Thursday, October 03, 2013
Taking country hostage is childish response

By Dr. Anthony Policastro
I often have parents express concern about what to do when their child has a temper tantrum in a public place. The usual story is that they go to a store. The child wants something like a toy. The mother says no. The child will reply with things like "please." That will happen multiple times. Then when the child sees that it is not going to work, the plan changes. The question is asked of father instead of mother. The thinking is that perhaps this might be successful. If the father says no, the child will go back to mother with more "please." Ultimately the child recognizes that it is not going to work. He/she takes a new tack. The result is a temper tantrum in a public place. The thought is that it will hold the mother hostage. Either she buys the toy or has to deal with the fiasco of a public tantrum. The treatment for this is clear. If you give the child what they want after they throw the tantrum, they will do the same thing the next time. Therefore, the approach is to ignore the tantrum and move on with the shopping. When Obamacare was first passed, I indicated in several of my weekly articles that I had some concern about the timing of it. We already had a flawed medical care system in place. Reimbursement was not based on good medical care. It was based on number of visits and number of procedures. We needed to change the way we paid for medical care in this country before we started a new program. Throwing money at a broken system would not make the system better. That did not happen. The law was passed with the expectation that we could change the system along the way. We are already seeing pay for performance in some areas. This means that payments will be based more on good results. That is what needs to happen. Therefore, we have acknowledged the need to do something about the underlying system. We are just trying to do it as the law takes effect. However, we now are seeing the reaction of others to Obamacare. Some members of Congress agree with the basic concept that there is a timing issue. However, their approach has been an attempt to derail the law by not funding it. While I have watched the battle go on, it has reminded me of the child in the store wanting the toy. Congress is the mother saying "no." The repeated attempts at repeal represent "please." The Supreme Court upholding the law is equivalent to the father. Now that none of it has worked, it is time to throw the temper tantrum which takes the form of holding the entire country hostage. If the opponents get their way this time, they will see it as an opportunity to act that way in the future. They did not get their way yet. Therefore, they have to act like spoiled brats. I don't see a reason for treating them any different than other spoiled brats. Even if I agree with them about the timing of the law, I see their approach as childish.

Ban sought on e-cigarette sales to kids Attorney General Beau Biden has joined 39 other state Attorneys General in calling for the Food and Drug Administration to regulate the marketing and sale of electronic cigarettes. E-cigarettes are battery-operated products designed to deliver nicotine by heating liquid nicotine, along with flavors and other chemicals, into a vapor inhaled by the user. The nicotine found in e-cigarettes is highly addictive and is toxic in high doses. According to the letter sent by the Attorneys General, e-cigarettes are being marketed "as recreational alternatives to real cigarettes. Consumers are led to believe that e-cigarettes are a safe alternative to cigarettes, despite the fact that they are addictive, and there is no regulatory oversight ensuring the safety of the ingredients in e-cigarettes." Children are lured into buying the products, which are sold in fruit and candy flavors such as cherry, chocolate, gummy bear, and bubble gum, and they are branded to appeal to children, including images from the popular video game Angry Birds. According to the Centers for Disease Control and Prevention, 1 in 10 high school students reported that they had tried an e-cigarette last year, double the number from 2011, and 1.8 million middle and high school students said they had tried e-cigarettes in 2012.

Annual symposia in Rehoboth Beach The Delaware Chapter of the Internal Medicine Doctors for Adults invites physicians from across the nation to the Boardwalk Plaza Hotel in Rehoboth Beach for the American College of Physicians 15th Annual Lower Shore Symposia to be held Saturday, Oct. 26. Two members of the Beebe Medical staff are coordinating the event. They are: Dr. Bhaskar Palekar, FACP, and Dr. Mansour Saberi, MACP, Governor Emeritus of the ACP Delaware Chapter. The all-day symposia will allow physicians to learn about recent medical advances and to discuss local and national issues that affect the practice and teaching of internal medicine. Speakers are coming from The Baylor College of Medicine, University of Pennsylvania, Einstein Healthcare Network and Tufts University. For more information and to register, call Dr. Saberi at 302-645-2244.

Seasonal flu shots offered at Mears Health Campus Nanticoke Memorial Hospital will offer seasonal flu shots to individuals 18 and older at Nanticoke Memorial Hospital's Mears Health Campus (300 Rawlins Dr., Seaford, Rehabilitation Services Building) on the following dates: Thursday, Oct. 10 - 10 a.m. to 2 p.m. Thursday, Oct. 17 - 8 a.m. to noon Thursday, Oct. 24 - 4 to 8 p.m. Thursday, Oct. 31 - 10 a.m. to 2 p.m. There is no charge for this year's flu shots. A donation of $10 per vaccination is appreciated. Pre-registration is not required.

Rosell named associate of APWCA Nanticoke Health Services announces that Wilfredo Rosell, MD, a physician panel member at Nanticoke Wound Care and Hyperbaric Center, has been named an associate of the American Professional Wound Care Association (APWCA). The APWCA is an independent multidisciplinary organization that serves as a resource to health care providers, patients and care givers, insurance companies, governmental agencies and industry while promoting excellence in wound care and patient advocacy. Dr. Rosell is an internal medicine physician specializing in hyperbaric and wound management. A graduate of the Cebu Institute of Medicine in Cebu City, Philippines, he completed his internal medicine residency at Coney Island Hospital in Brooklyn, N.Y. He is board certified in internal medicine and a Member of the American College of Physicians. Dr. Rosell is credentialed in wound care management and hyperbaric medicine, having received extensive training through Comprehensive Healthcare Solutions in Naperville, Ill.

LIVE Conference for area seniors For many seniors, questions about the new federal health care law and its effect on senior health care remain unanswered. Significant issues, including Delaware's new health insurance exchanges, hospital readmission policies, the Medicare doctor shortage, and concerns about being able to remain at home as they age are of great importance to seniors.

To help provide answers to some of these questions, the Sussex County Advisory Committee for the Aging & Adults with Physical Disabilities will host The LIVE Conference: Live HealthyLive ActiveLive at Home from 9 a.m. to 4 p.m. Wednesday, Oct. 9, at the CHEER Community Center, Georgetown. The conference will feature a variety of panel discussions focused on the Affordable Care Act, aging at home versus a nursing facility, and how to live a more active, healthier lifestyle. Bill Love, director of the Delaware Services for Aging and Adults with Physical Disabilities, will be the keynote speaker. Love will elaborate on the services provided by the Department of Health and Social Services to support Delawareans growing older, as well as discuss the need to increase the capacity of community-based services, and highlight the Aging and Disabilities Resource Center (ADRC). Michelle Amadio, director of the Delaware Health Insurance Marketplace, will speak about the federal Affordable Care Act (ACA) implementation in Delaware and the medical exchanges that begin this fall. And the presidents and CEOs of three regional hospitals - Jeffrey Fried of Beebe Medical Center in Lewes, Steven Rose of Nanticoke Health Services in Seaford, and Michael A. Franklin of Atlantic General Hospital in Berlin, Md. - will head a panel discussion on how the health care law is being addressed on the front lines. Tickets for the general public are $5 and registration is required in advance as seating is limited. A continental breakfast and lunch will be provided. To register for the conference, visit For more information, contact Sally Beaumont, committee chairwoman, at 302-381-5491 or

MS Society plans MSquerade The Delaware Chapter of the National Multiple Sclerosis Society will host its third annual MSquerade - A Mardi Gras inspired event - at World Cafe Live at The Queen in Wilmington from 8 a.m. to noon on Friday, Nov. 8. The event will feature live music from the band Corduroy and an extensive silent auction. Dress is black tie optional and masks are encouraged. Tickets can be purchased for $100 per person or $175 per couple. For more information, visit

HIV Consortium plans meetings The Delaware HIV Consortium and the Delaware Department of Public Health are holding a series of town hall meetings to get community feedback on HIV/AIDS programs and services. Experts in the field of HIV treatment and prevention will be there to answer questions from the public. A meeting will be held from 6:30 to 8 p.m. on Wednesday, Oct. 9 at Camp Rehoboth, 37 Baltimore Ave., Rehoboth. For more information, visit

Honoring Breast Cancer Survivors October is Breast Cancer Survivors Month and the Cancer Support Community-DE, Delaware Breast Cancer Coalition, American Cancer Society, and the Nanticoke Cancer Care Center will honor breast cancer survivors at special Pink Ribbon Tea. Join other survivors and prepare to enjoy an afternoon of inspiration and time of celebration. Light refreshments will be served. This event is free of charge, but seating is limited. The registration deadline is Wednesday, Oct. 2. For the breast cancer survivors in western Sussex, the Pink Ribbon Tea will take place on Wednesday, Oct. 9 at 1:30 pm at Seaford Library, Allen Room, 600 N. Market St., Seaford. To register, please call Terri Clifton at 629-6611, Ext.2577.

Delaware Hospice Golf Outing The Delaware Hospice Sussex County Golf Outing will be held on Monday, Oct. 7, at Cripple Creek Golf and Country Club in Dagsboro. The fee is $125 per person, which includes green fees, cart, lunch, refreshment cart, and an awards reception with heavy hors d'oeuvres, wine and beer. For more about the event or Delaware Hospice, visit or contact Peggy Dolby, associate director of development at 302-746-4666 or

Parkinson Support Group meeting The Parkinson Education and Support Group of Sussex County will hold its regularly scheduled monthly meeting at 2 p.m. on Monday, Oct. 7, in the McCurry Conference Room of the Medical Arts Building on Rt. 24. The topic for the meeting will be Elder Law. The public is invited to attend. For more information, contact Dennis Leebel, at 302-644-3465.

Therapist, exercise training course The Parkinson Education and Support Group of Sussex County is sponsoring a 4-day Therapist and Exercise Class Leader program between October 26 and October 29. The program will be taught by Becky Farley, co-founder of the BIG Therapy program for people with Parkinson's, and more recently, the founder of the Parkinson's Wellness Program. Classes will be taught at the Stockley Center on Rt. 113 between Georgetown and Millsboro. The therapist class will be taught on Saturday and Sunday, Oct. 26 and 27, and can accommodate 40 students. The Exercise Class Leader class will be taught on Monday and Tuesday, Oct. 28 and 29, and can accommodate 30 students. Therapists, therapist assistants and potential exercise class leaders from all over Delmarva are invited to attend. The 4-day program will conclude with a presentation by Farley intended for people with Parkinson's. The presentation is free and will be held from 2 to 3:30 p.m. on Tuesday, Oct. 29. Anyone on the Delmarva Peninsula with Parkinson's, as well as their family and friends, are invited to hear Farley talk about how her therapy and exercise programs can have a positive impact on the lives of people with Parkinson's. For more information or to register for the course, visit or call Dennis Leebel at 302-644-3465. Additional information on Parkinson's Wellness Recovery can be found at Farley's website, www.pwr4life.orgsun/.

BIAD plans annual fundraiser To help promote greater public awareness of the Brain Injury Association of Delaware's (BIAD) advocacy, support, and prevention programs, the organization has set Nov. 2, as the date for its annual "Embellish Your Melon" fundraiser. The event will be capped by a fun-filled, hat-contest-themed dinner-dance, grand prize awards, sponsor acknowledgements and silent auction. The event will take place from 6:30 to 9:30 p.m. at Harry's Savoy Ballroom, 2020 Naamans Rd., Wilmington. Advance registration at is $49 per person ($59 at the door) and includes the dinner-dance, contest entry and silent auction admission. Businesses and individuals who wish to participate in the event are encouraged to contact BIAD (by leaving a return-call phone message at 800-411-0505) to reserve sponsorship package rates and arrangements.