Excellent ideas in culinary marketing

DiGiorno’s pizza recently announced that they will be packaging a frozen pizza in the same box with a batch of cookie dough. You can have pizza and freshly baked cookies for dinner. What a great idea.

Of course, the nanny media is already bitching about how companies are making us fat by producing articles that we will buy, instead of producin what we SHOULD be eating, if only we were smart enough. The typical complaints about how it is bad for your health to eat pizza and cookies, and how companies should be offering healthier alternatives are heard.

Look, the grocery store offers healthy alternatives. I was just shopping today, and there were sections of the store that contained vegetables and all sorts of healthy stuff. Don’t like pizza and cookies? Then don’t buy them.

I will tell you that my brother owns a vending machine business, and he is constantly asked to carry healthy snacks. Every time he puts healthy snacks in a machine, they do not sell. The people counter that it is his fault, because he puts junk food in there WITH the healthy snacks, and people cannot make the healthy choice when there is junk food there as well.

The problem is obvious to these people- we have too much freedom for our own good.

Getting things done

You have to admire the Democrats for one thing: They know how to get stuff done. When they had control of the Congress and Whitehouse, they rammed through the Health Care law without even bothering to read it. When they do not have control, they browbeat the Republicans into submission by screaming about the need to be “bipartisan” and the Republicans cave.

When that doesn’t work, they attach amendments to bills at the last minute, and those amendments sneak through laws that would not normally pass. The Executive signs orders that have the effect of law, thus bypassing Congress, on laws that would normally not see the light of day.

They lie, they cheat, they steal their way to power. This is the reason why the founders intended to limit the extent of the power of the Federal Government.

I just read a column by Walter Williams, the man that I would like to see in the Whitehouse, and I love a couple of the quotes from it:

“A Constitution of Government once changed from Freedom, can never be restored. Liberty, once lost, is lost forever.”- John Adams

“Congress has not unlimited powers to provide for the general welfare, but only those specifically enumerated.” – Thomas Jefferson

“With respect to the two words ‘general welfare,’ I have always regarded them as qualified by the detail of powers connected with them. To take them in a literal and unlimited sense would be a metamorphosis of the Constitution into a character which there is a host of proofs was not contemplated by its creators.” – James Madison

But what do those guys know, they are old white men who lived over 100 years ago, don’t you know.

Back door gun bans

Let’s say that as a government, I want to make it illegal for citizens to carry guns, but a certain founding document and political expediency would prevent me from doing so. Instead I decide that I will create a legal climate that forces others to do so in my stead.

1 I make all property owners legally liable for any shooting that any guest or employee perpetrates against any other guest or employee. That means anyone who is on your property that shoots anyone else, the victim can sue the property owner.

2 You also make the law so that the property owner is exempt from the above situation, as long as the property owner prohibits weapons on the property.

This means that the property owner has been coerced into prohibiting weapons on the property, as there is a large reason to prohibit weapons, and no reason not to. In this case, it is not the property owner’s freely made decision to prohibit weapons, that decision was made under duress.

Furthermore, this decision and legal climate will do nothing to stop crime, while preventing the law abiding from defending themselves. The net result of this would actually increase violent crime, since criminals are now free from the threat of defensive force.

That is the reality of “no guns” policies in America today. Since a property owner would be sued by anyone who is shot, and legally insulated from liability if the shooter violated a property owner’s prohibition on weapons possession, no one can rightfully claim that a no weapons policy of a property owner is a choice that was made free from coercion.

This is why Pizza Hut prohibits its drivers from carrying weapons. They could be liable if an employee shoots a robber, but are held harmless if the driver is killed by an armed robber. There are those who say that the employee could always choose to work elsewhere, but since the law is the law everywhere, there is no real choice. Very, very few employers choose to take the chance of facing a multimillion dollar award just to save an employee that can be replaced with a simple want ad.

TSA now intruding in employment?

You’ve heard of no fly and no buy lists – get ready for no work lists. Millions of workers now must apply to the DHS and prove they are not terrorists in order to be granted permission by the government to work. 

The new DHS programs, called TWIC and SWACwill expand the TSA no fly list to be applied to a “no work” list. This means that once you are on the “no fly ” list, a list you get on without being told why, and without recourse to be removed, you can not get a job in any worksite that the government deems “vital.”

What happened to due process? Jury trial? Seriously, is this for real. or is infowars a conspiracy theory kook site? Anyone?

UPDATE: They may be pulling the trigger prematurely. Here is the list of crimes you can be denied for. Looks like a standard background check to me.

Your tax refund is not free money

I know people who are bragging that they are getting back large refunds. I know one person who brags that he is getting back $8,000. During the discussion, another claimed that her and her husband are getting $14,000. I was incredulous. That money is not free- it means that you had too much money taken out of your checks throughout the year. If you file your taxes, and you are getting back 14 grand, that means that you could have $1,100 a month more in your pocket every month.

What gets me is that these people probably have a couple of maxed out credit cards, and could be using that money each month to pay off the 20% interest rate cards.

This year, I will owe $350 or so. That is as close as I can figure them when I set my W4 exemptions each month.

Am I trustworthy, or not?

All paramedics go through it. You medics know what I mean. I once went through a period in my career in which I was called a nickname: “Doctor Death.” In a 24 week span, I worked 29 codes. In only one of those codes did I get pulses back, and that patient died two days after I took them to the hospital. The oldest of those dead patients was 102 years old, and the youngest was 6 months old. Also in that 24 week period, I had trauma alert patients, STEMI patients, and all sorts of odd events. One of the Doctors at the hospital asked me in jest if I ever got tired of my patients dying all the time, and I responded with a joke about how my laryngoscope was a deadly weapon.

You need a sense of humor in this profession, or you will soon burn out and leave, as so many who wear their hearts on their sleeves do. You wear that sense of humor, as odd as it becomes, like a suit of armor. That is the protection that you need if you are to survive the sights of hundreds of dead bodies. Trust me, that number is well into the hundreds. There was an incident several years ago where I triaged bodies, and personally decided that 31 people were dead in less time than it took me to write this post.

In essence, triage is a lot like playing god. You decide who will live, and who will die. The decisions that you make on every call will affect people for the rest of their lives. I have welcomed newborn babies into the world, and I have held the hands of people as they left this world. Every one of these decisions were made with relatively little oversight, and a whole lot of latitude as to how I come to that decision. It is a position of trust that I do not take lightly.

With all of that trust, the background check that I had to endure was not nearly as thorough as the one that was done when I got a concealed weapons permit. Ask yourself why people who feel that I am trustworthy enough to give potentially lethal medications and make life or death decisions as a paramedic feel that I am not trustworthy enough to carry my defensive weapon to class when I am attending college.

Using Capnography in ACLS

You have a patient in SVT. (for more on SVT, see this post) How do you decide whether to cardiovert or use drugs? The ACLS classes recommend that you look for signs of poor perfusion, such as altered mental status or a systolic blood pressure below 90mmHg. The problem with waiting for these signs is that they are relatively late signs of cardiogenic shock.

A person with altered mental status or an SBP below 90mmHg is already decompensating, and is into the third (or possibly fourth) stage of shock. The blood pressure and mental status changes indicate that the brain and other vital organs are not being oxygenated, and as we all know, this leads to acidosis and cell death.

If only there were a way that we could determine that our patient’s SVT is reducing cardiac output due to Starling’s Law. Wish no more, here is your answer:

As cardiac output decreases, so does venous return to the lungs and heart. This lower blood flow results in less CO2 making it to the lungs to be exhaled. If your SVT patient is placed on capnography, and the CO2 is less than 37mmHg, you need to start thinking that your patient is having a bit of trouble perfusing, most likely to reduced cardiac output. This is the beginning of our patient’s journey to decompensation city. It is time to begin leaning towards cardioverting our patient before we reach the point where our patient has deteriorated so severely that he has begun to lose brain cells.

Don’t fall behind the curve. Be proactive, and you will do yourself and your patients a true service by catching problems earlier rather than later.

Pay, benefits, and career choices

I just began doing my taxes, and that is always a depressing time of year. I made 18% less in 2010 than I did in 2008, and 7% less than 2009. In all, it was the lowest pay since 2004. They take money out of my check for our retirement plan, and our plan is funded 31% by us, and 24% by earnings on investments, leaving 45% for our employer to fund.

Now the State is talking about reducing our retirement benefits. They want to exclude overtime and incentive pay from the calculations. They also want to reduce retirement benefits from 3.23% per year to only 1.6% per year. This means that I will see a net reduction of 62% of my retirement. On top of that, they will penalize you 5% per year for each year you retire before the age of 55. Instead of getting 71% of my pay upon retirement at age 50, I will get 20% of my pay. In other words, I will have paid in more than I will get back in benefits. 

So I have a choice to make:

1: I can retire this year before the changes take effect, and change careers. I would get 39% of my pay to go now with 15 years of service. I would maybe go get my master’s degree and be a Physician’s Assistant. I have some cash saved, and I could pull it off. Maybe I can even work part time while I am in school. I would even make more as a PA than as a FireMedic, and work fewer hours. The downside is that I will not be working for the two years it would take to complete the degree, and I am a little on the old side to be changing careers.

2: I can stay here for the next 8-13 years, but accept declining pay and hours, and reduction in my retirement pay. Under this new plan, I would have to work here for 13 more years to get the same retirement I can get by leaving now.

Seems like a no brainer. If this bill passes, I will have to take my education and skill set elsewhere. Maybe it is time to start getting my paperwork together so I can apply. I am not angry. Just remember that you get what you pay for. If a less educated, less experienced workforce is all that the taxpayer is willing to pay for, that is their choice to make. I just know that I also have other options, and I can choose to take my skillset where I can maximize my own earnings.

Extortion

The city of Kingsland, Georgia has a total area of 44 square miles spanning both sides of I-95, making it the seventh largest city in Georgia by landmass. I-95 runs through the city for 4.5 miles, near mile marker 9. The vast majority of that 4.5 mile span is sparsely populated. For its geographical size, the city is actually quite small. Kingsland only has a population of about 13,600. A large area of the interstate has been incorporated, even though there are not many homes or businesses in the area. Coincidentally, the city encompasses two exits and the 4.5 miles of highway between them.

The police department of Kingsland employs 46 sworn officers, meaning that there are 3.4 officers per 1,000 residents. This is significantly higher than the National average of 2.5 officers per thousand. Twenty five of those officers are assigned to the patrol division, with about 5 officers per shift. Those 25 officers write 13,000 citations per year. The city actually budgets for this. The police may not have a per se quota, but writing into the budget that you need 13,000 citations is a bit of a target number, wouldn’t you say? Now let me add that I did not receive a traffic ticket in this area, but I did see something that caused this post:

On that five mile stretch of highway, I saw three Kingsland Police officers with three separate cars pulled over for traffic infractions at 4:30 pm on a Sunday. That is more traffic stops than I saw for the rest of I-95 in Georgia COMBINED. Now I know that this is not proof that the city is padding the coffers with some traffic money, but it seems odd to me that a city with 5 patrol officers per shift, that more than half of the shift is dedicated to writing traffic tickets on a 4 mile stretch of highway. I mean, aren’t those 5 officers needed to patrol the 44 square miles of city that they are responsible for? Or is this just a means of revenue enhancement for the city?

According to the City budget, each officer is projected to write 500 citations per year for FY 2010/11, up from 286 in 2008/09 (page 105). This is an average including ALL officers, even the ones with desk jobs. If you recalculate that number using only the 20 patrol officers who are not supervisors (who generally don’t write tickets), that average shoots up to 650 per officer. Fines are the second largest source of revenue for the city, comprising 20.7% of the city’s general fund revenue (page 69).

Aren’t we tired yet of hearing how traffic enforcement is for safety, that there are no quotas, and that the traffic fines we pay are not legalized robbery?

Still in the Capitol

I went to the National archives yesterday. There is something about standing in the presence of our founding documents that is awe inspiring. These papers are the documents that are the basis of our Nation. I wonder how many of our Congressmen have looked upon and read the constitution and bill of rights. How many of them look at those documents as simply an obstacle to be overcome in carrying out their agenda?