Texas cuts Planned Parenthood. Costs tax payers an estimated 200 million.

[Waniou]

The more of Laize's posts I read, the more I wonder if he's really that completely out of touch with reality.

[Wells]

If the United States were declared a Right-to-Work country tomorrow I think we'd all be better off.

What happened to stay out of my state?

[Kasierith]

I've actually spent about half my life in and out of hospitals and am quite inquisitive by nature. I make full use of the intercom when I'm sitting in the PET or MRI chamber and have picked up a working knowledge of what does what. Why don't you go ahead and try me?

I know CT scans alone are capable of showing everything from tumors to clots and embolisms. So, in fact, a CT scan could show and differentiate between both of the things you mentioned.

Alright than. Patient develops a clot in the heart. As is usual with such conditions, the primary objective is to remove it as quickly as possibly in order to minimize the damage to the tissue. How would you locate it?

[Laize]

If that's what you think the average art major is like then I don't really think your opinion will ever be changed.

You're doing a better job than most. And that's saying something when you take into account the fact that most of what comes out of your head is liberal screed.

Pro tip: they're just like other college students. Except they can draw better. And see naked women in class sometimes. The only other students who get to do that are med students. And their naked women are dead.

Y-incisions might do it for some of them.

Man, just full of insulting generalizations today aren't you?

My opinion of unions sits somewhere on the totem pole between "a particularly stygian-smelling fart" and "Justin Bieber".

You've known this for a while. Don't act surprised.

---------- Post added 2012-12-08 at 08:24 AM ----------

What happened to stay out of my state?

You're right.

Allow me to amend that statement.

"If every state decided they were going to be a RTW state tomorrow, I think we'd all be better off."

[Skizo]

I've actually spent about half my life in and out of hospitals and am quite inquisitive by nature. I make full use of the intercom when I'm sitting in the PET or MRI chamber and have picked up a working knowledge of what does what. Why don't you go ahead and try me?

I know CT scans alone are capable of showing everything from tumors to clots and embolisms. So, in fact, a CT scan could show and differentiate between both of the things you mentioned.

Barium can show problems in the GI and cardiovascular system with a CT scan. The problem, apart from greatly increasing your radiation intake every time you get a CT scan, is that knowing what the problem is is not the same as knowing why the problem is there and what you have to do to get rid of it.

---------- Post added 2012-12-08 at 08:25 AM ----------

Alright than. Patient develops a clot in the heart. As is usual with such conditions, the primary objective is to remove it as quickly as possibly in order to minimize the damage to the tissue. How would you locate it?

they're called barium injections

[Kasierith]

they're called barium injections

In which case I suppose barium magically appears in their blood stream.

[Laize]

Alright than. Patient develops a clot in the heart. As is usual with such conditions, the primary objective is to remove it as quickly as possibly in order to minimize the damage to the tissue. How would you locate it?

I'm afraid I've never been privy to an ER where a patient presented with a clot in the heart. I did share a room with a DVT patient who was receiving contrast venography though.

I said I acquired a working knowledge of what does what. Not that I was as good as a medical professional.

[Skizo]

In which case I suppose barium magically appears in their blood stream.

www.wikipedia.org/wiki/Angiography

It's actually really cool stuff

[Kasierith]

www.wikipedia.org/wiki/Angiography

It's actually really cool stuff

I've been in live surgeries using this technique. It was possibly the most interesting and exciting part of my internship, and is one that I remember quite well.

Referring to the wiki article, though: "Depending on the type of angiogram, access to the blood vessels is gained most commonly through the femoral artery, to look at the left side of the heart and at the arterial system; or the jugular or femoral vein, to look at the right side of the heart and at the venous system. Using a system of guide wires and catheters, a type of contrast agent (which shows up by absorbing the x-rays), is added to the blood to make it visible on the x-ray images."

The problem with CT scans is that you don't find it right away. You need to shoot the contrast agent in multiple times in order to find it. Imagine that picture at the top of the article being very dim, then when the contrast agent is shot in the entire thing lights up for a moment with the beating of their heart. They then have a few seconds to go through the CT scan and attempt to find the single point where the line of contrast agent is obstructed. Catheters are ideal for this since speed is an absolute necessity when dealing with the potential for further heart damage (this is something usually done on people who were just brought in for heart attacks and have a clot).

[Laize]

Barium can show problems in the GI and cardiovascular system with a CT scan. The problem, apart from greatly increasing your radiation intake every time you get a CT scan, is that knowing what the problem is is not the same as knowing why the problem is there and what you have to do to get rid of it.

I've received quite enough radiation for my lifetime thanks.

Tc-99m injections twice yearly for the last 5 years and continuing. More CT scans than I have been able to keep track of. 4 KUB X-rays in the last 2-3 years have probably worked a number on my family jewels as well. Then there was a scan where I was injected with a shielded syringe and laid on a table with a scanner that picked up the radiation emitted from my heart like looking at a glowing light bulb through the skin. Can't remember the name of it it was so long ago. Then there was weekly radiation treatment for 6 months. Oh and 2 fluoroscopies. Those were really cool though.

So I've had conversations with more than a few radiologists and similar professionals.

[Skizo]

I've been in live surgeries using this technique. It was possibly the most interesting and exciting part of my internship, and is one that I remember quite well.

Referring to the wiki article, though: "Depending on the type of angiogram, access to the blood vessels is gained most commonly through the femoral artery, to look at the left side of the heart and at the arterial system; or the jugular or femoral vein, to look at the right side of the heart and at the venous system. Using a system of guide wires and catheters, a type of contrast agent (which shows up by absorbing the x-rays), is added to the blood to make it visible on the x-ray images."

The problem with CT scans is that you don't find it right away. You need to shoot the contrast agent in multiple times in order to find it. Imagine that picture at the top of the article being very dim, then when the contrast agent is shot in the entire thing lights up for a moment with the beating of their heart. They then have a few seconds to go through the CT scan and attempt to find the single point where the line of contrast agent is obstructed. Catheters are ideal for this since speed is an absolute necessity when dealing with the potential for further heart damage (this is something usually done on people who were just brought in for heart attacks and have a clot).

It is definitely a complex procedure, and I have the utmost respect for the people who perform it and think that they deserve to be paid well for their skill and knowledge. It's the type of thing you couldn't learn anywhere but in school or in the field.
I'm just wondering, what were you interning for? I am incredibly biased in favor of people who work in the medical field <3

---------- Post added 2012-12-08 at 08:43 AM ----------

I've received quite enough radiation for my lifetime thanks.

Make sure you keep an eye out for cancer, radiation treatment is some miraculous stuff but it isn't without its drawbacks

[Orbitus]

I like how you completely bypassed my entire question. Its proven that you only want to try to make yourself look good, when in fact you are making yourself look like an idiot.

[Laize]

Make sure you keep an eye out for cancer, radiation treatment is some miraculous stuff but it isn't without its drawbacks

Yeah... little late on that one.

I've pretty much resigned myself to the fact that every day I live past 50 is borrowed time at this point.

[araine]

http://www.nytimes.com/2012/12/07/us...ce=twitter&ad&


Well done Texas, you've figured out that not every cost is avoidable!

It is typical for the far right wing states to make bad decisions. If they are so great at making decisions why are almost all red states welfare states in the word that they get far more from Washington than they pay in in the form of taxes. We constantly here them complaining of the takers in the country while themself are the biggest taker.

This screw up will be forced to be covered by the federal government as well. Always having the blue states the feds bailing out the southern far right wing states when the far right wing dogma is costing them money.

[Laize]

It is typical for the far right wing states to make bad decisions. If they are so great at making decisions why are almost all red states welfare states in the word that they get far more from Washington than they pay in in the form of taxes. We constantly here them complaining of the takers in the country while themself are the biggest taker.

This screw up will be forced to be covered by the federal government as well. Always having the blue states the feds bailing out the southern far right wing states when the far right wing dogma is costing them money.

Texas is a notable exception to that rule, being the second wealthiest state in the nation with a best financial record than California.

They didn't make the decision because of a financial choice. They actively chose to pay more state taxes and forgo federal medicaid funding to support their choices. $200 million in this regard is really chump change.

[Remilia]

Specializing in infectious disease != specializing in all diseases.

For House which you denoted by story is a infectious disease specialist. Only thing really is that hes considered very smart, did not say anything about specialization in all diseases.

Being a medical "diagnostician" isn't actually a thing. No medical body I'm aware of recognizes such a specialty. It seems to be something entirely fabricated for House.

Every doctor is a skilled in diagnoses in their respective fields.

http://www.nature.com/news/2008/0805....2008.840.html
http://today.msnbc.msn.com/id/453278.../#.UMMU2nfG13s

Nothing about House said that they were trained to be diagnostician, they were just a collaboration of doctors.

[Wells]

Texas is a notable exception to that rule, being the second wealthiest state in the nation with a best financial record than California.

They didn't make the decision because of a financial choice. They actively chose to pay more state taxes and forgo federal medicaid funding to support their choices. $200 million in this regard is really chump change.

Love it when the government blows money on moral stands against condoms and pap smears.

[skrump]

Birth control should be provided freely as a public service as it does the entire public a great service.
Saying it is unjust to tax religious people for such a thing is like saying it is unjust to tax someone who doesn't drive to maintain the roads.

[yetgdhfgh]

FFS stop being afraid of sex and give condoms and birth control out either heavily subsidised or for free

Bottom line is humans want and need to have sex so give them the tools to be safe while doing it

Unwanted pregnancy and STDs will plummet with good sex education and easy access to birth control its a win win for everyone

Religion needs to stick its fucking nose out of peoples bedrooms IMO

[Adam Jensen]

Sorry. I didn't realize it was the job of responsible taxpayers in Texas to pay for birth-control so the irresponsible (non)tax-payers can keep on riding the hand-out train.

Here is a unique and brain-shattering idea. If you're so damn poor you can't even afford a box of condoms, don't practice unsafe sex. Just don't.

Here's the thing: Telling poor people "to not have sex" is ineffective. Offering them access to birth control is effective. The first goes against human nature to have sex, the other works with it. And in the end, the latter is less expensive because the former leads to more babies in the welfare system.

It would be nice if people were responsible and just didn't have sex when they couldn't afford it, but the reality is people won't be responsible, so providing safe sex practices is the cheapest and most responsible thing to do.

---------- Post added 2012-12-08 at 06:19 AM ----------

1. Why do we have to fund PP for women while men in the same situation have to use a free clinic? (I thought women fought for, and were still fighting for, equal treatment. Not special treatment.)

I didn't realize women had equal reproductive organs as men.