Klarinet Archive - Posting 000160.txt from 2006/02

From: "Rommel John Miller" <rjmiller@-----.net>
Subj: Re: [kl] Eb barrel?
Date: Sat, 11 Feb 2006 12:11:03 -0500

Does anyone here read the "Straight Dope" column by Cecil Adams? Sometimes
I think Mark and I get into it the same way Cece and some of his
readers/questioners often do. And while Cece often puts an amusing spin on
it his banter can be biting. But I am not impugning Mark, its just I feel
as though our "research depts" as Cece likes to call his, sometimes differ,
and here is my take on suter-less bindings.

We will soon find out where the jury stands on suture-less bindings, as they
are still out on the problem riddled staple-bindings (in surgery) and also
the rate of secondary infection in minimally invasive surgery cases.

Nothing will replace good, old-fashioned cut open and close with gut suters
until a far better way can be found and perfected. It took a long time for
standard surgery to become perfected, and now all of a sudden all of the
cyano-acrlyic and staple closures on wounds and surgeries are just flooding
the courts with liability and malpractice suits.

The reasons why Drs. are being killed by malpractice insurance rates is not
because they do things as normal, rather when a doctor is willing to take
risks with human life, and try innovative proceedures on their patients,
such as new medications or treatments, or new ways of operating or sealing a
wound, they open themself up to the possibility of greater liability and
potential for litigation. And insurance has to reflect that risk.

Its the trickle down theory children, all you folks who loved Ronald Reagan
so much should remember that he was the guy who coined that phrase, and
insurance is opting for the only economically feasible it can, by raising
premiums as the risk increases. If the sames occurs with motorists and car
insurance, the same happens for doctors and malpractice insurance, its
simple economics.

But the kicker is that Insurance pushes for the new and inovative and
minimally invasive, and easy closure. Cyano-acrylic's do they/can they work
and heal a wound in the same way that tertiary, secondary and primary
sutures did in and effort to allow all the membranes of the flesh to knit
and rebond, and since the sutures were cat gut and other natural substances
they would dissolve into the flesh and be consummed by the protein of that
flesh that they helped heal. A cyano-acrylic with its cyanide and polymer
base is hardly anything that a human body wants to consume.

And just as the Anti-Depressant Zyprexa is now in class-action it is only a
matter of time before the use of cyano-acrylics are called into question and
brought before the objective lens of legal biology.

Sorry Mark, but as much as I like the K-I-S-S solution, I have to say that
over-simplification is often too lax and too lazy a way out, and leads to
more problems than just fixing what was wrong in the first place.

Shalom,

Rafi

----- Original Message -----
From: "Mark Charette" <charette@-----.org>
To: <klarinet@-----.org>
Sent: Saturday, February 11, 2006 11:16 AM
Subject: Re: [kl] Eb barrel?

> Rommel John Miller wrote:
> > Mark,
> >
> > I don't mean to incite your ire but what do you think the term "cyano"
in
> > "cyano-acrylic" means.
> >
> CN. The rest of your message has gone where the electrons sleep. Let me
> go talk to those folk saved with Dermabond and suture-less surgery ...
> see what they have to say about some ramblings of a scientific dilettante.
>
>
>
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