Awesome August

August is a busy month despite the absence of major holidays in the US. It marks the start of the academic year and the Olympic Games. In this post I reminisce about starting medical school in August and witnessing changes in the field. Then I discuss the Democratic National Convention and the Paralympic Games.

updated August 26, 2024

August is an exception among months. It has no major or federal holidays in the United States. Although the temperatures still feel hot and muggy, many students and teachers return to school and college for the “fall” semester.

If you planned to buy a new swimsuit it’s too late. If you need a new winter coat, they’re available, if you want to try one on when it’s 95 degrees outside. Halloween, Thanksgiving, and even Christmas merchandise are already on sale.

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I started medical school in August

My first day as an MS1, first-year medical student, was August 24, 1974. After four arduous years I graduated, completed a three-year residency in Family Medicine, board-certified, and practiced for 41 years.

Today medical schools hold a White Coat Ceremony for incoming students but not then. But I was still proud to don my white coat and follow residents and attendings around the hospital.

One day a week we were sent off campus to a private doctor’s office to observe and “shadow” them. I watched a family physician interact with a wide variety of patients he treated as friends. That’s when I fell in love with Family Medicine.

Years later we practiced in the same medical group. Since I had been there first, he called me his “senior partner”. But to me, he was forever my mentor. He practiced well into his seventies, then was injured in a serious auto accident and never practiced again.

These are the only photos of me in the yearbook. I don’t think I knew there would be a yearbook. I didn’t socialize much so that must explain my absence.I wonder how they accumulated enough photos since no one had cameras on their phones then.

With that hair and jumper, I definitely look like a ’70s girl. I’ve changed and so has the Health Sciences Center; when I visit now, I hardly know my way around, with new structures and name changes.

Medicine has changed a great deal since then, and perhaps the biggest change is the increased number and percentage of women in medicine. In my class of 150 students, 25 of us were women. In the average medical school class today, that number would be 75 or more-at least half.

There are still more men than women practicing medicine. It will take a few more years to catch up as older male physicians retire and more young women physicians begin practice. I have enjoyed more female colleagues as our numbers increased over the past 40 years.

My school, the University of Oklahoma, now holds a White Coat Ceremony. Several weeks before, they ask us alumni to write a note offering advice to a student. They print it on a card and place it in the coat’s pocket.

I don’t remember exactly what I wrote. I congratulate them for getting this far and welcome them as a future colleague. I tell them all the hard work will be worthwhile because what they do is valuable. I don’t tell them it won’t always be recognized and appreciated.

I don’t know if the school includes our name on the card, but probably not. I have never heard from one of them. I always wonder if they find my advice helpful.

Why women physicians are good for health care

The first woman graduate of a United States medical school was born in Bristol England in 1821. Elizabeth Blackwell came to this country as a child and originally had no interest in medicine. But when a dying friend told her, “I would have been spared suffering if a woman had been my doctor”, she found…

Keep reading

The Olympics concluded on August 11

Most of the Olympic events occurred in August so we watched many of our favorite events, although they don’t all get equal broadcast time.

The Olympic Games remind me of my trip to Greece. I saw the Panathenaic Stadium, site of the first Olympic games in Athens.

The Panathenaic Stadium was built for the first modern Olympic Games in 1896 in Athens, Greece. It is the only stadium in the world made completely of marble.

In 330 BC a stadium was built at this site for the games of the Panathenaea. It fell into disuse with the rise of Christianity and eventually most of the site was destroyed and forgotten.

After archaeological evidence of the stadium was uncovered in the 1830s, the site was excavated in 1870. In 1895 the new stadium was built there to hold the 1896 Olympics.

From the Panathenaic Stadium, the Olympic flame is officially passed to the host country of each Olympic Games. It continues to be used for sporting events and functions.

click on any photo to start a slideshow

A unique archaeological monument, a living symbol of the ancient and modern heritage of sport and the Olympic Games.

PANATHENAIC STADIUM

The Democratic National Convention-August 19

The Democratic National Convention was held August 19-22, 2024 in Chicago, Illinois.

On July 21, 2024, by letter, President Biden informed the nation that he was withdrawing from his reelection campaign. This marks the first time in 50 years that a sitting president did not run for reelection. (And I remember that time also. Do you know which President it was?)

Chicago skyline from Lake Michigan with Navy Pier in foreground
Chicago city skyline and Navy Pier from a boat on Lake Michigan-photo by Dr. Aletha

President Biden and other Democratic leaders endorsed Vice President Kamala Harris who accepted the nomination. She chose Tim Walz, Governor of Minnesota as her running mate.

The Paralympics begin on August 28

We are not done with international sports competitions yet. The Paralympic Games begin on August 28, 2024, in Paris and conclude in September.

The word “Paralympic” derives from the Greek preposition “para” (beside or alongside) and the word “Olympic”.

Paralympics are the parallel games to the Olympics showing how the two movements exist side-by-side.

Sport for athletes with an impairment has existed for more than 100 years. It was widely introduced after World War II to assist injured veterans and civilians.

On September 22, 1989, the International Paralympic Committee was founded as an international non-profit organization to act as the global governing body of the Paralympic Movement.

The Paralympics reminds me of my late friend Bob who walked with crutches. As a boy, he was left paralyzed due to a bout of polio, before the vaccine was available. But that did not stop him from living a full life.

Bob’s wife, a medical assistant, worked in my clinic. We also attended the same church so I knew him and their three children. Despite his limited walking, Bob learned to bowl and did so competitively, winning several tournaments. He unfortunately passed in middle age of unrelated causes and his family misses him sorely.

You’ll enjoy this video about the Evolution of the Paralympic Games from the official Paralympics YouTube page.

Exploring the HEART of Health

The last President to resign without running for reelection was Lyndon Johnson, in 1968. Did you guess correctly?

I’d love for you to follow this blog. I share information and inspiration to help you turn health challenges into health opportunities.

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Dr. Aletha

A tour of the U.S. Olympic Training Center, Colorado Springs, Colorado

A visit to the United States Olympic Training Center in Colorado Springs showcases the dedication and resilience of Olympic and Paralympic athletes. Promoting physical activity, it emphasizes the health benefits of exercise, while sharing the “Winning Attitudes” and determination exhibited by champions. The center inspires a commitment to personal excellence and perseverance.

Keep reading

Cover Photo

The Bizell Memorial Library on the University of Oklahoma campus in Norman Oklahoma. Photographer-Dr. Aletha

President Joe Biden’s Healthcare Record

President Joe Biden has announced his decision not to seek reelection, choosing to focus on fulfilling his duties as President. During his term, he achieved record-high enrollment in ACA Marketplace plans and proposed expanding subsidies. His administration also focused on public health and mental health initiatives, as well as addressing healthcare costs and prescription drug pricing.

It has been the greatest honor of my life to serve as your President. And while it has been my intention to seek reelection, I believe it is in the best interest of my party and the country for me to stand down and to focus solely on fulfilling my duties as President for the remainder of my term.

President Joe Biden

President Biden during a visit to the National Institutes of Health
First Lady Dr. Jill Biden visiting a school.

With that surprising announcement, we all learned that Joe Biden will not be the next President of the United States. Please join me in thanking President and Mrs. Biden for their service and wish them well in their future endeavors.

I had planned to share this post after the Democratic Convention when Biden was expected to be officially nominated for President. Instead, I am sharing it as a reminder of what he accomplished in healthcare as President.

Two years ago I had to leave a job I loved without warning and at my stage of life it wasn’t wise or practical to start over somewhere else. Initially, I felt sad and disappointed, but I have found other ways to use my time and experience.

I suspect we will continue to see the Bidens stay as active and involved as possible, although they deserve a well-earned rest.

The Biden Healthcare Record

The Patient Protection and Affordable Care Act, referred to as the Affordable Care Act or “ACA” for short, is the comprehensive health care reform law enacted in March 2010. This was during President Barack Obama’s administration, thus the frequently used nickname “ObamaCare.” Joe Biden was serving as Vice President.

The following unedited data from the KFF website includes Biden’s policies on the Affordable Care Act, cost of medical care, prescription drug pricing, public health, and mental health.

KFF is a nonprofit health policy research, polling, and news organization. 

There is more data about reproductive and sexual health issues, long-term care, global health, and gun violence which you can read at the highlighted link.

Affordable Care Act

  • Signed the American Rescue Plan Act (ARPA), which temporarily expanded eligibility for and increased ACA Marketplace subsidies. These were extended by the Inflation Reduction Act (IRA) through 2025. 
  • Fixed the “family glitch,” allowing dependents of people with unaffordable employer-based family coverage to receive ACA subsidies. 
  • Reversed Trump administration expansion of short-term plans and restored outreach and enrollment assistance and funding. 
  • Achieved record-high enrollment in ACA Marketplace plans. 
  • Biden proposes to build on legislation passed during his term and make expanded subsidies offered under the IRA permanent.  
  • Proposed a public option health plan during the 2020 campaign but did not issue a formal plan once in office. 

Health Care Costs

  • Under his administration, the Consumer Financial Protection Bureau proposed a rule that would remove medical debt from consumer credit reports. Biden also proposes that in the first 100 days of his next term, he would “wipe out” medical debt for “pennies on the dollar.”
  • In 2021, began implementing the No Surprises Act, establishing processes to determine payments for out-of-network bills and resolving payment disputes
  • Proposed expanding surprise billing protections to ground ambulance providers. 
  • Expanded the Trump-era rules on price transparency to address implementation challenges and enforce the legislation. 
  • Signed the Inflation Reduction Act, empowering Medicare to negotiate prices for certain drugs with pharmaceutical companies and increase subsidies for ACA marketplace plans (more details in Prescription Drug Prices section). 
  • Proposed a public option health plan during the 2020 campaign but did not issue a formal plan once in office. 

Prescription Drug Prices

  • Signed the Inflation Reduction Act, which requires the government to negotiate prices for some Medicare-covered drugs (with the number growing over time), requires drug companies to pay rebates if prices rise faster than inflation, caps out-of-pocket drug spending, and limits monthly insulin costs to $35 for Medicare beneficiaries in Part B and all Part D plans, improves financial assistance for low-income beneficiaries, and other changes. 
  • Proposes to expand the number of drugs selected for government price negotiation and extend $35 insulin copay cap and drug out-of-pocket cap to people with commercial insurance.
  • Approved Florida’s plan to import some prescription drugs from Canada; implementation contingent on further action by Florida. 
  • Delayed implementation of the Trump Administration’s drug rebate rule until 2032, which will delay projected increases in Medicare spending. 
  • Established a voluntary model to increase access to cell and gene therapies for people with Medicaid. 

Public Health

Mental Health

Source-KFF

“Compare the Candidates on Health Care Policy”, KFF, July 15, 2024, https://www.kff.org/compare-2024-candidates-health-care-policy/(accessed July 23, 2024)

KFF’s website content is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license that allows for the sharing of information with proper attribution and without alteration.

Exploring the HEART of Health

I’d love for you to follow this blog. I share information and inspiration to help you turn health challenges into health opportunities.

Add your name to the subscribe box to be notified of new posts by email. Click the link to read the post and browse other content. It’s that simple. No spam.

I enjoy seeing who is new to Watercress Words. When you subscribe, I will visit your blog or website. Thanks and see you next time.

Dr. Aletha

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Featured Image

NIH Director Dr. Monica Bertagnolli joins President Joe Biden at the signing of the Presidential Memorandum on Women’s Health Research

President Joe Biden, joined by First Lady Jill Biden, signs the Presidential Memorandum on Women’s Health Research. NIH Director Dr. Monica Bertagnolli and Office of Research on Women’s Health Director Dr. Janine Clayton (on right) attended this historic event. Credit: Official White House Photo by Adam Schultz; Public Domain