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DJP Update 3-13-2017:  1- PPACA (ACA etc.) Repeal and Replace?  2- LAGNIAPPE: The Clock House and Bose QC 35, and don’t forget DJP News Enhanced Podcasts!

DJP Update 3-13-2017:  1- PPACA (ACA etc.) Repeal and Replace?  2- LAGNIAPPE: The Clock House and Bose QC 35, and don’t forget DJP News Enhanced Podcasts!

1.  Unless you have been cut off from communications since the November 2016 elections, you know there is a surprising change in the office of the President and in the Senate and House.  Pundits and polls for the most part got a failing grade.

 Regardless of your political views and your possible excitement or despair, one can be certain that health system reform is on the agenda in the immediate future.  It will be a test of leadership in Washington to see if reason and facts will prevail in the debate or if political rigidity and obstructionism continues based on political party lines.  This also is a chance for medical organizations to stand up and advocate long-standing policy rather than acting like the opportunists in the Vestibule of Hell in Dante’s Inferno (First part of Divine Comedy).

 I won’t dwell on this topic but it is an IMPORTANT issue for our patients and the profession of Medicine.  Time to enter the arena.

 Finally, I list two articles I mentioned in a November 9, 2016 @DJPNews Tweet:  the first is one I co-authored with 2 PhD economists at AMA in 2004 when I was AMA president entitled:

 Expanding Insurance Coverage Through

Tax Credits, Consumer Choice, and Market Enhancements

The American Medical Association Proposal

for Health Insurance Reform

Donald J. Palmisano, MD, JD

David W. Emmons, PhD

Gregory D. Wozniak, PhD

 It is at:  JAMA, May 12, 2004—Vol 291, No. 18, pages 2237-2242 and is based on long-standing AMA policy as of 2004.

The second article is an editorial I wrote entitled The 2010 “Patient Protection and Affordable Care Act”: A Failing Grade.  The citation for it: J La State Med Soc VOL 162 September/October 2010, pages 243-244

It can be found at:

 http://intrepidresources.com/html/PEJLSMS2010.pdf

 Now for LAGNIAPPE!

 LAGNIAPPE: 

 1- THE CLOCK HOUSE

New Orleans is a fun place to visit because of the history, the people, food, and exciting traditions like MARDI GRAS and JAZZ FEST.  For those who like to stay in a private home rather than a hotel, Robin and I have a friend who has a place listed in AirBnB.  We visited the place. It is in Metairie and wonderful.  More details below:

 https://www.airbnb.com/rooms  

 Go there, search for “The Clock House” or 1010 Metairie Road, Metairie LA 70005

 A brief summary:

“The Clock House” is a 1943 4-bedroom 2.5 bath home built in the “Grand Cottage” architectural style.  The main floor features a screened-in front porch, a gourmet kitchen, a breakfast area with a built-in banquette, and coved ceilings in the living and dining rooms.  Connecting bathrooms between the two bedrooms are on each side of the center hall on top floor. An arbor with a swing, table and bench grace the backyard where you can enjoy a garden view and bird watching at the feeder.  The home is one block from grocery, coffee shops, banks, and restaurants.  It is 5 miles to the French Quarter, 1.8 miles from the Streetcar line, and 1.6 miles to I-10 access.  The host lives in separate quarters on property.  Cereal, coffee, tea, snacks provided.  $275/night, (+ $150/reservation for housekeeping) for up to 8 guests  (babies & children count as guests.)  Fee is higher on special event weekends such as Mardi Gras, Jazz Fest and New Years.

 2- GADGETS:  Bose QC 35

 A) For trips to do keynote addresses and to attend board meetings, I try to protect my hearing in planes and block out the loud noise.  In the past, I used ear mufflers that are used on noisy construction sites.  But they are bulky.  I now have an ideal solution with additional benefits.  I recently purchased the new Bose QC 35.  The noise canceling is outstanding, the Bluetooth works well, and there is the added advantage of making phone calls with the two built-in microphones. 

 Here is part of my research:

 http://www.theverge.com/2016/6/21/11975496/bose-qc-35-bluetooth-wireless-headphones-quietcomfort-flawed

 “What’s odd to me is that the reviews have been mostly glowing — CNET, Gizmodo, The Next Web, Tom’s Guide, buyers in the Head-Fi forums all agree.”

—-

http://www.imore.com/i-am-never-taking-boses-qc-35-noise-cancelling-wireless-headphones

 “I can sleep with the QC35 on inside a plane. The headphones are that comfy.”

 “I am never taking off Bose’s QC 35 noise-cancelling wireless headphones.”

—–

http://www.pocket-lint.com/review/139017-bose-quietcomfort-35-review-the-perfect-travel-companion

 “The QuietComfort 35 ‘phones are certainly not everyone’s cup of tea, considering they aren’t particularly fashion-conscious or able to playback grime with the growly thump of bass focused peers, but they are perfectly suited to the travelling lifestyle of their target audience.”

 “A plane journey will never feel quite the same without them.”

 Finally, here is the official Bose Website with more info on these headphones:

https://www.bose.com/en_us/products/headphones/over_ear_headphones/quietcomfort-35-wireless.html?mc=25_PS_BD_BO_00_GO_&gclid=CKCr3Kbz09ICFci2wAodsy4PAA&gclsrc=aw.ds

—–

 Finally, one note of caution.  Popular items are sometimes copied by others and sold as Bose.  Here is some info to protect against that problem:

 How to spot fake: BOSE Headphones – 6 Steps

 http://www.detectafake.com/viewProduct/?269580

 Also call Bose and read serial # to Bose and they will tell you if genuine or fake.

Call 800-367-4008 and ask customer service to confirm. 

I did that when I purchased my Bose QC 35 from Best Buy after problems getting through with order at Bose Website. They confirmed mine were genuine. Customer Service later told me I could order in future by phone.

3- Don’t forget DJPNEWS Enhanced Podcasts if you missed them on publication.  More to come!

Go to:  http://djpupdate.com/

4- I continue to teach my leadership seminar to 3rd and 4th year medical students at Tulane Medical School:  Leadership – How to give a 2-minute memorable speech.

 Stay well!

 Donald

 Donald J. Palmisano, MD, JD, FACS


Intrepid Resources® 

Donald J Palmisano Consulting

 5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

DJP@intrepidresources.com

http://www.intrepidresources.com/

http://onleadership.us/

(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)

DJP Updates: 

Twitter:  https://twitter.com/DJPNEWS

YouTube: https://www.youtube.com/user/IntrepidResources/videos Check out the videos.  

This DJP Update started out going to leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends; and now around the globe via Twitter followers.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

 

 

 

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DJP Update December 15, 2016: Featuring GALAXY HUNTER; 2nd in the enhanced podcast series.

DJP Update December 15, 2016: Featuring GALAXY HUNTER; 2nd in the enhanced podcast series.

Still exhausted from election commercials? Excited or depressed about the national election results? Take a break and refresh your spirit by watching the latest in the DJP Update Enhanced Podcast Series. Enjoy individuals pursuing their dreams. Then reflect and make plans to enter the adventure for your long-delayed passion. It is later than you think.

DJP Update podcast 2   Dr Mario Motta – GALAXY HUNTER

This is the DJP Update podcast 2 featuring a GALAXY HUNTER. These enhanced podcasts, voice and images, capture the passion of individuals in pursuits outside of their profession and family. In Galaxy Hunter we hear from a cardiologist, Dr. Mario Motta, who is always on a quest for galaxies. He built the world’s largest amateur telescope and it sits atop his home in an area free of light pollution. View the adventure of this amazing pioneer in his quest for discovery in the sky!

Web link:

https://www.youtube.com/watch?v=RcT3DU3G81E&spfreload=10

or

DJP Update December 15, 2016: Featuring GALAXY HUNTER; 2nd in the enhanced podcast series.

Also, if you missed the 1st podcast, go to: https://www.youtube.com/watch?v=zh6zTvf8hVU

or

http://intrepidresources.com/djp_update/?p=1066

Stay well,

Donald

Donald J. Palmisano, MD, JD, FACS

Intrepid Resources®
Donald J Palmisano Consulting

5000 West Esplanade Ave., #432
Metairie, LA 70006
USA
504-455-5895 office
DJP@intrepidresources.com
http://www.intrepidresources.com/
http://onleadership.us/
(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)
DJP Updates:
Twitter:  https://twitter.com/DJPNEWS
YouTube: https://www.youtube.com/user/IntrepidResources/videos Check out the videos.
This DJP Update started out going to leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends;  and now around the globe via Twitter followers.
You can share it with your members and it has the potential to reach 800,000 physicians.
To join the list, send me an email stating “Join DJP Update”
To get off the list, state ” Remove DJP Update” in subject line.

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DJP Update 8-28-2016: 1- A new podcast series. The DJP Update Podcast (enhanced with images on YouTube). 2- Lagniappe

DJP Update 8-28-2016: 1- A new podcast series. The DJP Update Podcast (enhanced with images on YouTube). 2- Lagniappe.

Here is the description of number 1: Published on Aug 27, 2016
Podcast 1: Dr. Richard E. Anderson. This is the first of the DJP UPDATE PODCAST SERIES showing enhanced podcasts with images and music added. These podcasts feature individuals who have a passion outside of their profession, work, or family. Podcast 1 features Dr. Richard E. Anderson, a physician and an executive who has a passion for WILDERNESS TRAVEL and PHOTOGRAPHY. See the ICE CAVE and more. Akin to a spiritual experience. Enjoy!
DJP Update Podcast…Wilderness Travel and Photography

The Ice Cave: “It was very much akin to a religious experience…something magnificent. It was awe-inspiring.”

https://www.youtube.com/user/IntrepidResources

or at: https://youtu.be/zh6zTvf8hVU  (paste this URL into browser if necessary)

or click on image below to to see if that takes you to video.

FYI: I have no connection to ads that YouTube places on my IntrepidResources YouTube site. Will investigate how to eliminate them. I guess that is how YouTube makes money as getting a YouTube site is free.

The Future: I have additional podcasts in this series that are in production. Galaxy Hunter coming soon. Fascinating to see the talent and passion of individuals in endeavors outside of their daily profession.

Thanks to my nephew Dr. Michael Brown who helped me assemble my recordings and the photos into the enhanced podcast using iMovie and a few other programs.

———
Follow me on Twitter @DJPNEWS if you wish to see comments on issues more frequently.

LAGNIAPPE: Recently I joined Robin in Detroit where she was visiting dear friends, Susan and Ernie. They took me to the Annual Woodward Dream Cruise. All types of cars cruising on Woodward Ave!
http://www.detroitnews.com/autos/woodward-dream-cruise/

As Wikipedia says: https://en.wikipedia.org/wiki/Woodward_Dream_Cruise

“The Woodward Dream Cruise is the world’s largest one-day automotive event, drawing about 1.5 million people and 40,000 classic cars each year from around the globe. Spectators can see muscle cars, street rods, custom, collector and special interest vehicles dating across several decades.”
——
We also went to the Ford Museum. More cars and planes! Thanks, Susan and Ernie! Thanks to Robin for having thoughtful friends!

Sample of my tweets about Woodward Dream Cruise. Lots of photos taken. Two cameras working hard! Check out links in tweets.
DJPNEWS
#cars #photography by DJP 2016 Woodward Dream Cruise Metro #Detroit. Great for pics. Overcast+-rain. Dodge #Viper pic.twitter.com/FHUTuBbiGn
8/21/16, 12:03 AM

DJPNEWS
Wonderful time at Woodward Dream Cruise. Great #cars including Ford coupes, 1963 Corvette split-window Stingray… pic.twitter.com/MNZfthTdtk
8/20/16, 11:44 PM
————

Stay well! I have some keynote speeches in the near future so I will be traveling and renewing friendships! I continue to teach my elective seminar at Tulane Medical School “How to give a memorable speech”. Lots of fun.
Donald

Donald J. Palmisano, MD, JD, FACS

Intrepid Resources®

Donald J Palmisano Consulting

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

DJP@intrepidresources.com

http://www.intrepidresources.com/

http://onleadership.us/

(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)

DJP Updates: http://djpupdate.com/

Twitter: @DJPNEWS  https://twitter.com/DJPNEWS

YouTube: https://www.youtube.com/user/IntrepidResources/videos Check out the videos.

This DJP Update started out going to leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends; and now around the globe via Twitter followers.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

 

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AMA Meeting Delegates and AMPAC ALERT: Today’s outstanding speaker at AMPAC Luncheon: A.B. Stoddard

DJP Update 6-14-2016

AMA Meeting Delegates and AMPAC ALERT: Today’s outstanding speaker at AMPAC Luncheon: A.B. Stoddard
Associate Editor of THE HILL and a Columnist. Frequently on TV giving political analysis.

Don’t miss this wonderful and bright political commentator. If you don’t have a ticket, check now with AMPAC booth.

My wife Robin and I follow her when she is on TV frequently giving political commentary. Wise, articulate, and a great source of unbiased political analysis. Lagniappe: She is a wonderful person who is a delight. Robin and I consider her a friend.

Here is today’s tweet:
DJPNEWS
#AMAmtg : See AMPAC lunch..speaker today: bright/wonderful A.B. Stoddard, Assoc Editor/…THE HILL. Sadly my absence https://t.co/9FoC54Da4o
6/14/16, 10:27 AM

Stay well!

Donald

Donald J. Palmisano, MD, JD, FACS

AMA President 2003-2004
Intrepid Resources®

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

DJP@intrepidresources.com

http://www.intrepidresources.com/

http://onleadership.us/

(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)

DJP Updates:

Twitter: https://twitter.com/DJPNEWS

YouTube: https://www.youtube.com/user/IntrepidResources/videos Check out the videos.

This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

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DJP Update 6-12-2016: Unable to attend AMA Annual Meeting; this video contains the message I would have shared to anyone interested in my views.

DJP Update 6-12-2016: Unable to attend AMA Annual Meeting; this video contains the message I would have shared to anyone interested in my views.

For multiple reasons, including my recent neck injury secondary to being in a car accident when our car was stopped and another car crashed into the rear of our car, I am not at AMA Annual Meeting.

This 24 minute speech captures what I try to teach medical students, doctors, and lawmakers in addition to the importance of medical liability reform.

Leadership in Medicine: Tales from The Little Red Book of Leadership Lessons – YouTube from Donald Palmisano’s Tweet

Alternative link:
https://t.co/ZuKEu8S7ip

DJPNEWS
Unable attend @AmerMedicalAssn ann. mt; 1st time in 33 yrs. My message: Med Ethics key. ⬇️Gov in Med; more: https://t.co/ZuKEu8S7ip #AMAmtg
6/11/16, 9:32 AM

Thanks to AAPS for posting video in a tweet on Memorial Day to honor Bud Lomell and other heroes.
AAPSonline
This D-Day rewatch Leadership in Medicine talk by @DJPNEWS. Includes lessons learned from Normandy hero Bud Lomell. https://t.co/9D3oXDbx13
6/6/16, 11:57 PM

————
Tired of PPACA (ACA)? Frustrated by MACRA? Wish you could spend more time with patients rather than electronic medical records designed by regulators for other purposes? ADVOCATE for the right to balance bill what the patient and doctor agree regardless of the payor of insurance (long-standing AMA policy). Stop going along to get along. Withdraw support for failed government policies distorting the practice of Medicine. Review my 6 Commandments of Medicine.

Stay well and be safe. Unfortunately the world is becoming more dangerous as obvious by terror attacks. Increase your vigilance and protect your loved ones.

We have been the land of the free only because of the brave. Never forget that.

Donald

AMA President 2003-2004

Donald J. Palmisano, MD, JD, FACS
DJP@intrepidresources.com
504-455-5895
www.intrepidresources.com
www.onleadership.us

DJP Updates: www.DJPupdate.com
Twitter: @DJPNEWS
YouTube: http://www.youtube.com/user/IntrepidResources/videos

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DJP Update 11-16-2015: 1- R.I.P. Dr. Gustavo A. Colón; 2. The world on alert: Terrorism

1- R.I.P. Dr. Gustavo A. Pirulo Colón June 14, 1938 – November 12, 2015

Dr. Gus Colon passed away on November 12, 2015. I visited him just before he died and told him how much love there was for him. I told him he was the best of the best. The American Society For Aesthetic Plastic Surgery, Inc. has a beautiful tribute to Gus at the link immediately below. Be sure to read it. Thanks to Dr. Mark Constantian for sharing that link.

Gus was a talented plastic surgeon, a great artist whose office had compelling works he painted, an awesome stand-up comic who could keep medical audiences laughing and laughing, a fascinating historian who could mesmerize audience, and much more. He was my intern briefly in the early 60s and he and I often reflected on our first meeting in the Charity Hospital Emergency Room. Most of all, Gus was a kind loving man who treasured family and friends. He always was the first to offer help with any problem. He will be missed. Robin and I extend our sincere condolences to his family.

http://aestheticsociety.cmail20.com/t/ViewEmail/r/21AF490460B744E52540EF23F30FEDED/15838AB224799A6B907C5D7C792C0FF8

Here is the published newspaper obituary:

http://www.legacy.com/obituaries/theneworleansadvocate/obituary.aspx?n=gustavo-a-pirulo-coln&pid=176507081&fhid=5630

In this obituary the time and place for the services are listed:

Tuesday, November 17, 2015 at 12:30pm at St. Clement of Rome Catholic Church, 4317 Richland Ave, Metairie 70002. Visitation at the church will begin at 10:30 am until service time.
2- Terrorism abounds in the world and the latest horror happened to innocents in Paris. It is time to show true leadership. Identify the cause. Eliminate it. Can’t do half-way measures. Otherwise it continues and will strike repeatedly.

Here is one of my tweets about terrorists in Paris:

DJPNEWS
Sad. #Terrorism : identify and eliminate. True #Leadership needed and not just poll-tested words. Vive la France! https://t.co/JulJ9mjBX5
11/13/15, 4:25 PM

Surely it is time to focus on this evil and have a strategy to eliminate it. The world truly is a dangerous place in 2015 and leadership is needed.

There are many opinions about what to do next. Here are some comments from a former chair of AMA’s Council on Ethical and Judicial Affairs (CEJA), Rob Tenery, MD:

http://robtenerymd.com/blog.php

You may agree or disagree with Dr. Tenery but a full debate with FACTS is needed. Are we at war? If war, then no half-way measures. Our brave soldiers are at risk if we don’t give them a clear mission with full support. You can be certain that the terrorists are planning a Paris-like attack on America this very moment. Washington, D.C.? New York City again? Blowing the levees in New Orleans to recreate Katrina destruction? Time to end the political preening.

Stay well!

Donald

Donald J. Palmisano, MD, JD, FACS
Intrepid Resources®

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

DJP@intrepidresources.com

http://www.intrepidresources.com/

http://onleadership.us/

(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)

DJP Updates: http://djpupdate.com/ Go to this link to see previous recent DJP Updates.

Twitter: https://twitter.com/DJPNEWS

YouTube: https://www.youtube.com/user/IntrepidResources/videos Check out the videos.

This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

_______________________________________________
Djp_update mailing list

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DJP Update 11-2-2015 Norman, Oklahoma – Boston, Gloucester, New York City, and New Orleans: Adventures; LAGNIAPPE

DJP Update 11-2-2015 Norman, Oklahoma – Boston, Gloucester, New York City, and New Orleans: Adventures; LAGNIAPPE

The DJP Updates are less frequent because I post daily on Twitter. As stated before, I encourage you to get on Twitter and follow individuals and organizations that interest you. No cost but a very effective way to quickly get all of the breaking news as well as learn new information about just about any topic that interests you. Remember, you don’t have to post tweets! You just can follow lots of news organizations, hobby interests, or individuals.

Click on this link https://twitter.com/DJPNEWS to see some recent ones of the 14,500 I have posted.

This update is about recent travels, speeches, and interviews that I conducted with interesting individuals using state of the art portable equipment for a future “Enhanced Podcast” series.
1- OKLAHOMA

I did a keynote at EXPLORE: Oklahoma Healthcare Summit August 14-15, 2015 in Norman, Oklahoma. Nice folks who showed wonderful hospitality.

I spoke on the 6 Commandments of Medicine and how to survive in the rapidly change healthcare system that interfers with the patient-physician relationship. At the reception, I also signed 250 copies of my book THE LITTLE RED BOOK OF LEADERSHIP LESSONS. Lots of fun. Special thanks to Dr. Carl Hook and the Conference Chair, Shari Moore, RN, BSN. Well-organized Summit.
————

2- Boston: Massachusetts General Hospital Grand Rounds

Once a year, the residents get to pick the speaker for:

MGH Grand Rounds MGH-Department of Anesthesia, Critical Care and Pain Medicine – “Resident Choice Speaker” – October 22, 2015

The residents selected me for this honor and the hospitality was outstanding. Great group of folks, the residents and staff of the department. They also gave me a demonstration of their high-tech simulation lab and a special treat was a visit to The Ether Dome where the first public demonstration of inhalation anesthesia was done October 16, 1846 by dentist Dr William T.G. Morton with Dr. John Collins Warren removing a tumor from a patient’s neck. At the completion of the operation with the patient experiencing no pain, Dr. Warren turned to the doctors in the amphitheater and said, “Gentlemen, this is no humbug.”

(Dr. Crawford Long in Georgia was the first to use ether March 30, 1842.) Lots of photos on all of these adventures during the travels.

The Grand Rounds presentation gave my view how to survive as an ethical science-based physician who always does what is in the patient’s best interest regardless of what healthcare system is put forth by politicians. The 3 elements of the talk with true stories of courage to make the points about the needed leadership.
· Design of a healthcare delivery system with attention to access, quality, and cost.

· A successful system must honor the patient by including the Six Commandments of Medicine as essential. SEC-C plus 2.

· CODAC for making a persuasive 2-minute presentation to defend your views.
————
GLOUCESTER

Dr. Mario Motta and his Telescope! Truly a passionate Galaxy Hunter! He has a 32-inch reflector in his home observatory.

After Boston, we traveled to Dr. Motta’s home for the night and enjoyed the hospitality of Mario and his wife Joyce. Unfortunately the sky was cloudy that night but a break in the clouds occurred briefly and we looked at the moon with Mario. He put the telescope on high power. Impressive!

Stories about Dr. Mario Motta’s World’s largest amateur-built telescope on top of his home.

http://bostoniano.info/italiani/mario-motta-world-largest-homemade-telescope-gloucester/
Nice pictures in the Bostoniano article showing Mario with the telescope plus a few views of far away places!

https://www.aavso.org/aavso-president-mario-motta

http://www.skyandtelescope.com/sky-and-telescope-magazine/beyond-the-printed-page/light-pollutions-medical-effects/

http://www.nytimes.com/2007/10/04/garden/04observatories.html?_r=0

http://tuftsjournal.tufts.edu/archive/2007/april/briefs/star_gazer.shtml

http://www.skyandtelescope.com/astronomy-news/u-s-physicians-join-light-pollution-fight/
And here is Mario at AMA with a resolution about Light-Pollution.

An excellent article that Mario gave me is in the May, 2011 issue of SKY & TELESCOPE.
Unfortunately it is not available online to non-subscribers.

This is part of the Lagniappe of being involved with national medical organizations. You get to meet smart people all over our great Land of Liberty. I try to find out what the individual’s passion is outside of Medicine. Mario is just one example. Sometimes you meet individuals who have completely different views of how the health system should evolve but that should not deter you from inquiring and listening to the person’s outside interests. With friendship, it is easier to reach solutions to problems.
———–
MANHATTAN

My wife’s favorite city to visit! After departing Boston, we went to Manhattan. I had business with my publisher on new projects and was able to record interviews with interesting people who will be featured in future podcasts, including the head of Skyhorse Publishing, Tony Lyons, as well as attorney and best-selling author Philip Howard (The Death of Common Sense, etc.)

We walked the Brooklyn Bridge, visit the 9/11 Museum and Memorial (powerful memorial and sad), One World Observatory, Statue of Liberty, and Ellis Island. We met friends from business and did touring with them. Tuesday night Robin and I had the pleasure of celebrating Dr. Bob Rigolosi’s birthday with his wife Professor Elaine, dear friends!

Lots of pictures during the visit that may find their way into Nature’s Reflections®! I also visited the wonderful Hemingway exhibit at the Morgan Library and Museum. The exhibit ends January 31, 2016. A must see exhibit if you have an interest in writing. It shows drafts of manuscripts with the changes he made. In the manuscript of THE SUN ALSO RISES, he told his editor Maxwell Perkins to discard the first two chapters on the advice of F. Scott Fitzgerald and the book then started at chapter 3! Great fun and I learned a lot. Took lots of notes about technique for my novel. Before leaving the museum, I visited again Mr. Morgan’s private rare book vault. I inserted a photo of it in my book, THE LITTLE RED BOOK OF LEADERSHIP LESSONS. Photo taken on a previous visit when writing the book. After leaving the MORGAN, Robin remembered The Authors Guild was nearby and we made it there before it closed. As a member, I learn a lot from this organization about book contracts. Great visit with General Counsel and Assistant Director, Jan Constantine, who is a fun person to know.

And yes, we got to see the “Woman in Gold” Portrait of Adele Bloch-Bauer painted by Gustav Klimt in 1907. It is at the Neue Gallerie in Manhattan. http://www.neuegalerie.org/collection/Austrian/Fine%20Arts?page=1

The 2015 movie Woman in Gold tells the story on the big screen.

More on the story of the painting stolen by the Nazis and the battle to get it back 50 years later is at:
http://www.npr.org/2015/04/02/396688350/after-nazi-plunder-a-quest-to-bring-the-woman-in-gold-home

NEW ORLEANS

I will make a co-presentation with attorney Darrell Ranum of The Doctors Company (TDC) in New Orleans this Thursday at the 2015 PIAA Claims and Risk Management / Patient Safety Workshop – Physician Insurers Association of America (PIAA) on behalf of TDC whose board I sit on. The talk is entitled Normal Recovery or Complication: The Risks of Post-Operative Care. This presentation is an expansion of our article published in the Bulletin of The American College of Surgeons June 1, 2013. See: http://bulletin.facs.org/2013/06/symptoms-of-normal-recovery/

LAGNIAPPE

My wife Robin brought home today the November/December 2015 issue of Louisiana Life Magazine. The orthopedic surgeon, Dr. Felix “Buddy” Savoie, who operated via scopes and a regional block on my rotator cuff problem in March of 2013 is on the cover. Excellent surgeon who is a nice person. He did a great job on my shoulder and I have 100% function and no pain. Dr. Savoie is Tulane Sports Medicine Chief, world-famous, and operates on many high-profile athletes (I certainly am not a high-profile athlete but he did the same wonderful job on me.) His special interest is the shoulder and elbow. Read the article here:
http://www.myneworleans.com/Louisiana-Life/November-December-2015/Savoie-Faire/

And here is the cover with Dr. Savoie: http://www.myneworleans.com/Louisiana-Life/November-December-2015/

Enjoy the read!

Finally, some Louisiana Gumbo advice for taking the time to read this lengthy DJP Update!

TOUR de GUMBO article in November issue of New Orleans Magazine:
Lots of pictures and advice! If you have not had the wonderful Gumbo and Turtle Soup in New Orleans and throughout Louisiana, it needs to be on your Things to Do list!

http://www.myneworleans.com/New-Orleans-Magazine/November-2015/Tour-de-Gumbo/index.php?

Finally, if anyone is coming to New Orleans for PIAA or any other meeting, here is a list of my favorite New Orleans restaurants:

http://www.intrepidresources.com/html/restaurants.shtml

———

Stay well!

Donald

Donald J. Palmisano, MD, JD, FACS
Intrepid Resources®

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

DJP@intrepidresources.com

http://www.intrepidresources.com/

http://onleadership.us/

(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)

DJP Updates:  http://djpupdate.com/

Twitter: https://twitter.com/DJPNEWS

YouTube: https://www.youtube.com/user/IntrepidResources/videos Check out the videos.

This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

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DJP Update 8-19-2015: My article re Forty-Year Anniversary of Louisiana’s Medical Malpractice Act, Act 817 of 1975

DJP Update 8-19-2015: My article re Forty-Year Anniversary of Louisiana’s Medical Malpractice Act, Act 817 of 1975

The Journal of the Louisiana State Medical Society also published again the 20-Year Anniversary article. It is attached to new article and both should be read to get full details of events surrounding passage of law.

Article also contains praise for California MICRA and Texas Medical Liability Reform (Prop 12 of 2003 changing Texas State Constitution and associated legislative passage of limits of liability.)
Excerpt from page 1 of article:

———-

“Do your homework, have courage, and don’t give up!”1 Those words of wisdom for success from my heroic policeman dad once again proved correct in the medical liability reform battle in Louisiana in 1975 because of the leadership of Dr. John Cooksey of Monroe, Louisiana. Dr. Cooksey was the cheerleader who gathered the team and constantly inspired everyone.

Here we are at the 40th anniversary of the passage of the 1975 Medical Malpractice Act, Act 817.2 How time flies! Act 817 of 1975 lives and the Louisiana State Supreme Court has ruled the current law, a total cap on all damages with its 1984 amendment for unlimited future medical payments as incurred (La. Act 435 of 19843), constitutional in the Butler case previously cited in the 20-year anniversary article (reprinted in this issue of the Journal). Louisiana’s law was voted into law prior to California’s famous medical liability law.4 For another great triumph, see Texas and its success in 2003.5 Three different laws; three proven long-term successes.

———
Read entire article with hot links to references at:

http://www.intrepidresources.com/assets/40year_anniv_1975.pdf

Also posted at Journal of Louisiana State Medical Society Website:

http://journal.lsms.org/attachments/article/131/Forty-Year%20Anniversary%20of%20Louisiana%E2%80%99s%20Medical%20Malpractice%20Act,%20Act%20817%20of%201975.pdf

NOTE: This article is in PDF and may take a moment to load in browser.
Sincerely,

Donald

Donald J. Palmisano, MD, JD, FACS
Intrepid Resources®

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

DJP@intrepidresources.com

http://www.intrepidresources.com/

http://onleadership.us/

(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)

DJP Updates:  http://djpupdate.com/

Twitter: https://twitter.com/DJPNEWS

YouTube: https://www.youtube.com/user/IntrepidResources/videos Check out the videos.

This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

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DJP Update 8-7-2015 R.I.P. William J. “Jeff” Terry, MD

DJP Update 8-7-2015 R.I.P. William J. “Jeff” Terry, MD

Our dear friend Jeff died today. May he Rest In Peace.

Jeff was a true leader who had the courage to advocate for patients and physicians. He did his homework. And he did not give up! His passion and kindness combined with his competence made him a strong advocate for us.

His recent work pointing out the serious problems of moving to ICD-10 is one of many examples.

Sincere condolences to his wife Elizabeth and his sons.

He will be missed. He was too young to depart.

For a 2013 photo of Jeff working at the hospital, see New York Times December 29, 2013 article at:

http://mobile.nytimes.com/2013/12/30/technology/medical-billing-nears-a-new-era-of-ultra-specific-codes.html?referrer=&_r=0

Here is Jeff taking the oath of office as President of the Medical Association of the State of Alabama (MASA) in 2011:

http://www.masalink.org/uploadedFiles/News_and_Publications/Private/Alabama%20MD_June.pdf

A story about his testimony in Congress in 2015 re ICD-10:

http://blog.al.com/press-releases/2015/06/state_lawmakers_urge_congress.html

Sincerely,

Donald

Donald J. Palmisano, MD, JD, FACS
Intrepid Resources®

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

DJP@intrepidresources.com

http://www.intrepidresources.com/

http://onleadership.us/

(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)

DJP Updates: http://djpupdate.us

Twitter: https://twitter.com/DJPNEWS

YouTube: https://www.youtube.com/user/IntrepidResources/videos Check out the videos.

This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

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DJP Update 8-1-2015 1. Dr. Jeff Terry hospitalized; Two departed Friends: Tony Angello and Norman McSwain, MD, FACS

DJP Update 8-1-2015 1. Dr. Jeff Terry hospitalized; Two departed Friends:  Tony Angello and Norman McSwain, MD, FACS

As previously explained, my updates are fewer now as I tweeted new information via Twitter:  @DJPNews

But recent sad events are put in this DJP Update.

The courageous Dr. Jeff Terry is seriously ill in the hospital.  Also two friends died.

1.  Dr. Jeff Terry.   I received word today from Dr. Jorge Alsip about Jeff.

Here is an excerpt from his note:

Jeff, Elizabeth and their family would greatly appreciate everyone’s prayers, and I would appreciate it if you could help us get the word out.  If anyone would like to send Jeff a card this is his home address:

60 Kingsway
Mobile, Alabama 36608

Thanks,

Jorge

Jorge A. Alsip, MD, MBA
Vice Chairman
Alabama AMA Delegation
——-
We can never forget Jeff’s courageous battle to educate the world about the problems of impending ICD-10.  A true leader.

Here is what I wrote about Jeff on July 8, 2015 on the Speaking As A Individual Listserv plus the Take Back the Profession Listserv:
——-
I agree with praise for Jeff.

Dr Jeff Terry = True LEADERSHIP.  He did his homework, had courage, and didn’t give up!

Thinking of Dr Jeff Terry, the Poem IF by Rudyard Kipling comes to mind also.

Two excerpts especially:

“If you can bear to hear the truth you’ve spoken
Twisted by knaves to make a trap for fools,”

AND

“If you can fill the unforgiving minute
With sixty seconds’ worth of distance run,
Yours is the Earth and everything that’s in it,
And—which is more—you’ll be a Man, my son!”

Full text at:

http://www.poetryfoundation.org/poem/175772

Well done, Jeff!  American Medicine is in your debt though it is unlikely most will realize your service and give thanks.

Stay well,

Donald
———–

2.  Tony Angello

The famous restaurant owner in New Orleans, Tony Angello, passed away after a fall resulting in a broken hip.  Many of you have had meals at his restaurant that I feature at:

http://intrepidresources.com/html/restaurants.shtml

The restaurant will continue under the leadership of his daughter Angel, nephew, and maitre d’ Dale Messina.
DJPNEWS
So sad. A wonderful gentleman. R.I.P. RT @NOLAnews: New Orleans restaurateur Tony Angello dies, TV station reports http://t.co/YhHYARDTpM
7/14/15, 11:56 PM

DJPNEWS
History of late Tony Angello restaurant career; visitation and Mass arrangements Sunday and Monday. http://t.co/xkKEssmL3P #Friend #Legend
7/15/15, 10:26 PM

2-  Norman McSwain, MD, FACS, “Tsa-La-Gi” “Medicine Man”
The second death is our dear friend, Norman McSwain, MD, FACS, “Tsa-La-Gi,” Medicine Man.  He is internationally famous as a trauma surgeon and teacher.  Below are more articles.  Be sure to read Tulane’s  tribute.   I wrote about Norman’s outstanding medical work during Hurricane Katrina in 2005 in my 2008 book, ON LEADERSHIP.

Services for Norman are as follows:  Tsa-La-Gi Gathering (Visitation) Saturday, August 15, 3-7 PM Central and Sunday, August 16, 10:00 AM to 2:00 PM. Tribute service at 2:00 PM Sunday. (Date corrected here.  In my first mailing I had wrong date.)
All at Lake Lawn Funeral Home, 5100 Pontchartrain Boulevard, New Orleans, 70124 Phone 504-486-6331.  Condolences to his daughter Merry and to Dee Aucoin.

Note this excerpt from Tulane’s tribute:

McSwain wrote numerous textbooks and articles and received many awards for his trauma work. He is the only person in the history of the American College of Surgeons to receive all five of its major trauma awards.
Norman has received so many awards, too numerous to list here.  Here is a 2014 tweet with a photo.

DJPNEWS
Congrats Norman E. McSwain, Jr., MD, TULANE Surg Prof #NOLA : LSMS COMMUNITY SERVICE AWARD @LaMedSoc #Leadership http://t.co/i2g0CeQ2BK
2/1/14, 12:20 PM

DJPNEWS
R.I.P. Norman McSwain MD, FACS. My dear friend and internationally famous trauma surgeon died today. A great loss. http://www.wdsu.com/news/local-news/new-orleans/trauma-medicine-pioneer-dr-norman-mcswain-dies/34405790
7/28/15, 10:41 PM
More about his amazing career here:  http://wgno.com/2015/07/28/doctor-who-helped-shape-charity-hospitals-trauma-response-reputation-dies/

The American College of Surgeons said this about Dr. McSwain:

KEY MEMBER OF THE COT, NORMAN E. McSWAIN, JR., MD, FACS, DIES AT 78

The staff and volunteers of the American College of Surgeons (ACS) were saddened to learn that Norman E. McSwain, Jr., MD, FACS, the most senior active member of the ACS Committee on Trauma (COT), passed away Tuesday, July 28. He was 78 years old and died at his home in New Orleans, LA, after suffering a cerebral bleed on July 17.

An ACS Fellow since 1973, Dr. McSwain began his involvement with the COT in 1975 through his work with the Kansas Committee on Trauma. Four years later, he was appointed to the national COT where he led both the Pre-Hospital Care Committee and the Advanced Trauma Life Support® Committee. He played a leading role on the team that revised the initial Hospital Resources Document, which evolved into the current  COT  Verification, Review, and Consultation Program for Hospitals. Over the next three decades, Dr. McSwain led the Louisiana Committee on Trauma, served on the task force for Operative Skills, was a liaison to the Board of Regents, and most recently, served as the liaison for the National Association of Emergency Medical Technicians (NAEMT).

Dr. McSwain was a founder of NAEMT, which developed the Pre-Hospital Trauma Life Support (PHTLS) program in collaboration with the COT. He was a champion of PHTLS and the NAEMT, and his work set the stage for the modern version of Tactical Combat Casualty Care. An inspiration to several generations of trauma and emergency care professionals, Dr. McSwain received every honor the ACS COT and NAEMT bestows. He presented the Scudder Oration at the 2003 Clinical Congress and received the NAEMT award that now bears his name—the Dr. Norman E. McSwain, Jr., PHTLS Leadership Award.

Dr. McSwain was director of trauma, Spirit of Charity Trauma Center, Interim Louisiana State University Hospital, and professor of surgery, Tulane University School of Medicine, New Orleans. View an online obituary in the Times Picayune newspaper.

And Tulane Medical School praise from Dr. Doug Slakey, Tulane Surgery Chair, and Dr. Lee Hamm, Dean and SVP… said this:

Remembering Trauma Surgeon Dr. Norman McSwain

“His commitment to improving the care of the injured patient saved countless lives and improved the quality of life of untold millions of people.”
⎯ Dr. Douglas P. Slakey, Professor & Chair, Tulane Department of Surgery

Internationally renowned trauma surgeon Dr. Norman McSwain who helped transform the way doctors and first responders treat the most severely injured, leaves an “unparalleled” legacy at Tulane and beyond, according to friends and co-workers.

McSwain, 78, died Tuesday (July 28) at his French Quarter home after a brief hospitalization for a cerebral bleed earlier this month.

“Dr. McSwain was a beloved, committed and devoted surgeon who has left an unparalleled legacy, not only in New Orleans, but also around the world,” said Dr. Lee Hamm, Dean of Tulane University School of Medicine.

McSwain joined the Tulane University faculty in 1977, but it was his dedication and commitment as a practicing trauma surgeon that gained him national accolades. He served as trauma director and a member of the teaching staff of Charity Hospital of New Orleans, surgeon for the New Orleans Police Department since 1979, and medical director of New Orleans’ Emergency Medical Services Division. Shortly after his arrival in New Orleans in 1978, the city tapped McSwain to develop an EMS system here.

McSwain viewed improving trauma surgical care as a global public health initiative, working with healthcare organizations and governments around the world to develop and improve systems for effectively caring for injured patients. In New Orleans, he worked tirelessly to ensure that the missions of clinical care education and research were at the highest levels and consistently applied and delivered to all people regardless of their personal circumstances, said Dr. Douglas Slakey, who holds the Robert and Viola Lobrano Chair of Surgery at Tulane.

“He was of a generation who largely put their self interest secondary to the mission of being a physician,” Slakey said. “He felt that the privilege of being a physician and caring for patients was of the highest calling and far more important than personal gain. He was the sort of person who would tell people that if you do what you love, success — however you measure it — will follow.”

McSwain’s commitment to the Charity trauma system transcended local politics, as he viewed service to the community as his highest responsibility.

“His focus was clearly on providing the highest quality of care and passing on his experience and knowledge in the form of education and training to not only physicians and medical students but also every level of health care provider,” Slakey said. “He truly thought that the team was more important than the individual.”

Honored in 2009 with the Senior Vice President’s Teaching Scholar Award, McSwain was known for sharing his 18 “Rules of Patient Care” with medical students and colleagues. The document is signed with “Tsa-La-Gi,” Cherokee for “medicine man,” reflecting his affinity for Native American cultures.

McSwain relocated to New Orleans because he considered Charity Hospital to be one of the nation’s most important trauma centers. But his efforts resonated worldwide: His work with the American College of Surgeons Committee on Trauma and National Association of EMTs resulted in a Pre-Hospital Trauma Life Support program that is a global standard for trauma care. That program has trained more than 500,000 people in 45 countries.

McSwain wrote numerous textbooks and articles and received many awards for his trauma work. He is the only person in the history of the American College of Surgeons to receive all five of its major trauma awards.

Dr. Peter Meade, who holds the William Henderson Chair in Surgery at Tulane, remembered McSwain as the surgeon everyone wanted to emulate. Despite his legendary status as a doctor, he was approachable and generous.

“The great ones don’t have to act great. There was a tremendous amount of love for this man — at all levels of the hospital,” Meade said. “You just don’t meet a lot of people like that. He meant a lot to us. He was Tulane.”

Douglas P. Slakey, MD, MPH
Robert and Viola Lobrano  Chair  of Surgery
Tulane University
504-988-2317
dslakey@tulane.edu

———
Post Script:  Norman and Dee and Robin and I had a wonderful “Feed Me” dinner at Tony Angello’s in the Wine Room.  I had my camera that also did video.  We did an interview with Tony Angello about his family history and his restaurant.  A fun night that will not be forgotten.  I put the interview on a thumb drive and gave it to Tony Angello’s daughter at the Visitation when Tony died.  Not long after Tony’s death, Norman became ill and died.  Legends gone.  But they will be remembered.

Dr. Norman McSwain, truly beloved and sui generis. A life well-lived saving others.  May he Rest in Peace.

————————
Stay well,

Donald

Donald J. Palmisano, MD, JD, FACS

Intrepid Resources®
5000 West Esplanade Ave., #432
Metairie, LA 70006
USA
504-455-5895 office
DJP@intrepidresources.com
http://www.intrepidresources.com/
http://onleadership.us/
(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)
DJP Updates:
Twitter:  https://twitter.com/DJPNEWS
YouTube: https://www.youtube.com/user/IntrepidResources/videos Check out the videos.
This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.
You can share it with your members and it has the potential to reach 800,000 physicians.
To join the list, send me an email stating “Join DJP Update”
To get off the list, state ” Remove DJP Update” in subject line.

Read More