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DJP Update 4-28-2015 Tales of successful endurance challenges

 

1- Follow up on the 100 mile run for the MAG Foundation

The 100 mile run by son DJP Jr, CEO and EVP of Medical Association of Georgia (MAG), was completed successfully. See the previous 3-28-2015 DJP Update re the background of the run:

http://intrepidresources.com/djp_update/?p=1037

MAG’s comments: http://www.mag.org/news/articles/run-promo

And here is DJP Jr just before 100 mile finish line. A friend, Andy Nguyen, recorded his voice and face at approximately 56 seconds into this short video. Most of rest of video dark.
https://www.youtube.com/watch?v=Vvyo5Lf2gpY

And here is DJP Jr crossing finish line sub 24 hours!
https://www.youtube.com/watch?v=30cpZ7RzAsU

DJP Jr’s Latest info to MAG physicians: http://www.mag.org/resources/executive-director

And congrats for more than 35% increase in membership for MAG since 2010!
http://www.mag.org/membership

In these troubling times for membership in state and national organizations, there are lessons to be shared here.

Congratulations!

2- Here is a personal endurance adventure on a raft in the ocean by an AMA employee, Daniel Eller, identified only by name and as a Chicago person in “medical sales”.

Imagine being thrown into the Bermuda Triangle with a raft via a simulated boat accident. Some supplies are in the ocean and have to be retrieved. And one more thing: You meet a woman companion for the first time in the raft. The goal is to make it to land. Live off the sea and try to survive. If overwhelming, then use special phone to call for rescue and you fail the challenge. (Water, water, everywhere, …Nor any drop to drink.” Rime of the Ancient Mariner by Samuel Taylor Coleridge)

This story was featured this past Sunday on National Geographic TV with the title: Season 1, Episode 4 “To The Bone”
http://channel.nationalgeographic.com/the-raft/

There is a second couple in another raft somewhere else in the Bermuda Triangle.

It will be repeated this Sunday evening or you can find it ON DEMAND at the National Geographic Channel.

If you wish to see a small screen version immediately, it is also on YouTube at:

https://m.youtube.com/watch?v=D8HrPM6ByBU

Congratulations, Dan and companion Ceci of the orange raft!

——————

NEVER UNDERESTIMATE THE ABILITY TO RISE TO THE CHALLENGE!
DJP

—————–

Stay well,

Donald
Donald J. Palmisano, MD, JD, FACS

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

DJP@intrepidresources.com

http://www.intrepidresources.com/

http://onleadership.us/

(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)

DJP Updates: http://DJPUpdate.com

DJPNEWS on Twitter

https://twitter.com/DJPNEWS

YouTube: https://www.youtube.com/user/IntrepidResources/videos Check out the videos.

This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

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DJP Update 3-28-2015 Race Day! THE UMSTEAD 100 MILE ENDURANCE RUN Today!

DJP Update 3-28-2015 Race Day! THE UMSTEAD 100 MILE ENDURANCE RUN Today!

A note from Donald Jr, Executive Director/CEO of the Medical Association of Georgia, is below. Trey Reese is an attorney and also will run the race for the Think About It Campaign.

————-
Dear all:

On behalf of Trey and I, I want to say thank you for the support of the Think About It Campaign. We are en route to the Umstead 100 Mile Endurance Race in Raleigh, North Carolina. Trey and I will individually attempt to 100 miles in less than 30 hours.

We want to say thank you as we raised over $40,000 from over 80 donors.

If you want to follow our progress during the race, please follow my Twitter account below (DPalmisanoMAG) or Trey (treyreese). My father will also be using Twitter at DJPNews. My account will be run by my oldest son, so hopefully it will be timely and accurate.

The race begins at 6 am tomorrow. Weather is predicted to be cold.

Again, thank you for the support in the campaign as we will use the money to address the abuse associated with prescription drugs.

Donald
Twitter (DPalmisanoMAG)
LinkedIn (Donald Palmisano, Jr.)

Let’s Stop Prescription Drug Abuse – http://www.mag.org/news/articles/run-promo
———————————————

Excerpt from the MAG Foundation:

MAG Foundation President Jack M. Chapman Jr., M.D., applauded ‘Team Think About It,’ stating that, “What started as a simple concept evolved into one of our most successful fundraising events ever – and I am excited to know that we are going to use the money that was raised to purchase Naloxone (which first responders can use to offset the effects of drug overdoses) and prescription drug disposal boxes and to produce a video that will promote good prescribing practices.”

Dr. Chapman also thanked an anonymous donor who accounted for $10,000 of the $40,100 that was raised. He says, “This was an incredible act of selfless generosity – someone who simply wanted to help the people who live in this state.”
——————————-

DJP comment: I want to thank all of the folks on the DJP Update who sent in money for this campaign, especially Dr. anonymous on the DJP Update list who called me and wanted his name listed as anonymous for the $1000. That message was forwarded on to DJP Jr.

Follow the progress of DJP Jr and Trey and in the 100 mile run starting at 6:00 AM Eastern Daylight Time in William B. Umstead State Park in Raleigh, NC.

TEXT MESSAGE SIGN UP:
http://www.umstead100.org/signup.html

Donald Palmisano Jr race number is 204.

Trey Reese race number is 224.

———————————————

Best wishes for a safe race!

Donald

Donald J. Palmisano, MD, JD, FACS
Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

DJP@intrepidresources.com

http://www.intrepidresources.com/

http://onleadership.us/

(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)

DJP Updates:  http://djpupdate.us/

Twitter: https://twitter.com/DJPNEWS

YouTube: https://www.youtube.com/user/IntrepidResources/videos Check out the videos.

This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

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DJP Update 3-12-2015 Books by doctors on the DJP Update list plus one blog.

DJP Update 3-12-2015 Books by doctors on the DJP Update list plus one blog.

Here are 4 doctors on the DJP Update list who recently wrote books. Take a look!
1- Dr. Susan Adelman

Many of you know Susan, a pediatric surgeon in Michigan, from her time on the AMA Board.

Here in part is what Susan wrote me in her latest email of March 2, 2015:

Don, we always enjoy receiving your emails, and Marty reminds me every time how much he used to enjoy meeting you and Robin.

I wanted to bring you up to date on my book, The Rebel: A biography of Ram Jethmalani. Ram is, at 91, the most famous living lawyer in India, the most senior member of Parliament, a former law minister, one of the major figures behind formation of the National Law Schools of India, and has been the head of the Ram Jethmalani Kashmir Committee, which has mediated successfully between the rebels in Kashmir, Pakistan, and India. Practicing law in India since Partition, he has argued many, many of the landmark cases in the last 70 years, and certainly many of the most controversial. I had to learn how to read and analyze cases from the Indian courts in order to write the book (Marty just smiled and told me to read carefully. He would not help, except with questions.) Google him – you will be amazed at what you find. The forward is by the immediate past Chief Justice of India. Published in December by Penguin Random House in Delhi, it is cobranded with the mark of Shobhaa De, herself an author (very famous in India) of 18 books, a former model, magazine editor, and major newspaper columnist.

We launched the book at the Times of India Literary Festival in Mumbai on December 5, and now the Delhi launch has just been scheduled for April 11 in Delhi, hosted by the current Chief Justice of the Supreme Court. Meanwhile, I just received word that the book has gone into a second printing. I would love to get the word out about the book to all my friends at the AMA, but I do not have the mailing list. Could you include something about it in your next mailing? How else would you suggest I let everyone know about it? After all, this is what a former AMA BOT member does after the AMA!

Here it is at Amazon with the info about it there:

http://www.amazon.com/Rebel-Biography-Ram-Jethmalani/dp/0670087920/ref=sr_1_2/176-1122410-0455234?ie=UTF8&qid=1426189944&sr=8-2&keywords=susan+adelman

Ram Jethmalani has been called many things a legal legend, a wizard of the law and a magnet for controversy with a knack for defending the most notorious figures in India. With a career spanning the entire history of independent India, and still going strong, he has managed to command respect and evoke anger in equal measure. But did you know that he is the most pro-Israel politician in Asia; one of the founders of the prestigious National School of Law, Bangalore; one of the first to raise the issue of corruption in India; founder of the Sunday Guardian in the late eighties, one of the longest-serving parliamentarians; and that he is married to two wives at the same time?

In The Rebel: A Biography of Ram Jethmalani, Susan Adelman, a longtime friend, presents the most updated, authentic and detailed account of his life. Peppered with personal accounts, unknown facets of his life and insider titbits, the book reveals the man behind the larger-than-life persona of Ram Jethmalani.
——————-

2- Dr. Robert Sade

Bob is a former Chair of The AMA Council on Ethical and Judicial Affairs (CEJA) as well as former Chief, Section Pediatric Cardiac Surgery, Medical University of South Carolina (1974-1995) The new book he edited is THE ETHICS OF SURGERY. Full CV at:

http://academicdepartments.musc.edu/surgery/divisions/cardiothoracic/faculty/Sade_CV.pdf

Book is available at The Oxford University Press at:

https://global.oup.com/academic/product/the-ethics-of-surgery-9780190204525?prevSortField=1&sortField=1&start=3600&resultsPerPage=100&type=listing&lang=en&cc=us

Bob states: “That’s where the 30% discount is available, using the promotional code AMPROMD9. It’s also available on amazon.com and barnes and noble but without the discount. Thanks for adding it to your update.”

The Ethics of Surgery
Conflicts and Controversies
Edited by Robert M. Sade, M.D.

Surgical ethics was only recently recognized as a subdivision of biomedical ethics; few other books specifically address this field.
Most of the articles in the book are debates, a format that emphasizes the wide range of controversies that characterize contemporary biomedical ethics.
Most of the authors of the papers are surgeons, giving a real-world cast to the discussions and arguments; the exchanges are enriched by an admixture of lawyers, sociologists, philosophers and others with expertise in ethics.
Amazon info re book states:

According to popular belief, technical skill is far more important for surgeons than thoughtful deliberation. Nothing could be further from the truth. Although surgeons must sometimes make decisions rapidly on the basis of incomplete evidence and must respond to unexpected catastrophes in the operating room rapidly, those events are intermittent – most of the time surgeons deliberate on diagnostic problems and thoughtfully manage postoperative care, which is often intellectually challenging.
The relationship of surgeons with their patients is, in a real sense, far more intimate and trusting than that of any other professional, a claim that is supported by the fact that patients surrender their bodies to their surgeons in a state of total helplessness and vulnerability when they undergo anesthesia. Because of that responsibility, no other professional group has a greater sense of dedication to the welfare of their patients than surgeons.
Surgical culture is deeply steeped in ethics, and surgeons confront and resolve ethical dilemmas as much or more than most other professionals, although they often may not recognize the situations they resolve are problems in ethics – they are just part of the daily routine. This book is a compendium of articles from the recent surgical literature that address ethical issues chosen by surgeons because they are controversial and pertinent to the practice of surgery. The reader will not find a great deal of sophisticated dissection of fine philosophical distinctions in these discussions of ethical conflicts and controversies in surgery. Instead, they will discover differing viewpoints from thoughtful essayists, mostly surgeons, whose feet are firmly in contact with the ground and who have extensive experience in the real world of surgery, medicine, and law.
————————————
DJP Comment: I first learned of Robert M. Sade, MD when I read his article in the New England Journal of Medicine many years ago. It was entitled:
Sade RM. Medical care as a right: A refutation. New England J Med 1971; 285:1288-1292. 21. Another article on the same topic is at: http://www.unz.org/Pub/Reason-1972sep-00010

I wrote the NEJM in 1971 when I read that article and NEJM said the response to the article with letters to the editor was the largest they had ever received and they could not accept any additional letters for publication. I quoted Dr. Sade’s article when I testified to Congress in 1976 during the hearings on National Health Insurance.

——————————

3. Dr. Robert Sewell

Dr Sewell has 4 books, A Surgeon’s Heart: The Calling; The Conflict; The Crisis; and The Choice. More info at:

http://www.spiritofhealthcare.com/2015/02/22/a-surgeons-heart-revealed/

Dr. Sewell states at the Website:

“The product of this effort is a series of novels entitled “A Surgeon’s Heart”, which features a fictional pediatric heart surgeon, Dr. Jack Roberts, his family and his circle of friends and colleagues. It can best be summed up as the epic love story of a man for his profession, and all that that entails.”

Dr. Sewell’s books also are available at Amazon: http://www.amazon.com/Surgeons-Heart-R-W-Sewell/dp/0615956254/ref=sr_1_1/183-9477933-3734652?ie=UTF8&qid=1426193570&sr=8-1&keywords=Robert+sewell

———————

4. Dr. Rob Tenery

A blog by another former Chair of CEJA, Dr. Rob Tenery, is at http://robtenerymd.com/ . He doesn’t hesitate to take on controversial topics. See: http://www.robtenerymd.com/blog/?p=410

He also has an ebook: In Search of Medicine’s Moral Compass. See: http://robtenerymd.com/book.html

——————–

I am happy to share information about the hard work of these doctors. They obviously have a passion for the message they share. Writing and publishing requires a lot of work. I can attest to that from the experience with my books: http://onleadership.us/

LAGNIAPPE: Many thanks to all who read about the campaign by Medical Association of Georgia Foundation in recent DJP Update and contributed money for the “TEAM TO THING ABOUT IT” campaign to fight Rx Drug Abuse. Greatly appreciated. The money goal of fund raising has been exceeded and continues to rise! Special thanks to Dr. Anonymous. http://www.mag.org/news/articles/run-promo

DJP Jr. begins his continuous 100 mile run on August 28. Wishing him and his colleague, outside counsel Trey Reese who runs the next 100 miles, great success and SAFETY.

Stay well,

Donald
Donald J. Palmisano, MD, JD, FACS

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

DJP@intrepidresources.com

http://www.intrepidresources.com/

http://onleadership.us/

(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)

DJP Updates:

Twitter: https://twitter.com/DJPNEWS

YouTube: https://www.youtube.com/user/IntrepidResources/videos Check out the videos.

This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

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DJP Update 2-21-2015 Mardi Gras excitement; 200 mile run (100 miles by DJP Jr) for worthy cause; Prayers for a friend

DJP Update 2-21-2015 Mardi Gras excitement; 200 mile run (100 miles by DJP Jr) for worthy cause; Prayers for a friend

1- Mardi Gras in New Orleans
This year’s Mardi Gras especially was exciting because we had two friends, a married couple from Sausalito, California, who visited us for their first Mardi Gras.

We checked into the Windsor Court to avoid the traffic and barricades to and from parades. Of course we visited many of the restaurants on my favorite restaurant list.

http://www.intrepidresources.com/html/restaurants.shtml

And yes, the first meal was at Tony Angello’s in the private wine room with the “Feed Us” request rather than ordering from a menu. Wonderful as usual.

Fat Tuesday was spent in the French Quarter watching the sights and getting interesting photos. Captured over 700 images!

Our friends were in the Mardi Gras spirit and caught lots of beads! The husband served our in the U.S. Military as a Marine and the National WWII Museum was a must see stop.

Great fun!

2- Donald Jr and the 100 mile run. (Total run event is 200 miles).

The Medical Association of Georgia (MAG) Foundation is sponsoring this event.

Actually the event is a 200 miles run and DJP Jr will run the first 100 miles and a colleague will run the next 100 miles to raise money to fight prescription drug abuse.
http://www.mag.org/news/articles/run-promo

$15K & climbing: Help MAG’s CEO raise $25K for MAG Foundation effort to reduce Rx drug abuse
Click to make donation/pledge to ‘Team Think About It’

http://rxdrugabuse.org/events.html
The Medical Association of Georgia (MAG) is encouraging member physicians and other individuals and corporate sponsors to support MAG Executive Director Donald J. Palmisano Jr. and outside legal counsel Trey Reese (with Hall Booth Smith) with a donation when they run a 200-mile race to raise $25,000 for the MAG Foundation’s ‘Think About It’ campaign to reduce prescription drug abuse in the state. The fundraising goal was recently increased from $10,000 to $25,000 given an overwhelming response in the first week. Palmisano and Reese will each run 100 miles during the Umstead Endurance Race that will take place near Raleigh, North Carolina on March 28-29. Sponsors can support the duo – aka ‘Team Think About It’ – with a flat donation or a per-mile pledge. Palmisano has personally pledged $1,000, and 100% of all donations will go to the ‘Think About It’ campaign. Contact Lori Cassity Murphy at lmurphy@mag.org or 678.303.9282 with questions.
‘Team Think About It’ Goal: $25,000

‘Team Think About It’ Amount Raised: $15,625*

Endurance Sponsors ($2,000)

CONSIDER MAKING A DONATION!
—————

3- A wonderful physician friend is ill: Dr. Ronnie French. For those with good spiritual contacts, say some prayers for him. I visited him in the hospital today and he gave me permission to mention he was ill and he would welcome prayers. Some of you know Ronnie from medical practice in New Orleans and others know him for his innovation invention of the emergency airway device “LIFESTAT” you can carry on your keyring. See link below.

http://lifestatmedical.com/

———————

Stay well,

Donald
Donald J. Palmisano, MD, JD, FACS

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

DJP@intrepidresources.com

http://www.intrepidresources.com/

http://onleadership.us/

(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)

DJP Updates:  http://djpupdate.com/

Twitter: https://twitter.com/DJPNEWS

YouTube: https://www.youtube.com/user/IntrepidResources/videos Check out the videos.

This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

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DJP Update 12-22-2014: 1- Holiday Greetings! 2- Upcoming Meeting and Speech 3- Lagniappe

DJP Update 12-22-2014: 1- Holiday Greetings! 2- Upcoming Meeting and Speech 3- Lagniappe

1- Holiday Greetings! Happy Hanukkah and Merry Christmas. May you have a Happy New Year full of family, friends, and health. This past Sunday there was a nice story on CBS SUNDAY MORNING re the four-sided spinning top Dreidel containing nun, gimel, hay, and shin: “A Great Miracle Happened There.” Very interesting!

2- Upcoming Meeting and Speech: On January 9, 2015, the Association of Physicians and Surgeons (AAPS) will have a meeting in New Orleans. I will give the Keynote dinner speech. Attend if you can.

The brochure states:

Join us on January 9, 2015
Attend both or just one.

Workshop: Thrive – Not JUST Survive XXI – Building a Healthy, Independent Practice & Dinner: Politics and Your Practice 2015
7:45pm – 8:20pm

KEYNOTE: Reflections on the Practice of Medicine over 50 years and How to Deal with Politicians. Donald Palmisano, M.D. http://www.intrepidresources.com/

More info on the meeting at: http://www.aapsonline.org/index.php/event/thrive_not_just_survive_xxi/
3- Lagniappe: I received several books as gifts from friends. Here is one, THE EMERALD MILE by Kevin Fedarko, that I received from Dr. David Charles of Colorado and I am almost finished reading it. (I continue to reread certain sections!) Strongly recommend it as an example of excellent writing about the history of the Colorado River and the Grand Canyon, and yes, the dams! Vivid descriptions of the explorers of those cherished American landmarks and the gripping adventures. It is a book that encourages you to reread it if you are a student of sentence structure and how to weave history into an adventure tale. The other books I will discuss in another update.

Stay well and have safe holidays.

Donald

Donald J. Palmisano, MD, JD, FACS

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

DJP@intrepidresources.com

http://www.intrepidresources.com/

http://onleadership.us/

(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)

DJP Updates:  http://djpupdate.com/

Twitter: https://twitter.com/DJPNEWS

YouTube: https://www.youtube.com/user/IntrepidResources/videos Check out the videos.

This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

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DJP Update 12-8-2014 Tomorrow on C-SPAN 3 Hearing on PPACA; 2- Some Weblinks; LAGNIAPPE: Movies and Louisiana U.S. Senate runoff election

DJP Update 12-8-2014 Tomorrow on C-SPAN 3 Hearing on PPACA; 2- Some Weblinks; LAGNIAPPE: Movies and Louisiana U.S. Senate runoff election

Airing LIVE Tuesday, Dec 09 9:30am EST on C-SPAN 3 re PPACA, the healthcare law.

http://www.c-span.org/video/?323115-1/hearing-jonathan-gruber-marilyn-tavenner-health-care-enrollment

Jonathan Gruber and Marilyn Tavenner on Health Care Law Enrollment
Centers for Medicare and Medicaid Services Administrator Marilyn Tavenner and MIT economist Jonathan Gruber testify before the House Oversight and Government Reform Committee about enrollment issues with the Affordable Care Act.
If you are caring for patients during that time, set your recorder.  It is my view the hearing will not be limited just to enrollment.  Professor Gruber’s comments regarding how the law was designed and what he thinks of the public no doubt will be explored.

2- Some Weblinks to Professor Gruber’s comments and an interesting article in WSJ today about PPACA threat to private practice:
DJPNEWS
“Will Jonathan Gruber Topple Obamacare?” @politico Pro: http://t.co/BsvjJmkgJJ #CSPAN tomorrow = Testimony #Congress . #ACA #tcot
12/8/14, 10:20 AM
Alternative link:  http://www.politico.com/magazine/story/2014/12/will-jonathan-gruber-topple-obamacare-113369.html?hp=t3_r#.VIZVLIer9XZ

DJPNEWS
“ObamaCare’s Threat to Private Practice” @WSJopinion @AEI http://t.co/zvBtuPqWOb #PPACA #ACA #tcot @AAPSonline @AmerMedicalAssn @sonodoc99
12/8/14, 11:21 AM
Alternative link:  http://www.wsj.com/articles/scott-gottlieb-obamacares-threat-to-private-practice-1417990367  (Requires log in)

—————

LAGNIAPPE:  Two movies and one YOUTUBE that we saw recently and enjoyed.  1- Big Hero 6.  We saw this with our grandkids in movie theatre.  Story of a robotics prodigy. A story of genius, tragedy, and triumph.  Stresses education.  2- The Hundred-Foot Journey (based on book of same name)  A tale of a family who suffers a tragedy in India and moves to France.  One son is a gifted chef.  Heart-warming story of family, love, and cooking.  Available ON DEMAND from TV services.  Info about the author, Richard C. Morais, is at:  http://www.richardcmorais.com/

YOUTUBE:  Work of art video;  It shows the design of a Beretta shotgun by Apple designer and the craftsmanship of the folks at Beretta.

http://www.thefield.co.uk/news/beretta-486-apple-designer-marc-newson-26297
TheFieldmag
Is this the most fantastic collaboration ever? @BerettaItalia with Apple designer Marc Newson http://t.co/TofGpD5vLZ http://t.co/Azlu6BGsEj
11/17/14, 5:26 AM

————

Must not forget the La. U.S. Senate runoff election that took place Saturday December 6.

DJPNEWS
RT @BillCassidy: Louisiana, you voted for change. It’s an honor and a privilege to be your next senator. Thank you! http://t.co/Gj7oKa6EKy
12/6/14, 10:21 PM

DJPNEWS
Election results not close in Rep. Bill Cassidy win over Sen. Mary Landrieu for La. U.S. Senate seat. #tcot #GOP http://t.co/OtldoH4DOi
12/6/14, 9:14 PM

The final tally was 56 percent for Dr. Bill Cassidy and 44 percent for Senator Mary Landrieu.

And the Louisiana State Medical Society (LSMS) sends out this message today:

4 LSMS Members in the United States Senate and House of Representatives

“Congratulations to Drs. Cassidy, Boustany, Fleming, and Abraham

“LSMS Member in the U.S. Senate
Dr. William “Bill” Cassidy was elected to the US Senate on December 6, 2014.

“LSMS Members in the U.S. House of Representatives
District 3 reelected Dr. Charles W. Boustany, Jr. on November 4, 2014.
District 4 reelected Dr. John Fleming on November 4, 2014.
District 5 elected Dr. Ralph Lee Abraham on December 6, 2014.”
——-
Stay well,

Donald

Donald J. Palmisano, MD, JD, FACS

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

DJP@intrepidresources.com

www.intrepidresources.com

www.onleadership.us

(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)

DJP Updates:  www.DJPupdate.com

Twitter:  www.twitter.com/DJPNEWS

YouTube: http://www.youtube.com/user/IntrepidResources/videos  Check out the videos.

This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

 

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DJP Update 11-25-2014 OP-ED on Alternative to PPACA by Dr. Healy and DJP; Also Dr. Tenery article; Lagniappe: Some tweets not about health system reform

DJP Update 11-25-2014 OP-ED on Alternative to PPACA; Also Dr. Tenery article; Lagniappe: Some tweets not about health system reform
(Sent yesterday but server problem so sending again today after server fixed. Also added links.)

Here is the link at The Daily Caller with the OP-ED written by a former president of the American College of Surgeons, Dr. Gerry Healy, and me. Published 11-24-2014.

(Copy and paste links into your browser if it doesn’t show up as a hot link here.)

http://dailycaller.com/2014/11/24/we-need-healthcare-reform-but-obamacare-is-not-it/

The OP-ED is on two pages so click page 2 at bottom of first page.

Of course, I did a tweet about it too:

DJPNEWS
OP-ED @DailyCaller Dr. Healy + @DJPNEWS #PPACA + better way http://t.co/bRlEOidgIs #tcot @AAPSonline @AmCollSurgeons @LaMedSoc @BretBaier
11/24/14, 5:06 PM

By the way, if you want your own copy of The Patient Protection and Affordable Care Act (PPACA, ACA, etc.) for review during a discussion, here is a government link that gives you entire law.

The sequence of events and dates of PPACA passage can be found in my 2010 OP-ED: http://www.intrepidresources.com/html/PEJLSMS2010.pdf

https://www.govtrack.us/congress/bills/111/hr3590/text

A retweet involving PPACA and the man who found Professor Gruber videos.

This introduces the world to the person who found all of the Jonathan Gruber videos. I find it fascinating that this man is not a reporter but a guy who did his own research in his space time and scooped all of the press and those in Washington, DC. This man doesn’t want any publicity. He merely wanted to document the record regarding PPACA. He deserves a Pulitzer Prize.

DJPNEWS
Tell folks follow! @phillyrich1 RT @Heritage: Meet..Man Who Found the Jonathan Gruber Videos – http://t.co/aCHLvZnFle http://t.co/CuXl23U2tk
11/20/14, 2:44 PM

Try this link if above link doesn’t work: http://dailysignal.com/2014/11/20/meet-man-found-jonathan-gruber-videos/?utm_source=twitter&utm_medium=social

plus the image at: https://twitter.com/Heritage/status/535529301882327040/photo/1

BONUS: Here is a blog posting by Dr. Rob Tenery, a former Chair of CEJA that deals with PPACA. It is entitled: Boondoggle?

Worth reading: http://www.robtenerymd.com/blog/?p=367

LAGNIAPPE: Some of my Tweets/retweets you may find of interest not dealing with health system reform:

Watch the excellent video of a Beretta shotgun designed by Apple designer Marc Newson:

DJPNEWS
Work of #Art – incl video RT @TheFieldmag: … @BerettaItalia with Apple designer Marc Newson http://t.co/xL2J2XJkz4 http://t.co/uYkb1r0IbD
11/22/14, 9:31 AM
If link does’t work, use this instead: http://www.thefield.co.uk/news/beretta-486-apple-designer-marc-newson-26297 and then this one: https://twitter.com/TheFieldmag/status/534306606708953088/photo/1

Here is KitKat the day after the Saints lost on Monday Night Football:

DJPNEWS
Our outside #cat – #KitKat – with inside visitation privileges appears sad after loss #NOLA #Saints last night. #NFL http://t.co/NealmIvZp3
11/25/14, 2:50 PM
Try this link if link in tweet doesn’t work: https://twitter.com/DJPNEWS/status/537347570318594049/photo/1

Here is one of my Double Knockout roses. My daughter Mary Ellen recommends KnockOut Roses because they are so easy to grow and are resistant to disease.
DJPNEWS
Today’s #DoubleKnockoutRose from our garden. #Flowers #Roses #photography http://t.co/9xKweYy30x
11/25/14, 2:43 PM
Try this link for rose: https://twitter.com/DJPNEWS/status/537345797751603201/photo/1

That photo was take with iPhone 6+.
—————

Have a wonderful Thanksgiving!

Donald

Donald J. Palmisano, MD, JD, FACS

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

DJP@intrepidresources.com

www.intrepidresources.com

www.onleadership.us

(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)

DJP Updates: www.DJPupdate.com

Twitter: www.twitter.com/DJPNEWS

YouTube: http://www.youtube.com/user/IntrepidResources/videos Check out the videos.

This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

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DJP Update 10-5-2014 Gadgets and Lagniappe (articles)

DJP Update 10-5-2014 Gadgets and Lagniappe (articles)

If you are not into tech stuff and do it yourself projects, you can skip this item and go directly to Lagniappe.  The Gadget section is about modifying old computers so you can use longer plus info re new iPhones.

 GADGETS A) Computer upgrade B) iPhones

A) Upgrading your old computer with larger hard drive (SSD) and more RAM

I decided to upgrade my Apple mid-2009 MacBook Pro with 4 GB RAM and 250 SSD (Solid State Drive rather than a spinning hard drive) GB hard drive that I use as my desktop computer for writing. The 250 GB hard drive was full despite moving most data off.  Lots of programs!

With the availability of excellent YouTube videos online free for viewing via Internet for viewing options and techniques for changes the insides of my computer, I ordered 8 GB of RAM and the new Samsung SSD 850 Pro SATA III (512 GB) from Amazon.

I also bought special screwdrivers (T6 Torx and Phillips PH00) made by Boxer to remove back of computer and the internal screws.  In addition I got an anti-static wristband with clip to attach to computer at the advice of my younger brother who knows much more than I do about computer insides.

I cloned my original 256 GB SSD to the new 512 GB SSD (solid state drive) before removing using “Carbon Copy Cloner” program and connecting new SSD to USB port before the swap.

No problems at all with transplant or data transfer including clone of operating system. Computer worked immediately when I turned it back on.  All items were bought from Amazon. As a PRIME member, I received items in 2 days at no extra mailing costs.  The Carbon Copy Cloner was free for 30 days and worked smoothly.  It was downloaded from the maker of the program:

https://www.bombich.com/

I then purchased the Carbon Copy Cloner program ($39.99) to encourage the developer of the program plus the program is a good way to back up frequently so that you have a bootable external hard drive if the internal drive crashes. The advantage of this is if the computer hard drive crashes and remains broke, you can put in new hard drive or take it to a computer store to remove broken drive and add new one. Then the new internal hard drive with everything you saved on external drive is cloned using Carbon Copy Cloner.  In other words, no need to reinstall the Operating System from original discs that came with your computer.  Remember, ALWAYS back up!  (Some people use the “Cloud” to store data but I don’t as I worry about security at those sites.  I believe it best to control your own backups and keep one backup at another location in a waterproof container such as a Pelican 1200 case made by Pelican Products in Torrance, California. Light enough to carry with you in an evacuation. Those who suffered through Hurricane Katrina know the value of backup and alternative safe locations to store one additional backup!)

This Carbon Copy program copies booting files, all programs, and all data. I have two external hard drives for back up.  One backs up with Apple’s TIME MACHINE, the other with CARBON COPY CLONER. Both external hard drives are Lacie 500 GB 7200 RPM with option for Firewire 800 or USB 3.0.  I have Firewire 800 on my old mid-2009 as well as the slower USB 2.0. Using Firewire 800 with the 7200 RPM makes the back up very fast.  Most external hard drives at stores are 5000 RPM.  7200 RPM drives are faster and give better result with transferring and modifying video.

I am impressed with educational info on YouTube!  The swap reminded me of my first short wave radio I built from a Heath Kit when I was a teenager.  Lots of fun.

Here is some info re the revolutionary Samsung 850 Pro 512 GB SSD that I inserted into computer:

http://www.samsung.com/global/business/semiconductor/minisite/SSD/global/html/ssd850pro/overview.html

This adventure give me a functional writing computer for some additional years rather that spending thousands on a new computer.  The speed increase in the computer is noticeable!

Here are examples of the YouTube educational videos reviewed before attempting this transplant and more specs on my Mac:

Larger Samsung SSD into MacBook Pro and also cloning in this YouTube video:

——–
Cloning hard drive to swap hard drives in MacBook Pro (to back up all programs, data, etc.)

———
Upgrade RAM in MacBook Pro – YouTube



————–
Specs on my mid-2009 MacBook Pro

Core 2 Duo 3.06 15″ Model Identifier 1066 PX3-8500 with 4 GB RAM.

(After addition of new RAM, I now have 8 GB RAM.)

 Conclusion:  For most purposes, one doesn’t have to upgrade to a new computer when you run out of space on hard drive or need more RAM for running multiple programs at once.  Simple transplants can keep the computer sufficient for most needs, especially writing.  Educational info on YouTube makes the swaps easy and instills confidence.

B) iPhones: Robin and have used iPhone 4S for several years.  But there are problems with these phones in our hands with the updated software that brings new features for iPhone 6.  Freezing of program, inability to use some of apps, etc.  We decided to get the new iPhone 6.  We chose different versions:  Robin iPhone 6 and DJP iPhone 6+.  Her phone arrived in a few days.  Mine won’t get to me until the end of this month.  Her phone works well!  Great detail.  We also switched carriers to Verizon as we get good Verizon signal at our home but a poor signal with ATT on old iPhones.  We have had the Verizon Jetpack for portable hotspot for computers and we have used these Verizon portable devices with great success.  Good signal strength where we travel in USA.

Good YouTube video showing how to transfer all data and apps from old iPhone to new iPhone.  This is method I used and it works well.

LAGNIAPPE:

A) Dr. Stormy Johnson forwarded this link for me to share re health system reform.  It is an article by James C. Capretta in National Review Online:

http://www.nationalreview.com/article/388386/replacing-obamacare-saves-lot-money-james-c-capretta

B) Mark B. Constantian, MD, FACS and co-author Chee Paul Lin, M.A. have new articles re unhappy patients and plastic surgery in Plastic and Reconstructive Surgery, The Journal of the American Society of Plastic Surgeons.

Journal cite: Plastic & Reconstructive Surgery. 134(4):823-835, October 2014.

Why Some Patients Are Unhappy: Part 1.

Relationship of Preoperative Nasal Deformity toNumber of Operations and a History of Abuse or Neglect

Why Some Patients Are Unhappy: Part 2.

Relationship of Nasal Shape and Trauma History to Surgical Success

Journal cite: Plastic & Reconstructive Surgery. 134(4):836-851, October 2014.

Both can be found in medical library or at: http://journals.lww.com/plasreconsurg/pages/results.aspx?txtKeywords=constantian

Summaries can be seen at link:  e.g. Part 1:

Background: Trauma (neglect or abuse) can create body shame (different from body dissatisfaction), driving some patients to seek aesthetic surgery. We hypothesized that a trauma history would be related to the severity of the original deformity and the drive to undergo repeated operations.

Methods: Descriptive statistics were computed for 100 secondary rhinoplasty patients, 50 of whom originally had dorsal humps, 21 of whom had straight, functional noses, and 29 of whom had subjectively normal noses but underwent multiple rhinoplasties. This latter group fulfills criteria for body dysmorphic disorder.

Results: Compared with patients with hump noses, patients with normal primary noses were 2.9 times more likely to be demanding 2.5 times more likely to be depressed, had undergone 3.0 times more rhinoplasties and other aesthetic operations, and were 3.8 times more likely to have confirmed trauma histories. Patients who had undergone more than three operations were 92.7 percent women; 85 percent originally had straight noses and had undergone an average of 7.56 rhinoplasties and 5.78 aesthetic operations; 85.4 percent had histories of abuse or neglect.

Conclusions: Secondary rhinoplasty patients with normal preoperative noses, who fulfill the criteria for body dysmorphic disorder, had significantly higher prevalences of depression, demanding conduct, previous rhinoplasties and other aesthetic operations, and confirmed trauma histories than patients who originally had dorsal deformities or straight noses with functional symptoms. To the authors’ knowledge, this is the first report of such associations. A history of childhood trauma may impact adult patient behavior and therefore the surgical experience.

Mark also has an editorial in Plastic & Reconstructive Surgery (December 2013)

The New Criteria for Body Dysmorphic Disorder: Who Makes the Diagnosis?

These articles and the editorial are very interesting.  Risk managers and medical liability companies especially may find the information of value.

Stay well.
Donald

Donald J. Palmisano, MD, JD, FACS

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

DJP@intrepidresources.com

www.intrepidresources.com

www.onleadership.us

(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)

DJP Updates:  www.DJPupdate.com

Twitter:  www.twitter.com/DJPNEWS

YouTube: http://www.youtube.com/user/IntrepidResources/videos  Check out the videos.

This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

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DJP Update 9-28-2014 1- AMA Ethics Award Recipient Dr. Ezekiel Emanuel’s article “WHY I HOPE TO DIE AT 75”. 2- DJP Updates

DJP Update 9-28-2014 1- AMA Ethics Award Recipient Dr. Ezekiel Emanuel’s article “WHY I HOPE TO DIE AT 75”. 2- DJP Updates

The article by Dr. Ezekiel Emanuel is published in THE ATLANTIC September 17, 2014 with the title:

 Why I Hope to Die at 75

H/T to Dr. Art Fougner for the alert about article in the listserv he moderates “Speaking As An Individual” and via his Twitter account: @sonodoc99

Dr. Emanuel’s article is at: http://www.theatlantic.com/features/archive/2014/09/why-i-hope-to-die-at-75/379329/

You have to read his entire article to get his message.  Here is one excerpt re his approach to treatment as one gets older:

“This means colonoscopies and other cancer-screening tests are out—and before 75. If I were diagnosed with cancer now, at 57, I would probably be treated, unless the prognosis was very poor. But 65 will be my last colonoscopy. No screening for prostate cancer at any age. (When a urologist gave me a PSA test even after I said I wasn’t interested and called me with the results, I hung up before he could tell me. He ordered the test for himself, I told him, not for me.) After 75, if I develop cancer, I will refuse treatment. Similarly, no cardiac stress test. No pacemaker and certainly no implantable defibrillator. No heart-valve replacement or bypass surgery. If I develop emphysema or some similar disease that involves frequent exacerbations that would, normally, land me in the hospital, I will accept treatment to ameliorate the discomfort caused by the feeling of suffocation, but will refuse to be hauled off.

“What about simple stuff? Flu shots are out. Certainly if there were to be a flu pandemic, a younger person who has yet to live a complete life ought to get the vaccine or any antiviral drugs. A big challenge is antibiotics for pneumonia or skin and urinary infections.”
————

Bio from article:

Ezekiel Emanuel is director of the Clinical Bioethics Department at the U.S. National Institutes of Health and heads the Department of Medical Ethics & Health Policy at the University of Pennsylvania.

——

Of course, AMA Delegates and the AMA Board know Dr. Emanuel well as he received the AMA Foundation’s “2013 Isaac Hays, M.D. and John Bell M.D. Award for Leadership in Medical Ethics and Professionalism” at the June 2013 Annual AMA House of Delegates.

See: http://www.ama-assn.org/ama/pub/news/news/2013/2013-11-18-ama-foundation-honors-physician-for-ethics-leadership.page

Comments by others on Dr. Ezekiel Emanuael’s article:

sonodoc99
@AmerMedicalAssn @DJPNEWS Dr. Emanuel stands Primum non nocere on its ear. http://t.co/4iO51DLCra
9/21/14, 8:16 AM

http://nypost.com/2014/09/24/a-pathetic-case-for-stopping-life-at-75/

http://pjmedia.com/ronradosh/2014/09/19/dr-ezekiel-emanuel-to-me-and-others-dont-live-past-75/?singlepage=true
…….

DJP editorial comment:  I disagree with Dr. Emanuel.

Dr. Emanuel’s article is his opinion.  But if the government adopts such an approach though the IPAB (Independent Payment Advisory Board) of PPACA or some other scheme yet to be devised, then we have a problem!  Dr. Emanuel is a chief architect of PPACA/ACA and you already know my views on that law: http://www.intrepidresources.com/html/PEJLSMS2010.pdf

My answer to Dr. Emanuel’s view is in my 6 Commandments of Medicine: S-E-C-C + 2.

Science – Ethics — Compassion – Courage and the +2 =

Is this in the patient’s best interest?

Do I have my patient’s informed consent?

I included the 6 Commandments in my commencement speeches to graduating medical students and other medical professionals at Tulane University Health Sciences Center (May 22, 2004), LSU Health Sciences Center New Orleans (May 18, 2002), LSU Health Sciences Center Shreveport (May 29, 2004), and Oklahoma University College of Medicine (May 27, 2006).

See one of my speeches containing the 6 Commandments at:

http://www.intrepidresources.com/html/commencement_address.pdf

May 18, 2002 LSU Health Sciences Center Commencement Address

Also published in Vital Speeches of the Day; 9/15/2002, Vol. 68 Issue 23, p764

These speeches were delivered during my time on the AMA Board 1996-2005 and as AMA president 2003-2004 and after.

I am 75 years old and I tell the medical students I teach at Tulane if some future government edict states people my age should be ignored and put on a gurney in the corner of the emergency department if they are in an auto accident, don’t follow the rule.  Show courage and leadership and follow the 6 Commandments.  I remind them it is the least they can do for a clinical professor who teaches them for free and it is the ethical act to do what is in the patient’s best interest, not the government or insurance company!

Throughout history there are people who seek to control, command, and remove liberty from others or use their view of ethics to justify their actions. America’s response has been to fight for freedom and individual self-determination.  Visit Arlington National Cemetery, the National Cemetery of the Pacific in Hawaii, or the Normandy American Cemetery and Memorial for powerful reminders of the price we paid for Liberty..  Remember, LIBERTY is the absence of coercion.

As for various views of ethics and how different results can be obtained using different ethical models, see my 1998 speech:  Hippocratic Oath:  Discarded Relic Or Living Soul of Medicine:

http://haciendapublishing.com/medicalsentinel/hippocratic-oath-discarded-relic-or-living-soul-medicine

Read the entire speech.  Here is an excerpt about the ethical models:

———-Excerpt——–
Let us not go quietly into this abyss, this new Dark Age, a Dark Age of medicine. Let us stand on principle. A revival of the Hippocratic Oath with reasoned discussion of what it means is a step away from the abyss.

We must understand what ethics mean. Never accept blindly a statement that something is ethical without reviewing the analysis that led to that conclusion.

For example, consider the following different ethical models:

• Deontological: rightness is not defined in terms of their consequences; violate no rights.

• Teleological: goal or consequence oriented.

• Social utility: greatest good for the greatness number.

After selecting one of these reasoning models, was an analysis done that considered the following? Autonomy, Nonmaleficence, Beneficence, Justice.

Each of these analyses has additional choices to make in order to complete the analysis. For example, to do the justice analysis, one must decide which of the following theories one will use: Egalitarian, Communitarian, Libertarian, Utilitarian.

Thus it is obvious that it is possible to reach different conclusions as to what is ethical and what is not depending on the ethical model used.

—————- End of Excerpt———–

If Dr. Emanuel is serious about the statements in his article, it would be a good idea for him to do a legal document, an “Advance Directive” (sometimes called a “Living Will”).  This gives instructions regarding medical treatment in the event an individual becomes incapacitated and is unable to instruct the doctors on treatment choices (or no treatment).  Others who wish to have relatives or a trusted friend make medical decisions also execute a “Durable Power of Attorney for Healthcare”.  Such a document turns comments in an article into reality.

2- DJP UPDATES:

Some doctors have contacted me and asked if they fell off my DJP Update blog because they have not received a DJP Update since July 7, 2014.  I informed them that I have not sent any since July 7.  I have been very busy and my spare time writing is on my novel plus Twitter postings, now up to 12,144 tweets as of September 26, 2014.  See @DJPNEWS

Remember, you always can view previous DJP Updates at http://djpupdate.com/

Another reason some individuals don’t receive the DJP Updates is because emails that have thousands of recipients frequently go to junk mail.  That can be avoided by selecting my DJP@intrepidresources.com email as a favorite and thus one not destined for junk mail.  Of course, if you want to get off of my DJP Updates, just put REMOVE in reply subject line.

—————
Stay well.

Donald

Donald J. Palmisano, MD, JD, FACS

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

DJP@intrepidresources.com

www.intrepidresources.com

www.onleadership.us

(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)

DJP Updates:  www.DJPupdate.com

Twitter:  www.twitter.com/DJPNEWS

YouTube: http://www.youtube.com/user/IntrepidResources/videos  Check out the videos.

This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

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DJP Update 7-2-2014 Have a wonderful 4th of July! – Twitter as a source of news – AMA Board and AMA position on SCOTUS Hobby Lobby case

DJP Update 7-2-2014 Have a wonderful 4th of July! – Twitter as a source of news – AMA Board and AMA position on SCOTUS Hobby Lobby case

1- Happy 4th of July!  Hope you have a wonderful and safe celebration and reflect on the courage of those who gave us this land of liberty.

2- TWITTER:  Once again, I repeat myself about the advantage of Twitter as a news source.  You don’t have to tweet.  Just download the app.  I use Twitter app plus Echofon.  Both do the same basics but each has advantages over the other.  You can follow news organizations and get breaking news long before you see it on TV or Websites.

Example, follow Twitter accounts of news from TV stations, news organizations such AP, Reuters, NYTimes, Washington Post, Washington Examiner, Wall Street Journal and your favorite investigative reporters plus medical sources.  By the way I own no stock in Twitter and I am not an employee of Twitter.  I find the book (previously described via DJP Update) that explains Twitter best is “The Twitter Book” by Tim O’Reilly and Sarah Milstein.  Easy to read and understand and has all of the essentials.

Here is one example below of news about AMA that is not on AMA Website yet ( http://www.ama-assn.org/ama/pub/news/newsroom-index-2014.page?&linkid=subnav-1 ) as of 1:28 PM Central.

AMA position on decision by Supreme Court of the United States (SCOTUS) re Hobby Lobby case is noted in Modern Healthcare tweet below.  As you may recall, the Court, as summarized by Modern Healthcare, said closely held private companies should not have to provide insurance coverage for four types of contraceptives to which company owners have religious objections.  As other news sources have pointed out, Hobby Lobby has no objection to covering the insurance costs of 16 of the 20 ACA/HHS forms of contraceptives.  http://www.minnpost.com/dc-dispatches/2014/07/post-hobby-lobby-how-will-affected-women-get-contraception-coverage

http://www.modernhealthcare.com/article/20140701/NEWS/307019939/doctors-nurses-urge-action-following-hobby-lobby-decision

Use this link if link in tweet below doesn’t work.  When copying tweets, the link sometimes changes!
You also may have to sign in.

This info was noted in a tweet by Modern Healthcare:

modrnhealthcr
#Hobbylobby decision “intrudes on the patient-physician relationship,” says @robertwahmd: http://t.co/S4rx5aNC9X @AmerMedicalAssn
7/2/14, 6:45 AM
——————

Obviously, my views on PPACA and HHS regulations are well known and I have stated repeatedly that specific law and the regulations related to it are the greatest intrusions on the patient-physician relationship.
I have shared those views with you in past including this Op-Ed:  http://www.intrepidresources.com/html/PEJLSMS2010.pdf

Rather than read only the comments of others about the decision, be sure to read the entire decision yourself.  It can be found at the U.S. Supreme Court site:

http://www.supremecourt.gov/opinions/13pdf/13-354_olp1.pdf

Other Supreme Court decisions can be found at:  http://www.supremecourt.gov/opinions/slipopinions.aspx?Term=13

3- AMA Board 2014-2015 as of June 2014 elections by HoD and Board itself for intra-board positions
The link below gives all board members and their titles.

http://www.ama-assn.org/ama/pub/news/news/2014/2014-06-12-ama-announces-2014-board-trustees.page

If you wish to write anyone on board, the email is firstname.lastname@ama-assn.org
Thus first name followed by period and then last name followed by @ama-assn.org

Example AMA President:
Robert.Wah@ama-assn.org

Communication with elected board members is critical to understand positions board takes and to share how the practice of medicine is going in your community.  Failure to communicate increases risk of membership loss.  The best way to enhance communication, in my opinion, is to have the equivalent of C-Span viewing of AMA board meetings available only to AMA members.  That way one can see the debate on controversial issues and see how the board members vote.  This allows one to see if the rhetoric of the candidate matches the actions of the same person if elected to Board.  But then I repeat myself.

Have a great 4th of July and give thanks to the veterans and those still in our military.  Those in uniform protect our liberty with their lives at risk.

Stay well,

Donald

P.S. If the link did not work re Melinda and Bill Gates Stanford 2014 Commencement Speech mentioned in last DJP Update, here is another link with the speech on YouTube:
Go to one hour and one minute in YouTube posting to get to the speech as noted below.

Intro and speech begin at 1:01:00. ( just slide your pointer slowly to the right once it begins to play; if you slide it over too fast, the beginning audio background continues to play while they are speaking).

Also, Robin and I just returned from trip with granddaughter Alexis.  Great fun.  Activities included helicopter landing in Grand Canyon.  See @DJPNEW tweets for more details and photos.

Donald J. Palmisano, MD, JD, FACS
Intrepid Resources® / The Medical Risk Manager Company
5000 West Esplanade Ave., #432
Metairie, LA 70006
USA
504-455-5895 office
504-455-9392 fax
DJP@intrepidresources.com
www.intrepidresources.com
www.onleadership.us
(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)
DJP Updates:  www.DJPupdate.com
Twitter:  www.twitter.com/DJPNEWS
YouTube: http://www.youtube.com/user/IntrepidResources/videos  Check out the videos.
This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.
You can share it with your members and it has the potential to reach 800,000 physicians.
To join the list, send me an  email stating “Join DJP Update”
To get off the list, state ” Remove DJP Update” in subject line.

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