Winn & the American Veterinary Medical Assoc. Convention

San Diego harbor (by Steve Dale)

The American Veterinary Medical Assoc. convention was held Aug 3-7 in San Diego. It was jam-packed with continuing education opportunities for veterinarians and veterinary technicians, as well as several associated meetings. Winn board members were busy representing the Foundation and participating in several events.

Winn board member and board certified feline specialist Dr. Susan Little presented lectures on feline medicine topics, including feline infectious peritonitis, feline immunodeficiency virus, cats with chronic sneezing, feline clinical procedures. Winn-funded research has played a role in improving diagnosis or treatment for these problems.

Steve Dale & Joan Embery (of the San Diego Zoo)

Winn board member Steve Dale, covered the news highlights of the meeting, and attended the American College of Veterinary Behaviorists and the American Veterinary Society of Animal Behavior Symposium. Steve took the opportunity to interview veterinary experts to get answers to common questions from pet owners.

Winn president and board certified feline specialist Dr. Vicky Thayer was busy attending the President’s Installation and Excellence in Veterinary Medicine Awards Luncheon. At this meeting, Winn and the American Veterinary Medical Foundation present a veterinary student scholarship and the Excellence in Feline Research Award. Dr. Thayer and Dr. Little also attended a meeting of the Animal Health Network, a coalition of organizations dedicated to improved research funding for companion animals.

As well, Winn was represented at the Partners for Healthy Pets meeting and lectures. Winn is an associate member of this organization dedicated to ensuring pets receive the preventive healthcare they deserve through regular visits to a veterinarian.

(L to R) Dr. Susan Little, Dr. Vicki Thayer, Joan Miller

On a social note, an informal gathering at the home of Winn past president Joan Miller afforded a rare opportunity for three of Winn’s presidents (past and present) to get together.

More on cat health:
Winn Feline Foundation Library
Find us on Facebook
Follow us on Twitter
Read the Cat Health News Weekly
Join us on Google+

San Diego harbor (by Steve Dale)

The American Veterinary Medical Assoc. convention was held Aug 3-7 in San Diego. It was jam-packed with continuing education opportunities for veterinarians and veterinary technicians, as well as several associated meetings. Winn board members were busy representing the Foundation and participating in several events.

Winn board member and board certified feline specialist Dr. Susan Little presented lectures on feline medicine topics, including feline infectious peritonitis, feline immunodeficiency virus, cats with chronic sneezing, feline clinical procedures. Winn-funded research has played a role in improving diagnosis or treatment for these problems.

Steve Dale & Joan Embery (of the San Diego Zoo)

Winn board member Steve Dale, covered the news highlights of the meeting, and attended the American College of Veterinary Behaviorists and the American Veterinary Society of Animal Behavior Symposium. Steve took the opportunity to interview veterinary experts to get answers to common questions from pet owners.

Winn president and board certified feline specialist Dr. Vicky Thayer was busy attending the President’s Installation and Excellence in Veterinary Medicine Awards Luncheon. At this meeting, Winn and the American Veterinary Medical Foundation present a veterinary student scholarship and the Excellence in Feline Research Award. Dr. Thayer and Dr. Little also attended a meeting of the Animal Health Network, a coalition of organizations dedicated to improved research funding for companion animals.

As well, Winn was represented at the Partners for Healthy Pets meeting and lectures. Winn is an associate member of this organization dedicated to ensuring pets receive the preventive healthcare they deserve through regular visits to a veterinarian.

(L to R) Dr. Susan Little, Dr. Vicki Thayer, Joan Miller

On a social note, an informal gathering at the home of Winn past president Joan Miller afforded a rare opportunity for three of Winn’s presidents (past and present) to get together.

More on cat health:
Winn Feline Foundation Library
Find us on Facebook
Follow us on Twitter
Read the Cat Health News Weekly
Join us on Google+

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Comprehensive series looks at new angle of prescription pain pill epidemic: addicted newborns

The Courier-Journal's health reporter, Laura Ungar, is again delving into the prescription pain-pill epidemic in Kentucky, this time focusing on babies who are born addicted. For any reporter interested in writing stories about prescription pill addiction and the scope of the problem — stories that could be localized in every county in the state — Ungar's award-winning work is the place to start researching.

In a four-page piece, Ungar looks at:
• the limited options available to addicted moms
• the lack of funding available to fix the problem
• what to do for loved ones with a prescription drug problem
• the causes, symptoms and treatment for newborn addicts

There are also links to more recent stories pertaining to the issue here.

Ungar found hospitalizations for addicted newborns increased from 29 in 2000 to 730 last year, when there was a big jump. "It's a silent epidemic that's going on out there," said Audrey Tayse Haynes, secretary of the state Cabinet for Health and Family Services. "You need to say: 'Stop the madness. This is too much.'"

Nurse Tonya Anderson, an infant development/touch therapist at Kosair Children's Hospital, said she's seen as many as 14 of 26 babies in the special-care nursery where she works suffer from symptoms of withdrawal. "They are just agitated," she said. "They are screaming. They have tremors. Their faces — you have to grimace. They're in pain."

Those close to the problem say there is not enough treatment for addicts who are pregnant. But it's an investment worth making, Ungar suggests. One study showed the health-care costs for addicted newborns was $720 million in 2009, up from $190 million in 2000. Babies with addictions stay about 16.4 days in the hospital, which costs an average of $53,300 per infant. In 80 percent of those cases, Medicaid pays the bill.

Researchers estimate that more than 13,5000 babies were born addicted in 2009. "We knew that it was common, but we would not expect this problem would have tripled in the last decade," said Dr. Matthew Davis, an associate professor at the University of Michigan and one of the study's authors. "There are not many medical problems that have tripled in a decade — not obesity, not heart disease, not diabetes." (Read more)

The Courier-Journal's health reporter, Laura Ungar, is again delving into the prescription pain-pill epidemic in Kentucky, this time focusing on babies who are born addicted. For any reporter interested in writing stories about prescription pill addiction and the scope of the problem — stories that could be localized in every county in the state — Ungar's award-winning work is the place to start researching.

In a four-page piece, Ungar looks at:
• the limited options available to addicted moms
• the lack of funding available to fix the problem
• what to do for loved ones with a prescription drug problem
• the causes, symptoms and treatment for newborn addicts

There are also links to more recent stories pertaining to the issue here.

Ungar found hospitalizations for addicted newborns increased from 29 in 2000 to 730 last year, when there was a big jump. "It's a silent epidemic that's going on out there," said Audrey Tayse Haynes, secretary of the state Cabinet for Health and Family Services. "You need to say: 'Stop the madness. This is too much.'"

Nurse Tonya Anderson, an infant development/touch therapist at Kosair Children's Hospital, said she's seen as many as 14 of 26 babies in the special-care nursery where she works suffer from symptoms of withdrawal. "They are just agitated," she said. "They are screaming. They have tremors. Their faces — you have to grimace. They're in pain."

Those close to the problem say there is not enough treatment for addicts who are pregnant. But it's an investment worth making, Ungar suggests. One study showed the health-care costs for addicted newborns was $720 million in 2009, up from $190 million in 2000. Babies with addictions stay about 16.4 days in the hospital, which costs an average of $53,300 per infant. In 80 percent of those cases, Medicaid pays the bill.

Researchers estimate that more than 13,5000 babies were born addicted in 2009. "We knew that it was common, but we would not expect this problem would have tripled in the last decade," said Dr. Matthew Davis, an associate professor at the University of Michigan and one of the study's authors. "There are not many medical problems that have tripled in a decade — not obesity, not heart disease, not diabetes." (Read more)

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New website explores and outs of Affordable Care Act; useful tool for reporters

One of the most complex and far-reaching pieces of legislation to pass in recent years is the Patient Protection and Affordable Care Act, the federal health-care reform law that, among other provisions, requires Americans to buy health insurance or pay a penalty.

But because of its complexity, journalists can shy away from delving into stories about it. With state insurance exchanges and Medicaid expansion sure to be hot topics during the election season and the legislative session, it’s important to have reliable sources of information about the law. The American Public Health Association has a website that answers many if not most of the questions reporters, and the public, often have.

The website:
• Reviews the fundamentals about the Affordable Care Act and links to information about Medicaid expansion, insurance exchanges and the individual mandate.

• Looks at the implementation timeline of the law.

• Includes fact sheets about the ACA’s prevention funding program, which allows seniors and others to get free preventive care including mammograms and other screenings.

• Breaks down the U.S. Supreme Court’s decision to uphold the law.

The website is a useful tool in any health reporter’s arsenal and is worth a look. (Read more)

One of the most complex and far-reaching pieces of legislation to pass in recent years is the Patient Protection and Affordable Care Act, the federal health-care reform law that, among other provisions, requires Americans to buy health insurance or pay a penalty.

But because of its complexity, journalists can shy away from delving into stories about it. With state insurance exchanges and Medicaid expansion sure to be hot topics during the election season and the legislative session, it’s important to have reliable sources of information about the law. The American Public Health Association has a website that answers many if not most of the questions reporters, and the public, often have.

The website:
• Reviews the fundamentals about the Affordable Care Act and links to information about Medicaid expansion, insurance exchanges and the individual mandate.

• Looks at the implementation timeline of the law.

• Includes fact sheets about the ACA’s prevention funding program, which allows seniors and others to get free preventive care including mammograms and other screenings.

• Breaks down the U.S. Supreme Court’s decision to uphold the law.

The website is a useful tool in any health reporter’s arsenal and is worth a look. (Read more)

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41 percent of the time, Americans go to specialists instead of primary-care doctors for basic health needs, study finds

More than 40 percent of the time, Americans are turning to higher-paid specialists instead of primary-care doctors to deal with their basic health needs, including colds and fever, a new study has found.

Researchers at Mount Sinai Hospital in New York looked at data from more than 20,000 doctor visits in 1999 and 2007 that included information about why the patient had come to the doctor’s office. “Fifty-nine percent of those with primary care needs, the runny-nose group, were seen by a primary care doctor,” reports Sarah Kliff for The Washington Post. “Forty-one percent sought out care at a specialist.”

Researchers included gynecologists and internal medicine physicians in the specialists group, though they tend to have heavy primary care loads. But even without those two specialties, 27 percent of primary care appointments happened in specialists’ offices.

A 2010 study found primary care doctors earn a $69 hourly rate, compared to $92 per hour and $85 per hour that surgeons and ob-gyns earn, respectively. (Read more)

More than 40 percent of the time, Americans are turning to higher-paid specialists instead of primary-care doctors to deal with their basic health needs, including colds and fever, a new study has found.

Researchers at Mount Sinai Hospital in New York looked at data from more than 20,000 doctor visits in 1999 and 2007 that included information about why the patient had come to the doctor’s office. “Fifty-nine percent of those with primary care needs, the runny-nose group, were seen by a primary care doctor,” reports Sarah Kliff for The Washington Post. “Forty-one percent sought out care at a specialist.”

Researchers included gynecologists and internal medicine physicians in the specialists group, though they tend to have heavy primary care loads. But even without those two specialties, 27 percent of primary care appointments happened in specialists’ offices.

A 2010 study found primary care doctors earn a $69 hourly rate, compared to $92 per hour and $85 per hour that surgeons and ob-gyns earn, respectively. (Read more)

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Hospitals can learn from revealing account of the attack of a superbug; sequencing germ's DNA seems to be key

Dr. Tara Palmore, deputy hospital epidemiologist at the
National Institutes of Health Clinic Center, left, and Dr.
Julie Segre, a geneticist with the National Human
Genome Research Institute. Both were integral in
pinpointing the spread of a superbug at NIH.
Associated Press photo by Patrick Semansky.

A candid account of how a superbug was contained at one of the nation's leading research hospitals indicates that fast sequencing of a germ’s full DNA can make all the difference.

Over a six-month period, Klebsiella pneumonia, or KPC, a germ that cannot be treated by most antibiotics, sickened 18 people at the National Institutes of Health. Six of them died and another five, though they survived the effects of the germ, died from the disease that originally brought them to the facility.

Infections at health-care facilities kill about 100,000 Americans each year. But, fearful of lawsuits, hospitals generally don’t reveal to the public when infections outfox control measures, reports Lauran Neergaard for The Associated Press. That changed this week when government researchers published the story of what happened at NIH.

Dr. Julie Segre, a senior investigator at NIH’s National Human Genome Research Institute, was in charge of the “genetic sleuthing that found the bug hiding in sink drains and, most chilling, even in a ventilator that had been cleaned with bleach,” Neergaard reports. A multidrug-resistant strain of Klepsiella bacteria has emerged that spreads easily between patients who are very ill, and it kills half of whomever it sickens.

On June 13, 2011, a research nurse checked the medical records of a study participant who was being transferred from a New York City hospital and was critically ill with a rare lung disease. She found the patient had KPC, prompting the hospital to put her in strict isolation. “Everyone entering her room donned a protective gown and gloves and rigorously washed their hands,” Neergaard reports. “Her medical equipment got special decontamination. All other patients in the intensive care unit had their throats and groins tested regularly to see if the bug was spreading.” All seemed to be clear and the woman was sent home two days later.

But three weeks later, a patient with cancer was found to have KPC, though he was never in the presence of the first patient. Ten days later, a woman with an immune disease also got sick with KPC. Both died from the infection.

Researchers wondered if the cases were related or if the patients were arriving already infected with KPC. Segre turned to DNA for answers. "As bacteria multiply, mistakes appear and are repaired in their genetic codes," Neergaard reports. "Sequencing that genome allowed Segre to follow differences in single genetic letters like a trail of the germ’s transmission and evolution." Using this method, Segre discovered the KPC appearing at NIH was the same strain that came from the New York patient. "Testing bacteria from the 17 additional patients who ultimately caught it shows the KPC was transmitted three separate times from Patient No. 1 and then spread more widely," Neergaard reports.

NIH completely overhauled its decontamination practices, but the bacteria continued to spread. By November, the bacteria appeared in two patients who were not even in intensive care. Finally, the hospital built a new isolation room and all 200-plus patients in the hospital were subject to rectal testing.

The contamination is now contained, but the account of it is giving pause to infection-control specialists around the country. “Absolutely this could happen in any hospital,” said Dr. Deverick Anderson, co-director of a Duke Universityinfection control network. (Read more)

Dr. Tara Palmore, deputy hospital epidemiologist at the
National Institutes of Health Clinic Center, left, and Dr.
Julie Segre, a geneticist with the National Human
Genome Research Institute. Both were integral in
pinpointing the spread of a superbug at NIH.
Associated Press photo by Patrick Semansky.

A candid account of how a superbug was contained at one of the nation's leading research hospitals indicates that fast sequencing of a germ’s full DNA can make all the difference.

Over a six-month period, Klebsiella pneumonia, or KPC, a germ that cannot be treated by most antibiotics, sickened 18 people at the National Institutes of Health. Six of them died and another five, though they survived the effects of the germ, died from the disease that originally brought them to the facility.

Infections at health-care facilities kill about 100,000 Americans each year. But, fearful of lawsuits, hospitals generally don’t reveal to the public when infections outfox control measures, reports Lauran Neergaard for The Associated Press. That changed this week when government researchers published the story of what happened at NIH.

Dr. Julie Segre, a senior investigator at NIH’s National Human Genome Research Institute, was in charge of the “genetic sleuthing that found the bug hiding in sink drains and, most chilling, even in a ventilator that had been cleaned with bleach,” Neergaard reports. A multidrug-resistant strain of Klepsiella bacteria has emerged that spreads easily between patients who are very ill, and it kills half of whomever it sickens.

On June 13, 2011, a research nurse checked the medical records of a study participant who was being transferred from a New York City hospital and was critically ill with a rare lung disease. She found the patient had KPC, prompting the hospital to put her in strict isolation. “Everyone entering her room donned a protective gown and gloves and rigorously washed their hands,” Neergaard reports. “Her medical equipment got special decontamination. All other patients in the intensive care unit had their throats and groins tested regularly to see if the bug was spreading.” All seemed to be clear and the woman was sent home two days later.

But three weeks later, a patient with cancer was found to have KPC, though he was never in the presence of the first patient. Ten days later, a woman with an immune disease also got sick with KPC. Both died from the infection.

Researchers wondered if the cases were related or if the patients were arriving already infected with KPC. Segre turned to DNA for answers. "As bacteria multiply, mistakes appear and are repaired in their genetic codes," Neergaard reports. "Sequencing that genome allowed Segre to follow differences in single genetic letters like a trail of the germ’s transmission and evolution." Using this method, Segre discovered the KPC appearing at NIH was the same strain that came from the New York patient. "Testing bacteria from the 17 additional patients who ultimately caught it shows the KPC was transmitted three separate times from Patient No. 1 and then spread more widely," Neergaard reports.

NIH completely overhauled its decontamination practices, but the bacteria continued to spread. By November, the bacteria appeared in two patients who were not even in intensive care. Finally, the hospital built a new isolation room and all 200-plus patients in the hospital were subject to rectal testing.

The contamination is now contained, but the account of it is giving pause to infection-control specialists around the country. “Absolutely this could happen in any hospital,” said Dr. Deverick Anderson, co-director of a Duke Universityinfection control network. (Read more)

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Hopkinsville council, absent a proponent, narrowly replaces smoking ban idea with plan to require posted smoking policies

The effort to pass a smoking ban in the largest Kentucky town without one may have hit a roadblock Thursday night. The Hopkinsville City Council forwarded a smoking ordinance that would merely require businesses to decide whether to allow smoking and post signs at every entrance announcing its policy. The council's vote as a committee of the whole was 6-5, and the one absent council member favors a typical smoking ban.

Mayor Dan Kemp, who can vote to break council ties and does not sit on the committee of the whole, "said after the meeting that he could not support the proposal because it leaves the current law unchanged," Carla Jimenez reports for the Kentucky New Era. The alternative ordinance is scheduled for first reading Sept. 18; a tie vote would block it, and a tie vote in favor of a smoking ban could be broken by Kemp to pass it.

As first presented to the committee, the ordinance would ban smoking in public places, with exemptions for private clubs, age-restricted establishments and businesses with 12 employees or fewer. The small-business exemption was removed on a vote of 10-1. "That left the ordinance as it originally came before the council for its first reading in June," Jimenez reports. But then the committee voted 6-5 for the alternative ordinance, proposed by Councilman Paul Henson, who argued, “We’re not abusing anybody’s rights. We’re not the bad guy, and yet we have the smoking ban, a smoking ordinance, on the books.”

Councilwoman Peggy Rogers-Everett disagreed, saying smoking is a hazard to everyone, and “Murder is illegal.” Henson and Councilwoman Ann Cherry and Henson laughed, and "Everett was not amused," Jimenez reports. Everett said, “I don’t find that funny. I don’t take that lightly.” (Read more)

The effort to pass a smoking ban in the largest Kentucky town without one may have hit a roadblock Thursday night. The Hopkinsville City Council forwarded a smoking ordinance that would merely require businesses to decide whether to allow smoking and post signs at every entrance announcing its policy. The council's vote as a committee of the whole was 6-5, and the one absent council member favors a typical smoking ban.

Mayor Dan Kemp, who can vote to break council ties and does not sit on the committee of the whole, "said after the meeting that he could not support the proposal because it leaves the current law unchanged," Carla Jimenez reports for the Kentucky New Era. The alternative ordinance is scheduled for first reading Sept. 18; a tie vote would block it, and a tie vote in favor of a smoking ban could be broken by Kemp to pass it.

As first presented to the committee, the ordinance would ban smoking in public places, with exemptions for private clubs, age-restricted establishments and businesses with 12 employees or fewer. The small-business exemption was removed on a vote of 10-1. "That left the ordinance as it originally came before the council for its first reading in June," Jimenez reports. But then the committee voted 6-5 for the alternative ordinance, proposed by Councilman Paul Henson, who argued, “We’re not abusing anybody’s rights. We’re not the bad guy, and yet we have the smoking ban, a smoking ordinance, on the books.”

Councilwoman Peggy Rogers-Everett disagreed, saying smoking is a hazard to everyone, and “Murder is illegal.” Henson and Councilwoman Ann Cherry and Henson laughed, and "Everett was not amused," Jimenez reports. Everett said, “I don’t find that funny. I don’t take that lightly.” (Read more)

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Central Baptist takes over Russell County Hospital

Russell County Hospital in Russell Springs will be managed by Lexington's Central Baptist Hospital, at least for the next three years. The deal announced this week is the latest in a growing consolidation of rural hospitals with larger, urban facilities, expected to accelerate under federalhealth reform.

"The three-year agreement creates an opportunity to provide greater accessibility to a wider range of health services in Russell County, while exploring ways to reduce costs and maintain affordability of services," the hospitals said in a press release. "The management agreement will allow creation of a broader continuum of care, including enhanced alignment of physicians and hospital services."

Russell County Hospital has 25 beds and 170 employees. It is a critical-access hospital, meaning it limits admissions and patient stays in return for slightly higher reimbursements from Medicare and Medicaid. Chris McQueary, chairman of the hospital's board, said in the press release, “This strategic partnership will allow us to work more closely with a leading health care system to provide high levels of care in the most cost-effective way.”

Central Baptist named Robert Ramey the CEO of Russell County Hospital. He has worked at Central Baptist for 17 years, most recently as administrator of Baptist-Physicians’ Surgery Center, the release said.

Russell County Hospital in Russell Springs will be managed by Lexington's Central Baptist Hospital, at least for the next three years. The deal announced this week is the latest in a growing consolidation of rural hospitals with larger, urban facilities, expected to accelerate under federalhealth reform.

"The three-year agreement creates an opportunity to provide greater accessibility to a wider range of health services in Russell County, while exploring ways to reduce costs and maintain affordability of services," the hospitals said in a press release. "The management agreement will allow creation of a broader continuum of care, including enhanced alignment of physicians and hospital services."

Russell County Hospital has 25 beds and 170 employees. It is a critical-access hospital, meaning it limits admissions and patient stays in return for slightly higher reimbursements from Medicare and Medicaid. Chris McQueary, chairman of the hospital's board, said in the press release, “This strategic partnership will allow us to work more closely with a leading health care system to provide high levels of care in the most cost-effective way.”

Central Baptist named Robert Ramey the CEO of Russell County Hospital. He has worked at Central Baptist for 17 years, most recently as administrator of Baptist-Physicians’ Surgery Center, the release said.

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