Tuesday, March 24, 2015

Liberalism: Americans Planning to Fail

    Fred Hiatt is The Washington Post's editorial page editor  and he has a outlook on Social Security reform that is enlightening and unfortunate.  See Fred's editorial here: http://www.washingtonpost.com/opinions/the-new-party-of-no/2015/03/22/05c5fc3a-cf07-11e4-a2a7-9517a3a70506_story.html
    What I read there is a liberal tactic that goes something like this:  when someone is talking about cutting, liberals start talk about expanding...and meet in the middle...if they have to. In case of the Social Security debate it "has taken on a life of itself."  And that being a liberal agenda, it must include expanding Social Security to include other generous social giveaway programs..so much so that THAT may be the last big social welfare expansion necessary to bring the numbers of employed down far enough...and bring the number of those on the entitled teat up enough, to tilt Capitalism over into Socialism.  Liberalism: Americans Planning to fail. Where we all are equally poor and miserable.

It's pretty good reading.

Friday, March 13, 2015

6.7 Million SS Numbers 112 years old or older No Big Deal

   When we report that Social Security has found some 6.7  million SS numbers of people who would be at least 112 years old, we should include the rest of the news about it. No, it does not mean Social Security has been paying these people. And no, it does not mean they  represent Medicare fraud. In fact, many are employed and contributing money...over 3 billion dollars a year...whether they are legal or illegal... it's a positive...not a negative...So you can calm down. NOT saying anything about illegal aliens...for Christ's sake! It is what it is.
   And what it does mean is that they need to do their accounting for the dead a little better. You don't have to take my word for it. Go to:  http://oig.ssa.gov/sites/default/files/audit/full/pdf/A-06-14-34030_0.pdf and read the analysis of the Social Security Inspector General's report for yourself.
Doesn't look like any more than that.
Jim Self

Monday, March 2, 2015

Trust Netanyahu, Not Obama and Kerry on Nuclear Iran

The IAEA, International Atomic Energy Agency, the  United Nations watchdog group says Iran is "slow to cooperate" with their efforts to monitor production of what everyone believes is weapons grade plutonium. Obama and Kerry are saying Iran is cooperating. In this case, Benjamin Netanyahu is telling us the truth and Obama and Kerry are not. It's simple. 

Sunday, March 1, 2015

How To Figure Drip Rates.

For My Friends and  Paramedic Students:
From hardest to easiest.
How To Figure Drip Rates:
Dopamine Infusion How to
Need three things for figuring a drip rate.
1. Dosage called for
2. Concentration of your supply  (RATIO..  "Some number : 1")
3. What are the Drops per CC in your Drip Set?

Example:
Doctor says to start a dopamine drip and start at 10 mcg/kg/minute.

1.Dosage is 10 mcg/kg/minute. She weighs 137 pounds. 137/2.2 is 62.3 or just 62 kgs. 62kgs x 10 equals 610 mcg/minute.
2 Concentration.  You have 400mg Dopamine in 250cc in a preloaded bag.
Do this in your head. How many times will 250 go into 1000? 4.
Multiply both numbers, 400 and 250, by 4 and you get 1600mg/1000cc. For the ratio you need some number to 1. 1000 is the magic number for the ratio computation because once you get it you can move the decimal point to the left three places in both numbers, reducing it down to a useable "some number to 1".  In this case it is 1600mcg:1cc or 1600:1.

 (Ask your instructor how to include extra fluid if you use a vial to mix into your fluid. Probably won't include it in you computations.)
3. You use a mini drip (60 drops/ml, 60 gtts/ml) for Dopamine. After you figure it a few times you will understand why a 10, 20, 30 won't work well with Dopamine. Be patient.

To compute simple infusion: It's easy. The dosage is 610mcg/minute. Ratio is 1600:1. So, 610mcg/1600mcg/ml= .38 ml. The mcg,s cancel out. (By inspection you can easily see that it will be less than 1/2 cc a minute at 10, checking your answer.)
Then, to find out how many drops per minute that is you multiply by the drops per ml in your set. .38x60=22.8 or 23.




For a simple IV KVO line like NS, 150/hour. Simple.
150cc/60minutes=2.5ml/minute multiplied by the gtts of your drip set. Let's say it is a 10 gtts/ml set.. 2.5 x 10 =  25gtts/minute.

If it is a simple drip of a drug, like Lidocaine, 1-4 mg/minute:
Dose...1-4 mg/minute.
Ratio...1 gram in 250...1000/250. You CAN simply do the math...1000/250 is 4. 4:1. 4mg/ML.
By inspection, 1 mg equals 1/4 ml. 1/4 of 60 is 15. So the rate range is 15-60 drops per minute.
You will be doing these in your head easily with a little practice.
Do a few of these. If your get stuck give me a call at 270-1374.  Jim Self

Friday, February 27, 2015

Democrats Are Bankrupt, Republicans Are Coming

Jim Self's Blog   February 27, 2015
  The fact that the Democrats don't have an alternative to Hillary Clinton in 2016 means they are bankrupt of leadership. They have no one to deliver their message because they do not have one. They have relied on a false prophet for ten years and now they are tied to him and cannot shake loose.
   This election is not over, however. We still have the Republicans to entertain us. Hopefully we will produce a leader with a few answers, someone who has common sense and a willingness to negotiate with Congress to "get things done", to use Obama's words which are belabored and beyond his reach.
   Hillary, as we all know, is a socialist right out of the sixties. She is the person standing in the back, sipping champagne while she quietly criticizes good people who are trying to make a difference. Folks nod their heads. She thinks they are agreeing and that is a sign that she would have their support in her Presidential election...her mind works like that, I'll wager...wouldn't you?  But really, they just wish she would shut up so they could hear.
   If we learned anything from 2014 it is that a significantly large number of Democratic voters will not vote unless they have a "savior" running. I see Bush, Ryan, Christie...but I don't see a "savior". Then I see Ben Carson and in him I see a shot in the arm that this nation desperately needs and he can beat Hillary hands down. His is a message of common sense and personal responsibility. Experience does not matter nearly as much as some claim. Character and personal integrity matter so much more. I sincerely hope we can nominate the man and get him elected. Jim Self
 
   

Thursday, June 26, 2014

The International Human Rights defense Act of 2014

   The International Human Rights Defense Act of 2014 reads like a do all act by the USA to save the LGBT people of the world. The world needs to do this, no doubt. But not by us.
   The USA affords rights and protection from discrimination for LGBT that leaves it one of the better places in the world for that crowd. The truth is that discrimination against LBGT is huge and ugly in this world, a far larger issue  than this country is able to address. Senator Markey may not appreciate that the large part of this world is composed of primitive cultures that have practices and value systems that have more in tune with times of  a 2000 years ago or more.  He can throw hundreds of billions of borrowed American dollars at the problem and not make a dent. Perhaps the UN would be the appropriate starting place for an international effort of redress and mitigation. Setting a positive example is the only real choice we have. 
   Senator Markey's  effort probably has more to do with stimulating a visceral reaction from taxpayers in the USA, making them appear heartless and mean as liberals are so prone to do. It is how liberals excite their splinter groups of supporters and generate donations and revenue. When the money slows from online fundraising they  publicize some fresh effort to save something, be it whales, turtles, lesbians, gays, bisexuals, transgenders, Black and Hispanic victims of discrimination, people needing new cars or new homes they can't afford, government paid cell phones, milk. cheese, groceries, birth control, health care, gasoline, heating oil, airconditioners,  government financed vacations. The next thing might be  federally funded savings accounts for emergencies... in addition to social security. Or a credit card, paid for by taxpayers.  It's coming. You know it is.  And every time we say "Not no but Hell no!", liberals say why not? And here comes the money into liberal political action organisations like Obama's and Hillary's. I believe she has three of them.
   So, it's part of the liberal movement, or scam, Nothing more. Thing is, Senator Markey probably believes he is actually going to do something good with this thing. Where do they find these people?
Jim Self   jimself1954@gmail.com

Tuesday, June 24, 2014

Pam Geller, DC Clothesline article about Islamic treatment of women. 1/16/2014

UK mom raped in front of son and told: ‘I’m Muslim and you must obey me’



The speaks to, yet again, the supremacism and misogyny inherent in Islam.
This young woman was foolish for carrying on with such a brute, but his behavior is typical of Islamic culture.
Robert Spencer elucidates here:
Abuse in Muslim culture
The Quran’s description of women as inferior to and the property of men not only removes womens’ basic human rights; it also influence men’s view of them. As a result, Muslim cultural traditions have for centuries treated women as second class citizens, forced to marry and have sex with men against their will, and living under a constant death threat should they dishonor their family by violating the misanthropic Sharia laws.
The brutal treatment of innocent young girls may be shocking to those who do not know how women are treated in Muslim countries, but it would be naive to think that people change their habits and views and raise their children to integrate into what in their eyes are blasphemous customs just because they cross a national border.
The statistics speak for themselves. Research suggests that 91 percent of the between 7,000 and 20,000 honor killings each year are committed by Muslims. On top of this statistic come the countless cases of non-deadly honor crimes. In Britain alone, the police estimate that 17,000 cases of honor-based “forced marriages, kidnappings, sexual assaults, beatings and even murders take place every year.” In Turkey42 percent of women are victims of physical or sexual abuse. In Morocco, the share is 82 percent. In Egypt99.3 percent of women have experienced sexual harassment. Etc.
Infidel women
Another factor contributing to the Muslim rape wave is the fact that Muhammed, if he ever lived, allowed Muslims to take infidel women as their sex slaves. Using female prisoners of war for sexual gratification dates 1,400 years back to their prophet, who had a large number of sex slaves and advised his male followers to imitate his example.
While a Muslim husband can divorce at any time by repeating the word “talaq” three times, a married Muslim woman is her husband’s de facto slave, since she can not divorce unless a Sharia council approves her wish and sets her free. If she leaves without being allowed, her risk of getting killed is as high as the killer’s chance of remaining unpunished for fulfilling his culture’s and God’s expectations on how to treat women who leave a marriage without being allowed to.
The media is protecting his identity. Unbelievable.