Author: MontereyBayForum

Sana Cruz, CA hospital emergency care – jammed to overflowing Feb. 2018 — what to do?

Santa Cruz CA hospital emergency care — jammed  to overflowing the last week of February, 2018. What to do?  What to know?

There are two hospitals in Santa Cruz County:  Dominican Hospital — a Dignity Hospital now — located in Santa Cruz, CA  and Watsonville Hospital located in the southern area  of the County.

The population  of Santa Cruz County has grown enormously.   Infra-structure which  supports the population — such as  hospitals and roads — has not grown. Getting around the County is a major problem only getting worse.

Our politicians and policy makers have served the population poorly concerning roads. Do we need another hospital?

Ever feel  seriously ill?  Experience major symptoms?  Think you need to get to a hospital?

What to do:

1)  Go by ambulance.  Hopefully you don’t have to travel to hospital  during  early and late hours (7-9 & 3:30 to 7).

2)   Take your medications with you.  If you are admitted,   Dominican gives generic medications which can be quite  different from those prescribed by your MD.

3) If available, bring a ‘advocate’/ scribe — someone  who can verbalize what your symptoms are to hospital personnel,  who can keep track of who does what to you   and who can write down the  changing nature of your symptoms.

Once you are in a bed in Emergency,  Dominican Hospital provides  excellent care for life threatening, catastrophic issues.

What  to know:

A  M.D. referred to a ‘Hospitalist’ is the person who decides whether you will be admitted to the hospital, i.e., stay overnight in a bed for further tests, proceedures  and observation.

The number of  M.D. ‘Hospitalists’ who see you may be one or several.  This is one reason  why it’s important that your ‘advocate’/scribe can communicate with the medical personnel you come in contact with  — especially the ‘Hospitalists’ and Nurses.

Once you are admitted to a bed in the hospital, your  R.N. communicates with the Hospitalist assigned to you.   The name of the Hospitalist is typically written on a board near your bed.

Depending on how your symptoms change and how impacted the hospital is,  you may be moved multiple times to other Units in   the hospital.

While you are in the hospital, you will   come in contact with many person performing  different  medical procedures.   It may be helpful for you to keep track of time of day, date,  and who performed what procedures on you.   That way you know what’s happening and you can better communicate with your Hospitalist concerning your medical needs.

Dealing with the fragmentation due to the  multiplicity of medical contacts and procedures:

What if some of your medial  issues are addressed but from your perspective other crucial ones are not?   If you and your advocate/scribe and family think that your  immediate medical concerns are not getting met, that more is going on than it appears,  you can request  a Rapid Response Team intervention.  This is a team that will quickly come and  evaluate you  and address your concerns.   If issues arise communicating with your R.N. there is a supervisor for all the nurses in your unit, the  Charge Nurse who can address  your concerns. Other eyes, ears and perspectives from the Speech, Occupational Therapist and Physical Therapist may provide invaluable  information and evaluation.

Discharge:   Later on, the  Hospitalist  MD assigned to your case is the person who  “discharges” you,  saying  that  you are no longer experiencing catastrophic symptoms,  and certifying that you are ready to leave the hospital for a lower level of  medical care (i.e., nursing home, home health care, out patient care).

If you do not agree with the  M.D. Hospitalist be sure to speak up and say why.

 Did the M.D. Hospialist actually  meet and talk with you before deciding  to discharge you? Did  the the Hospitalist actually  review  the results of  the medical procedures before making and conveying to you his/her  Discharge decision?    The person in charge of the Hospitalists is the Medical Director for Dominican Hospital.

Dominican Hospital has medical personnel performing ‘”Leadership” functions.  These persons (who are in top management positions)  go around to the rooms and initiate conversation  with patients as to  specific needs and as to  the overall experience.  These conversations can and do  enhance overall  communication.  From the patient’s perspective the overall experience can seem quite fragmented as the patient has so many brief contacts with many medical personnel.  

Dominican Hospital posts what it calls  the experience principles.  A promise to our patients and each other:

Know me as a person.  Connect with me, not with why I am here.

Communicate with me.  Keep me informed about decisions that impact.  Listen to me and respond to my concerns.

Empower me.  Allow me to be in charge of my care.  Advocate for me and teach me to advocate for me.

Comfort me.  Notice when I am having dificulty and take action to help to relieve my suffering.

Work together as a team.  Support each other.  Do what you say you are going to do.

Champion the ministry.  Treasure the mission.  Build and strengthen capabilities of the ministry.

Dominican Hospital’s experience principles are aspirational.  Having your own advocate/scribe can help enormously.

Traveling to and from Dominican Hospital:

Workers from Salinas, CA who start work at 6 am at Dominican Hospital  can get to work in 40-45 minutes. When the Dominican Hospital  MRI machine was ‘down’ the last week of February 2018 it took 45 minutes for an engineer to drive from Aptos, Ca to the hospital  wherein he repaired  the machine in 2-3 minutes.

Dominican Hospial’s emergency facilities are impacted by various populations including 1) a large homeless population which sleeps out ‘in the rough’ and gets sick when it’s wet and cold;  2) a  large population of drug addicted individuals ;  3) 30% of Santa Cruz County has families with children whose first language in not English. And more and more people are coming to the County.

The population of Santa Cruz CA has grown enormously in the last 30-40 years.  There were and still are only two hospitals with emergency facilities for catastrophic medical conditions. The roads are impacted and increasingly it’s more and more difficult to get to and from Dominican Hospital.

You can “schedule’ your trip to the Emergency facilities at Dominican Hospital.   Sudden major health events cannot be scheduled or dealt with by appointment.

What to do?   Start by talking about your experiences ….

Santa Cruz County has two main hospital  facilities and perhaps, given all the changes of the last 30  years, we need an additional facility located in mid-county.  Or perhaps we need  some additional  smaller facilities that are open 24 hours a day and can handle catastrophic issues?

written by Cameron Jackson   drcamearonjackson@gmail.com

 

 

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which RAIL TRAIL best for people living in Santa Cruz County? Still time to tell the RTC what you think!

Which RAIL TRAIL best for people who live in  Santa Cruz County?

Do we want a wide TRAIL  that can handle electric bikes and wheel chairs and walkers or do we want  a narrow trail  along a high fence that preserves the rail tracks for a train that may never happen?

There’s still time for you to tell the Regional Transportation Center what you think.

Measure D — which passed in 2017  — preserves the current  rail tracks and permits only a narrow trail.

Maybe there’s a better solution?  Read and decide.

Click  here   for a comparison of the wide one versus narrow one.

Go to the link below to sign petition.

https://www.change.org/p/santa-cruz-county-rtc-help-build-a-world-class-greenway-in-santa-cruz-county-by-removing-the-train-tracks

Thank you Dana Abbott, a gardener with Aptos Community Garden, for providing information.

written by  Cameron Jackson   drcameronjackson@gmail.com

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You must pay union fees to get & keep a govt job? Your money supports political views you disagree with. That’s question Supreme Court will answer

You must pay union fees to get & keep a govt job? Your money  spent to  support political views you  fundamentally disagree with? That’s wrong.  This violates your freedom of speech rights.

For example, the SEIU  supported Obama in 2008 & 2012   and supported Hillary Clinton in 2016.   The SEIU pours millions of dollars into the Democrat Party each election cycle.   Why should  union dues you must  pay to keep your job be spent  for  politics you disagree with?

The Supreme Court hears a case on this issue starting Monday, February 26.  This is from the Wall Street Journal:

“Across the U.S., more than 500,000 state and local workers have objected to funding union advocacy but are nonetheless required by law to pay “fair share” fees to labor unions they have refused to join. The Supreme Court upheld the practice in a 1977 case, Abood v. Detroit Board of Education, reasoning that otherwise workers could “free ride” on the union’s collective bargaining. Prohibiting unions from charging nonmembers directly for political speech, it believed, would protect their First Amendment rights.

“On Monday the justices will hear oral arguments in a challenge to that 1977 decision brought by Mr. Janus. They should heed Justice Felix Frankfurter’s observation, in an earlier case on mandatory union fees, that it is “rather naive” to assume “that economic and political concerns are separable.” As Mr. Janus argues, bargaining over wages, pensions and benefits in the public sector involves issues of intense public concern and thus core First Amendment-protected speech. A state law that forces public employees to fund that speech violates their rights, no less than compelling them to speak. ( Janus v. Afscme doesn’t consider these questions for unions in the private sector.)

 “Other unions that held pro-Clinton rallies include the American Federation of Teachers, the National Education Association and the Service Employees International Union, which represents about one million public workers. The SEIU convention passed a resolution that the union will “elect Hillary Clinton” as president “by mobilizing millions of voters.” Unions and state governments maintain that nonmembers can be charged for these conventions because they are where the unions adopt bargaining strategies and representational policies.
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Aptos Psychologist: Stop taking money from government workers’ paychecks.  People are smart and can decide for themselves what politics they want to support.
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Firenze Sage: electrocute me or stab me but don’t boil me? [lobsters are protected in Switzerland]

 

boil a lobster? Not in Switzerland

It’s OK to electrocute or stab lobsters in Switzerland but you cannot boil them.

And you cannot punish barking dogs.  

Switzerland regularly ranks as one of the best places on earth to live. Beautiful scenery, picturesque cities, robust, friendly people, and, if you like winter sports, a winter wonderland.

But few nations outdo the Swiss in nanny statism. Their national legislature proved that again by banning the practice of putting live lobsters in boiling water. I guess the Swiss can’t stand the thought that in the few seconds it takes the lobster to give up the ghost, it might experience pain.

The Swiss banned the manufacture and sale of fois gras, the delicacy where geese are force fed to bursting in order to harvest their enlarged livers. But banning the boiling of live lobsters? That would appear to be another effort to micro-manage society.

The first national legislation of its kind in the world calls for a more humane death for lobsters, by “rendering them unconscious” before plunging them into scalding water. Two methods are recommended: Electrocution or sedating the lobster by dipping it into salt water and then thrusting a knife into its brain.

   The same law also gives domestic pets further protections, such as dogs can no longer be punished for barking.

 

The measure is part of the broad principle of “animal dignity” enshrined in Switzerland’s constitution, the only country to have such a provision. The constitution already protects how various species must be treated and specifies that animals need socialization.

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Firenze Sage:  How do you stop a barking dog? Electrocute or stab him?

https://www.smashwords.com/books/search?query=four+more+obama+years

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dental inplants – where to go near Santa Cruz? Keep that beautiful smile?

 

Some people need dental implants.

So they keep that beautiful smile.

Where to go in the  Santa Cruz CA and nearby  areas?

Very important, find a dentist with at least  300 hours of C.E. experience and proven expertise. Go to one that  in the initial consultation provides a 3D scan of bone density and a digital panaramic picture of your teeth.  Get an experienced dentist.

How to find a list of dentists with verified expertise?  See link below:

https://www.aaid-implant.org/find-an-implant-dentist/?z=95060&m=100&Country=&State=&City=&LastName=&pg=1

Per that link, the closest dentists with verified experience are in the San Jose – Los Altos area.

Dr. Joseph Field  (650) 948 5524 has a web site at www.pccd.net   The initial consultation takes about 1 to 1 1/2 hours wherein digital photographs take a panaramic picture of your mouth and a 3-D scan showing the density and strength of bone tissue.  The initial consultation is complementary.

Dr. McEvoy (650) 969-2600  provides an initial consultation at a cost of roughly $600.

Concerning dentists with verified credentials who are the closest to Santa Cruz, CA:

There are ways for dentists to get the necessary experience to do dental implants.  This is getting “down into the weeds” with more information than the consumer may want.  But it’s interesting to know:

written by Cameron Jackson  drcameronjackson@gmail.com    2/22/2018
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Sanctuary Cities Santa Cruz & Watsonville: Why not follow federal laws which permit ICE to arrest at Local Jails rather than go find them at home, work & in community?

   Sanctuary Cities Santa Cruz & Watsonville:  Why not follow federal laws on the books which permit federal authorities aka  ICE to arrest “bad dudes” in local jails rather than go find them in their homes, work place and community?  Santa Cruz has some of the highest rates of crime in California.

Let’s do what we can to reduce crime in Santa Cruz and Watsonville, California. Below is a link to a FOX news report on ICE activities.

 

https://www.liveleak.com/view?i=43a_1519325971

National Statistics on Recidivism — who gets arrested again and again

Bureau of Justice Statistics studies have found high rates of recidivism among released prisoners. One study tracked 404,638 prisoners in 30 states after their release from prison in 2005.[1] The researchers found that:

  • Within three years of release, about two-thirds (67.8 percent) of released prisoners were rearrested.
  • Within five years of release, about three-quarters (76.6 percent) of released prisoners were rearrested.

  • Of those prisoners who were rearrested, more than half (56.7 percent) were arrested by the end of the first year.

  • Property offenders were the most likely to be rearrested, with 82.1 percent of released property offenders arrested for a new crime compared with 76.9 percent of drug offenders, 73.6 percent of public order offenders and 71.3 percent of violent offenders.

It’s time that local Santa Cruz county  politicians set policies that save fragile resources.

Per the FOX interview (see above link), the top ICE official says that ICE can process 10 inmates in  in one 8 hour  shift.  Vastly more time and resources are required for ICE  to find the”bad dudes” who were released back on the streets.

Connect with data bases so it’s easier to capture the truly “bad dudes” committing horrific crimes across the USA.

Currently ICE has access to local law enforcement databases, organized by states, such as Arizona and Texas, and metropolitan regions, such as the greater Seattle, Los Angeles, and Washington D.C. areas. In Arizona, AZLink, the database that experienced the most DHS searches during this period, pools together information from numerous law enforcement agencies across the state.

The person-power required  for ICE  find the “bad dudes” released back into the community  is huge.

ICE targets individuals known to be at certain places in Santa Cruz and Watsonville, CA.    By putting the work on ICE  go find them in the community  generates fears concerning  who else will be picked up.

Releasing “bad dudes” back on the streets puts Santa Cruz county at risk of more crime.

The known rate for re-offending is over  high. Over 50% will be arrested again within one year.  So — by releasing the “bad guys” back on the streets local Santa Cruz and Watsonville Sanctuary City policies are directly responsible for more crime in Santa Cruz, Watsonville and elsewhere in the county.

Aptos Psychologist: 

Let’s hold our local Santa Cruz and Watsonville CA  politicians accountable.  Cooperate with ICE so that  the”bad dudes” — the really “bad dudes” — are put on ice and if appropriate deported. Let’s stop the revolving doors  at our local Santa Cruz and Watsonville  jails wherein those arrested are quickly put back on the streets.  What say you?

written  2/22/18  by Cameron Jackson  drcameronjackson@gmail.com

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DACA kids, crime, illegal immigration & sanctuary cities …. what to do?

 
   DACA kids, crime and illegal immigration.  Yes,  legal immigration makes America great.  What to do about the 300,000 illegals including  those under the DACA program linked to crime?  Some 207 murders ….  
The vicious MS-13 gang, stifled under former President George W. Bush, exploded during the Obama era fueled by 300,000 illegals, including those given amnesty under the DACA program, and has now been linked to crimes in 22 states, according to a new report.Since 2012, 207 murders have been tied to the gang called “Mara Salvatrucha,” and there are over 500 cases nationwide of MS-13 members being charged in major crimes, according to the report from the Center for Immigration Studies.

But it can sometimes be hard to deport the illegals involved because about half of the crimes detailed in the report occurred in so-called “sanctuary cities” that do not cooperate with U.S. Immigration and Customs Enforcement.

President Trump has pledged to crack down on the gang and deport those in the United States illegally, and report author Jessica M. Vaughan suggested that it can’t happen soon enough.

Detailing how the gang rebuilt itself under Obama’s open-border immigration policies, she said, “this resurgence represents a very serious threat to public safety in communities where MS-13 has rebuilt itself. The resurgence is directly connected to the illegal arrival and resettlement of more than 300,000 Central American youths and families that has continued unabated for six years, and to a de-prioritization of immigration enforcement in the interior of the country that occurred at the same time.”

The research she supervised at the immigration think tank found that MS-13 concentrations were in areas where so-called “unaccompanied alien children” were put under Obama, including Virginia, California, Maryland and New York. They included those participating in the Deferred Action for Childhood Arrivals who Democrats in Congress are fighting for.

She cited an example of a Maryland DACA recipient charged with gang activity who urged pals in El Salvador to take advantage of Obama’s policies:

One MS-13 clique leader in Frederick, Md., who had received a DACA work permit and was employed as a custodian at a middle school in Frederick, Md., and who was recently incarcerated for various gang-related crimes, reportedly was told by gang leaders in El Salvador to take advantage of the lenient policies on UACs to bring in new recruits, knowing that they would be allowed to resettle in the area with few questions asked. Several of these unaccompanied minors now have been arrested and incarcerated for various crimes, including a vicious random attack on a sheriff’s deputy in 2015.

Crime, torture and theft are the trademarks of the gang.

“The MS-13 members identified in the cases we found were accused of very serious crimes, including 207 murders. More than 100 were accused of conspiracy/racketeering, and dozens of others were charged with drug trafficking, sex trafficking, attempted murder, sexual assaults, and extortion,” said the report. Vaughan is the center’s policy director.

The report noted the difficulty in seizing and deporting some of those involved because the crimes occurred in many of the 300 sanctuary regions in the nation that don’t cooperate with ICE.

“The proliferation of sanctuaries may complicate disruption of MS-13,” said the report. “Many of the hotbeds of MS-13 activity are also places where local officials have adopted sanctuary policies. These policies prevent ICE from working effectively with local law enforcement agencies. There are approximately 300 sanctuary jurisdictions in the country, and they include municipalities, counties, and states.11 About half of the MS-13 arrests in our case set (222) occurred in sanctuary jurisdictions,” said CIS.

Paul Bedard, the Washington Examiner’s “Washington Secrets” columnist, can be contacted at pbedard@washingtonexaminer.com

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Freedom … to kill? No. Freedom from guns? Not possible. Freedom from violence due to mental illness? Possible.

 

Take away guns? Medicate persons with violent tendencies?

Murdering  kids at school, youth at universities, parishioners at church and  people at music events.  That’s become a reality of USA life in 2018.  What can we do? Yes there are things we can do.

Yes –  there are drugs that can medicate and control violent urges to kill self and other.

No — it’s not realistic to take away 300 million guns from the U.S. population. Take away the guns is the “answer” according to some.  That is not realistic. Perhaps making it illegal for gun sellers to sell guns that spit out thousands of bullets — that’s possible.

Yes — a number of states have enacted laws so it’s easy to lock up persons who may harm others or themselves (including California).

Yes — shoot back!  That works.   There are stun guns and taser guns and  a variety of ways to arm persons who can “guard” at public places, e.g.,  schools, churches, malls and other places where people congregate.

Yes — use modern surveillance cameras, drones and modern technology  to watch those with known histories of violent histories.   And permit law enforcement to keep track and monitor persons who  post  violent threats via  Twitter, Facebook and Instagram.

So yes — let’s get real.  There are too many young men (so far just men) who choose to kill others.

We must control persons’s with known, long term histories of  violent  urges via appropriate medication and appropriate incarceration.

Don’t ask for a federal government solution.  States must experiment and do what’s right for their citizens.

written by Cameron Jackson   drcameronjackson@gmail.com

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Firenze Sage: the case of the absent Native American Indian [Elizabeth Warren]

 

Elizabeth Warren claims to be an American Indian

  Sen. Elizabeth Warren, who has claimed to be Native American, is conspicuously absent from a Tribal Nations Policy Summit this week.

The National Congress of American Indians Tribal Nations Policy Summit is taking place in Washington, DC, this week, and it features a whole host of politicians and high-profile speakers, including House Minority Leader Nancy Pelosi, Secretary of the Interior Ryan Zinke and Deputy Attorney General Rod Rosenstein.

However, Warren — the only U.S. Senator who has claimed a Native American heritage — is missing from the guest list. (RELATED: Reminder: Elizabeth Warren Lied About Being Cherokee)

Cherokee genealogists have traced Warren’s family history and were unable to find any ancestors that identified as anything other than white, but that hasn’t stopped Warren from doubling down on her claims, pointing to her family’s “high cheekbones” and plagiarized “Pow Wow Chow” recipes.

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Firenze Sage:   Probably  Elizabeth Warren didn’t get back from her buffalo hunt in time.

https://www.smashwords.com/books/search?query=four+more+obama+years

 

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Freedom from USA govt oppression ….

Freedom from USA govt oppression ….  Per a recent poll, roughly 50% of Americans think think that Obama’s FBI spied on Trump prior to his election as President in November, 2016.    That’s government oppression.

Information recently  comes out that the Trump’s short lived NSA director   M. Flynn  never knew that FBI Director Comey testified before Congress that Flynn did not lie.

Yet Flynn may go to jail because the FBI said  that he lied.  And  the FBI/ Justice Dept. charged him with that crime. That’s  government  oppression.

The memos that have come out show that he FBI and Justice Department lied to the FICA court.  Hilary Clinton and the Democrat National Party are responsible for the “dossier” that the FICA court relied on to issue authorization to spy on Trump and associates such as Flynn.    That’s government oppression.

Let’s get to the bottom of this …..  If Hilary Clinton had been elected President the American public would have never known what Obama and his administration did.  It keeps coming out.

writtten by Cameron Jackson

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