Daily Rounds: Double Hand Transplant; Greener Medical Supplies; 'Killing Medicaid'; Wash Your Cellphone?

Quadruple Amputee Gets New Hands ( -- "A 65-year-old man who lost his lower arms and legs to a terrible bloodstream infection in 2002 received two new hands during a 12-hour transplant operation at Brigham and Women’s Hospital last week. The Brigham planned to announce the surgery this morning during a press conference, where the patient, Richard Mangino of Revere, is scheduled to speak to reporters. Forty surgeons, nurses, anesthesiologists, residents, radiologists and physician assistants attached the left and right forearms and hands from an anonymous donor below Mangino’s elbows, including bones, skin, tendons, muscles, ligaments, and blood vessels." (

Hospitals Use Purchasing Power To Push For Greener Medical Products (Washington Post) — "Hospitals and health systems are organizing the industry’s vast purchasing power to push manufacturers of medical products to make them with safer chemicals and to be more environmentally friendly. Five large groups that buy $130 billion of these products every year on behalf of hospitals and other health-care facilities have adopted a standard set of questions they want vendors to answer. Those questions, released Thursday at an industry conference, are designed to encourage manufacturers to produce 'greener and safer products for workers, patients and the environment.'"

Killing Medicaid The California Way ( -- "Of course, even if the justices rule for California, Congress is free to respond by clarifying that Medicaid beneficiaries or providers should be able to enforce the equal access provision. But given the politics of the moment, and the reality that violating the equal access mandate saves money for states and the federal government, a true legislative fix seems unlikely.Thus, even as it vigorously defends the constitutionality of the individual mandate, the Obama administration may be complicit in eviscerating Medicaid — and setting back the broader goal of ensuring that all Americans have access to quality health care."

Now Wash Your Hands — And Your Mobile (BBC) — "It is the sort of news story that will have left many feeling queasy over their breakfast cereal - a study which suggests one in six mobile phones is contaminated with faecal matter.Researchers at the London School of Hygiene and Tropical Medicine and Queen Mary, University of London took nearly 400 samples from mobile phones and hands in 12 British cities. They found 16% of phones and 16% of hands harboured E. coli (Escherichia coli), bacteria which inhabit the human intestines."

Men With Disabilities Face Increased Risk Of Sexual Violence (NPR - Shots) — "In a new study, researchers found that, after adjusting for demographics, men who have disabilities were four times more likely to be sexually abused during their lifetime compared with men who weren't disabled. Researchers found that men who have disabilities were four times more likely to be sexually abused compared with men who weren't disabled. Previous studies have shown that women with disabilities are at a higher risk of becoming targets of sexual violence. But lead study author Monika Mitra, assistant professor of Family Medicine and Community Health at the University of Massachusetts Medical School, tells Shots that research that looks at incidence of sexual violence against men with disabilities has been limited."

Pew: Birth Rate Tanks With Economy ( — "Birth rates in the United States took a tumble during the recession, particularly in the economically hardest-hit states, according to a new report by the Pew Research Center. In the analysis, released on Wednesday, the sharp decline in fertility rates started in 2008 and has continued to drop since the recession hit. In 2007, the U.S. had a record high number of births — about 4.3 million — before starting to decline in 2008 to 4.25 million. The number kept dropping in 2009 to 4.13 million, and in 2010, data shows there were just 4.01 million births."

This program aired on October 14, 2011. The audio for this program is not available.


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