50-Year-Olds Get New Knees in Record Numbers

During the past three decades there has been a dramatic, 130-fold increase in knee replacement surgeries, particularly among individuals in their 50s, a Finnish study found.

via Medical News: 50-Year-Olds Get New Knees in Record Numbers – in Surgery, Orthopedics from MedPage Today.

Knee replacement cost – cost of knee replacement surgery.

After reading about the dramatic increase in the number of knee replacements I did a Google search for “average cost knee replacement” without the quotation marks in the search string.  At the top of page one was the second link above.

Taiwan anyone?

Meaningful Treatments

Thankfully, we’ve learned from our mistakes. Opening blocked vessels is useful in really only two general areas:

Heart attack, where the rule of thumb is to open the tightest blockage (we refer to it as the “infarct-related artery”) and leave the rest as is.

Symptomatic blockages such as the 99% plug that caused my patient his troubles. If, on the other hand, a person has no chest pain or breathing difficulty associated with the disease, we provide no benefit by uncorking it—even if the blockage is 100%.

via Meaningful treatments in the battle against coronary disease.

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Pressed and Stressed – The New (AB)Normal

Worker stress reflects not only heavier demands in recent years, but the fears and difficulties of the Great Recession that preceded the recovery as well as ongoing economic uncertainty.  In effect, employees have been under sometimes-severe strain for roughly four years.  Bigger workloads might be easier to shoulder if employees were getting raises, as well.  But by and large they aren’t. In the Workforce Management-Workplace Options survey, just 30 percent of those employees reporting an increase in job duties said they got a pay increase as well.   And government data show that inflation-adjusted average hourly earnings fell 1.6 percent from October 2010 to October 2011.Still, some observers say workers should get used to the present business as usual.  Given doubts about the government’s ability to reduce unemployment rates anytime soon, employers may be able to make always-on “superjobs” the standard rather than the exception. Companies have seen a spurt in productivity, but it may not be a lasting one. Wayne Hochwarter, a management professor at Florida State University in Tallahassee, surveyed more than 700 full-time workers in 2011 and found that employees in a demanding work environment said their job performance had risen.  But their anxiety levels at work and home also rose, while their job satisfaction fell.  Especially when increased demands come with factors like layoff fears and poor communication by the boss and company, heightened worker productivity is likely to be short-lived, Hochwarter says. “The toll on the human system leads to deteriorating performance and effort,” he says. “The person is left with an empty tank.”

via Today’s Workforce—Pressed and Stressed – Featured Article – Workforce.

The hamsters are dying.

Binge Drinking in Adults United States 2010

  • Binge drinking causes more than half of the 80,000 deaths and three quarters of the $223.5 billion in economic costs caused by excessive drinking.
  • Approximately one in six (38 million) U.S. adults binge drink, and do so approximately four times a month. On average, the largest number of drinks consumed by binge drinkers is eight drinks per occasion.
  • Prevalence and intensity of binge drinking was highest among persons aged 18–34 years, but the frequency of binge drinking was highest among binge drinkers aged ≥65 years. Binge drinkers with annual household incomes ≥$75,000 had the highest binge drinking prevalence, but binge drinkers with household incomes <$25,000 had the highest frequency and intensity of binge drinking.

via Medical News: Binge Drinking Common Among Adults, CDC Finds – in Public Health & Policy, Public Health from MedPage Today.

Vital Signs: Binge Drinking Prevalence, Frequency, and Intensity Among Adults — United States, 2010.

The first link takes you to the MedPage Today article.  The second link takes you to the source article which is also available in a downloadable PDF format.  This report is well worth sharing with your underwriting staff.

Medical News: Death Rate High Long After VTE – in Cardiovascular, Venous Thrombosis from MedPage Today

The risk of death for patients with thrombosis was highest in the first year after the event, with a hazard ratio of 14.4 95% CI 7.1 to 29.2, according to Frits R. Rosendaal, MD, PhD, and colleagues from Leiden University in the Netherlands.But the risk remained elevated eight years later HR 3.8, 95% CI 0.5 to 30.8, the researchers reported in PLoS Medicine.

“Remarkably,” the mortality rate was five times higher among patients with malignancy and thrombosis than among those who had a malignancy without thrombosis (SMR 5.5, 95% CI 5 to 6.1), the researchers observed.

via Medical News: Death Rate High Long After VTE – in Cardiovascular, Venous Thrombosis from MedPage Today.

The Advantages of the Middle-Age Brain -TIME.com

A study in the British Medical Journal lit up the Internet last week with the conclusion that cognitive decline begins at age 45. While it’s true that some innate skills like memory and speed of reasoning fall off as we age, other aspects of intelligence related to learning and experience actually improve.

via Patricia Cohen: The Advantages of the Middle-Age Brain | TIME Ideas | TIME.com.

Positive proof the older brain improves with time.  I found an article on some positive aspects of the aging brain.

Now if I could only remember where I put my car keys…

Scary Charts – Labor Force Participation At Lowest Since 1984

The NFP report confirms the picture we have all known to grow and love – the people “entering” the labor force are temp workers, those with marginal job skills, and making the lowest wages. For everyone else: better luck elsewhere: the number of people not in the labor force has soared by 7.5 million since January 2007, and the average duration of unemployment is 40.8 weeks – essentially in line with last month’s record 40.9. Bottom line – if you are out of a job, you are out of a job unless you are willing to trade down to an entry level “temp-like” position with virtually no benefits or job security.

NFP Payrolls At 200K, Expected At 155K; Unemployment Rate Drops To 8.5%, Labor Force Participation At Lowest Since 1984 | ZeroHedge.

Click the link for the charts.  In prior posts I’ve reproduced Scary Charts on my website.  For these charts I’d like my readers to go to the source, especially if you have never read Zero Hedge.

I spend a lot of my “free” time catching up on the news.  Saturday mornings are my favorite time to catch up on news, think, and reflect.  We all need time to think deeply.