Entries by Kelly McNeal

“NON-ESSENTIAL” PERSONNEL

This was always a loaded HR category for me and it usually applied to sending people home early in anticipation of big snowstorms. Now it has new meaning as health care facilities and all industries and services redefine work roles. Because of the Fields’ specialties in dementia particularly and complex geriatrics generally, “essential” depends on […]

VIRUSES WE HAVE KNOWN AND LOATHED

As a chronic student I took every epidemiology course I could find between 1978 and 1984 at U. Pittsburgh. The Public Health School and the Medical School exchanged students and teachers freely and students jumped schools like viruses jump species. In the curious world of Public Health Politics, here’s some good bar trivia: the first […]

SCRUB-A-DUB

In Flu Season we probably double the housekeeping efforts and nursing wipes the table tops with high strength cleaners all day long. The residents’ coughs and sneezes expose us all to numerous viruses, not just the media-popular seasonal flu. The initiative is to keep those old runny, sneezes from settling in peoples’ lungs and developing […]

Should Old Acquaintance be Forgot…

Well, should it? Old and new acquaintances are important for how they are alike and how they are different. I don’t remember if I wrote this column last year but luckily WORD will remember… No sign of it; another false memory. Christmas day is a great day for false memories. Since they run in my […]

TAKING ANOTHER LOOK AT DRUGS FOR DEMENTIA

Biogen’s decision to return to experimental trials with a drug that had failed to meet therapeutic, statistical significance using various populations and different doses is a reversal of many longstanding drug development procedures. Other companies in the industry are watching closely, as the approach signals changes in study designs that will be praised and damned […]

WARRIORS

America lost a great warrior this week, when Major General David Meade died of dementia at Watson Fields. Lisa and I visited him and his wife, Marina, at their home a few years ago. He had begun wandering, after three years of gradual cognitive and behavioral slips and misses. They got by with the “two […]

DONALD HALL WOULD LIKE TO SAY A FEW WORDS…

Aeon magazine, a new favorite of mine, specializes in medium to long written and audio pieces that defy multitasking by the reader or listener and demand attention and occasionally a re-read to make sure I got the point. Such was the piece by poet Donald Hall, in which he called old age “a ceremony of […]

SUPPLY AND DEMAND IN ASSISTED LIVING

First off, nobody knew/knows how many assisted living beds are “needed” in the Seacoast. When I opened Bellamy in 2006, it was the first new resource in several years and it was a hybrid model. The assisted living field splits out into several distinct markets:  Medicaid- low income, low service, small, usually renovations of old […]

A CHICKEN IN EVERY POT, AN EMERGENCY ROOM ON EVERY CORNER

The misattribution of the chicken quote to several American presidents when actually it was 17th century French king, Henry IV (thanks Wiki) is a catchy saying.       When I read that Wentworth Douglas was building an ER next to the Weathervane Seafood Restaurant, I imagined Hippocrates (he of the oath) exhorting the building committee in […]

WHAT WERE THEY THINKING?

What do “the earth goes around the sun,” “homosexuality is a disease,” and “there’s no such thing as global warming,” have in common? Besides the obvious, I’m more interested in what the proponents were thinking and why. It’s a little less provocative to take on the heliocentric Galileo vs. Pope Urban VIII than POTUS and […]