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This document will attempt to clarify and simplify some of those points. It is not to be taken as legal advice and it is not information that can be easily applied outside of the State of Georgia since state laws differ.
This is a subject matter that should be discussed with a physician in order to clearly understand the patient’s medical condition and whether or not he or she qualifies as a proper candidate for implementation of a “No Code.”
CARDIOPULMONARY RESUSCITATION
O.C.G.A. §31-39-1 et. seq.
Definitions:
CPR- measures used to restore or support cardiac or respiratory function in the event of cardiac or respiratory arrest.
Candidate for Non-CPR: a patient who based on a determination to a reasonable degree of medical certainty by an attending physician with the concurrence of another physician:
a) has a medical condition which can reasonably be expected to result in the imminent death of the patient;
b) is in a noncognitive state with no reasonable possibility of regaining cognitive functions; or
c) is a person for whom CPR would be medically futile in that such resuscitate will likely be unsuccessful in restoring cardiac and respiratory function or will only restore cardiac and respiratory function for a brief period of time sot that the patient will likely experience repeated need for CPR over a short period of time so that such resuscitation would be otherwise medically futile.
Other Names for Cardiopulmonary Resuscitation
Orders surrounding the administration of cardiopulmonary resuscitation (CPR) are recognized by a number of names:
· DNR
· Do Not Resuscitate
· Order Not to Resuscitate
· No Code
NOTE: Under the law, the only people authorized to withhold or withdraw cardiopulmonary resuscitation are physicians, health care professionals, or emergency medical technician.
Every adult is presumed to have the capacity to make a decision regarding CPR and every patient shall be presumed to consent to the administration of CPR unless there is consent or authorization for the issuance of an order not to resuscitate.
Persons authorized to issue an order not to resuscitate:
· attending physician which authorizes a physician, health care professional, or emergency medical technician to withhold or withdraw CPR
· an adult person with decision making capacity (even if they lose capacity in the future)
· Appropriate authorized person: agent under a DPOA-HC; spouse; guardian of person; son or daughter 18 years of age or older; parent; brother or sister 18 years of age or older (in good faith)
· parent for a minor child
· as last resort an attending physician may issue an order not to resuscitate if: he or she has the concurrence of a second physician in writing that the patient is a candidate for nonresuscitation; an ethics committee or similar group which concurs in the opinion of the attending and the concurring physician; and the patient is receiving inpatient or outpatient treatment from or is a resident of a health care facility other than a hospice or a home health agency.
Carrying out a DNR order when the patient is not in a hospital nursing home or licensed hospice is now legal as long as the order is evidenced in writing containing the patient’s name, date of the form, printed name of the attending physician, and signed by the attending physician on a form similar to the one in the law:
“DO NOT RESUSCITATE ORDER
NAME OF PATIENT:
THIS CERTIFIES THAT AN ORDER NOT TO RESUSCITATE HAS BEEN ENTERED ON THE ABOVE-NAMED PATIENT.
SIGNED:
ATTENDING PHYSICIAN
PRINTED OR TYPED NAME OF ATTENDING PHYSICIAN:
ATTENDING PHYSICIAN’S TELEPHONE NUMBER:
DATE: “
The patient must also be wearing an identifying bracelet on either the wrist or the ankle or an identifying necklace. The bracelet or necklace shall be substantially similar to the ID bracelets worn in hospitals and must be on an orange background with the following information provided in boldface type:
“DO NOT RESUSCITATE ORDER
Patient’s name:
Authorized person’s name and telephone number, if applicable:
Patient’s physician’s printed name and telephone number:
Date of order not to resuscitate:
Liability for persons carrying out a DNR order:
No authorized person is subject to any criminal or civil liability for carrying out a DNR order in good faith as long as it was carried out in compliance with the standards and procedures set forth in the law.
For assistance with finding a vendor for bracelets or necklaces, contact the Office of Regulatory Services at (404) 657-4076.
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Back in the 1990s, the commercial was credited with helping crush a proposed national health care program. Today the actors are promoting health reform without promoting a Presidential candidate or a specific plan. Yes, even the health insurance industry is promoting some form of Universal Health Care. You may ask yourself why the health insurance industry is promoting a plan that could lead to their demise.
Sponsors of the New Harry and Louise Ads
The new advertisements will appear on television during the 2008 Democratic and Republican conventions. They are sponsored by various groups including The American Cancer Society Cancer Action Network, the American Hospital Association, the Catholic Health Association, Families USA, and the National Federation of Independent Business. This time the couple urges health care reform.
Universal Health Care vs. a Single Payer System
There is a subtle difference between a single payer system and a universal health care system. A single payer system means that one entity, like the government, pays for everyones health care or insurance.
Universal health care could mean a single payer system, but it could also mean something else. Universal health care could mean a law that requires everyone to purchase health insurance. The insurance companies could benefit from a universal health care system that forces everyone to buy a policy.
House Bill HR 676 IH
HR 676 is sponsored by Congressman John Conyers, Dennis Kucinich and several others. The bill would provide for a single payer medical system. Introduced in 2003, the bill now has 91 cosponsors. It is currently in the House Energy and Commerce's Subcommittee on Health.
The bill, called the United State Health Insurance Act and sometimes referred to as Improved Medicare for All Act, covers all residents residing in the United States and territories. After filling out a form that shall not be longer than two pages, individuals will receive a card with a unique number that is different than their social security number.
Services Covered
The benefits include all medically necessary services including dental, mental, surgical and even prescription drugs. The services do not include cosmetic dentistry, laser eye surgery for cosmetic services (ie Lasik). Hearing aids, eye glasses, chiropractic services, medical equipment, and long term care would be covered though.
Deductibles, Co-pays and Co-Insurance
If this bill is passed and signed into law, there will be no deductibles, no co-payments, nor any coinsurance requirements. There will not be any cost-sharing at all, and enlisted doctors will be prohibited from charging extra.
Non Profit Only
Health insurance companies will still exist, but no participating provider can be a participant unless it is not for profit. All companies taking part must be non-profit.
Hospitals
So what will happen to the hospitals? The bill states: The owners of such investor-owned providers shall be compensated for the actual appraised value of converted facilities used in the delivery of care. The government (via the Treasury) will buy hospitals.
Health Maintenance Organizations or HMOs
The bill requires that HMOs pay their doctors a reasonable salary. Health insurance companies can also sell benefits not covered by the Act, like cosmetic surgery and other non-necessary procedures.
How Do Doctors Get Paid?
The states will continue to license the doctors, but the Federal Government will pay them, including dentists, doctors of osteopathy, psychologists, chiropractors, doctors of optometry, nurse practitioners, nurse midwives, physicians assistants, and other advanced practice licensed clinicians.
Prices will be negotiated annually and services will be paid through regional offices. Institutional providers will be paid a lump sum to cover all operating expenses under a global budget.
Everyone will be paid according to a prevailing wage. Regional differences will also be considered. For instance, a doctor in Los Angeles may get paid more for a procedure than one in Idaho. It costs more to live in LA.
Billing and Health Histories
Pre-existing conditions will be a thing of the past. Medical histories can be centralized in a computer database. Patients will not have to worry about their pre-existing conditions.
Doctors will also be required to use an electronic billing system. This is expected to save money and end billing confusion. If a doctor is not paid within 30 days, there is a provision to allow for interest to be paid. Doctors employed by and HMO will be to be paid a salary.
Long Term Care Providers
Local long-term care providers for the full range of needed services, including in-home, nursing home, and community based care will be paid out the global budget. In home care will be . The price of these services will be negotiated each year.
Generic and Name Brand Drugs
Although name brand drugs will be allowed, generic ones may be preferred. Doctors shall the use of generic drugs.
How Will The Program Be Financed
Initially the plan provide for the sale of Treasury Bonds to buy facilities and get the program going. This should be completed within 15 years of approval. Taxes will then pay for the program.
There will be an increase in some taxes. The top 5 percent income earners will see a tax increase. There will be a modest and progressive excise tax on payroll and self-employment income. Progressive means the more you make, the more you pay as a percentage of your income. Our income tax is a progressive tax already.
The plan also calls for a tax on stock and bond transactions.
The Board of Universal Quality and Access
There are all sorts of competing interests in the medical industry. There are the doctors who want to get paid more and patients who want the best service and coverage. A Board of Universal Quality and Access shall be appointed to make equitable decisions.
At least one member from each group shall be appointed:
1) Health Care Professionals
2) Labor Unions
3) Institutional Providers
4) Citizen Patients Advocates
5) Health Care Advocacy Groups
Each member shall be appointed for a term of 6 years. The President can stager the terms so no more than 3 member terms expire at once. The Board shall meet at least twice a year and shall advise the Secretary and the Directors on a regular basis.
Directors
Each state will have a director. The directors will all report to the national Board of Universal Quality and Access. The director will also be responsible for the oversight of new hospitals, clinics and their locations.
Veterans Affairs
Initially the department of Veterans Affairs will remain independent, but after 10 years Congress will evaluate the system and make determination to integrate their system with USNHI.
Advantages to Single Payer System
Proponents argue that a centralized billing system will be cheaper. There will be less paperwork. They also argue that they can reduce the medical bureaucracy and reduce errors.
Since everyone will be covered, no citizen shall be denied medical treatment because they are unable to pay or they have a pre-existing condition that prohibits or limits coverage by an insurance company. No one will have to sell their house because they got sick.
The plan will also cover indigent persons and employees between jobs. If you lose your job, you do not lose your coverage.
Disadvantages of a Single Payer Medical System
Critics argue that a government run program would end up costing more. Already Americans pay more per person than any other country in the world for health care, and this could increase the cost even more.
The quality of health care could decline if the bill passes Congress and is signed by the President. Critics say you dont want your hospitals run like the Department of Motor Vehicles (DMV).
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And, yet, still there were thousands of people who refused to evacuate or heed the warnings about the real possibility of significant, catastrophic destruction, loss of life, and no electric power for several days and weeks. Putting your life in jeopardy simply to ignore "certain death" as described by the weather bureau is not a wise decision. How can anyone reasonably justify riding out a hurricane only because they don't want the government telling them what to do, or because they fear loss of property more than loss of life? Furniture, homes, and most material items can be replaced. Life cannot.
In the brief days now following Hurricane Ike, electric companies are working around the clock with most workers spending 16 hour shifts to get the power back to over 4 million people. Phone companies are scrambling to get cell towers replaced and repaired so customers can use their phones to call and send text messages. Utilities for water, sewage, gas and electric are working hard to help repair basic services. Police, firefighters, EMTs, and emergency personnel are stretched almost beyond capacity to make sure that those who need help can get it. The military, including the National Guard and the Coast Guard are facilitating rescue and recovery to thousands of affected people on the Gulf Coast. FEMA is working along with the State of Texas and local government agencies to get assistance to those who were displaced including those who evacuated and those who did not. The American Red Cross is spending millions of dollars to feed and house those who fled Hurricane Ike's destructive wind, rain, and flooding. Other charitable organizations including churches and faith based groups, such as Texas Baptist Men, are helping as much as possible by providing temporary shelter, food, water and ice, and other items.
And the clean up is underway on a huge scale. With estimates among the three major catastrophe modeling firms ranging from $6 billion to $18 billion according to an article released on MarketWatch, losses from Hurricane Ike will be material to both the primary insurers located in the U.S. and to the global reinsurance industry, according to Fitch Ratings in a new insurance industry report. If initial loss estimates are accurate, Ike could be the third largest insured loss from a hurricane, behind only Hurricanes Katrina and Andrew. Americans faced with such overwhelming catastrophe can be thankful that the nation has the resources to help recover. Although it is difficult emotionally, financially, and some times physically to deal with a natural disaster of such huge proportion, there is always hope. Generosity will continue until the affects of Hurricane Ike have been largely addressed. And, there also will be long term issues to fix.
The Center for Disease Control (CDC) has very good information about protecting your health following a hurricane, including some general safety items:
1.) Have at least two fire extinguishers, each with a UL rating of at least 10A, at every cleanup job.
2.) Wear hard hats, goggles, heavy work gloves, and watertight boots with steel toe and insole (not just steel shank) for cleanup work.
3.) Wear earplugs or protective headphones to reduce risk from equipment noise.
4.) Use teams of two or more people to move bulky objects. Avoid lifting any material that weighs more than 50 pounds (per person).
5.) When using a chain saw, operate the saw according to the manufacturer's instructions, wear appropriate protective equipment, avoid contact with power lines, be sure that bystanders are at a safe distance, and take extra care in cutting trees or branches that have gotten bent or caught under another object. Use extreme caution to avoid electrical shock when using an electric chain saw.
6.) If there has been a backflow of sewage into your house, wear rubber boots, rubber gloves, and goggles during cleanup of the affected area.
7.) In hot weather, try to stay cool by staying in air-conditioned buildings, taking breaks in shaded areas or in cool rooms, drinking water and nonalcoholic fluids often, and wearing light and loose-fitting clothing. Do outdoor activities during cooler hours.
8.) Remove and discard items that cannot be washed and disinfected (such as mattresses, carpeting, carpet padding, rugs, upholstered furniture, cosmetics, stuffed animals, baby toys, pillows, foam-rubber items, books, wall coverings, and paper products).
9.) Remove and discard drywall and insulation that has been contaminated with sewage or flood waters.
10.) Thoroughly clean all hard surfaces (such as flooring, concrete, molding, wood and metal furniture, countertops, appliances, sinks, and other plumbing fixtures) with hot water and laundry or dish detergent.
Concern about hygeine and water issues according to the CDC should also be followed:
1.) After completing the cleanup, wash with soap and water. If there is a boil-water advisory in effect, use water that has been boiled for 1 minute (allow the water to cool before washing). Or you may use water that has been disinfected for personal hygiene use (solution of 1/8 teaspoon of household bleach per 1 gallon of water). Let it stand for 30 minutes. If the water is cloudy, use a solution of 1/4 teaspoon of household bleach per 1 gallon of water.
2.) If you have any open cuts or sores that were exposed to floodwater, wash them with soap and water and apply an antibiotic ointment to discourage infection. Seek immediate medical attention if you become injured or ill.
3.) Wash all clothes worn during the cleanup in hot water and detergent. These clothes should be washed separately from uncontaminated clothes and linens.
4.) If the building is flooded, the waters may contain fecal material from overflowing sewage systems and agricultural and industrial waste. Although skin contact with floodwater does not, by itself, pose a serious health risk, there is risk of disease from eating or drinking anything contaminated with floodwater.
5.) To reduce coldrelated risks when standing or working in water which is cooler than 75 degrees F (24 degrees C), wear insulated clothes and insulated rubber boots, take frequent breaks out of the water, and change into dry clothing when possible.
6.) Local authorities will tell you if tap water is safe to drink or to use for cooking or bathing. If the water is not safe to use, follow local instructions to use bottled water or to boil or disinfect water for cooking, cleaning, or bathing.
Much more information about dealing with carbon monoxide, hazardous waste and materials, electrical and structural safety issues, and other health precautions can be found on the CDC website. Additionally, assistance to deal with post-traumatic stress is also available for issues related to the following: Difficulty communicating thoughts, difficulty sleeping, difficulty maintaining balance, easily frustrated, increased use of drugs/alcohol, limited attention span, poor work performance, headaches/stomach problems, tunnel vision/muffled hearing, colds or flu-like symptoms, disorientation or confusion, difficulty concentrating, reluctance to leave home, depression, sadness, feelings of hopelessness, mood-swings, crying easily, overwhelming guilt and self-doubt, and fear of crowds, strangers, or being alone.
Hurricane Ike was not the storm of the century as it had been predicted prior to its landfall; but like every hurricane, especially one the size of Ike, this storm wreaked havoc in the billions of dollars and disrupted the lives of millions of families and individuals. For many of those people, life will never be the same again. They are suffering financial and emotional loss, and will continue to deal with the aftermath for some time to come. Some of those people will deal with the stress of loss well, and some will not. Health care for the short term is extremely important to the victims of this hurricane, especially for evacuees who were critically ill and required immediate attention. Those who are on medications have prescription needs, and those who suffer both mental and physical disorders have critical needs for their medical providers and health care facilities to meet. Immediately following a disaster like Hurricane Ike, the health care industry must forego business as usual and step up treatment that provides assistance without the standard red tape. Also, Americans must provide compassion to those in need during disaster recovery. Helping out also means helping others up.
Until next time. Let me know what you think.
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I'm trying hard to figure out how I feel about that. I'vebeen trying hard to figure out how I feel about that.
My job is great. I do love my research. I don't like the soul shattering single-mindedness or the inability to tackle macro issues head on. Like all kinds of publishing, the research game is largely driven off markets. Not coming from a tier I institution (either by pedigree or current association), any work I churn out fights an uphill battle even before the paper is seen. I've always been aware of this, and not bothered by it--except on a social justice scale. Those with resources get the hits, those with the silver spoon get the kudos. Yeah, that bugs me, but I know it isn't personal.
The place where it gets personal is that I'm doing this research navel-gazing (because, God, it IS) so I can somehow leave the world in a better condition. If I can't do that, then why the hell go through the personal anguish and pain? Thing is, I can do great work--scientifically sound, with truly interesting results and real-world implications (er, and have, BTW, I'm not just talking out my rear here) that is recognized by my peers as outstanding--and still have difficulty getting it published. Because it makes the Firms nervous. Make the Firms nervous and they don't let you conduct research with them. Lose the Firms as research subjects and you lose a LOT of marketability. And now, our fair lady Science takes a hit to one hell of a catch 22.
I don't mean to sound like some sort of conspiracy theorist, but I have actually heard this point blank, behind closed doors, from more than one colleague (experienced colleagues who know far better than I about such things). Thing is, looking around, the evidence seems to suggest they are correct. So, no matter how much my work might serve to alleviate the distress corporate masters inflict 'unknowingly' on their minions--the world will never know. What good does that do?
Even if I can manage to disguise my personal goals behind the science(yes, yes, good science doesn't have an agenda, but researchers allhave oneor this work would never get done) and get it published, here's the big rub. 5 people, tops, will really read the work, understand it, and find it relevant enough to their own efforts to incorporate your findings in their own work. Is that enough?
Obviously, I'm not sure. I would rather spend my time writing something that will have an effect on far more people. Ordinary people seem like a better target audience--if I can learn to communicate like a human again after all those scientific papers have addled my brain and made me more obtuse than ever. (Yeah, I know I sound like a snob, but trust me, the folks I spend my daily life with, who would potentially read my rerearch papers are NOT normal folks for the most part...)
But I'm feeling like I can't do both right now. Again.
I've immersed myself in fiction this summer, writing as hard and as fast as I could. I've learned some things, and tried hard to exorcise this ennui about my chosen career through cathartic writing. Time has run out, and I don't know if I'm any closer. So I face the unpleasant task of knuckling down once again and living, breathing, eating this stuff so that I can be "successful" enough to keep my job. And I'm still wondering--is this really how I should be spending my time?
The cocoon has cracked, and I can't crawl back inside, but I'm wishing my wings were a different color.
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Annette Kennedy, President of the European Federation of Nurses Association (EFN), emphasised that: There is an urgent need to explore the current context of professional preparedness in Europe to deliver a consistent standard of healthcare to individuals in all countries within the EU in terms of education, competence, codes of practice and clinical outcomes. There is also a real need to develop European accreditation mechanisms, based on national developments and which comply with well-established global frameworks. And there needs to be evidence of validation of standards and transparency of the process used, which is easily recognised across borders. The EFN, an associate member of HFE, is co-organising a workshop focusing on Health Services.
Mel Read, Honorary Chair of HFE welcomed the Forums programme and explained: A patient-centric strategy is the necessary basis for making healthcare decisions. To this end, and through the launch of our policy statement, we would advocate improved access to healthcare as an important EU investment through appropriate budget allocation, equitable and cross-border access for patients in the EU, and better utilisation of collective EU expertise and resources.
HFEs policy statement is the result of a stock-taking of the various initiatives and strategies put forward by European policy makers of late as a means of improving healthcare for EU citizens. It identifies and elaborates on common themes within the critical action areas such as the future of EU Health Strategy; improving access to services in the EU; patient mobility and related topics (e-health, patient information and safety, etc.), and better regulation linked to the Lisbon Agenda.
These themes are namely:
1. Access to better healthcare in the EU
2. Innovation of healthcare therapies and access processes
3. Continual quality improvement of EU healthcare
4. Investment in healthcare's human resources
Under the patronage of David Byrne, former European Commissioner for Health and Consumer Protection, Health First Europe is a voluntary platform of diverse healthcare stakeholders including patients, healthcare workers, academics, experts and industry. HFE aims to ensure that equitable access to modern, innovative and reliable medical technology and healthcare is regarded as a vital investment in the future of Europe.
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RABAT, Morocco AP Secretary of State Condoleezza Rice on Sunday pressed US allies in North Africa for greater cooperation in the face of terrorism and continued efforts at political change as she ended a visit to the region. Matthew Jaffe Reports In an unexpected face to face encounter, Sen. By Steven Zeitchik and Borys Kit With anticipation riding high for the Mickey Rourke drama quot.
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Today's CNN web page (Sept. 1) runs a startling news story about how Senator Barack Obama received no bump out of the hugely successful Democratic National Convention in Denver CO. This astounding fact was backed up by a CNN poll of about 897 people with a margin of error or about 3 percent.
Obviously, I was flabbergasted by this fact, as I hope everyone who kindly reads this blog is, as well.
What could cause such a phenomenon? By most all accounts, Senator Obama's acceptance speech in Denver's Invesco Mile High Field received high marks. Likewise, his choice of Senator Joe Biden to be his competent and experienced Vice-Presidential running mate is getting equally high marks. All good news, but apparently not good enough.
Political differences notwithstanding, I submit the way to win this year's Presidential election is to make no news at all.
If the 897 people in the CNN poll are right, the race for the White House is again "neck and neck", despite Senator Barack Obama doing everything right.
Is it possible many of those in the massive television audience who watched the Senator's acceptance speech were really tuned in to watch him fail?
Is it possible it was not the historic moment, rallied by Senator Obama, who spoke about patriotism, using the word "America" compulsively counted XXX number of times?
Rather, this lack of "bounce" suggests, to me, many viewers were led to watch because they were driven by bigotry, looking for a mistake, something to hang their opposition hats on, other than their own racism.
Let's stop this conversation for the sake of not making news. If Senator John McCains' 72 year age is not an issue because it's simply "old" news; if Senator John McCain's history of repeat episodes of melanoma are no longer issues because, apparently, some think he will escape the fatal statistics associated with this cancer; if the choice of Governor Palin who leads a state with a population of less than 700,000 people and cuts taxes because, in oil rich Alaska, she can; and if succession to the role of Commander-in-Chief is not a newsworthy issue - therefore, and therein - I respectfully submit - to win an election in 2008 the candidate must make no news at all. Because, news presents facts which clearly threaten people who cannot make informed decisions outside of ideology.
If Senator Barack Obama must be perfect to maintain a voter lead while Senator John McCain maintains his base by making mistakes, then we should just get the news stories out of the way of ideology. Let's save every body's time and oodles of money by simply marking off the calender until November 4th.
On the other hand, thoughtful people, like you reading this blog, obviously believe in debating unfiltered information and the evaluation of a candidate based upon performance.
Let's ask our colleagues who don't share our views to explain their reticence about Senator Obama's candidacy, based upon facts? They can't.
I'll bet the reason is bigotry. It's a brutal conclusion.
Therefore, I suggest Senator Obama should simply stop making news. It's a safer road less traveled, but one seemingly at work for John McCain who languishes in the bushes, while Senator Obama rides heroically into the sunset, praised but saddled with the weight of bigotry.
If we are to look back on the 2008 presidential election, without a Supreme Court intervention (please God!), and say - "Senator Obama did everything right", but still came up short -then I say, it will be a victory for bigotry.
This sad news simply can't prevail.
G. K. Chesterton said "It's not bigotry to be certain we are right; but it is bigotry to be unable to imagine how we might possibly have gone wrong".
Let's get the bigotry concept into the news; and standby to see who can accept Chesterton's challenge.
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Napa, CA (PRWEB) September 6, 2008 Senetek PLC (OTCBB: SNKTY), a life sciences company engaged in the development of technologies that target the science of healthy aging, announced today the launch of Pyratine-6™, representing the next generation of superior skincare products for the correction of visible signs of aging. In the 1990s Senetek developed kinetin, the cytokinin-based active ingredient in the successful Kinerase skincare line, and are now taking cytokinin technology further with Pyratine-6™.
Pyratine-6™s new cytokinin technology works faster than kinetin or any other product on the market in dramatically reducing roughness and redness starting in as little as two weeks, with full results on fine wrinkles, dryness, discoloration, and other signs of photodamage in twelve weeks of consistent use. Clinical studies showed improvement in pre-existing redness associated with rosacea, eczema, contact dermatitis and menopause.
Cytokinins are natural plant-derived growth factors that stimulate growth and differentiation. While they do not stimulate proliferation of human cells, cytokinins have proved to be superior anti-aging agents in skin cells. By functioning as antioxidants, they purge cellular debris and delay the aging process. The enhanced Pyratine-6™ cytokinin is the most effective and fastest acting cytokinin available today.
In a clinical study of 34 patients, Pyratine-6™ was well tolerated by 33 of the patients. Because it is non-acidic and without irritants, Pyratine-6™ shows 0 on a 4-point scale of irritation and can be used in conjunction with treatment procedures such as chemical peels, laser resurfacing, microdermabrasion and injectables. It has no know interactions with drugs or other products and, it can be used before the application of cosmetics and in conjunction with sunscreen and other enhancement products.
In an independent study by Dr. Jerry L. McCullough from the University of California, Irvine, et al published in the February 2008 Journal of Drugs in Dermatology, Dr. McCullough stated, Treatment with Pyratine-6™ (0.1%) over 12 weeks improves roughness and skin moisturization in 2 weeks and hyperpigmentation and fine wrinkles in 4 weeks. Further, the report stated that adverse effects of Pyratine-6™ are and
Pyratine-6™ will be available starting in September 2008 only through dermatologists, plastic surgeons and top medical spas across the country, providing its high efficacy and specialized benefits in a professional environment. For a list of physicians and medical spas carrying Pyratine-6™ call 888-GO-PYRATINE or 877-586-3747.
About Senetek, PLC
Senetek PLC (OTCBB:SNKTY) is a life sciences company engaged in the development of breakthrough technologies that target the science of healthy aging. The companys extensive research collaborations have resulted in a strong pipeline of patented compounds and products with broad therapeutic applications and a leading presence in dermatology. Senetek collaborates with established specialty pharmaceutical companies in the final development and marketing of its proprietary products, most recently resulting in the development of kinetin, the best-selling anti-aging product sold in the North American physician market. For more information, visit the companys website at www.senetekplc.com.
Company contact:
William OKelly
Senetek, PLC
1-707-226-3900 ext. 102
Media Contact:
Michael Rogers
212.255.7210
michael @ michaelrogerspr.
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With Palin, McCain Ignores Colorado Warning
by Ari Armstrong
"I have to win here if I'm going to be the next president of the United States," John McCain told a Colorado crowd in July. The fact that the Democrats came to Colorado for their convention also proves the presidential importance of the Interior West, a region known for its independent streak and partisan upheavals.
However, McCain seems not to have learned the political lessons of the Interior West, despite the fact that he's from Arizona. By selecting Sarah Palin as his running mate to attract the evangelical vote, McCain risks alienating the independent voters and non- sectarian Republicans he needs to win.
Recent polling results from the Pew Research Center indicate that most Americans now think churches should keep out of politics. Even half of conservatives share this view. The Interior West is particularly leery about faith-based politics; Pew results from 2005 examined by Ryan Sager suggest that 59 percent of residents think "government is getting too involved in the issue of morality." Yet faith-based politics is one of Palin's signature issues.
Palin endorsed the teaching of creationism in tax-funded schools before softening her stance on the issue. She ardently opposes abortion, describing herself as "pro-life as any candidate can be," apparently even in cases of rape, incest, or health problems. Speaking to a church as governor, Palin said that it's "God's will" that she help build an energy pipeline; she added that the Iraq war is "a task that is from God." Political reform, Palin argued, "doesn't do any good if the people of Alaska's heart isn't right with God."
Given McCain's desire to win Colorado, he might have examined why this once solidly Republican state is currently governed by Democrats. One central reason is the domination of the Republican Party in the state by the religious right.
Democrats captured the final branch of state government in 2006 when Bill Ritter defeated Republican Congressman Bob Beauprez in the governor's race. Ritter was accomplished in his own right as the Denver District Attorney but lacked high-level political experience. While Beauprez's campaign suffered a variety of failings, Beauprez's own commitment to faith-based politics, and his selection of a running mate of the same cloth, hurt him badly.
Beauprez himself opposed abortion and favored faith-based welfare. His running mate, Janet Rowland, shared those views and had also come out in favor of teaching creationism in tax-funded schools. When asked about the separation of church and state, Rowland replied, "We should have the freedom OF religion, not the freedom FROM religion." Such expressions rubbed independent-minded Westerners the wrong way.
Yet McCain is following a similar path. On his official web page, McCain says that his ultimate aim is "ending abortion." His running mate, like Rowland, shares that view and favored tax-funded religious education. Palin, like Rowland, would leave Americans without freedom from religious law. Will the team's commitment to faith-based politics be too much for voters in the Interior West to swallow?
The McCain-Palin ticket has a lot going for it that the Beauprez- Rowland ticket did not. McCain is a decorated military veteran with a lengthy career in the Senate. Palin is credible on energy, appealing to low-tax conservatives, and friendly toward gun owners. She has a record as a reformer, and she's an attractive, vibrant, and poised speaker.
Moreover, the left's shrill personal attacks against Palin may serve only to evoke public sympathy for her and energize her supporters. The left's complaints about Palin's lack of experience may underscore their own candidate's inexperience, as Barack Obama tends to come off as a glorified motivational speaker. Yet the Obama-friendly left, in its attempt to itself cozy up to the evangelical vote, shies away from criticizing the McCain-Palin ticket over the issue of separation of church and state.
Nevertheless, as independent and traditionally Republican voters evaluate McCain and Palin on their own merits, rather than merely as the alternative to Obama, many will grow concerned over the pair's commitment to faith-based politics. This will cost McCain votes and other forms of support.
McCain may have energized the religious right, but in doing so he has brought faith-based politics to the forefront of his campaign, leaving freedom-minded independents and secular Republicans without a candidate they can support. The question remaining is which presidential candidate will make them more fearful.
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Today's CNN web page (Sept. 1) runs a startling news story about how Senator Barack Obama received no bump out of the hugely successful Democratic National Convention in Denver CO. This astounding fact was backed up by a CNN poll of about 897 people with a margin of error or about 3 percent.
Obviously, I was flabbergasted by this fact, as I hope everyone who kindly reads this blog is, as well.
What could cause such a phenomenon? By most all accounts, Senator Obama's acceptance speech in Denver's Invesco Mile High Field received high marks. Likewise, his choice of Senator Joe Biden to be his competent and experienced Vice-Presidential running mate is getting equally high marks. All good news, but apparently not good enough.
Political differences notwithstanding, I submit the way to win this year's Presidential election is to make no news at all.
If the 897 people in the CNN poll are right, the race for the White House is again "neck and neck", despite Senator Barack Obama doing everything right.
Is it possible many of those in the massive television audience who watched the Senator's acceptance speech were really tuned in to watch him fail?
Is it possible it was not the historic moment, rallied by Senator Obama, who spoke about patriotism, using the word "America" compulsively counted XXX number of times?
Rather, this lack of "bounce" suggests, to me, many viewers were led to watch because they were driven by bigotry, looking for a mistake, something to hang their opposition hats on, other than their own racism.
Let's stop this conversation for the sake of not making news. If Senator John McCains' 72 year age is not an issue because it's simply "old" news; if Senator John McCain's history of repeat episodes of melanoma are no longer issues because, apparently, some think he will escape the fatal statistics associated with this cancer; if the choice of Governor Palin who leads a state with a population of less than 700,000 people and cuts taxes because, in oil rich Alaska, she can; and if succession to the role of Commander-in-Chief is not a newsworthy issue - therefore, and therein - I respectfully submit - to win an election in 2008 the candidate must make no news at all. Because, news presents facts which clearly threaten people who cannot make informed decisions outside of ideology.
If Senator Barack Obama must be perfect to maintain a voter lead while Senator John McCain maintains his base by making mistakes, then we should just get the news stories out of the way of ideology. Let's save every body's time and oodles of money by simply marking off the calender until November 4th.
On the other hand, thoughtful people, like you reading this blog, obviously believe in debating unfiltered information and the evaluation of a candidate based upon performance.
Let's ask our colleagues who don't share our views to explain their reticence about Senator Obama's candidacy, based upon facts? They can't.
I'll bet the reason is bigotry. It's a brutal conclusion.
Therefore, I suggest Senator Obama should simply stop making news. It's a safer road less traveled, but one seemingly at work for John McCain who languishes in the bushes, while Senator Obama rides heroically into the sunset, praised but saddled with the weight of bigotry.
If we are to look back on the 2008 presidential election, without a Supreme Court intervention (please God!), and say - "Senator Obama did everything right", but still came up short -then I say, it will be a victory for bigotry.
This sad news simply can't prevail.
G. K. Chesterton said "It's not bigotry to be certain we are right; but it is bigotry to be unable to imagine how we might possibly have gone wrong".
Let's get the bigotry concept into the news; and standby to see who can accept Chesterton's challenge.
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There may also be some pieces of equipment that you will use only once or twice and cannot justify the price to let it sit in the garage or barn. By going through lawn care equipment rental you can have it when you need it without having to make the investment. Additionally, renting from a reputable company also insures the equipment will be working order and able to do the job for which it is intended.
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I think some times I am very hard on myself. I for some reason figure I should know more than I do. But how can I in this environment. I mean I had a general understanding of what went on in PACU having taken report and received many a patient from PACU directly to ICU, but hands on direct patient care in PACU I haven't done. It has been very beneficial having my Critical Care training, the ABC's(airway, breathing, circulation) are always the same, and if I remember that I think I will do ok.
Like any new job you have to learn the paper trail, the administrative side to things. For me I have also changed work environments, I have gone from a small rural hospital to a hospital who boost the 4th busiest ER's in the province. Which potentially means lots of surgeries!
It's a learning curve but not insurmountable. I am keen, reading whatever I can get my hands on, jumping in to take the admissions as they come, and some days you can't even catch your breath. I think one of the things I love about this unit is that you truly work as a team. There is not designated patient assignment you decide when the call comes from OR who is going to take the patient and then who is going to be your 2nd RN, and that is how it works. It's just awesome. They have all been so welcoming to me. I think partially that the group I was working with this past week are also fairly new to the unit, with two of them coming from ER background the other with telemetry background, all of them under a year on the unit, but all very seasoned RN's, and bring a wealth of knowledge.
Another thing I have enjoyed is the instant repoire we have with the anesthetists and surgeons. Everyone is called by their first name and treated with respect. I was always greeted by the doctors with a big welcome and often humour.
I think my biggest adjustment are the hours. Having never worked rotating 8 hr. shifts it does take a little getting used to. Case in point this week I have worked an 08-16, 10-18, and three 16-24, all great shift times. However, three of the shifts have mandatory overtime ie. oncall. So for example if you are the evening person working 16-24 you are then oncall from 2400-0600 and then expected to report to work at 1600 after coming off of call at 0600. I am told that it doesn't happen to often that you get called back often it's staying late. Like the other night the evening staff had to stay until 0500 and then come back to work at 1600...ouch! But I guess I will get use to it.
Now, some fun stuff. As you know before I started my new job I took a week off. Spent the one day at the spa and then spent a few days on the in-law's boat. The weather was sunny and warm. The first day we spent travelling up the inlet to eventually get gas. When ended up spending the night and a friend of mine and her daughters came to the boat for a visit. We set out early the next day. The skies were blue the sea was calm it was perfect. We actually even put down a line to try and catch some fish...but they weren't biting. We ended our day by setting anchor in a very tranquil spot. Hubby bar-b-qued and we sat on the deck with our glass of wine and just enjoyed the surroundings, the loudest noise was that of the seal slapping on the water playing with their catch of salmon.
The next morning we set sail with the intention of dropping anchor in another bay at days end. Well that didn't happen. Although the sun was shining, the winds were gusty. Weather report were for winds up to 25km. We started to pull up the anchor with the automatic winch....the anchor stopped....for the life of me I couldn't get it going again. Hubby was up on the fly bridge steering the boat and trying to give me instruction but it just wouldn't work....we had to change spots, I had to steer and keep us away from the rocks(remember I mentioned about the winds)while he worked on the anchor. He figured it out....a fuse had blown he fixed it and we were off. We made our way out through a passage which eventually led us to open water. Let's just say it was a rock'n roll time. Hubby says the swells were about 5 - 6 feet with a 2 foot chop....that means something to the seasoned sailor but to me it was just darn rough! It's a good thing I don't get sea sick. It was a little unsettling for awhile but once we were able to turn and head into the direction we wanted we were travelling with the waves. I mean who needed a roller coaster when you've got this...LOL
We made it to a lovely little cove were we took shelter for a couple of hours and then decided it was time to venture out to the bay we had initially intended on staying. The winds were still strong and the water still rough. Then it all changed. One of the engines gave out....yup....just died. I won't go into the details of it all but it made steering of the boat a little more challenging. The winds into the bay were strong so we opted not to drop anchor.....at this point we were not to far from home so we opted to go home, moore the boat and just have dinner down on the dock. Then things changed again, engine two would only go in forward, no reverse and no neutral. Not good. My hubby planned to drop anchor in the harbour and see if he could have a look at the engine. Then he thought that if there was a slip at the end of the dock that we could just tie up to we would just do that, but there was none. That is when it got really scary. Hubby was attempting to turn the boat around when the winds caught us and pushed into the row of moored boats....I was already on the bow with the gaffle hook in hand, and bumpers down....we were heading right for the stern of two boats.....hubby cut the engine......I pushed with all my might with the hook and then using my body to kick us off of the boat...hubby flew down from the fly bridge off of the boat and threw his body between us and another boat...an older gentleman who just so happened to be on his boat jumped in to help....it was all very frightening...but we stopped tragedy from happening....not one scrape or dent in any of the boats, and us...well that is another story!!!! I don't know how we managed to prevented hitting the other boats but we did....thank god! So there we were stalled, the winds continually pushing us into the boats I am still trying with all my might to keep us off of the boats....the old man went and got the harbour manager and a helper .......with all of them we managed to tether the boat to the end of the dock and moore up against another boat. Whew!......I needed a drink and debriefing after that. What an adrenaline rush.....and then the let down....I think both hubby and I were just mentally and physically beat by the end of it all. We tidied up the boat and decided that we would go home, call the in laws tell them what happened and deal with the rest the next day.
And that is where I will leave this story......I have some photos of our short trip....enjoy.
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By ADAM NAGOURNEY and JEFF ZELENY DENVER Barack Obama and John McCain headed across the country Friday, campaigning for the first time with their new running mates, after Mr. After a monthlong search and a DNA match, Los Angeles police make an arrest in the July assault on a woman who had been waiting at a bus stop. Pin is normally hot but sometimes not. Direct outs of my mixer to a balanced patch bay and then conect that to the balanced quot.
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Stand-up mowers, zero-radius turn mowers and heavy duty trimmers are the most common types of commercial lawn care equipment seen in the large yards of apartment buildings, retailer and near industrial parks. Typically, a company will hire individuals to use this commercial lawn care equipment, and each one will drive a little different, but the result needs to be the same regardless of who is behind the wheel. Additionally, how the equipment is operated will help determine its life.
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Look: the Chinese government has spent a decade cheerfully spitting in the IOC's face, flouting every last promise they made in order to get us all to ignore 800-pound elephants like Tiananmen Square, Tibet, the Falun Gong, and the slave labor camps, and give them the games. Human rights? Sorry. Free speech for Chinese citizens? Please—they've extended their censorship so effectively that even foreigners and visiting athletes are now subject to it. China has proven that they'll make whatever empty promises they have to in order to pry what they want out of a clueless and docile IOC, which has not protested. And now the IOC wants to demonstrate its moral authority and commitment to fair play ... by humbly requesting documents verifying the age of some gymnasts?
Of course they're cheating! Hell, they even Milli Vanillied the opening ceremonies! Now it's true that as a layman I don't have all the documentary evidence, but China has definitely crossed enough lines that there's absolutely no reason to extend them the benefit of the doubt, nor the presumption of innocence (and when it comes down to common sense versus a Chinese government-issued passport, I'll trust my lying eyes, thank you). And that's why it's a kind of treason for the IOC to get exercised over trivia like this, while piously ignoring China's systematic violation of the standards of decency and fair play.
The IOC knows who they're dealing with, and has known for years, and has taught China to rely faithfully on their "turn a blind eye" policy. There has never been even a token effort to hold them accountable for their promises. That's what makes this gymnastics business a red herring, designed only to distract people from the utter spinelessness of the IOC (Usain Bolt has also been victimized by this cowardly behavior). So let's do a thought experiment, and ask ourselves what might happen if the IOC gets smoking-gun evidence that proves beyond a doubt that China forged those little girls' passports. After prostrating themselves before demonstrably empty promises for all these years, does anybody imagine that they'll suddenly find what it takes to stand up to China, in any way other than the most meaningless and trivial?
If hard evidence turns up, and that's assuming that the IOC doesn't already have it and hasn't already destroyed it, then I think we'll see a sort of sacrificial lamb scenario: at most, China will permit one or two little girls to be stripped of their medals, and the IOC will pronounce itself satisfied, and praise China for its openness, and the story will fade away into the general tarnish that's descended onto the popular ideal of the Olympics as a fair, un-politicized, and sportsmanlike enterprise. Frankly the whole thing makes me sick.
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