Monthly Archives: June 2011

is thinking about how the brain thinks a recursive function?

no wonder neuroscience doesn’t make sense. it can’t break and exit the function.

the other day i went shopping. instead of looking at choices and researching and choosing the best choice for myself, another person chose what i needed. i was reaching for my wallet, but then someone else paid for me. life is so good. welcome to healthcare.

hey guys! guess what? i’m negative for tuberculosis! just like last year. and the year before. and the year before that. still have to do a second test next week though!

i was talking to some pharmacist that’s some director of something in some hospital. (i’m pretty sure he earns some great sum of money.) he was saying that in a few months, government won’t pay for patients that are readmitted for the same diagnosis within 30 days. so, for example, a person has a case of acute heart failure and then leaves, comes back in 10 days again with another acute heart failure episode because hospital doesn’t do a good job, the hospital has to pay the second time. it’s a good idea because it gives hospitals an incentive to do a good job the first time. it’s a way to cut costs but then hospitals won’t have patients? they aren’t getting paid more for the prevention of the 2nd attack, so hospitals can only make less money.

then i asked him what if the patient is not compliant? a patient that has one heart attack is discharged with around 5 medications (to take for the rest of his life). you can’t expect every patient to cooperate perfectly. he laughed and then didn’t know how to answer. he said his hospital does have a lot of homeless patients and they really can’t pay for the medications, so they will have to count on charity organizations and stuff like that. so is the government shifting it’s burden to these other organizations? hm. it’s also especially troublesome because many of the poor patients are completely covered by the government, so they don’t pay a dollar when they use the emergency room as their primary care doctor. it costs about $2000-3000/day in the hospital, so they don’t know the amount of money that has to be spent every time they decide they don’t need their (free) blood pressure medications anymore and end up in the hospital again. people only place value in things they have to pay for. this new law sounds great that it will promote better hospital care, but are people ending up in the hospital because the hospital isn’t doing a good job? or is it because some patients aren’t being compliant and just continuing their mcdonalds diet? i don’t know. but i think there should be some study to find out which it is. you can’t always blame others.

of course we can’t expect people to pay for hospital visits these days because of the ridiculous costs from a positive feedback loop set up by insurance companies, but that’s another problem…

it would be really nice to get the tuberculosis vaccine. then i wouldn’t have to do the PPD test every year. so annoying.

today, i had CPR training, because they only last 2 years, and i have to renew it. the teacher was telling us why CPR isn’t performed more when more people are getting trained. first reason was getting sued. he said that when working, you’re protected by employer, so it’s okay. but what about when off-the-clock? well, california law doesn’t require a person to do anything, but there is a “good samaritan law” that protects a person that tries to help. he said since this law was enacted, no one has been sued for CPR because of this good samaritan law. all i could think was: that’s because there are no good samaritans. the second reason why CPR isn’t performed is because of diseases. he said “no one has gotten a deadly disease from performing CPR.” the only word i focused on: deadly.

is it bad to think this way? picking at statistics and the way things are phrased. not because i don’t care about CPR. it is important. just a bad habit, i guess.

dreams from the last two nights:

1. got sucked into my textbook, couldn’t figure out how to escape. it was quite a frightening experience. a sign that i need to stop studying.

2. ended up being a pharmacist in another state, but i didn’t know the laws in the particular state. so i was screwing up. then i got a huge cut from moving boxes or something. it was deep. i could see my bone and the gash got infected with necrotizing fasciitis (streptococcus pyogenes). since i didn’t know the laws, i didn’t know whether to go to the hospital or to get some over the counter medications to treat it. (i don’t know how that makes sense). a sign that i need to stop studying infectious disease and study law again. but the good news is s. pyogenes is not very resistant to drugs! not like streptococcus pneumoniae.