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	<title>Comments for Christopher Johnson M.D. PICU Author</title>
	<atom:link href="http://www.chrisjohnsonmd.com/comments/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.chrisjohnsonmd.com</link>
	<description>A doctor&#039;s blog on caring for critically ill children</description>
	<lastBuildDate>Mon, 13 May 2013 21:27:35 +0000</lastBuildDate>
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		<title>Comment on Should families be allowed, or even encouraged, to watch CPR? by CPR in Kansas</title>
		<link>http://www.chrisjohnsonmd.com/2013/05/11/should-families-be-allowed-or-even-encouraged-to-watch-cpr/comment-page-1/#comment-6639</link>
		<dc:creator>CPR in Kansas</dc:creator>
		<pubDate>Mon, 13 May 2013 21:27:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.chrisjohnsonmd.com/?p=3064#comment-6639</guid>
		<description>Having family in the room while a resuscitation is performed gives them a good sense of closure and helps them understand all of the resources that are applied to save their loved one.  I&#039;m in favor of it.</description>
		<content:encoded><![CDATA[<p>Having family in the room while a resuscitation is performed gives them a good sense of closure and helps them understand all of the resources that are applied to save their loved one.  I&#8217;m in favor of it.</p>
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		<title>Comment on On physician burnout in pediatric intensive care by Christopher</title>
		<link>http://www.chrisjohnsonmd.com/2013/01/07/on-physician-burnout-in-pediatric-intensive-care/comment-page-1/#comment-6468</link>
		<dc:creator>Christopher</dc:creator>
		<pubDate>Thu, 21 Mar 2013 14:28:42 +0000</pubDate>
		<guid isPermaLink="false">http://www.chrisjohnsonmd.com/?p=2832#comment-6468</guid>
		<description>Yes, it is a bit of a nature/nurture question. For myself, I&#039;m beyond burning out -- at age 61, I&#039;ve sort of gone through the fire and come out on the other side. But it is a vital question for all intensivists.</description>
		<content:encoded><![CDATA[<p>Yes, it is a bit of a nature/nurture question. For myself, I&#8217;m beyond burning out &#8212; at age 61, I&#8217;ve sort of gone through the fire and come out on the other side. But it is a vital question for all intensivists.</p>
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		<title>Comment on On physician burnout in pediatric intensive care by Joe Brierley</title>
		<link>http://www.chrisjohnsonmd.com/2013/01/07/on-physician-burnout-in-pediatric-intensive-care/comment-page-1/#comment-6466</link>
		<dc:creator>Joe Brierley</dc:creator>
		<pubDate>Thu, 21 Mar 2013 14:09:11 +0000</pubDate>
		<guid isPermaLink="false">http://www.chrisjohnsonmd.com/?p=2832#comment-6466</guid>
		<description>Hello Chris,
Just caught this - great piece. We&#039;ve started to look at this in terms of support for junior physicians, and looking at resilience to burnout with a Academic psychologist in our PICU team in London UK. We&#039;re showing initial data at the ESPNIC meeting in Rotterdam June
We just don&#039;t know, as you say, whether resilience is innate or can be somehow established.
Also enjoyed your thoughtful piece of paediatric (sic) organ donation a few years back.
Best wishes
Joe Brierley
Paediatric Intensivist
London, UK</description>
		<content:encoded><![CDATA[<p>Hello Chris,<br />
Just caught this &#8211; great piece. We&#8217;ve started to look at this in terms of support for junior physicians, and looking at resilience to burnout with a Academic psychologist in our PICU team in London UK. We&#8217;re showing initial data at the ESPNIC meeting in Rotterdam June<br />
We just don&#8217;t know, as you say, whether resilience is innate or can be somehow established.<br />
Also enjoyed your thoughtful piece of paediatric (sic) organ donation a few years back.<br />
Best wishes<br />
Joe Brierley<br />
Paediatric Intensivist<br />
London, UK</p>
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		<title>Comment on Organ transplants in children by Christopher</title>
		<link>http://www.chrisjohnsonmd.com/2007/10/25/organ-transplants-in-children/comment-page-1/#comment-6320</link>
		<dc:creator>Christopher</dc:creator>
		<pubDate>Mon, 04 Mar 2013 15:24:25 +0000</pubDate>
		<guid isPermaLink="false">http://www.chrisjohnsonmd.com/blog/2007/10/25/organ-transplants-in-children/#comment-6320</guid>
		<description>Size is what matters with hearts, not so much age. Kidneys have more range. For example, two child kidneys can be transplanted into an adult.</description>
		<content:encoded><![CDATA[<p>Size is what matters with hearts, not so much age. Kidneys have more range. For example, two child kidneys can be transplanted into an adult.</p>
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		<title>Comment on Organ transplants in children by Nikiya</title>
		<link>http://www.chrisjohnsonmd.com/2007/10/25/organ-transplants-in-children/comment-page-1/#comment-6315</link>
		<dc:creator>Nikiya</dc:creator>
		<pubDate>Mon, 04 Mar 2013 04:46:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.chrisjohnsonmd.com/blog/2007/10/25/organ-transplants-in-children/#comment-6315</guid>
		<description>I saw that an adult kidney would work for a larger child, but could a child donate a heart or kidney to an adult if they were close in size? For instance a tall 10 year old boy to a petite 20 year old woman?  Does it matter that the heart and kidney is only 10 years old, etc?</description>
		<content:encoded><![CDATA[<p>I saw that an adult kidney would work for a larger child, but could a child donate a heart or kidney to an adult if they were close in size? For instance a tall 10 year old boy to a petite 20 year old woman?  Does it matter that the heart and kidney is only 10 years old, etc?</p>
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		<title>Comment on Board certified, board eligible: what&#8217;s the difference? Does it matter? by LexyH</title>
		<link>http://www.chrisjohnsonmd.com/2012/06/10/board-certified-board-eligible-whats-the-difference-does-it-matter/comment-page-1/#comment-6232</link>
		<dc:creator>LexyH</dc:creator>
		<pubDate>Sun, 24 Feb 2013 21:21:25 +0000</pubDate>
		<guid isPermaLink="false">http://www.chrisjohnsonmd.com/?p=2363#comment-6232</guid>
		<description>This is very helpful... thank-you!</description>
		<content:encoded><![CDATA[<p>This is very helpful&#8230; thank-you!</p>
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		<title>Comment on Malpractice: how likely are doctors to get sued in their careers? by Kim</title>
		<link>http://www.chrisjohnsonmd.com/2011/08/22/malpractice-how-likely-are-doctors-to-get-sued-in-their-careers/comment-page-1/#comment-6092</link>
		<dc:creator>Kim</dc:creator>
		<pubDate>Sun, 10 Feb 2013 22:28:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.chrisjohnsonmd.com/?p=1680#comment-6092</guid>
		<description>What about ordering a ct scan on an infant that is not showing any signs of needing one? Shouldn&#039;t that merit a malpractice lawsuit?
Here&#039;s my story I visited the ER with my 9 month year old son because of a minor fall. As we were getting discharged, I asked if my baby was getting a x-ray? And Dr. Choo replied &quot;do you want one?&quot; So I said &quot;yes.&quot;  Not knowing anything, I assumed an X-ray was protocol after a fall. So we waited and had a CT scan done. No warnings were told, no disclamer. All he had to say was &quot;there is possible radiation damage&quot; and I would have been out of there. We waited for the results and he said everything was fine. When I got home, I checked online to see what exactly a CT scan was. And I am still in disbelief, there is no reason why this doctor should have went ahead with this scan. It was completely unnessary and harmful for my baby. I am very upset there is a doctor who do this to a baby and don&#039;t understand why he didn&#039;t explain anything to me.  This is the worst kind of doctor. As a father if 3 children, he should have known this was not the best option for my child. I will forever be haunted by this experience and never trust doctors again. My growing babies cells could be mutated by the harmful radiation he was exposed to that night. He should be banned from practicing.</description>
		<content:encoded><![CDATA[<p>What about ordering a ct scan on an infant that is not showing any signs of needing one? Shouldn&#8217;t that merit a malpractice lawsuit?<br />
Here&#8217;s my story I visited the ER with my 9 month year old son because of a minor fall. As we were getting discharged, I asked if my baby was getting a x-ray? And Dr. Choo replied &#8220;do you want one?&#8221; So I said &#8220;yes.&#8221;  Not knowing anything, I assumed an X-ray was protocol after a fall. So we waited and had a CT scan done. No warnings were told, no disclamer. All he had to say was &#8220;there is possible radiation damage&#8221; and I would have been out of there. We waited for the results and he said everything was fine. When I got home, I checked online to see what exactly a CT scan was. And I am still in disbelief, there is no reason why this doctor should have went ahead with this scan. It was completely unnessary and harmful for my baby. I am very upset there is a doctor who do this to a baby and don&#8217;t understand why he didn&#8217;t explain anything to me.  This is the worst kind of doctor. As a father if 3 children, he should have known this was not the best option for my child. I will forever be haunted by this experience and never trust doctors again. My growing babies cells could be mutated by the harmful radiation he was exposed to that night. He should be banned from practicing.</p>
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		<title>Comment on How To Talk To Your Child&#039;s Doctor by Physician credentialing needs better standardization @Medici_Manager @kevinMD &#171; Carlo Favaretti</title>
		<link>http://www.chrisjohnsonmd.com/books/how-to-talk-to-your-childs-doctor/comment-page-1/#comment-5950</link>
		<dc:creator>Physician credentialing needs better standardization @Medici_Manager @kevinMD &#171; Carlo Favaretti</dc:creator>
		<pubDate>Mon, 28 Jan 2013 09:11:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.oonieweb.com/wordpress/?page_id=164#comment-5950</guid>
		<description>[...] care physician and author of Your Critically Ill Child: Life and Death Choices Parents Must Face, How to Talk to Your Child’s Doctor: A Handbook for Parents, and How Your Child Heals: An Inside Look At Common Childhood Ailments.  He blogs at his [...]</description>
		<content:encoded><![CDATA[<p>[...] care physician and author of Your Critically Ill Child: Life and Death Choices Parents Must Face, How to Talk to Your Child’s Doctor: A Handbook for Parents, and How Your Child Heals: An Inside Look At Common Childhood Ailments.  He blogs at his [...]</p>
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		<title>Comment on Stopping the spread of bacteria resistant to most (or all) antibiotics by Christopher</title>
		<link>http://www.chrisjohnsonmd.com/2012/12/15/stopping-the-spread-of-bacteria-resistant-to-most-or-all-antibiotics/comment-page-1/#comment-5931</link>
		<dc:creator>Christopher</dc:creator>
		<pubDate>Sat, 26 Jan 2013 17:26:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.chrisjohnsonmd.com/?p=2813#comment-5931</guid>
		<description>Interesting viewpoint, although I&#039;m not entirely sure what it is that you are saying. Antibiotics have saved many lives, but, like all medications, they need to be used appropriately. That&#039;s my point.

For what it&#039;s worth, I don think that I am an &quot;accomplice in crimes against humanity.&quot; Rather the opposite, I think.</description>
		<content:encoded><![CDATA[<p>Interesting viewpoint, although I&#8217;m not entirely sure what it is that you are saying. Antibiotics have saved many lives, but, like all medications, they need to be used appropriately. That&#8217;s my point.</p>
<p>For what it&#8217;s worth, I don think that I am an &#8220;accomplice in crimes against humanity.&#8221; Rather the opposite, I think.</p>
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		<title>Comment on Stopping the spread of bacteria resistant to most (or all) antibiotics by Mary Hirzel</title>
		<link>http://www.chrisjohnsonmd.com/2012/12/15/stopping-the-spread-of-bacteria-resistant-to-most-or-all-antibiotics/comment-page-1/#comment-5930</link>
		<dc:creator>Mary Hirzel</dc:creator>
		<pubDate>Sat, 26 Jan 2013 15:58:01 +0000</pubDate>
		<guid isPermaLink="false">http://www.chrisjohnsonmd.com/?p=2813#comment-5930</guid>
		<description>No. This is not a matter of simple evolution, unless one counts the evolution of the government enforced monopoly of pharmaceutical medicine. (Am I allowed to say &quot;facist medicine&quot; here?)

I am painfully aware of the horrendous - yes, tyrannical! - challenges facing physicians who do not follow &quot;standards of care,&quot; but, if only some could find it in themselves to think like scientists again, instead of assuming that what they have been taught in their pharmaceutically co-opted med schools is the latest, greatest and &quot;only&quot; truth, and any naysayer is, without question or investigation, a &quot;quack,&quot; we might be in a much different place than waking up every morning to read how Heroic Medicine has chopped off another limb or two to &quot;save&quot; a poor child&#039;s life.

Bull.

And, not to mention the pain that the Hero must suffer, watching/performing such carnage, only to lose in the end.

Despite warnings from physicians and scientists since, at least the 19th century, the cavalier use of patentable &quot;Miracle Drugs,&quot; beginning with penicillin, has done incremental damage to the immune systems of the entire world&#039;s population. We now seem to be admitting that, without explicitly saying so, with all the &quot;new&quot; discoveries about the importance of the microbiome and it&#039;s critical importance to immune function.

Then you add the fact that it&#039;s been crucial (to industry bottom line) to avoid validly testing the efficacy of high dose IV Vitamin C to treat all manner of infections fungal, bacterial and viral, and we&#039;re left with nothing but amputation, when the dead-end of antibiotic use finally becomes undeniable.

So, if you&#039;re serious about not being complacent about the maiming and death of innocents who trust you, spend an hour reading this: http://tinyurl.com/aswfvda - if only to slam me in the comment section here, in a fully informed manner.

Of course, you can&#039;t take Klenner at face value, nor can you try this out in a professional setting. The great scientist physicians who did that sort of thing in the past would, today, find themselves disgraced and behind bars.

But you can try it on yourself. Or you can infect me with MRSA and try it on me. I&#039;m perfect willing. I won&#039;t tell. :-)

And, no, it won&#039;t hurt you one bit, unless you have a relatively rare (genetic) G6PD deficiency (screen first). No, it won&#039;t give you kidney stones.....but even if that myth were true, patients might prefer kidney stones to serial amputation....huh?

Frankly, I can&#039;t imagine why I&#039;ve spent the time to write this, as I know it won&#039;t do one bit of good. It&#039;s just hard to watch the excruciating, slow death of Heroic Medicine.

You good, caring, well-meaning physicians have been turned into accomplices in crimes against humanity, and I genuinely feel for any of you who manage to wake up to that.</description>
		<content:encoded><![CDATA[<p>No. This is not a matter of simple evolution, unless one counts the evolution of the government enforced monopoly of pharmaceutical medicine. (Am I allowed to say &#8220;facist medicine&#8221; here?)</p>
<p>I am painfully aware of the horrendous &#8211; yes, tyrannical! &#8211; challenges facing physicians who do not follow &#8220;standards of care,&#8221; but, if only some could find it in themselves to think like scientists again, instead of assuming that what they have been taught in their pharmaceutically co-opted med schools is the latest, greatest and &#8220;only&#8221; truth, and any naysayer is, without question or investigation, a &#8220;quack,&#8221; we might be in a much different place than waking up every morning to read how Heroic Medicine has chopped off another limb or two to &#8220;save&#8221; a poor child&#8217;s life.</p>
<p>Bull.</p>
<p>And, not to mention the pain that the Hero must suffer, watching/performing such carnage, only to lose in the end.</p>
<p>Despite warnings from physicians and scientists since, at least the 19th century, the cavalier use of patentable &#8220;Miracle Drugs,&#8221; beginning with penicillin, has done incremental damage to the immune systems of the entire world&#8217;s population. We now seem to be admitting that, without explicitly saying so, with all the &#8220;new&#8221; discoveries about the importance of the microbiome and it&#8217;s critical importance to immune function.</p>
<p>Then you add the fact that it&#8217;s been crucial (to industry bottom line) to avoid validly testing the efficacy of high dose IV Vitamin C to treat all manner of infections fungal, bacterial and viral, and we&#8217;re left with nothing but amputation, when the dead-end of antibiotic use finally becomes undeniable.</p>
<p>So, if you&#8217;re serious about not being complacent about the maiming and death of innocents who trust you, spend an hour reading this: <a href="http://tinyurl.com/aswfvda" rel="nofollow">http://tinyurl.com/aswfvda</a> &#8211; if only to slam me in the comment section here, in a fully informed manner.</p>
<p>Of course, you can&#8217;t take Klenner at face value, nor can you try this out in a professional setting. The great scientist physicians who did that sort of thing in the past would, today, find themselves disgraced and behind bars.</p>
<p>But you can try it on yourself. Or you can infect me with MRSA and try it on me. I&#8217;m perfect willing. I won&#8217;t tell. <img src='http://www.chrisjohnsonmd.com/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' /> </p>
<p>And, no, it won&#8217;t hurt you one bit, unless you have a relatively rare (genetic) G6PD deficiency (screen first). No, it won&#8217;t give you kidney stones&#8230;..but even if that myth were true, patients might prefer kidney stones to serial amputation&#8230;.huh?</p>
<p>Frankly, I can&#8217;t imagine why I&#8217;ve spent the time to write this, as I know it won&#8217;t do one bit of good. It&#8217;s just hard to watch the excruciating, slow death of Heroic Medicine.</p>
<p>You good, caring, well-meaning physicians have been turned into accomplices in crimes against humanity, and I genuinely feel for any of you who manage to wake up to that.</p>
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