Posts Tagged ‘infections’

9th Annual AIDS/LifeCycle Ride Begins – From the Cow Palace to L.A. in Seven Days

Sunday, June 6th, 2010

Here’s the scene at 5:00 AM this morning down at Daly City’s California State Livestock Pavilion where 2400 roadies (road bike riders) and their volunteer road crews (aka roadies, it’s confusing I know) just took off for L.A. in the world’s largest annual HIV/AIDS fundraising event.

Check it:

First-time ALC cyclist Greg and a bunch of bikes at the Cow Palace this AM via WeberSF

The bro in this shot from last year (note the fog – it’s a tradition) could be YOU next year! Why not?

From AIDS/LifeCycle

All the deets, below.

Bon Courage, cyclistes!

AIDS/LifeCycle Begins as 2,400 Hit the Road to Raise Awareness and $10 Million to Fight AIDS. San Francisco-to-Los Angeles bike ride is world’s largest annual HIV/AIDS fundraiser

SAN FRANCISCO and LOS ANGELES, June 6 - A colorful stream of 2,400 bicyclists and volunteer “roadies” from nearly every state and eight countries left San Francisco this morning on the way to Los Angeles as participants in AIDS/LifeCycle, the world’s largest annual HIV/AIDS fundraising event. In its ninth year, the event is expected to raise $10 million to care for those living with HIV/AIDS and to prevent new infections.  In the seven days it takes to ride to Los Angeles, more than 1,000 people in the United States and 50,000 people around the world will be infected with HIV.

AIDS/LifeCycle is a fully supported, 545-mile bike ride — not a race — that supports the HIV/AIDS services provided by the L.A. Gay & Lesbian Center and San Francisco AIDS Foundation.  It also raises awareness that HIV/AIDS is a growing scourge that continues to have a devastating impact on our communities, especially here in California. More than 1 in 10 of the nation’s HIV-positive people live in California and California ranks second among the states in cumulative AIDS cases.

“With the ongoing budget crisis and last year’s horrific cuts to HIV-prevention funding, the money raised through AIDS/LifeCycle is more important than ever,” said Lorri L. Jean, CEO of the L.A. Gay & Lesbian Center.  “It’s important for people to realize that the HIV pandemic isn’t over and that there are still many in our community in need of quality medical care. The HIV services supported by AIDS/LifeCycle save lives year-round.”

Participants range in age from 18 to 82 and are at various levels of physical fitness. Whether gay or straight, HIV-positive or HIV-negative, they share a common commitment to ending HIV and caring for those living with the virus. So much so that each cyclist raises at least $3,000 (most raise more than $4,000) to participate in what many consider to be a life-changing experience. Since its inception in 2002, AIDS/LifeCycle has raised more than $60 million to fight AIDS.”

Ever more deets, after the jump.

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Consumer Reports Disses UCSF Medical Center Over High Central Catheter Infection Rate

Tuesday, February 2nd, 2010

All right, Consumer Reports has a few notes about San Francisco hospitals in another Missive from Yonkers this AM. Actually, the people at CR sound a little hacked off, and for a couple of reasons.

Item One: They’re using a hospital’s ICU Central Line Associated Bloodstream Infection Rate as a yardstick of performance. Why? Why not. Here’s how CR feels:

“The procedures needed to eliminate ICU infections are simple, low-tech, and inexpensive, requiring a change of mindset and culture. All ICUs should be able to dramatically reduce if not eliminate these infections.”

O.K., so who has a central line infection rate of zero, who’s perfect?

Saint Luke’s Hospital

Saint Francis Memorial Hospital

Saint Mary’s Medical Center

After all those Saints go marching in, which San Francisco hospitals are doing less-than-perfect but better than average?

California Pacific Medical Center-Pacific Campus

Kaiser Foundation Hospital- San Francisco

But who’s left, who in the 415 is “on the other end of the spectrum” with a reported infection rate that’s 80 percent worse than the national average when compared with similar ICUs?

UCSF Medical Center

Ouch.

Take a look for yourself on this almost-legible chart. Goran nasai, Gentle Reader - click to expand:

Do you buy all that? Well, for one, Steven E.F. Brown does, over at the San Francisco Business Times.

But what’s this - how about a little feedback from a California-licensed physician? Comes now Dr. Steven Suydam, who took a look at CR’s press release today and reacted thusly:

“Central line infections occur in every hospital, but some institutions, especially public academic institutions are simply more forthright about reporting them, and are more likely to have candid effective quality assurance programs in place, than private, for-profit institutions. In addition, hospitals have the latitude to classify a bloodstream infection as coming from an alternate source, if one is available, thereby avoiding the dreaded “CLABI” label. The alternative explanation, that UCSF physicians place central lines under less sterile conditions than private hospitals and maintain such lines with less care is simply nonsense.” 

O.K. then. But as always, You Make The Call. It certainly would be interesting to hear about what UCSF thinks of all this. Moving on… 

Widening our purview to the whole bay area gets us this:

“In the larger Bay Area, where Consumer Reports Health rated 29 hospitals, Consumer Reports found extreme variation between hospitals, even hospitals run by the same health care system.  For example, Kaiser Foundation Hospitals in Hayward, Santa Rosa, Vallejo, and South San Francisco reported zero central line infections, while Kaiser Foundation Hospital in San Jose had an infection rate that was 14 percent worse than the national average and the Kaiser Foundation Hospital in San Francisco reported a rate that’s 40 percent better than average.”

Item Two: CR doesn’t like getting blown off when it goes nosing around for data. So it has lots of criticism for the way California as a state is handling reporting of statistics. The California Department of Health should have data for us by January 1, 2011, but CR isn’t optimistic about this deadline getting met.

Anyway, who’s on the Naughty List (CR’s Health Ratings Center’s Director is Dr. Santa, srlsy) with naught to report?

San Francisco General Hospital Medical Center

O.K. then.

What’s it all mean? No se, mi amigo/a. One thing for certain though, this news release means that Consumer Reports Health wants your money. Sign up for a free 30-day trial that you’ll soon forget about until you get your credit card statement in two or three months – I don’t care what you do with your money. (Frankly, I object to the whole Consumer Reports-is-my-Bible mentality that certain people have. IMO, CR is just another data point in the constellation of information out there.)

Anyway, read the whole thing for yourself, after the jump.

Stay healthy.  (more…)