Posts Tagged ‘MRSA’

Fracking, Beiber Fever…and Bedbugs

May 12th, 2011

Every once in a while, it’s important to write about things that are hot. (It keeps the blog numbers up.) Well, hydraulic fracking, Justin Beiber and bedbugs… yes, bedbugs are all very hot and in the news again. While the D’s and the R’s sort out the nuances of cutting $14 trillion or so from the U.S. federal budget over the next few centuries, we still have to deal with the day to day challenges of living on this planet. In Pennsylvania and New York at least, the hot news — according to the New York Times — is the radioactive water that is reportedly being forced from deep below the surface of the earth as a means of releasing natural gas reserves:

“The relatively new drilling method — known as high-volume horizontal hydraulic fracturing, or hydrofracking — carries significant environmental risks. It involves injecting huge amounts of water, mixed with sand and chemicals, at high pressures to break up rock formations and release the gas.”

“With hydrofracking, a well can produce over a million gallons of wastewater that is often laced with highly corrosive salts, carcinogens like benzene and radioactive elements like radium, all of which can occur naturally thousands of feet underground. Other carcinogenic materials can be added to the wastewater by the chemicals used in the hydrofracking itself.”

Of course, the essence of those two paragraphs will be the source of numerous heated discussions between environmentalists and the gas and oil lobbyists until this issue can be sorted out. In the meantime?  Well, that’s the question du jour.

On a lighter note, my five year old grandchild, Nina, is madly in love with Justin Beiber. She knows every lyric from every one of his songs and regularly either dances or does gymnastic flips to his music. On Saturday, she, her brother, sister and I worked to clean up their two car garage sized playroom. She turned on the Karaoke Machine and let it rip. We were all dancing and singing to the Bieb as we put the toys away, cleaned up the miniature kitchen, folded baby doll clothes and stacked their books.

Justin Bieber - photo credit: celebrity-gossip.net - Nick Jacobs FACHE - Healing HospitalsImagine my shock when one of my Google news alerts appeared spouting the fact that young Justin suddenly had become violently ill at one of his concerts in Manila, then quickly returned to the stage. He had been diagnosed with a bad chest infection prior to the show, but insisted on performing, having tweeted before the show, “Sick as a a dog… But the show must go on.” As a non-medical/non-science healthcare guy, the diagnosis made me a little curious, (remember, I’m a musician, too), but Yahoo Answers cleared things up for me with this patient testimonial: “I’ve spent so many years of my life convincing myself that I have emetophobia, because when I was about 11, I was sick from a chest infection and I threw up…” So, there you have it:  Justin is not the only person who gets sick from being sick. So, relax, Nina, he’s going to be okay.

Now, some additional disconcerting news. After having  personally survived a bedbug attack at a top-notch hotel in a major U.S. city last year,  I read with trepidation that it has recently been discovered that MRSA infection has now been associated with the scratching that comes after the bed bug bites.  This dangerous, antibiotic-resistant bacteria (usually acquired from hospital visits or things like high school wrestling mats), is a strain of the bacteria Staphylococcus aureus which is called Community Associated MRSA or CA-MRSA.  Because it is resistant to oxacillin, penicillin, amoxicillin and other antibiotics, it is not to be ignored.  My medical friends tell me that the best treatment for bed bug bites is to keep the area clean, use antibiotic ointments or gel and keep a close eye on the bite to ensure that it doesn’t become infected.

So, all of you frackers, Bieberbots and bedbug-dreaders …should have a sip of some Grey Goose or Courvoisier.  They’re not radioactive, may calm your fear of tossing your cookies, and would probably – in the right quantities – kill bedbugs…or at least make you stop caring if  they didn’t.  And, if you still want to learn more…well, there’s an app for that.

Bedbugs 101 mobile app - Nick Jacobs, FACHE - health 2.0 - healthcare

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The Obligation is Real

September 21st, 2010

On Saturday night a group of people will gather at a restaurant  for a celebration of life since graduation from high school. I won’t be there. Neither will Joe, Butch, Tommy and half a dozen others,  but their absence is for a very different reason: they have passed away. I, on the other hand, will just be passing. So, why not go this year?

Nick Jacobs, FACHE at the beach with his grandchildrenWell, it’s a kid thing. You see, part of my birthday present to each of my kids was an overnight stay at a resort with their spouses, and, low and behold, there is no one to watch three of the grandkids and the brand new chocolate lab; no one, that is, but me. Why would I sacrifice the opportunity to hang with my old buddies for the chance to change diapers, mop up housebreaking accidents, and argue over bathing and bedtime issues?  Why?  Because it was part of the commitment, that kid commitment.  They will be my kids until either I die or they do, and with that come certain obligations that are real.

Why bother you with all of this personal blog stuff?  It’s about obligations.

The other day, a bright young man met with me at lunch to ask me questions about the American Healthcare System. Interestingly enough, I don’t believe that  my answers were what he had expected. You see, we have certain beliefs about our rights to generate, earn, and receive money in this country. What is missing, however, is a realistic reward system that aligns the appropriate reimbursements with the actual needs of the country. When he asked me how many hospitals would invest in purchasing his product, one that might help to eliminate hospital infections, my response was “Not many.”

You see, with obligatory bottom line orientations, many of the hospital CEO’s and CFO’s are not anxious to spend money on a  product that might work.  More importantly, with a lack of transparency, the public exposure that most organizations have relative to this infection problem is still somewhat limited.  It was easy to explain that if “St. Elsewhere” was exposed for having a 24% infection rate, not unlike a five star hotel having bed bugs, you can darn well bet that something would be done and done quickly, but the issue is not so pressing when it is under the basket.

Over the last few years, I have lost some wonderful friends who have had fantastic surgeries at highly respected hospitals.  These surgeries would have been impossible to have in a “normal” hospital, but, having said that, two of them died and one lingered near death for two years due to the infections they acquired there.

If this was widely publicized public knowledge, might he be able to sell more product?  The question was rhetorical and the answer is absolutely, positively, yes. So, back to obligations. Why is it that we must be exposed in order to become aggressive about serious problems in our systems?  The answer is simple: It costs money, and resource allocation is the number one challenge of most hospitals.  Hence my point about our financial incentives.  If we were reimbursed, rewarded and paid, not in an unconnected, cottage industry manner, our treatment regimes and protocols would change.  If we knew that it would be our financial responsibility to amputate limbs for advanced diabetes, would we be more eager to spend money on wellness initiatives?

Truthfully, it’s our obligation, and, as our fellow human beings suffer, we are currently seeing a movement toward political groups intent upon repealing reform measures. That is a backward view of an already complex challenge. It is our obligation to help our fellow man. “Do unto others …or pray you don’t lose your health insurance.”

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