Monday, February 24, 2014

AMA AND OTHERS CAUTION “RETAIL CLNICS; BIG BAD WOLF!”

Description: Macintosh HD:Users:sandraladcock:Desktop:search-2 9.45.41 PM.jpgDescription: Macintosh HD:Users:sandraladcock:Desktop:cvs-logo.pngDescription: Macintosh HD:Users:sandraladcock:Desktop:search-2 9.45.41 PM.jpgDescription: Macintosh HD:Users:sandraladcock:Desktop:url 9.45.24 PM.jpg



AMA AND OTHERS CAUTION “RETAIL CLNICS; BIG BAD WOLF!”

Let’s start with some of the arguments these groups put forward as reasons for concern in using a Retail Clinic!
Ø Do not have access to all chart records.
Ø Causes Fragmentation of care by adding another provider.
Ø Staffed often by Physician Assistances or Nurse Practitioner
Ø No patient follow up care.
Ø Chronically ill are more complicated than clinics usually see.  (Note it doesn’t say can’t handle)
Ø Question if have patient’s best interests at heart!
I looked in detail at five articles about these warnings.  The first covers the period around 2007.  Titled AMA Goes After Walmart Style Retail Clinics, it warns of the same concerns.  “Our primary focus is patient safety and patient care, and the retail clinics have a different mission of selling products and prescriptions,” said Dr. Rodney Osborn.  The AMA stance at that time was to lobby for increases regulations of these Retail Clinics.  Typically doctors often site regulations and dealing with insurance as an over regulated problem.

The other articles cover and aim at those clinics owned by CVS, Walgreen’s, Target and other groups. On Feb. 23, 2014 (my 52 birthday updated a statement disapproving of the Retail Clinics.  Again the list above covers their reasons for concern.

An article written in Aug. of 2012 shows these statistics.

Ø Total visits go from 1.5 million (2007) to 6 million (2009)
Ø The same study notes that there are 557 million visits to Doctors and 177 to ER’s
Ø One significant change in demographics was that those over 65 were at 7.5% (2000 to 2006) and at 14.7 (2007 to 2009).
Ø About 40% of the visits from 2007 to 2009 were for immunizations.

I now have a few questions and statements I think need to be considered.

Ø How often can the people that visited a Retail Clinic did so because of lack of access to an appointment needed now?
Ø How many ER’s have access to a patient’s health record or chart?
Ø How many Pediatricians really know a patient and remember that child’s chart when called after hours?
Ø How many Nurse Practitioners or PA’s are employed by Pediatricians or Doctors?
Ø Is it really fair to say no access to follow up care?  I say this because many say to follow up with your family practitioner or come back to them if they do not have one!
Ø If it is still true that most(almost half, 40%) go for immunizations, is this really a big issue?
Ø What study said this are that?  Compare it to what is actually going on. 
Ø Should Pharmacists really be giving vaccinations when they are bogged down just filling prescriptions?
Ø How many groups are going to have a formal relationship with your Pediatrician?
Ø Is some of the disjoint and lack of communication the fault of the AMA for going after the Retail Clinics instead of really working with these groups to shore up the holes? Or, is this just about the bottom line?
Ø How many people complain about not enough time with their doctor?
Ø  

I would think again about what the AMA and AAP says about these clinics.  I would think also about getting prescriptions where pharmacists are doing a lot of vaccinations.  I am a pharmacist and will get plenty of feedback for this I am sure.
The bottom line is go to places that you feel comfortable.  I can personally vouch for a Nurse Practitioner owned clinic.   Excellent care is what my husband (also a pharmacist), my son and I get when we go there.  This does not stop me from having a family practice physician.  I have gone to this man since 1987 and will not go elsewhere  besides that NP owned clinic in Yukon, OK.  They do not compete but compliment each other. 
Below are the 5 articles used to write this essay; along with my personal knowledge and opinion.   Description: Macintosh HD:Users:sandraladcock:Desktop:photo.jpg
Ollamok AKA Sandra


Friday, February 7, 2014

A Must for Autism Parents From the NIH; Excellent Help for starting

Please do not be put off by the poetry.  I put this in as a thought provoking exercise. Explore all the things that might affect autism.  Then after you read the poem go to the NIH Sites and get free publications that explain all the poem touches on. Autism, like cancer, has so many threads and variables it is impossible to find one specific cause.  That is why we must explore all threads.
Autism? Simple answers? No! Here is
Sandra’s try at an explanation.
Autism has good graces.
Visit upon us to bless upon.
Doesn’t mean one shouldn’t ask,
“Why? What? When? Where and how?”
God could have intended
You being intentioned in the unhinging of the process.
Vaccination’s that is the key!
Say many with adamation!
I agree for them it could be,
A factor, insult that hit on.
Pharmacist in me says, the study was too small to make it a hallmark.
Flip the coin, drug makers threw around money, plus shouted out!!
Next, a group says environment
Causes problems no doubt.
Environmental insult.
Yep, that is why my child is shut into autism.
Remember here, environmental can be
From chemicals & diseases stalking inside to make their stand.
From, things like maybe Grandpa’s Agent Orange,
To a baby’s hospital stay due to RSV!
May yet wave
The Genetics Flag.
Throw into this mix, I will; smaller families, often an only child
That insists to be totally plugged into away from others.
Oh, how simple it would be
One answer, if could only twas or could be.
Yet, still I want to pose
Older parents, sperms and eggs as a contribution variable.
Not a reason not to conceive!
But to be aware more defects, mutations with age do occur.
Can one really say,
One cause is for autism?
Look at cancer! Common threads
There, still many different scenarios.
Genetics predispose, environmental assaults,
Turns on gene with a society that is ripe in culture and age of parents?
Yet, it matters!
No, it doesn’t matter!
Sound so crazy?
Yes, to help. No because we love and deal with it no matter what!
We learn what can and must be done.
But better realize the blame game must stop.
One answer might be cause in 1% of cases ( just me thinking),
Reality is autism is complex.
Complex, autism really is!
Yet, then is simple too.
Reaching out is what I want to do.
Remember right answers lead to correct therapy n treatments!
Wrong guesses and blame may only
Lead to burying data and wrong wizardly haphazard disasters.
Science, true keeps an open mind!
God is the first and Ultimate Scientist.
Together are we able
To do and can do n be our best.
In some ways the riddle of autism
Is not to be solved!
God means us to be
Who we are as he made us!
Change is something
All of us must do.
Adapting to you and others
Is being kind.
Let us not get behind
Stay in the forefront.
Doing out best to unlock the riddle
As much in prayer; God intends us to do!
I am sure by helping
We learn God’s lessons.
Helping those with autism
I bet could be a society improvement, God intends us to do.
No answer complete do I have;
Except my son is a blessing some may say in disguise!
God we will accept your answers.
Thank you God! Amen!
This post will not be long.  First, let me give you this site url in case you choose to read no futher.  You can wander around and see what is important to you.
http://www.nimh.nih.gov/health/topics/autism-spectrum-disorders-pervasive-developmental-disorders/index.shtml#part8
This site is marvelous at giving basic information on autism.  There is a free "Parent's Guide to Autism Spectrum Disorder's."
On the site you will find headings listed below;
  • What is Autism Spectrum Disorder?
  • Causes
  • Signs and Symptoms
  • Who is At Risk
  • Diagnosis
  • Treatments
  • Living With
  • Clinical Trials
There are more publications, plus they are available in spanish.  
I hope this is helpful; my goal is to inform with correct information.  There is so much misinformation out there

Wednesday, February 5, 2014

Being different or what God intended? Is autism punishment, blessing or part of this world?

Instead of another famous people that have autism or learning
disorders article; this will be about the thoughts behind why people might be
this way. Do you believe that God does things for a reason?   I do.  I am going
to start with a few pictures of famous people with learning disorders, thought to
have autism, etc.
url
steve7/first/ww2/bg/s51
famous-people-autism
images-1153183367
images-3
images
imgres
search-2imgres-1 
search
search-1
Madison
images
Did you know it is thought that Sampson of the Bible may have had
imgres-3
autism("Newer Insights to the Neurological diseases Among Biblical
Characters of Old Testament, By Stepehn K Mathew and Jeyaraj D. Pandian,
Anals of Indian Academy of Neurology, July-Sept 2012 volume 13)?
This is my thought on the causes of autism in the form of a poem;
Autism- No Simple Answer Says Sandra “But here goes my try!”
Autism? Simple answers? No! Here is
Sandra’s try at an explanation.

Autism has good graces.
Visit upon us to bless upon.

Doesn’t mean one shouldn’t ask,
“Why? What? When? Where and how?”

God could have intended
You being intentioned in the unhinging of the process.

Vaccination’s that is the key!
Say many with adamation!

I agree for them it could be,
A factor, insult that hit on.

Pharmacist in me says, the study was too small to make it a hallmark.
Flip the coin, drug makers threw around money, plus shouted out!!

Next, a group says environment 
Causes problems no doubt.

Environmental insult.
Yep, that is why my child is shut into autism.

Remember here, environmental can be
From chemicals & diseases stalking inside to make their stand.

From, things like maybe Grandpa’s Agent Orange,
To a baby’s hospital stay due to RSV!

May yet wave
The Genetics Flag.

Throw into this mix, I will; smaller families, often an only child
That insists to be totally plugged into away from others.

Oh, how simple it would be
One answer, if could only twas or could be.

Yet, still I want to pose
Older parents, sperms and eggs as a contribution variable.

Not a reason not to conceive!
But to be aware more defects, mutations with age do occur.

Can one really say,
One cause is for autism?

Look at cancer! Common threads
There, still many different scenarios.

Genetics predispose, environmental assaults,
Turns on gene with a society that is ripe in culture and age of parents?

Yet, it matters!
No, it doesn’t matter!

Sound so crazy?
Yes, to help. No because we love and deal with it no matter what!

We learn what can and must be done.
But better realize the blame game must stop.

One answer might be cause in 1% of cases ( just me thinking),
Reality is autism is complex.

Complex, autism really is!
Yet, then is simple too.


Reaching out is what I want to do.
Remember right answers lead to correct therapy n treatments!

Wrong guesses and blame may only
Lead to burying data and wrong wizardly haphazard disasters.

Science, true keeps an open mind!
God is the first and Ultimate Scientist.

Together are we able
To do and can do n be our best.

In some ways the riddle of autism
Is not to be solved!

God means us to be 
Who we are as he made us!

Change is something 
All of us must do.

Adapting to you and others
Is being kind.

Let us not get behind
Stay in the forefront.

Doing out best to unlock the riddle
As much in prayer; God intends us to do!

I am sure by helping 
We learn God’s lessons.

Helping those with autism 
I bet could be a society improvement, God intends us to do.

No answer complete do I have;
Except my son is a blessing some may say  in disguise!
God we will accept your answers.
Thank you God! Amen!

 Autism? Simple answers? No! Here is
Sandra’s try at an explanation.

Autism has good graces.
Visit upon us to bless upon.

Doesn’t mean one shouldn’t ask,
“Why? What? When? Where and how?”

God could have intended
You being intentioned in the unhinging of the process.

Vaccination’s that is the key!
Say many with adamation!

I agree for them it could be,
A factor, insult that hit on.

Pharmacist in me says, the study was too small to make it a hallmark.
Flip the coin, drug makers threw around money, plus shouted out!!

Next, a group says environment 
Causes problems no doubt.

Environmental insult.
Yep, that is why my child is shut into autism.

Remember here, environmental can be
From chemicals & diseases stalking inside to make their stand.

From, things like maybe Grandpa’s Agent Orange,
To a baby’s hospital stay due to RSV!

May yet wave
The Genetics Flag.

Throw into this mix, I will; smaller families, often an only child
That insists to be totally plugged into away from others.

Oh, how simple it would be
One answer, if could only twas or could be.

Yet, still I want to pose
Older parents, sperms and eggs as a contribution variable.

Not a reason not to conceive!
But to be aware more defects, mutations with age do occur.

Can one really say,
One cause is for autism?

Look at cancer! Common threads
There, still many different scenarios.

Genetics predispose, environmental assaults,
Turns on gene with a society that is ripe in culture and age of parents?

Yet, it matters!
No, it doesn’t matter!

Sound so crazy?
Yes, to help. No because we love and deal with it no matter what!

We learn what can and must be done.
But better realize the blame game must stop.

One answer might be cause in 1% of cases ( just me thinking),
Reality is autism is complex.

Complex, autism really is!
Yet, then is simple too.


Reaching out is what I want to do.
Remember right answers lead to correct therapy n treatments!

Wrong guesses and blame may only
Lead to burying data and wrong wizardly haphazard disasters.

Science, true keeps an open mind!
God is the first and Ultimate Scientist.

Together are we able
To do and can do n be our best.

In some ways the riddle of autism
Is not to be solved!

God means us to be 
Who we are as he made us!

Change is something 
All of us must do.

Adapting to you and others
Is being kind.

Let us not get behind
Stay in the forefront.

Doing out best to unlock the riddle
As much in prayer; God intends us to do!

I am sure by helping 
We learn God’s lessons.

Helping those with autism 
I bet could be a society improvement, God intends us to do.
 No answer complete do I have;
Except my son is a blessing some may say  in disguise!
God we will accept your answers.
Thank you God! Amen!
Let me submit a few Bible Verses that have come to mind or been pointed out
to me by my best friend that often convicts me when I disagree.  She puts me
back in touch with Biblical teachings versus worldly thinking.
Jerimiah 1:5(KJV)Before I formed thee in the belly I knew thee; and before        thou camest forth out of the womb I sanctified thee, and I ordained thee a        prophet unto the nations.
(Wycliff's Bible) Before that I formed thee in the womb, I knew thee; and          before that thou wentest out of the womb, I hallowed thee; and I gave thee        to be a prophet among folks. (Before that I formed thee in the womb, I              knew thee; and before that thou wentest out of the womb, I consecrated,          or dedicated, thee; and I gave thee to be a prophet among the nations.)
Matthew 25: 13 (KJV)Therefore stay alert, because you do not know the          day or the hour. 14 For it is like a man going on a journey, who summoned        his slaves and entrusted his property to them. 15 To one he gave five              talents, to another two, and to another one, each according to his ability.          Then he went on his journey.
(Wycliff's Bible) Matthew 25: 13 Therefore wake ye (And so be on                     watch/ stay awake), for ye know not the day nor the hour. 25: 14 For as a         man that goeth [far] in pilgrimage, called his servants, and betook to them         his goods (and gave his substance, or his assets, to them); 25: 15 and             to one he gave five bezants, or five talents, to another twain, and to                 another one, to each after his own virtue; and he went forth anon. (and to         one he gave five talents, to another two, and to another one, to each                 according to his own power, or his own ability; and then he went forth at           once.)
Proverbs 16:9(KJV) A man’s heart plans his way,
But the Lord directs his steps.
(Wycliff's Bible)  Proverbs 16:9 The heart of a man shall dispose his way;         but it pertaineth to the Lord to (ad) dress his steps. (A person’s heart shall       ordain his way; but it pertaineth to the Lord to direct his steps.)
Consider how many famous people had a learning disability, were
different, considered out there, or  labeled misfits until they became 
famous after hard work with tenacity!
Do you think this is all an accident?  Or, is this part of a plan?   Has God
demonstrated through these special people how we should treat others?  That
judging people by the way they appear at the first meeting is wrong?   I am
asking these questions to be thought provoking.  Actually, once you consider
what history has shown, my case is quite solid.
Let me start with George Washington.   I will get into specifics later.  My old
history teacher explained to me that he had spelling problems.   Various
sources say he had writing problems, spelling, grammer issues and may have
been dyslexic.  Wow!  The first President of the United States.
I guess Albert Einstein has to be mentioned.   He was said to have some odd
habits.  He was a late talker.  However was talking in complete sentence by
the time of age three.  It is thought that he had Asperger's.  If you research
genetics; you will find out that autism, bipolar and schizoprenia are genetically
transmitted via the same genes or similiar genes.  It is genetic or one part of
the mix.  If you accept that Einstein is on the Autism Spectrum; then his
having a son with schizoprhenia follows that theory.  There are others that
disagree with the statement that Einstein had a disability.  I think he was
on the autism spectrum.
I will not extend this as a long post but end with the title and leave the
questions up to you then give you my thoughts. Is being differeng what God
intended?  Is autism a punishment, blessing and/or meant to be part of this
world?  Is it put on Earth to teach others a lesson?  How to live?
Consider these images and how they have impacted the world.  Do they have
a true learning disability?  I will let you do the research.
*** Resources used
http://www.pil-network.com/HotTopics/accessibility/disabilityawareness
http://www.vmi.edu/uploadedFiles/Academics/Academic_Support/Disabilities    _Services/Famous%20People%20with%20Learning%20Disabilities%20-        %20updated.pdf
Knowledge of individuals.
Other Internet sources