.jpg" width="320" /></a></div><br /><br />
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<div style="background-color: white; border-radius: 0px !important; box-sizing: border-box; color: #333333; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 14px; line-height: 20px; margin-bottom: 10px;">From classical to rock, music can be heard in operating rooms across the world. Although previous studies have shown that listening to music during operations can lower the stress levels of surgeons, there is limited information on the effects of music on technical performance while completing a surgical task, such as closing incisions. Stitching prowess and speed is especially important for plastic surgeons.</div><div style="background-color: white; border-radius: 0px !important; box-sizing: border-box; color: #333333; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 14px; line-height: 20px; margin-bottom: 10px;">Fifteen plastic surgery residents were asked to close incisions with layered stitches on pigs' feet obtained at a local food market -- pigs' feet are widely accepted as similar to human skin.</div><div style="background-color: white; border-radius: 0px !important; box-sizing: border-box; color: #333333; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 14px; line-height: 20px; margin-bottom: 10px;">The residents were not informed of the purpose of the study. They were asked to do their best and to notify the researchers when they completed a closure. The day after the first incision closing exercise, the residents were asked to do another repair using identical technique with the music either being turned on or off, in opposition to the first closure. They were not told that the researchers were comparing times or that the results would be graded until the study was completed.</div><div style="background-color: white; border-radius: 0px !important; box-sizing: border-box; color: #333333; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 14px; line-height: 20px; margin-bottom: 10px;">"We recognized that our subjects could potentially improve on the second repair simply as the result of repetition," said author Dr. Shelby Lies, the UTMB chief plastic surgery resident. "This effect was reduced by randomly assigning the residents to music first or no music first groups."</div><div style="background-color: white; border-radius: 0px !important; box-sizing: border-box; color: #333333; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 14px; line-height: 20px; margin-bottom: 10px;">The average repair completion time for all residents was 7 percent shorter when their preferred music was playing. This effect was magnified as the experience of the surgeon grew. Playing their preferred music led to a 10 percent reduction of repair time for senior residents as compared to an 8 percent time reduction seen in the junior residents.</div><div><div style="background-color: white; border-radius: 0px !important; box-sizing: border-box; color: #333333; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 14px; line-height: 20px; margin-bottom: 10px;">The quality of the work was judged by plastic surgeons who did not know whose work they were analyzing or other conditions of the study. The judges' ratings confirmed an overall improvement in repair quality while music was played, regardless of whether the resident did the repair with their music first or second. The residents were 'blinded' by not knowing why music was introduced to the surgery lab.</div></div><div>The report did not specify what music genre was played.</div><div><br /></div><div>Alessia Pedoto, MD in a report of music as a possible hazard in the operating room. Noise levels were measured in the operating rooms. The noise levels approached 100 decibels. O.R. personel reported the cacaphony of sounds. </div><div><br /></div><div>Current research demonstrates that OR decibel levels<br />
of constant or intermittent noise exceed the National<br />
Institute of Occupational Safety and Health (NIOSH)<br />
limits for damaging noise at baseline without the additive<br />
noise of music. Furthermore, a 2013 study noted that<br />
OR performance outcomes have been previously linked<br />
to changes in mental loading such as task complexity and<br />
workload at baseline noise levels without additive noise<br />
effects such as music.</div><div><br /></div><div>The UTMB study was performed in a surgical laboratory on animal pigs feet, (not a normal operating environment). This study may have no valid information regarding stiching times with music in the background.</div><div><br /></div><div><ol class="journal" style="background-color: white; border-radius: 0px !important; box-sizing: border-box; color: #333333; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; line-height: 20px; margin: 0px; padding-left: 20px;"><li style="border-radius: 0px !important; box-sizing: border-box; margin: 0px; padding-left: 5px;"><span style="font-size: xx-small;">Shelby R. Lies, Andrew Y. Zhang. <strong style="border-radius: 0px !important; box-sizing: border-box;">Prospective Randomized Study of the Effect of Music on the Efficiency of Surgical Closures</strong>. <em style="border-radius: 0px !important; box-sizing: border-box;">Aesthetic Surgery Journal</em>, 2015; sju161 DOI: <a href="http://dx.doi.org/10.1093/asj/sju161" rel="nofollow" style="background-color: transparent; border-radius: 0px !important; box-sizing: border-box; color: #4c7a9f; text-decoration: none;" target="_blank">10.1093/asj/sju161</a></span></li>
</ol></div><br /><br />
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<a href="http://www.sciencedaily.com/releases/2015/07/150730162840.htm">When surgeons listen to their preferred music, their stitches are better and faster -- ScienceDaily</a>Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0tag:blogger.com,1999:blog-8346509478125877147.post-6347459615536864512015-08-02T20:37:00.000-07:002015-08-02T20:42:23.168-07:00The Google + Haters<div class="separator" style="clear: both; text-align: center;">
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Those reports of Google +s death are premature. It is still a very active social media presence despite the dooms day emanations from the disenfranchised social media FBers, Tweeps and others.<br />
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It should never have been promoted as an alternative or competitor with <span style="color: #783f04;"><b>Facebook</b></span>. It is common knowledge the first developer of technology, be it software or hardware dominates the space.<br />
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Yes <b>Facebook </b>is a giant in the social media niche, far surpassing G + and all others for that matter. The leadership at Google is not afraid to fail. Google is not to be judge for it's failures. It remains at the forefront of search, so much so that the EU is now considering an anti-trust action again Larry Paige's offspring. Some well known executives have left, but probably not from dissatisfaction with Google.<br />
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In most industries executives have short lives, take Hewlitt-Packard, IBM, Microsoft, Apple and many not IT industries. The head of Proctor and Gamble defected and went to work with the Veterans Administration. This hardly seems like a promotion leaving a very successful and stable consumer driven company that has been in existence for decades, constantly growing both in volume and in stock market capitalization. <br />
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<b><span style="color: #7f6000;">Facebook </span></b>has been in existence far longer than Google +.It is a bit like buying new software, the new one may be better but it is hard to transition to a new work flow.<br />
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I was never a user of Facebook before <b><span style="color: #38761d;">Google</span></b> +. I still use both. Users of Faceook are faced with a conundrum..Do they build a new social media network ? Do they learn a new system ? Many are dissatisfied with Microsoft upgrades. Simple is good. Unless there is a marked advantage to using new software users hesitate to do so.<br />
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In terms of functionality Facebook responds much faster. Google lags considerably at times. Gmail is even worse. Connecting the two was a poor tactical decision, but it is far from destroying Google +. This is not a deprecation....and perhaps it will function better on the servers as a separate entity. I am not an expert on YouTube, but it does not depend upon Google or Google + for it's use. It became 'famous' on it's own strength. Google did stimulate it's use by connecting the log in to Google +<br />
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<b><i><span style="font-size: large;"><span style="background-color: white;"><span style="color: red;">The</span></span><span style="color: white;"> <span style="background-color: blue;">4th</span> </span><span style="color: blue;">of July</span></span></i></b></div>
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So what is it about Google +that seems to turn off social media fans? It is too complicated for social media users who want to communicate with their friends. It has a long learning curve, and too many segments, communities, collections, notifications, and more. It is confusing where to find your friends.<br />
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Google hangouts was a fresh addition, but it too shot itself in the foot by being release too early. It seemed each week there was a new feature...toolbox, messaging, an inconsisten and poor response or even no response to hangout invites. The events tab was unusalbe,many events did not even disiplay until they were over. Hangout were a bit too intimate until one had developed friends. It was a forum for adults, not teenagers. Google presented new opportunities for professionals such as physicians to broadcast surgery for the operating room.<br />
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I will place my bets on <span style="color: #38761d;"><b>Google</b></span></div>
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But then Again I usually lose my bets</div>
Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0tag:blogger.com,1999:blog-8346509478125877147.post-7974833175410546382015-04-05T04:15:00.001-07:002015-04-05T04:31:49.307-07:00Hillary ClintonNeed anyone say more? Once the aggrieved spurned spouse of Bill Clinton, most felt some sort of sympathy toward her when Monica Lewinsky assumed her wifely duties at 1600 Pennsylvania Avenue. <br />
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Hillary however has never been willing to 'get down' on her knees literally or figuratively. She always worked from the rear behind her man. Perhaps this was another figurative way of saying she has been an ass kisser most of her life, to get where she wanted to be. <br />
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I began to suspect these two Clintons of wanton ways when I read about the mysterious 'suicide death of Vince Foster, white house counsel who had coincidentally been subpoenaed to testify before Congress. shortly after the <a href="http://www.washingtonpost.com/wp-srv/politics/special/whitewater/whitewater.htm">Whitewatergate </a>became a new buzzword dating from a real estate deal in Arkansas when the two were young pups running Arkansas. Was the potential witness 'neutralized'<br />
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Consider the uncanny resemblance here. Accidental, or planned conciously or unconsciously as an "Untouchable", Hillary seems to be among some supporters in the Democratic Party. No one as yet in the party has come out in public as against her running for President of the United States. After all what is to gain at this early date, while other pubicly or surreptitiously prepare for the race.<br />
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<a href="http://1.bp.blogspot.com/-bsBvOCkMegY/VSEP85wmw1I/AAAAAAAAVSM/Suv7WnjsuZY/s1600/capone%2Bsunglasses.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-bsBvOCkMegY/VSEP85wmw1I/AAAAAAAAVSM/Suv7WnjsuZY/s1600/capone%2Bsunglasses.jpg" height="177" width="200" /></a></div>
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Many suspect that party faithful have gained their positions fo pseudo-power as her supporters and are in fear of what will happen to their livlihoods, and possibly more by 'outing' Hillary.<br />
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Many occurences put the American Public at Defcon 6 by her State Department shenanigans, in Benghazi In additon to her complete lack of humility over the deaths of four men, and damage to wives and children her answer to the questions was 'Four Americans are dead, what's the difference" The difference Hillary is that you are an emotionless cold hearted unfeeling fake. The women who believed in her to become the first lady to break the glass ceiling (with her hard head) have been blindly following and supporting her to have a female in our White House.<br />
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Some are so ennured to the Clintons that a supporter financed the Clintons at a time when she admittedly was insolvent. It was not an inexpensive home in a non-descript neighborhood, rather in Chapaqua, N.Y. a very upscale area of privelege for the 1%. There went that neighborhood. The Clintons then attempted to sponsored a wing-ding for non other than <a href="http://www.biography.com/people/muammar-al-qaddafi-39014">Mohamar Qadafi </a>(late) who brought along his one entourage, tent and all. Fitting for him as he was born in a Bedouin tent. (watch the video below)<br />
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<a href="http://1.bp.blogspot.com/-7f0fPqM2Bic/VSEUy3nZCZI/AAAAAAAAVSg/ACw_2PxktwE/s1600/20090923-tent.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-7f0fPqM2Bic/VSEUy3nZCZI/AAAAAAAAVSg/ACw_2PxktwE/s1600/20090923-tent.jpg" height="201" width="400" /></a></div>
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Qadafi's Tent Gathering</div>
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Located 13 miles from Chappaqua NY in another tony residential area for the 1%, in Bedford, NY the temporary tent was built on Donald Trump Land (another possible Presidential Candidate). You can be sure the "Donald" leased the land for a substantial amount of money for a one week stand. There must have been some oil in the deal. Qadafi countered by killing several hundred people in shooting down Pan Am's flight over </div>
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The relatively small berg of <a href="http://crownheights.info/nyc-news/21269/ny-town-orders-stop-to-gaddafi-tent-on-trump-land/">Bedford filed a legal suit</a> and forced the up and coming tent to be torn down.</div>
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Never under-estimate Hillary Clinton....she knows something we don't know.....55,000 emails.</div>
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<br />Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com1tag:blogger.com,1999:blog-8346509478125877147.post-25832183946470439732015-03-22T13:36:00.000-07:002015-03-22T13:36:04.048-07:00The Medical View from Here<span style="font-family: Trebuchet MS, sans-serif;">Our Digital Health Space web site is 404. We cannot post to that site, we are hoping it will be fixed soon by a Google Guru. </span><br />
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<span style="font-family: Trebuchet MS, sans-serif;">For the foreseeable future The View from Here will include Medical News</span><br />
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<span style="font-family: Trebuchet MS, sans-serif;"><b>Breakthrough in Cancer Imaging, and the use of Magnets in Surgery</b></span></div>
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See the imaging breakthrough hoping to transform cancer treatment<br />· Find out which favorite snack could save your heart<br />· Watch how magnets could make surgery easier and recovery faster<br /><br />All this and more in the latest VUCast, Vanderbilt's online newscast. Watch now.<br /><br />Follow Vanderbilt on Twitter: <a class="yt-uix-redirect-link" dir="ltr" href="https://twitter.com/vanderbiltu" rel="nofollow" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; color: #167ac6; cursor: pointer; margin: 0px; padding: 0px; text-decoration: none;" target="_blank" title="https://twitter.com/vanderbiltu">https://twitter.com/vanderbiltu</a>, on Instagram: <a class="yt-uix-redirect-link" dir="ltr" href="http://instagram.com/vanderbiltu" rel="nofollow" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; color: #167ac6; cursor: pointer; margin: 0px; padding: 0px; text-decoration: none;" target="_blank" title="http://instagram.com/vanderbiltu">http://instagram.com/vanderbiltu</a>and on Facebook: <a class="yt-uix-redirect-link" dir="ltr" href="https://www.facebook.com/vanderbilt" rel="nofollow" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; color: #167ac6; cursor: pointer; margin: 0px; padding: 0px; text-decoration: none;" target="_blank" title="https://www.facebook.com/vanderbilt">https://www.facebook.com/vanderbilt</a>.<br /><br />See all Vanderbilt social media at <a class="yt-uix-redirect-link" dir="ltr" href="http://social.vanderbilt.edu/" rel="nofollow" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; color: #167ac6; cursor: pointer; margin: 0px; padding: 0px; text-decoration: none;" target="_blank" title="http://social.vanderbilt.edu">http://social.vanderbilt.edu</a>.</div>
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Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0tag:blogger.com,1999:blog-8346509478125877147.post-50258776414760235992015-01-31T04:02:00.001-08:002015-01-31T04:02:40.529-08:00Government and corporation - unethical and hypocritical actions<span style="background-color: white; color: #4d4f51; font-family: Helvetica, Arial, sans-serif; font-size: 16px; line-height: 24px;">Perspectives on Government:</span><br />
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<a href="http://3.bp.blogspot.com/-FKxHEuXlN48/VMzCe9jtiLI/AAAAAAAAPDM/lf_fkfg7eTs/s1600/monatesti.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-FKxHEuXlN48/VMzCe9jtiLI/AAAAAAAAPDM/lf_fkfg7eTs/s1600/monatesti.jpg" /></a><span style="color: #4d4f51; font-family: Helvetica, Arial, sans-serif;"><span style="background-color: white; line-height: 24px;">by Sabatini Monatesti (ES Enterprises) </span></span><br />
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<span style="background-color: white; color: #4d4f51; font-family: Helvetica, Arial, sans-serif; font-size: 16px; line-height: 24px;">Has it become time for a REBOOT ?</span><br />
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<span style="background-color: white; color: #4d4f51; font-family: Helvetica, Arial, sans-serif; font-size: 16px; line-height: 24px;">We believe that persons in responsible positions are legally bound to do no harm</span><a href="https://www.linkedin.com/pulse/article/new#_edn5" style="background-color: white; border: 0px; box-sizing: border-box; color: #96999c; font-family: Helvetica, Arial, sans-serif; font-size: 16px; font-stretch: inherit; line-height: 24px; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank">[v]</a><span style="background-color: white; color: #4d4f51; font-family: Helvetica, Arial, sans-serif; font-size: 16px; line-height: 24px;">, and support the <a href="http://www.archives.gov/exhibits/charters/constitution.html">Constitution</a></span><a href="https://www.linkedin.com/pulse/article/new#_edn6" style="background-color: white; border: 0px; box-sizing: border-box; color: #96999c; font-family: Helvetica, Arial, sans-serif; font-size: 16px; font-stretch: inherit; line-height: 24px; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank">[vi]</a><span style="background-color: white; color: #4d4f51; font-family: Helvetica, Arial, sans-serif; font-size: 16px; line-height: 24px;">, but they knowingly act out of their free will to win at all cost believing that their needs and ideological ends</span><a href="https://www.linkedin.com/pulse/article/new#_edn7" style="background-color: white; border: 0px; box-sizing: border-box; color: #96999c; font-family: Helvetica, Arial, sans-serif; font-size: 16px; font-stretch: inherit; line-height: 24px; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank">[vii]</a><span style="background-color: white; color: #4d4f51; font-family: Helvetica, Arial, sans-serif; font-size: 16px; line-height: 24px;"> justify their means</span><a href="https://www.linkedin.com/pulse/article/new#_edn8" style="background-color: white; border: 0px; box-sizing: border-box; color: #96999c; font-family: Helvetica, Arial, sans-serif; font-size: 16px; font-stretch: inherit; line-height: 24px; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank">[viii]</a><span style="background-color: white; color: #4d4f51; font-family: Helvetica, Arial, sans-serif; font-size: 16px; line-height: 24px;">. Their works contribute to the destruction of society because their unethical and hypocritical actions speak louder than their words, and many imitate these actions</span><a href="https://www.linkedin.com/pulse/article/new#_edn9" style="background-color: white; border: 0px; box-sizing: border-box; color: #96999c; font-family: Helvetica, Arial, sans-serif; font-size: 16px; font-stretch: inherit; line-height: 24px; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank">[ix]</a><span style="background-color: white; color: #4d4f51; font-family: Helvetica, Arial, sans-serif; font-size: 16px; line-height: 24px;">. It appears that government and corporations support the attitude of aloofness of citizen needs and an ethic that espouses that it is ok to get my share of the economic, power and control pie at any cost</span><a href="https://www.linkedin.com/pulse/article/new#_edn10" style="background-color: white; border: 0px; box-sizing: border-box; color: #96999c; font-family: Helvetica, Arial, sans-serif; font-size: 16px; font-stretch: inherit; line-height: 24px; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank">[x]</a><span style="background-color: white; color: #4d4f51; font-family: Helvetica, Arial, sans-serif; font-size: 16px; line-height: 24px;">, even if I need to step over someone else to get it, while I bypass the needs of the underprivileged and the poor. Are these actions sinful</span><a href="https://www.linkedin.com/pulse/article/new#_edn11" style="background-color: white; border: 0px; box-sizing: border-box; color: #96999c; font-family: Helvetica, Arial, sans-serif; font-size: 16px; font-stretch: inherit; line-height: 24px; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank">[xi]</a><span style="background-color: white; color: #4d4f51; font-family: Helvetica, Arial, sans-serif; font-size: 16px; line-height: 24px;">?</span><br />
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<span style="background-color: white; color: #4d4f51; font-family: Helvetica, Arial, sans-serif; font-size: 16px; line-height: 24px; text-align: center;">Like the king of England prior to the revolution, those in power in England did not care that the colonials were having a difficult time, they just wanted to manipulate and tax the citizens living in the Americas to meet their wants</span><a href="https://www.linkedin.com/pulse/article/new#_edn12" style="border: 0px; box-sizing: border-box; color: #96999c; font-family: inherit; font-size: 16px; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; text-align: center; text-decoration: none; vertical-align: baseline;" target="_blank">[xii]</a><span style="background-color: white; color: #4d4f51; font-family: Helvetica, Arial, sans-serif; font-size: 16px; line-height: 24px; text-align: center;">. The Romans did the same thing to their empire of people 2000 years ago</span><a href="https://www.linkedin.com/pulse/article/new#_edn13" style="border: 0px; box-sizing: border-box; color: #96999c; font-family: inherit; font-size: 16px; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; text-align: center; text-decoration: none; vertical-align: baseline;" target="_blank">[xiii]</a><span style="background-color: white; text-align: center;"><span style="color: #4d4f51; font-family: Helvetica, Arial, sans-serif;"><span style="line-height: 24px;">. The English believed that the citizen in the Americas did not deserve the fruit of their labors because their purpose was to serve the king. The English elite, in power in the 1700s, believed they were above reproach, entrenched in power, money and position. John Hancock wrote in large letters so that the king and his court could see who was signing the Government and corporation - unethical and hypocritical actions <a href="http://en.wikipedia.org/wiki/Thomas_Jefferson">Jefferson</a> wrote</span></span></span><a href="https://www.linkedin.com/pulse/article/new#_edn14" style="border: 0px; box-sizing: border-box; color: #96999c; font-family: inherit; font-size: 16px; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; text-align: center; text-decoration: none; vertical-align: baseline;" target="_blank">[xiv]</a><span style="background-color: white; color: #4d4f51; font-family: Helvetica, Arial, sans-serif; font-size: 16px; line-height: 24px; text-align: center;"> </span><span style="background-color: white; color: #4d4f51; font-family: Helvetica, Arial, sans-serif; font-size: 16px; line-height: 24px; text-align: center;">that the citizen’s principles of their faith bound them to remove a government that was not responsive to the needs of the governed, i.e., the oppressors should be overthrown. Does the situation of the 1700s describe the condition of the citizen in the US today</span><a href="https://www.linkedin.com/pulse/article/new#_edn15" style="border: 0px; box-sizing: border-box; color: #96999c; font-family: inherit; font-size: 16px; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; text-align: center; text-decoration: none; vertical-align: baseline;" target="_blank">[xv]</a><span style="background-color: white; color: #4d4f51; font-family: Helvetica, Arial, sans-serif; font-size: 16px; line-height: 24px; text-align: center;">?</span><br />
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Have we, the US citizen, come to a point in our history where we must cleanse our Temple<a href="https://www.linkedin.com/pulse/article/new#_edn16" style="border: 0px; box-sizing: border-box; color: #96999c; font-family: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank">[xvi]</a>, i.e., those in positions of responsibility who continue to ignore the needs of the citizen. We are very fortunate; we live in a representative democracy<a href="https://www.linkedin.com/pulse/write-your-headline-sabatini-monatesti?trk=hb_ntf_MEGAPHONE_ARTICLE_POST">.........more</a></div>
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Maybe it is time for a third political party. A party of and for the governed and maybe we should call it the Independents Party<a href="https://www.linkedin.com/pulse/article/new#_edn22" style="border: 0px; box-sizing: border-box; color: #96999c; font-stretch: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank">[xxii]</a></div>
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<span style="color: #4d4f51; font-family: Helvetica, Arial, sans-serif;"><span style="line-height: 24px;"><a href="http://government%20and%20corporation%20-%20unethical%20and%20hypocritical%20actions/">Government and corporation - unethical and hypocritical actions</a></span></span></div>
Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0tag:blogger.com,1999:blog-8346509478125877147.post-61056582247149235282014-08-20T18:34:00.000-07:002015-03-21T09:15:32.138-07:00Where are the "Faith Based Organizations" (Churches) now ?What are semantics? Illegal aliens Undocumented aliens Refugees or Persons without a country<br />
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If I were an extraterrestrial alien how would I be classified ? Interplanetary refugee Intergalactic invader Visitor from outerspace <br />
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The lack of correctly identifying who is crossing our borders is a major block in the process of assimilating worthwhile human treasure.<br />
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The problem again demonstrates the inability of a large central government to deal with regional issues either because of lack of interest or true inability to grasp a problem and react in time to thwart further problems due to inattention, lack of interest or inability.<br />
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Government is never creative and takes creativity from it's biggest resource...the people and their private and non-profit organizations. National government assimilates smaller ogranizations and governmental departments by assimilating them into larger disparate organizations usually based upon funding and budgetary constrictions.<br />
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Despite the organization of large cohesive and comprehensive planning such as the Department of Homeland Security the mission may be set forth, however it's operation is soon abandoned by neglect, lack of visibility (once the crisis has ended) or death by financial asphyxiation as we move on to the next crisis.<br />
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<br />Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0tag:blogger.com,1999:blog-8346509478125877147.post-34704135302605549392014-07-25T17:32:00.000-07:002014-07-25T18:03:04.092-07:00Signature Events for President Barak ObamaPundits have labelled the Affordable Care Act as the 'Signature Event" of President Obama's terms in office.<br />
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However the events of Benghazi, Ukraine, the Middle East Crises, the withdrawal of American power from the geopolitical stage are even greater events. Rather than policy of action it has been a policy of non-reaction.<br />
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President Obama's inattention to decaying trust, faith and lack of openness and transparency by the Democratic party and the potential loss of control of both the Senate and the House of Representative created a strong possibility of repeal of the Affordable Care Act.<br />
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Moreover he spends more time railing at the GOP and speaks in a 'mild-mannered' approach to the Russian Federation annexing Crimea and it's support of Ukrainian rebels in Eastern Ukraine. This threatens to re-write the map of Europe. The triggering event may well have been NATO and the Euro Zone's interest in the Ukraine's energy supplies of gas and oil to fuel Europe's appetite for fossil fuels.<br />
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Obama' strength has been his knowledge of the U.S. Constitution and his ability to circumvent it's civil protections and the balance of power in the triumvirate of American government.<br />
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His approach to Israel is less than neutral considering the overwhelming challenge facing Israel. He gives lip service to our support of Israel, other than supplying hardware and support for the "Iron Dome". Even while the world looks on to evaluate who is at fault with some blaming Hamas and some blaming Israel, American power is missing in the middle east, as well as Iraq and Afghanistan.<br />
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With the threat of Islamic recalcitrant behavior and it's xenophobia toward non-muslims we witness more support for Israel from the Christian community. The reality is now apparent that first they will come for Israel and then world Christianity. <br />
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<a href="http://3.bp.blogspot.com/-BoON8oObots/U9L3POnWqiI/AAAAAAAANJE/1eW-nrmegu0/s1600/B.O.signature.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://3.bp.blogspot.com/-BoON8oObots/U9L3POnWqiI/AAAAAAAANJE/1eW-nrmegu0/s1600/B.O.signature.jpg" height="133" width="200" /></a>Christianity has offered the world a peaceful evangelical approach to faith. Islamic fundamentalists carry a big stick eliminating Judaism and Christianity with ethnic cleansing, savagery and tyrannical oppression. Not only in the middle east, but also in Indonesia, and Northern Africa Islamic fundamentalism moves ahead with the power of machetes, massacres, kidnappings.<br />
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Where is Obama's outrage ? Perhaps he has been in the sun playing golf too often.<br />
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<br />Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0tag:blogger.com,1999:blog-8346509478125877147.post-29865028628704832902014-07-14T16:37:00.002-07:002015-03-21T09:15:32.128-07:00The Affordable Care Act Success, or Failure ?Some pundits and experts are championing the progress or lack thereof with health reform. Visible to most is ObamaCare (The Affordable Care Act). It was born with slick marketing and half truths. It's foundation was dependent upon all providers, and hospitals facing reductions reimbursement.<br />
<br />Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0tag:blogger.com,1999:blog-8346509478125877147.post-55604923721291281912014-07-03T12:17:00.001-07:002014-07-03T16:55:13.794-07:00Docs Respond to Soaring CEO Pay<span style="font-family: Arial, Helvetica, sans-serif;"><a href="http://www.fiercehealthcare.com/author/zbudryk" target="_blank">Zack Budryk, FierceHealthcare</a></span><br />
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<span style="font-family: Arial, Helvetica, sans-serif;">Providers have been asked to accept decreasing reimbursements in the face of more bureaucracy and time consuming insurance and CMS / HHS requirements to bill and be paid. Providers have been asked to implement expensive HIT, EHRs, and meet mandated meaningful use requirements. These all subtract from the bottom line or net profit income for providers. Hospital CEOs have no overhead burdens for their salary/bonus payments.</span><br />
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<span style="font-family: Arial, Helvetica, sans-serif;">Recently the question was posed to physicians, " Are you fairly compensated as compared to hospital CEOs?</span><br />
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<span style="font-family: Arial, Helvetica, sans-serif;"><span style="background-color: white; font-size: 15.199999809265137px; line-height: 21px;">Only about half of all respondents in </span><em style="background-color: white; font-size: 15.199999809265137px; line-height: 21px;">Medscape</em><span style="background-color: white; font-size: 15.199999809265137px; line-height: 21px;">'s most recent Physician Compensation Report believed they were fairly compensated, according to the article.</span></span><br />
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<a href="http://ceo%20compensation:%20Time%20to%20reign%20in%20skyrocketing%20salaries,%20incentives/" style="background-color: white; color: #000099; font-family: Arial, Helvetica, FreeSans, sans-serif; font-size: 15.199999809265137px; line-height: 21px; text-decoration: none;" target="_blank">Healthcare CEO pay is skyrocketing</a><span style="background-color: white; font-family: Arial, Helvetica, FreeSans, sans-serif; font-size: 15.199999809265137px; line-height: 21px;">, with the pay of the top 500 American executives </span><a href="http://www.fiercehealthfinance.com/story/healthcare-ceo-pay-skewing-economy/2014-06-12" style="background-color: white; color: #000099; font-family: Arial, Helvetica, FreeSans, sans-serif; font-size: 15.199999809265137px; line-height: 21px; text-decoration: none;" target="_blank">tripling since the early 1990s</a><span style="background-color: white; font-family: Arial, Helvetica, FreeSans, sans-serif; font-size: 15.199999809265137px; line-height: 21px;">. But </span><a href="http://www.fiercehealthfinance.com/story/hospital-ceos-not-doctors-among-medicines-top-earners/2014-05-19" style="background-color: white; color: #000099; font-family: Arial, Helvetica, FreeSans, sans-serif; font-size: 15.199999809265137px; line-height: 21px; text-decoration: none;" target="_blank">how do doctors feel about these numbers, which vastly outweigh their own compensation</a><span style="background-color: white; font-family: Arial, Helvetica, FreeSans, sans-serif; font-size: 15.199999809265137px; line-height: 21px;">? </span><span style="background-color: white; font-family: Arial, Helvetica, FreeSans, sans-serif; font-size: 15.199999809265137px; line-height: 21px;">The primary difference between doctor and CEO compensation is that physician pay is based on Current Procedural Terminology (CPT) codes, whereas CEO compensation is much more at the discretion of the hospital. Although CEO pay might seem excessive, they achieve those salaries by making money for the hospital, Janice Boughton, a hospitalist in Moscow, Idaho, told </span><em style="background-color: white; font-family: Arial, Helvetica, FreeSans, sans-serif; font-size: 15.199999809265137px; line-height: 21px;">Medscape</em><span style="background-color: white; font-family: Arial, Helvetica, FreeSans, sans-serif; font-size: 15.199999809265137px; line-height: 21px;">.</span><br />
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<span style="background-color: white; font-family: Arial, Helvetica, FreeSans, sans-serif; font-size: 15.199999809265137px; line-height: 21px;">Although CEO salaries are high across the board, some are </span><a href="http://www.fiercehealthcare.com/story/ceo-compensation-rates-10-highest-grossing-non-profits/2014-03-12" style="background-color: white; color: #000099; font-family: Arial, Helvetica, FreeSans, sans-serif; font-size: 15.199999809265137px; line-height: 21px; text-decoration: none;" target="_top">particularly concerned about those of nonprofit hospital executives</a><span style="background-color: white; font-family: Arial, Helvetica, FreeSans, sans-serif; font-size: 15.199999809265137px; line-height: 21px;">. Nonprofit hospitals receive the vast majority of donations to charities, and their CEOs have the highest pay levels among nonprofits, </span><br />
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Internal Revenue Service (IRS) rules cap nonprofit CEO compensation at a "reasonable compensation" level, and the IRS encourages nonprofits to hire outside consultants to decide what that means for the organization. But rather than keeping CEO pay on the low end, Berger said, "there is a kind of logrolling, where the pay scales get ever larger … Now that it has started, it's hard to break the pattern."</div>
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<a href="http://www.fiercehealthcare.com/story/high-ceo-pay-based-performance-not-greed-say-defenders/2014-06-18" style="color: #000099; text-decoration: none;" target="_blank">Defenders of high healthcare CEO pay say it comes down to performance</a>,<em>FierceHealthcare </em>previously reported. "As their stocks are performing at very high levels, those [healthcare CEOs] are reaping the benefits," Kevin Scott, co-founder and CEO of the Addo Institute.</div>
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<span style="color: #000099;"><a href="http://www.fiercehealthfinance.com/story/hospital-ceos-not-doctors-among-medicines-top-earners/2014-05-19" style="color: #000099; text-decoration: none;" target="_blank">Hospital CEOs--not doctors--among medicine's top earners</a></span><br />
<span style="color: #000099;"><a href="http://www.fiercehealthcare.com/story/ceo-compensation-time-reign-skyrocketing-salaries-incentives/2014-06-19" style="color: #000099; text-decoration: none;" target="_blank">CEO compensation: Time to reign in skyrocketing salaries, incentives</a></span><br />
<a href="http://www.fiercehealthcare.com/story/ceo-compensation-rates-10-highest-grossing-non-profits/2014-03-12" style="color: #000099; text-decoration: none;" target="_blank">CEO compensation rates from 10 highest-grossing healthcare non-profits</a><br />
<a href="http://www.fiercehealthcare.com/story/high-ceo-pay-based-performance-not-greed-say-defenders/2014-06-18" style="color: #000099; text-decoration: none;" target="_blank">High CEO pay based on performance, not greed, say defenders</a><br />
<a href="http://www.fiercehealthfinance.com/story/healthcare-ceo-pay-skewing-economy/2014-06-12" style="color: #000099; text-decoration: none;" target="_blank">Is healthcare CEO pay skewing the economy?</a><br />
<a href="http://www.fiercehealthcare.com/story/hospital-pulls-exec-bonuses-give-employees-raises/2014-06-17" style="color: #000099; text-decoration: none;" target="_blank">Hospital pulls from exec bonuses to give employee raises</a><br />
<a href="http://www.fiercehealthcare.com/story/top-healthcare-ceo-compensation-trends-2014/2014-01-29" style="color: #000099; text-decoration: none;" target="_blank">Top healthcare CEO compensation trends in 2014</a><br />
<a href="http://www.fiercehealthcare.com/story/hospital-ceo-pay-rewards-technology-not-outcomes/2013-10-15" style="color: #000099; text-decoration: none;" target="_blank">Hospital CEO pay rewards technology, not outcomes</a><br />
<a href="http://www.fiercehealthfinance.com/story/union-pushes-initiative-cap-hospital-ceo-pay-charges/2014-01-16" style="color: #000099; text-decoration: none;" target="_blank">Union pushes initiative to cap hospital CEO pay, charges</a></div>
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In the face of the Affordable Care Act, can excessive CEO pay be justified when patients deductibles and premiums have soared..<br />
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Additional comments: <a href="http://healthtrain.blogspot.com/" target="_blank">Health Train Express</a></div>
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Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0tag:blogger.com,1999:blog-8346509478125877147.post-60449765823292190422014-07-01T11:46:00.000-07:002014-07-01T12:08:59.746-07:00Innovations That Will Change Our World<div class="rCauNb" style="background-color: white; color: #404040; font-family: Roboto, arial, sans-serif; font-size: 16px;">
<a class="d-s ot-anchor" href="http://www.fastcoexist.com/3032260/10-breakthrough-innovations-that-will-shape-the-world-in-2025" rel="nofollow" style="-webkit-transition: color 0.218s; color: #427fed; cursor: pointer; outline: none; text-decoration: none; transition: color 0.218s;" tabindex="0" target="_blank" title="10 Breakthrough Innovations That Will Shape The World In 2025">10 Breakthrough Innovations That Will Shape The World In 2025</a></div>
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<a class="d-s ot-anchor" href="http://www.fastcoexist.com/3032260/10-breakthrough-innovations-that-will-shape-the-world-in-2025" rel="nofollow" style="-webkit-transition: color 0.218s; color: #427fed; cursor: pointer; outline: none; text-decoration: none; transition: color 0.218s;" tabindex="0" target="_blank">fastcoexist.com</a> images attributed to <i><a href="http://www.shutterstock.com/">Shutterstock</a></i></div>
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A world where food is plentiful and drugs are personalized may not be as far off as it seems.</div>
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<span style="font-family: Arial, Helvetica, sans-serif;">By 2025, far fewer elderly will suffer from dementia </span><span style="font-family: Arial, Helvetica, sans-serif;">as our understanding of genetic factors improves.</span><br />
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<a href="http://3.bp.blogspot.com/-dFLbAJzRHUQ/U7LsCg6FFiI/AAAAAAAAMqs/RwJ0oUo3uXo/s1600/dementia.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-dFLbAJzRHUQ/U7LsCg6FFiI/AAAAAAAAMqs/RwJ0oUo3uXo/s1600/dementia.jpg" height="200" width="320" /></a></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">By 2025, solar power could be the world's largest single source of energy.</span><br />
<span style="font-family: Arial, Helvetica, sans-serif;">Floating garbage patches? Not in the future. The report expects packaging made from plant-derived cellulose to dominate by 2025.</span><br />
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<a href="http://3.bp.blogspot.com/-Xqmjw-MDscc/U7LsPD7igfI/AAAAAAAAMq4/-H3-CC5GJuY/s1600/solarpower.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-Xqmjw-MDscc/U7LsPD7igfI/AAAAAAAAMq4/-H3-CC5GJuY/s1600/solarpower.jpg" height="213" width="320" /></a></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">By 2025, we'll have sophisticated personalized medicine.</span><br />
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<span style="font-family: Arial, Helvetica, sans-serif;">Kids born in 2025 will be tested at the DNA level, and not just once or twice, but continually using nano-probes inserted in the body. </span><br />
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<a href="http://1.bp.blogspot.com/-BsXakwrtmMY/U7Ls-7VPdlI/AAAAAAAAMrE/YJPk7yJpyhI/s1600/DNA.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em; text-align: center;"><img border="0" src="http://1.bp.blogspot.com/-BsXakwrtmMY/U7Ls-7VPdlI/AAAAAAAAMrE/YJPk7yJpyhI/s1600/DNA.jpg" height="213" width="320" /></a><br />
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<a href="http://1.bp.blogspot.com/-LhPktz0OUsA/U7LrXeCrUlI/AAAAAAAAMqo/VAN9sKqIZQE/s1600/Personalized+medicines.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-LhPktz0OUsA/U7LrXeCrUlI/AAAAAAAAMqo/VAN9sKqIZQE/s1600/Personalized+medicines.jpg" height="243" width="320" /></a></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Kids of the future might not need daily insulin shots. Type 1 diabetes might one day be preventable.</span><br />
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<span style="font-family: Arial, Helvetica, sans-serif;">Beam me up, Scotty? Not quite. But the report says research into teleportation will be underway.</span><br />
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<span style="font-family: Arial, Helvetica, sans-serif;">Although change is occuring, for better or worse mandated by the Affordable Care Act, how will our health system prepare for rapid changes, increased testing, and new treatments that may be more expensive. These issues must be dealt with now. There is nothing in the law which accomodates clinical research. R&D expense must be integrated with clinical care through new mechanisms.</span><br />
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<span style="color: blue; font-family: Arial, Helvetica, sans-serif;">Are we ready ? </span><br />
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<span style="font-family: Arial, Helvetica, sans-serif;">To discover more about <a href="http://digitalhealthspace.blogspot.com/">Digital Health Space </a>and/or <a href="http://healthtrain.blogspot.com/">Health Train Express</a> </span><br />
<span style="font-family: Arial, Helvetica, sans-serif;"> follow the links.</span><br />
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<span style="background-color: rgba(0, 0, 0, 0.498039); color: #f1f1f1; font-family: MuseoSans, Helvetica, Arial, sans-serif; font-size: 14px; line-height: 22.399999618530273px;"><br /></span>
<span style="background-color: rgba(0, 0, 0, 0.498039); color: #f1f1f1; font-family: MuseoSans, Helvetica, Arial, sans-serif; font-size: 14px; line-height: 22.399999618530273px;"><br /></span>
<span style="background-color: rgba(0, 0, 0, 0.498039); font-family: MuseoSans, Helvetica, Arial, sans-serif; font-size: 14px; line-height: 22.399999618530273px;"><span style="color: #eeeeee;"><br /></span></span>
<span style="background-color: rgba(0, 0, 0, 0.498039); font-family: MuseoSans, Helvetica, Arial, sans-serif; font-size: 14px; line-height: 22.399999618530273px;"><span style="color: #eeeeee;"><br /></span></span>Gary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0tag:blogger.com,1999:blog-8346509478125877147.post-28657233654541325202014-06-28T09:51:00.001-07:002014-06-28T09:51:42.687-07:00North Korean Capitalism and the Black Market Entrejpeneur<div class="separator" style="clear: both; text-align: center;">
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<a href="http://1.bp.blogspot.com/-M-lV69Y8KKM/U67xe0gXRPI/AAAAAAAAMdc/qQI-tGuW0Ck/s1600/northkorea.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-M-lV69Y8KKM/U67xe0gXRPI/AAAAAAAAMdc/qQI-tGuW0Ck/s1600/northkorea.jpg" height="361" width="640" /></a></div>
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<span style="background-color: white; color: blue; font-family: 'Trebuchet MS'; font-size: 19px; font-weight: bold; line-height: 1.15; white-space: pre-wrap;">A little known story about a 13 year old girl who became an entrepeneur in North Korea. You have to read this, and share it widely, please.The story alsoo explains how North Korea has famines, and how a thriving black market exists, even without much currency. North Korea changed all it's currency in the 1990s, and only would allow each person $40.00. The economy collapsed, and the people survived by bartering. Please + and share widely on twitter, FB, and G+ as well as Reddit, Digg. and delicious.Despite the crushing regulations and socialism in our country and redistribution of wealth, the free market will never be crushed. Our freedoms are precious, and only those who have lived under tyranny know this fact. Freedom does not exist without effort and cost</span><br />
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http://tinyurl.com/k85ovgaGary M. Levinhttp://www.blogger.com/profile/16205704913440150198noreply@blogger.com0