Archive for the ‘Health & Medicine’ Category

The Healthcare Debate Continues

Saturday, September 5th, 2009

We like to keep things nice and calm here at the Naugas. The scenery is beautiful, we are far from civilization and we attract a mellow crowd.

But a couple of days ago we had two guests get into a heated discussion about healthcare. One was a doctor (general practitioner, I think) and the other a lawyer. The doc wants single-payer coverage, the lawyer wants things left alone. Doc said he’s tired of dealing with insurance companies and financially-stressed patients. Attorney said he wants to keep suing the pants off doctors.

Up here, we learn what medical information we need off the web and get free medicines when we can. We get plenty of exercise and breathe fresh air. Whatever the politicians do, they will do.

Health Screening Companies v. Your Privacy

Thursday, March 26th, 2009

I learned something from a guest today about privacy. He said that when those health-screening companies come to town, you don’t have to tell them everything they ask.

He was talking about LifeLine Screening and the other traveling shows that set up shop for a day in churches, then do screening for stroke, aneurysm, bone-density, cholesterol and the like.

He said they always ask for your health history and medicines you are taking, but you do not need to tell them. They are not your doctor, they don’t need to know that stuff. He said you just ask the clerk what is the minimum part of the form you can fill out, and she will tell you…no problemo!

He said they also have a HIPPA disclosure form. If you agree to it, they will give all your information and test results to some company who is free to pass it on to who-knows-who-else. He said that it’s perfectly OK to write “DECLINED” on the form, instead of a signature…the clerk really doesn’t care.

He even left his email address off the form…said that was there so they could spam you, not for your benefit.

It was an interesting discussion. Maybe we can sell his name and credit card number to an identity thief…NOT!

Biotech / Biomed Conference in Texas

Wednesday, February 18th, 2009

We had a guest from Texas visit last night. He said he worked for a venture capital firm. After he checked out this morning we found a thumb drive he had left in his room. The following notes from a biotechnology / bioscience conference were on it. They do not look secret, so maybe if I post them here he will see them:

Feb. 17, 2009
Omni Hotel, Austin, TX

Texas Life Science Bioscience Conference
Attendance about 130
============================

1:30 kickoff speech, intro by David Hargrave, Chmn, Texas Healthcare & Bioscience Institute
Dr. David Rosen, Pfizer Inc.

Drug approval has changed. Before researching a new medicine, pharmaceutical companies now must make certain customer will pay for the meds. In 2007, Pfizer had 400 projects in discovery research, more than 152 molecule entities in pipeline. Now, they are reducing this span to concentrate on diabetes and endocrinology. Other medical research is just too costly and risky.

Challenges facing big pharma:
– Screen millions of compounds, spend $1B, yet after 12-15 yr. get only 1 or 2 marketable products.
– In 1960s had 10 yr of exclusivity (time to market a drug before patent runs out and makers of generics grab the market), by 1999 it was 4 months.
– Only 2 of 10 meds that reach market make a reasonable return on investment.
– Consider Lipitor, which is now nearing end of its exclusive life. Your parents paid for the previous generation of meds that created profit that paid for the discovery of Lipitor. When you buy Lipitor, you are subsidizing 3rd world buyers who pay much lower prices.

R&D of the pharmaceutical industry is increasing, now over $55B per year.

Diseases still to conquer: cancer, alzh, heart, diabetes, SARS, TB, West Nile, obesity, malaria.

To develop a new med takes a generation.

There is no guarantee of new meds. Vaccine makers went out of business due to drop in vaccine prices & legal problems (lawsuits). Recently Congress approved funding to bring them back.

We are heading down that same path in pharma industry. If we don’t save Big Pharma, our kids generation will have no new medicines.

Industry may move to China, S. Korea, Viet Nam, India. Their labor costs are 1/10 of US costs.

How to get Pfizer interested in a med you’ve discovered: 95% of good ideas come to Pfizer through someone befriending its scientist(s).

Pfizer also has molecules under development that they would like to partner with other cojmpanies to develop.

==========================

2:00 Panel Discussion
Bill Hammond, moderator
===
Patrick Kelly, Biotech Industry Organization
Now is worst financial challenge in over 15 years.
Current entrepreneur model is to find a drug and sell it to big Pharma, not develop it yourself.
Forty states face budget shortfalls, will impact Big Pharma
Bio sciences pays avg $70K salary, compared to $40K for avg employment.
Between 2002-07, 80,000 BioSci patents were awarded in US
BP (Big Pharma) needs govt funding.
TX has incubators, VCs (Venture Capitalists)
Need patience and long-term perspective
TX is targeted by BP for more Biotech.
BP needs help from Feds to weather financial climate
Rx costs are only 10% of healthcare costs, and 60% of that is generics

===
Lori Reilly, Pharma Research & Mfgrs of America
SCHIP signed, President supports healthcare
Daschle’s withdrawal has slowed healthcare reform
Kansas Gov Sebelis likely to be HHS leader
All Americans should have access to quality healthcare
Need to reduce obesity, need to coordinate care, expand evidence-based medicine (but not just on cost)

===
Katie Strong, US Chamber of Commerce
Want healthcare for all Americans, but want private options for insurance

=====================

3:15 PM
Keynote #2: Richard Seline, Founder of New Economy Strategies
Prelim data on Texas & bioscience:
United Arab Emirates, China and Texas are “off the charts” for bioscience
Some medical device work is going to China
TX is big on research and testing, evaluation and clinical trials
TX gets lots of NIH funding
Baylor College of Med gets more Fed funds than any other TX institution, followed by several UT institutions (Dallas, MD Anderson, Galveston, San Antonio, HSC Houston, UT Austin)
Houston created 2000 patents, DFW 1400, Austin 500, San Antonio 470, College Station 165 over an (unclear) time period
============================

Biotech’s Future in TX
TX is a global competitor in BioSci…3 big reasons.
Sante Ventures is a TX VC that is moving 2 biotech companies to TX
TX Emerging Tech Fund has invested in 95 companies in 3 yr, 40 are life science co’s
Need to “get science to bedside.”

What else TX needs to do to improve:
Physical plant (facilities) and talent in Texas is very good, world class.
Need to tell people about our assets, we are still in flyover country.
Our competition (other states) are advertising better.
TX only gets 10% of capital invested in CA.
We are missing execs and entrepreneurs.
Nobody in TX knows how to manufacture protein, nobody knows about regulatory affairs.
It’s getting easier to keep investors in TX, 10 yr ago was “impossible.”
We do excellent research in TX, but don’t have infrastructure to translate research to market.
We need to find the problems then solve them, not find solutions that may not relate to any problem.
Other states w/ bad economies (e.g., California) may start exporting talent to TX.
Innovation continues in good and bad economic times.
VCs need to back winners, to train managers.
Problem: People don’t want to come here to work because, if the company fails, there is no other “backup” employer for them to work at…but, it’s getting better as more companies move here.
Problem: Univ researchers are not oriented to patenting / registering their inventions and making money.
Also, university technology transfer offices are not funded well, they get a percentage of what they license, but have a hard time getting started.
UT System is bringing all its research findings together and marketing the package to the world…very smart!
At this time it’s very hard to get early-stage money, but Emerging Technology Fund of TX has it and is giving it out…that is drawing companies to TX.
TX needs more angel (VC) funding, the TX angels understand oil and gas but don’t know how to invest in technology.
Rio Grand Valley just started their first VC fund.
TX needs large life sciences companies to “pull in” other companies.

===================================

4:40 PM Gov Rick Perry spoke:
Is Animal Science major from TAMU
TX is only big state with budget in the black
Wants all of us to encourage legislators to fund the Emerging Tech Fund
============================================================

Bat-Man Comes to the Inn

Sunday, February 8th, 2009

Well, I thought I had seen just about everything…until Bat-Man checked in!

He was probably in his 70s and un-married, a retired engineer he said. He walked up to the desk to check in, and when I looked up I almost lost it. He had these clear plastic bat-wings sticking out of the sides of his head.

Earglasses made of clear plastic

Earglasses made of clear plastic

We aren’t always too polite and discrete at the Naugas Inn, so it wasn’t long before somebody asked him what the heck those things were. He said they are Earglasses, a non-electronic hearing aid. He said they work just like if you cup your hand behind your ear, in order to hear a faint sound. He said they only cost $10 a pair, and don’t make strange sounds or need batteries like normal hearing aids.

He said he likes them, but knows that they make him look more than a little odd. He has regular electronic hearing aids for more formal situations, and uses his Earglasses mostly in private.

Bat-Man was a perfectly well behaved guest, and we wished him well when he checked out two days later.

The HoLAP Prostate Cure that Our Guest Wants

Tuesday, January 20th, 2009

We are accustomed to complaints from guests. The room is too hot, the neighbors are too noisy, I saw a little bitty insect in the room night before last, etc. Most guests never complain, because we run a good inn, but some others just worry us almost to death.

Yesterday we had a new complaint, one never before heard. An older male guest complained about the urinals in the lobby restroom. He said that they are always full of water, so you could hear him urinate. “So?,” I asked.

He said that he has benign prostate hyperplasia, or BPH, which causes his urine stream to be “thin.” He said that the sound of this thin stream hitting the water was embarrassing whenever there was another man in the restroom. He wants us to replace the urinals with the type with no pool of water in the bottom, so there will be no audio when he pees.

Of course, we can’t do this…at least not in the few remaining days while he is here as a guest. I apologized to our guest, and he replied that it would not be a problem long. He said he is going to have the HoLAP prostate laser treatment soon for his enlarged prostate, and that will cure the problem.

He said that HoLAP BPH is the newest and greatest treatment option for BPH enlarged prostrate. He said it uses a holnium laser to blast away tissue inside the prostate gland, so the urethra (pee tube) opens up and he can urinate normally.

This was almost more than I wanted to know, and I told him to let me know how the HoLAP prostate cure works out.

Two More Unique Websites

Saturday, November 22nd, 2008

Here are a couple more unusual websites that I found.

The first is BoomerHotties.com. It is like HotOrNot.com, except for photos of hot baby boomers. Mainly women, but I guess they could have photos of boomer guys, too. In this case, Boomer means Baby Boomer and Hotties means…hot. Some of them look pretty hot, some definitely not.

The other site is AspartameLawsuit.org, which is for folks who have used aspartame artificial sweetener and plan to join an aspartame class-action lawsuit against the manufacturer. They believe, perhaps justifiably, that aspartame causes disease and they need to have a class-action lawsuit to receive compensation or some other benefit.

Avandia Patient Stays at the Inn

Wednesday, November 19th, 2008

I had a dream that went something like this:

We had a guest a few days ago who made an impression on us. Her name was Helen, and she was from New York. Probably about 50 years old. She was warm, funny and smart…everybody liked her. The sad thing about Helen was that she could hardly get around. She said she had congestive heart failure, and she believed that a diabetes medicine named Avandia had contributed to it. She could only walk about 30 seconds, then she had to sit down and rest.

Helen said that she had started taking Avandia about a year ago, and at the time her heart was fine. But within a few weeks she noticed herself getting winded, and her doctor diagnosed congestive heart failure. She immediately quit taking Avandia in order to prevent the heart disease from getting worse. She said there was so much fluid overload and edema, she had to sit up while sleeping. She said her doctor diagnosed hypertension (high blood pressure) in the blood vessels of the lungs.

She said that Avandia has been implicated in heart problems (congestive heart failure, heart attacks) in other people, and she is hoping to get in a class action lawsuit against Glaxo, the manufacturer.

She told us that a study published in the New England Journal of Medicine had found that Avandia increased the risk of heart attack by over 40 per cent.

She believes the Food and Drug Administration, under the Bush administration, has leaned too far toward helping the drug companies and not enough toward safety.

Of course, she may win the class action lawsuit, but is it worth it if she loses her life due to heart attack?

Then I woke up, and realized it had all been a dream.

Genetic Testing Expert Comes to Visit

Sunday, November 2nd, 2008

We had a genetic scientist visit over the weekend. He said his company develops at-home DNA tests that anyone can buy over the internet. He said they started with paternity tests, to determine the baby daddy for new mothers.

Now they are more into home test kits for genetic testing to determine illnesses. He said there are DNA home tests to find susceptibility to many diseases, with more becoming available every month.

He said that it is frustrating to detect the genes responsible for a disease like cancer or heart disease, and then have no targeted treatment available to give to the patients.

If he has a genetic test for laziness, I’d like him to try it out on our new yardman…that guy’s DNA would probably go right off the scale.

Should We Buy Prescription Drugs from Canadian Pharmacies?

Saturday, July 12th, 2008

We try to stay healthy here at the Naugas. The combination of clean air and water, low stress (usually) and lots of physical work gives us a healthy lifestyle that our friends in the big cities don’t enjoy. But even out here we do get sick sometimes, and so we have a medical insurance plan for everyone on the staff.

Now we have an interesting proposal from our medical insurance company. They will give us a lower insurance rate for doctors, drugs, hospitalization, etc. if we agree to buy our medicines from pharmacies in Canada. They say that prescription drugs in Canada are just as safe as those here in the U.S., but cost less. If we agree to the change of prescription drug suppliers, the company will cut our insurance premiums substantially.

Some of the staff think this change is a great idea, and some of them already buy their Rx medicines over the internet from drug stores in Canada. Other staffers are not so sure, they wonder if Canadian pharmacies have safe, or counterfeit, medicines. We are going to have an all-hands meeting next week to come to an agreement on what to do.

As for me, I prefer the low cost that they tell me Canadian pharmacies have.

Hidden Medical Conditions, including Canker Sores and Winter Itch

Tuesday, July 8th, 2008

Sometimes a person has a disability or health problem and you know it right away. Maybe they are missing an arm or a leg, maybe they have their broken arm in a cast, maybe they are taking medicines that cause them to behave or look peculiar. Or, maybe they tell you they are in pain.

Other times, a person can have a medical problem and you don’t even have a clue. That happened recently with a guest at the Naugas. We noticed that she didn’t eat anything at dinner and asked why. She said the food smelled delicious, but she had canker sores (also known as fever blisters) and it hurt her mouth to eat anything. The canker sores were inside her cheeks, on her tongue and even on her gums. She said that cancker sores often result from chemotherapy, but not in her case. The cause of canker sores, she said, is unknown, as is the cure. She said they would heal in a few days, but for now she just would not eat anything.

That reminded me of another guest back in January, during cold weather. She said her dry skin itched due to the dry weather, a malady known as winter itch. Sometimes she had little red dots on her skin that itched, other times she just had a general itching of the skin on parts of her body. The causes of winter itch include cold, dry air, wind, soap, and stress. She said it was not the same as psoriasis, was similar to eczema and was always associated with dry skin.

Some medical conditions are visible, others are known only to their sufferers.