Friday, January 01, 2010
Me, now, south Florida. And, yes, I can think of at least three possible New Year's resolutions implicitly recommended by this photograph.
1. Don't buy starbucks. Easy way to save money, but hard to enforce, since sometimes...you just need it.
2. Ditto a newspaper. On paper? They still do that?
3. Don't look at a computer when there is better scenery around...of course, who took the photo?
My suggestion is to go further south at this point of the year. Having spent quite a lot of time in south Florida over the years my guess is that you are chillier than you probably want to be having traveled as far as you have. You can work anywhere now, thanks to the internet. Go south young man.
To my knowledge, the sport of blogging has never been photographed so well, with such exquisite and fortunate timing.
How can new year's resolutions even sit at the same table? I'll try.
1. Quit job and blog.
2. Divorce wife and blog.
3. Call Hef for wardrobe advice.
"maybe an HNPCC test"
Probably a waste of money without a positive family history.
I suspect routine colonoscopies, like routine mammograms, will become luxuries under Obama-care's "best (read -cheap) practices".
I suspect routine colonoscopies, like routine mammograms, will become luxuries under Obama-care's "best (read -cheap) practices" (JPMcT)
Ohferchrissakes JPMcT, give it a rest. You know damn well that the Obama Administration had nothing to do with the mammogram screening recommendations issued by the independent task force-all of whom were seated or appointed during the previous administration, and none of whom set federal policy. Was the American College of Physicians advocating cheap practices when they issued similar screening guidelines in 2007 for women under 40?
"the Obama Administration had nothing to do with the mammogram screening recommendations"
I never said they did. As you should know...or can find out, the 2002 recommendations were based on bad science and opinion and were largely refuted.
The 2009 recommendation, made by a board of epidemiologists, academicians and public health PHD's, may have a ring of truth...but that does NOT constitute peer-reviewed clinical practice. The American Cancer Society, The American College of Radiology and The American College of Surgeons have all condemned the new federal guidelines.
We need to be VERY CAREFUL about federal bean counters who issue mammogram (or any health) guidelines based on an increased number of "unnecessary" biopsies and "psycological" stress, rather than cold, peer-reviewed clinical evidence.
What they say MAY be a correct trend..or it may NOT be...these people are often dead wrong in their "best practice" recommendations.
But it won't be long before your federal insurance carrier will stop paying for treatments based solely on flawed, subjective data...as long as it suits their budget.
My own experience in treating breast cancer patients is in sharp conflict with these recommendations. I don't see "too many" unnecessary biopsies as a bigger problem than "failure to diagnose cancer".
I guess it's OK with you to stop being a patient and assume the role of being a statistic. If that suits you...Go for it, but not on my watch!