Jump to content

Menu

Reya

Members
  • Posts

    2,612
  • Joined

  • Last visited

  • Days Won

    1

Posts posted by Reya

  1. I'm not at all bothered by the un-fancy appearance and I don't care if the food is brand or not. I buy generics anyway. However, I am worried about counterfeiting. Are these products simply generics or are they counterfeit? It looks a little sketchy to me to have a jar that is stylistically a dead ringer or Hellman's mayo, but isn't Hellman's in fact. Is it law-breaking or simply a creative generic? If it's actually a counterfeit, all bets are off on the labeling, which concerns me. But if it's merely generic and half the price, I could not care less. If we like it, we like it. Generic razors still shave hair.

     

    It's generic. Counterfeit would actually have the word Hellman's on it.

     

    There was an idiotic special on TV a little while about that was SUPPOSED to be about counterfeiting. Most of what was discussed wasn't counterfeit. It was copyright or trademark infringement, or it was stuff that didn't go through quality testing, like extension cords that weren't UL listed. It was absurdly sloppy "journalism."

     

    This is none of those things. It's generic. And it's owned by a VERY large German corporation, not some Asian smuggling ring.

  2. The only difference is between my and her grocery store. Is at my store you don't have to drop in 25 cents to get a cart. Mind you, you may not take the cart out of the store. It's impossible. (Well unless you can life it above your waist and carry it over the polls blocking the path.

     

    There''s an Asian market that does that here. HATEHATEHATEHATE it.

  3. So, you're saying that the math to figure out BMI is as accurate as it gets? Am I understanding what you mean?

     

    The most accurate would be to go to a clinic and have a water displacement bodyfat measurement taken.

     

    What I'm saying is that BMI isn't going to tell a woman she's obese if she is actually a healthy weight unless she is doing some EXTREME sports training. This is like super-competitive swimming or weightlifting. It just isn't going to happen.

     

    Women who have a high BMI because they are extremely athletic are 1 in 500. If you are looking to lose even a couple of pounds....then that doesn't include you.

     

    So many women who are so obvious quite heavily overweight console themselves with, "Oh, well, BMI is just not accurate at all!" Well, for a super-athlete, sure. (For men, it's easier to be "too heavy" because they bulk up faster--you just have to be a gym rat to get a heavier BMI. For women, it's harder.) But if you aren't working out 10+ hours a week and you're a woman, than BMI will work just fine for telling you if you are too fat.

     

    Then again, so does a tape measure, a mirror, and your pants size.

     

    Professional body fat measurements are more accurate than scales. The problem with a scale is that they REGULARLY vary by 2 percentage points with measurements taken the same day. Weigh 150lbs? That's 3lbs of fat more or less that it will measure arbitrarily. If you're weighing daily--and if you want to lose weight, you should be--and are working out to lose a healthy 1-2lbs per week, then you are not even going to know for sure if you are losing anything relying on body fat measurements of a scale for 2-4 weeks. That doesn't work.

     

    If you want to lose fat, then YES, measure weight lost daily. You should be losing weight even as you gain muscle. Measure inches twice a week.

  4. It's close to me, so I go EVERY WEEK. I always get milk, eggs, and butter there, and if I'm not couponing, cereal, too. I get my most basic produce there, too, and some canned food basics.

     

    It's cheap because ALDI negotiates for really low rates and accepts NO coupons. Most of the goods are store brand. Like Trader Joe's (owned by same company), ALDI often gets companies to make the same product with their label for less.

     

    The $.25 is so they don't have to pay anyone to get carts. The store setup is to make you walk down that first aisle full of crackers and maybe grab some spur-of-the-moment purchases.

  5. I am overweight but I am not so concerned about that because BMI is wrong. The death rates for overweight are better than for normal weight. Even low obesity is better than normal weight.

     

    Only in the young because young overweight people are relatively sedentary and don't do the interesting things that get young people killed, because certain types of drug abuse is associated with being thinner, and because few people who have cancer die while STILL overweight.

     

    There are a number of conditions that cause dramatic weight loss that are much more likely to contract while you are overweight. The only study that showed that being fat was better measured the weights of CORPSES versus the population, not the weights of people when they contracted the disease that would eventually kill them.

     

    To put it another way: A heavy heroin user is likely to die before age 30. Someone who is 600lbs isn't going to kill themselves until mid-30s at the VERY earliest, nore likely over the age of 40. And if that person isn't ever leaving the house, he isn't going to be dying in car accidents, much less skiing in Taos.

  6. Yes this it it exactly. I can’t look at a visit ahead of time and say “oh you are self pay I will only charge you $50 because that’s what our average reimbursement isâ€. I can look at it afterward and choose to waive the fee or give them a discount. It can amount to the same thing in the end although it relies on a practionier being willing to give a discount and it is somewhat deceptive in that the “discount†is really a reasonable fee. It also often ends up in the uninsured being charged very high amounts when a doctor or hospital is not wiling to discount the fee. But I can’t charge people different amounts based on what insurance or non-insurance they have. That is illegal and considered insurance fraud.

     

     

    You could have that discount made a legal requirement. So you would still "bill" everyone the same but get paid within a reimbursement range by everyone.

  7. But she has to, or the insurance won't pay what they agreed to pay. My understanding is that the insurance companies say they will pay a percentage of what she charges. So, if she charges $100, she'll get $50. If she's really charging patients $50, then the insurance will only pay $25. If they find out that she's not really charging anyone $100, they'll call it fraud. I think they might legally be able to cut their rates if the patient asks, but they can't offer and it's a gray area. It's a messed up system. It's even more ridiculous for the gvmt to claim it's unfair to charge so much and costs are rising when they are the causes by being so stingy with their percentages which pushes it up for everyone not receiving gvmt insurance. Our gvmt insurance (not medicare) sometimes only pays about 10-20% of the bill and the provider is not allowed to bill us for any of the difference. That means they have to charge crazy amounts to get a normal payment. And who ends up paying those crazy amounts? The uninsured that the gvmt says they are so sympathetic towards.

     

     

    But laws could change that. Pretty easily, actually. It's just not a priority.

  8. This seems like such a "duh" answer, but I want to be sure. I have a mandoline, a manual nut chopper thingy, and a box grater. A food processor would replace all of these, right? The one that I had was really old. Like early 80s, maybe? It was my grandmother's and I got it after she died. It finally died last summer. I know that I could chop up onions and slice cucumbers and dice tomatoes in it. I don't remember grating cheese or ginger or chopping nuts. This seems...odd. Food processors do these things right? I've been trying to find a video on Youtube - that's how much I'm second guessing myself on this.

     

     

    Not really. The food processor doesn't control slicing width as well as the mandoline. It would tend to mash the nuts more than the chopper. And the box grater is WAY less of a pain to wash.

  9. Hmmm, in my practice an Epi infusion (as opposed to administering epi straight into the IV) is the last line drug for extreme hypotension. We'd use Dopamine or even Dobutamine if a fluid challenge didn't work. Also, most hypotension is relative rather than extreme, so wouldn't necessarily require meds at all. Maybe it's different in obstetrics. Interesting. In any event I'm sure you'll find the plan that's best for you.

     

     

    Epi is the first line for giving birth--I guess because it works the fastest and the baby gets compromised first? ONE nurse in a discussion involving about 12 said in their hospital they prefer to start with something else--I think it was Dobutamine--but everyone else said they didn't do that.

  10. So I get the kids out of the house this morning to go to swim class, and I hit the "unlock" button on my minivan. Hmmm. No noise. We go around to the side of the house. No car.

     

    Oh, yeah. I brought it in for repairs and maintenance yesterday!

     

    Dur.

     

    My car was still at the shop. I got my (homeschooling) neighbor to drop DS off at his class and to dump me out at the shop. I paid, got the car, everything was dandy. But boy did I feel dumb....

  11. COnsider a doula- a professional labor assistant. They know amazing ways for pain relief- like "if your back hurts here, turn to this position"- stuff you might read or hear at childbirth classes, but completely forget in the moment.

     

     

    My particular muscle condition makes labor abnormal. I will probably be spasming too hard to try out different positions. It's not anything they would have seen or been familiar with.

  12. What kind of research was this? I had always heard that they just gave a lot of fluids to counter a drop in blood pressure, but I'm not an anesthesiologist. Birth advocates are also not anesthesiologists or other experts trained in your specific health problem, so just make sure you are getting good information. You can make an appointment with the anesthesiologist at your hospital ahead of time to discuss your options.

     

     

    They start with cranking up the fluids. About a third of all women with epis need this. If it doesn't work as well as they'd like, they start with the epinephrine. That's more than 10% of women with epidurals.

     

    I don't want and epidural. So that's fine.

  13. As someone who had severe ( as in anaphalytic shock severe) reactions to some common medications, I would prepare a letter and explanation page of what meds you can't have and brief explanation about your reactions etc. Maybe print on neon paper and insist it be included in your file and mail one to the head of the ob dept at the hospital and head of the anesthology (sp? Lol I'm on my nook) in addition to meeting with someone at the hospital to discuss. You are your own best advocate. I know you don't expect a cs, neither did I, but things happen and it's good to have a plan in place.

     

     

    Yup. I'm meeting with an anesthesiologist at the hospital next week to develop a protocol they can follow! No epidural, no potassium in my IV, warmed IV fluids (and a warmed blanket for surgery if I have to have it), no succ. (can kill me), light on opiod/hypnotics (my condition has a GREATLY exaggerated reaction, which means I might not breathe on my own again for many hours even if they don't put me so far down the kill me).

     

    Do you wear a medic alert bracelet or the like? You never know when an emergency will occur, when the twins were 11 weeks I ended up in the er needing my appendix out.

     

     

    In the mail!!!!

  14. "You could say that I shouldn’t charge for procedures that I know are simple and are being overpaid for by insurance. But we rely on being able to charge more for those to make up for all the other times where we are paid much less than our time deserves. It’s the way the insurance companies have designed the system."

     

    Very true. But you shouldn't be allowed to make a patient pay for more than what you would get reimbursed for by the average insurance that you accept.

  15. I got the very cheapest dishwasher that had two arms.

     

    Then, I make my own dishwashing detergent using 6 parts cheapie detergent and 1 part potassium permaganate from chemicalsupply.com.

     

    Potassium permaganate is what they took out of dishwashing detergents back when they all stopped working.

     

    I don't even rinse. Just scrape. Stuff fully, wash on pots and pans, and almost everything is clean every time.

     

    It is loud, though. Cuz it was cheap. (We had to do an emergency remodel of two bathrooms AND buy a new car when our dishwasher died unexpectedly.)

  16. I've had 2 natural births, but because I just discovered that general anesthesia can be VERY bad, my OB/GYN wanted me to walk in and get an epidural. I was jumpy because I don't want to mess with something that has worked twice JUST fine. Come to find out, I'm right--I shouldn't have an epidural.

×
×
  • Create New...