Monday, March 29, 2010

Can You Get Thrush From A Brazilian Wax

For fun!

Well, I loved it. Very nice topic, style. Poignant. Deep. Intelligent. Sensitive. And necessary. Of course all the passages in italics affected me as much needed reminders, obvious connection to spirituality. You're making. It is a pleasure to read. And you can make a return of this type.
short, when the next?
Sandrine C

Friday, March 26, 2010

Position Is Filled Letter

Business SDB / Novescia: the reactions of Dr. COAST and bathroom ... and a big surprise.

Dear Friends, hello.

News biological accelerated suddenly.
A previous post was referring to entry Novescia a biologist, a member of the Board and the Office of SDB. This fellow wanted to legitimately react. He has left a comment which I reproduce below as a right of reply.

"Hello,

I resigned from the Office of the bathroom the day I took office sde Dircom Novescia.
I present myself in a few months before the Board, an advisory body to explain
So: THERE IS NO CONFLICT OF INTEREST.
Just a thought to lead to the profession on diversity and analysis of thin structures without dogmatism.
Regards

Thierry COAST
Biologist "

At the same time, President of the IFE, Dr. John BENOIT, published on the site of union a statement. He explains the position of SDB on this issue and concedes, in diplomatic terms, " the growing influence and adverse financial networks in medical biology . Here's the full release:

"Dear colleagues,
The personal approach of a colleague, a member bodies of the IFE, to surrender his lab group without Novescia our knowledge does not undermine investment our Union to exercise and defend our independence vis-à-vis financial groups. In fact, I immediately asked the colleague to resign from office and the Board of Directors of SDB.
We regret the choice made by the colleague who is a strictly personal choice and reflects if any were needed of the growing influence and adverse financial networks within the French medical biology.
amalgam made by some between the bathroom and this fellow is somewhat dishonest and not prevent us from working to advance our position in Europe and through the changes we want the French legislation.
Jean Benoit
President
(25/03/2010) "

These two statements confirm that the environment of the profession has become particularly complex with strong uncertainties in the current model (see call Aurelie published here). It is also not for nothing that one of the largest laboratories French, Pastor-CERBA, be for sale by its owner . It's a big surprise. It is still difficult to imagine the consequences, but many will.

GoM



Thursday, March 25, 2010

Harry Potter Footsie Pajamas

Ordinance Laboratory Medicine: Aurélie rises the niche.

Friends Biologists, hello.

I see your eyebrows raise a quizzical: Aurélie but who is? Aurelie is a 3rd year Intern in medical biology and contacted me via the blog to give me her opinion (committed) as a young biologist on the ongoing reform. It is directly concerned because next year it should perform as a professional outlook and it leaves the Ordinance does not really welcome. His speech, both in form and substance, in my opinion deserves wide dissemination. I have therefore proposed a Labmutation interview, which she accepted on condition of anonymity respected. A promise is due.
GoM. Hi Aurelie, going straight to the point, do you want? You have expressed your deep concern about the arrival of financial groups in medical biology. Tell us why.
"Biology French liberal, exercise of its practitioners, and ethical individual is an exception in Europe. It is this notion of local laboratory, the French exception that we believe is threatened by the arrival of foreign capital in the profession. Holdings of domestic and foreign financial companies, are attracted by the profitability promised by the merger of the laboratories. The sole purpose of these groups is the financial return on their investments and achieve significant profits by restructuring the heavily French laboratories. This market is worth billions of euros and is rendered insolvent by health insurance. What to ask more? And to achieve their ends, everything is good: Complaints against the French state, search the College of Pharmacists, intimidation, propaganda in the press ... to unworthy methods of so-called altruistic world of health. "
GoM-
you think what consequences it might therefore be for the French patients?
"Let's be clear. By industrializing the profession, we will disconnect all phases of medical analysis, the samples will be miles away by courier to reach the place where they are analyzed, posing the risk of missing the real emergencies. Validation Organic is made from distance, biologists at the chain end will delegate responsibility and engage in all stages without really being able to control. These groupings will be a source of unemployment for skilled health workers such as laboratory technicians. New trades will appear as leaders and managers, human resource managers, sales reps, utterly useless now. Unprofitable sites will be closed or moved from downtown to industrial zones. The decline will be offset by naming an increase in volumes which involved no savings to Social Security. The major risk is the gradual exit from the scope of care by health insurance medical tests. How to accept terms that national solidarity goes supplying dividends foreign pension funds? French patients were and still are satisfied with their laboratories. You risk to destroy everything to yield to the financial lobbyists who will be real empires. "
GoM-How do you, as a young biologist, to prevent this drift?
" The young biologists, supported by all unions biologists have been received repeatedly by the government to assert the need to preserve the area of health. The preserve does not protect a corporatist vision of art. Biologists are willing-and they have proven to integrate quality, efficiency and cost control in their daily exercise when they can remain master of their decision and majority owner of their tool. An implementation decree to bridge the health professions for the legislative gap opened by Article 5.1 of Law No. 90-1258 on the current financial SALT professionals. Take this decree would be a strong gesture : It would close the possibility for investors outside the profession to circumvent the law to make arrangements allowing them to hold up to 99% stake in laboratories. "
GoM-Wide Program! This decree is claimed for 10 years and so far only lawyers have managed to obtain them. What do you expect concrete for 2010?
"That the state is committed to us. It makes every effort to move towards an exercise practitioner, independent and ethics for our generation. He gave France a chance able to maintain this network of laboratories proximity that every French person may safely find a testing laboratory, and, above all, an expert, passionate about his craft, able not only to perform the required laboratory tests, but especially to inform, advise, reassure or alert their doctor if necessary. Biologists are trained practitioners tray 10. Their professional liability is incurred through medical procedures they perform. They want and need to stay in charge of their management and their investments, their concerns being essentially different from those of even Financial. France can and must assert its model except that some European countries recognize envy. In these countries, the pressure of holding companies is such that it is impossible to return to a more human biology. Do not commit the same mistake. "
GoM-Ok but when you have the opportunity to express your claims to the guardianship?
" Well dear GoM, you Labmutation excluded. This Saturday, March 27, a roundtable was organized by the FNSIP Ballereau with Michel at the Faculty of Pharmacy Paris V (4, avenue de l'Observatoire Paris 6th - 14h to 15h). Mrs Bachelot promised to participate in video conferencing. Young biologists will have a great opportunity. "
GoM (nostalgic) - I'll be there but alas not I count on you to keep readers informed of the blog.
" Promised. Leave your smartphone lit "

Friends Biologists, the succession is assured, but indeed a pity that the former prefer to sell their laboratory financial groups. Keep in touch.

GoM



Tuesday, March 23, 2010

Infection Behind My Lip

Medical Biology: An alarming disagreement looms on the horizon.

Friends Biologists, hello.

There really is nothing to rejoice because of medical biology through a bad time sacred. After the establishment of a "resistance" in the form of a petition by a fraction of biologists who do not want to be clear (see post ), an obvious conflict of interest within the main union of biologists (see post) that is a union hospital and clearly expressed in words-say-unkind comment on the petition cited. This is the message that the union president I reproduce below, but which is available on the site http://www.snbh.asso.fr/ :

"I ( sic) you should be grateful not to sign the petition" biologistesencolère "flowing. This petition comes from members, the most conservative and reactionary, a private syndicate that have only one objective, nothing moves, nothing changes and nothing evolves

... These are the same people who, during the consultation meetings which were held at the Department since March 2008, have nothing denied or criticized (with the exception of the opening of the capital) but are catching up in the dining-out decisions to freeze that does not suit them, it worked very well with the direction of the social security system to block any changes in NABM as the introduction to the nomenclature of analysis BHN.
But these practices were not enough this time to block the publication of the order, hence the letter "anonymous" and the petition of the same name!

With this reform the hardest part is ahead of us but certainly the most exciting too. We produce a high quality bio-medical, do not be afraid to prove it. we will all, we biologists and our teams grow from this challenge. The

Chairman of SNBH
"

I am very surprised by this message on both the form and substance and it is the first time I see professional unions settle the account in this way by Internet interposed. If it is a manipulation, timing is well chosen, that is to say, just before the release of certain regulations in April (as the announcement of the addition SDB on its website but also and especially the passage of the Ordinance before the Parliament (April 15).

The ancients said in Latin "divide et impera" divide and reign, which Wikipedia describes (sorry I Culture I can) as a winning strategy to reduce concentrations of power in elements that individually have less power than that implements the strategy.

Question: Who implements the strategy?
GoM

PS: Thanks for the info Totsaki.




Monday, March 22, 2010

Untucked Dress Shirt With Jeans And Jacket

Novescia debauchery a pillar of SDB. Women

New just drop it and already stirred the mainstream of biology, even though the profession is experiencing a painful reorganization. One of the elected National SDB, biologists largest union, has been hired as spokesperson Novescia group.

The press release issued by the group (whose CEO is from the General Health) insists on union responsibilities of the biologist. Many brothers and sisters moved away are considering that this is a real conflict of interest.

" Novescia TM joined the group as director of communications.
Novescia is the French leader in medical biology , consisting of laboratories medical biology throughout France. Born in 195 .., MC is a biologist, a former internal medicine at the Hospitals of Paris, former student of the Master "Management and Health Policy , "at Sciences-Po Paris.
He opened his own laboratory in 1988. In 2003, he participated in the first merger of clinical laboratories in Paris.
Since 1990, MC was also the spokesman and one of the main body of elected union biology. In this context , MC has initiated an action and reflection on the evolution of public health policies in general and of medical biology, particularly "

For now, the bathroom did not communicate on the subject and we do not know at the time of this writing if the biologist will resign from his union duties.

nice catch.

GoM

Sunday, March 21, 2010

When Men Grow Their Pinky Nail

Why do they need a (real) medical laboratory close to home?

All women need a medical laboratory near their home or their workplace. Why? Because Social Security is formal, it is the first-consuming analysis. Not for pleasure but out of obligation.

You're skeptical and you want examples, either. Who often require a urine test or a pregnancy test? Women. Where are they going to do? In the laboratory the corner. I'm not talking about the various hormonal explorations they must achieve and sometimes later analysis which at one time or another need their children. I forget to mention the mandatory assessments of pregnancy and those prescribed by gynecologists during menopause. I'm also missing some long-term illnesses like autoimmune often affecting women and require regular review.

course, you say, but a good collection center would it not matter? No, a thousand times no because experience showed that often the biologist and physician work together and discuss the results of their analysis of patients that would be technically not possible if they are dealing with a collection center that sends anonymous testing to a large plate technique. Speaking biological jargon, the post-analysis would not be optimal.

Ladies, come in your lab area and ask to talk to biologists. They will welcome you and explain why the profession (and therefore your access to care) is threatened.

GoM
(put flowers in the waiting room)


PS: I shed a tear for the ninth grand slam. Bravo guys!



Wednesday, March 17, 2010

Coo Coo Clock Lubrication

Ordinance medical biology: organized resistance.

Friends biologists, hello.

Coordination called "Biologists angry" and is defined as "a non-union initiative and bringing together biologists, unionized or not opposed to the reforms undertaken by the order" has launched a website ( www.biologistesencolere.com ) and a petition.

According to some informed sources, it would appear that either of Biologists south of France, which had launched the initiative, supported by the very active SJBM .
Beyond signing the petition, they call for biologists to get on the mailing list Biomed.

GoM

PS: the two issues of the day, how many labs will remain in 2013? how much is actually accreditation? If you have specific answers ...

Tuesday, March 16, 2010

How Many Is Overdose On Zopiclone

Ordinance of biology at the field test -1

Friends Biologists, hello.

The new legislative context of medical biology confronts the realities. Biologists appropriated the text of the order, read, interpret and issues emerge one after another. Who can answer these questions?
The problem is that legal recourse is limited. For now, there are only two institutions that have a (an) identified jurist (e): College of Pharmacists and the SDB. It is not enough. Meanwhile, it is necessary to centralize questions, gather and sort them by size and theme. In this context, I publish the post of a field biologist who challenges us on the responsibility of biologists regarding removals. The problem is huge, if you have any suggestions or comments, go to the end of the post.

GoM

"A debate could open up the responsibility of the notice of levy. We talk about little but the delegation of levy from paramedics while maintaining accountability is an extremely delicate.
Order clearly describes the 3 phases of the act of medical biology with pre-analytical phase includes the removal (L 6211-2). It also says a little further than examining medical biology is performed under the responsibility of medical biologist (L 6211-7). It is written in this article that the liability would apply only to certain phases of the examination. Why and under what conditions?
Then, Article L 6211-11, which for the first time in the text the concept of Biologist (not very clear concept defined later) said that the biologist retains full responsibility for the whole examination even if one phase is performed outside the laboratory. Is there not a contradiction?
Regarding the pre-analytical and sampling, the legislature provides for the application of an agreement with third parties so that they respect the procedures in the laboratory (L & L 6211-14 6211-15). That contain these conventions? And who will be responsible for the act of removal? Critical example, the hospital where the samples are taken most often by nurses Services will be responsible? The biologist or the Head of Hospital Service? And the nurses who are liberal? The professional activity it does not recognize the full responsibility of the person who performs an act, a mission, service, etc.. and for which he is paid? If nurses have more responsibility for this act, is it our "biologists responsible" (again ...) to pay them? And if there is a misnomer on the tubes, on the transmission sheet or other documents and we have no way of noticing (this can happen), who is responsible? The sampler " Liberal "mandated by the laboratory or biologist?
Article L 6211-17 requires that the biologist determines in advance of medical examinations to be carried out sampling and procedures to apply. This is perfectly consistent with the previous articles as this will prevent a large number of sampling errors and increase the responsibility of the biologist on the pre-analytical phase. But in practice, how does it make? Some say that patients should call the lab to make their appointments ... How to force them? How already inform this new rule?
Another crucial aspect of these articles is the deregulation created on the relationship between practice nurses, pharmacists and biologists. Collection and specimen collection could be carried everywhere, whether lab or on-site pharmacies. Some will not fail to rush into these holes to capture the activity of neighboring open a center to see samples (sites medical biology laboratory?). And there, we discuss the financial aspect of the case ...
Article L 6211-21 prevents Does it really any surrender fees or COMMERCIAL standard fee related to a service? Opinions seem very divided on this aspect. While it is clear that we can not do discount or rebate (that is to say, charge less than the social security costs), as one can legitimately ask the question of compensation fixed transmission that pay this act of transmission? Biomnis CERBA and said no, but some biologists seem to really say otherwise with all the excesses that can be imagined.

UréeCréat
Biologist "

Monday, March 15, 2010

What Is The Best Metastock Expert Advisor

Election results on the township for the last 6 elections

Below are the results for the canton of Château du Loir, in the past six elections (first round).


(to enlarge the image, click on it)

Note: for the 2004 Regional PS and Green had made an alliance. The result of this alliance is positioned in the chart for the PS.

Sharply yours. Jean-Michel

Génevaux

Friday, March 12, 2010

Homemade Moisturizer For Lips

ISO 15189 and Computing for medical laboratories: COFRAC arrested.

Friends Biologists, hello.

Today, you should everyone have a copy of the Standard ISO 15189 on your cluttered desk and possibly even on your nightstand. If you have arrived until page 32 (2007), you noticed that Appendix B for the Laboratory Information System (LIS) has become more informative and not normative . Some traders have moved away and I am pleased to reproduce below the open letter that one of them sends to this story Human Health Division COFRAC. Feedback is very expected.

Happy reading.

GoM
(who fights with his supplier SIL)

"Dear

I took knowledge via the site COFRAC, the draft manual for accreditation of medical laboratories. I would like to respond through this open letter on the scope of the requirement 4.2.4.r on Information Systems Laboratories in this document.

Within this paper, the Annex B of the ISO15189 standard is in effect presented
as "informative" and containing recommendations "that the LBM can choose apply. This position, at odds with the ambitions of the original standard, which has the contrary Appendix B as "normative," I feel sad for several reasons which I will detail below after a brief remission in context.

Auditor experienced computer, my first contact with the ISO15189 standard goes back to last fall when an audit of security that I had the pleasure of driving on the laboratory information system of a large hospital South-west France. On this occasion, I saw the close integration (and that will only grow in years to come) between the profession of medical biology and informatics. I also noted with some satisfaction that the problems of internal control information contained in the annex B constituted a first step to ensure the safety of biological and medical information under four criteria:

* Availability: This is through the recommendations relating to the environment (Annex B2) recovery and data storage (B6), maintenance of the system (B8), to ensure that medical and biological information about the patient available at any time, including the critical moments of life to improve quality of care.

* Integrity: It is through the recommendations relating to system security (Annex B4), to ensure patient safety by ensuring that information about the biological and medical are not likely to be altered accidentally or fraudulently.

* Confidentiality: This is, again via the recommendations relating to system security (Annex B4), ensure that the transmission of information relating to biological and medical respect patient's right to privacy and dignity.

* Traceability: it is through the recommendations on data entry and records (Appendix B5), to ensure the safety of patients can formally establish the responsibilities each user in the creation / modification / removal of biological and medical information.

Through this risk analysis summary, we see therefore that the risks associated with information system Health non-controlled and non-secure in some cases can endanger a patient's life: the case of on-irradiated Epinal has unfortunately shown us the evidence.

One object that is heavy in Annex B (4 of 40 pages devoted to computer cons a-half in the GBEA), its implementation , added to the QMS, is cumbersome and expensive, and that controls will be implemented in addition difficult to evaluate by non-specialists in audit.

Certainly, some of these arguments is in order: some recommendations are thus probably overly detailed (see Appendix B5: data entry and records). Other provisions, which are yet the most basic sense, do not appear when more surprisingly absent (eg no recommendation on the equipment antiviral workstations to protect the laboratory of malicious attacks).

However, can we at this time where cybercrime explodes worldwide, spread with the back handle a set of best practices under the sole pretext that they are too complex to implement, especially in small structures? The dumbing down is it an acceptable strategy when public health is directly at stake?

Despite their faults and shortcomings, we would all agree that the recommendations in Annex B challenge us on matters of substance or strategic managers laboratory: how ensure the continuity of my business disaster? How to prevent risk of fraud? How to avoid errors of diagnosis? ...

For all these reasons, Annex B shall return in the manual COFRAC the normative status originally conferred on him the ISO15189. Let us, therefore, the stakes of the reform of the French medical biology in setting ambitious targets for 2016: to do this, let us today on each of the recommendations contained in the annex and do an analysis comprehensive risk based on the outline given above, in order to only extract from the document that the true substance. This work, conducted as part
an ad hoc committee, involving members of different colleges, will:

* better understand the risks associated to non-compliance,
* to assess their risk for each level of acceptability
* for each risk to determine the best strategy in the context of laboratory accreditation (Recommendation normative or informative).

The interest of the patient, "single purpose" required by the report Ballereau, is the price!

Remi BOURDOT

Consultant
graduate of the Institut d'Etudes Politiques de Paris
Certified Information Systems Auditor (CISA) by ISACA
Certified Information Systems Security Professional (CISSP) by (ISC) ²
Member of the French Association of Computer Listeners ( FAFIA)