Posts Tagged ‘family’
Posted by Warm Southern Breeze on Sunday, October 5, 2014
There’s a meme which circulates on FaceBook and presumably, in other places as well, which appears similarly as this:
Drug Test Public Assistance Recipients Meme
Honestly, the idea is a failure.
But you’d rarely – if ever – hear about it’s failures.
Florida was the first state to tread that path. What they learned was surprising. And then, the law was struck down by a Federal court. The states that embark upon Florida’s path will be wa$ting their citizen$ taxe$.
Only 2.6% of Florida applicants failed the drug test.
“Because the Florida law requires that applicants who pass the test be reimbursed for the cost, an average of $30, the cost to the state was $118,140. This is more than would have been paid out in benefits to the people who failed the test. As a result, the testing cost the government an extra $45,780.”
The purported savings in Florida’s program will be negligible after administrative costs and reimbursements for the drug tests are taken into account.
But it wasn’t limited to Florida. Read the rest of this entry »
Posted in - Faith, Religion, Goodness - What is the Soul of a man?, - Politics... that "dirty" little "game" that first begins in the home. | Tagged: abuse, business, economy, family, Florida, food, fraud, GOP, government, Minnesota, Missouri, money, Oklahoma, policy, politics, Republicans, TANF, taxes, Temporary Assistance to Needy Families, Tennessee, Utah | Leave a Comment »
Posted by Warm Southern Breeze on Friday, September 12, 2014
Sweet Baby Chicken Bacon Wraps are a tasty combination of sweet and spicy.
With only four ingredients, or more, it’s a quick, easy, simple, affordable and satisfying heavy hors d’oeuvre to make for a crowd. Unless you’re cooking for the Los Angeles Rams.
As we march our way into the holiday season Hades, this is sure to be an outstanding addition to your next party or family get together. Even tailgating!
Sweet Chicken Bacon Wraps
Yield: 12-15 wraps
Ingredients: Read the rest of this entry »
Posted in - Even MORE Uncategorized! | Tagged: Bacon, beer, chicken, cooking, cookout, easy, family, football, fun, holiday, pork, quick, recipe, Sports, tailgating | 2 Comments »
Posted by Warm Southern Breeze on Sunday, June 15, 2014
This year, 2014, my Pop will begin his 82d year of life in good health.
I am blessed, fortunate, happy and to be envied to have him with me now. Some of my peers’ fathers have been long departed.
A friend once said to me that “we never truly become men until our father dies.” In that sense, I suppose I’m still a youth… even though my teen years have been long departed.
My Dad – When he looked at this photo, he said with a smile, “Who’s that? I’m going to have to get a new mirror!” I love my Pop. He’s a swell fellow – a real gentleman – with quite a life’s story! Raised in poverty in rural West Alabama, he knows how to pick cotton by hand, remembers when electricity came to his family’s house, the electrician’s name who wired their house, and so many other hard-scrabble stories of a life unknown to many of us in this day & age.
My dad is a Southern man. Having grown up in abject poverty in rural West Alabama, he was not merely acquainted with “everything but the squeal,” but was intimately familiar with a very real daily struggle for existence, where food was precious, and life even more so.
On occasion, I still hear him recall with utter amazement how much food he saw wasted – literally thrown into the garbage at San Diego Naval Station – where he attended Basic Training before shipping off to serve in the Korean War aboard the U.S.S. Juneau – CLAA-119, also known as “The Galloping Ghost of the Korean coast.” To his then-18-year-old eyes it was a culture shock which he remembers to this day. In his first day there, he saw more food thrown away than he had ever seen in his still-tender life. The adage “waste not, want not” is practically embedded into his DNA.
For those unfamiliar with the term “everything but the squeal,” it refers to the use of every part of the hog for food, and material. Nothing would be wasted. The fat would be rendered into lard, some of the meat would be preserved by smoking, while some parts were made into sausage. It was also time in which neighbors would help one another in the preparation of the animal. (If you’re interested in seeing & reading about some of the various aspects of hog butchering, see here.) It was only many years later that electricity came to my dad’s house – and he remembers the electrician’s name, and date the house was wired.
I recall tales he shared with me of his youth of “hog killing time,” which refers to the first enduring snap of cold weather, which was the proper time to slaughter a hog because the preservation of it’s parts would be more readily facilitated. That is, spoilage would be significantly reduced, because it could be stored in cooler conditions. Their “refrigerator” was an ice box – literally. ‘What’s an ice box?,’ you may ask. An ice box is literally a box into which a 100 pound block of ice was placed to cool food items. Not many items, mind you, because the creek was still a location where food items which readily spoiled were placed. Milk, dairy, meat and select other foods were regularly stored in a special box made to keep critters out, and keep food cool by the running water.
Naturally, not having electricity also meant that the meals were prepared in a “wood cook stove,” literally an implement which had to be tended night and day by his mother to prepare the family meals. Temperature regulation was achieved by moderating the amount of wood, the type of wood (seasoned dry or unseasoned green), and the variety of wood (species, such as oak, hickory, pecan, birch, pine, etc.).
Suffice it to say, his was a hard scrabble life. And it’s certainly neither joke nor exaggeration to say that they were so poor, someone had to come from Washington to tell them there was a Great Depression going on!
Dad honored his father and mother. He was Read the rest of this entry »
Posted in - Faith, Religion, Goodness - What is the Soul of a man?, - My Hometown is the sweetest place I know | Tagged: Alabama, Alabama Army National Guard, Auburn University, career, commitment, Eastern Bluebird, family, father, Father's Day, fatherhood, Galloping Ghost, George Washington, Harley Davidson, home, iMac, Industrial Arts, John Adams, Korean War, leadership, love, man, manhood, memory, men, Navy, parenting, poverty, recollection, teacher, Thomas Jefferson, United States, United States Navy | Leave a Comment »
Posted by Warm Southern Breeze on Thursday, May 8, 2014
Yet more bad news from Governor Bentley’s incompetent, do-nothing administration.
Chalk up more jobs lost.
This is a DIRECT RESULT of the closure of the International Paper manufacturing facility in Courtland.
best worst part is, he’s playing with our children’s lives.
Be certain to thank him at the ballot box this November.
And the bad, sad news is undeniable: Alabamians are “largely poor, uneducated, and easy to command.”
When will Alabamians learn?
Wait… if the residents are “largely poor” they’re certain to be “uneducated, and [therefore] easy to command.”
Remember the cheer” We like it, we love it… we want some more of it!
Or if not, how about the line in the Charles Dickens classic Oliver Twist?
“Please, sir… I want some more“.
Alabama obviously likes it, and hasn’t gotten a bellyful yet.
Again… apply the circular logic of:
“largely poor, uneducated, and easy to command.”
(Board Of Education) BOE cuts local funded teacher units
Posted: Thursday, May 8, 2014 6:00 am
The Lawrence County Board of Education continued to take steps to solidify the county’s financial footing Monday night, eliminating five certified positions in an effort to cut the number of locally funded teacher units.
Superintendent Heath Grimes said more cuts could be on the horizon.
“We have to start focusing on building our financial reserves and this is one step in doing that,” he said. “We’ve been working closely with the state Board of Education to get a plan in place to build a one-month operating reserve and this is one of the suggest measures.”
Lawrence County’s one-month operating cost is roughly $3.2 million. Grimes said the board has $1.5 million in reserve.
“It’s important to understand that, yes, we are Read the rest of this entry »
Posted in - Business... None of yours, - Politics... that "dirty" little "game" that first begins in the home., - Read 'em and weep: The Daily News | Tagged: Bentley, Board of Education, BoE, Charles Dickens, children, cuts, easy to command, education, families, family, geotag, geotagged, GOP, health, ignorant, jobless, jobs, Lawrence County, mill, news, Oliver Twist, paper, poor, poverty, reductions, Republicans, teachers, uneducated, unemployed, unemployment | Leave a Comment »
Posted by Warm Southern Breeze on Friday, April 4, 2014
It occurred to me recently in a couple conversations I had with friends in various parts of our United States, that equal representation is a matter with which we still struggle.
While on occasion I’ve opined about injustice through inequality – the United States’ Constitution guarantees Equal Protection and Equal Rights under law via the 14th Amendment – it occurred to me recently that there are some who “just don’t get it.”
More to the point, I was spurred by a photograph sent to me by a friend in one of our Northern sister states – the Land of the Frozen Chosen, sometimes also referred to as “The Great White North.”
In gentleness, I refer, of course, to Minnesota.
It was a photograph of my friend’s co-worker which sparked my interest, and subsequent curiosity.
The co-worker was Afro-American, aka “Black.”
I was somewhat surprised to see a Black person in Minnesota, so I queried the Census Bureau for some Quick Statistics about our United States.
Here’s what I found:
Only 5.5% of Minnesota’s population is Black.
In comparison to the United States at large, 13.1% of our American population in general is Black. And in Alabama, 26.5% are Black, while in neighboring Mississippi, 37.4% of that state’s residents are Black. Alabama’s Eastern neighbor Georgia has a closely similar percentage with a 31.2% Black population, while Tennessee is nearly half, with a 17% Black population.
Examining some other states, I found that Alabama’s Southern neighbor, Florida has a very closely similar Black population with 16.6%, while Louisiana’s Black population is just about double with 32.4%. The “Natural State” of Arkansas has a 15.6% Black population, while North and South Carolina are almost evenly tied with 22 & 28% respectively.
On the other hand, Texas has a lower Black population than either Tennessee or Arkansas with only 12.3%.
Kentucky? Only 8.1% of Kentuckians are Black.
Interestingly, of the 16 players on the Kentucky Wildcats Basketball team, only 6 are not Black. In other words, 62.5% of the team is Black – a clear majority. And yet, the state’s general population is completely and disproportionately unrepresentative of the team.
What about Virginia? With a 19.7% Black population, Virginia stands in distinct contrast to West Virginia, which only has a 3.5% Black population – a very stark contrast, indeed.
But what about some of the other Midwestern states?
Missouri has an 11.7% Black population, while only 3.2% of corn-fed Iowans are Black.
From Minnesota moving West, South Dakota has a mere 1.7% Black population, while Montana…
Well.. there just about no Black folks in that state, at all. Only a mere 0.6% – 6/10ths on one percent – of that state’s residents are Black.
A casual observation would be that it’s mighty White up North.
But let’s bring it back on home to Mississippi…
In a recent post shared by someone else on Read the rest of this entry »
Posted in - Lost In Space: TOTALLY Discombobulated, - My Hometown is the sweetest place I know, - Politics... that "dirty" little "game" that first begins in the home., - Read 'em and weep: The Daily News | Tagged: 2d Amendment, Alabama, anglers, animals, arrow, basketball, bball, bill, black, boat, bow, break, capitol, Chris W. Cox, eating, equality, FaceBook, family, fishermen, fishing, Florida, food, friends, fun, Georgia, geotag, geotagged, government, governor, groceries, guns, hunters, idiot, inequality, Iowa, Jackson, Kentucky, killing, law, line, Louisiana, meat, Minnesota, Mississippi, Missouri, Montana, National Rifle Association, net, news, North Carolina, Orange, outdoor, people, PETA, Phil Bryant, pole, politics, race, racism, Republican, rifles, sb, Senate Bill 2425, September, shooting, shotgun, shotguns, South Carolina, sportsmen, tax break, Tax holiday, taxes, Tennessee, Texas, United States, Virginia, West Virginia, White, Wildcats | Leave a Comment »
Posted by Warm Southern Breeze on Wednesday, August 21, 2013
1“Children, obey your parents because you belong to the Lord,a for this is the right thing to do. 2“Honor your father and mother.” This is the first commandment with a promise: 3If you honor your father and mother, “things will go well for you, and you will have a long life on the earth.”b
4“Fathers, do not provoke your children to anger by the way you treat them. Rather, bring them up with the discipline and instruction that comes from the Lord.” cf.Ephesians 6:1-4 NLT
Politically, it certainly seems that Southerners have been more often wrong, than correct.
And today, continuing the tradition of Radical Liberal Republicans who endeavor to remove voting rights and foist more atrocities upon the nation, they continue to be “right” about being wrong.
Consider the following:
SUNDAY Aug. 18, 2013
“On this date in 1920, the 19th Amendment Read the rest of this entry »
Posted in - Politics... that "dirty" little "game" that first begins in the home., End Of The Road | Tagged: 19th Amendment, Amendment, August 18 1920, children, family, flower, Harry Burn, Harry T. Burn, historical, history, LORD, mother, Nineteenth Amendment to the United States Constitution, parents, Ratification, rights, rose, southern, Southerners, Suffrage, Tennessee, United States, vote, Voting, women | 2 Comments »
Posted by Warm Southern Breeze on Sunday, April 21, 2013
I wouldn’t have believed it had I not read it for myself from the official Congressional website.
U.S. Representative Martha Roby, a Republican from Alabama’s 2d Congressional District has introduced H.R. 1406, officially named the “Working Families Flexibility Act of 2013″ which would END the requirement of the Fair Labor Standards Act for employers to pay Time-and-a-Half to employees for every hour worked over 40 in one week.
The Congressional Budget Office has reported on the bill, and in part wrote that: Read the rest of this entry »
Posted in - Lost In Space: TOTALLY Discombobulated, - Politics... that "dirty" little "game" that first begins in the home. | Tagged: Alabama, cheat, child labor, compensation, Congressional Budget Office, deception, Egypt, employees, Fair Labor Standards Act, family, GOP, governance, government, Hewlett-Packard, industrialist, labor, law, Let my people go., liars, management, Martha Roby, Moses, offshore, offshoring, overtime, overtime pay, pay, Pharaoh, policy, poll, radical, rate, Republican, Right to Work, Robber Baron, Robber Barons, Roby, Southen Poverty Law Center, steal, taxes, Tea Party movement, theft, theives, Time-and-a-half, unfriendly, United States, United States House of Representatives, unjust, weasel, Wikipedia | 153 Comments »
Posted by Warm Southern Breeze on Tuesday, January 22, 2013
Some time ago, a friend shared an unsolicited comment about “ObamaCare” before all the ruckus over it had reached the SCOTUS. He had observed about a fellow he knew and described as “a snaggle-toothed Tennessee hillbilly,” whom had joined the United States Army. He observed that the fellow had some health needs, among them poor dentition and the need for corrective lenses. Upon his enlistment, he noted that the fellow was given proper healthcare, and all of his needs – food, clothing, housing, and healthcare – was provided by the United States government.
“Now, why did they do that?,” he asked rhetorically.
Answering his own question, he said quite simply, “because they know Read the rest of this entry »
Posted in - Faith, Religion, Goodness - What is the Soul of a man?, - Politics... that "dirty" little "game" that first begins in the home., - Uncategorized | Tagged: brethren, brother, business, Christ, Corrective lens, employment, enterprise, entrepreneur, entrepreneurship, family, freedom, health, health care, healthcare, Holland, insurance, Jesus, model, Multinational corporation, Patient Protection and Affordable Care Act, policy, politics, prediction, risk, SCOTUS, Supreme Court of the United States, Tennessee, United States, United States Army, United States government, United States Supreme Court | Leave a Comment »
Posted by Warm Southern Breeze on Wednesday, December 26, 2012
Perhaps the most telling rationale, or motivation for the course upon which corporations have set is explained in this statement by ANDREW SMITHERS: Yes, the current way in which managements are rewarded is perverse from an economic viewpoint. Adam Smith pointed out that some characteristics of human beings such as greed, which are often unpleasant at a personal level, can nonetheless bring social benefits. But this is not necessarily the case under current remuneration systems; greed is increasingly the cause of harm rather than help to the economy.
The long and short of it, is greed. And in that paragraph is the solitary mention of the word or practice.
Philosophically, this time, this period in our nation’s history – and in the history of the world, and in the greater, long term picture of humanity – is yet another prime example, and case in point illustrating why and how the selfishness of greed is unsustainable and genuinely evil.
Capital Wins, Labor Loses, But Andrew Smithers Says It Can’t Go On
MAKING SENSE — December 26, 2012 at 4:48 PM EDT
BY: PAUL SOLMAN
Warehouse manager at operations desk on computer. Photo courtesy of John McBride & Company Inc.
Paul Solman: Jon Shayne is not just the world’s No. 1 econo-crooner, belting out economics tunes of his own invention under the stage name Merle Hazard at his own website and for the PBS NewsHour audience on inflation, on the Greek debt crisis, on the euro crisis in general, on too-big-to-fail banks, and most recently, on the fiscal cliff.
No, Shayne/Hazard is no one-trick pony. He is also a noted money manager, recently highlighted by Forbes magazine for his perspicacity in stock-picking. Wrote Forbes: “If you follow the stock market, Jon Shayne is worth a good, long listen. Especially now.”
Having listened to Jon plenty over the past few years, I agree, especially with his emphasis on the increasing share of national income commanded by the owners of capital, in contrast to labor. This angle is the focus of Forbes’ story as well.
So I asked Jon to elaborate for the Making Sen$e audience. He has done so by interviewing the person who inspired his thoughts on the subject, British economist Andrew Smithers, who formerly ran the asset management business of S.G. Warburg, and now Read the rest of this entry »
Posted in - Business... None of yours, - Did they REALLY say that?, - Read 'em and weep: The Daily News | Tagged: Adam Smith, analysis, ANDREW, Andrew Smithers, business, CEO, Company, compensation, corporations, economics, Economist, economy, employee, employment, enterprise, European sovereign debt crisis, executives, family, Federal Reserve Bank of New York, Forbes, free enterprise, greed, jobs, JON, JON SHAYNE, labor, London, management, market, money, news, PBS NewsHour, profit, stocks, worker, workers | Leave a Comment »
Posted by Warm Southern Breeze on Friday, November 23, 2012
CDC: Abortions fall 5%, largest drop in a decade
By Michael Muskal
November 21, 2012, 1:41 p.m.
The rate of abortions in the United States fell by 5%, the largest single-year decrease in a decade, researchers for the Centers for Disease Control and Prevention reported.
The decline is outlined in the annual abortion surveillance data for the year 2009, the latest available. It was published on Wednesday in the CDC’s Morbidity and Mortality Weekly Report.
About 18% of all pregnancies in the United States end in abortion, the CDC noted. Factors from the availability of abortion providers, state laws, the general economy and access to health services including contraception, can Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who?, - Read 'em and weep: The Daily News | Tagged: abortion, birthrate, California, CDC, Centers for Disease Control and Prevention, data, facts, family, fertility, figures, health, Mississippi, MMWR, New York, news, Pregnancy, research, statistics, stats, study, termination, United States, women | Leave a Comment »
Posted by Warm Southern Breeze on Tuesday, October 9, 2012
Regardless whether global climate change is man-made, or cyclical… it’s going to affect us all, and we would be wise to DO SOMETHING to PRESERVE, PROTECT and DEFEND ourselves NOW!
Milk-Cow Drought Culling Accelerates as Prices Jump: Commodities
U.S. milk production is headed for the biggest contraction in 12 years as a drought-fueled surge in feed costs drives more cows to slaughter.
Output will drop 0.5 percent to 198.9 billion pounds (90.2 million metric tons) in 2013 as the herd shrinks to an eight- year low, the U.S. Department of Agriculture estimates. Milk futures rose 45 percent since mid-April and may advance at least another 19 percent to a record $25 per 100 pounds by June, said Shawn Hackett. The president of Boynton Beach, Florida-based Hackett Financial Advisers Inc. correctly predicted the rally in March.
Dairies in California, the top milk-producing state, are filing for bankruptcy, and U.S. cows are being slaughtered at the fastest rate in more than a quarter century. Corn surged to a record in August as the USDA forecast the smallest crop in six years because of drought across the U.S. Global dairy prices tracked by the United Nations rose 6.9 percent last month, the most among the five food groups monitored, and that will probably mean record costs next year, Rabobank estimates.
“Farmers can’t afford to buy as much grain and protein, and that affects milk production,” said Bob Cropp, an economist at the University of Wisconsin in Madison who has been following the industry since 1966. “In California, there’ve been some foreclosures and some sell-off of cows quite heavily. You’re going to see that in other parts of the country.”
Class III milk, used to make cheese, jumped 22 percent to $21.05 on the Chicago Mercantile Exchange this year. That’s more than 21 of the 24 commodities in the Standard & Poor’s GSCI Spot Index, which rose 1.8 percent. The MSCI All-Country World Index (MXWD) of equities climbed 12 percent, and Treasuries Read the rest of this entry »
Posted in - Business... None of yours, - Even MORE Uncategorized!, - Read 'em and weep: The Daily News | Tagged: Bank of America, beverage, business, California, cheese, Chicago, Chicago Mercantile Exchange, children, climate, Climate change, Congress, corn, dairy, Dairy cattle, draught, drink, economy, entrepreneur, family, farmer, farmers, farming, food, grocery, jobs, market, milk, news, production, profitability, science, Starbucks, trucking, United Nations, weather | Leave a Comment »
Posted by Warm Southern Breeze on Friday, September 28, 2012
Alabama… what a fouled up, messed up, idiotic state.
Just follow the stink of money, and you’ll find the state’s politicians and business leaders copulating together in the filth of that slop trough.
Bunch of God damned bastards… every God damned one of ‘em ought’a go straight to Hell.
Proposed Alabama vet board rule could close spay/neuter clinics
Published: Thursday, September 27, 2012, 10:40 PM Updated: Friday, September 28, 2012, 7:48 AM
Dr. Desiree Mason checks on a dog after surgery at the Alabama Spay/Neuter Clinic on Crestwood Boulevard. The State Veterinary Board is considering new regulations that could cause the nonprofit clinic others like it in the state that spay and neuter to shut down. The board is considering whether to change the rules which state that all the equipment in clinics must be owned by a vet. (Tamika Moore/The Birmingham News)
BIRMINGHAM, Alabama — Michelle Pierce waited Thursday at the Alabama Spay/Neuter clinic to pick up Mystery, the stray calico cat named after she mysteriously waltzed through Pierce’s dog door one evening, and the three kittens — Tigger, Chelssey and Zure — that came along with her.
“I think it’s better to go ahead and get them fixed even if I found them a home … . They multiply like rabbits,” Pierce said.
As the cats, still drunk from anesthesia, recovered in a dog crate, Pierce paid a total of $48 for having them fixed — a break over the clinic’s already low rates because she qualified for assistance.
Pierce said she wouldn’t have been able to afford the prices at a full-service veterinary clinic.
“I would have had to take them to the Humane Society. This place is a life-saver for animals and for folks with low income,” Pierce said.
Operators of the nonprofit spay/neuter clinics say Read the rest of this entry »
Posted in - Did they REALLY say that?, - Lost In Space: TOTALLY Discombobulated, - My Hometown is the sweetest place I know, - Politics... that "dirty" little "game" that first begins in the home., - Read 'em and weep: The Daily News | Tagged: Alabama, animals, care, cats, dogs, family, Humane Society, Michelle Pierce, Nelson, neuter, Neutering, pets, photograph, photography, photos, responsibility, responsible, spay, Tigger, Veterinarian, veterinary, veterinary medicine | Leave a Comment »
Posted by Warm Southern Breeze on Thursday, September 27, 2012
I happen to enjoy friendship with a young family whose matriarch was at first, overjoyed at the prospects of their firstborn obtaining gainful employment in this tough economy.
Their son, who in this post is identified as Young Man, is a recent high school graduate, and demonstrates musical talent.
Recently she posted the following on her FaceBook page:
“Did you know if you work at McDonalds you are pretty much forced to *eat* McDonalds? :( The breakroom has only a table & chairs. No fridge to keep your food cool or microwave to heat it up. So, unless you are able to drive yourself to work & carry your food in a cooler in your car, then you have to eat there. Plus, you only get 30 minutes. This makes me upset! I’m trying to convince -*- to apply elsewhere…”
I found the numerous responses fascinating, which are as follows – my response is last, italicized and emboldened.
Read the rest of this entry »
Posted in - Did they REALLY say that?, - Lost In Space: TOTALLY Discombobulated | Tagged: Almond butter, cooking, FaceBook, family, food, Food and Drug Administration, friends, friendship, good people, hard times, hardship, home, job, life, McDonald, Michael, New Mexico, Peanut, Peanut butter, tough, Trader Joe's, work | Leave a Comment »
Posted by Warm Southern Breeze on Wednesday, September 26, 2012
Recollecting, one of my patients was similarly diagnosed, suffering terminal lung cancer of the small cell carcinoma type, and had one lung removed. He had presented to the ED (Emergency Department) with extreme hypoxia (lack of oxygen), to such an extent that his lips had a distinctive blue cast to them. His oxygenation was so exceedingly poor, that he would turn in bed, and his sats (oxygen saturation level) would drop to 70% – neither a good, nor one that would sustain life.
In conversation with him, I asked him what he wanted to have happen to him, how he wanted things to turn out for him. He wasn’t under any misguided notion about his state of well-being or health and wanted to depart the ICU.
He said, “I want to go home to die.”
I responded by saying, “We want you to go home too. Let’s see what we can do to get you back there.” At that point, I began some very simple teaching about his breathing. He was a habitual mouth breather, and he knew it. I’d glance up at him, and his mouth would be gaping open as he watched teevee. Problem was, that every time his mouth opened, his sats dropped, even though he was receiving high flow O2 therapy via specialized nasal cannula.
So I instructed him that by keeping his mouth closed and breathing through his nose, his sats would increase. And barring any other unforeseen circumstance, were his sats to consistently maintain above 90%, that would be the greatest step toward his objective to go home.
At the end of my shift, he was consistently satting 98%.
Doctors are practicing irrational medicine at the end of life
by Monica Williams-Murphy, MD on September 22nd, 2012, in Physician
I just took care of a precious little lady, Ms. King (not her real name), who reminded me that, too often, we doctors are practicing irrational medicine at the end of life. We are like cows walking mindlessly in the same paths; only because we have always done things the same way, never questioning ourselves. What I mean is that we are often too focused on using our routine pills and procedures used to address abnormal lab values or abnormal organ function, to rightly perceive what might be best for the whole person, or even what may no longer be needed. Our typical practice habits may in fact become inappropriate medical practiceat life’s end.Ms. King was a case in point: She was a 92-year-old nursing homepatient on hospice for metastatic breast cancer. Ms King had been transferred to the ER for a sudden drop in blood sugar, presumably due to her oral diabetes medication. Her appetite had apparently been trailing off, as is common at the end of life, and her medication appeared to have become “too strong.” Her glucose level had been corrected by EMS during her trip from the nursing home to the Hospital, so when I came into see Ms King she was at her ‘baseline.’I opened the door to bed 24 and a grinning little white-haired lady peered at me from over her sheet. “Hi,” she said greeting me first.“Hi, Ms King,” I smiled back at her and picked up her hand.
She reached over with her free hand to pat me on my forearm, “You sure are a cute little doctor,” she said smiling.
I couldn’t hold back a little laughter. “Well, you sure are a cute patient too,” I smiled and winked at her.
She winked back at me.
“Wow, this is the most pleasant 90-year-old I have cared for in a while,” I thought to myself.
As we chatted it became clear to me that she had some mild dementia but had no pain or complaints at the time. She just said, “I think I had a ‘spell’” ( a “Southernism” for some type of unusual and undefined episode of feeling ill or fainting); and “I’m not hungry” when I offered her food.
Leaving her room still smiling after our pleasant exchange, I went back to look at her medical record from the nursing home and two things immediately struck me: Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who?, - Faith, Religion, Goodness - What is the Soul of a man? | Tagged: blog, Cardiopulmonary resuscitation, care, Centers for Medicare and Medicaid Services, Data Formats, doctor, Emergency Department, End-of-life care, ER (TV series), family, health, healthcare, home, Home Care, home health, Hospice, HTML, ICU, Intensive care unit, KevinMD, king, Life support, loved ones, Markup Languages, Medicaid, Medical School, Medicare, medicin, medicine, news, Nurse, Nursing home, palliative, palliative care, physician, practitioner, twitter, Web Design and Development | Leave a Comment »