Thursday, January 12, 2012

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Health, Wellness, Exercise, Reflections:
Preventing a Hospital Infection and Other Mishaps

By Dorothy Foltz-Gray / January 12, 2012

Hospitals are places for healing. But 1 million injuries occur in hospitals each year, a 2010 New England Journal of Medicine study found. Don't let a mistake or hospital infection thwart your road to recovery. Here are 11 steps to protect yourself during a hospital stay...

Hospitals can make you well, but they can also make you sicker – or, in extreme cases, take your life.

About 100,000 deaths are linked to hospital infection every year, according to Consumer Reports on Health.

Add freshmen med students to the rounds and the safety risk rises even more, reports a study by the University of California, San Francisco School of Medicine.

"As procedures become more complicated and more invasive, they can be very dangerous," agrees Suzanne Henry, a policy analyst at Consumers Union Safe Patient Project in Austin, Texas. (Consumers Union is the not-for-profit publisher of Consumer Reports magazine.)

That's why patients must take an active role in preventing mistakes and managing their own care.

The more you know about what could go wrong, the greater your chances of leaving the hospital healthy.

"Be vigilant – do your homework," advises Terry A. Clyburn, M.D., professor of orthopedic surgery at the University of Texas Medical School in Houston.

Barring an emergency, use these 11 ways to stay safe during a scheduled hospital stay. 1. Choose your surgeon – and surgery – carefully.

Look up your surgeon on websites, such as Lifescript.com's doctor directory and Healthgrades.com, which list doctors' education, board certification and licensing, along with patient ratings and insurance plans they accept.

Next, interview the physician, Clyburn advises. "Ask the doctor how many times he's done the surgery over how many years, and how often he does it," he says.

Then, talk to family and friends who have had similar surgeries and ask if they had good results.

Finally, avoid surgery if it doesn't compromise your health, Henry says.

"Don't go into major surgery if you're functioning fine without it [because] you can get a hospital infection, or things can be put in the wrong way, and you have to deal with that the rest of your life," she warns.

2. Investigate the hospital.
"Most people do less hospital research than they do when they buy a car," Clyburn says.

Before your surgery, ask the doctor where they practice, which hospital they prefer and why, he advises.

Then look up the hospital's rating on reputable websites, like Consumers Union (www.safepatientproject.org), which rates hospital care.

"If a hospital is under investigation by its licensing board, that's a big red flag," Clyburn says. 3. Never go to the hospital alone.
"The most important thing is to have an advocate with you," Henry says.

Because you may not be functioning in top condition, ask a friend or family member to be another set of eyes and ears. They can make sure everything goes smoothly, from the way you're treated to the medications you're given.

"If you're unconscious, the advocate can remind staff to follow infection protocols and keep an account of details the patient might want to know," Henry says.

Ask your advocate to stay during your surgery to answer questions or provide details about you or your care.

4. Avoid surgery in July.
According to the 2011 University of California study mentioned earlier, July is the worst month to schedule a stay in a teaching hospital.

That's because death rates increase in teaching hospitals between 8% and 34% that month, coinciding with the arrival of freshmen residents.

That doesn't mean "patients should delay care they need, but they should be aware of the July staff turnover," says John Q. Young, M.D., M.P.P., associate program director of the Residency Training Program, Department of Psychiatry at the University of California, San Francisco, and lead author of the July death rate study.

"That's another important reason to have someone come to the hospital who can advocate for you."

Every team has experienced doctors overseeing care provided by residents, and patients may ask to see the attending physician if they're worried about hospital care, Young says. 5. Schedule procedures early in the week.

Any time of year, schedule surgery – particularly major surgery that requires a several-day stay – early in the week because the staff will be fresher, Clyburn advises.

"The aggressiveness of weekend physical therapy may not be as good as it is during the week," he warns.

Nursing care also will be better, Henry says.

"Newer nurses get the last pick of the schedule – nights and weekends," she says. "The best time to go in is Monday morning, when the nursing shift has just changed and you have the best continuity of care."

6. Mind your medications.
Medication errors are the most common hospital mistakes, harming at least 1.5 million people per year, according to a 2006 report by the National Academy of Sciences.

That's why it's important to carry a list of every medication you take, including prescriptions and supplements, Henry says.

For drugs prescribed in the hospital, ask what each drug is and why it's being prescribed, Clyburn advises.

Ask your advocate to keep a record of any medication you're prescribed and take, says Henry.

"And review the medical chart to make sure it's consistent with your notes," she advises. 7. Prevent infection.

Hospitals are notorious breeding grounds for infection, but prevention begins before you enter the hospital.

That's because a hospital infection usually occurs because patients themselves carry bacteria into the hospital, Clyburn says.

For example, "patients with chronic gallbladder, colon or urinary tract infections are at increased risk for [other] infections," Clyburn says.

"They should see a doctor before going into the hospital to make sure they don't have an infection."

Other steps to take:
•Schedule a checkup with a dentist to ensure your teeth aren't harboring an infection.

•Clean your skin with Hibiclens, an over-the-counter antibacterial skin soap, two to three times a day for several days before surgery, Clyburn advises.

•Avoid shaving several days before surgery because "bacteria live in hair follicles, and shaving stimulates them to the skin surface," Clyburn warns.

•"Ask your doctor about whether you should take a preventive antibiotic before surgery," Henry says.

At the hospital, ask all visitors to wash their hands with soap or use alcohol-based hand sanitizer. And insist that doctors do too.

Physicians tend to be lax about hand-washing, Henry warns.

"They're busy, rushing from one room to the next, so if they haven't washed their hands, you have to point it out," she says. "Insist they also take precautions like wearing gowns, masks and sterilized gloves, and discarding them before they leave a room."

To broach such a delicate subject, Henry suggests saying, "Doc, I'm concerned about getting a hospital infection. Is it policy that doctors wash their hands between patients?"

Patients with infections should be isolated in the hospital, she adds.

"The spread of superbugs like methicillin-resistant Staphylococcus aureus (MRSA) starts because people walk out of the hospital after being exposed," Henry says.

8. Assess your tests.
You and your advocate should know what tests your doctor has ordered and why.

Make sure you're getting the right tests and ask about whatever you don't understand or doesn't make sense to you.

"The best question is, `Is this test medically necessary?'" Henry says. "People should feel empowered to speak up, even to the doctor."

9. Ask before you dine.
"Hospitals use wristbands on patients to identify specific conditions, like diabetes, and drug and food allergies, and risk of falling," Henry says. "Rooms usually have whiteboards listing allergies and food needs, informing all staff."

Still, mix-ups are common, and patients or their advocates must be watchful. If you have a special diet because of conditions such as diabetes, high blood pressure or kidney disease, look for a sheet indicating your diet on the food tray.

Ask the attendant or nurse who brings the meal, "Is this the platter for diabetics [or other condition]?"

And watch out for well-meaning family members and friends bearing goodies. They're some of the biggest offenders, says Clyburn.

His advice: Thank them and then pass the treats to those who can safely eat them.

10. Prevent falls.
About 3%-20% of patients fall during a hospital stay, a 2011 review by the University of Texas Medical School found.

"The longer they're there, the higher the risk," says Clyburn, the study's lead author.

Delirium, often caused by anesthesia and pain medications, is often the cause. "One patient said `her dog' wanted out," he recalls.To avoid potential falls:
•Ask a family member or friend to spend the night in the room.

•Ask for a bed rail and a room close to the nurses' station if you feel you're at risk.

•Beware of wet floors and items that may cause slips, such as long bathrobes and floppy bed shoes. Instead, wear socks with rubber treads or gym shoes.

•Give yourself a preparatory talk, reminding yourself that you're going to be in the hospital, that you may wake up and not know where you are. "That can help some people stay oriented," Clyburn says.

11. Avoid readmission.
Ready to be discharged? Congratulations. But remember to take safety precautions at home.

"Have a family member write down whatever advice and instructions are given to the patient," Clyburn advises. "Most hospitals have a written discharge form, where the doctor checks off what medications the patient will be taking and how much."

The form should also indicate when to return for a follow-up visit and what danger signs to watch for, such as an elevated temperature or redness around the wound or incision.It's also a good idea to meet with a discharge planner at the end of your stay who can go over discharge instructions and schedule your follow-up visit.

When you get home, "tape the instructions to your refrigerator," so you'll see them and be reminded often, Clyburn says. "If you don't understand the directions, call the doctor and find out what you're supposed to do," he says.

Hospitals are taking steps to reduce mistakes and are tracking outcomes to tell if they're getting safer, Henry says.

They're measuring complication rates and hospital infections, and taking steps to improve the quality of care, Young says.

Though that's starting to translate into improved reliability and quality of care, much more needs to be done. "What we've learned in the last 20 years is that we have a lot to learn from other industries," Young says.
Take Action:
  • Boycott Bill O'Reilly and FOX News and their advertisers. Bill discussed a French commercial by McDonalds that was meant to show that McDonalds is Gay Friendly. Bill said what is next? Is McDonalds going to be Al-Qaida friendly as well? Imagine - Bill O'Reilly compares Gays to Al-Qaida! Further, Boycott Fox's Owner "Rupert Murcoch" and get him thrown in jail for illegal - Take Action:
    political donations, corruption, greed, bribery, hacking!
  • Boycott Target, Best Buy, Gold's Gym - for donating money towards anti-gay political candidates/organizations. Update: (12/26/2010): Target is continuing to donate to anti-gay groups/causes/politicians. Update 03/08/11 - Lady Gaga Ends Target Partnership, Reportedly Over Target's Poor LGBT Stance. Update 3/25/2010 - Target displays their hypocrisy and Sues California Gay Rights Group for Lobbying Outside Stores. Target is attempting to block the LGBT right of free speech! STOP SHOPPING AT TARGET!!!!!!!!!!!!!!!!! Update 4/8/2011: Target lost its case to stop the LGBT from canvassing in front of their stores. A huge PR Disaster for TARGET! Perhaps Target should go out of business as they betrayed their investers and customer base. Target contributed massive funds to a politician who would like to exterminate gays. Now, Target can not stop us from Boycotting them, nor picketing, nor talking to customers near their stores; although, Target allows a anti-gay company such as the Salvation Army to stand outside their door and speak with customers and raise money. Isn't this a double standard?
  • End DOMA (Defense of Marriage Act). Prevents Federal employees and Gays in the Military from gaining equal benefits. Prevents Gay Partners from gaining equal benefits.
  • Pass a LGBT friendly ENDA (Employee Non-Discrimination Act). ENDA would prevent employment discrimination of LGBT workforce.
  • Boycott Salvation Army as they will not hire Gays! "DO NOT DONATE TO THEM."
  • BOYCOTT "Chick-fil-a" for donating money to anti-gay groups.
  • BOYCOTT KOCH INDUSTRIES PRODUCTS- to include their products: Angel Soft toilet paper / Brawny paper towels / Dixie plates, bowls, napkins & cups / Mardi Gras napkins and towels / Quilted Northern toilet paper / Soft 'n Gentle toilet paper / Sparkle napkins / Vanity fair napkins / Zee napkins / Georgia-Pacific paper products & envelopes / All Georgia-Pacific lumber & building products (INVISTA Products) / Lycra / Stainmaster Carpet. The billionaire - Koch brothers are ultra republican - tea bag founders/supporters that do not support causes of the LGBT community.
  • Boycott WALMART - The National Gay and Lesbian Task Force criticized Wal-Mart for denying employee benefits to same-s-x partners and for failing to prohibit discrimination based on gender identity. By comparison, the group said two other chain stores with a strong presence in New York, Costco and Walgreens, did much better.
  • "Tune Out Trump", Boycott all Trump Hotel, casinos, holdings, The Apprentice and NBC Network! At CPAC, Trump said he is considering a run for president as a Republican. In a interview with the Des Moines Register, Trump added that he opposes all forms of legal recognition for gay couples, not just marriage. "They should not be able to marry," he said. So why does NBC keep the Apprentice when Donald Trump has stated he may run for president? After making racist remarks about Obama and recv'g public backlash, Trump decided not to run for president after NBC renewed his awful TV Show. How can NBC re-new the clown's show after he pulled such hateful shenanigans?
  • Boycott Georgia for Execution of Troy Davis @ 11:08 EST, Sep 21, 2011:
    Former US President and Former GA Gov. Jimmy Carter felt that TROY DAVIS should not be executed and deserved a re-trial. The Former Director of the FBI felt that TROY DAVIS Was Not Guilty! Do not drive through Goergia as it is dangerous. Do not fly via Atlanta. For your safety -Do not travel to GA. TELL YOUR COMPANY NOT TO PARTICIPATE IN A CONVENTION IN GA! "Georgia Executes Innocent People!"

And Now, Our War of the Fittest!

This group is called "Peckers Pics." The English - slang definition of "pecker" is to pluck at the truth. Therefore, we peck at items such as Gay Men's Health, Male Fitness, Gay (LGBT) Politics & Issues. In this section you may peck at each photo in order to decide the winner of the "war of the fittest!" Whereas, you should select the "Male Athlete" that may inspire you to exercise and "get fit!" Warning: This may stoke you!
Your participation in discussion of health / news articles - appearing in this message is greatly appreciated.
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You Decide!
Cybersocket Awards 2012- Chico's Angels, Los Angeles, CA; Jan 9, 2012
Stoked?
Cybersocket Awards 2012- Chico's Angels, Los Angeles,
CA; Jan 9, 2012
Nancy Pelosi Nudges Obama To Support Gay Marriage
Jennifer Bendery - 1/12/2012 - Huffington Post

WASHINGTON -- President Barack Obama has said for more than a year now that his position on same-sex marriage is "evolving," a stance that has frustrated and perplexed the gay community given the president's broad support for other gay rights issues.

Now House Minority Leader Nancy Pelosi (D-Calif.), a vocal proponent of same-sex marriage, is nudging Obama to come around on the issue already.

In a February cover story with The Advocate, a national gay and lesbian news magazine, Pelosi declined to give specifics on conversations she may have had with Obama on the issue. Instead, she said she has been focused on pressing the Democratic National Committee to fund efforts to reject state-level anti-marriage ballot measures. "There are more ways to get your voice heard than just speaking," she said.

Pelosi added, "But I hope the president would just say he supports equality in marriage."

The issue has been an awkward one for the White House, which regularly deflects questions on the matter by pointing to Obama's track record on gay rights outside of same-sex marriage. Indeed, his record isn't too shabby: In the last three years, he repealed the military's "don't ask, don't tell" policy, imposed a rule tying foreign aid to governments' protection of sexual minorities, and ordered the Justice Department to stop defending the Defense of Marriage Act, the federal ban on gay marriage. But the fact that he can't give a clear position one way or the other on same-sex marriage will likely continue to dog him, particularly as the 2012 election season heats up.

Questions about gay marriage have already been resurfacing in White House briefings. On Tuesday, White House Press Secretary Jay Carney fended off a reporter's question about the fact that Republican presidential candidate Rick Santorum recently said he and Obama both agree that marriage should be defined as between one man and one woman.

"You know very well what the president's views are on LGBT issues and civil rights, and the president is very proud of this administration's record on those issues," Carney told the reporter. When the reporter pressed further, clarifying that his question was specifically about gay marriage, Carney said, "I have no updates for you on the president's position on same-sex marriage. I think that you know and others here know and understand that his position broadly on LGBT issues is quite significantly different from that particular candidate's views."

Another reporter raised the issue again, this time citing a tweet by Sarah Palin about Obama having the same views on gay marriage as GOP presidential contenders Newt Gingrich and Mitt Romney, in addition to Santorum.

"Again, I don't have anything, I don't have anything new to give you on this," Carney said. "I appreciate the question, but the president has spoken to it. I'm sure he'll be asked again about it. But as of now, I have no -- nothing new for you on it."

By contrast, Pelosi, who represents the gay mecca that is San Francisco, talked to The Advocate about the prospects of her officiating a same-sex wedding in her district.

"I'm not a big officiator, though," Pelosi said. "I did it one time, and the people I married are divorced now. So I don't think I'll be called on again. I think that was probably it."
 
http://www.huffingtonpost.com/2012/01/12/nancy-pelosi-obama-gay-marriage_n_1202711.html
Every gay and lesbian person who has been lucky enough to survive the turmoil of growing up is a survivor. Survivors always have an obligation to those who will face the same challenges."

....Jake
Important Notice: Our ObamaBiden2008 Group works hand - in - hand with Peckers PICS (Both groups were co-created to work with each-other). To prevent duplication of articles and questions, all members of this group are urgently recommended to join ObamaBiden2008. We have the LGBT boycott list and discuss end of DADT, etc... There are 3 gay teen suicides in the USA - daily! There are Hate crimes against gay people. There are gay people who are fired over their sexual identity. There are gay people who died for our cause! These groups are focused towards Yahoo Members who sincerely care about LGBT rights and are interested in Gay Mens Health! Most important, we have a most critical election in 2012 that shall determine the future of LGBT rights and our health care (as many suffer from pre-existing illness)! Please Join Now!
 
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"Every gay and lesbian person who has been lucky enough to survive the turmoil of growing up is a survivor. Survivors always have an obligation to those who will face the same challenges."

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