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DJP Update 3-13-2017:  1- PPACA (ACA etc.) Repeal and Replace?  2- LAGNIAPPE: The Clock House and Bose QC 35, and don’t forget DJP News Enhanced Podcasts!

DJP Update 3-13-2017:  1- PPACA (ACA etc.) Repeal and Replace?  2- LAGNIAPPE: The Clock House and Bose QC 35, and don’t forget DJP News Enhanced Podcasts!

1.  Unless you have been cut off from communications since the November 2016 elections, you know there is a surprising change in the office of the President and in the Senate and House.  Pundits and polls for the most part got a failing grade.

 Regardless of your political views and your possible excitement or despair, one can be certain that health system reform is on the agenda in the immediate future.  It will be a test of leadership in Washington to see if reason and facts will prevail in the debate or if political rigidity and obstructionism continues based on political party lines.  This also is a chance for medical organizations to stand up and advocate long-standing policy rather than acting like the opportunists in the Vestibule of Hell in Dante’s Inferno (First part of Divine Comedy).

 I won’t dwell on this topic but it is an IMPORTANT issue for our patients and the profession of Medicine.  Time to enter the arena.

 Finally, I list two articles I mentioned in a November 9, 2016 @DJPNews Tweet:  the first is one I co-authored with 2 PhD economists at AMA in 2004 when I was AMA president entitled:

 Expanding Insurance Coverage Through

Tax Credits, Consumer Choice, and Market Enhancements

The American Medical Association Proposal

for Health Insurance Reform

Donald J. Palmisano, MD, JD

David W. Emmons, PhD

Gregory D. Wozniak, PhD

 It is at:  JAMA, May 12, 2004—Vol 291, No. 18, pages 2237-2242 and is based on long-standing AMA policy as of 2004.

The second article is an editorial I wrote entitled The 2010 “Patient Protection and Affordable Care Act”: A Failing Grade.  The citation for it: J La State Med Soc VOL 162 September/October 2010, pages 243-244

It can be found at:

 http://intrepidresources.com/html/PEJLSMS2010.pdf

 Now for LAGNIAPPE!

 LAGNIAPPE: 

 1- THE CLOCK HOUSE

New Orleans is a fun place to visit because of the history, the people, food, and exciting traditions like MARDI GRAS and JAZZ FEST.  For those who like to stay in a private home rather than a hotel, Robin and I have a friend who has a place listed in AirBnB.  We visited the place. It is in Metairie and wonderful.  More details below:

 https://www.airbnb.com/rooms  

 Go there, search for “The Clock House” or 1010 Metairie Road, Metairie LA 70005

 A brief summary:

“The Clock House” is a 1943 4-bedroom 2.5 bath home built in the “Grand Cottage” architectural style.  The main floor features a screened-in front porch, a gourmet kitchen, a breakfast area with a built-in banquette, and coved ceilings in the living and dining rooms.  Connecting bathrooms between the two bedrooms are on each side of the center hall on top floor. An arbor with a swing, table and bench grace the backyard where you can enjoy a garden view and bird watching at the feeder.  The home is one block from grocery, coffee shops, banks, and restaurants.  It is 5 miles to the French Quarter, 1.8 miles from the Streetcar line, and 1.6 miles to I-10 access.  The host lives in separate quarters on property.  Cereal, coffee, tea, snacks provided.  $275/night, (+ $150/reservation for housekeeping) for up to 8 guests  (babies & children count as guests.)  Fee is higher on special event weekends such as Mardi Gras, Jazz Fest and New Years.

 2- GADGETS:  Bose QC 35

 A) For trips to do keynote addresses and to attend board meetings, I try to protect my hearing in planes and block out the loud noise.  In the past, I used ear mufflers that are used on noisy construction sites.  But they are bulky.  I now have an ideal solution with additional benefits.  I recently purchased the new Bose QC 35.  The noise canceling is outstanding, the Bluetooth works well, and there is the added advantage of making phone calls with the two built-in microphones. 

 Here is part of my research:

 http://www.theverge.com/2016/6/21/11975496/bose-qc-35-bluetooth-wireless-headphones-quietcomfort-flawed

 “What’s odd to me is that the reviews have been mostly glowing — CNET, Gizmodo, The Next Web, Tom’s Guide, buyers in the Head-Fi forums all agree.”

—-

http://www.imore.com/i-am-never-taking-boses-qc-35-noise-cancelling-wireless-headphones

 “I can sleep with the QC35 on inside a plane. The headphones are that comfy.”

 “I am never taking off Bose’s QC 35 noise-cancelling wireless headphones.”

—–

http://www.pocket-lint.com/review/139017-bose-quietcomfort-35-review-the-perfect-travel-companion

 “The QuietComfort 35 ‘phones are certainly not everyone’s cup of tea, considering they aren’t particularly fashion-conscious or able to playback grime with the growly thump of bass focused peers, but they are perfectly suited to the travelling lifestyle of their target audience.”

 “A plane journey will never feel quite the same without them.”

 Finally, here is the official Bose Website with more info on these headphones:

https://www.bose.com/en_us/products/headphones/over_ear_headphones/quietcomfort-35-wireless.html?mc=25_PS_BD_BO_00_GO_&gclid=CKCr3Kbz09ICFci2wAodsy4PAA&gclsrc=aw.ds

—–

 Finally, one note of caution.  Popular items are sometimes copied by others and sold as Bose.  Here is some info to protect against that problem:

 How to spot fake: BOSE Headphones – 6 Steps

 http://www.detectafake.com/viewProduct/?269580

 Also call Bose and read serial # to Bose and they will tell you if genuine or fake.

Call 800-367-4008 and ask customer service to confirm. 

I did that when I purchased my Bose QC 35 from Best Buy after problems getting through with order at Bose Website. They confirmed mine were genuine. Customer Service later told me I could order in future by phone.

3- Don’t forget DJPNEWS Enhanced Podcasts if you missed them on publication.  More to come!

Go to:  http://djpupdate.com/

4- I continue to teach my leadership seminar to 3rd and 4th year medical students at Tulane Medical School:  Leadership – How to give a 2-minute memorable speech.

 Stay well!

 Donald

 Donald J. Palmisano, MD, JD, FACS


Intrepid Resources® 

Donald J Palmisano Consulting

 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 started out going to leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends; and now around the globe via Twitter followers.

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 11-2-2015 Norman, Oklahoma – Boston, Gloucester, New York City, and New Orleans: Adventures; LAGNIAPPE

DJP Update 11-2-2015 Norman, Oklahoma – Boston, Gloucester, New York City, and New Orleans: Adventures; LAGNIAPPE

The DJP Updates are less frequent because I post daily on Twitter. As stated before, I encourage you to get on Twitter and follow individuals and organizations that interest you. No cost but a very effective way to quickly get all of the breaking news as well as learn new information about just about any topic that interests you. Remember, you don’t have to post tweets! You just can follow lots of news organizations, hobby interests, or individuals.

Click on this link https://twitter.com/DJPNEWS to see some recent ones of the 14,500 I have posted.

This update is about recent travels, speeches, and interviews that I conducted with interesting individuals using state of the art portable equipment for a future “Enhanced Podcast” series.
1- OKLAHOMA

I did a keynote at EXPLORE: Oklahoma Healthcare Summit August 14-15, 2015 in Norman, Oklahoma. Nice folks who showed wonderful hospitality.

I spoke on the 6 Commandments of Medicine and how to survive in the rapidly change healthcare system that interfers with the patient-physician relationship. At the reception, I also signed 250 copies of my book THE LITTLE RED BOOK OF LEADERSHIP LESSONS. Lots of fun. Special thanks to Dr. Carl Hook and the Conference Chair, Shari Moore, RN, BSN. Well-organized Summit.
————

2- Boston: Massachusetts General Hospital Grand Rounds

Once a year, the residents get to pick the speaker for:

MGH Grand Rounds MGH-Department of Anesthesia, Critical Care and Pain Medicine – “Resident Choice Speaker” – October 22, 2015

The residents selected me for this honor and the hospitality was outstanding. Great group of folks, the residents and staff of the department. They also gave me a demonstration of their high-tech simulation lab and a special treat was a visit to The Ether Dome where the first public demonstration of inhalation anesthesia was done October 16, 1846 by dentist Dr William T.G. Morton with Dr. John Collins Warren removing a tumor from a patient’s neck. At the completion of the operation with the patient experiencing no pain, Dr. Warren turned to the doctors in the amphitheater and said, “Gentlemen, this is no humbug.”

(Dr. Crawford Long in Georgia was the first to use ether March 30, 1842.) Lots of photos on all of these adventures during the travels.

The Grand Rounds presentation gave my view how to survive as an ethical science-based physician who always does what is in the patient’s best interest regardless of what healthcare system is put forth by politicians. The 3 elements of the talk with true stories of courage to make the points about the needed leadership.
· Design of a healthcare delivery system with attention to access, quality, and cost.

· A successful system must honor the patient by including the Six Commandments of Medicine as essential. SEC-C plus 2.

· CODAC for making a persuasive 2-minute presentation to defend your views.
————
GLOUCESTER

Dr. Mario Motta and his Telescope! Truly a passionate Galaxy Hunter! He has a 32-inch reflector in his home observatory.

After Boston, we traveled to Dr. Motta’s home for the night and enjoyed the hospitality of Mario and his wife Joyce. Unfortunately the sky was cloudy that night but a break in the clouds occurred briefly and we looked at the moon with Mario. He put the telescope on high power. Impressive!

Stories about Dr. Mario Motta’s World’s largest amateur-built telescope on top of his home.

http://bostoniano.info/italiani/mario-motta-world-largest-homemade-telescope-gloucester/
Nice pictures in the Bostoniano article showing Mario with the telescope plus a few views of far away places!

https://www.aavso.org/aavso-president-mario-motta

http://www.skyandtelescope.com/sky-and-telescope-magazine/beyond-the-printed-page/light-pollutions-medical-effects/

http://www.nytimes.com/2007/10/04/garden/04observatories.html?_r=0

http://tuftsjournal.tufts.edu/archive/2007/april/briefs/star_gazer.shtml

http://www.skyandtelescope.com/astronomy-news/u-s-physicians-join-light-pollution-fight/
And here is Mario at AMA with a resolution about Light-Pollution.

An excellent article that Mario gave me is in the May, 2011 issue of SKY & TELESCOPE.
Unfortunately it is not available online to non-subscribers.

This is part of the Lagniappe of being involved with national medical organizations. You get to meet smart people all over our great Land of Liberty. I try to find out what the individual’s passion is outside of Medicine. Mario is just one example. Sometimes you meet individuals who have completely different views of how the health system should evolve but that should not deter you from inquiring and listening to the person’s outside interests. With friendship, it is easier to reach solutions to problems.
———–
MANHATTAN

My wife’s favorite city to visit! After departing Boston, we went to Manhattan. I had business with my publisher on new projects and was able to record interviews with interesting people who will be featured in future podcasts, including the head of Skyhorse Publishing, Tony Lyons, as well as attorney and best-selling author Philip Howard (The Death of Common Sense, etc.)

We walked the Brooklyn Bridge, visit the 9/11 Museum and Memorial (powerful memorial and sad), One World Observatory, Statue of Liberty, and Ellis Island. We met friends from business and did touring with them. Tuesday night Robin and I had the pleasure of celebrating Dr. Bob Rigolosi’s birthday with his wife Professor Elaine, dear friends!

Lots of pictures during the visit that may find their way into Nature’s Reflections®! I also visited the wonderful Hemingway exhibit at the Morgan Library and Museum. The exhibit ends January 31, 2016. A must see exhibit if you have an interest in writing. It shows drafts of manuscripts with the changes he made. In the manuscript of THE SUN ALSO RISES, he told his editor Maxwell Perkins to discard the first two chapters on the advice of F. Scott Fitzgerald and the book then started at chapter 3! Great fun and I learned a lot. Took lots of notes about technique for my novel. Before leaving the museum, I visited again Mr. Morgan’s private rare book vault. I inserted a photo of it in my book, THE LITTLE RED BOOK OF LEADERSHIP LESSONS. Photo taken on a previous visit when writing the book. After leaving the MORGAN, Robin remembered The Authors Guild was nearby and we made it there before it closed. As a member, I learn a lot from this organization about book contracts. Great visit with General Counsel and Assistant Director, Jan Constantine, who is a fun person to know.

And yes, we got to see the “Woman in Gold” Portrait of Adele Bloch-Bauer painted by Gustav Klimt in 1907. It is at the Neue Gallerie in Manhattan. http://www.neuegalerie.org/collection/Austrian/Fine%20Arts?page=1

The 2015 movie Woman in Gold tells the story on the big screen.

More on the story of the painting stolen by the Nazis and the battle to get it back 50 years later is at:
http://www.npr.org/2015/04/02/396688350/after-nazi-plunder-a-quest-to-bring-the-woman-in-gold-home

NEW ORLEANS

I will make a co-presentation with attorney Darrell Ranum of The Doctors Company (TDC) in New Orleans this Thursday at the 2015 PIAA Claims and Risk Management / Patient Safety Workshop – Physician Insurers Association of America (PIAA) on behalf of TDC whose board I sit on. The talk is entitled Normal Recovery or Complication: The Risks of Post-Operative Care. This presentation is an expansion of our article published in the Bulletin of The American College of Surgeons June 1, 2013. See: http://bulletin.facs.org/2013/06/symptoms-of-normal-recovery/

LAGNIAPPE

My wife Robin brought home today the November/December 2015 issue of Louisiana Life Magazine. The orthopedic surgeon, Dr. Felix “Buddy” Savoie, who operated via scopes and a regional block on my rotator cuff problem in March of 2013 is on the cover. Excellent surgeon who is a nice person. He did a great job on my shoulder and I have 100% function and no pain. Dr. Savoie is Tulane Sports Medicine Chief, world-famous, and operates on many high-profile athletes (I certainly am not a high-profile athlete but he did the same wonderful job on me.) His special interest is the shoulder and elbow. Read the article here:
http://www.myneworleans.com/Louisiana-Life/November-December-2015/Savoie-Faire/

And here is the cover with Dr. Savoie: http://www.myneworleans.com/Louisiana-Life/November-December-2015/

Enjoy the read!

Finally, some Louisiana Gumbo advice for taking the time to read this lengthy DJP Update!

TOUR de GUMBO article in November issue of New Orleans Magazine:
Lots of pictures and advice! If you have not had the wonderful Gumbo and Turtle Soup in New Orleans and throughout Louisiana, it needs to be on your Things to Do list!

http://www.myneworleans.com/New-Orleans-Magazine/November-2015/Tour-de-Gumbo/index.php?

Finally, if anyone is coming to New Orleans for PIAA or any other meeting, here is a list of my favorite New Orleans restaurants:

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

———

Stay well!

Donald

Donald J. Palmisano, MD, JD, FACS
Intrepid Resources®

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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