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Dr. Michael Klein Jr is co-chair of SpinePac the political action committee of the North American Spine Society and sponsored a meeting in Los Angels on Aug 3, 2017 at Ristorante Oficine Brera. The speaker was Congressman Raul Ruiz (Dem) representing Southern California. He is an Emergency Room MD by training and involved in health care issues.

Dr. Klein attended the California Public Protection & Physicians Health, Inc. (CPPPH) meeting on Oct 7 in Oakland, CA. The meeting focused on "Effective Functioning of Well-Being Committees - Need to Know" He will provide this information at a Dignity Health Retreat in Napa next February.

Due to circumstance beyond my control I have been off social medial and the internet all summer. Something that struck me today coming out of JAMA is that adolescents in grades 8, 10 and 12 who took part in competitive sports were more likely to receive a concussion diagnosis during their lifetime with 19.5% reporting at least one previous concussion in their lifetime. Overall 13,388 adolescents participated in the survey. These findings are consistent with those from emergency department and regional studies that show that participation in sports is one of the leading causes of concussions among adolescents.

My mother who is normally a sane individual was a huge Chicago Bulls fan and insisted during the Bulls championship runs that network TV and the NBA colluded and that no NBA championship series would ever be allowed to end in four games because the network's needed the ratings and the revenues. Looks like her conspiracy theory may be disproven tonight. Go Golden State.

Some of us at MRK love basketball and our home team the Sacramento Kings didn't have a fantastic season but our neighbors to the West are on a roll. Amazing game last night to defeat Cleveland in Game 3 of the playoffs.

All networks tuned in today for coverage of the former FBI director James Comeys testimony. Trump lawyer to respond shortly.

Dr. Klein is the featured speaker at the noon medical staff meeting at Mercy San Juan Hospital on Friday March 31. He will be discussing physician burnout.

A group of researchers from Nagasaki University, led by Dr. Matsuo Tomohior has studied salt intake in a group of 321 men and women who had a high salt intake and had problems sleeping. This was the first study to measure how salt intake affects the frequency of going to the bathroom so they need to confirm the work with larger studies. Nocturia or nighttime peeing was reduced with lower salt intake. The need to pee at night affects most people over the age of 60 and the lack of sleep can lead to other problems such as stress, irritability or tiredness. 223 members of the group reduced their salt intake from 10.7 gm per day to 8.0 gm/day. Night time frequency of urination dropped from 2.3 times to 1.4 times. The researchers also found ...

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Paul Ryan has cancelled todays vote on healthcare reform.

Such a unique and divisive time in our county at the moment. The big news to everyone in healthcare and everyone who uses healthcare is the Republican reform of the affordable care act or Obamacare. The chief medical office of the federal government's Medicaid program publicly rebuked the Republican health care plan backed by President Trump this morning. The AMA and the American Academy of Pediatricians and most of the leading hospital and doctor groups are lining up against the bill saying they fear millions will lose coverage. There is opposition within the Republican party as well. Going to be interesting to see how this plays out.

The new year started off poorly when my 84 year old mother in law fell while out walking and broke her hip. She had surgery the next day with excellent results of the fracture repair but had complications with medical issues and ended up being in the hospital for 6 days It was recommended she go to rehab and she refused. At discharge she was total assist with everything. I write this to report that this week my mother in law has returned to driving, walks without a cane on her treadmill and for daily exercise and reports she is almost returned to her previous level of functioning. I think this level of swift recovery speaks to her level of exercise and fitness prior to her fall. This woman was active daily, walking 3-5 miles, follow...

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