Showing posts with label Massachusetts General Hospital. Show all posts
Showing posts with label Massachusetts General Hospital. Show all posts

Tuesday, June 16, 2015

[SPECIAL REPORT] A Bicycle, an Infection, and a Lie


“Land of Song!” said the warrior bard,
“Tho’ all the world betrays thee,
One sword, at least, thy rights shall guard,
One faithful harp shall praise thee!”
— “The Minstrel Boy” by Thomas Moore

The last two weeks have seen a surprising sequence of events surrounding the Iran nuclear weapons talks. It all started on the night of Friday, May 29 when John Kerry arrived in Geneva for an all-day talk scheduled for the following day, Saturday, May 30. The talks did not go well. A senior administration official described them as “intense,” which is diplomatic-speak for “nasty.” There had been plans to continue the next day, but the Iranians mysteriously hightailed it out of Dodge City that night.

When life gives you lemons, you make lemonade. As he had a free morning on Sunday, Kerry decided to go biking in the French Alps. He’s an experienced cyclist and had brought his bicycle along. And so he set off, riding his orange trail bike, which matched the orange of his helmet. His cycling suit was an elegant black, except for some white markings and a blue band around the bottom of the shorts he wore over his tights. And his bright yellow arm-warmers provided just the right pop of color.

Alas, man proposes and God disposes. Shortly after he set out, we’re told that he hit a curb and fell off his bicycle, breaking his right femur. How that happened isn’t clear. The press wasn’t notified of the accident for some 90 minutes. Local officials said that he was “traveling at a slow speed, on flat ground.” There is a 40 second video where you can see your Secretary of State maneuver his bike, weaving through the other cyclists who were riding with him. They look like bodyguards, and for some reason they keep getting in his way. Riding with guys like this, no wonder he took a fall. You can see it here, but it doesn’t actually show Kerry hit the curb and fall.




Did Kerry’s elegant outfit get mussed up? We’ll never know. For the camera cuts away and we’re taken on what seems to be a ride backwards in time to where Kerry has not yet gotten on to his bicycle. The scene is surreal. There are lots of cars and security personnel aimlessly milling about and then, on the left side of the frame, Kerry can be seen walking out from behind some tall bushes, holding what might be a white folder in his left hand and his cell phone to his ear with his right. He turns and stares directly into the camera, in case we’ve not noticed him. We are perhaps meant to understand that our Secretary of State is not just a pretty face and a fashion plate. He is always working hard on our behalf. Right up until the moment he gets onto his bicycle he will be attending to his duties.

Kerry is flown back to Geneva where he spends the night in a hospital. On the following day, June 1, he is flown to Boston and taken to Massachusetts General Hospital where he apparently undergoes a four-hour surgery under a regional anesthetic. By Tuesday, his doctor says that he’s been fixed. He can walk and is starting physio.

The world breathes a collective sigh of relief, because now the nuke talks can go on. Kerry will continue to hold our side. Only no one hears from him for 10 days. “Ten days later, why no pictures of John Kerry?” asks the Washington Examiner.

Via: American Spectator

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Friday, August 24, 2012

More than 2,200 Hospitals Face Penalties Under ObamaCare Rules


A provision of ObamaCare is set to punish roughly two-thirds of U.S. hospitals evaluated by Medicare starting this fall over high readmission rates, according to an analysis by Kaiser Health News.

Starting in October, Medicare will reduce reimbursements to hospitals with high 30-day readmission rates -- which refers to patients who return within a month -- by as much as 1 percent. The maximum penalty increases to 2 percent the following year and 3 percent in 2014. 

Doctors are concerned the penalty is unfair, since sometimes they have to accept patients more than once in a brief period of time but could be penalized for doing so -- even for accepting seniors who are sick. 

"Among patients with heart failure, hospitals that have higher readmission rates actually have lower mortality rates," said Sunil Kripalani, MD, a professor with Vanderbilt University Medical Center who studies hospital readmissions. "So, which would we rather have -- a hospital readmission or a death?"

But according to federal government figures, nearly one in five Medicare patients is readmitted to a hospital within 30 days of release, costing taxpayers an estimated $17.5 billion.

"Readmissions has been a low-hanging fruit for Medicare," said Jordan Rau, a staff writer with KHN, an editorially independent program of the non-partisan Kaiser Family Foundation. "They've been very unhappy that about 2 million Medicare beneficiaries are being readmitted every year between 30 days of discharge."

Medicare evaluated readmission rates at 3,367 of the nation's hospitals and will impose penalties on 2,211 starting in October, according to KHN. The analysis shows 278 hospitals will receive this year's maximum penalty of 1 percent. On the other side of the spectrum, 50 hospitals will receive the minimum penalty of 0.01 percent, KHN reports.




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