Gabrielle Giffords's Recovery

I promised to update on Representative Giffords.

Here's this report at WaPo, "Rep. Gabrielle Giffords’s road to recovery includes stop on House floor":
On Monday, the Arizona Democrat flew on a commercial jet from Houston to Washington, where she surprised her colleagues by showing up to vote — her first vote since the Jan. 8 shooting. After a meal with her staff Tuesday, Giffords boarded a plane back to Houston, where she is
still undergoing five days a week of intensive outpatient physical therapy.

The simple one-day journey provided new insights into her progress since the incident that left her with a significant brain injury, friends and specialists said Tuesday.

“In the beginning she could hardly get one word out,” recalled Richard Carmona, a family friend and former surgeon general who is not treating Giffords but has kept tabs on her recovery. Now, “she can speak and put a sentence together. Sometimes, she’s a little slower and a little more thoughtful.”

The mobility on the right side of her body was damaged, much like a stroke patient’s, he said. But she can now walk largely un­assisted. Her improvement has been “really quicker and better than anybody expected,” he said.

Giffords is undergoing three types of rehabilitation, Carmona said: physical therapy to strengthen her right side, occupational therapy to help her with day-to-day tasks such as using a knife and fork, and cognitive therapy including reading and word games. All are “meant to strengthen all the functions that were diminished or lost,” he said.

Giffords still struggles to communicate, a limitation that sometimes leaves her frustrated, friends said. But they said they do not doubt her cognitive abilities and are confident that she understood the debt issue when she voted Monday.

“I guess the most astonishing thing has been how her cognitive abilities seem never to have been affected in the first place. Her ability to know what is going on around her is complete,” said Michael McNulty, her friend and campaign chairman, who has visited with Giffords about every few weeks since she moved from her district in Tucson to Houston, where her husband is based. “She continues to have a lot of speech therapy. And she will continue to until she returns to her eloquent self.”
Still more at that top link.

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Gabrielle Giffords's Recovery

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Timeline of Gabrielle Giffords' Recovery

See Telegraph UK, "Congresswoman Gabrielle Giffords has voted in the US House of Representatives for the first time since she was shot in Arizona in January. Here is a timeline of her remarkable recovery..."

I'm really fascinated by this. She looks so alert and able. I read a lot about her surgery and medical prospects at the time. I recall just a couple months ago reports indicating the Giffords' speech was still halting. But as much as we can see here, she's chatting up a storm on the floor of the House.
I'll update if I find more information. It's truly is remarkable and a testament to the human spirit. I'm very proud and happy for her.

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Timeline of Gabrielle Giffords' Recovery

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Unsure Medical Future for Orange County Penis-Slashing Victim

This story gets a content warning.

At Orange County Register, "Penis-slashing victim faces difficult medical choices":
The Garden Grove man who had his penis cut off faces an uncertain prognosis, local doctors say. Even after reconstructive surgery, he might never regain normal sexual function.

The victim’s wife, Catherine Kieu Becker, 48, is accused of drugging him, tying him to the bed and then slicing off his penis after an argument Monday night.

Because of privacy concerns, few details about the unidentified victim, 60, have been released, other than he’s in “good spirits” at UCI Medical Center in Orange. Hospital spokesman John Murray says the victim has not expressed interest in discussing his ordeal, and the doctor who performed emergency surgery on him has not been made available to discuss the man’s treatment and recovery options.

But experts who have treated patients in similar situations say this victim is worse off than John Wayne Bobbitt, the Virginia man who became a household name in 1993 when his wife, Lorena, cut off more than half his penis. She had claimed he’d raped her after a drunken night out. Despite his wounds, the penis was surgically re-attached, and he told the ladies of “The View” earlier this year that it functions normally.

Bobbitt had most of his penis intact. The severed portion was found in a field after his wife had tossed it out the window. It was put on ice and preserved long enough to re-attach it. But the Garden Grove man’s penis was put through a garbage disposal, so there was nothing left to re-attach.
More at that link above, and the Los Angeles Times has a more hopeful piece: "There are options for penis repair after mutilation."

See also, The Stir, "Woman Who Severed Husband's Penis: Why Did She Do It?"

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Michele Bachmann Enters Presidential Race

At Bloomberg, "Tea Party Favorite Bachmann Enters Republican Presidential Race."

And New York Times, "Bachmann Announces Presidential Candidacy."

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MediCare: Too Good to Last

From Charlie Cook, at National Journal:
“Social Security and Medicare Taxes and Benefits Over a Lifetime,” a study by C. Eugene Steuerle and Stephanie Rennane for the Urban Institute that was released in January, demonstrates quite vividly why senior citizens like Medicare so much. A single man earning the average wage, $43,100 in 2010 dollars, who retired in 2010 will pay an average of $55,000 in Medicare taxes over his lifetime and will receive $161,000 in Medicare benefits. A similarly situated woman will pay the same $55,000 in Medicare taxes but will get $181,000 in Medicare benefits (because women live longer than men). A one-earner couple in that situation, again paying $55,000 in Medicare taxes, would receive $342,000 in benefits. If you’re a Medicare recipient, why wouldn’t you think that the program as we know it is a great deal?

But, obviously, it’s not sustainable. With federal budget deficits soaring and worries about a national-debt crisis in our future rising, how is it possible to keep Medicare as we know it? If the federal government, over the long haul, isn’t in a position to make up the gap between what people are paying and the benefits they’re receiving, Medicare taxes have to go up, benefits have to be cut, or deductibles have to be raised on high-income retirees.
That's the key nugget, but read it all. Democrats are getting a free ride on this politically, despite the fact that the GOP's got the honest approach to policy. As usual.

RELATED: See also Andrew McCarthy, "Not Entitled."

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Sitting Can be as Deadly as Smoking

Recent studies show prolonged sitting is bad for your health, and bloggers sit a lot, so this especially bad news. Gretchen Carlson had a segment on Fox News, but see also Ann Althouse: "'Linda had no idea her desk was so deadly, noting how 'sitting is probably killing me'.'"

Althouse bought a desk, which is part of the solution. I'm going to do some walking this week:

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Mitt Romney Officially Launches 2012 Campaign

From PBS:

And at NYT, "Romney, Opening Race, Presents Himself as the Candidate to Face Obama."

I like Romney. But as I've said, I worry he's not conservative enough to generate enthusiasm, and if he's the nominee he may not differentiate himself enough from Obama, especially on the RomneyCare albatross.

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Proposed Santa Monica Ballot Measure Could Ban Circumcision

My wife hadn't heard of the San Francisco ballot measure to ban the practice, so when we were watching the news last night she had to laugh: "So next we'll be having back-alley circumcisions?" Well, yeah. And she continued: "No grown man remembers being circumcised as a baby, but an 18 year-old will never forget." Ouch.

At KABC-TV Los Angeles, "Santa Monica Ballot Measure Wants to Ban Circumcision."

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ObamaCare's Culture of Corruption

From Michelle, "Waivers for favors: Who applied, who was denied, and why?":

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The End of Family Practice

Or, at least the end of the neighborhood family practitioner who knows everyone's name, some of the same folks he spends time with out on the lake.

This is one more of those reports on the decline of traditional America, at New York Times, "Family Physician Can’t Give Away Solo Practice." It's Dr. Ronald Sroka in Maryland, who's been in practice for 32 years. He was looking to sell the practice, but no buyers. Sheesh, he couldn't give it away:
He tried to sell his once highly profitable practice. No luck. He tried giving it away. No luck.

Dr. Sroka’s fate is emblematic of a transformation in American medicine. He once provided for nearly all of his patients’ medical needs — stitching up the injured, directing care for the hospitalized and keeping vigil for the dying. But doctors like him are increasingly being replaced by teams of rotating doctors and nurses who do not know their patients nearly as well. A centuries-old intimacy between doctor and patient is being lost, and patients who visit the doctor are often kept guessing about who will appear in the white coat.

The share of solo practices among members of the American Academy of Family Physicians fell to 18 percent by 2008 from 44 percent in 1986. And census figures show that in 2007, just 28 percent of doctors described themselves as self-employed, compared with 58 percent in 1970. Many of the provisions of the new health care law are likely to accelerate these trends.

“There’s not going to be any of us left,” Dr. Sroka said.
RTWT at the link. And there's a video as well, at NYT's homepage.
When my wife and I moved to Orange County, in 2000, to get resettled for my new job at LBCC, we ended up looking through a big fat book of doctors who were part of our Blue Cross HMO. We picked a doctor just by the sound of his name, and we've been happy ever since. It's been just like the family doctor we had as kids. The doctor gets to know you. He's friendly and even offers his own personal counseling if necessary. It feels like the old days.
Yet it's been quite different with the pediatricians. Our oldest son was 5 when we moved down here from Fresno, and the first doctor we found --- also looking in the HMO physicians catalog --- was a prick. When my son was referred to a specialist for breathing problems, we ended up going with the new doctor, who had a large practice in Newport Beach, with about a half-a-dozen doctors. We're still visiting that office. Our youngest son is 9 and he's had a couple of different doctors from that medical group, but for a while it was just one women who was a specialist on learning disabilities. She helped us with some attention issues my son was having, and it worked out really well. But it's definitely a crap shoot if you don't have good references. You're picking names out of a book and ending up with these fancy, modern multi-physician practices where you'll be lucking if the doctors remember your kids' names. It's a nightmare, frankly, especially with a baby. So I can relate to this story about Dr. Sroka in Maryland. It's just him at the office. Unless he has some other local doctors to fill in for him on call he's screwed. That's why no one wanted to buy his practice. Here's the quote from NYT:
Indeed, younger doctors — half of whom are now women — are refusing to take over these small practices. They want better lifestyles, shorter work days, and weekends free of the beepers, cellphones and patient emergencies that have long defined doctors’ lives. Weighed down with debt, they want regular paychecks instead of shopkeeper risks. And even if they wanted such practices, banks — attuned to the growing uncertainties — are far less likely to lend the money needed.
That's interesting. It shows again how social changes --- especially affluence and the pursuit of leisure --- have influenced the way coming generations view traditional occupations.

In any case, what can you do I guess?

More later ...

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Mitt Romney's RomneyCare Albatross

I like Mitt Romney. I wouldn't be unhappy if he became the nominee. But he's got liabilities, especially his Massachusetts healthcare program that's being dissed as "RomneyCare" (an allusion to "ObamaCare").

Sean Hannity read Holly Robichaud's brutal Boston Herald essay on air the other night, "Just one more reminder that Mitt Romney can’t win." And here comes Michael Graham with another slam on Romney at the Herald, "Romneycare a big bust." What remains to be seen is how this plays out. In 2004 Democrats nominated John Kerry so they'd have a candidate with both veteran and antiwar creds to challenge a sitting war president. Problem was that Kerry couldn't get any traction on the war, since he wasn't going change much of the Bush policy on Iraq: "Why change horses in midstream"?


Will the same thing happen to Romney? Healthcare should be Obama's albatross, and it is, except if Romney's the nominee he'll have to try to differentiate what he did in Massachusetts with what Obama's done with the Affordable Care monstrosity. But it wont' work. Michael Graham's essay above says that ObamaCare and RomneyCare are joined at the hip in the public's mind, so Romney --- and Republicans --- are screwed on that issue. Maybe the Ann Coulter scenario would be better, to have Chris Christie throw his hat in the ring, but who knows at this point? Romney could be dead in the water? But Christie ain't running? And Sarah Palin could be hangin' loose until 2016? Hey, I'll take Michele Bachmann! We need a woman president!

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