Tag: tuberculosis

Measles and Tuberculosis

The old Oak Forest Hospital is slated for demolition and site redevelopment now. At one time it was a tuberculosis sanitarium. That’s when my grandmother was a patient there. She was one of the first patients who was actually cured of tuberculosis, or TB. The drugs which killed the bacteria left her deaf.

Tuberculosis and measles are both diseases that can travel quite a long way. That’s why patients with those diseases are placed on airborne precautions. You probably know there’s currently a measles outbreak impacting 13 states as I write — probably more by morning. That’s serious, make no mistake. But Tuberculosis is also a serious and much more common problem.

Every year near the end of March is World Tuberculosis Day. Normally the CDC has a massive release of data on that day. At this time I do not know whether the CDC will release that data. My local health district has already quietly released their data, which they normally hold until World Tuberculosis Day. My state has not. It is worth noting that locally, cases are up over where they were 2 years ago (but down from last year). This data is vital to me in a professional capacity to determine how much risk my patients and staff face from TB in the community.

Believe it or not there is a vaccine for TB! It was developed a couple of decades before we had a cure. We don’t generally use it here in the United States because it’s not as effective as would be desirable, we have a relatively low prevalence, and it interferes with the cheap “skin test” you may remember having done at some point in your life. But many of our nurses from places like South Korea or the Philippines have had this vaccine.

Now about curing TB. It’s not fun. Remember from the beginning of my post that the first treatments we had often had horrible life changing side effects. However, it was better than the alternative: dying. Unfortunately TB has developed resistance to many drugs over the years. It is important to treat TB even if it’s latent — meaning it’s not causing you to be very sick right now. Treatment can often involve multiple, very strong antibiotics, every day for months. In some cases, the local health department might call every day to make sure you took it.

And this brings me to another important point. People without insurance — or with lousy insurance — might not be able to afford those antibiotics. When that happens, they are not only a walking petri dish for incubating drug resistant strains of the disease, they are sharing their germs with everyone around them.

Also, tuberculosis does not care about your immigration status.

Places where people are crowded together — like jails and immigration detention centers — are a perfect place for one TB case to turn into dozens. Are you wondering how many undocumented immigrants are going to seek medical care for their TB or measles symptoms?

Hospitals Should Not be Allowed to Advertise

Recently, I received two ads for two different hospitals, and of course their emergency departments.

The first hospital’s ad arrived in the mail. It included a map, labeled “You’re only 6 miles from EXPERT ER CARE,” and the actual route I would need marked with a nice bold, blue line. Oh thank goodness, otherwise I might have had no idea how to get to that big hospital building clearly visible just off the freeway.

The second hospital left a card hanging on the door hyping how close they were. It included a refrigerator magnet with “IN CASE OF EMERGENCY,”  the address (including which freeway exit to take), a phone number, and even a web address. Because when you are having a medical emergency, you really want to check their website before going to the hospital. Right?

Now here’s the problem: to get to either hospital, I have to drive by a third hospital that is probably within walking distance of my home. Well, maybe not walking distance if I am having a medical emergency. Heck, the kids who hung the magnet on my door probably drove past the third hospital as well. Why on earth would I go to a hospital that is further away if I actually need the services of an emergency department? In a medical emergency, I need help now, not 6 miles from now.

The point is that both hospitals completely wasted money printing and delivering advertising to me. That money didn’t help a single patient. That money didn’t pay for a single doctor, nurse, medical assistant, or even janitor. That money didn’t buy any medical equipment or medications. That money didn’t keep the lights on in an operating room. That money didn’t even line the pockets of a hospital executive… unless his wife owns a printing company.

Cutting worthless ads won’t solve the issue of health care costs, but it’s a painless first step.

In Closing: Coming together online; frugality; and here’s some bonus health and health insurance links.

Shorties Carpenter’s The Thing

Medical Breakthrough: 2 Hour tuberculosis test. Imagine being able to treat people now without risking that you’re treating something non-existent, and without waiting months to be sure.

When the Cows Come Home: Quite literally.

I owned one once: Bungalows.

On the President and the Economy: ‘Nuff said. Maybe we could use some good old fashioned labor uprising. And where are we going to get the jobs we really need out of tax cuts?

I am Lawful Evil: Heh.

Right On: Essential elements of filibuster reform.

About Effing Time: “You know, maybe we should hold banks to some sort of minimum capital standards!”  D’ya think??

Speaking of the Banks: Refreshing Candor.

Dave Nails It: “Can’t get by on $250K? Try leaving your bubble!”

One of the Smarter Things I’ve Read about Yesterday’s Court Ruling: Remember, only the individual mandate has been thrown out.

Worth Thinking About: I don’t agree with all of it, but these are things we need to think about.

I love Radly Balko: In an intellectual way of course. On the TSA and ACLU.

The 99ers: read this.

Hope for Following the Law: cracking down on firms that just turn employees into contractors.

Fail: The War on Drugs.

Robert Reich: Enthusiasm Gap.

That’s it for today. Keeping it Short but sweet.