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

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.