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DJP Update 6-12-2016: Unable to attend AMA Annual Meeting; this video contains the message I would have shared to anyone interested in my views.

DJP Update 6-12-2016: Unable to attend AMA Annual Meeting; this video contains the message I would have shared to anyone interested in my views.

For multiple reasons, including my recent neck injury secondary to being in a car accident when our car was stopped and another car crashed into the rear of our car, I am not at AMA Annual Meeting.

This 24 minute speech captures what I try to teach medical students, doctors, and lawmakers in addition to the importance of medical liability reform.

Leadership in Medicine: Tales from The Little Red Book of Leadership Lessons – YouTube from Donald Palmisano’s Tweet

Alternative link:
https://t.co/ZuKEu8S7ip

DJPNEWS
Unable attend @AmerMedicalAssn ann. mt; 1st time in 33 yrs. My message: Med Ethics key. ⬇️Gov in Med; more: https://t.co/ZuKEu8S7ip #AMAmtg
6/11/16, 9:32 AM

Thanks to AAPS for posting video in a tweet on Memorial Day to honor Bud Lomell and other heroes.
AAPSonline
This D-Day rewatch Leadership in Medicine talk by @DJPNEWS. Includes lessons learned from Normandy hero Bud Lomell. https://t.co/9D3oXDbx13
6/6/16, 11:57 PM

————
Tired of PPACA (ACA)? Frustrated by MACRA? Wish you could spend more time with patients rather than electronic medical records designed by regulators for other purposes? ADVOCATE for the right to balance bill what the patient and doctor agree regardless of the payor of insurance (long-standing AMA policy). Stop going along to get along. Withdraw support for failed government policies distorting the practice of Medicine. Review my 6 Commandments of Medicine.

Stay well and be safe. Unfortunately the world is becoming more dangerous as obvious by terror attacks. Increase your vigilance and protect your loved ones.

We have been the land of the free only because of the brave. Never forget that.

Donald

AMA President 2003-2004

Donald J. Palmisano, MD, JD, FACS
DJP@intrepidresources.com
504-455-5895
www.intrepidresources.com
www.onleadership.us

DJP Updates: www.DJPupdate.com
Twitter: @DJPNEWS
YouTube: http://www.youtube.com/user/IntrepidResources/videos

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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 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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DJP Update 10-24-2013 1- NPSF Board Meeting Boston; 2- More on PPACA Tribulations; 3- DJP Remarks at TMAA Award; 4- LAGNIAPPE: Gadgets!

DJP Update 10-24-2013 1- NPSF Board Meeting Boston; 2- More on PPACA Tribulations; 3- DJP Remarks at TMAA Award; 4- LAGNIAPPE: Gadgets!

1- NPSF:  Joint Meeting 10-23-2013 of Board of Directors and Board of Governors of National Patient Safety Foundation.  Meeting held in Boston.  This organization is dedicated to advancing patient safety and preventing harm to patients.

AMA was a key mover in starting this organization in 1996 and was a major donor founder.  Time for AMA to partner again with NPSF.  (Full disclosure:  I was on the founding board of directors of NPSF.  NPSF now has 2 boards:  a fiduciary board of directors and an advisory board of governors.  I now am on the advisory board.)

Visit http://www.npsf.org/  Here is the posting at the Website on Home Page:

NPSF gratefully acknowledges the support of its founding sponsors:
American Medical Association
CNA/HealthPro
3M
and major benefactor Schering-Plough Corporation
NPSF has a new CEO, a delightful and talented doctor.

Tejal K. Gandhi, MD, MPH, CPPS
President
tgandhi@npsf.org
617.391.9900

Also:  CONGRATS to Dr. Jeff Copper, another board of governors member of NPSF:  ASA Distinguished Service Award.  Read about his research at:

https://www.asahq.org/For-the-Public-and-Media/Press-Room/ASA-News/DS-Award.aspx

P.S. A nice person and deserving of this award!
San Francisco — (October 14, 2013)

“The American Society of Anesthesiologists (ASA) today presented Jeffrey B. Cooper, Ph.D., with its 2012 Distinguished Service Award in recognition of his contributions to dramatically advance the safety of anesthesia. The award is the highest honor ASA bestows and is presented annually to a member who has transformed the specialty of anesthesiology.”

2- PPACA is in the news again, this time because of the disaster (freezing, crashing, inability to complete registration, etc.) with the government Website:  https://www.healthcare.gov/

My negative view on the new health care law has not changed.  See http://www.intrepidresources.com/html/PEJLSMS2010.pdf

Here are some tweets I did recently.

Read this pediatric cardiac surgeon’s assessment of the future of The Patient Protection and Affordable Care Act (PPACA).  See if you agree.

DJPNEWS
Read! Accurate assessment of future with #PPACA #ACA = @WSJopinion Dr Bradley Allen. “Obamacare 2016: Happy Yet?” http://t.co/JOlYKRIy9W
10/23/13 7:22 AM
Here is the link for the article if the hash marks are confusing to anyone:  http://t.co/JOlYKRIy9W

————
This is a very important issue!  Patient privacy is important in the patient-physician relationship.  Without that assurance, patients won’t tell physicians all necessary information to aid in diagnosis.  Sometimes important information can be embarrassing and patients won’t tell the doctor the info without assurance of confidentiality.  A Website that has patient info that is not secure puts the patient at risk for embarrassment,  identity theft, etc.  I hope AMA will discuss this critical issue of the EHR and the Portal Website at the Interim Meeting in November.  Without proof of patient privacy and medical record confidentiality, I believe the AMA is obligated to remove its support of PPACA.  AMA policy is opposed to the use of a unique patient identifier and now with the gov Website the patient’s social security number is listed!  Certainly that is a unique identifier.  Three other identifiers, without a single unique identifier, solves the correct identification without the unreasonable risk on a unique identifier such as Social Security Number via Web.

  DJPNEWS
AMA = strong patient #privacy + med record #confidentiality 2 yr comm. I co-chaired 1999-2000; passed HoD #AMAmtg ; Speak up! Risks #ACA
10/22/13 9:06 AM
————

  DJPNEWS
FANTASY: fixing gov Website will show wonders of #ACA . REALITY: fixed Website will unleash the disaster: ⬆Cost ⬇access ⬇privacy ⬇DrChoice
10/21/13 9:15 PM
————

3- My remarks October 4, 2013 when receiving Tulane Medical Alumni Association Outstanding Alumnus 2013 award.

Our new Dean of Tulane Medical School, Dr. Lee Hamm (Congrats!), make remarks and presented the award.  I greatly appreciate his kind remarks and the TMAA for the selection. Here are my remarks of thanks:

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

4- LAGNIAPPE:  Gadgets!

A bike that is awesome.  I brought my bike in for a repair and the bike show owner showed me the new Specialized Turbo and let me take it out for a ride.  It is as though a rocket is propelling the bike!  Read the article in Forbes in link below.  At the link you will find 2 videos.  Watch both.  They are short.  25+ miles per hour!  No, I did not buy one!

    DJPNEWS
I rode it. Awesome. RT @Forbes: “It’s a bicycle. … battery and a motor that turn your efforts into Superman’s.” http://t.co/AOVny0ShjE
9/21/13 10:27 PM

———-

New Apple gadgets and new Macintosh operating system (Mavericks)

_______
Long article with lots of info re Mavericks!
DJPNEWS
Lots detailed info new OS! RT @dsilverman: It’s epic: OS X 10.9 Mavericks: The Ars Technica Review | Ars Technica – http://t.co/sJ7RjeLIhu
10/22/13 10:20 PM

———-
New iPad, “iPad Air” (faster and thinner) and new iPad Mini high-resolution screen (Retina) and faster.

DJPNEWS
#gadgets iPad Air vs iPad Mini Retina ! RT @CNET: Technically, this..true RT @bendreyfuss Today, Apple killed ..iPad http://t.co/VhUZz1Cx7F
10/22/13 3:11 PM

DJPNEWS
And faster engine. #gadgets RT @WIRED: The iPad Mini Finally Gets a Retina Display http://t.co/Ubd98sIYkR
10/22/13 3:06 PM
——–
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
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  Check out the videos.  You can post your views on your own YouTube site.
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.
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