Sunday, December 12, 2010

Dragonball Bulma Doujins

rating disaster damage. Abla 2010

few days I've been attending quite amazed at the events and statements that make each other about the problem of controldores. I hear with horror

statements, which in my humble opinion, show:

- chutzpah.
- Nepotism.
- Authoritarianism.
- Ignorance.
- Selfishness.
- Messianism ...

I'll try not to name the driver and transfer to an exercise to put myself in his shoes. At the end of the day I am an employee of the administration on which depends the health of many lives and I have a huge responsibility, with some "subtle differences"

- I've studied a lot more years than they are.
- they charge significantly less (about his salary is a multiple of the difference in years of schooling than mine).

But I have no reason to complain: the company and has decided in recent years, through their elected representatives, who have been giving to the legitimate pressures exerted by drivers, while completely ignoring the good will and desire of physicians to put over our right, the citizens, avoiding any measure of pressure to get a fair improvement in our conditions labor. The non-management response, has led to an abandonment of the job, as have the drivers, with the difference (new changes) that our neglect has been gradual, but hitting an awful (more than 8000 physicians English abandoned or never came to the job and working abroad and many other private health in our country), and the difference, equally important, that this has not generated any social alarm and therefore not has declared a state of alarm or been militarized.

society works as it does, and responds more and more cowed and gave more to the various forms of blackmail (For unfair are the claims of blackmail), which to the requests that are made from well-founded reasoning and goodism of a group, association or union.

But back to topic, lo, a collective that using legitimate action (if not ethical), has achieved a number of improvements in working conditions and remuneration, which is now at a stroke, they want to remove. However posh

that are, for very young gentlemen, however freeloaders, no matter what they are, what they got, they have succeeded with the tools that our state law confers on them. Perhaps we should give more importance to have no coal the boiler (and better pay for miners and keep the mines) to take a bridge on a plane, but the company has said time and again, is more important to travel by plane, which have coal, which have good health, which have good public services. My children can attend schools with schedules painful painful but at least if I go this weekend to Milan, do not fuck me (pardon the expression). Thus, it is society that has given and Santa Rita, Rita, which is given, not removed. "

If we remove these privileges, we just have to get them to stop doing overtime, legally and legitimately and not through as if they had affected Decretazo miners, truck drivers and machinists renfe, had caused similar reactions in workers, although a similar reaction from the government, as the government knows what the priorities of our society: no, it is to be warm. No, it is not eating, because not long ago in Ceuta and Melilla on the boycott missing some essential nutrients, and the truckers' strikes have not released army trucks or militarized one. The important thing for our society, most importantly, above all, is the right to paid leave, even to deny certain groups privileged minority, the right to paid leave, as he would have the final decree of contention.

I think the drivers have not given up any essential service to the country. The country should have a bag of drivers (like doctors, teachers or firefighters) that call for hiring new drivers in case of work stoppages or excused absences. Why are not more drivers? Drivers say that because control training. And who has given them that control? In what order it appears that they are the only ones who can control the formation? Is it prohibited to import drivers? Are drivers prohibited from receiving military-type training civil air traffic control? Is it forbidden to ride schools to teach these lessons? Is it all a smokescreen and a scapegoat to divert?

As doctors want medical schools train more doctors and postgraduate education systems (MIR) form more pediatricians, it is government that paralyzes the increase. Interesting "medical matter worse shape than the English? "It is interesting to not approve the title to make them silent and subservient workers? "It is interesting that fewer pediatricians to their scarcity end up" forcing "the government in the name of" universality "or" equity "," accessibility "and" free "to eliminate the figure of the primary care pediatrician?

All this gives off a stench of decay and permanent contradiction.

Will we someday doctors can do what they have done the drivers?

Mr. Conde Pumpido, in these last days we are compared to drivers ("with veiled threats?). He was saying that what they have done the drivers is as if doctors abandon the sick in hospitals. Unfortunate statement if there ever was: I did not appreciate the possibility of dropouts in primary care in the first place, neglecting this area of \u200b\u200bcare, and secondly, sought to intimidate us with the crime of sedition, which otherwise may not know how disqualifies a worker who gets up and leaves his job, dam of stress or simply fill:

Article 544.

are guilty of sedition, which, without being included in the crime of rebellion, public and tumultuous rise up to prevent, by force or outside legal channels, the application of laws or any authority, body or official public official, the legitimate exercise of its functions or comply with their agreements, or administrative or judicial decisions.

The truth is that I did not see any commotion, I saw no driver prevents nigún other drivers kept working. And this really worries me, because trying OBVIOUSLY accused of crimes have not been committed, is the stuff of autoriatarios and police systems. As much left the job (if they did because they were in a flat panic attacks for what they considered an attack on their rights can not be a unjustified abandonment), which in any case involves the dismissal, but do not go to jail 3 to 8 years. And this makes me reflect on the plight of education in our country, where the most frequent error committed parents and educators (and government) is threatening to things that are obviously not going to be able to carry out, or convinced by promises that will not comply, which means that no one really believe when they threaten or promise anything, with the loss of authority that entails.

Moreover, when one reads the article in the penal code, comes to mind something like a "deja vu". This we have seen: in the general strike, picketing and organized rebels, preventing them from exercising their right to work, to free movement, assembly, recognized by law, and undermining public services such as health, education, law enforcement that had to be diverted from their regular duties to allow anyone who wanted to work, I did. That day, on TV, leaving many individuals who could have been accused of the crime of sedition, but ...

Perhaps drivers should have been more diplomatic: deliver a waiver of its square driver with 15 days notice would have been a move "subtle" and forceful. Do not leave my post. I give up my job and looking for 2000 drivers in 15 days. Of course, if manipulative, I would ask for a temporary leave to care for my children or elderly parents, rather than give up my job, but if I refused, with the nest egg in recent years ... Furthermore, the resignation from the post, does not prevent you present yourself to the next oppositions should be convened urgently!!

Another issue that caused a deep impression on me has been the comments on the doubts about the massive casualties of the drivers. But do not leave my surprise at the existence of these doubts, which can only be born of ignorance of what the disease is and what are the pathogens that may lurk in a disaster situation. Let me explain with an example:

- If anger starts to circulate throughout a country, is it any wonder that there simultaneous low anger in a control tower?

- If a fire in a control tower, would it be surprising a number of casualties from burns in the control tower itself?

- If a group of drivers, have a meeting to discuss their problems and celebrate a meal together which is salmonella poisoning, would it be surprisingly low for a number of gastroenteritis in the control tower itself?

- If you take all the English drivers and put it on a wall, presenting them as a privileged young gentlemen (no privileges rained from the sky, but the government gave them the approval of public opinion, as we have said, he prefers not to miss the weekend in Milan to get an education or quality health care for their children) to public opinion rifles with insults, put-downs ... After that, assaulting them with a drop salary (very high yes, but his salary, not stolen, but earned and awarded by government and public opinion), and finally forced to work longer hours. Could this be understood as an etiologic agent of stress that affects all drivers? So where does the surprise that many occur simultaneously down by stress? . If we add militarization and denounce you for a crime you have committed, for me the surprising thing is that we continue flying and has not happened yet no "another catastrophe."









Wednesday, November 17, 2010

Does Duane Reade Sell Essie



From experience this collective ideology m anifiesto .

The members of this group are convinced of the need to move towards a new model socio more sustainable, participatory and democratic, in which the relationships between citizens, professionals and organizations are necessary and timely redesigned to achieve health care more accessible and nearby.

think the Health 2.0 concept must be understood as a change in organizational culture supported by a horizontal and collaborative design, compared to the traditional hierarchical pyramid.

health institutions can and should harness the potential of this new change of 2.0 health model for what can count on the professionals who have already taken steps in this regard.

these ideas are written on these lines of work thus become our proposal to start the renewal of health along the lines arising from the Web 2.0


Monday, November 8, 2010

Cockapoo Throwing Up Yellow

Internet Manifesto in the consultation. We grow dwarf

have long said that doctors, we have what we deserve: by defeatist 10 for "euphemism", by conforming and one by collaborator.

After a while gathering support from medical colleagues and between patients, to get to have a fundamental tool in the consultation, as the Internet, has grown a dwarf, and this phrase is not going to second, because I no height I'm no giant.

I say this simply because a group of professionals we have put in place a circus makes known to the general public and managers in particular, that lack of internet connections in our office, while connected at practically all public schools, with a far more dubious value in most cases. But you look at where we grew a dwarf.

10 Andalusia, as already mentioned, not only has no internet connection. Besides the connection that can link some web content is so hidden and so convoluted its implementation and misleads both receipt (for a password to be skipped, which is quite illogical), the vast Most professionals, unaware of its existence.

But lo and behold, that Málaga Hoy has found a professional who knows his own existence and that is as a lark with what you have in it, even if you have a bad report directory where you can enter and where no, or a bad search engine that allows you to find something in this collection of unrelated pages, or shape, in the public domain, to seek new content. This person is representative of an important group of professionals from Andalusia, and when he says something, it should make clear what the title says what it says as personal representative of that group. I like to think that what said, has put in a personal capacity. Otherwise, I would think badly of this group, I have in very high esteem. It may also be that those evil beings who are the journalists have done a cut and paste with the intention to be controversial and have misrepresented his words or have completely removed the context in which he said, or said personal capacity, because such Once a connection has privileged, and ignores the plight of their colleagues (which does not say much in his favor). Hopefully we will soon rectify or simply clarify the misunderstandings that resulted, I suggest that (would be completely wrong), there are some that are either team captains or are willing to play on it.

And all this, I say eye! personal capacity.

Wednesday, October 13, 2010

Hiv Test At Seven Weeks

Internet in the query:


As promised, I'm willing to do the devil's advocate. In that line, I echo the comment of a colleague who heard to remark to an expert in Data Protection Act, which was precisely the Data Protection Act which made inadvisable to have internet in the office.

And today, a news has confirmed.

Or not?

seems that what tends to get lost (and found) are stories of paper flapping in the wind carried through the streets, landfills and urban containers. Even in a third of the hospitals!

is seen that no one can be expert in everything and LOPD experts, are what they are: people who know almost everything about the Data Protection Act, and almost nothing about everything else, including computer course, network security, database security, so it is not uncommon to confuse the bacon with the bandwidth.

Anyway, it would not hurt so much that instead of broadband in the hospital, spend some more in primary care.

Thursday, October 7, 2010

How To Make A Uhf Balun

LOPD Internet in the consultation: The Devil's Advocate.


I think enough is enough. This fight is somewhat uneven. Here we are receiving thousands of blog entries in our campaign and hundreds of messages of support and is very difficult a glimpse of any message against.

But I'm sure this will not have internet in the consultations can not be because the perpetrators are some unconscious, or because we simply want to be held incommunicado, isolated or in ignorance. I do not think our managers are those who think that knowledge is a threat to power.

Because of this, because I believe in them, I will give my blog listing all the drawbacks, that primary care professionals, have internet in the office. I had to open a paid account, because I'm sure when they start to leave comments with all the drawbacks, I collapse the blog.

to open fire, I'm going to imagine a time manager and I'm going to say three or four problems: 1 .-

... wait, I have it on the tip of the tongue ...

Well, now I can not think of any, but I'm sure between now and tomorrow I have written. You, managers, sure know a lot. Id leaving comments, trying to be brief and concise, as so many drawbacks to be sure a billet unreadable.

If on the other hand, a manager wants to support the initiative Internet in the office: a necessity . (Especially if they rejected the resignation and wants to use force), you can chop the link and leave it there your comments.

Tuesday, October 5, 2010

Tessalon Perles Cough Worse

Internet in the office: Gray or Black?. Thats the question!


After several months of testing, I've discovered that, gradually, it has been expanding to primary care providers in Andalucia, access to certain web pages. Maybe why it was black before now has become dark gray (but soooo dark).

could have done a tutorial. Could leave the instructions here. But what I gain by that?

without thinking twice, I decided the best thing in these times of cut is to take a computer wizard bonus (my unique eye that this task is no incompatibility) tax free.

So, using that tomorrow is my birthday and the celebration was postponed until next year, I will accept all the gifts you send me home (department store gift cards, Iberian wines, spirits and delicatessen several-not supported decorations or checks-). Of course, a gift makes you a friend, and I'll explain my friends what they want, even in that part of the consultation have left the box, inside which is saved with a broken lock, an old computer without instructions with which they can connect, if they know it (that would require a gift of some importance), some Web sites.

Si eres Andaluz y trabajas en primaria y no sabes como conectarte, y no tienes para jamón, envía a tus colegas Andaluces un enlace a esta página para que hagan un comentario con su queja. Cuando lleguen a 100 prometo colgar un tutorial de cómo hacerlo.

Aunque siempre os queda la opción "más fácil" de preguntarle a vuestro director...

O apoyar la iniciativa Internet en la consulta: una necesidad . Divúlgalo, a tus colegas, a tus amigos, a tus familiares. Buscamos sensibilizar a las autoridades sanitarias y que acaben con este anacronismo en pleno siglo XXI.

Sunday, September 26, 2010

Aluminum Best Penny Boat Design

management's Tale "in" demand

Hay que reconocer que cuando los gestores de medio pelo hablan de la gestión demand, it is as if it was something very "in". The problem has happened to her is given by the possible errors and ignorance of the significance that may have the sound [in] as different ways of writing or as precede or Postpone.

The result of ignorance of what is demand management, has given rise to different attitudes depending on the part of manager, and as the wind blows. Of course in high places, the only management who claim to know (they say) is the management "in" autonomy and professional managers to look sort of care and allow maximum citizen satisfaction, without turning centers health in a "no vallao vineyard."

But many area directors, district, ZB and UGC (not all) missed the day they explained the delay EASP what is and what is management "in" in demand. The delay means that happens when a patient is slow to respond more than 24 hours after an appointment in primary care. It looks even saw many Sesame Street and do not distinguish small hours of minutes or seconds, so I have coined a new term, based on the commutative property (also missed math and do not know what it is), leading to a transposition of words, with such dire consequences as when it comes to large vessels: management rather than "in", transposed words and became in-demand management, ie "demand you eat it with potatoes and ketchup, for the coronary-clogging as soon as possible."

There is another type of manager they even have misspellings (we see that the language was not for him), and adopted a new style of management: management hin, that sounds just as well that first but ominous connotations.

And I leave you with a saying that has nothing to do with the input (the evil-minded believe that the photo and saying they do have to do):

"Whoever comes to mule del cielo le cae el arnés."

He estado buscando otro que dijera más o menos "el que nace gestor, desde arriba lo señala un dedo", pero lo del mulo es lo más parecido que he encontrado, aunque no tenga absolutamente nada que ver (Dios me libre).

Esperemos que algún día se decidan a convocar esas plazas por concurso oposición o al menos por concurso de méritos, en lugar de hacer un concurso de popularidad, quiero decir de impopularidad (la partícula im también hace de las suyas según donde se coloque).

Ni que decir tiene que esto no ocurre en ningún lugar. Es el borrador de un guión de una comedia que estoy preparando y para el que espero vuestras aportaciones.


Sunday, September 19, 2010

The Structure Of A Complete Male

Service Commissions. As piss all over the world.


Imagine for a moment that we are about to solve a movement and an opposition. Suppose also that there is a public service job which basically serves to provide employment for those already working on it, it does not seem able to assume the daunting task undertaken by the employment exchanges in public companies. These job boards have between their work destabilize the template, ensuring that no one knows the name of your doctor (for change) and loves to make gasoline burn doctors and nurses, without allowing swaps. Of course, their criteria for hiring are opposed to reason and logic more basic. Thus, while the Andalusian Employment Service prioritizes work to find long-term unemployed, the stock premium for more work, to the despair of those who have never worked, the young and long-term unemployed.

mixed and stirred it all.

The other day I asked a colleague who thought I was going to happen in the second half of September when finally after only 3 years of resolution of the PEO 2007, before the avalanche of requests for service fees and the many changes than expected. I immediately thought of an easy solution: 1 .-

Ask all interns who have not obtained a place in the OPE, if they were willing to stay in the same place they occupy today.

2 .- Open a period prior to taking office to request service fees only to the term covered today.

3 .- Give all service fees will be claimed provided that the square were to take a temporary possession had to be willing to stay there.

Easy, simple, happy to professionals and prevents changes to medical users.

But that's what I think are going to do?

1 .- There will be some professionals who are not even incorporated into the square (and not so middle management Intermediate - bad language call them plugged in, but I do not -).

2 .- The majority will, quite pissed off, possession and move into the bag to temporary or casual.

3 .- The interim will be relocated by the bag trying pissed. 4 .-

patients (of the owners and the interim pissed) is pissed off because they are tired of changing doctors and the new comes pissed. 5 .-

start to provide service commissions (days before the inauguration of the impending move to convene -2012 calculation hopefully I-), although not to the quota they held before, not to lose all the anger purchased. The quota to arrive back goats.

And it will be pissed and distracted to keep patients and physicians most important problems they face.

This I have not invented it myself. Comes in the "manual of henpresas jestión Adhatoda puvlicas," which the author know, but I know that has been extensively reviewed from the point of view of non-sexist language.

to know that this is just a fable and any resemblance to reality is purely coincidental.

Monday, September 13, 2010

Is It Safe To Eat Potatoes Which Have

Conflict of interests and circumstances.


"I am myself and my circumstances"

José Ortega y Gasset

standard is now widespread, finding scientific publications in the declaration of conflict of interest. Everyone seems logical enough to quarantine the conclusions of a scientific study of a drug that is directly sponsored (financed directly by the research) or indirectly (the research is funded by the sponsor, although such funding is not directly devoted to research in progress) by a laboratory to which you are interested in selling the drug (we call this a direct conflict of interest) or otherwise to assume that competition for their own products (we call this an indirect conflict of interest .) However, not finish be usual to detail everything that could be considered a conflict of interest in this field. When making a declaration of interests, are generally exposed conflicts of interest directly, when it has received direct funding, being much more rare to declare other types of conflicts.

But it's not conflict of interest of what I write, but conflicts of circumstances. These are much more hidden and perhaps more momentous occasion. They are still conflicts in which the end is put into play an income that may not be monetary, but in one way or another can result in economic benefits: prestige that translates into more clients in private practice in contracts as a lecturer in higher sales for a book, and why not a greater number of visits on a blog that translate into higher advertising revenues.

But explain what I mean. Conflict of circumstances when personal circumstances (where you work, fitted with whom you work, number of patients served, help from other professionals, private practice, specialty or possesses and exercises could potentially exercise, family circumstances , political opinion or religious beliefs) could influence the findings of a study or in the statements made in public or what is written in an editorial of a scientific journal. Of course, there are conflicts of circumstances which are legally protected and not have to be declared (political leanings or religious beliefs), even if they miss.

a few examples:

Could be influenced a study on the advisability of circumcision to all newborns, the researchers religion they profess?

Could be influenced a study comparing public and private health systems on the political leanings of the authors?

Could be influenced a study on the healthcare professional to meet a condition, circunstancia fisiológica (embarazo) o una etapa vital (infancia, adolescencia, senectud), por la especialidad que se ejerce o se posee?

¿Podría estar influido un estudio sobre factores de riesgo que precisarán valoración por un médico, por el hecho de que los investigadores tuviesen ejercicio público o privado?

¿Podría estar influida una opinión en una editorial por el hecho de trabajar en atención primaria, secundaria o terciaria?

¿Importaría conocer el número de pacientes que atiende a diario? ¿Si dispone de enfermera? ¿Si tiene una reducción de jornada por liberación sindical o por asunción de otras tareas distintas the directory assistance? If you have an emergency service that attends to all patients not listed? If watchkeeping? The

or asked another way:

Should we take into account the conclusions of a group of cardiologists in private practice on the desirability of specialized cardiological evaluation of all patients before initiating ADHD drug therapy? What if at the time of signing or declare a conflict of interest only place they receive no assistance of any kind of drug lab?

Should we listen to someone who does not work in primary care on how best to organize care pediatric? What if the sign it is as though the primary care pediatrician is in a zone address without basic health care burden?

Should we listen to the gynecologist in private practice defending the need for monthly visits during pregnancy including ultrasound normal? What if he is a pediatrician in private practice who wish to extend childhood to age 21? Should we listen to a trade union cabinet released on private radiological signs of chest radiology in primary care? What if no one declares these circumstances?

Say, I'm quite curious and would like to learn more often the circumstances surrounding those who advocate a particular model of care, for care of a particular age group, by specific diagnostic technique for specific therapeutic technique and, unfortunately, I have an extreme tendency to think badly, perhaps because mixed in me suicidal (thinking is an act quasi-paraphrase autolytic Cioran, "every thought is a thought of more" * or more colloquially "thinking is losing" -) and perfectionists (I do not like mistakes and it forces me wrong thinking - "think wrong and you will succeed," says the English proverb-).

Hopefully whoever ends or say something that means more to others than himself, was aware of all the bad thoughts that unnecessarily causes ...

And now, is when I clear my conflicts of interest and my circumstances: I am ...


I'm a provocateur.


* "Every word is a word more" EM Cioran

Thursday, September 2, 2010

Cieling Fan Connection

Flu and quiet: a virtual medical group with influenza A (2009-2010) Fanning the flame

In the spring and summer 2009, the news media on called influenza A were each passing day more frequent, alarming and overwhelming. The scenario he painted was almost gruesome and forecasts of health authorities suggested a pandemic that would reap the lives of many tens of thousands of people around the world.


However, in August 2009 and it could be presumed that the development of the pandemic in the autumn-winter would be like that took place during the winter the southern hemisphere (Argentina, Australia, Chile, New Zealand, Uruguay and other countries) and in the last month of spring in the northern hemisphere (Canada, USA. UU., Mexico and other countries). Both the epidemiological data published, as our perception in the day to day, were showing that the morbidity and mortality from influenza were even lower than the corresponding to a regular seasonal flu outbreak. This benign behavior contrasted sharply with the health authorities, the various contingency plans and correlative (different for each autonomous region) caused a significant impact on the organization of services and health care costs, apart from increasing public alarm. In fact, in primary care consultations perceive a state of increasing public concern. Examples such as consultations on voluntary abortion to prevent damage to the flu epidemic or young frightened by the apparent particular susceptibility of these to "new" virus, were not rare in medical clinics and nursing.

Moved by the turn events were acquired, several professionals in the English health system (general practitioners, pediatricians, pharmacists, family medicine residents, medical students and others) whose only common denominator was the editing blogs and web pages, we decided to take action on the matter and package it in order to find, analyze, develop and disseminate rigorous and accurate information on pandemic flu and the more cautious and scientific answer to it.


The movement began in mid-August 2009 and caught on with the name, logo and summary of "gripeycalma" for what was intended to put, to Influenza A, tranquility in the population and professionals. The work was carried out in a coordinated manner using new technologies of network communication, which is an innovative and perhaps unique in our country. As initial work product was spread in unison, on a day like today, in all blogs participating in the initiative, a statement in which he analyzed the epidemiological situation and proposed a series of advice for citizenship. Likewise, it created a blog ( Influenza A: first of all very quiet ) which served as a common platform of the movement, which were being made available to all new documents (organizational proposals, questions and answers), with translations into several languages \u200b\u200band in different formats (video, presentation, disclosure sheets, etc).


The echo of the initiative was immediate and intense. It added more blogs, both health professionals and general population interested in health, to nearly 200, and page of the group had, in just 3 months, some 80,000 visitors. And indeed, in practice it was possible to transmit the network through virtual communities, the message sought to influenza A, of calm and tranquility, serenity and rationality, both the population and the profession itself health. The impact was even the authorities, who moderated their response.

The end of the story can be written and are writing done after a birth year of the initiative. Influenza A had a peak of higher incidence in mid-November 2009 and has been a mild flu, with little impact on morbidity and mortality. The call for calm was because the scientific basis and little by little revealing that los escenarios apocalípticos no tenían razón de ser. Solo esperamos que la experiencia de esta pandemia sirva para mejorar y manejar, de forma más eficiente y ponderada, crisis futuras, evitando, en la medida de las posibilidades, caer en un consumo desmedido de recursos - que siempre implica dejar de atender otros problemas - y en una desproporcionada oleada de pánico colectivo.


Este texto cierra el primer episodio de la unión temporal de blogs y páginas de profesionales sanitarios y de otros relacionados con la salud en la Red. Muchas gracias a todos los que han colaborado de una u otra forma y a los que han visto y sentido a gripeycalma como lo que es: una iniciativa profesional que ha buscado go beyond our consultations and jobs. We just tried to bring a message of common sense and science both the public and health professionals to communicate our knowledge and understanding about a health problem, in this case to influenza A. Thanks to the work of many and the power they give us new information technologies, we can say that we succeeded.


temporary posts Union (UTB) Influenza and Calm

Wednesday, May 26, 2010

Short Of Breath And Chesty Cough





general physicians and pediatricians in particular, have the gift of the untimeliness when to intervene in health policy issue. We always say the wrong things.

Some time ago some we put the outcry to contemplate how public money is squandered as he began the most unnoticed strike in the history of our country. Spoke up to distribute money rich and poor, promoting certain forms of birth were very effective ways to enlarge the hole of the health budget, decrease the effectiveness of the system and destroy the principles of fairness, generosity and accessibility. Most pediatricians who then engaged in designing " concept cars."

But look at you and where everything points to the unthinkable, the forbidden, the unimaginable, is now thought (the copayment), enabled (freeze pensions) and palpable (get off the salary).

Einstein said that the crisis was an opportunity, however I look like most doctors miss an opportunity.

finally begins to talk about responsible use of health care, health hole, and we quietly co-payment that are more handsome. Today

engage in divination is not very difficult (or is that I have great gifts of divination) and all the "corrections" to which the malicious call blows, are absolutely predictable (and therefore are not bumping). It is obvious therefore that we will see a very little time some form of copayment, if we do nothing about it.

You thought I was in favor of co-payment? So stop trying to guess and dedicate just read it below.

I am opposed to the co-payment, I was opposed to 400 Euros to make themselves rich and poor Euro 2500 newborns rich and poor, the pharmacy at the Vines is free in Andalusia or lower than a year in Andalusia no pay for medicines (not want to get into matters of foreign poultry vaccines dudosísimo opportunity cost).

What I want is to separate the wheat from the chaff, or rather to help remove it, if it comes of having to separate.

the moment, and before the co-payment (as before lower the salary to officials ), there are some things you should do and that we should ask loudly that hiciesen:

1 .- campaigns rational use of health services , showing "abusuarios" wasting the resources of all (if anyone needs ideas for scripts I have a few).

2 .- To develop the text of the General Health Law that specifies certain "obligations of users" that many users fail systematically lléndose away with it, instead of receiving a position or suffer a cut in payroll.

3 .- Develop models to control and limit assistance to maintain farm free:

The need for a person visits a doctor may need to follow the recommendations of common sense, clinical practice guidelines, the calculation of insurance (which are pretty advance this work), can be calculated. Similarly, at least in Andalusia, children between 6 and 14 years received before the start of the year a bill of dental care (unlimited and free), could be sent (or charge virtually As health cards points the card driving) a checkbook (the number per person would vary depending on age, sex and prior health conditions) should free that last all year (on pain of paying the second book, or even third book would be more expensive than the second). Of course, a visit by appointment would not remove the same points as an urgent visit. Of course, the points could be charged as a driving license points under certain conditions: diagnosis of a serious illness occurred, adequacy of demand for emergency care ...

4 .- Where appropriate inevitabilidd collapse and the co-payment, we must strive to achieve that is a co- rational and proportional, the proportionality is not understood here as you pay the most have more, but pay more than the one that generates unnecessary (just as with other common good and free: the water, we pay only what is costs is to take our homes, with different prices because the cost can be varied, but with prices increasing as they consume more).

But who organized this? Does this can be improvised from overnight when you call Obama? Physicians must

fan the flame that is kindled, the flame of the copayment, but we must act as skilled firefighters, controlling the fire, leading him to do the least damage possible, even to be beneficial and ends with the "weeds" of the system, helping to regenerate. Would we be willing to work in committees to figure out how checks should receive a normal newborn during their first year of life, or a diabetic child under 6 years old? I guess not, because I see more of my fellow firefighters pediatricians and health. The poor do not realize that all those who so "well meaning" made by children (damn control fallacy!) Merely lead to the ruin of the health system, Finally, and inevitably end up affecting (and does so in rural areas) the health of those for whom we should watch.

Everyone can help control the fire, but not just visualizaros than fleeing in terror of the flames.


Wednesday, April 7, 2010

Cute 8th Grade Dance Dresses




Yesterday I left an anonymous survey to fill in my office. It was a "Questionnaire for evaluation of the emotional climate in the team" (puaj! yuck!) Sorry, I think I had a nap in the language.


to what we were: A referred to when talking about team? not a single track in the questionnaire, so all the questions I answered "no opinion", although I have written a note (although there was no place to write some sad observations) that I am reproducing below if you would like to subscribe someone and play in these surveys:


Team do you call?


To my colleagues in the Clinic of La Roda? In that case my relationships are wonderful and would not change any of them.


If what they mean by middle management team includes the assessment and management falls precipitously at the other end.


The survey team believes that does not discriminate and I consider that my computer is full SAS to have concluded that "the chickens coming from the emerging"


If what they claim is to identify elements that "inestabilicen" to the team: pediatricians, MF, Nurses (now I'm in Chincha with politically incorrect language), unit managers, deputy nursing, primary care managers , directors managers, or manager of SAS Health Counselor, let them ask directly and dream of surveys euphemistic "


And I've said this and I signed because I know that you will use this survey to drive us to fight to peers if the survey was scored low, or to throw flowers "trainers" team if the polls come out good. Well, make no mistake: my fellow nurses, my fellow MF, the administrative assistant, the nursing assistant, cleaner, the guard and my center users (because they too are part of the team) are rare, but I can not hide my disappointment regarding to middle managers and executives who have touched me (of course they too have their penance with me.)


Uff, that I have stayed gustito!

Monday, February 22, 2010

Can I Take Bach Flowers With Effexor

Consumer group. 12.03.2010

you intend to participate in a consumer group, which rises in the center of Yoga Diksha, next to Alameda.
The purpose is to act positively as an alternative to the consumerism of our society
The goals we set are:

• Creating a group that shares the green consumer, responsible and ethical

• Create a Time Bank (barter) that we allowed to change between us our skills, knowledge, etc.

• Fostering a sense of community, welcoming the proposals that are in the group

all with a holistic vision in the pursuit of harmony.

Yoga is the art of right living

If you are interested please go to the meeting at the yoga center DIKSHA on Friday March 12 at 21:00
(C / Rapporteur 15, resulting in Alameda)
For more information write to:
arterectovivir@gmail.com
contact Tel: 675908801 (Margaret)
Hugs.

Sunday, January 10, 2010

The Need Of Tv Program Write Proposal

° Meeting the Fast Track part the heart of the Sierra


How Much Are Spandex For Men Track

Join to save the Sierra de Aracena

No to Fast Track that destroys the Sierra de Aracena y Picos de Aroche!

http://www.facebook.com/home.php # / groups / edit.php? Members & gid = 120662380537