Archive for the ‘ Medical ’ Category

I Have a TIA

TIA  is short for Transient ischemic attack, sometimes called a mini-stroke.

This time I had it at the best possible time. I was on a bicycle ride, not far from home, and had just stopped to chat with some friends, and had jumped on my bike to start riding again – when bam! I collapsed on the ground.

They must be pretty horrible to witness, because everyone comes to the rescue immediately. The victim blacks out and knows nothing – except a few seconds later, when he is lying on the ground in some pain.

The last time (about two years ago) I broke a toe. This time I scrapped up my left elbow. The first time it happened, over ten years ago, when I was still in the States, I ended up in the hospital unable to talk. I woke up the next morning tied down in a hospital bed with a catheter in my penis.

I was still unable to use words, which was very frustrating – because I could not even express to myself what had happened. But in the afternoon of the same day I recovered. Evidently there was a weakness in my brain that would allow blood seepage under some conditions.

Later, in Costa Rica, I fell in a ditch and could not get out. I ended up in a hospital again. But that was over five years ago.

This time they called the police, and the police took me home. My friend then brought the bicycle home also.

Everyone tells me I am too old to be riding a bicycle – I am 76 – but that is not the problem. I don’t try to explain what a TIA is to them in Spanish – I just thank them for their help.

A Smart Story by a Crippled Person

TED

Joshua Prager is billed as a journalist, but he’s really a storyteller. Over a decade-plus career at the Wall Street Journal, where he began as a news assistant and worked his way up to senior writer, Prager excelled in writing enthralling tales that had one thing in common: They were about secrets.

Today, Prager is focused on a personal story: the 1990 bus accident that left him a hemiplegic at age 19. His new book, Half-Life, about the accident, explores identity and what it means to live a life changed in a single moment.

In my scheme of things – this is intelligent information. As opposed to the more common type – stupid information.

Miracles

As I said before, I am taking an online course from the University of Edinburgh - an Introduction to Philosophy. Today, the philosopher is David Hume, the most famous (or, for some people infamous) member of the Scottish Enlightenment. And Hume is talking about miracles.

Back then (in the 18th Century) it was relatively easy to cut them down to size – as was done for the miracle stories in the New Testament. But now it is more difficult, as I will show.

Recently, one of my sisters had a miracle healing. I won’t go into the details, but it was clear enough to me that it really happened – quite to the surprise of her doctors. What happened here?

My take is simple enough – the human body is hugely affected by the human mind. They both effect each other because they are both part of the same thing. My sister’s religious healing worked because it affected her mind – which, in turn affected her body.

This is not limited to religion. The 12-step recovery program also requires a faith in something for it to work.

Miracles have a new hold on life. But what that is, we are not sure.

New Thought

How come I never thought about this before?

There are a number of possible answers. One would be “New Thought is not about thought at all – but an avoidance of thought.” Or “These people want to have it both ways – they can claim to be part of it, when they want to – or claim not to be part of it, when this suits them better.”

I bumped into so much of this when I lived in California (especially on San Diego), it began to seem natural.

These people simply claim that whatever they are doing it is the right thing to do. It is the perfect practice for nobodies. And polite people never call them for it.

The book The Stammering Century is not polite, and for this reason has not been popular. It says (on Page 349):

Emerson was the favorite philosopher of the sect, although it seems to have read him only in extract.

They made a travesty of Transcendentalism (which was all too easy to do).  The same could be said of Thoreau. They have quoted him to me with devastating impact. My only reply would be to put him in context – which they are not interested in. For them. everything has to be simple – to accommodate their simple minds.

Wikipedia. following William James, simply labels it a mind-cure movement. These guys (but mostly gals) will cure you of what ails you. And this can probably serve as a center around which to arrange the vast variety of this kind of thought.

Every society has its own strangeness and New Thought is one of America’s. I am tempted to characterize it as mass idiocy - and that would not be too far from the truth. But let me temper that by relating the following story.

When I was in San Diego in the late Eighties, a healer named Art Martin was active, and I was part of his circle. The patient would lie face down on a massage table and he would feel his back for lumps of muscle tension – concentrating on certain areas in the lower back. The healer could then experience episodes from the patient’s past and help him deal with them.

When Art was working with me, he saw an episode from my childhood where I was playing in a sandbox with my new toys. A neighbor boy was there and wanted to use my new toys too. I wouldn’t let him – but Mother forced me to share my toys. I had no memory of this at all.

Later, when I was in a training class with some other students, a young woman who was working on me – saw the same episode, but in even more detail!

Art was on to something. But his career as a healer did not last – mainly because his healing depended on reciting affirmations (a New Thought technique) which didn’t heal anything. His clients moved to others – and then probably kept moving. California never runs out of interesting things to do.

I will finish with a quote from The Stammering Century, which has a good explanation of New Thought (page 355):

The great central fact in human life is the coming into a conscious vital realization of our oneness with this Infinite Life, and the opening of ourselves fully to this divine inflow. In just the degree that we come into a conscious realization of our oneness with the Infinite Life, and open ourselves to this divine inflow, do we actualize in ourselves the qualities and and powers of the Infinite Life, do we make ourselves channels through with the Infinite Intelligence and Power can work.

Note the droning repetitions. This gives them the desired hypnotic, magical appeal.

What You Want in a Shrink

NY Times – What Brand is Your Therapist?

This article is excellent, and an easy read. This is the kind of material that makes a subscription the Times ($15 a month) a good investment. Here is the final paragraph:

The field has evolved since Freud said that the goal of psychoanalysis was to convert neurotic misery into ordinary unhappiness, but it’s not that far from what most therapists still do. I hate to think that therapy is an outdated idea, too slow and too private to satisfy a population that has come to expect immediate responses and constant gratification. The truth is, I’m just a person trained to sit in a room and — if I’m really doing my job well and am attuned to all the subtle suggestions and gestures at play in an ongoing, face-to-face therapeutic relationship — help people understand themselves better so they can live more fulfilling lives. When I shared this description with ShrinkWr@p’s Alison Roth, she laughed out loud: “Not sexy!” she said. She wasn’t surprised to hear that I still have spots open for referrals.

In my book, there are two kinds of people in the world – those how know they had a miserable childhood, and those that deny it. There must be those who had a happy childhood (or at least a good-enough one) but I haven’t met too many of those.

One friend back in Silicon Valley (he called it Silly-Con Valley) told me how his mother tried to kill him once – and as a result had herself committed to a mental health institution, until she got better. He was about to have a child and was afraid he would be abusive also. I remarked this was what motivated many parents to go into therapy themselves – to protect their children. And I suggested he might do this also.

He practically exploded ”What me? Spill my guts to a shrink?”

The Dementia Plague

MIT Technology Review

This is an excellent article, it covers the ground thoroughly. Here is something you can take away from it:

 Almost every dementia patient has worried family members huddled in the background, and almost every story about dementia includes a moment when loved ones plead with the doctor for something—any medicine, any intervention, anything—to forestall a relentless process that strips away identity, personality, and ultimately the basic ability to think. Unfortunately, Evelyn Granieri is the wrong person to ask. In 2010 she served on a high-level panel of experts that assessed every possible dementia intervention, from expensive cholinesterase-­inhibiting drugs to cognitive exercises like crossword puzzles, for the National Institutes of Health; it found no evidence that any of the interventions could prevent the onslaught of Alzheimer’s. She can—with immense compassion, but equally immense conviction—explain the reality for now and the immediate future: “There really is nothing.” Dementia is a chronic, progressive, terminal disease, she says. “You don’t get better, ever.”

We used to speak of senility – old people just got senile and useless. And nobody worried about it. The family just took care of them. This is still true in rural Costa Rica – the family takes care of its family members who are incapacitated - there are a large number of developmentally-retarded children here (and some adults), and taking care of them is just a normal family duty that people take for granted. In rural Indonesia, the village used to do this too – it took care of its own. If a woman gave birth, a midwife appeared and took care of her –  and the whole village helped her to recover.

This is normal human behavior, which has disappeared as we become more obsessed (and identified) with our machines – especially our latest, the Computer.

However, to quote again:

An even more sobering perspective on the problem comes from a small unpublished pilot study that Granieri and her colleagues at Columbia recently undertook. They did a standard cognitive evaluation of every person 70 or older who was admitted to Allen Hospital for any reason—heart problems, pain, diabetes, breathing difficulties. The results stunned them. “In this hospital, of patients 70 years of age or older, 90 percent have cognitive impairment of some kind, which is much higher than we anticipated,” she says.

Not only is dementia distressingly widespread, but the complex overlap of symptoms and possible causes makes addressing the problem broader and trickier than just treating Alzheimer’s. The emerging reality, which has become increasingly apparent with better brain imaging, is that the majority of cases among the elderly are so-called “mixed dementias”; the cognitive impairment is due to a combination of vascular problems, such as mini-strokes in discrete parts of the brain, and the more classic Alzheimer’s pattern of amyloid plaques. Large-scale international studies in the past three years have shown, according to a recent scientific summary, that dementias caused by blood-vessel lesions in the brain, including vascular dementia and mixed dementia, “together comprise the most common forms of dementia at autopsy in community-based studies.”

In developing countries the situation is far worse. What medical services they do provide are oriented to acute, short-term problems (broken bones,for example) not chronic long-terms problems (such as cancer). Dementia is something they never considered – mainly because people didn’t live that long.

At this point,  I must refer to another article in the same issue of the MIT Technology Review – which I have also written about Why We Can’t Solve Big Problems. The dementia problem is a big problem, tens of billions have already been spent – with nothing to show for it. Just like the Cancer problem, which we also threw lots of money at – with few results, except to recognize that the problem is much larger than can deal with – and we will just have to live with it.

There is a solution to all problems of this kind – chronic wasting diseases that cannot be cured (such as terminal cancer). And it is simple – to allow people to decide, in advance, that they want their life terminated when they become incapacitated. The mechanism for doing this would have enabled by legislation – as it has been done already in several states.

On the national level, however this cannot be done. People react with horror to the very idea of giving the terminally ill control over ending their lives.

Why this is so, I have no idea. But I suspect it is part of a much larger decision to deny people the right to live independent lives. The really Big Problem now facing us.

Just after posting this, I saw this in the NY Times - For Alzheimer’s, Detection Advances Outpace Treatment Options.

Liking Ourselves

Something disastrous has happened to the Human Race – we now like our things more than ourselves. And we do not consider this to be a problem – only the natural state of affairs.

As far as I can tell, this development started with the Industrial Revolution, although its roots must go back further than that – to the beginning of the Modern Era, a development we do not understand in the least – even though it made us what we are.

Be that as it may, all we can do right now is take a good look at where we are – and try to get a dim understanding of the last two hundred years or so. Or even the last fifty years or so.

Over this period, we paid more attention to, and put more energy into, our technologies than in ourselves. While not being aware of this at all. It just seemed like the right thing to do. We became obsessed with our sailing ships, then our railroads, and then our automobiles.

We have the natural ability to concentrate on the raw materials in our world, and consider how they might be improved to become more useful to us. This is part of being human – but only part. Being human is much more than this – but we have gradually forgotten what those other parts were. And the result has been a progressive negative feedback situation – as we concentrated more and more on our technologies, we kept forgetting more and more about ourselves.

Until we got to the point where we developed a strong dislike for ourselves – sometime in the late 19th Century and early 20 Century. Now this dislike seems normal, and we can no longer see it.

One of our abilities is our ability to get used to almost anything – and consider it normal. This allow trends to become permanent – and trends can be either positive (things keep getting better) or negative (things keep getting worse) – or, more commonly, combinations of the two.

There are two important things to consider here – our limited attention span, and our habit of developing habits – collectively, as well as individually.

Our latest technologies, the TV and the Computer, grab our attention and will not let go of it. This is most commonly seen in the young, who can only pay attention to brief, intense stimuli. But it affects all ages. I have been shocked by the deterioration in people who become used to interacting with the latest hand-held devices (which are nothing but miniature computers with attractive, clever displays). Some of our smartest minds have concentrated on making them addictive. Because this would make them profitable.

Which immediately brings up an important point – the profit motive, and how our technologies have become enmeshed in it. There is nothing wrong with the market, is is an all-to-human activity (as the Good Book kept reminding us). But we have allowed it to control us – instead of us controlling it. The result has been an economy that is self-destructing. We like it so much, we have forgotten how to like us. Forgetting that we have made the Economy – not the other way around.

The recent hassle about the American health plan is a case in point. It was designed to help us – but since we don’t like us, we don’t like it either. Here again – not being aware of this unconscious decision at all.

One more thing – Religion, another important part of us. It  too has become enmeshed with the Economy and our obsession with becoming better. Which means being technology-enhanced – super-human, in fact. When, in reality, we have become less than human – empty beings.

We have put so much of ourselves out there, there is nothing left in here.

Is Alzheimer’s Type 3 Diabetes?

NY Times

Just in case you need another reason to cut back on junk food, it now turns out that Alzheimer’s could well be a form of diet-induced diabetes. That’s the bad news. The good news is that laying off soda, doughnuts, processed meats and fries could allow you to keep your mind intact until your body fails you.

We used to think there were two types of diabetes: the type you’re born with (Type 1) and the type you “get.” That’s called Type 2, and was called “adult onset” until it started ravaging kids. Type 2 is brought about by a combination of factors, including overeating, American-style.

The idea that Alzheimer’s might be Type 3 diabetes has been around since 2005, but the connection between poor diet and Alzheimer’s is becoming more convincing.

He goes on with a clever summary of what Diabetes is, and how it works.

Much as I hate to, I will have to lay off the pastries. I love them, but they do not love me.

Medicare Bills Rise as Records Turn Electronic

NY Times

I could not believe this; online record-keeping was intended to reduce costs – and be better in every way! But I underestimated the greed of the medical system. It, like every other industry, is determined to grab every dollar that is not nailed down. They refer to this as aggressive billing.

For instance, the portion of patients that the emergency department at Faxton St. Luke’s Healthcare in Utica, N.Y., claimed required the highest levels of treatment — and thus higher reimbursements — rose 43 percent in 2009. That was the same year the hospital began using electronic health records.

The share of highest-paying claims at Baptist Hospital in Nashville climbed 82 percent in 2010, the year after it began using a software system for its emergency room records

Critics say the abuses are widespread. “It’s like doping and bicycling,” said Dr. Donald W. Simborg, who was the chairman of federal panels examining the potential for fraud with electronic systems. “Everybody knows it’s going on.”

I am grateful for medical progress – I just got my yearly flu shot yesterday (very necessary in a topical climate). But as someone who knows something about software, I can only marvel at how it has gotten out of control.

The tail is now wagging the dog.

How Big Pharma Hooked America on Legal Heroin

motherboard

In a society where direct-to-consumer marketing of many pharmaceuticals is legal, where pharmaceutical companies are legally allowed to entice physicians with all manner of incentives and perks, and where we elevate the power of drugs to near-mythic levels, it’s no surprise that drug companies are able to write their own narrative on sickness, cures, and risk. And we believe them, on some level, just like an entire generation believed that a powerful opioid medication wasn’t addictive or easily abused. We believe them until we reach the end of an era, until the data and stories and robberies pile up so high that we can’t ignore the fact that we were duped. As a generation of Oxy addicts suffers, as Purdue continues to make billions a year in sales of the drug, and cheaper versions are bound for pharmacies next year, what have the rest of us learned? When the next miracle pill comes along, with all its easy promises and assurances, how low will the highs go?

This is a long article. The writer really needs to condense it – and the site probably needs editors to ride herd on their writers. Which of course means money.

I wasn’t familiar with the Motherboard site, but based on this article I became a member.

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