vaccines

This article really throws a monkey wrench into the whole vaccine debate. I am so TORN on this whole issue. On one hand, I really applaud those who DO vaccine their children for without them, the unvaccinated couldn't enjoy their lack of vaccination - measles, mumps, rubella, polio among others would be rampant again. Thanks to vaccines over the years, many diseases have been wiped out. Everytime a friend of mine tells me they are delaying their vaccines or not doing them at all, my mind always goes back to those that DO vaccine. Thank you. Without many of you following the guidelines, the rest would have to fight the diseases rather than the vaccine industry. On the other hand, what if there is something to the whole autism thing?

What have I done in regards to vaccines? Well, we did skip hepatitis B. My reasoning was simple. I have been vaccinated against hepatitis B as it was required in pharmacy school. I have had titers drawn to make sure I am still immune, so I knew at delivery that L didn't have a chance of contracting the disease unless he were to get it in the hospital (the first argument given to me by a NICU nurse). True... keep in mind though that L's location was a heavily guarded NICU. Everyone in contact directly with L has been vaccinated as well as it is required by the hospital for staff to be vaccinated against hepatitis B. I felt fairly safe that L was not going to suddenly pop up and be on the street injecting himself with a syringe, having unsafe sex, etc... I opted out of it at this time. I know that he will receive them later, and it will be fine. He's not in a daycare setting. I feel confident of my decision.

So, he's received the remainder at 2 months. His reaction? A lot of sleep. At 4 months, I skipped DTaP to see if there was a difference in reaction. He had none. We're going to go next month for DTaP to catch up.

My worst fear is the return of these diseases. The reason is that many times the titers for vaccines decline over time. Case in point when I was 14 years old I contracted mumps. Go figure... and I WAS vaccinated.

exuberance

I have Sims 2... I have Sims 2! I was such a fan of the first Sims and all the time it caused me to waste. There is nothing like having to build a person from the ground up and then seeing what happens. Stupid, I know. Not only that, but I knew all the cheat codes to get all the money they ever needed to build big houses. Fun fun fun. Nothing like sitting at a desk staring at a computer screen all night. Hey wait, that's what I do all day, too. Except it's filling prescriptions.
And speaking of which, we had a conference call to address all the negative press with the NY Times article mentioned earlier. It seems that Paul von Zielbauer has written many an article about prisons. Let us see:

1. The first located here entitled Report on State Prisons Cites Inmates' Mental Illness. This one goes after the Department of Correctional Services. Lockdown is the punishment in question. He cites several stats and the inhumane treatment. He states that many of the prisoners are mentally ill and the system is unable to care for them properly. My question is, who is able to care for the mentally ill properly. What are the standards? What are the goals of treatment? Seriously mentally ill prisoners should receive adequate treatment, I agree, but how is this determined?

2. This is the Consensus Project. The Criminal Justice / Mental Health Consensus Project is an unprecedented, national effort coordinated by the Council of State Governments (CSG) to help local, state, and federal policymakers and criminal justice and mental health professionals improve the response to people with mental illness who become involved in, or are at risk of involvement in, the criminal justice system. The landmark Consensus Project Report, which was authored by CSG and representatives of leading criminal justice and mental health organizations, reflects the results of a series of meetings among 100 of the most respected criminal justice and mental health practitioners in the country. Since the release of the report in June 2002, the Consensus Project has continued to promote practical, flexible approaches to this issue through educational presentations, technical assistance, and the dissemination of information about programs, research, and policy developments in the field. His articles are found here as well in the news section.

3. More to come...

my response and theirs

From my point-of-view, I feel that we offer superior medical care (keep in mind I am a pharmacist checking and filling prescriptions - IVs in my case). We fill thousands and thousands of prescriptions a day, and I have a firm belief that if you want great healthcare, in regards to prescriptions and not having to pay, commit a felony offense. Federal inmates receive any prescription prescribed regardless of expense. Seriously though, I don't have much information to offer regarding the PHS-side of things. These are contracted nurses and physicians that work all over the country. Without naming anyone, I feel that I have spoken to some very competent people and the opposite as well. But don't we find this same situation in every company?

Tenn.--(BUSINESS WIRE)--Feb. 28, 2005--ASG Inc. (NASDAQ:ASGR) released the text of a message distributed by Chairman, President and Chief Executive Officer in response to coverage of the Company and its subsidiary, PHS, Inc., in The New York Times. In his message, Mr. Catalano said:
"Some of you may have seen the recent coverage of PHS in The New York Times. This blatantly unfair story contains so many mischaracterizations, exaggerations and oversimplifications that it is difficult to know how to start to set the record straight.

"The fact is that PHS doctors, nurses and other healthcare professionals provide high quality and effective care 24-hours-a-day, 365-days-a-year, in over a million patient encounters a year, under extremely difficult circumstances. And day after day, under these challenging conditions, they save lives. Unfortunately, rather than acknowledging the countless success stories we've had - stories that can be found in every facility we work with - the reporter chose to use only very select anecdotal information to form unfair, misleading and inaccurate conclusions.
"PHS routinely improves the quality of healthcare in facilities it serves. The National Commission for Correctional Health Care (NCCHC) and American Correctional Association (ACA) have established guidelines for correctional healthcare, and we are proud of our track record in achieving a 100% success rate in obtaining and maintaining accreditation by these organizations in each case where our clients have elected to meet these standards. Jail facilities served by PHS have received accreditation at a rate several times higher than other jail facilities around the country.

"The positive results are clear. And while this reporter cites a number of lawsuits against our company, the fact is that the number of lawsuits against PHS is a fraction of the average number of lawsuits filed by inmates in correctional facilities around the United States. And the vast majority of cases against PHS are dismissed.

"Our clinicians treat patients with compassion, dignity and respect. We are proud of them. We respect their professionalism and judgment. They go through the same type of credentialing process that is used by most community hospitals, and we know they are well qualified to do their jobs. We also know that they will continue their good work guided by the principle that our patients always come first.

"It seems as if anyone who tried to present our side of the story to this Times' reporter - or anyone who provided evidence contradicting his view - was dismissed with no more than a minor obligatory reference.

"In his lengthy descriptions of cases in which patients died, the reporter gives tremendous credence to the New York State Commission on Corrections (COC). The article barely mentions that PHS and jail officials themselves have refuted many of the COC conclusions and have offered evidence that contradicts them. It also ignores the fact that many of the COC's recommendations are contrary to practices recommended by the Institute of Medicine and the Agency for Health Care Research and Quality.

"The suggestion that our staff operates in a reckless manner or puts business interests ahead of patients' needs is outrageous, repugnant and demeaning to the thousands of dedicated employees whose commitment, competence and caring save lives in some of the most challenging situations imaginable. They understand that good clinical care and honesty are fundamental values of our company, and they share those values.

"Remarkably, the Times portrays our clients, government officials around the country, as either uncaring or incompetent individuals who are simply being duped. The reporter's assertion that government officials support PHS for fear of being sued is ludicrous. We believe they do so because they recognize our outstanding record of quality performance.

"The story discounts the possibility that our company's growth and consistent record of contract renewal is based on merit. Perhaps the reporter believes that private companies should not be in the correctional healthcare business. But we, our clients and an increasing number of corrections officials around the country obviously disagree. The reality is that PHS provides quality care. We are dedicated to achieving the highest standards of operational excellence, clinical quality and client service, bearing in mind that our patients come to us with a history of being medically underserved and with a high incidence of infectious and chronic diseases, drug abuse and mental illness.

"PHS is proud of the thousands of dedicated medical, dental and mental health professionals who work tirelessly to serve a very challenging population who are very frequently sick, violent and plagued with mental health or drug abuse problems. We will continue to ensure these individuals receive high quality care."
ASG Inc., based in Tennessee, is the leading provider of correctional healthcare services in the United States. ASG Inc., through its subsidiaries, provides a wide range of healthcare and pharmacy programs to government agencies for the medical care of inmates.

This press release may contain "forward-looking" statements made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995, including the Company's beliefs and expectations of future performance, the effects of any stock split and may be indicated by words or phrases such as "anticipate," "estimate," "plans," "expects," "projects," "should," "will," "believes" or "intends" and similar words and phrases. As such, they involve risk and uncertainty that actual results may differ materially from those projected in the forward-looking statements including, without limitation, risks related to the following: the Company's ability to retain existing client contracts and obtain new contracts; whether or not government agencies continue to privatize correctional healthcare services; increased competition for new contracts and renewals of existing contracts; the Company's ability to execute its expansion strategies; the Company's ability to limit its exposure for catastrophic illnesses and injuries in excess of amounts covered under contracts or insurance coverage; the outcome of pending litigation; and the Company's dependence on key personnel. A discussion of these important factors and assumptions regarding the statements and risks involved is contained in the Company's annual report on Form 10-K and other filings with the Securities and Exchange Commission. These forward-looking statements are made as of the date of this release. The Company assumes no obligations to update or revise them or provide reasons why actual results may differ.

From my perspective, I feel that there will always be complaints in the correctional system. Many of the inmates in the system have mental illness, which even in the "outside" world go unnoticed and unmanaged. Don't you believe that this is part and parcel the nature of mental illness? One rarely knows and can comprehend how mentally ill they are.

I did a rotation in a mental hosptial in Memphis for a month and learned so much. These people require a different kind of care, and most of the time we all miss the mark. Many years ago, people were housed in these facilities for long periods of time for depression alone. My own grandmother experienced a 7 year stay at a mental instutition for severe depression. She would have greatly benefited from a selective serotonin reuptake inhibitor (SSRI); however, those medicines weren't available. It's quite fortunate that today we don't have to rely on electro convulsive therapy and other more barbaric forms (in my opinion) of treatment.
These physicians and nurses should be held to the same scrutiny that they would receive in the regular medical community. I am sure that there are many lawsuits out there today about a physician prescribing the wrong medication, etc... There is still an element of a physician being able to be the "captain of the ship," albeit we do have standards of care and guidelines to follow as far as disease and treatments go, there are still those who prescribe to "doing it their own way." Is that what is happening here?