Wednesday, December 17, 2014

DECEMBER HOLIDAY TIME



December is the month of Holidays; some are religious, others ethnic and there are at least one  and most often several “special days” each day.
Starting Tuesday evening the 16th and ending at sunset on the 24th-Christmas  Eve-is Hanukkah ( or Hanuka) and of course the 25th is Christmas which in the  English tradition is followed by Boxing Day on the 26th.

The 26th also marks the beginning of the African-American ethnic celebration of Kwanzaa which ends on New Year’s Day.

For those that need more to celebrate there are these special days left in this month.
18 Bake Cookies Day  and National Roast Suckling Pig Day
19 Look for an Evergreen Day and Oatmeal Muffin Day
20 Go Caroling Day
21 Forefather's Day, Humbug Day, National Flashlight Day, and Look on the Bright Side Day
22 National Date Nut Bread Day
23 Festivus - for the rest of us Roots Day
24 National Chocolate Day or National Egg Nog Day-both are not good for the diet
25 National Pumpkin Pie Day  (sacrilegious)
27 Make Cut Out Snowflakes Day and National Fruitcake Day
28 Card Playing Day –unfortunately the OH HELLERS will be gone
29 Pepper Pot Day
30 National Bicarbonate of Soda Day
31 Make Up Your Mind Day and Unlucky Day

Since I long ago have stopped sending our Holiday cards I am using the blog to wish each and every one of you a happy whatever holiday you chose and a healthy 2015.

NOT SO TRIVIA



Until after the New Year there is little reader interest in blogs except for sensationalism. With that in mind my postings will be sporadic at best, but please do a quick check by noon daily since I will blog if I have the time and the subject is noteworthy.
In this era of “racial equality” The following should be a must read and an eye opener to those who believe that black targeting is limited only to the poor urban youths.
The protective bubble that comes with the presidency – the armored limo, the Secret Service detail, the White House – shields Barack and Michelle Obama from a lot of unpleasantness. But their encounters with racial prejudice aren't as far in the past as one might expect. And they obviously still sting.

"I think people forget that we've lived in the White House for six years," the first lady told PEOPLE, laughing wryly, along with her husband, at the assumption that the first family has been largely insulated from coming face-to-face with racism.” 

"Before that, Barack Obama was a black man that lived on the South Side of Chicago, who had his share of troubles catching cabs," Mrs. Obama said in the Dec. 10 interview appearing in the new issue of PEOPLE out Friday (19th) this week'
Once again there is going to be another dilution in the quality of Health Care. This is especially pertinent in the “Primary Care” field which too many physicians are shunning in favor of higher paying specialties.
Additionally Primary Care or the “Family Physician “has become an entrepreneurial enterprise with hospitals controlling practices and commercial sponsored ambulatory care facilities. In some states pharmacies have gone big into “walk in care” provided by “Nurse Practioners”. In NJ at this time all the pharmacy chains offer various immunizations administered by the “druggist”.
The Senate Health Committee passed S1184 (Vitale), which would expand the scope of practice for physician assistants.
The bill would authorize a physician assistant to make pronouncements of death, and to undertake any other duties and responsibilities beyond those in the statute that a supervising physician elects to delegate, pursuant to a written delegation agreement. The duties and responsibilities delegated to a physician assistant would be limited to those procedures that are customary to the supervising physician’s specialty, and that are within the supervising physician’s competence and training.
The bill provides parameters for a delegation agreement, including a requirement that, in the case of a multi-specialty physician practice, a written delegation agreement must be executed for each physician specialty within the practice.
“The bill requires a physician assistant who is working in either in or outpatient settings to be under the continuous supervision of a physician; supervision may mean only maintaining contact through electronic communication”. ( Yep, the doctor could and will be miles away dependent only on what information he receives by phone or email/fax )
This does not apply in an emergency.
The bill would authorize a physician assistant to order, prescribe, dispense, and administer medications and medical devices to the extent delegated by a supervising physician. Now a physician must countersign all prescriptions.

Monday, December 15, 2014



The 7:00 pm Special Meeting did not start until 7:20 as enough Council members drifted in to constitute a quorum. Councilor Taylor must have forgotten about that meeting but arrive at 7:30 the scheduled time for the Agenda Fixing Session.

The first resolution on the Special Meeting agenda was to extend Eric Watson’s Acting Appointment for a second three months; the limit he can fill the position as acting.

Councilor Reid wanted to know why Watson had not been recommended as  “Director of Public Works”, since he seemed to be doing an excellent job” City Administrator Smiley note that the Mayor was considering that action but was also exploring other alternatives. There may be a substantial public disapproval of Watson having a city job.

Other resolutions passed approved of Paycom Software for the implementation of a Payroll services, Time and attendance management and Human Resources Management information system.

Reid noted that this was about the third new system approved in the past few years but was mollified by the explanation that this was completely computerized and encompassed all departments, even the time records were bio-metric which could reduce fraud.

Also approved were 3 year Contracts with Comcast for easterner services and Broadview Network for all Telephone services at a saving of 80 thousand dollars charged by Verizon.

The Agenda Fixing Session dealt with mostly routine rules setting subjects for the 2015 Council. There were 8 reappointments of lawyers to various rolls for 2015.

And to home early.