Re: Obesity Rating for Every American Must Be Included in Stimulus-Mandated Electronic Health Records, Says HHS

[Guest guest]

Oh, goodness, Yomari, what a bad attitude! We can't all clone our thoughts and

can and should express our own opinions and ideas. THAT's what my history

lessons taught me THIS country was founded on, or at least this country's Bill

of Rights.

Digna (from Puerto Rico and with very radical and different ideas)

Re: Obesity Rating for Every American Must Be

> > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > >

> > > Before we go off on a tangent here, I'd like to suggest that we jump

> > > for joy over the inclusion of BMI calculators in EMRs. It's what we

> > > wanted, folks. First, we complained that patients weren't being

> > > weighed or measured on admission to the hospital. You can build your

> > > system so that there's a stop if height and weight aren't entered.

> > If

> > > you're afraid that stated or " guessed " values will be entered, add a

> > > qualifier that says " actual " or " stated " or " estimated " , which puts

> > > the person entering information on alert that not actually measuring

> > > will be identified. So, now you have height and weight on admission!

> > > Second, we wanted to be included as a valued member of the

> > healthcare

> > > team. Here's the chance.

> > >

> > > Clinical systems are really just super duper calculators sometimes.

> > > So, rather than the RD or DTR spending time with a calculator

> > figuring

> > > out the BMI for all those inpatients, the system will do it for you.

> > > We are not the only providers who care about BMI. Systems don't

> > > diagnose, people do, so the affixing of a diagnosis associated with

> > > the BMI is the responsibility of the provider, hopefully with input

> > > from the RD.

> > >

> > > So rather than bemoaning this awful (????) turn of events, how about

> > > working with your system design team to include the information you

> > > want to diagnose appropriately? After all, there is additional

> > payment

> > > for obesity-related conditions under prospective payment. The flip

> > > side of that is you have to avoid misdiagnosing, so here's where the

> > > expert RD can really shine.

> > >

> > > Have a good day.

> > > pam

> > >

> > > Pam Charney, PhD, RD

> > > Affiliate Associate Professor

> > > Pharmacy

> > >

> > > MS Student

> > > Clinical Informatics and Patient Centered Technology

> > > School of Nursing

> > >

> > > University of Washington

> > > Seattle, WA

> > > pcharney@... <mailto:pcharney%40mac.com>

<mailto:pcharney%40mac.com>

> > > http://www.linkedin.com/in/pamcharney

> > >

> > >

> > >

> > >

> > >

> > > > I work with Alaskan natives and the words wasted cacheix almost

> > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > found

> > > > the older larger boned Hispanics also looked wasted etc at a BMI

> > of

> > > > 22. It is not the gold standard that the public is being lead to

> > > > believe.

> > > >

> > > > Jackie Chase RD

> > > > Dillingham AK

> > > >

> > > >

> > > >

> > > > >

> > > > > I agree Holly........on a related note............this was just

> > > > released this month.....an easy to read synopsis of the health

> > care

> > > > bill as written by Senators Tom Coburn MD and Barrasso

> > MD......

> > > > I've only skimmed it, but it looks like they have documented every

> > > > statement they make.........

> > > > >

> > > > >

> > > > >

>http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

75-1d750a68eb31

>

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > >

> > > >

[Guest guest]

I am glad I havent had a chnce to go into the group and unsubscribe. I don't

have an attitude, in fact I was just expressing my own opinion just like others

here do. I never said they don't have a right to their opinions. In fact, I

think u didn't get my humor... In any case it really is not important.

Yomari (also from Puerto Rico-and a proud PIP member from a family of " radical

liberal progressives " )

Sent from my iPhone

On Jul 22, 2010, at 11:23 PM, " Digna Cassens "

wrote:

Oh, goodness, Yomari, what a bad attitude! We can't all clone our thoughts and

can and should express our own opinions and ideas. THAT's what my history

lessons taught me THIS country was founded on, or at least this country's Bill

of Rights.

Digna (from Puerto Rico and with very radical and different ideas)

Re: Obesity Rating for Every American Must Be

> > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > >

> > > Before we go off on a tangent here, I'd like to suggest that we jump

> > > for joy over the inclusion of BMI calculators in EMRs. It's what we

> > > wanted, folks. First, we complained that patients weren't being

> > > weighed or measured on admission to the hospital. You can build your

> > > system so that there's a stop if height and weight aren't entered.

> > If

> > > you're afraid that stated or " guessed " values will be entered, add a

> > > qualifier that says " actual " or " stated " or " estimated " , which puts

> > > the person entering information on alert that not actually measuring

> > > will be identified. So, now you have height and weight on admission!

> > > Second, we wanted to be included as a valued member of the

> > healthcare

> > > team. Here's the chance.

> > >

> > > Clinical systems are really just super duper calculators sometimes.

> > > So, rather than the RD or DTR spending time with a calculator

> > figuring

> > > out the BMI for all those inpatients, the system will do it for you.

> > > We are not the only providers who care about BMI. Systems don't

> > > diagnose, people do, so the affixing of a diagnosis associated with

> > > the BMI is the responsibility of the provider, hopefully with input

> > > from the RD.

> > >

> > > So rather than bemoaning this awful (????) turn of events, how about

> > > working with your system design team to include the information you

> > > want to diagnose appropriately? After all, there is additional

> > payment

> > > for obesity-related conditions under prospective payment. The flip

> > > side of that is you have to avoid misdiagnosing, so here's where the

> > > expert RD can really shine.

> > >

> > > Have a good day.

> > > pam

> > >

> > > Pam Charney, PhD, RD

> > > Affiliate Associate Professor

> > > Pharmacy

> > >

> > > MS Student

> > > Clinical Informatics and Patient Centered Technology

> > > School of Nursing

> > >

> > > University of Washington

> > > Seattle, WA

> > > pcharney@... <mailto:pcharney%40mac.com>

<mailto:pcharney%40mac.com>

> > > http://www.linkedin.com/in/pamcharney

> > >

> > >

> > >

> > >

> > >

> > > > I work with Alaskan natives and the words wasted cacheix almost

> > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > found

> > > > the older larger boned Hispanics also looked wasted etc at a BMI

> > of

> > > > 22. It is not the gold standard that the public is being lead to

> > > > believe.

> > > >

> > > > Jackie Chase RD

> > > > Dillingham AK

> > > >

> > > >

> > > >

> > > > >

> > > > > I agree Holly........on a related note............this was just

> > > > released this month.....an easy to read synopsis of the health

> > care

> > > > bill as written by Senators Tom Coburn MD and Barrasso

> > MD......

> > > > I've only skimmed it, but it looks like they have documented every

> > > > statement they make.........

> > > > >

> > > > >

> > > > >

>http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

75-1d750a68eb31

>

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > >

> > > >

[Guest guest]

I am glad I havent had a chnce to go into the group and unsubscribe. I don't

have an attitude, in fact I was just expressing my own opinion just like others

here do. I never said they don't have a right to their opinions. In fact, I

think u didn't get my humor... In any case it really is not important.

Yomari (also from Puerto Rico-and a proud PIP member from a family of " radical

liberal progressives " )

Sent from my iPhone

On Jul 22, 2010, at 11:23 PM, " Digna Cassens "

wrote:

Oh, goodness, Yomari, what a bad attitude! We can't all clone our thoughts and

can and should express our own opinions and ideas. THAT's what my history

lessons taught me THIS country was founded on, or at least this country's Bill

of Rights.

Digna (from Puerto Rico and with very radical and different ideas)

Re: Obesity Rating for Every American Must Be

> > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > >

> > > Before we go off on a tangent here, I'd like to suggest that we jump

> > > for joy over the inclusion of BMI calculators in EMRs. It's what we

> > > wanted, folks. First, we complained that patients weren't being

> > > weighed or measured on admission to the hospital. You can build your

> > > system so that there's a stop if height and weight aren't entered.

> > If

> > > you're afraid that stated or " guessed " values will be entered, add a

> > > qualifier that says " actual " or " stated " or " estimated " , which puts

> > > the person entering information on alert that not actually measuring

> > > will be identified. So, now you have height and weight on admission!

> > > Second, we wanted to be included as a valued member of the

> > healthcare

> > > team. Here's the chance.

> > >

> > > Clinical systems are really just super duper calculators sometimes.

> > > So, rather than the RD or DTR spending time with a calculator

> > figuring

> > > out the BMI for all those inpatients, the system will do it for you.

> > > We are not the only providers who care about BMI. Systems don't

> > > diagnose, people do, so the affixing of a diagnosis associated with

> > > the BMI is the responsibility of the provider, hopefully with input

> > > from the RD.

> > >

> > > So rather than bemoaning this awful (????) turn of events, how about

> > > working with your system design team to include the information you

> > > want to diagnose appropriately? After all, there is additional

> > payment

> > > for obesity-related conditions under prospective payment. The flip

> > > side of that is you have to avoid misdiagnosing, so here's where the

> > > expert RD can really shine.

> > >

> > > Have a good day.

> > > pam

> > >

> > > Pam Charney, PhD, RD

> > > Affiliate Associate Professor

> > > Pharmacy

> > >

> > > MS Student

> > > Clinical Informatics and Patient Centered Technology

> > > School of Nursing

> > >

> > > University of Washington

> > > Seattle, WA

> > > pcharney@... <mailto:pcharney%40mac.com>

<mailto:pcharney%40mac.com>

> > > http://www.linkedin.com/in/pamcharney

> > >

> > >

> > >

> > >

> > >

> > > > I work with Alaskan natives and the words wasted cacheix almost

> > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > found

> > > > the older larger boned Hispanics also looked wasted etc at a BMI

> > of

> > > > 22. It is not the gold standard that the public is being lead to

> > > > believe.

> > > >

> > > > Jackie Chase RD

> > > > Dillingham AK

> > > >

> > > >

> > > >

> > > > >

> > > > > I agree Holly........on a related note............this was just

> > > > released this month.....an easy to read synopsis of the health

> > care

> > > > bill as written by Senators Tom Coburn MD and Barrasso

> > MD......

> > > > I've only skimmed it, but it looks like they have documented every

> > > > statement they make.........

> > > > >

> > > > >

> > > > >

>http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

75-1d750a68eb31

>

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > >

> > > >

[Guest guest]

By the way the idea of us going back to communism is the most ridiculous idea

you conservatives have these days. I laugh every time I hear that. And that I

did say with an attitude.

________________________________

To: " rd-usa " <rd-usa >

Sent: Fri, July 23, 2010 8:16:10 AM

Subject: Re: Obesity Rating for Every American Must Be Included in

Stimulus-Mandated Electronic Health Records, Says HHS

I am glad I havent had a chnce to go into the group and unsubscribe. I don't

have an attitude, in fact I was just expressing my own opinion just like others

here do. I never said they don't have a right to their opinions. In fact, I

think u didn't get my humor... In any case it really is not important.

Yomari (also from Puerto Rico-and a proud PIP member from a family of " radical

liberal progressives " )

Sent from my iPhone

On Jul 22, 2010, at 11:23 PM, " Digna Cassens "

wrote:

Oh, goodness, Yomari, what a bad attitude! We can't all clone our thoughts and

can and should express our own opinions and ideas. THAT's what my history

lessons taught me THIS country was founded on, or at least this country's Bill

of Rights.

Digna (from Puerto Rico and with very radical and different ideas)

Re: Obesity Rating for Every American Must Be

> > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > >

> > > Before we go off on a tangent here, I'd like to suggest that we jump

> > > for joy over the inclusion of BMI calculators in EMRs. It's what we

> > > wanted, folks. First, we complained that patients weren't being

> > > weighed or measured on admission to the hospital. You can build your

> > > system so that there's a stop if height and weight aren't entered.

> > If

> > > you're afraid that stated or " guessed " values will be entered, add a

> > > qualifier that says " actual " or " stated " or " estimated " , which puts

> > > the person entering information on alert that not actually measuring

> > > will be identified. So, now you have height and weight on admission!

> > > Second, we wanted to be included as a valued member of the

> > healthcare

> > > team. Here's the chance.

> > >

> > > Clinical systems are really just super duper calculators sometimes.

> > > So, rather than the RD or DTR spending time with a calculator

> > figuring

> > > out the BMI for all those inpatients, the system will do it for you.

> > > We are not the only providers who care about BMI. Systems don't

> > > diagnose, people do, so the affixing of a diagnosis associated with

> > > the BMI is the responsibility of the provider, hopefully with input

> > > from the RD.

> > >

> > > So rather than bemoaning this awful (????) turn of events, how about

> > > working with your system design team to include the information you

> > > want to diagnose appropriately? After all, there is additional

> > payment

> > > for obesity-related conditions under prospective payment. The flip

> > > side of that is you have to avoid misdiagnosing, so here's where the

> > > expert RD can really shine.

> > >

> > > Have a good day.

> > > pam

> > >

> > > Pam Charney, PhD, RD

> > > Affiliate Associate Professor

> > > Pharmacy

> > >

> > > MS Student

> > > Clinical Informatics and Patient Centered Technology

> > > School of Nursing

> > >

> > > University of Washington

> > > Seattle, WA

> > > pcharney@... <mailto:pcharney%40mac.com>

<mailto:pcharney%40mac.com>

> > > http://www.linkedin.com/in/pamcharney

> > >

> > >

> > >

> > >

> > >

> > > > I work with Alaskan natives and the words wasted cacheix almost

> > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > found

> > > > the older larger boned Hispanics also looked wasted etc at a BMI

> > of

> > > > 22. It is not the gold standard that the public is being lead to

> > > > believe.

> > > >

> > > > Jackie Chase RD

> > > > Dillingham AK

> > > >

> > > >

> > > >

> > > > >

> > > > > I agree Holly........on a related note............this was just

> > > > released this month.....an easy to read synopsis of the health

> > care

> > > > bill as written by Senators Tom Coburn MD and Barrasso

> > MD......

> > > > I've only skimmed it, but it looks like they have documented every

> > > > statement they make.........

> > > > >

> > > > >

> > > > >

>http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

75-1d750a68eb31

>

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > >

> > > >

[Guest guest]

By the way the idea of us going back to communism is the most ridiculous idea

you conservatives have these days. I laugh every time I hear that. And that I

did say with an attitude.

________________________________

To: " rd-usa " <rd-usa >

Sent: Fri, July 23, 2010 8:16:10 AM

Subject: Re: Obesity Rating for Every American Must Be Included in

Stimulus-Mandated Electronic Health Records, Says HHS

I am glad I havent had a chnce to go into the group and unsubscribe. I don't

have an attitude, in fact I was just expressing my own opinion just like others

here do. I never said they don't have a right to their opinions. In fact, I

think u didn't get my humor... In any case it really is not important.

Yomari (also from Puerto Rico-and a proud PIP member from a family of " radical

liberal progressives " )

Sent from my iPhone

On Jul 22, 2010, at 11:23 PM, " Digna Cassens "

wrote:

Oh, goodness, Yomari, what a bad attitude! We can't all clone our thoughts and

can and should express our own opinions and ideas. THAT's what my history

lessons taught me THIS country was founded on, or at least this country's Bill

of Rights.

Digna (from Puerto Rico and with very radical and different ideas)

Re: Obesity Rating for Every American Must Be

> > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > >

> > > Before we go off on a tangent here, I'd like to suggest that we jump

> > > for joy over the inclusion of BMI calculators in EMRs. It's what we

> > > wanted, folks. First, we complained that patients weren't being

> > > weighed or measured on admission to the hospital. You can build your

> > > system so that there's a stop if height and weight aren't entered.

> > If

> > > you're afraid that stated or " guessed " values will be entered, add a

> > > qualifier that says " actual " or " stated " or " estimated " , which puts

> > > the person entering information on alert that not actually measuring

> > > will be identified. So, now you have height and weight on admission!

> > > Second, we wanted to be included as a valued member of the

> > healthcare

> > > team. Here's the chance.

> > >

> > > Clinical systems are really just super duper calculators sometimes.

> > > So, rather than the RD or DTR spending time with a calculator

> > figuring

> > > out the BMI for all those inpatients, the system will do it for you.

> > > We are not the only providers who care about BMI. Systems don't

> > > diagnose, people do, so the affixing of a diagnosis associated with

> > > the BMI is the responsibility of the provider, hopefully with input

> > > from the RD.

> > >

> > > So rather than bemoaning this awful (????) turn of events, how about

> > > working with your system design team to include the information you

> > > want to diagnose appropriately? After all, there is additional

> > payment

> > > for obesity-related conditions under prospective payment. The flip

> > > side of that is you have to avoid misdiagnosing, so here's where the

> > > expert RD can really shine.

> > >

> > > Have a good day.

> > > pam

> > >

> > > Pam Charney, PhD, RD

> > > Affiliate Associate Professor

> > > Pharmacy

> > >

> > > MS Student

> > > Clinical Informatics and Patient Centered Technology

> > > School of Nursing

> > >

> > > University of Washington

> > > Seattle, WA

> > > pcharney@... <mailto:pcharney%40mac.com>

<mailto:pcharney%40mac.com>

> > > http://www.linkedin.com/in/pamcharney

> > >

> > >

> > >

> > >

> > >

> > > > I work with Alaskan natives and the words wasted cacheix almost

> > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > found

> > > > the older larger boned Hispanics also looked wasted etc at a BMI

> > of

> > > > 22. It is not the gold standard that the public is being lead to

> > > > believe.

> > > >

> > > > Jackie Chase RD

> > > > Dillingham AK

> > > >

> > > >

> > > >

> > > > >

> > > > > I agree Holly........on a related note............this was just

> > > > released this month.....an easy to read synopsis of the health

> > care

> > > > bill as written by Senators Tom Coburn MD and Barrasso

> > MD......

> > > > I've only skimmed it, but it looks like they have documented every

> > > > statement they make.........

> > > > >

> > > > >

> > > > >

>http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

75-1d750a68eb31

>

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > >

> > > >

[Guest guest]

This healthcare reform IS socialism. People don’t realize that socialism is a

pre-cursor to communism. The founding fathers fought to free America from

socialism. Here is a good explanation of how a free country ends up in

communism: " Every time we talk about these taxes we get around to the idea of

'from each according to his capacity and to each according to his needs'. That's

socialism. It's written into the Communist Manifesto. Maybe we ought to see that

every person who gets a tax return receives a copy of the Communist Manifesto

with it so he can see what's happening to him. " —T. s

America used to fight against any root of communism to keep it from taking root

here. Now people just want to deny the possibility. Maybe we ought coin a term

“communism deniersâ€.

And speaking of how the founding fathers actually thought: " If ye love wealth

better than liberty, the tranquility of servitude than the animating contest of

freedom, go from us in peace. We ask not your counsels or arms. Crouch down and

lick the hands, which feed you. May your chains sit lightly upon you, and may

posterity forget that ye were our countrymen! " -

Quoteworthy: “We can’t expect the American people to jump from Capitalism to

Communism, but we can assist their elected leaders in giving them small doses of

Socialism, until they awaken one day to find that they have Communism.†Soviet

dictator Nikita Khrushchev speaking of Roosevelt’s “New Deal†paradigm

shift.

From: rd-usa [mailto:rd-usa ] On Behalf Of yomari

cruz

Sent: Friday, July 23, 2010 6:21 AM

To: rd-usa

Subject: Re: Obesity Rating for Every American Must Be Included in

Stimulus-Mandated Electronic Health Records, Says HHS

By the way the idea of us going back to communism is the most ridiculous idea

you conservatives have these days. I laugh every time I hear that. And that I

did say with an attitude.

________________________________

From: Yomari Cruz-Deweese <yomaricruz@...<mailto:yomaricruz%40yahoo.com>>

To: " rd-usa <mailto:rd-usa%40yahoogroups.com> "

<rd-usa <mailto:rd-usa%40yahoogroups.com>>

Sent: Fri, July 23, 2010 8:16:10 AM

Subject: Re: Obesity Rating for Every American Must Be Included in

Stimulus-Mandated Electronic Health Records, Says HHS

I am glad I havent had a chnce to go into the group and unsubscribe. I don't

have an attitude, in fact I was just expressing my own opinion just like others

here do. I never said they don't have a right to their opinions. In fact, I

think u didn't get my humor... In any case it really is not important.

Yomari (also from Puerto Rico-and a proud PIP member from a family of " radical

liberal progressives " )

Sent from my iPhone

On Jul 22, 2010, at 11:23 PM, " Digna Cassens "

<dignacassens@...<mailto:dignacassens%40roadrunner.com>>

wrote:

Oh, goodness, Yomari, what a bad attitude! We can't all clone our thoughts and

can and should express our own opinions and ideas. THAT's what my history

lessons taught me THIS country was founded on, or at least this country's Bill

of Rights.

Digna (from Puerto Rico and with very radical and different ideas)

Re: Obesity Rating for Every American Must Be

> > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > >

> > > Before we go off on a tangent here, I'd like to suggest that we jump

> > > for joy over the inclusion of BMI calculators in EMRs. It's what we

> > > wanted, folks. First, we complained that patients weren't being

> > > weighed or measured on admission to the hospital. You can build your

> > > system so that there's a stop if height and weight aren't entered.

> > If

> > > you're afraid that stated or " guessed " values will be entered, add a

> > > qualifier that says " actual " or " stated " or " estimated " , which puts

> > > the person entering information on alert that not actually measuring

> > > will be identified. So, now you have height and weight on admission!

> > > Second, we wanted to be included as a valued member of the

> > healthcare

> > > team. Here's the chance.

> > >

> > > Clinical systems are really just super duper calculators sometimes.

> > > So, rather than the RD or DTR spending time with a calculator

> > figuring

> > > out the BMI for all those inpatients, the system will do it for you.

> > > We are not the only providers who care about BMI. Systems don't

> > > diagnose, people do, so the affixing of a diagnosis associated with

> > > the BMI is the responsibility of the provider, hopefully with input

> > > from the RD.

> > >

> > > So rather than bemoaning this awful (????) turn of events, how about

> > > working with your system design team to include the information you

> > > want to diagnose appropriately? After all, there is additional

> > payment

> > > for obesity-related conditions under prospective payment. The flip

> > > side of that is you have to avoid misdiagnosing, so here's where the

> > > expert RD can really shine.

> > >

> > > Have a good day.

> > > pam

> > >

> > > Pam Charney, PhD, RD

> > > Affiliate Associate Professor

> > > Pharmacy

> > >

> > > MS Student

> > > Clinical Informatics and Patient Centered Technology

> > > School of Nursing

> > >

> > > University of Washington

> > > Seattle, WA

> > > pcharney@...<mailto:pcharney%40mac.com> <mailto:pcharney%40mac.com>

<mailto:pcharney%40mac.com>

> > > http://www.linkedin.com/in/pamcharney

> > >

> > >

> > >

> > >

> > >

> > > > I work with Alaskan natives and the words wasted cacheix almost

> > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > found

> > > > the older larger boned Hispanics also looked wasted etc at a BMI

> > of

> > > > 22. It is not the gold standard that the public is being lead to

> > > > believe.

> > > >

> > > > Jackie Chase RD

> > > > Dillingham AK

> > > >

> > > >

> > > >

> > > > >

> > > > > I agree Holly........on a related note............this was just

> > > > released this month.....an easy to read synopsis of the health

> > care

> > > > bill as written by Senators Tom Coburn MD and Barrasso

> > MD......

> > > > I've only skimmed it, but it looks like they have documented every

> > > > statement they make.........

> > > > >

> > > > >

> > > > >

>http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

75-1d750a68eb31

>

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > >

> > > >

[Guest guest]

This healthcare reform IS socialism. People don’t realize that socialism is a

pre-cursor to communism. The founding fathers fought to free America from

socialism. Here is a good explanation of how a free country ends up in

communism: " Every time we talk about these taxes we get around to the idea of

'from each according to his capacity and to each according to his needs'. That's

socialism. It's written into the Communist Manifesto. Maybe we ought to see that

every person who gets a tax return receives a copy of the Communist Manifesto

with it so he can see what's happening to him. " —T. s

America used to fight against any root of communism to keep it from taking root

here. Now people just want to deny the possibility. Maybe we ought coin a term

“communism deniersâ€.

And speaking of how the founding fathers actually thought: " If ye love wealth

better than liberty, the tranquility of servitude than the animating contest of

freedom, go from us in peace. We ask not your counsels or arms. Crouch down and

lick the hands, which feed you. May your chains sit lightly upon you, and may

posterity forget that ye were our countrymen! " -

Quoteworthy: “We can’t expect the American people to jump from Capitalism to

Communism, but we can assist their elected leaders in giving them small doses of

Socialism, until they awaken one day to find that they have Communism.†Soviet

dictator Nikita Khrushchev speaking of Roosevelt’s “New Deal†paradigm

shift.

From: rd-usa [mailto:rd-usa ] On Behalf Of yomari

cruz

Sent: Friday, July 23, 2010 6:21 AM

To: rd-usa

Subject: Re: Obesity Rating for Every American Must Be Included in

Stimulus-Mandated Electronic Health Records, Says HHS

By the way the idea of us going back to communism is the most ridiculous idea

you conservatives have these days. I laugh every time I hear that. And that I

did say with an attitude.

________________________________

From: Yomari Cruz-Deweese <yomaricruz@...<mailto:yomaricruz%40yahoo.com>>

To: " rd-usa <mailto:rd-usa%40yahoogroups.com> "

<rd-usa <mailto:rd-usa%40yahoogroups.com>>

Sent: Fri, July 23, 2010 8:16:10 AM

Subject: Re: Obesity Rating for Every American Must Be Included in

Stimulus-Mandated Electronic Health Records, Says HHS

I am glad I havent had a chnce to go into the group and unsubscribe. I don't

have an attitude, in fact I was just expressing my own opinion just like others

here do. I never said they don't have a right to their opinions. In fact, I

think u didn't get my humor... In any case it really is not important.

Yomari (also from Puerto Rico-and a proud PIP member from a family of " radical

liberal progressives " )

Sent from my iPhone

On Jul 22, 2010, at 11:23 PM, " Digna Cassens "

<dignacassens@...<mailto:dignacassens%40roadrunner.com>>

wrote:

Oh, goodness, Yomari, what a bad attitude! We can't all clone our thoughts and

can and should express our own opinions and ideas. THAT's what my history

lessons taught me THIS country was founded on, or at least this country's Bill

of Rights.

Digna (from Puerto Rico and with very radical and different ideas)

Re: Obesity Rating for Every American Must Be

> > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > >

> > > Before we go off on a tangent here, I'd like to suggest that we jump

> > > for joy over the inclusion of BMI calculators in EMRs. It's what we

> > > wanted, folks. First, we complained that patients weren't being

> > > weighed or measured on admission to the hospital. You can build your

> > > system so that there's a stop if height and weight aren't entered.

> > If

> > > you're afraid that stated or " guessed " values will be entered, add a

> > > qualifier that says " actual " or " stated " or " estimated " , which puts

> > > the person entering information on alert that not actually measuring

> > > will be identified. So, now you have height and weight on admission!

> > > Second, we wanted to be included as a valued member of the

> > healthcare

> > > team. Here's the chance.

> > >

> > > Clinical systems are really just super duper calculators sometimes.

> > > So, rather than the RD or DTR spending time with a calculator

> > figuring

> > > out the BMI for all those inpatients, the system will do it for you.

> > > We are not the only providers who care about BMI. Systems don't

> > > diagnose, people do, so the affixing of a diagnosis associated with

> > > the BMI is the responsibility of the provider, hopefully with input

> > > from the RD.

> > >

> > > So rather than bemoaning this awful (????) turn of events, how about

> > > working with your system design team to include the information you

> > > want to diagnose appropriately? After all, there is additional

> > payment

> > > for obesity-related conditions under prospective payment. The flip

> > > side of that is you have to avoid misdiagnosing, so here's where the

> > > expert RD can really shine.

> > >

> > > Have a good day.

> > > pam

> > >

> > > Pam Charney, PhD, RD

> > > Affiliate Associate Professor

> > > Pharmacy

> > >

> > > MS Student

> > > Clinical Informatics and Patient Centered Technology

> > > School of Nursing

> > >

> > > University of Washington

> > > Seattle, WA

> > > pcharney@...<mailto:pcharney%40mac.com> <mailto:pcharney%40mac.com>

<mailto:pcharney%40mac.com>

> > > http://www.linkedin.com/in/pamcharney

> > >

> > >

> > >

> > >

> > >

> > > > I work with Alaskan natives and the words wasted cacheix almost

> > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > found

> > > > the older larger boned Hispanics also looked wasted etc at a BMI

> > of

> > > > 22. It is not the gold standard that the public is being lead to

> > > > believe.

> > > >

> > > > Jackie Chase RD

> > > > Dillingham AK

> > > >

> > > >

> > > >

> > > > >

> > > > > I agree Holly........on a related note............this was just

> > > > released this month.....an easy to read synopsis of the health

> > care

> > > > bill as written by Senators Tom Coburn MD and Barrasso

> > MD......

> > > > I've only skimmed it, but it looks like they have documented every

> > > > statement they make.........

> > > > >

> > > > >

> > > > >

>http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

75-1d750a68eb31

>

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > >

> > > >

[Guest guest]

Beautiful words I had forgotten, . You're always such a good source of

historical facts and objective opinions. Whatever words are chosen to describe

our status today, it is what it is and it stinks. I'm less articulate than you

or the admirable people you quote, but I get to the point and realize the danger

we're in.

Digna

Re: Obesity Rating for Every American Must Be

> > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > >

> > > Before we go off on a tangent here, I'd like to suggest that we jump

> > > for joy over the inclusion of BMI calculators in EMRs. It's what we

> > > wanted, folks. First, we complained that patients weren't being

> > > weighed or measured on admission to the hospital. You can build your

> > > system so that there's a stop if height and weight aren't entered.

> > If

> > > you're afraid that stated or " guessed " values will be entered, add a

> > > qualifier that says " actual " or " stated " or " estimated " , which puts

> > > the person entering information on alert that not actually measuring

> > > will be identified. So, now you have height and weight on admission!

> > > Second, we wanted to be included as a valued member of the

> > healthcare

> > > team. Here's the chance.

> > >

> > > Clinical systems are really just super duper calculators sometimes.

> > > So, rather than the RD or DTR spending time with a calculator

> > figuring

> > > out the BMI for all those inpatients, the system will do it for you.

> > > We are not the only providers who care about BMI. Systems don't

> > > diagnose, people do, so the affixing of a diagnosis associated with

> > > the BMI is the responsibility of the provider, hopefully with input

> > > from the RD.

> > >

> > > So rather than bemoaning this awful (????) turn of events, how about

> > > working with your system design team to include the information you

> > > want to diagnose appropriately? After all, there is additional

> > payment

> > > for obesity-related conditions under prospective payment. The flip

> > > side of that is you have to avoid misdiagnosing, so here's where the

> > > expert RD can really shine.

> > >

> > > Have a good day.

> > > pam

> > >

> > > Pam Charney, PhD, RD

> > > Affiliate Associate Professor

> > > Pharmacy

> > >

> > > MS Student

> > > Clinical Informatics and Patient Centered Technology

> > > School of Nursing

> > >

> > > University of Washington

> > > Seattle, WA

> > > pcharney@...<mailto:pcharney%40mac.com> <mailto:pcharney%40mac.com>

<mailto:pcharney%40mac.com>

> > > http://www.linkedin.com/in/pamcharney

> > >

> > >

> > >

> > >

> > >

> > > > I work with Alaskan natives and the words wasted cacheix almost

> > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > found

> > > > the older larger boned Hispanics also looked wasted etc at a BMI

> > of

> > > > 22. It is not the gold standard that the public is being lead to

> > > > believe.

> > > >

> > > > Jackie Chase RD

> > > > Dillingham AK

> > > >

> > > >

> > > >

> > > > >

> > > > > I agree Holly........on a related note............this was just

> > > > released this month.....an easy to read synopsis of the health

> > care

> > > > bill as written by Senators Tom Coburn MD and Barrasso

> > MD......

> > > > I've only skimmed it, but it looks like they have documented every

> > > > statement they make.........

> > > > >

> > > > >

> > > > >

>http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

75-1d750a68eb31

>

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > >

> > > >

[Guest guest]

Beautiful words I had forgotten, . You're always such a good source of

historical facts and objective opinions. Whatever words are chosen to describe

our status today, it is what it is and it stinks. I'm less articulate than you

or the admirable people you quote, but I get to the point and realize the danger

we're in.

Digna

Re: Obesity Rating for Every American Must Be

> > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > >

> > > Before we go off on a tangent here, I'd like to suggest that we jump

> > > for joy over the inclusion of BMI calculators in EMRs. It's what we

> > > wanted, folks. First, we complained that patients weren't being

> > > weighed or measured on admission to the hospital. You can build your

> > > system so that there's a stop if height and weight aren't entered.

> > If

> > > you're afraid that stated or " guessed " values will be entered, add a

> > > qualifier that says " actual " or " stated " or " estimated " , which puts

> > > the person entering information on alert that not actually measuring

> > > will be identified. So, now you have height and weight on admission!

> > > Second, we wanted to be included as a valued member of the

> > healthcare

> > > team. Here's the chance.

> > >

> > > Clinical systems are really just super duper calculators sometimes.

> > > So, rather than the RD or DTR spending time with a calculator

> > figuring

> > > out the BMI for all those inpatients, the system will do it for you.

> > > We are not the only providers who care about BMI. Systems don't

> > > diagnose, people do, so the affixing of a diagnosis associated with

> > > the BMI is the responsibility of the provider, hopefully with input

> > > from the RD.

> > >

> > > So rather than bemoaning this awful (????) turn of events, how about

> > > working with your system design team to include the information you

> > > want to diagnose appropriately? After all, there is additional

> > payment

> > > for obesity-related conditions under prospective payment. The flip

> > > side of that is you have to avoid misdiagnosing, so here's where the

> > > expert RD can really shine.

> > >

> > > Have a good day.

> > > pam

> > >

> > > Pam Charney, PhD, RD

> > > Affiliate Associate Professor

> > > Pharmacy

> > >

> > > MS Student

> > > Clinical Informatics and Patient Centered Technology

> > > School of Nursing

> > >

> > > University of Washington

> > > Seattle, WA

> > > pcharney@...<mailto:pcharney%40mac.com> <mailto:pcharney%40mac.com>

<mailto:pcharney%40mac.com>

> > > http://www.linkedin.com/in/pamcharney

> > >

> > >

> > >

> > >

> > >

> > > > I work with Alaskan natives and the words wasted cacheix almost

> > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > found

> > > > the older larger boned Hispanics also looked wasted etc at a BMI

> > of

> > > > 22. It is not the gold standard that the public is being lead to

> > > > believe.

> > > >

> > > > Jackie Chase RD

> > > > Dillingham AK

> > > >

> > > >

> > > >

> > > > >

> > > > > I agree Holly........on a related note............this was just

> > > > released this month.....an easy to read synopsis of the health

> > care

> > > > bill as written by Senators Tom Coburn MD and Barrasso

> > MD......

> > > > I've only skimmed it, but it looks like they have documented every

> > > > statement they make.........

> > > > >

> > > > >

> > > > >

>http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

75-1d750a68eb31

>

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > >

> > > >

[Guest guest]

Ay Bendito, Yomari, at least now we understand each other. I just read this post

when scrolling to the bottom of 's response before deleting it glad I found

this. I can fully understand that you and I come from completely opposite sides

of the political and philosophical spectrum. I'm so far to the right that I'm

considered an anarchist at times. I usually keep quiet about my opinions,

however, I believe that those of us in healthcare, including RDs, must not only

read and listen to what's going on, but be free to discuss it and campaign

peacefully and in an orderly manner for our beliefs. Political discussions

affecting not only our own healthcare and that of our families, but also our

livelihood and potential future income, must be discussed, and these forums are

an appropriate medium for having those discussions.

I'm glad you didn't go in and unsubscribe. I hope that you continue to

participate in our comments and debates. Everyone deserves to be heard, and

everyone deserves to be able to learn both sides (actually all sides, bc there

are people whose opinions are right in the middle of ours, and that's OK too).

Digna (whose father died w/o realizing his lifelong dream of being from the 51st

state, La Isla del Encanto)

________________________________

From: Yomari Cruz-Deweese <yomaricruz@...<mailto:yomaricruz%40yahoo.com>>

To: " rd-usa <mailto:rd-usa%40yahoogroups.com> "

<rd-usa <mailto:rd-usa%40yahoogroups.com>>

Sent: Fri, July 23, 2010 8:16:10 AM

Subject: Re: Obesity Rating for Every American Must Be Included in

Stimulus-Mandated Electronic Health Records, Says HHS

I am glad I havent had a chnce to go into the group and unsubscribe. I don't

have an attitude, in fact I was just expressing my own opinion just like others

here do. I never said they don't have a right to their opinions. In fact, I

think u didn't get my humor... In any case it really is not important.

Yomari (also from Puerto Rico-and a proud PIP member from a family of " radical

liberal progressives " )

Sent from my iPhone

On Jul 22, 2010, at 11:23 PM, " Digna Cassens "

<dignacassens@...<mailto:dignacassens%40roadrunner.com>>

wrote:

Oh, goodness, Yomari, what a bad attitude! We can't all clone our thoughts and

can and should express our own opinions and ideas. THAT's what my history

lessons taught me THIS country was founded on, or at least this country's Bill

of Rights.

Digna (from Puerto Rico and with very radical and different ideas)

Re: Obesity Rating for Every American Must Be

> > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > >

> > > Before we go off on a tangent here, I'd like to suggest that we jump

> > > for joy over the inclusion of BMI calculators in EMRs. It's what we

> > > wanted, folks. First, we complained that patients weren't being

> > > weighed or measured on admission to the hospital. You can build your

> > > system so that there's a stop if height and weight aren't entered.

> > If

> > > you're afraid that stated or " guessed " values will be entered, add a

> > > qualifier that says " actual " or " stated " or " estimated " , which puts

> > > the person entering information on alert that not actually measuring

> > > will be identified. So, now you have height and weight on admission!

> > > Second, we wanted to be included as a valued member of the

> > healthcare

> > > team. Here's the chance.

> > >

> > > Clinical systems are really just super duper calculators sometimes.

> > > So, rather than the RD or DTR spending time with a calculator

> > figuring

> > > out the BMI for all those inpatients, the system will do it for you.

> > > We are not the only providers who care about BMI. Systems don't

> > > diagnose, people do, so the affixing of a diagnosis associated with

> > > the BMI is the responsibility of the provider, hopefully with input

> > > from the RD.

> > >

> > > So rather than bemoaning this awful (????) turn of events, how about

> > > working with your system design team to include the information you

> > > want to diagnose appropriately? After all, there is additional

> > payment

> > > for obesity-related conditions under prospective payment. The flip

> > > side of that is you have to avoid misdiagnosing, so here's where the

> > > expert RD can really shine.

> > >

> > > Have a good day.

> > > pam

> > >

> > > Pam Charney, PhD, RD

> > > Affiliate Associate Professor

> > > Pharmacy

> > >

> > > MS Student

> > > Clinical Informatics and Patient Centered Technology

> > > School of Nursing

> > >

> > > University of Washington

> > > Seattle, WA

> > > pcharney@...<mailto:pcharney%40mac.com> <mailto:pcharney%40mac.com>

<mailto:pcharney%40mac.com>

> > > http://www.linkedin.com/in/pamcharney

> > >

> > >

> > >

> > >

> > >

> > > > I work with Alaskan natives and the words wasted cacheix almost

> > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > found

> > > > the older larger boned Hispanics also looked wasted etc at a BMI

> > of

> > > > 22. It is not the gold standard that the public is being lead to

> > > > believe.

> > > >

> > > > Jackie Chase RD

> > > > Dillingham AK

> > > >

> > > >

> > > >

> > > > >

> > > > > I agree Holly........on a related note............this was just

> > > > released this month.....an easy to read synopsis of the health

> > care

> > > > bill as written by Senators Tom Coburn MD and Barrasso

> > MD......

> > > > I've only skimmed it, but it looks like they have documented every

> > > > statement they make.........

> > > > >

> > > > >

> > > > >

>http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

75-1d750a68eb31

>

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > >

> > > >

[Guest guest]

Ay Bendito, Yomari, at least now we understand each other. I just read this post

when scrolling to the bottom of 's response before deleting it glad I found

this. I can fully understand that you and I come from completely opposite sides

of the political and philosophical spectrum. I'm so far to the right that I'm

considered an anarchist at times. I usually keep quiet about my opinions,

however, I believe that those of us in healthcare, including RDs, must not only

read and listen to what's going on, but be free to discuss it and campaign

peacefully and in an orderly manner for our beliefs. Political discussions

affecting not only our own healthcare and that of our families, but also our

livelihood and potential future income, must be discussed, and these forums are

an appropriate medium for having those discussions.

I'm glad you didn't go in and unsubscribe. I hope that you continue to

participate in our comments and debates. Everyone deserves to be heard, and

everyone deserves to be able to learn both sides (actually all sides, bc there

are people whose opinions are right in the middle of ours, and that's OK too).

Digna (whose father died w/o realizing his lifelong dream of being from the 51st

state, La Isla del Encanto)

________________________________

From: Yomari Cruz-Deweese <yomaricruz@...<mailto:yomaricruz%40yahoo.com>>

To: " rd-usa <mailto:rd-usa%40yahoogroups.com> "

<rd-usa <mailto:rd-usa%40yahoogroups.com>>

Sent: Fri, July 23, 2010 8:16:10 AM

Subject: Re: Obesity Rating for Every American Must Be Included in

Stimulus-Mandated Electronic Health Records, Says HHS

I am glad I havent had a chnce to go into the group and unsubscribe. I don't

have an attitude, in fact I was just expressing my own opinion just like others

here do. I never said they don't have a right to their opinions. In fact, I

think u didn't get my humor... In any case it really is not important.

Yomari (also from Puerto Rico-and a proud PIP member from a family of " radical

liberal progressives " )

Sent from my iPhone

On Jul 22, 2010, at 11:23 PM, " Digna Cassens "

<dignacassens@...<mailto:dignacassens%40roadrunner.com>>

wrote:

Oh, goodness, Yomari, what a bad attitude! We can't all clone our thoughts and

can and should express our own opinions and ideas. THAT's what my history

lessons taught me THIS country was founded on, or at least this country's Bill

of Rights.

Digna (from Puerto Rico and with very radical and different ideas)

Re: Obesity Rating for Every American Must Be

> > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > >

> > > Before we go off on a tangent here, I'd like to suggest that we jump

> > > for joy over the inclusion of BMI calculators in EMRs. It's what we

> > > wanted, folks. First, we complained that patients weren't being

> > > weighed or measured on admission to the hospital. You can build your

> > > system so that there's a stop if height and weight aren't entered.

> > If

> > > you're afraid that stated or " guessed " values will be entered, add a

> > > qualifier that says " actual " or " stated " or " estimated " , which puts

> > > the person entering information on alert that not actually measuring

> > > will be identified. So, now you have height and weight on admission!

> > > Second, we wanted to be included as a valued member of the

> > healthcare

> > > team. Here's the chance.

> > >

> > > Clinical systems are really just super duper calculators sometimes.

> > > So, rather than the RD or DTR spending time with a calculator

> > figuring

> > > out the BMI for all those inpatients, the system will do it for you.

> > > We are not the only providers who care about BMI. Systems don't

> > > diagnose, people do, so the affixing of a diagnosis associated with

> > > the BMI is the responsibility of the provider, hopefully with input

> > > from the RD.

> > >

> > > So rather than bemoaning this awful (????) turn of events, how about

> > > working with your system design team to include the information you

> > > want to diagnose appropriately? After all, there is additional

> > payment

> > > for obesity-related conditions under prospective payment. The flip

> > > side of that is you have to avoid misdiagnosing, so here's where the

> > > expert RD can really shine.

> > >

> > > Have a good day.

> > > pam

> > >

> > > Pam Charney, PhD, RD

> > > Affiliate Associate Professor

> > > Pharmacy

> > >

> > > MS Student

> > > Clinical Informatics and Patient Centered Technology

> > > School of Nursing

> > >

> > > University of Washington

> > > Seattle, WA

> > > pcharney@...<mailto:pcharney%40mac.com> <mailto:pcharney%40mac.com>

<mailto:pcharney%40mac.com>

> > > http://www.linkedin.com/in/pamcharney

> > >

> > >

> > >

> > >

> > >

> > > > I work with Alaskan natives and the words wasted cacheix almost

> > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > found

> > > > the older larger boned Hispanics also looked wasted etc at a BMI

> > of

> > > > 22. It is not the gold standard that the public is being lead to

> > > > believe.

> > > >

> > > > Jackie Chase RD

> > > > Dillingham AK

> > > >

> > > >

> > > >

> > > > >

> > > > > I agree Holly........on a related note............this was just

> > > > released this month.....an easy to read synopsis of the health

> > care

> > > > bill as written by Senators Tom Coburn MD and Barrasso

> > MD......

> > > > I've only skimmed it, but it looks like they have documented every

> > > > statement they make.........

> > > > >

> > > > >

> > > > >

>http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

75-1d750a68eb31

>

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

> > > >

> > > >

[Guest guest]

I really hate how these discussions always get political, but

anyway...I work in a field that is directly covered by medicare and

have not seen any ill affects from electronic charting. I think ppl

get unnecessarily worked up over this.

I would think that the emr is something that conservatives would love

b/c of it's potential to decrease spending for duplication of tests

etc....

What is the difference whether the bmi is in an emr or a regular

chart, it is still there for insurance companies to get their hands

on...

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

> Ay Bendito, Yomari, at least now we understand each other. I just read

this post when scrolling to the bottom of 's response before deleting it

glad I found this. I can fully understand that you and I come from completely

opposite sides of the political and philosophical spectrum. I'm so far to the

right that I'm considered an anarchist at times. I usually keep quiet about my

opinions, however, I believe that those of us in healthcare, including RDs, must

not only read and listen to what's going on, but be free to discuss it and

campaign peacefully and in an orderly manner for our beliefs. Political

discussions affecting not only our own healthcare and that of our families, but

also our livelihood and potential future income, must be discussed, and these

forums are an appropriate medium for having those discussions.

>

> I'm glad you didn't go in and unsubscribe. I hope that you continue to

participate in our comments and debates. Everyone deserves to be heard, and

everyone deserves to be able to learn both sides (actually all sides, bc there

are people whose opinions are right in the middle of ours, and that's OK too).

>

> Digna (whose father died w/o realizing his lifelong dream of being from the

51st state, La Isla del Encanto)

>

> ________________________________

> From: Yomari Cruz-Deweese

<yomaricruz@...<mailto:yomaricruz%40yahoo.com>>

> To: " rd-usa <mailto:rd-usa%40yahoogroups.com> "

<rd-usa <mailto:rd-usa%40yahoogroups.com>>

> Sent: Fri, July 23, 2010 8:16:10 AM

> Subject: Re: Obesity Rating for Every American Must Be Included in

> Stimulus-Mandated Electronic Health Records, Says HHS

>

> I am glad I havent had a chnce to go into the group and unsubscribe. I don't

> have an attitude, in fact I was just expressing my own opinion just like

others

> here do. I never said they don't have a right to their opinions. In fact, I

> think u didn't get my humor... In any case it really is not important.

>

> Yomari (also from Puerto Rico-and a proud PIP member from a family of " radical

> liberal progressives " )

>

> Sent from my iPhone

>

> On Jul 22, 2010, at 11:23 PM, " Digna Cassens "

<dignacassens@...<mailto:dignacassens%40roadrunner.com>>

> wrote:

>

> Oh, goodness, Yomari, what a bad attitude! We can't all clone our thoughts and

> can and should express our own opinions and ideas. THAT's what my history

> lessons taught me THIS country was founded on, or at least this country's Bill

> of Rights.

>

> Digna (from Puerto Rico and with very radical and different ideas)

>

> RE: Obesity Rating for Every American Must Be Included in

> Stimulus-Mandated Electronic Health Records, Says HHS

>

> The last thing we need is more government regulation in our lives. That is

> not what this country was built on nor what our Founding Father's intended.

> What ever happened to personal responsibility? If the public did not buy

> the " highly processed crap " , companies would not continue to produce it. By

> the way, if the government regulates away all the processed food that

> contributes to poor health, how do you think it will impact the RD???

> Before this is misinterpreted, my point is that if the government takes over

> everything, and Big Brother is dictating our every move, our usefulness

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

[Guest guest]

I really hate how these discussions always get political, but

anyway...I work in a field that is directly covered by medicare and

have not seen any ill affects from electronic charting. I think ppl

get unnecessarily worked up over this.

I would think that the emr is something that conservatives would love

b/c of it's potential to decrease spending for duplication of tests

etc....

What is the difference whether the bmi is in an emr or a regular

chart, it is still there for insurance companies to get their hands

on...

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

> Ay Bendito, Yomari, at least now we understand each other. I just read

this post when scrolling to the bottom of 's response before deleting it

glad I found this. I can fully understand that you and I come from completely

opposite sides of the political and philosophical spectrum. I'm so far to the

right that I'm considered an anarchist at times. I usually keep quiet about my

opinions, however, I believe that those of us in healthcare, including RDs, must

not only read and listen to what's going on, but be free to discuss it and

campaign peacefully and in an orderly manner for our beliefs. Political

discussions affecting not only our own healthcare and that of our families, but

also our livelihood and potential future income, must be discussed, and these

forums are an appropriate medium for having those discussions.

>

> I'm glad you didn't go in and unsubscribe. I hope that you continue to

participate in our comments and debates. Everyone deserves to be heard, and

everyone deserves to be able to learn both sides (actually all sides, bc there

are people whose opinions are right in the middle of ours, and that's OK too).

>

> Digna (whose father died w/o realizing his lifelong dream of being from the

51st state, La Isla del Encanto)

>

> ________________________________

> From: Yomari Cruz-Deweese

<yomaricruz@...<mailto:yomaricruz%40yahoo.com>>

> To: " rd-usa <mailto:rd-usa%40yahoogroups.com> "

<rd-usa <mailto:rd-usa%40yahoogroups.com>>

> Sent: Fri, July 23, 2010 8:16:10 AM

> Subject: Re: Obesity Rating for Every American Must Be Included in

> Stimulus-Mandated Electronic Health Records, Says HHS

>

> I am glad I havent had a chnce to go into the group and unsubscribe. I don't

> have an attitude, in fact I was just expressing my own opinion just like

others

> here do. I never said they don't have a right to their opinions. In fact, I

> think u didn't get my humor... In any case it really is not important.

>

> Yomari (also from Puerto Rico-and a proud PIP member from a family of " radical

> liberal progressives " )

>

> Sent from my iPhone

>

> On Jul 22, 2010, at 11:23 PM, " Digna Cassens "

<dignacassens@...<mailto:dignacassens%40roadrunner.com>>

> wrote:

>

> Oh, goodness, Yomari, what a bad attitude! We can't all clone our thoughts and

> can and should express our own opinions and ideas. THAT's what my history

> lessons taught me THIS country was founded on, or at least this country's Bill

> of Rights.

>

> Digna (from Puerto Rico and with very radical and different ideas)

>

> RE: Obesity Rating for Every American Must Be Included in

> Stimulus-Mandated Electronic Health Records, Says HHS

>

> The last thing we need is more government regulation in our lives. That is

> not what this country was built on nor what our Founding Father's intended.

> What ever happened to personal responsibility? If the public did not buy

> the " highly processed crap " , companies would not continue to produce it. By

> the way, if the government regulates away all the processed food that

> contributes to poor health, how do you think it will impact the RD???

> Before this is misinterpreted, my point is that if the government takes over

> everything, and Big Brother is dictating our every move, our usefulness

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

[Guest guest]

I'm with Yomari on this one. To think that providing healthcare to

Americans is the first step to communism is somewhat off the track. I

was born and raised in the Northeast, in small town New England, where

we still had town meetings. Some of the " founding fathers " (what about

the mothers???) grew up not far from where I did, albeit a couple

years earlier. To think that those who began our country could foresee

the mess we're in is ridiculous. What they did was give us the

framework to build a country, and hope that we'd have the brains to

see into our own future. I honestly cannot see any of them saying " I

got mine, you're on your own " .

, are you referring to McCarthyism? If so, I'm glad we're past

that. I suppose if I had the time I could go find quotes to match

yours. That's an easy exercise in trying to prove your point. I'd much

prefer to let my actions prove mine. That and I have other work to

do.....

Regards,

pam

Pam Charney

pcharney@...

> This healthcare reform IS socialism. People don’t realize that

> socialism is a pre-cursor to communism. The founding fathers fought

> to free America from socialism. Here is a good explanation of how a

> free country ends up in communism: " Every time we talk about these

> taxes we get around to the idea of 'from each according to his

> capacity and to each according to his needs'. That's socialism. It's

> written into the Communist Manifesto. Maybe we ought to see that

> every person who gets a tax return receives a copy of the Communist

> Manifesto with it so he can see what's happening to him. " —T.

> s

>

> America used to fight against any root of communism to keep it from

> taking root here. Now people just want to deny the possibility.

> Maybe we ought coin a term “communism deniers”.

>

> And speaking of how the founding fathers actually thought: " If ye

> love wealth better than liberty, the tranquility of servitude than

> the animating contest of freedom, go from us in peace. We ask not

> your counsels or arms. Crouch down and lick the hands, which feed

> you. May your chains sit lightly upon you, and may posterity forget

> that ye were our countrymen! " -

>

>

>

> Quoteworthy: “We can’t expect the American people to jump from

> Capitalism to Communism, but we can assist their elected leaders in

> giving them small doses of Socialism, until they awaken one day to

> find that they have Communism.” Soviet dictator Nikita Khrushchev

> speaking of Roosevelt’s “New Deal” paradigm shift.

>

>

> From: rd-usa [mailto:rd-usa ] On

> Behalf Of yomari cruz

> Sent: Friday, July 23, 2010 6:21 AM

> To: rd-usa

> Subject: Re: Obesity Rating for Every American Must Be

> Included in Stimulus-Mandated Electronic Health Records, Says HHS

>

>

>

> By the way the idea of us going back to communism is the most

> ridiculous idea

> you conservatives have these days. I laugh every time I hear that.

> And that I

> did say with an attitude.

>

> ________________________________

> From: Yomari Cruz-Deweese <yomaricruz@...<mailto:yomaricruz%40yahoo.com

> >>

> To: " rd-usa <mailto:rd-usa%40yahoogroups.com> "

<rd-usa

> <mailto:rd-usa%40yahoogroups.com>>

> Sent: Fri, July 23, 2010 8:16:10 AM

> Subject: Re: Obesity Rating for Every American Must Be

> Included in

> Stimulus-Mandated Electronic Health Records, Says HHS

>

> I am glad I havent had a chnce to go into the group and unsubscribe.

> I don't

> have an attitude, in fact I was just expressing my own opinion just

> like others

> here do. I never said they don't have a right to their opinions. In

> fact, I

> think u didn't get my humor... In any case it really is not important.

>

> Yomari (also from Puerto Rico-and a proud PIP member from a family

> of " radical

> liberal progressives " )

>

> Sent from my iPhone

>

> On Jul 22, 2010, at 11:23 PM, " Digna Cassens " <dignacassens@...

> <mailto:dignacassens%40roadrunner.com>>

> wrote:

>

> Oh, goodness, Yomari, what a bad attitude! We can't all clone our

> thoughts and

> can and should express our own opinions and ideas. THAT's what my

> history

> lessons taught me THIS country was founded on, or at least this

> country's Bill

> of Rights.

>

> Digna (from Puerto Rico and with very radical and different ideas)

>

> Re: Obesity Rating for Every American Must Be

> > > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > > >

> > > > Before we go off on a tangent here, I'd like to suggest that

> we jump

> > > > for joy over the inclusion of BMI calculators in EMRs. It's

> what we

> > > > wanted, folks. First, we complained that patients weren't being

> > > > weighed or measured on admission to the hospital. You can

> build your

> > > > system so that there's a stop if height and weight aren't

> entered.

> > > If

> > > > you're afraid that stated or " guessed " values will be entered,

> add a

> > > > qualifier that says " actual " or " stated " or " estimated " , which

> puts

> > > > the person entering information on alert that not actually

> measuring

> > > > will be identified. So, now you have height and weight on

> admission!

> > > > Second, we wanted to be included as a valued member of the

> > > healthcare

> > > > team. Here's the chance.

> > > >

> > > > Clinical systems are really just super duper calculators

> sometimes.

> > > > So, rather than the RD or DTR spending time with a calculator

> > > figuring

> > > > out the BMI for all those inpatients, the system will do it

> for you.

> > > > We are not the only providers who care about BMI. Systems don't

> > > > diagnose, people do, so the affixing of a diagnosis associated

> with

> > > > the BMI is the responsibility of the provider, hopefully with

> input

> > > > from the RD.

> > > >

> > > > So rather than bemoaning this awful (????) turn of events, how

> about

> > > > working with your system design team to include the

> information you

> > > > want to diagnose appropriately? After all, there is additional

> > > payment

> > > > for obesity-related conditions under prospective payment. The

> flip

> > > > side of that is you have to avoid misdiagnosing, so here's

> where the

> > > > expert RD can really shine.

> > > >

> > > > Have a good day.

> > > > pam

> > > >

> > > > Pam Charney, PhD, RD

> > > > Affiliate Associate Professor

> > > > Pharmacy

> > > >

> > > > MS Student

> > > > Clinical Informatics and Patient Centered Technology

> > > > School of Nursing

> > > >

> > > > University of Washington

> > > > Seattle, WA

> > > > pcharney@...<mailto:pcharney%40mac.com> <mailto:pcharney%40mac.com

> >

> <mailto:pcharney%40mac.com>

> > > > http://www.linkedin.com/in/pamcharney

> > > >

> > > >

> > > >

> > > >

> > > >

> > > > > I work with Alaskan natives and the words wasted cacheix

> almost

> > > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > > found

> > > > > the older larger boned Hispanics also looked wasted etc at a

> BMI

> > > of

> > > > > 22. It is not the gold standard that the public is being

> lead to

> > > > > believe.

> > > > >

> > > > > Jackie Chase RD

> > > > > Dillingham AK

> > > > >

> > > > >

> > > > >

> > > > > >

> > > > > > I agree Holly........on a related note............this was

> just

> > > > > released this month.....an easy to read synopsis of the health

> > > care

> > > > > bill as written by Senators Tom Coburn MD and Barrasso

> > > MD......

> > > > > I've only skimmed it, but it looks like they have documented

> every

> > > > > statement they make.........

> > > > > >

> > > > > >

> > > > > >

> >http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

> 75-1d750a68eb31

> >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > >

> > > > >

[Guest guest]

I'm with Yomari on this one. To think that providing healthcare to

Americans is the first step to communism is somewhat off the track. I

was born and raised in the Northeast, in small town New England, where

we still had town meetings. Some of the " founding fathers " (what about

the mothers???) grew up not far from where I did, albeit a couple

years earlier. To think that those who began our country could foresee

the mess we're in is ridiculous. What they did was give us the

framework to build a country, and hope that we'd have the brains to

see into our own future. I honestly cannot see any of them saying " I

got mine, you're on your own " .

, are you referring to McCarthyism? If so, I'm glad we're past

that. I suppose if I had the time I could go find quotes to match

yours. That's an easy exercise in trying to prove your point. I'd much

prefer to let my actions prove mine. That and I have other work to

do.....

Regards,

pam

Pam Charney

pcharney@...

> This healthcare reform IS socialism. People don’t realize that

> socialism is a pre-cursor to communism. The founding fathers fought

> to free America from socialism. Here is a good explanation of how a

> free country ends up in communism: " Every time we talk about these

> taxes we get around to the idea of 'from each according to his

> capacity and to each according to his needs'. That's socialism. It's

> written into the Communist Manifesto. Maybe we ought to see that

> every person who gets a tax return receives a copy of the Communist

> Manifesto with it so he can see what's happening to him. " —T.

> s

>

> America used to fight against any root of communism to keep it from

> taking root here. Now people just want to deny the possibility.

> Maybe we ought coin a term “communism deniers”.

>

> And speaking of how the founding fathers actually thought: " If ye

> love wealth better than liberty, the tranquility of servitude than

> the animating contest of freedom, go from us in peace. We ask not

> your counsels or arms. Crouch down and lick the hands, which feed

> you. May your chains sit lightly upon you, and may posterity forget

> that ye were our countrymen! " -

>

>

>

> Quoteworthy: “We can’t expect the American people to jump from

> Capitalism to Communism, but we can assist their elected leaders in

> giving them small doses of Socialism, until they awaken one day to

> find that they have Communism.” Soviet dictator Nikita Khrushchev

> speaking of Roosevelt’s “New Deal” paradigm shift.

>

>

> From: rd-usa [mailto:rd-usa ] On

> Behalf Of yomari cruz

> Sent: Friday, July 23, 2010 6:21 AM

> To: rd-usa

> Subject: Re: Obesity Rating for Every American Must Be

> Included in Stimulus-Mandated Electronic Health Records, Says HHS

>

>

>

> By the way the idea of us going back to communism is the most

> ridiculous idea

> you conservatives have these days. I laugh every time I hear that.

> And that I

> did say with an attitude.

>

> ________________________________

> From: Yomari Cruz-Deweese <yomaricruz@...<mailto:yomaricruz%40yahoo.com

> >>

> To: " rd-usa <mailto:rd-usa%40yahoogroups.com> "

<rd-usa

> <mailto:rd-usa%40yahoogroups.com>>

> Sent: Fri, July 23, 2010 8:16:10 AM

> Subject: Re: Obesity Rating for Every American Must Be

> Included in

> Stimulus-Mandated Electronic Health Records, Says HHS

>

> I am glad I havent had a chnce to go into the group and unsubscribe.

> I don't

> have an attitude, in fact I was just expressing my own opinion just

> like others

> here do. I never said they don't have a right to their opinions. In

> fact, I

> think u didn't get my humor... In any case it really is not important.

>

> Yomari (also from Puerto Rico-and a proud PIP member from a family

> of " radical

> liberal progressives " )

>

> Sent from my iPhone

>

> On Jul 22, 2010, at 11:23 PM, " Digna Cassens " <dignacassens@...

> <mailto:dignacassens%40roadrunner.com>>

> wrote:

>

> Oh, goodness, Yomari, what a bad attitude! We can't all clone our

> thoughts and

> can and should express our own opinions and ideas. THAT's what my

> history

> lessons taught me THIS country was founded on, or at least this

> country's Bill

> of Rights.

>

> Digna (from Puerto Rico and with very radical and different ideas)

>

> Re: Obesity Rating for Every American Must Be

> > > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > > >

> > > > Before we go off on a tangent here, I'd like to suggest that

> we jump

> > > > for joy over the inclusion of BMI calculators in EMRs. It's

> what we

> > > > wanted, folks. First, we complained that patients weren't being

> > > > weighed or measured on admission to the hospital. You can

> build your

> > > > system so that there's a stop if height and weight aren't

> entered.

> > > If

> > > > you're afraid that stated or " guessed " values will be entered,

> add a

> > > > qualifier that says " actual " or " stated " or " estimated " , which

> puts

> > > > the person entering information on alert that not actually

> measuring

> > > > will be identified. So, now you have height and weight on

> admission!

> > > > Second, we wanted to be included as a valued member of the

> > > healthcare

> > > > team. Here's the chance.

> > > >

> > > > Clinical systems are really just super duper calculators

> sometimes.

> > > > So, rather than the RD or DTR spending time with a calculator

> > > figuring

> > > > out the BMI for all those inpatients, the system will do it

> for you.

> > > > We are not the only providers who care about BMI. Systems don't

> > > > diagnose, people do, so the affixing of a diagnosis associated

> with

> > > > the BMI is the responsibility of the provider, hopefully with

> input

> > > > from the RD.

> > > >

> > > > So rather than bemoaning this awful (????) turn of events, how

> about

> > > > working with your system design team to include the

> information you

> > > > want to diagnose appropriately? After all, there is additional

> > > payment

> > > > for obesity-related conditions under prospective payment. The

> flip

> > > > side of that is you have to avoid misdiagnosing, so here's

> where the

> > > > expert RD can really shine.

> > > >

> > > > Have a good day.

> > > > pam

> > > >

> > > > Pam Charney, PhD, RD

> > > > Affiliate Associate Professor

> > > > Pharmacy

> > > >

> > > > MS Student

> > > > Clinical Informatics and Patient Centered Technology

> > > > School of Nursing

> > > >

> > > > University of Washington

> > > > Seattle, WA

> > > > pcharney@...<mailto:pcharney%40mac.com> <mailto:pcharney%40mac.com

> >

> <mailto:pcharney%40mac.com>

> > > > http://www.linkedin.com/in/pamcharney

> > > >

> > > >

> > > >

> > > >

> > > >

> > > > > I work with Alaskan natives and the words wasted cacheix

> almost

> > > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > > found

> > > > > the older larger boned Hispanics also looked wasted etc at a

> BMI

> > > of

> > > > > 22. It is not the gold standard that the public is being

> lead to

> > > > > believe.

> > > > >

> > > > > Jackie Chase RD

> > > > > Dillingham AK

> > > > >

> > > > >

> > > > >

> > > > > >

> > > > > > I agree Holly........on a related note............this was

> just

> > > > > released this month.....an easy to read synopsis of the health

> > > care

> > > > > bill as written by Senators Tom Coburn MD and Barrasso

> > > MD......

> > > > > I've only skimmed it, but it looks like they have documented

> every

> > > > > statement they make.........

> > > > > >

> > > > > >

> > > > > >

> >http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

> 75-1d750a68eb31

> >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > >

> > > > >

[Guest guest]

I'm with Yomari on this one. To think that providing healthcare to

Americans is the first step to communism is somewhat off the track. I

was born and raised in the Northeast, in small town New England, where

we still had town meetings. Some of the " founding fathers " (what about

the mothers???) grew up not far from where I did, albeit a couple

years earlier. To think that those who began our country could foresee

the mess we're in is ridiculous. What they did was give us the

framework to build a country, and hope that we'd have the brains to

see into our own future. I honestly cannot see any of them saying " I

got mine, you're on your own " .

, are you referring to McCarthyism? If so, I'm glad we're past

that. I suppose if I had the time I could go find quotes to match

yours. That's an easy exercise in trying to prove your point. I'd much

prefer to let my actions prove mine. That and I have other work to

do.....

Regards,

pam

Pam Charney

pcharney@...

> This healthcare reform IS socialism. People don’t realize that

> socialism is a pre-cursor to communism. The founding fathers fought

> to free America from socialism. Here is a good explanation of how a

> free country ends up in communism: " Every time we talk about these

> taxes we get around to the idea of 'from each according to his

> capacity and to each according to his needs'. That's socialism. It's

> written into the Communist Manifesto. Maybe we ought to see that

> every person who gets a tax return receives a copy of the Communist

> Manifesto with it so he can see what's happening to him. " —T.

> s

>

> America used to fight against any root of communism to keep it from

> taking root here. Now people just want to deny the possibility.

> Maybe we ought coin a term “communism deniers”.

>

> And speaking of how the founding fathers actually thought: " If ye

> love wealth better than liberty, the tranquility of servitude than

> the animating contest of freedom, go from us in peace. We ask not

> your counsels or arms. Crouch down and lick the hands, which feed

> you. May your chains sit lightly upon you, and may posterity forget

> that ye were our countrymen! " -

>

>

>

> Quoteworthy: “We can’t expect the American people to jump from

> Capitalism to Communism, but we can assist their elected leaders in

> giving them small doses of Socialism, until they awaken one day to

> find that they have Communism.” Soviet dictator Nikita Khrushchev

> speaking of Roosevelt’s “New Deal” paradigm shift.

>

>

> From: rd-usa [mailto:rd-usa ] On

> Behalf Of yomari cruz

> Sent: Friday, July 23, 2010 6:21 AM

> To: rd-usa

> Subject: Re: Obesity Rating for Every American Must Be

> Included in Stimulus-Mandated Electronic Health Records, Says HHS

>

>

>

> By the way the idea of us going back to communism is the most

> ridiculous idea

> you conservatives have these days. I laugh every time I hear that.

> And that I

> did say with an attitude.

>

> ________________________________

> From: Yomari Cruz-Deweese <yomaricruz@...<mailto:yomaricruz%40yahoo.com

> >>

> To: " rd-usa <mailto:rd-usa%40yahoogroups.com> "

<rd-usa

> <mailto:rd-usa%40yahoogroups.com>>

> Sent: Fri, July 23, 2010 8:16:10 AM

> Subject: Re: Obesity Rating for Every American Must Be

> Included in

> Stimulus-Mandated Electronic Health Records, Says HHS

>

> I am glad I havent had a chnce to go into the group and unsubscribe.

> I don't

> have an attitude, in fact I was just expressing my own opinion just

> like others

> here do. I never said they don't have a right to their opinions. In

> fact, I

> think u didn't get my humor... In any case it really is not important.

>

> Yomari (also from Puerto Rico-and a proud PIP member from a family

> of " radical

> liberal progressives " )

>

> Sent from my iPhone

>

> On Jul 22, 2010, at 11:23 PM, " Digna Cassens " <dignacassens@...

> <mailto:dignacassens%40roadrunner.com>>

> wrote:

>

> Oh, goodness, Yomari, what a bad attitude! We can't all clone our

> thoughts and

> can and should express our own opinions and ideas. THAT's what my

> history

> lessons taught me THIS country was founded on, or at least this

> country's Bill

> of Rights.

>

> Digna (from Puerto Rico and with very radical and different ideas)

>

> Re: Obesity Rating for Every American Must Be

> > > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > > >

> > > > Before we go off on a tangent here, I'd like to suggest that

> we jump

> > > > for joy over the inclusion of BMI calculators in EMRs. It's

> what we

> > > > wanted, folks. First, we complained that patients weren't being

> > > > weighed or measured on admission to the hospital. You can

> build your

> > > > system so that there's a stop if height and weight aren't

> entered.

> > > If

> > > > you're afraid that stated or " guessed " values will be entered,

> add a

> > > > qualifier that says " actual " or " stated " or " estimated " , which

> puts

> > > > the person entering information on alert that not actually

> measuring

> > > > will be identified. So, now you have height and weight on

> admission!

> > > > Second, we wanted to be included as a valued member of the

> > > healthcare

> > > > team. Here's the chance.

> > > >

> > > > Clinical systems are really just super duper calculators

> sometimes.

> > > > So, rather than the RD or DTR spending time with a calculator

> > > figuring

> > > > out the BMI for all those inpatients, the system will do it

> for you.

> > > > We are not the only providers who care about BMI. Systems don't

> > > > diagnose, people do, so the affixing of a diagnosis associated

> with

> > > > the BMI is the responsibility of the provider, hopefully with

> input

> > > > from the RD.

> > > >

> > > > So rather than bemoaning this awful (????) turn of events, how

> about

> > > > working with your system design team to include the

> information you

> > > > want to diagnose appropriately? After all, there is additional

> > > payment

> > > > for obesity-related conditions under prospective payment. The

> flip

> > > > side of that is you have to avoid misdiagnosing, so here's

> where the

> > > > expert RD can really shine.

> > > >

> > > > Have a good day.

> > > > pam

> > > >

> > > > Pam Charney, PhD, RD

> > > > Affiliate Associate Professor

> > > > Pharmacy

> > > >

> > > > MS Student

> > > > Clinical Informatics and Patient Centered Technology

> > > > School of Nursing

> > > >

> > > > University of Washington

> > > > Seattle, WA

> > > > pcharney@...<mailto:pcharney%40mac.com> <mailto:pcharney%40mac.com

> >

> <mailto:pcharney%40mac.com>

> > > > http://www.linkedin.com/in/pamcharney

> > > >

> > > >

> > > >

> > > >

> > > >

> > > > > I work with Alaskan natives and the words wasted cacheix

> almost

> > > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > > found

> > > > > the older larger boned Hispanics also looked wasted etc at a

> BMI

> > > of

> > > > > 22. It is not the gold standard that the public is being

> lead to

> > > > > believe.

> > > > >

> > > > > Jackie Chase RD

> > > > > Dillingham AK

> > > > >

> > > > >

> > > > >

> > > > > >

> > > > > > I agree Holly........on a related note............this was

> just

> > > > > released this month.....an easy to read synopsis of the health

> > > care

> > > > > bill as written by Senators Tom Coburn MD and Barrasso

> > > MD......

> > > > > I've only skimmed it, but it looks like they have documented

> every

> > > > > statement they make.........

> > > > > >

> > > > > >

> > > > > >

> >http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

> 75-1d750a68eb31

> >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > >

> > > > >

[Guest guest]

Someone's going to have to tell us what that danger is. The fear

mongers among us continue to warn of the horrible effects of any

change. Having studied the health care bill in a structured, graduate

level class (not reading into it whatever I happen to fear at the

moment) I can honestly say that it doesn't go far enough. It's a good

start. We'll see low income adults now getting access to healthcare.

Before folks claim that these are lazy, uneducated, moochers, let me

alert you to the fact that these are the folks who are employed but

don't make enough money to afford insurance or are working for

employers who don't offer benefits. If that's what you fear, so be it.

Pam Charney

pcharney@...

> Beautiful words I had forgotten, . You're always such a good

> source of historical facts and objective opinions. Whatever words

> are chosen to describe our status today, it is what it is and it

> stinks. I'm less articulate than you or the admirable people you

> quote, but I get to the point and realize the danger we're in.

>

> Digna

>

> Re: Obesity Rating for Every American Must Be

> > > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > > >

> > > > Before we go off on a tangent here, I'd like to suggest that

> we jump

> > > > for joy over the inclusion of BMI calculators in EMRs. It's

> what we

> > > > wanted, folks. First, we complained that patients weren't being

> > > > weighed or measured on admission to the hospital. You can

> build your

> > > > system so that there's a stop if height and weight aren't

> entered.

> > > If

> > > > you're afraid that stated or " guessed " values will be entered,

> add a

> > > > qualifier that says " actual " or " stated " or " estimated " , which

> puts

> > > > the person entering information on alert that not actually

> measuring

> > > > will be identified. So, now you have height and weight on

> admission!

> > > > Second, we wanted to be included as a valued member of the

> > > healthcare

> > > > team. Here's the chance.

> > > >

> > > > Clinical systems are really just super duper calculators

> sometimes.

> > > > So, rather than the RD or DTR spending time with a calculator

> > > figuring

> > > > out the BMI for all those inpatients, the system will do it

> for you.

> > > > We are not the only providers who care about BMI. Systems don't

> > > > diagnose, people do, so the affixing of a diagnosis associated

> with

> > > > the BMI is the responsibility of the provider, hopefully with

> input

> > > > from the RD.

> > > >

> > > > So rather than bemoaning this awful (????) turn of events, how

> about

> > > > working with your system design team to include the

> information you

> > > > want to diagnose appropriately? After all, there is additional

> > > payment

> > > > for obesity-related conditions under prospective payment. The

> flip

> > > > side of that is you have to avoid misdiagnosing, so here's

> where the

> > > > expert RD can really shine.

> > > >

> > > > Have a good day.

> > > > pam

> > > >

> > > > Pam Charney, PhD, RD

> > > > Affiliate Associate Professor

> > > > Pharmacy

> > > >

> > > > MS Student

> > > > Clinical Informatics and Patient Centered Technology

> > > > School of Nursing

> > > >

> > > > University of Washington

> > > > Seattle, WA

> > > > pcharney@...<mailto:pcharney%40mac.com> <mailto:pcharney%40mac.com

> >

> <mailto:pcharney%40mac.com>

> > > > http://www.linkedin.com/in/pamcharney

> > > >

> > > >

> > > >

> > > >

> > > >

> > > > > I work with Alaskan natives and the words wasted cacheix

> almost

> > > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > > found

> > > > > the older larger boned Hispanics also looked wasted etc at a

> BMI

> > > of

> > > > > 22. It is not the gold standard that the public is being

> lead to

> > > > > believe.

> > > > >

> > > > > Jackie Chase RD

> > > > > Dillingham AK

> > > > >

> > > > >

> > > > >

> > > > > >

> > > > > > I agree Holly........on a related note............this was

> just

> > > > > released this month.....an easy to read synopsis of the health

> > > care

> > > > > bill as written by Senators Tom Coburn MD and Barrasso

> > > MD......

> > > > > I've only skimmed it, but it looks like they have documented

> every

> > > > > statement they make.........

> > > > > >

> > > > > >

> > > > > >

> >http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

> 75-1d750a68eb31

> >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > >

> > > > >

[Guest guest]

Someone's going to have to tell us what that danger is. The fear

mongers among us continue to warn of the horrible effects of any

change. Having studied the health care bill in a structured, graduate

level class (not reading into it whatever I happen to fear at the

moment) I can honestly say that it doesn't go far enough. It's a good

start. We'll see low income adults now getting access to healthcare.

Before folks claim that these are lazy, uneducated, moochers, let me

alert you to the fact that these are the folks who are employed but

don't make enough money to afford insurance or are working for

employers who don't offer benefits. If that's what you fear, so be it.

Pam Charney

pcharney@...

> Beautiful words I had forgotten, . You're always such a good

> source of historical facts and objective opinions. Whatever words

> are chosen to describe our status today, it is what it is and it

> stinks. I'm less articulate than you or the admirable people you

> quote, but I get to the point and realize the danger we're in.

>

> Digna

>

> Re: Obesity Rating for Every American Must Be

> > > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > > >

> > > > Before we go off on a tangent here, I'd like to suggest that

> we jump

> > > > for joy over the inclusion of BMI calculators in EMRs. It's

> what we

> > > > wanted, folks. First, we complained that patients weren't being

> > > > weighed or measured on admission to the hospital. You can

> build your

> > > > system so that there's a stop if height and weight aren't

> entered.

> > > If

> > > > you're afraid that stated or " guessed " values will be entered,

> add a

> > > > qualifier that says " actual " or " stated " or " estimated " , which

> puts

> > > > the person entering information on alert that not actually

> measuring

> > > > will be identified. So, now you have height and weight on

> admission!

> > > > Second, we wanted to be included as a valued member of the

> > > healthcare

> > > > team. Here's the chance.

> > > >

> > > > Clinical systems are really just super duper calculators

> sometimes.

> > > > So, rather than the RD or DTR spending time with a calculator

> > > figuring

> > > > out the BMI for all those inpatients, the system will do it

> for you.

> > > > We are not the only providers who care about BMI. Systems don't

> > > > diagnose, people do, so the affixing of a diagnosis associated

> with

> > > > the BMI is the responsibility of the provider, hopefully with

> input

> > > > from the RD.

> > > >

> > > > So rather than bemoaning this awful (????) turn of events, how

> about

> > > > working with your system design team to include the

> information you

> > > > want to diagnose appropriately? After all, there is additional

> > > payment

> > > > for obesity-related conditions under prospective payment. The

> flip

> > > > side of that is you have to avoid misdiagnosing, so here's

> where the

> > > > expert RD can really shine.

> > > >

> > > > Have a good day.

> > > > pam

> > > >

> > > > Pam Charney, PhD, RD

> > > > Affiliate Associate Professor

> > > > Pharmacy

> > > >

> > > > MS Student

> > > > Clinical Informatics and Patient Centered Technology

> > > > School of Nursing

> > > >

> > > > University of Washington

> > > > Seattle, WA

> > > > pcharney@...<mailto:pcharney%40mac.com> <mailto:pcharney%40mac.com

> >

> <mailto:pcharney%40mac.com>

> > > > http://www.linkedin.com/in/pamcharney

> > > >

> > > >

> > > >

> > > >

> > > >

> > > > > I work with Alaskan natives and the words wasted cacheix

> almost

> > > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > > found

> > > > > the older larger boned Hispanics also looked wasted etc at a

> BMI

> > > of

> > > > > 22. It is not the gold standard that the public is being

> lead to

> > > > > believe.

> > > > >

> > > > > Jackie Chase RD

> > > > > Dillingham AK

> > > > >

> > > > >

> > > > >

> > > > > >

> > > > > > I agree Holly........on a related note............this was

> just

> > > > > released this month.....an easy to read synopsis of the health

> > > care

> > > > > bill as written by Senators Tom Coburn MD and Barrasso

> > > MD......

> > > > > I've only skimmed it, but it looks like they have documented

> every

> > > > > statement they make.........

> > > > > >

> > > > > >

> > > > > >

> >http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

> 75-1d750a68eb31

> >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > >

> > > > >

[Guest guest]

Someone's going to have to tell us what that danger is. The fear

mongers among us continue to warn of the horrible effects of any

change. Having studied the health care bill in a structured, graduate

level class (not reading into it whatever I happen to fear at the

moment) I can honestly say that it doesn't go far enough. It's a good

start. We'll see low income adults now getting access to healthcare.

Before folks claim that these are lazy, uneducated, moochers, let me

alert you to the fact that these are the folks who are employed but

don't make enough money to afford insurance or are working for

employers who don't offer benefits. If that's what you fear, so be it.

Pam Charney

pcharney@...

> Beautiful words I had forgotten, . You're always such a good

> source of historical facts and objective opinions. Whatever words

> are chosen to describe our status today, it is what it is and it

> stinks. I'm less articulate than you or the admirable people you

> quote, but I get to the point and realize the danger we're in.

>

> Digna

>

> Re: Obesity Rating for Every American Must Be

> > > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > > >

> > > > Before we go off on a tangent here, I'd like to suggest that

> we jump

> > > > for joy over the inclusion of BMI calculators in EMRs. It's

> what we

> > > > wanted, folks. First, we complained that patients weren't being

> > > > weighed or measured on admission to the hospital. You can

> build your

> > > > system so that there's a stop if height and weight aren't

> entered.

> > > If

> > > > you're afraid that stated or " guessed " values will be entered,

> add a

> > > > qualifier that says " actual " or " stated " or " estimated " , which

> puts

> > > > the person entering information on alert that not actually

> measuring

> > > > will be identified. So, now you have height and weight on

> admission!

> > > > Second, we wanted to be included as a valued member of the

> > > healthcare

> > > > team. Here's the chance.

> > > >

> > > > Clinical systems are really just super duper calculators

> sometimes.

> > > > So, rather than the RD or DTR spending time with a calculator

> > > figuring

> > > > out the BMI for all those inpatients, the system will do it

> for you.

> > > > We are not the only providers who care about BMI. Systems don't

> > > > diagnose, people do, so the affixing of a diagnosis associated

> with

> > > > the BMI is the responsibility of the provider, hopefully with

> input

> > > > from the RD.

> > > >

> > > > So rather than bemoaning this awful (????) turn of events, how

> about

> > > > working with your system design team to include the

> information you

> > > > want to diagnose appropriately? After all, there is additional

> > > payment

> > > > for obesity-related conditions under prospective payment. The

> flip

> > > > side of that is you have to avoid misdiagnosing, so here's

> where the

> > > > expert RD can really shine.

> > > >

> > > > Have a good day.

> > > > pam

> > > >

> > > > Pam Charney, PhD, RD

> > > > Affiliate Associate Professor

> > > > Pharmacy

> > > >

> > > > MS Student

> > > > Clinical Informatics and Patient Centered Technology

> > > > School of Nursing

> > > >

> > > > University of Washington

> > > > Seattle, WA

> > > > pcharney@...<mailto:pcharney%40mac.com> <mailto:pcharney%40mac.com

> >

> <mailto:pcharney%40mac.com>

> > > > http://www.linkedin.com/in/pamcharney

> > > >

> > > >

> > > >

> > > >

> > > >

> > > > > I work with Alaskan natives and the words wasted cacheix

> almost

> > > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > > found

> > > > > the older larger boned Hispanics also looked wasted etc at a

> BMI

> > > of

> > > > > 22. It is not the gold standard that the public is being

> lead to

> > > > > believe.

> > > > >

> > > > > Jackie Chase RD

> > > > > Dillingham AK

> > > > >

> > > > >

> > > > >

> > > > > >

> > > > > > I agree Holly........on a related note............this was

> just

> > > > > released this month.....an easy to read synopsis of the health

> > > care

> > > > > bill as written by Senators Tom Coburn MD and Barrasso

> > > MD......

> > > > > I've only skimmed it, but it looks like they have documented

> every

> > > > > statement they make.........

> > > > > >

> > > > > >

> > > > > >

> >http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

> 75-1d750a68eb31

> >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > >

> > > > >

[Guest guest]

McCarthy was a drunk and apparently couldn't parse his words well, so he made a

lot of people mad at him, but he did expose some real communists infiltrating

the U.S. government. Those who went to public school may not have been taught

the truth about " McCarthyism " . Socialists don't want the truth out about that.

History proves what we need to know much sooner and safer than our own actions.

" Those who don't know history are destined to repeat it. " (Edmund Burke, British

statesman and philosopher)

Re: Obesity Rating for Every American Must Be

> Included in

> Stimulus-Mandated Electronic Health Records, Says HHS

>

> I am glad I havent had a chnce to go into the group and unsubscribe.

> I don't

> have an attitude, in fact I was just expressing my own opinion just

> like others

> here do. I never said they don't have a right to their opinions. In

> fact, I

> think u didn't get my humor... In any case it really is not important.

>

> Yomari (also from Puerto Rico-and a proud PIP member from a family

> of " radical

> liberal progressives " )

>

> Sent from my iPhone

>

> On Jul 22, 2010, at 11:23 PM, " Digna Cassens " <dignacassens@...

> <mailto:dignacassens%40roadrunner.com>>

> wrote:

>

> Oh, goodness, Yomari, what a bad attitude! We can't all clone our

> thoughts and

> can and should express our own opinions and ideas. THAT's what my

> history

> lessons taught me THIS country was founded on, or at least this

> country's Bill

> of Rights.

>

> Digna (from Puerto Rico and with very radical and different ideas)

>

> Re: Obesity Rating for Every American Must Be

> > > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > > >

> > > > Before we go off on a tangent here, I'd like to suggest that

> we jump

> > > > for joy over the inclusion of BMI calculators in EMRs. It's

> what we

> > > > wanted, folks. First, we complained that patients weren't being

> > > > weighed or measured on admission to the hospital. You can

> build your

> > > > system so that there's a stop if height and weight aren't

> entered.

> > > If

> > > > you're afraid that stated or " guessed " values will be entered,

> add a

> > > > qualifier that says " actual " or " stated " or " estimated " , which

> puts

> > > > the person entering information on alert that not actually

> measuring

> > > > will be identified. So, now you have height and weight on

> admission!

> > > > Second, we wanted to be included as a valued member of the

> > > healthcare

> > > > team. Here's the chance.

> > > >

> > > > Clinical systems are really just super duper calculators

> sometimes.

> > > > So, rather than the RD or DTR spending time with a calculator

> > > figuring

> > > > out the BMI for all those inpatients, the system will do it

> for you.

> > > > We are not the only providers who care about BMI. Systems don't

> > > > diagnose, people do, so the affixing of a diagnosis associated

> with

> > > > the BMI is the responsibility of the provider, hopefully with

> input

> > > > from the RD.

> > > >

> > > > So rather than bemoaning this awful (????) turn of events, how

> about

> > > > working with your system design team to include the

> information you

> > > > want to diagnose appropriately? After all, there is additional

> > > payment

> > > > for obesity-related conditions under prospective payment. The

> flip

> > > > side of that is you have to avoid misdiagnosing, so here's

> where the

> > > > expert RD can really shine.

> > > >

> > > > Have a good day.

> > > > pam

> > > >

> > > > Pam Charney, PhD, RD

> > > > Affiliate Associate Professor

> > > > Pharmacy

> > > >

> > > > MS Student

> > > > Clinical Informatics and Patient Centered Technology

> > > > School of Nursing

> > > >

> > > > University of Washington

> > > > Seattle, WA

> > > > pcharney@...<mailto:pcharney%40mac.com> <mailto:pcharney%40mac.com

> >

> <mailto:pcharney%40mac.com>

> > > > http://www.linkedin.com/in/pamcharney

> > > >

> > > >

> > > >

> > > >

> > > >

> > > > > I work with Alaskan natives and the words wasted cacheix

> almost

> > > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > > found

> > > > > the older larger boned Hispanics also looked wasted etc at a

> BMI

> > > of

> > > > > 22. It is not the gold standard that the public is being

> lead to

> > > > > believe.

> > > > >

> > > > > Jackie Chase RD

> > > > > Dillingham AK

> > > > >

> > > > >

> > > > >

> > > > > >

> > > > > > I agree Holly........on a related note............this was

> just

> > > > > released this month.....an easy to read synopsis of the health

> > > care

> > > > > bill as written by Senators Tom Coburn MD and Barrasso

> > > MD......

> > > > > I've only skimmed it, but it looks like they have documented

> every

> > > > > statement they make.........

> > > > > >

> > > > > >

> > > > > >

> >http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

> 75-1d750a68eb31

> >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > >

> > > > >

[Guest guest]

McCarthy was a drunk and apparently couldn't parse his words well, so he made a

lot of people mad at him, but he did expose some real communists infiltrating

the U.S. government. Those who went to public school may not have been taught

the truth about " McCarthyism " . Socialists don't want the truth out about that.

History proves what we need to know much sooner and safer than our own actions.

" Those who don't know history are destined to repeat it. " (Edmund Burke, British

statesman and philosopher)

Re: Obesity Rating for Every American Must Be

> Included in

> Stimulus-Mandated Electronic Health Records, Says HHS

>

> I am glad I havent had a chnce to go into the group and unsubscribe.

> I don't

> have an attitude, in fact I was just expressing my own opinion just

> like others

> here do. I never said they don't have a right to their opinions. In

> fact, I

> think u didn't get my humor... In any case it really is not important.

>

> Yomari (also from Puerto Rico-and a proud PIP member from a family

> of " radical

> liberal progressives " )

>

> Sent from my iPhone

>

> On Jul 22, 2010, at 11:23 PM, " Digna Cassens " <dignacassens@...

> <mailto:dignacassens%40roadrunner.com>>

> wrote:

>

> Oh, goodness, Yomari, what a bad attitude! We can't all clone our

> thoughts and

> can and should express our own opinions and ideas. THAT's what my

> history

> lessons taught me THIS country was founded on, or at least this

> country's Bill

> of Rights.

>

> Digna (from Puerto Rico and with very radical and different ideas)

>

> Re: Obesity Rating for Every American Must Be

> > > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > > >

> > > > Before we go off on a tangent here, I'd like to suggest that

> we jump

> > > > for joy over the inclusion of BMI calculators in EMRs. It's

> what we

> > > > wanted, folks. First, we complained that patients weren't being

> > > > weighed or measured on admission to the hospital. You can

> build your

> > > > system so that there's a stop if height and weight aren't

> entered.

> > > If

> > > > you're afraid that stated or " guessed " values will be entered,

> add a

> > > > qualifier that says " actual " or " stated " or " estimated " , which

> puts

> > > > the person entering information on alert that not actually

> measuring

> > > > will be identified. So, now you have height and weight on

> admission!

> > > > Second, we wanted to be included as a valued member of the

> > > healthcare

> > > > team. Here's the chance.

> > > >

> > > > Clinical systems are really just super duper calculators

> sometimes.

> > > > So, rather than the RD or DTR spending time with a calculator

> > > figuring

> > > > out the BMI for all those inpatients, the system will do it

> for you.

> > > > We are not the only providers who care about BMI. Systems don't

> > > > diagnose, people do, so the affixing of a diagnosis associated

> with

> > > > the BMI is the responsibility of the provider, hopefully with

> input

> > > > from the RD.

> > > >

> > > > So rather than bemoaning this awful (????) turn of events, how

> about

> > > > working with your system design team to include the

> information you

> > > > want to diagnose appropriately? After all, there is additional

> > > payment

> > > > for obesity-related conditions under prospective payment. The

> flip

> > > > side of that is you have to avoid misdiagnosing, so here's

> where the

> > > > expert RD can really shine.

> > > >

> > > > Have a good day.

> > > > pam

> > > >

> > > > Pam Charney, PhD, RD

> > > > Affiliate Associate Professor

> > > > Pharmacy

> > > >

> > > > MS Student

> > > > Clinical Informatics and Patient Centered Technology

> > > > School of Nursing

> > > >

> > > > University of Washington

> > > > Seattle, WA

> > > > pcharney@...<mailto:pcharney%40mac.com> <mailto:pcharney%40mac.com

> >

> <mailto:pcharney%40mac.com>

> > > > http://www.linkedin.com/in/pamcharney

> > > >

> > > >

> > > >

> > > >

> > > >

> > > > > I work with Alaskan natives and the words wasted cacheix

> almost

> > > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > > found

> > > > > the older larger boned Hispanics also looked wasted etc at a

> BMI

> > > of

> > > > > 22. It is not the gold standard that the public is being

> lead to

> > > > > believe.

> > > > >

> > > > > Jackie Chase RD

> > > > > Dillingham AK

> > > > >

> > > > >

> > > > >

> > > > > >

> > > > > > I agree Holly........on a related note............this was

> just

> > > > > released this month.....an easy to read synopsis of the health

> > > care

> > > > > bill as written by Senators Tom Coburn MD and Barrasso

> > > MD......

> > > > > I've only skimmed it, but it looks like they have documented

> every

> > > > > statement they make.........

> > > > > >

> > > > > >

> > > > > >

> >http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

> 75-1d750a68eb31

> >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > >

> > > > >

[Guest guest]

McCarthy was a drunk and apparently couldn't parse his words well, so he made a

lot of people mad at him, but he did expose some real communists infiltrating

the U.S. government. Those who went to public school may not have been taught

the truth about " McCarthyism " . Socialists don't want the truth out about that.

History proves what we need to know much sooner and safer than our own actions.

" Those who don't know history are destined to repeat it. " (Edmund Burke, British

statesman and philosopher)

Re: Obesity Rating for Every American Must Be

> Included in

> Stimulus-Mandated Electronic Health Records, Says HHS

>

> I am glad I havent had a chnce to go into the group and unsubscribe.

> I don't

> have an attitude, in fact I was just expressing my own opinion just

> like others

> here do. I never said they don't have a right to their opinions. In

> fact, I

> think u didn't get my humor... In any case it really is not important.

>

> Yomari (also from Puerto Rico-and a proud PIP member from a family

> of " radical

> liberal progressives " )

>

> Sent from my iPhone

>

> On Jul 22, 2010, at 11:23 PM, " Digna Cassens " <dignacassens@...

> <mailto:dignacassens%40roadrunner.com>>

> wrote:

>

> Oh, goodness, Yomari, what a bad attitude! We can't all clone our

> thoughts and

> can and should express our own opinions and ideas. THAT's what my

> history

> lessons taught me THIS country was founded on, or at least this

> country's Bill

> of Rights.

>

> Digna (from Puerto Rico and with very radical and different ideas)

>

> Re: Obesity Rating for Every American Must Be

> > > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > > >

> > > > Before we go off on a tangent here, I'd like to suggest that

> we jump

> > > > for joy over the inclusion of BMI calculators in EMRs. It's

> what we

> > > > wanted, folks. First, we complained that patients weren't being

> > > > weighed or measured on admission to the hospital. You can

> build your

> > > > system so that there's a stop if height and weight aren't

> entered.

> > > If

> > > > you're afraid that stated or " guessed " values will be entered,

> add a

> > > > qualifier that says " actual " or " stated " or " estimated " , which

> puts

> > > > the person entering information on alert that not actually

> measuring

> > > > will be identified. So, now you have height and weight on

> admission!

> > > > Second, we wanted to be included as a valued member of the

> > > healthcare

> > > > team. Here's the chance.

> > > >

> > > > Clinical systems are really just super duper calculators

> sometimes.

> > > > So, rather than the RD or DTR spending time with a calculator

> > > figuring

> > > > out the BMI for all those inpatients, the system will do it

> for you.

> > > > We are not the only providers who care about BMI. Systems don't

> > > > diagnose, people do, so the affixing of a diagnosis associated

> with

> > > > the BMI is the responsibility of the provider, hopefully with

> input

> > > > from the RD.

> > > >

> > > > So rather than bemoaning this awful (????) turn of events, how

> about

> > > > working with your system design team to include the

> information you

> > > > want to diagnose appropriately? After all, there is additional

> > > payment

> > > > for obesity-related conditions under prospective payment. The

> flip

> > > > side of that is you have to avoid misdiagnosing, so here's

> where the

> > > > expert RD can really shine.

> > > >

> > > > Have a good day.

> > > > pam

> > > >

> > > > Pam Charney, PhD, RD

> > > > Affiliate Associate Professor

> > > > Pharmacy

> > > >

> > > > MS Student

> > > > Clinical Informatics and Patient Centered Technology

> > > > School of Nursing

> > > >

> > > > University of Washington

> > > > Seattle, WA

> > > > pcharney@...<mailto:pcharney%40mac.com> <mailto:pcharney%40mac.com

> >

> <mailto:pcharney%40mac.com>

> > > > http://www.linkedin.com/in/pamcharney

> > > >

> > > >

> > > >

> > > >

> > > >

> > > > > I work with Alaskan natives and the words wasted cacheix

> almost

> > > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > > found

> > > > > the older larger boned Hispanics also looked wasted etc at a

> BMI

> > > of

> > > > > 22. It is not the gold standard that the public is being

> lead to

> > > > > believe.

> > > > >

> > > > > Jackie Chase RD

> > > > > Dillingham AK

> > > > >

> > > > >

> > > > >

> > > > > >

> > > > > > I agree Holly........on a related note............this was

> just

> > > > > released this month.....an easy to read synopsis of the health

> > > care

> > > > > bill as written by Senators Tom Coburn MD and Barrasso

> > > MD......

> > > > > I've only skimmed it, but it looks like they have documented

> every

> > > > > statement they make.........

> > > > > >

> > > > > >

> > > > > >

> >http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

> 75-1d750a68eb31

> >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > >

> > > > >

[Guest guest]

Well, my work depends on federal and state funding primarily, althought

there are HMO/managed care contracts as well as a few private insurances and

private pay. But, I'm always bw the wall and a hard place to state it

bluntly; w/o the funding our businesses receive, we'd have a census of about

1/4th of what it is now, or 25% of capacity instead of 94% to 96% as we now

have. Therefore, I'd be jobless! But I sure hate the thought of paying more

taxes, especially for the unnecessary bills, tests, meds, etc, and for those

that could but won't work or do for themselves. Yet, my own g/son w autistic

disorder wouldn't make it w/o his SSI stipend, small as it is, while he

struggles through college, and he'd need even more help from me than just

free lodging and food, and books.... Indeed, I'm caught in between. Aren't

we all? But discussions are healthy, and demonstrate all sides are important

to listen to. Politics itself? I dislike the topic so I don't discuss

politicians, parties, etc. I find that these discussions are more about

healthcare policy and economics of our nation and states.

Digna

RE: Obesity Rating for Every American Must Be Included

>> in

>> Stimulus-Mandated Electronic Health Records, Says HHS

>>

>> The last thing we need is more government regulation in our lives. That

>> is

>> not what this country was built on nor what our Founding Father's

>> intended.

>> What ever happened to personal responsibility? If the public did not buy

>> the " highly processed crap " , companies would not continue to produce it.

>> By

>> the way, if the government regulates away all the processed food that

>> contributes to poor health, how do you think it will impact the RD???

>> Before this is misinterpreted, my point is that if the government takes

>> over

>> everything, and Big Brother is dictating our every move, our usefulness

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>

>

> ------------------------------------

>

>

[Guest guest]

OMG! I could write a book just about. I live in the state that will soon

follow Greece down the tubes. Our governments live on pretend $$$ - no gold

or industry to speak us to back up the paper. Half our population or more

live on plastic, the other half starves to death. There are homeless in

every corner in LA begging and most of them have at least one fat dog w them

(maybe they'd get mugged if not protected?)... I could go on but have an MD

appt for my mother. I didn't call anyone a moocher. If it weren't for being

able to have state and federal funds pay for her care, my mother, 93 w AD,

would be living w me and I'd have to quit work to care for her bc she's in

danger and helpless alone. I support 2 adult g/sons who bc of their LDs and

other disabilities cannot yet support themselves although they're struggling

to make it. I pay their dental bills and thank God they're otherwise

healthy, but one of them suffered a serious arm injury bc of an unforseen

accident and the ortho surgery cost >$60K. Before judging others or putting

different words in our mouths or fingers, it's best to investigate meanings.

Critical reading is imporant and I know I'm guilty of typing fast, not

reviewing what I've just meant to say, and not utilizing my critical writing

skills at times. The danger of emails once again, lacking other

communication means such as vocal or body expressions.

My personal fear? More government control in every single aspect of my life;

what I eat, how much I chose to weigh (hey, maybe I'm too think bc I'm 71

and mortality rate may increase with age for think people?), my right to own

and carry weapons, my right to eat and smoke what I chose to as long as I

keep it to myself and in my home.... you name it, I want it to be my choice.

Digna

Re: Obesity Rating for Every American Must Be

> > > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > > >

> > > > Before we go off on a tangent here, I'd like to suggest that

> we jump

> > > > for joy over the inclusion of BMI calculators in EMRs. It's

> what we

> > > > wanted, folks. First, we complained that patients weren't being

> > > > weighed or measured on admission to the hospital. You can

> build your

> > > > system so that there's a stop if height and weight aren't

> entered.

> > > If

> > > > you're afraid that stated or " guessed " values will be entered,

> add a

> > > > qualifier that says " actual " or " stated " or " estimated " , which

> puts

> > > > the person entering information on alert that not actually

> measuring

> > > > will be identified. So, now you have height and weight on

> admission!

> > > > Second, we wanted to be included as a valued member of the

> > > healthcare

> > > > team. Here's the chance.

> > > >

> > > > Clinical systems are really just super duper calculators

> sometimes.

> > > > So, rather than the RD or DTR spending time with a calculator

> > > figuring

> > > > out the BMI for all those inpatients, the system will do it

> for you.

> > > > We are not the only providers who care about BMI. Systems don't

> > > > diagnose, people do, so the affixing of a diagnosis associated

> with

> > > > the BMI is the responsibility of the provider, hopefully with

> input

> > > > from the RD.

> > > >

> > > > So rather than bemoaning this awful (????) turn of events, how

> about

> > > > working with your system design team to include the

> information you

> > > > want to diagnose appropriately? After all, there is additional

> > > payment

> > > > for obesity-related conditions under prospective payment. The

> flip

> > > > side of that is you have to avoid misdiagnosing, so here's

> where the

> > > > expert RD can really shine.

> > > >

> > > > Have a good day.

> > > > pam

> > > >

> > > > Pam Charney, PhD, RD

> > > > Affiliate Associate Professor

> > > > Pharmacy

> > > >

> > > > MS Student

> > > > Clinical Informatics and Patient Centered Technology

> > > > School of Nursing

> > > >

> > > > University of Washington

> > > > Seattle, WA

> > > > pcharney@...<mailto:pcharney%40mac.com>

> > > > <mailto:pcharney%40mac.com

> >

> <mailto:pcharney%40mac.com>

> > > > http://www.linkedin.com/in/pamcharney

> > > >

> > > >

> > > >

> > > >

> > > >

> > > > > I work with Alaskan natives and the words wasted cacheix

> almost

> > > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > > found

> > > > > the older larger boned Hispanics also looked wasted etc at a

> BMI

> > > of

> > > > > 22. It is not the gold standard that the public is being

> lead to

> > > > > believe.

> > > > >

> > > > > Jackie Chase RD

> > > > > Dillingham AK

> > > > >

> > > > >

> > > > >

> > > > > >

> > > > > > I agree Holly........on a related note............this was

> just

> > > > > released this month.....an easy to read synopsis of the health

> > > care

> > > > > bill as written by Senators Tom Coburn MD and Barrasso

> > > MD......

> > > > > I've only skimmed it, but it looks like they have documented

> every

> > > > > statement they make.........

> > > > > >

> > > > > >

> > > > > >

> >http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

> 75-1d750a68eb31

> >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > >

> > > > >

[Guest guest]

OMG! I could write a book just about. I live in the state that will soon

follow Greece down the tubes. Our governments live on pretend $$$ - no gold

or industry to speak us to back up the paper. Half our population or more

live on plastic, the other half starves to death. There are homeless in

every corner in LA begging and most of them have at least one fat dog w them

(maybe they'd get mugged if not protected?)... I could go on but have an MD

appt for my mother. I didn't call anyone a moocher. If it weren't for being

able to have state and federal funds pay for her care, my mother, 93 w AD,

would be living w me and I'd have to quit work to care for her bc she's in

danger and helpless alone. I support 2 adult g/sons who bc of their LDs and

other disabilities cannot yet support themselves although they're struggling

to make it. I pay their dental bills and thank God they're otherwise

healthy, but one of them suffered a serious arm injury bc of an unforseen

accident and the ortho surgery cost >$60K. Before judging others or putting

different words in our mouths or fingers, it's best to investigate meanings.

Critical reading is imporant and I know I'm guilty of typing fast, not

reviewing what I've just meant to say, and not utilizing my critical writing

skills at times. The danger of emails once again, lacking other

communication means such as vocal or body expressions.

My personal fear? More government control in every single aspect of my life;

what I eat, how much I chose to weigh (hey, maybe I'm too think bc I'm 71

and mortality rate may increase with age for think people?), my right to own

and carry weapons, my right to eat and smoke what I chose to as long as I

keep it to myself and in my home.... you name it, I want it to be my choice.

Digna

Re: Obesity Rating for Every American Must Be

> > > Included in Stimulus-Mandated Electronic Health Records, Says HHS

> > > >

> > > > Before we go off on a tangent here, I'd like to suggest that

> we jump

> > > > for joy over the inclusion of BMI calculators in EMRs. It's

> what we

> > > > wanted, folks. First, we complained that patients weren't being

> > > > weighed or measured on admission to the hospital. You can

> build your

> > > > system so that there's a stop if height and weight aren't

> entered.

> > > If

> > > > you're afraid that stated or " guessed " values will be entered,

> add a

> > > > qualifier that says " actual " or " stated " or " estimated " , which

> puts

> > > > the person entering information on alert that not actually

> measuring

> > > > will be identified. So, now you have height and weight on

> admission!

> > > > Second, we wanted to be included as a valued member of the

> > > healthcare

> > > > team. Here's the chance.

> > > >

> > > > Clinical systems are really just super duper calculators

> sometimes.

> > > > So, rather than the RD or DTR spending time with a calculator

> > > figuring

> > > > out the BMI for all those inpatients, the system will do it

> for you.

> > > > We are not the only providers who care about BMI. Systems don't

> > > > diagnose, people do, so the affixing of a diagnosis associated

> with

> > > > the BMI is the responsibility of the provider, hopefully with

> input

> > > > from the RD.

> > > >

> > > > So rather than bemoaning this awful (????) turn of events, how

> about

> > > > working with your system design team to include the

> information you

> > > > want to diagnose appropriately? After all, there is additional

> > > payment

> > > > for obesity-related conditions under prospective payment. The

> flip

> > > > side of that is you have to avoid misdiagnosing, so here's

> where the

> > > > expert RD can really shine.

> > > >

> > > > Have a good day.

> > > > pam

> > > >

> > > > Pam Charney, PhD, RD

> > > > Affiliate Associate Professor

> > > > Pharmacy

> > > >

> > > > MS Student

> > > > Clinical Informatics and Patient Centered Technology

> > > > School of Nursing

> > > >

> > > > University of Washington

> > > > Seattle, WA

> > > > pcharney@...<mailto:pcharney%40mac.com>

> > > > <mailto:pcharney%40mac.com

> >

> <mailto:pcharney%40mac.com>

> > > > http://www.linkedin.com/in/pamcharney

> > > >

> > > >

> > > >

> > > >

> > > >

> > > > > I work with Alaskan natives and the words wasted cacheix

> almost

> > > > > always go with a BMI of 22 or less. When I worked in El Paso I

> > > found

> > > > > the older larger boned Hispanics also looked wasted etc at a

> BMI

> > > of

> > > > > 22. It is not the gold standard that the public is being

> lead to

> > > > > believe.

> > > > >

> > > > > Jackie Chase RD

> > > > > Dillingham AK

> > > > >

> > > > >

> > > > >

> > > > > >

> > > > > > I agree Holly........on a related note............this was

> just

> > > > > released this month.....an easy to read synopsis of the health

> > > care

> > > > > bill as written by Senators Tom Coburn MD and Barrasso

> > > MD......

> > > > > I've only skimmed it, but it looks like they have documented

> every

> > > > > statement they make.........

> > > > > >

> > > > > >

> > > > > >

> >http://www.drhotze.com/CMSPages/GetFile.aspx?nodeguid=751b6d91-ccfe-4e23-bd

> 75-1d750a68eb31

> >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > >

> > > > >