Your Child May Not Truly Be Allergic To Penicillin

Reported penicillin allergies in children usually inconsistent with true allergy

Jul 3, 2017

Clinical Essentials from Pediatrics

Takeaway
• Parent-reported penicillin allergy symptoms in children presenting to the emergency department (ED) are likely inconsistent with true, immunoglobulin E-mediated allergy when evaluated by the 3-tier penicillin allergy questionnaire.

• Data demonstrate that the true incidence of penicillin allergy is 0.004%-0.015%.

Why this matters
• Because of time constraints and invasiveness associated with standard allergy testing, an allergy pediatric questionnaire may optimize first-line penicillin use in children presenting with the ED with parent-reported penicillin allergies.

• Data suggest that the majority of reported pediatric penicillin allergy symptoms (eg, maculopapular rash, hives, vomiting, diarrhea) are actually low risk for true allergy.

Study design
• This study evaluated 597 children between the ages of

#ALpolitics Remains FULL of… #Irony. Yeah… that’s it – irony. And #Hypocrisy.

Brinson and attorney Jerome Teel of Jackson, TN, wrote “Redeem the Vote, A Political Revolution,” which contains firsthand stories of Brinson’s behind-the-scenes work in Washington and Montgomery politics. He and wife Pam worked with contemporary Christian entertainers to motivate young evangelicals to register to vote and turn out for the 2004 presidential election. He says their work contributed to Republican George Bush’s re-election and prompted Democrats nationally and in Alabama to start seeking his advice. He helped defeat former Christian Coalition powerhouse Ralph Reed in Georgia’s 2006 Republican primary for Lieutenant Governor by portraying Reed as a pariah who “was using the evangelical community to further his own personal ambitions and fortune.”

Apparently, Randy Brinson, a Montgomery Gastroenterologist who also chairs the Christian Coalition of Alabama, will be another contender for evangelical votes for the U.S. Senate seat now occupied by corrupt Bentley appointee and former state Attorney General Luther Strange.

Which ironically also goes to show that Alabama politics is not only strange, but that the equally corrupt evangelical religious folks – much like the Taliban – still want to be all up in yo’ shit.

If they had their way, men and women would be

True Life Story: What did you name your kids?

–True Story–

A few years back (2006, to be exact), I recall having seen a human interest story on teevee about children in Birmingham Alabama’s Norwood Elementary Band Program and their need for instruments.

They were in dire need of instruments, having only about 50 – not nearly enough for all the children.

One dear, sweet child whom was interviewed was named

Yet Another Real Life Story And Reason Why #Abortion Should NOT Be…

A longtime, and dear friend recently chose to share her own very personal story.

I share it here with her permission.

Though I am certain she would not object, I have chosen to omit her name.

The reader should be aware that Ethan is her and her husband’s young boy, and firstborn.

Used With Permission

—/—

This is private, but I am going to put it out there to put a face on an issue for some of my friends.

On Tuesday, I lost two great sources of hope for the future. One was the election, but the other was more personal. Midday, before the polls ever closed, and right as I was returning one turf to Headquarters to pick up another, I got a phone call that brought me to my knees.

I was pregnant, ya’ll. I was 11 weeks on Election Day, and it had been a dicey start, but we thought we had made it. We were already discussing adorable ways to make it FB official. We anxiously awaited the results of this genetic test that would tell us the sex, so we could hopefully rest a bit easier if it was a girl (because of the pattern of kidney disease in my family).

The doc gently informed me that it was a little boy, and he had trisomy 18. Either I would naturally miscarry, or I would watch my baby die a slow and painful death over the course of a few days, months, or maybe a year. My worst nightmare was coming true, and I was terrified that I would

The Great Unknown… Or Not: Separating #Fact From #Fiction: @realDonaldTrump’s First 100 Days – Realistic, Or Idealistic?

November 11, 2016
Day 3: Still thinking

Yesterday, President Obama met with Donald Trump at the White House. It was the first time either of them had met. According to brief remarks made to the Press afterward, their collegial meeting lasted about one and a half hours.

The erudite will recall that “the first 100 days” is taken from a radio address given by Franklin Delano Roosevelt’s first term in office, in which during his first 100 days , and modeled after his plan to get Americans back to work, protect their savings and create prosperity, provide relief for the sick and elderly, and get industry and agriculture back on their feet.

Having read Trump’s goals for his first 100 days in office, it seems to me that there are some ideas I can support. Yet, there’s some pure bluster and ignorance designed for purely emotional appeal. I’ll separate fact from fiction, and we’ll have to wait and see how it all pans out.
See: donald-trumps-contract-w-american-voter

Trump’s objectives are in bold, my comments follow.

—/—

First: Constitutional Amendment for Congressional Term Limits – I have long supported that idea. Kentucky Senator Mitch McConnell (R), however, opposes them – as, presumably, do some others. Whenever their income source or security is potentially challenged, they’ll fight. Which is probably all the more reason it ought to enacted. A Lifetime Limit of Eight terms in the House of Representatives (2 years x 8 terms=16 years), and a Lifetime Limit of Two terms in the Senate (2 terms x 6 years=12 years) for a combined total of 20 years Lifetime Total ought to be enough for anyone.

Second: Federal Hiring Freeze, to reduce federal workforce through attrition (exempting military, public safety, and public health) – I can understand that, and could go along with that for a period of time. Realize also that whenever any public action is required to be taken – such as “extreme vetting,” it is done by Federal Employees. So if their numbers are reduced, as a natural result, expect slow-downs and delays in any actions undertaken.

Third: Require that for every new federal regulation, two existing regulations must be eliminated – That’s unrealistic, and impracticable. It may be nice to think about, but as a blanket statement, it’s simply unrealistic.

Fourth: A 5 year-ban on White House and Congressional officials becoming lobbyists after they leave government service – TOTALLY in favor of this idea.

Sixth: Lifetime ban on White House officials lobbying on behalf of a foreign government – Totally in favor of, and the ban should extend to ALL former Federal Employees.

On the same day, I will begin taking the following 7 actions to protect American workers:

FIRST, I will announce my intention to renegotiate NAFTA or withdraw from the deal under Article 2205 – I have long advocated for changes to NAFTA, and other Free Trade deals to which the United States is a party.

SECOND, I will announce our withdrawal from the Trans-Pacific Partnership – TOTALLY in favor of this idea.

THIRD, I will direct my Secretary of the Treasury to label China a currency manipulator – Some say “yes,” some say “no,” but there is no disagreement China has bought American currency on the FOREX (Foreign Currency Exchange Market), and has purchased American indebtedness (T-bills, and other bonds). Mr. C. Fred Bergsten, Senior Fellow and Director Emeritus at the Peterson Institute for International Economics, put it this way: “Currency manipulation occurs when

.@PastorAmyTRC: I Had A Late Term #Abortion and “I never had a second thought about the right thing to do.”

Church Pastor: The Truth About My Late-Term Abortion

by Amy Butler, October 26, 2016, 7:55PM EDT

“Trump’s words drove me to tears, and to write my painful story for the first time.”

Elections are supposed to be about real people — and not the ones whose names appear on the ballot. They are supposed to be about all of us, the policies that will impact our lives in tangible ways and the choices we make about the country we want to be.

The Rev. Dr. Amy Butler is the Senior Minister of The Riverside Church in New York City. Prior to this call, Pastor Amy served as Senior Pastor of Calvary Baptist Church in Washington, D.C. Pastor Amy holds degrees from Baylor University (BA ‘91, MA ‘96); The International Baptist Theological Seminary (BDiv ‘95); and Wesley Theological Seminary (DMin ‘09).

But this year, we have watched a major candidate for our country’s highest office demean and slander whole categories of American citizens. We have watched him make offensive, outrageous claims about real people and real decisions that everyday Americans face. People like me. Decisions like mine.

What sent me to my computer to write is late-term abortion. As I heard Donald Trump talk about babies being “ripped” from their mothers’ wombs, as if ending a pregnancy is a reckless, irresponsible afterthought, my outrage poured down my face in angry tears. In those moments, Trump, who has never been pregnant and presumably has navigated this far in his life without undertaking any difficult, gut-wrenching, gray-area decisions, used my own pain — deep, deep pain — to advance his political agenda.

But his words won’t tell my story, so I’ll tell it here. I don’t often speak about this experience. And I’ve never written about it until now.

The late-term abortion I chose was the end of a dream. The pain was so real and so consuming that navigating my way through the grief, I never thought that I would have the happy, healthy family that I do today. It was one of the most agonizing experiences of my life and

I had a Late Term #Abortion.

I HAD A LATE TERM ABORTION.
IT IS NOTHING LIKE DESCRIBED BY TRUMP.
PLEASE DON’T BASE YOUR VOTE ON THE FEAR MONGERING HE IS DOING.
PLEASE READ MY EXPERIENCE:

I had to have a late term abortion. It was the worst moment in my life. What made it even worse was the State of Utah had made it illegal. I had one dead twin. The other had severe Spina Bifida, and would only have lived with life support, in great pain, for a few days.

by Alyson Draper
October 19 at 8:46pm · Midway, UT
used with permission

I lay on the hospital floor, bawling hysterically, for twelve hours, waiting for an ethics committee of the health care corporation to

Homeless Veterans: A Rational Perspective

Let’s get some perspective.

The U.S. Department of Housing and Urban Development’s January 2012 annual point-in-time count found that 633,782 people across the United States were homeless, 57,849 of which were veterans.

  

However,

Meteorology, Mama & Baby -or- How I Was Befriended By Luck

It was Easter Sunday, 2010, and unknown to me, dumb luck had befriended me.

Pure dumb luck.

Even scientists believe in it.

In 1996, Duncan C. Blanchard, a meteorological researcher then affiliated with the State University of New York at Albany, authored a scientific paper entitled “Serendipity, Scientific Discovery, and Project Cirrus” published in the Bulletin of the American Meteorological Society in which he cited Project Cirrus (1947-52), a period and project of research from which “many serendipitous discoveries and inventions were made, opening up areas of research still being pursued today.”

Blanchard’s work was cited a decade later in 2006 by David M. Schultz, who was then affiliated with the Cooperative Institute for Mesoscale Meteorological Studies, University of Oklahoma, Norman, Oklahoma, and the NOAA/National Severe Storms Laboratory, Norman, Oklahoma in a research paper entitled The Mysteries of Mammatus Clouds: Observations and Formation Mechanisms. In it he wrote that what little we know about mammatus clouds was, because of their nature, “obtained largely through serendipitous opportunities.”

In other words, what little we know about the clouds (so named after human breasts because of their appearance), has been obtained by pure dumb luck – although, being prepared, and being in the right place at the right time does account for something.

In conversation recently with a dear, and longtime friend, I shared about

UPDATED: If #ALpolitics Would #ExpandMedicaidNow, They Could CUT Medicaid Co$t$ More Than 50%

UPDATE: Tuesday, 11 August 2015
CORRECTION ADDENDUM

In my first & earlier calculations, I inadvertently overlooked multiplying the Annual Medicaid Spending in Alabama figure (which is a TOTAL of $5,241,269,869) by 70%, which would represent the portion paid for by the Federal government. Alabama’s 30% share of that figure (the share paid for by the state) would be $1,572,380,960.70. It would also be reasonable to expect that Expanding Medicaid in Alabama to 138% of the Federal Poverty Level would increase total economic activity (through Medicaid spending) in the state at least 38%. So to Expand Medicaid, the baseline figure for TOTAL Medicaid spending (combined Federal and State funds) would approximate $7,232,952,419. According to the provisions of the law, Alabama’s sharing portion (if Governor Bentley chose to Expand Medicaid) would still be 2016-100%; 2017-5%; 2018-6%; 2019-7%; 2020 and beyond-10%. The corrections to the figures herein are dollar amounts only (based on the $7,232,952,419 total expanded figure), not the %ages. Data & figures are now also shown in table format.

—

Folks, it may (or may not) surprise you to know a sampling of the collective thoughts of our wrong-wing friends, and relatives on matters political in Alabama, especially as they pertain to Medicaid.

Here’s a verbatim excerpted sampling of what I came across today.

• No one want increased entitlements. Too much waste and abuse. get a job folks. no to medicaid
• Medicaid is a lifestyle
• scare tactic. nursing homes overcharge. working people of Alabama are tired of taking care of lazy people
• ask any hospital administrator or physician in private practice. Medicaid devalues services. Reject medicaid

I dare say, MOST are clueless about the genuinely tangible economic and public health benefits Medicaid provides to this state, and the revenue and jobs it creates. All they hear are the wails and moans of representatives and/or senators – mostly of whom, if not exclusively, are Republican.

Where does Alabama’s Medicaid money come from?
Where does it go?
Source: Alabama Medicaid Agency Annual Report – FY 2012

Medicaid is a Federal/State matching/sharing program which provides (pays for) healthcare services for the impoverished wherein states pay a minority matching portion, while the Federal Government through CMS (Centers for Medicare and Medicaid Services) pays the majority portion. Within reasonable guidelines, the states have broad discretion and liberty to operate Medicaid according to the way they see fit, and the needs of the residents they serve. There are, however, certain minimums standards to which every state must adhere.

Under the provisions of the OLD law, the states that do NOT Expand Medicaid pay a higher %age rate for their services than they would if they were to Expand Medicaid to provide services to those whom are at 138% of the Federal Poverty guidelines – which is what the PPACA provides. The PPACA is the Patient Protection and Affordable Care Act- though it’s more often called the ACA “Affordable Care Act,” and colloquially referred to as “ObamaCare.”

Under the provisions of the PPACA, states that choose to Expand Medicaid will have 100% of those costs paid-for by the CMS beginning 2014, until 2016. The incentive for expansion is based upon

What are taxes for? Who should pay them? Should you pay more, or less?

Kroger Tools for Schools Drive sign

It infuriates me to see signs & posters like these, because THAT is what taxes are for!

And, if there aren’t enough taxes collected from the wealthy (and obviously, there aren’t), then we see “drives” and other collection points like this.

Just this evening, in conversation with my neighbor, she shared with me about how her co-worker – a young, single mother – recently confided in her, and said that she didn’t earn enough money to make ends meet – to pay the rent, keep the lights turned on, and feed her family and that she regularly has to go to a local food pantry (which itself often runs out of food because the need is so great) to augment her meager ability to purchase food – and that she, herself, didn’t have supper because she chose to feed her children, instead.

My neighbor remarked,

What Does It Mean To Be A Boot Licker In #ALpolitics, And Who Are They?

Various styles of “cavalier” boots, which are also called “thigh high” boots, from which the term “bootlegger” is believed to have originated. Note the boot’s high shaft which extends to, and often over the knee, and the widening taper to accommodate the thigh’s size & shape. The style originated in Spain with early cowboys, and was entirely one of functional design, then later took upon a fashionable trend among the well-to-do, moneyed nobility class.
Background image is oil on panel, dimensions 9.8 x 7.5 inches (25x19cm), entitled
“A Guardroom Interior,”
c.1630 by Jacob Duck (1600-1667), a Dutch painter whom specialized in such guardroom images and contemporary period paintings.

To be certain,
it’s NOT “boot liquor,”
which in a sense could be
(or perhaps has been)
morphed into bootlegger,
which is a person who
illegally sells liquor.
The term itself derived from
the practice of
hiding a flask of liquor
in a
high-legged boot.

But to be certain,
the term
“boot licker”
is a
derogatory term
used to describe
someone whom is

All You Need Is Love

I recollect, a few years ago, having gone with a dear friend to the apartment where her former husband lived.

He had died alone.

D’Angelo (not his real name) was a retired Army NCO, whom had volunteered for service. He was genuinely a “squared away” soldier, and rose to the rank of First Sergeant (E-8), which rank is politely nicknamed “Top,” because, aside from Sergeant Major which is also an E-8 position, it is the highest rank and position a NCO can obtain.

His generosity was well-known, and his humility, honesty and genuine love for his fellow man was evident throughout his life. And though he was a good man with many admirable character qualities, a congenial fellow, well liked – even loved – by many, it seemed he never could win the battle over the bottle.

What little I knew of him from others’ reports and my own limited interaction with him, he was an honorable family man. And yet,

If Alabama Was A Loaf Of Bread

If Alabama was a loaf of bread, candy canes and root beer floats.

Pineapple ice cream cotton candy, pecan pies, Festhalle chicken, eggs ample, cinco de mother may I?

Johnny Monkeyshines, Goat Hill Hamburger Helper, largely poor, uneducated and easy to barbecue.

W.C. Keller, Bellingrath Handyman, Werner von

Medical News You Can Use: Sleep Apnea Can Harm Children’s Learning

Disruption Of Sleep In Children Could Hamper Memory Processes

Sleep disordered breathing can hamper memory processes in children, according to a new study presented at the Sleep and Breathing Conference held in April in Barcelona, Spain. The research found that disrupted sleep had a negative effect upon different memory processes and how children learn.

Sleep apnea can also negatively affect growing children.

A team of researchers from the University of Szeged and Eötvös Loránd University in Hungary analyzed 17 children with sleep disordered breathing aged between 6 and 12 years. They looked at different memory processes compared to a control group of 17 children of similar age without any sleep disorders.

A story recall task was used to measure memories that can

Medical News You Can Use: “Can I Please Get Some SLEEP!?!” Edition – Children’s Hospitals Lack Standards

As anyone who has been in a hospital – either as patient, or visitor – can attest, hospitals are NOT a place where rest occurs. And THAT! is a crying shame! For healing restoration can ONLY occur with proper rest, and that means SLEEP!

—

Study Reveals An Absence Of Consistent Standards In Children’s Hospital Environments

The sound, light and temperature levels in European pediatric hospital wards often vary, highlighting the lack of consistent environmental standards, according to a new study presented at the Sleep and Breathing Conference held in April in Barcelona, Spain.

Quietude aids healing and restoration

Children and parents often suffer sleep deprivation when the environment on a ward is disruptive, which can affect disease recovery and quality of life in hospitalized children. There are no general consistent recommendations covering sound, light, and temperature levels to help guide hospitals across Europe.

Researchers measured these three factors in five pediatric wards in

Medical News You Can Use: “Bouncing Off The Walls” Edition – Movement Helps ADHD Kids Learn

Hyperactivity Helps Children With ADHD To Learn

When children with ADHD (attention deficit hyperactivity disorder) are supposed to learn, adults usually ask them to sit still. However, a study published in the “Journal of Abnormal Child Psychology” now suggests that physical hyperactivity is essential for the cognitive learning processes.

Researchers from the University of Central Florida in Orlando conducted trials in 52 boys aged from 8 to 12. Of the group, 29 boys had ADHD, while the others showed normal development. The study subjects were asked to

Best Place To Meet Boys?

At a school in Alabama.

Jennifer Collins McNeill was a married 39 year old 6th Grade Teacher at Thorsby K-12 School, in Chilton County, Alabama who went after her son’s friend who was 14 years old, and whom she had met at church.

Warrants filed in Chilton County Circuit Court show that Mrs. McNeill was charged with six counts of second degree rape and two counts of second degree sodomy with a juvenile male under 16 years of age, but older than 12, between April 10, 2012 and June 28 of 2013.  Court records indicate she was released from the Chilton County Jail Saturday, August 17, 2013 after posting $160,000 bond. She is due for arraignment March 10, 2015.

Jennifer Collins McNeill, 39, was a 6th-Grade teacher and cheerleader team sponsor in Thorsby, AL when she sexually abused a student at the school where she worked. The Chilton County District Attorney has charged her with with six counts of second degree rape and two counts of second degree sodomy for different incidents with the same victim, who was aged 14 at the time.

According to research performed by a former chief of staff of the U.S. Department of Education, Alabama has the nation’s HIGHEST per capita rate of sexual abuse by school system employees.

Terry Abbott, who owns Drive West Communications, a Houston, Texas-based Public Relations firm, counted a total of 781 sexual abuse cases in

Analysis: Alabama Unemployment Higher Than Stated

Alabama Governor Bentley claims he, and his policies – whatever they are (he has none… just look for your self) – have been responsible for declining Alabama Unemployment. Fact is, he’s blowing smoke.

Alabama Governor Bentley claims he, and his policies – whatever they are (he has none… just look for your self) – have been responsible for declining Alabama Unemployment. Fact is, he’s blowing smoke.

Alabama’s Republican Governor Robert Bentley, MD has crowed about “success” in lowering Alabama unemployment during the past 4 years of his term.

However, to be certain, a random statistical examination of the state’s Unemployment rate shows that it is very likely, AT LEAST two points higher than reported.  Here’s how.

Unemployment is calculated as a simple average. Take the number of people working, added into the number of people NOT working, AND who WANT to work, divided by the people who are available to work, gives the unemployment rate.

Here’s how the Bureau of  Labor Statistics defines the parameters of the equation:

What are the basic concepts of employment and unemployment?

The basic concepts involved in identifying the employed and unemployed are quite simple:
• People with jobs are employed.
• People who are jobless, looking for a job, and available for work are unemployed.
• The labor force is made up of the employed and the unemployed.
• People who are neither employed nor unemployed are not in the labor force.

Simply put, the formula is:

Unemployment Rate =	Unemployed
	Employed + Unemployed

 

However, if you’ve had a college course in Statistics – and most folks in Alabama have not (it’s part of maintaining the policy of “largely poor, uneducated, and easy to command”) – then you’d understand that a random sample of the set would show essentially the same results.

And face it… most folks in Alabama DO NOT HAVE A COLLEGE EDUCATION. In fact, according to the Alabama Department of Education, Alabama’s High School Drop Out rate is 28%. Page 2, Frame 2 of the linked document shows the 2010-2011 TOTAL Graduation Rate as 72%.

Face it… ALABAMA IS

Open Letter to Alabama Governor Robert Bentley, MD

Open Letter to Governor Bentley
October 10, 2014 at 12:45pm

Governor Bentley,

I need to go to the doctor. But I can’t. For some reason I still can’t understand you turned down Federal money set aside for people like me.

On June 24, 2014, on my way to see a doctor to determine disability benefits, I had a car accident. My car was totaled and my lip busted. I had hit the steering wheel with my face.

I still almost refused the ambulance ride because I was afraid of the bill. It took a street full of people to convince me to go. I had my lip sewn up, some scans done. I was sent home with a neck brace.

I have $12,000 in bills now, and my disability was denied. I am more disabled now than before the accident. I am waiting on an appeal with no medical care and no income. That hospital bill will never get paid. I wonder how many other people in this state are in the same situation. Sometimes I think