Thursday, February 25, 2010

My Heart, My Choice

Canadian Politician comes to the United Stated for Health Care.

Source

'My heart, my choice,' Williams says, defending decision for U.S. heart surgery
By Tara Brautigam (CP) – 22 hours ago

An unapologetic Danny Williams says he was aware his trip to the United States for heart surgery earlier this month would spark outcry, but he concluded his personal health trumped any public fallout over the controversial decision.

In an interview with The Canadian Press, Williams said he went to Miami to have a "minimally invasive" surgery for an ailment first detected nearly a year ago, based on the advice of his doctors.

"This was my heart, my choice and my health," Williams said late Monday from his condominium in Sarasota, Fla.

"I did not sign away my right to get the best possible health care for myself when I entered politics."

The 60-year-old Williams said doctors detected a heart murmur last spring and told him that one of his heart valves wasn't closing properly, creating a leakage.

He said he was told at the time that the problem was "moderate" and that he should come back for a checkup in six months.

Eight months later, in December, his doctors told him the problem had become severe and urged him to get his valve repaired immediately or risk heart failure, he said.

His doctors in Canada presented him with two options - a full or partial sternotomy, both of which would've required breaking bones, he said.

He said he spoke with and provided his medical information to a leading cardiac surgeon in New Jersey who is also from Newfoundland and Labrador. He advised him to seek treatment at the Mount Sinai Medical Center in Miami.

That's where he was treated by Dr. Joseph Lamelas, a cardiac surgeon who has performed more than 8,000 open-heart surgeries.

Williams said Lamelas made an incision under his arm that didn't require any bone breakage.

"I wanted to get in, get out fast, get back to work in a short period of time," the premier said.

Williams said he didn't announce his departure south of the border because he didn't want to create "a media gong show," but added that criticism would've followed him had he chose to have surgery in Canada.

"I would've been criticized if I had stayed in Canada and had been perceived as jumping a line or a wait list. ... I accept that. That's public life," he said.

"(But) this is not a unique phenomenon to me. This is something that happens with lots of families throughout this country, so I make no apologies for that."

Williams said his decision to go to the U.S. did not reflect any lack of faith in his own province's health care system.

"I have the utmost confidence in our own health care system in Newfoundland and Labrador, but we are just over half a million people," he said.

"We do whatever we can to provide the best possible health care that we can in Newfoundland and Labrador. The Canadian health care system has a great reputation, but this is a very specialized piece of surgery that had to be done and I went to somebody who's doing this three or four times a day, five, six days a week."

He quipped that he had "a heart of a 40-year-old, so that gives me 20 years new life," and said he intends to run in the next provincial election in 2011.

"I'm probably going to be around for a long time, hopefully, if God willing," he said.

"God forbid for the Canadian public I won't be around longer than ever."

Williams also said he paid for the treatment, but added he would seek any refunds he would be eligible for in Canada.

"If I'm entitled to any reimbursement from any Canadian health care system or any provincial health care system, then obviously I will apply for that as anybody else would," he said.

"But I wrote out the cheque myself and paid for it myself and to this point, I haven't even looked into the possibility of any reimbursement. I don't know what I'm entitled to, if anything, and if it's nothing, then so be it."

He is expected back at work in early March.

Thursday, February 18, 2010

Content Negotiation Apache Style

If the apache server is configured to allow it, you can turn on per directory Content Negotiation with an htaccess file.

Contents of .htaccess file

Options All +MultiViews


The permissions of the .htaccess file should be readable

-rw----r-- 1 owner group 24 2010-03-08 19:48 .htaccess


Apache instructions for Content Negotiation

Thursday, February 4, 2010

SBS 2008 Task Errors

On my Small Business Server (SBS) 2008 server I use the Forefront Security for Exchange system. It uses a suite of licensed antivirus algorithms to scan incoming email. The idea is that using multiple engines increases the probability of finding a virus.

SBS 2008 has a nice monitoring report system built int. You can define what you want in the report and what time to run it. The server will then run the report and email the results to any designated email addresses. Recently my system has shown a few errors stating that some of the engines used by Forefront have been discontinued.

Microsoft retired some of the engines and introduced some new ones. So I disabled the retired ones and enabled the new engines. Then I enabled the updates for the new engines and disabled the updates for the retired engines. Then I started getting errors like the following.


So I started poking around in the Task Scheduler configuration and I saw something strange. The configuration for each of the Forefront updates was set to run as Windows 2003, 2000 instead of Server 2008.

 

I clicked on Properties for each task and changed it to the 2008 options like this.
 
So far the errors have gone away. I will let it run for another week or so and see what happens.