Sunday, November 29, 2009

Nanomagnet cancer treatment

Nanoscale magnetic discs actually physically wreck cancer cells. Nanotech is offering a lot of medical treatments, particularly in cancer research.

From the link:

Laboratory tests found the so-called “nanodiscs”, around 60 billionths of a metre thick, could be used to disrupt the membranes of cancer cells, causing them to self-destruct.

The discs are made from an iron-nickel alloy, which move when subjected to a magnetic field, damaging the cancer cells, the report published in Nature Materials said.

One of the study’s authors, Elena Rozhlova of Argonne National Laboratory in the United States, said subjecting the discs to a low magnetic field for around ten minutes was enough to destroy 90 percent of cancer cells in tests.

[Via http://davidkirkpatrick.wordpress.com]

Biological Basis of 'Bacterial Immune System' Discovered

Bacteria and archaea (first discovered in extreme environments such as deep-sea volcanic vents, such as the one shown above) manage to survive thanks in part to a built-in defense system that helps protect them from many viruses and other invaders. (Credit: OAR/National Undersea Research Program (NURP); NOAA)

Bacteria don’t have easy lives. In addition to mammalian immune systems that besiege the bugs, they have natural enemies called bacteriophages, viruses that kill half the bacteria on Earth every two days.

Still, bacteria and another class of microorganisms called archaea (first discovered in extreme environments such as deep-sea volcanic vents) manage just fine, thank you, in part because they have a built-in defense system that helps protect them from many viruses and other invaders.

A team of scientists led by researchers at the University of Georgia has now discovered how this bacterial defense system works, and it could lead to new classes of targeted antibiotics, new tools to study gene function in microorganisms and more stable bacterial cultures used by food and biotechnology industries to make products such as yogurt and cheese.

The research was published November 26 in the journal Cell.

“Understanding how bacteria defend themselves gives us important information that can be used to weaken bacteria that are harmful and strengthen bacteria that are helpful,” said Michael Terns, a professor of biochemistry and molecular biology in UGA’s Franklin College of Arts and Sciences. “We also hope to exploit this knowledge to develop new tools to speed research on microorganisms.”

Other authors on the Cell paper include Rebecca Terns, a senior research scientist in biochemistry and molecular biology at UGA; Caryn Hale, a graduate student in the Terns lab at UGA; Lance Wells, an assistant professor of biochemistry and molecular biology and Georgia Cancer Coalition Scholar at UGA and his graduate student Peng Zhao; and research associate Sara Olson, assistant professor Michael Duff and associate professor Brenton Graveley of the University of Connecticut Health Center.

The system, whose mechanism of action was uncovered in the Terns lab (Michael and Rebecca Terns are a husband-wife team), involves a “dynamic duo” made up of a bacterial RNA that recognizes and physically attaches itself to a viral target molecule, and partner proteins that cut up the target, thereby “silencing” the would-be cell killer.

The invader surveillance component of the dynamic duo (an RNA with a viral recognition sequence) comes from sites in the genomes of bacteria and archaea, known technically as “clustered regularly interspaced short palindromic repeats” or more familiarly called CRISPRs. (A palindrome is a word or sentence that reads the same forward and backward.) CRISPR RNAs don’t work alone in fighting invaders, though.

Their partners in invader defense are Cas proteins that arise from a suite of genes called “CRISPR-associated” or Cas genes. Together, they form the “CRISPR-Cas system,” and the new paper describes this dynamic duo and how they protect bacteria from viruses.

“You can look at one as a police dog that tracks down and latches onto an invader, and the other as a police officer that follows along and `silences’ the offender,” said Rebecca Terns. “It functions like our own immune system, constantly watching for and neutralizing intruders. But the surveillance is done by tiny CRISPR RNAs rather than antibodies.”

What the team discovered was that a particular complex of CRISPR RNAs and a subset of the Cas proteins termed the RAMP module recognizes and destroys invader RNAs that it encounters.

“This work has uncovered intriguing parallels between the bacterial CRISPR-Cas system and the human immune system, suggesting a novel way to target disease-causing bacteria,” said Laurie Tompkins, Ph.D., who oversees genetic mechanisms grants at the National Institutes of Health’s National Institute of General Medical Sciences. “It may be possible to turn CRISPR-Cas into a suicide machine, killing pathogenic bacteria by an attack on their own molecules, similar to the self-destruction seen in human autoimmune diseases.”

Understanding how the system silences invaders opens up opportunities to exploit it. So far, CRISPRs have been found in about half of the bacterial genomes that have been mapped or sequenced and in nearly all sequenced archaeal genomes. Such pervasiveness indicates that an ability to manipulate the CRISPR-Cas system could yield a broad range of applications. For example, using the knowledge that they have obtained in this work, the Terns now envision being able to design new CRISPR RNAs that will take advantage of the system to selectively cleave target RNAs in bacterial cells.

“These could target viruses that wipe out cultures of bacteria used by industry to produce enzymes,” said Michael Terns, “or could target the gene products of the bacteria themselves. With this set of Cas proteins, we now know how to cut a target RNA at the site we choose.”

“Believe it or not, we have only recently recognized that these microorganisms have a heritable immune system [because it is so different from our own],” added Rebecca Terns.

Remarkably, scientists are already in a position to begin to capitalize on their rapidly growing knowledge of this bacterial immune system.

Story Source:

Adapted from materials provided by University of Georgia, via EurekAlert!, a service of AAAS.

http://www.sciencedaily.com/releases/2009/11/091125134703.htm

[Via http://thewere42.wordpress.com]

Saturday, November 28, 2009

Tomorrow: Haiti!

Getting ready to fly to Haiti (at an un-Godly hour tomorrow morning – ugh!)

I’m excited about the weather forecast there – high in the low/mid-80’s and lows in the mid-60’s – perfect!

I’ll be staying at the Hotel Montana – which looks very nice, and has a pool, and a fitness center, as well as Internet access – so, my needs should be met for the week.

I hope to be posting some nice photos throughout the week…stay tuned!

[Via http://janakikuruppu.wordpress.com]

10th Anniversary of the Latin American School of Medicine

The Latin American School of Medicine [Escuela Latinoamericana de Medicina, ELAM] was commemorated for its 10th anniversary on November 15, 2009. Minister of public health Dr. José Ramón Balaguer Cabrera highlighted the importance of the school of medicine, calling it an expression of Fidel Castro’s ideals, his concept of human beings and of the world, and of the principles that sustain a genuine revolution.

He praised the students at the school, affirming that, in their integration, they constitute a reflection of what humanity needs: a sentiment that is “rooted and strengthened when relations among them demonstrate that there are no differences. They are the same human beings with the same destiny, needs and objectives, with the same search for a better future.” The public health minister also had words of praise for the school’s staff and workers that have made possible “a beautiful history at a time in which processes of great significance are occurring in Latin America in the struggle to attain a better world for our peoples.”

During ELAM’s 10 years of existence, 7,256 doctors from 30 countries have received training as comprehensive general doctors directed toward primary health care “at a high scientific-technical, humanist, ethical level of solidarity, capable of acting in their environment in accordance with regional health needs, as a contribution to sustainable human development.” The current intake at ELAM totals 21,359 students, including 12,017 on the new training program for Latin American doctors, distributed in the country’s medical science universities and faculties, the ELAM headquarters and the Caribbean Faculty in Santiago de Cuba, and in which 100 countries are represented. The majority of students are from modest backgrounds, the sons and daughters of workers and campesinos, some from very poor families and remote communities of different origins and ethnicities. ELAM Chancellor Dr. Juan Carrizo Estévez stressed that the fundamental characteristic of the doctors trained in Cuba is the development of professional ethical values, internationalist and cooperative in nature, and a high level of human sensibility, linked to a strong scientific-technical base.

 Alihuen Antileo García, a Mapuche from Chile and president of the ELAM student body, and Dr. Carlos Flores García, a Guatemalan from the first ELAM graduation in 2005, also spoke at the event. Alihuen expressed his conviction that the ELAM road is, “Medicine in love with the art of prevention and cure,” not that of checkbook doctors trained within capitalism, and affirmed that “the sons and daughters of excluded humanity are being educated no more and no less than in Cuba.” Dr. Flores reflected that “while the United States is maintaining a School of the Americas in our land, from which hundreds of soldiers graduate for repressive armies in Latin America, and is opening military bases, the thousands of doctors who have already graduated from ELAM are going about saving lives, opening posts and health centers.” For that reason, “on a day like today I exhort the president of that nation to follow Cuba’s example. Found schools of medicine, Mr. President, help us in this region to build knowledge!”

For full article, see http://www.granma.cu/ingles/2009/noviembre/lun16/elam.html

[Via http://repeatingislands.com]

Thursday, November 26, 2009

Thank You

Today, I realized what makes me the most happy; my closest friends.

We have been through a lot and have shared a pretty incredible experience since our first confrontations. I wanted to take this time to thank you, personally, for everything. The arguments, the successes and failures, the moments of truth, the silences and the outlandish activities we have all shared together. There is nothing more that I can ask for in this world other than us all living successful and happy lives. You are the greatest anyone could ever wish for and thus the reason why I have no hesitation when it comes to our chill time together. It is no wonder why my relations with women seem to fail; I give all my time to you guys, art and education. And I don’t regret a thing.

And to my fellow artists whom I believe I am good friends with, thank you for all your support. It is because of you that I am on this path and enjoying every second of it. Without you, I would not be writing this. I would probably be drunk in class or at some stupid party. You guys, in a way, saved me and gave me the key to truly expressing myself and my beliefs and I would gladly do anything to help you become more successful Ted and Peter. But more importantly, you gave me a key out of the hell I was living in. Once more…Thank you. It was an honor to help with the book and an honor to paint for hours in the rain with you Peter. I don’t think you really understand how much it means to me.

Anyways, hope you and everyone else have a good holiday as I know this was easily the best thanksgiving I have had in years.

-Mike

 

[Via http://mdetelj.wordpress.com]

Tuesday, November 24, 2009

Think you know everything about breast cancer?

KOMO News Special Report: Inflammatory Breast Cancer
May 7, 2006 by Michelle Esteban

SEATTLE – Breast cancer is something women think they know all about: Look for lumps; have mammograms; see our doctors.

But none of that will save you from one silent breast cancer killer that women know virtually nothing about.

It’s called “inflammatory breast cancer,” and it’s something every woman must know about.

“How can I have something when I go to the doctor every year, I do self breast exams every month and what is this? Why am I surprised?”

Kristine was just 37 when she was diagnosed with IBC, three years away from the recommended age to start mammograms.

Testimonial: Obamacare Would’ve Missed My Wife’s Breast Cancer
November 23, 2009 by Rush Limbaugh

CALLER: Okay, so the reason I called is these people — if we had a rationed health care system, this type of breast cancer — will not have any chance of survival because it’s all about speed of starting the treatment for any chance of beating it. And if the government were in charge, these people, none of them would be around because it’s too aggressive. You can’t wait months to be seen. It’s too expensive, and one of the shots costs a lot. My wife, she had to have it four times and it was over $7,000 a shot, and it’s a very low mortality rate. It’s the most rare form of breast cancer, but it’s the most aggressive and it presents over 25% of breast cancer deaths. And the scary thing is, mammograms don’t pick it up typically and it doesn’t present as a lump and it also hits younger women. And so, you know, it’s misdiagnosed. It’s stage three automatically, but most are stage four, and it’s very expensive to treat. So doctors think it’s an infection, and so most people don’t know what this is, and unfortunately if we had a government health care system in place… And my wife, who does not follow politics as much as I do, really knew what was going on about this and said, “You know, if we had that health care system in place I wouldn’t be here.”

[Via http://feltd.wordpress.com]

Kalusugan at Medicine: Mga Artikulo tungkol sa Pharmacy, Surgery, Therapy at Kalusugan

Kung ang ambisyon ay ethernal kabataan, perfect beauty, matibay na kalusugan o pang habang-buhay, maaari namin ng estado na gamot, pag-opera at cures, sa iba’t-ibang paraan at sa iba’t ibang prayoridad, mayroon palaging central, tulad ng disiplina at bilang kakayahan, sa mga alalahanin ng bawat kabihasnan. Ang mga sinaunang kultura ay may nakukuha sa amin ng isang napakalawak pamana ng mga tradisyunal na kaalaman tungkol sa herbs, massages, ointments at iba pang mga likas na remedyong (ilan sa mga na panatilihin ang mga potensyal na kahanga-hanga). Ang mga remedyong ay patahimikin popular, mahalaga, inilalapat at admired sa pamamagitan ng mga malalaking grupo ng mga tao sa maraming bansa, kasama ang mga resulta na kung minsan ay lilitaw very positive kahit na sa pamamagitan ng modernong pang-agham pamantayan. Of course, ang mga kapanahon scientifical pagharap sa mga problema ng pangangalaga sa kalusugan at Kaayusan ay dramatically binuo at napakalaki pinahusay na kapangyarihan ang mga, ang impluwensiya, ang kahusayan at ang prestihiyo ng medics at doktor ng tao sa lipunan, salamat sa kanilang kakayahan upang habaan habang-buhay, upang alisin ang mga salot , sa mga pagkatalo na sakit at upang gamutin ang impeksyon, pumipigil sa sakit at recovering lakas.

References: plaster, pharmaceutical, myweight, addiction, dentalplan, tanningbed, madness, insane, nurse, antibiotics, lotions, hairloss, patient, drugrehab, diabetes, prevention, protection, sight, pharmaceutical, medicalinsurance, nursing, healthcareplan, healthplan,

Ang edad ng antibiotic, ang sakit-killers, Laser surgery, genetiko pananaliksik at chemiotherapy ipinapangako ng kababalaghan para sa pagpapabuti ng ang karaniwang tao ang kalidad ng buhay: kung gayon, malinaw naman, napakalaking capitals at dakilang resources ay invested taon-taon na nalalaman sa pamamagitan ng pamahalaan at ng malalaking multinationals sa patlang ng ng pananaliksik at pag-unlad para sa mga bakuna, therapies at pharmacons. Kahit na ang mga impormasyon ng mga aspeto ng gamot at pangangalaga sa kalusugan ay, sa kanilang sarili, isang malaki at mabigat sa merkado, na kung saan ang mga tao na pagnanais na malaman kung saan ay ang pinakamahusay na kasanayan sa pakiramdam at kung saan ang mga solusyon ng tulong upang mabuhay na, ang mga sumusunod pinakabagong Discoveries pinakabago at solusyon. Dahil sa kaugnayan ng paksa, kami summarized ng isang mayaman na grupo ng mga websites na iniharap sa pamamagitan ng http://www.thenew.com at http://www.euroserve.cn (na may http://www.esw3.eu serbisyo ng DNS ); ang kanilang layunin ay, siyempre, ang pagtatanghal ng mahalagang materyal tungkol sa plastic surgery, hormonal therapies, pharmaceutical reseta at mga medikal na tulong.

References: dentalinsurance, analcancer, bladder, blood, breastcancer, breastimplants, calculus, cardiac, cervicalcancer, cervix, cystectomy, davincicystectomy, denture, endoscopy, erectiledysfunction, fracture, genitals, genitalwarts, heartattack

[Via http://healthmedicine123filipino.wordpress.com]

Sunday, November 22, 2009

Cigarettes Harbor Many Pathogenic Bacteria.

Dedicated to Smokers.
ScienceDaily (Nov. 20, 2009) — Cigarettes are “widely contaminated” with bacteria, including some known to cause disease in people, concludes a new international study conducted by a University of Maryland environmental health researcher and microbial ecologists at the Ecole Centrale de Lyon in France.

The research team describes the study as the first to show that “cigarettes themselves could be the direct source of exposure to a wide array of potentially pathogenic microbes among smokers and other people exposed to secondhand smoke.” Still, the researchers caution that the public health implications are unclear and urge further research.
“We were quite surprised to identify such a wide variety of human bacterial pathogens in these products,” says lead researcher Amy R. Sapkota, an assistant professor in the University of Maryland’s School of Public Health.
“The commercially-available cigarettes that we tested were chock full of bacteria, as we had hypothesized, but we didn’t think we’d find so many that are infectious in humans,” explains Sapkota, who holds a joint appointment with the University’s Maryland Institute for Applied Environmental Health and the department of epidemiology and biostatistics.
“If these organisms can survive the smoking process — and we believe they can — then they could possibly go on to contribute to both infectious and chronic illnesses in both smokers and individuals who are exposed to environmental tobacco smoke,” Sapkota adds. “So, it’s critical that we learn more about the bacterial content of cigarettes, which are used by more than a billion people worldwide.”
http://digg.com/d31Aa6o

[Via http://ramanan50.wordpress.com]

swine flu vaccine not vegan friendly

I’m not one to argue with the success of vaccinations for our species. It is true that many human lives would’ve been lost if not for them. Still though you’ll never find me rushing to get a shot of any kind to prevent a mild flu. I’m somewhere right in the middle on this issue. I often find myself thinking like a conspiracy theorist when it comes to these things, although I stop short of believing the government has any devious motifs behind passing out shots. What really worries me is the lack of scientific data or comprehensive studies done before dispersing these things to the general public. I know I know they’d say its an emergency, but after learning of all the side of effects from other vaccinations like the gardisil vaccine I think they’d be better off taking their time & letting this little flu bug run its course for now. Luckily even if I did want to get that shot I have an exuse not to. I am a vegan so I do not eat eggs and this vaccine contains egg. It also contains things like MSG and even formaldehyde. If your anything like me you don’t want that pumped into your blood.

[Via http://psychonauticalmindbloom.wordpress.com]

Saturday, November 21, 2009

Christian Science therapies: the conspiracy behind paying for prayer revealed

Backed by some of the most powerful members of the Senate, a little-noticed provision in the healthcare overhaul bill would require insurers to consider covering Christian Science prayer treatments as medical expenses.

Senator Harkin, says

“It is time to end the discrimination against alternative health care practices.”

“This is about giving people the pragmatic alternatives they want, while ending discrimination against practitioners of scientifically based alternative health care. It is about improving health care outcomes. And, yes, it is about reducing health care costs. Generally speaking, alternative therapies are less expensive and less intrusive – and we need to take advantage of that.”

Why would the government want to make sure prayer could be reimbursed as form of medical intervention? Surely our elected representative would not pander to their constituents? That would be beyond the pale.  There must be a deeper, more sinister, reason.  And I remember: dead people cost no money.

The application of Christian Scientology, er, no, it must be Christian Scientist therapies has well documented effects upon the Christian Science population. And those effects are not beneficial to anyone who is not a mortician.

For example, in 1989 JAMA published a cohort study (Yes, I know from the last post that cohort studies prove nothing nothing nothing, but I am uncertain how one would apply Christian Science in a randomized, placebo controled, double blinded manner).

They looked at outcomes in 5,500 Christian Scientists and compared them to a group of almost 30,000 controls using conventional medicine.

For each age group from 1934 to 1983, there was a greater death rate in the Christian Scientists when compared to the control population, a difference made more remarkable as Christian Scientists neither smoke nor drink.

So the real conspiracy (how’s that for an oxymoron) is that the US government wants to save health care dollars by recognizing and legitimizing complimentary and alternative medical procedures and therapies. Why? To kill you! Now there’s a death panel!

The complete article can be read here.

[Via http://questionablemotives.wordpress.com]

Thursday, November 19, 2009

'Faith-based neglect'

Constitutional law expert Jonathan Turley spotlights another case of a child dying — in this case, 2-year-old Kent Schaible — because of rejection of science-based medicine in favor of supernatural beliefs:

In the past 25 years, hundreds of children are believed to have died in the United States after faith-healing parents forbade medical attention to end their sickness or protect their lives. When minors die from a lack of parental care, it is usually a matter of criminal neglect and is often tried as murder. But courts routinely hand down lighter sentences when parents say the neglect was an article of faith. Faithful neglect has not been used as a criminal defense, but the claim is surprisingly effective in achieving more lenient sentencing, in which judges appear to render less unto Caesar and more unto God. …

Denying children critical care may be divinely ordained for some parents, but it should not be countenanced by the legal system. Until courts refuse to accept religion as a mitigating factor in sentencing in such cases, children will continue to die, neglected as an article of their parents’ faith.

Little Kent died of easily treatable bacterial pneumonia, but his parents, Herbert Schaible, 41, and Catherine Schaible, 40, of Philadelphia, chose to ignore doctors and pray for their toddler instead. The child suffered for a week and a half, then died.

(An aside: Where’s the right-to-lifers’ outrage for this boy, and hundreds of other children in the United States who have suffered a similar fate at the hands of their deluded parents?)

I’ll say it again: Religion must not be exempt from rational criticism.

Bigger breasts without implants?

And speaking of the female body, I couldn’t resist reporting this story I came across about a possible alternative to breast implants:

A revolutionary new breast-growing technique, Neopac, will be available to some breast cancer survivors in trials starting in January, according to the Daily Mail. And within a decade, cosmetic surgeons may open up the treatment to all women who want to amplify their cleavage, the paper reports.

The surgery could replace breast reconstruction and implants soon, says the Daily Telegraph.

The operation already has succeeded in pigs, which grew new breasts in just six weeks, according to the Telegraph.

This last part should make Kermit the Frog very happy. I know I like my pigs with giant knockers.

In the procedure, pioneered at the Australian Bernard O’Brien Institute of Microsurgery, a breast-shaped chamber is inserted under the chest skin, according to the Daily Mail. It contains a sample of the woman’s fat tissue that is connected to a blood vessel. Within eight months, fat tissue grows and fills the chamber.

As Carl Sagan wrote, science delivers the goods.

Tuesday, November 17, 2009

Margaret Lewin on Evidence Based Medicine

Originally posted on our collaborative site, Ourblook.

OurBlook interview with Dr. Margaret Lewin, medical director of Cinergy Health

Please provide your definition of evidence-based medicine.

ML: Evidence-based medicine is the practice of medicine in which decision-making is based on evidence acquired from carefully-controlled clinical trials.

What are the pros of evidence-based medicine?

ML: The pros are that these decisions are statistically most likely to achieve the desired clinical result given the current state of knowledge and might lower the costs of delivering healthcare.

What are the cons of evidence-based medicine?

ML: The cons are that .

– There are only a limited number of clinical trials whose outcomes are conclusive enough to answer the enormous number of clinical questions.

– Controlled clinical trials are expensive and usually take years to reach their conclusion; even then, they usually require confirmation by other trials.

– Medical science continues to advance at such a pace that clinical trials cannot keep up with the questions raised.

– It is likely that many treatment options not proven by evidence-based medicine will be rationed (i.e., they will not be reimbursed by public or private insurance).

How do you apply it in your own practice?

ML: When clinical trials give evidence of superior results of a given therapeutic intervention, I recommend that intervention.

Would there be a significant impact on the U.S. healthcare system if it were implemented much more widely?

ML: Medical problems could be solved more efficiently and effectively, leading to better clinical outcomes.

Does the reform legislation now before Congress carry provisions for evidence-based medicine and if so, are they adequate? If not, what should be added?

ML: These bills at least give lip-service to Comparative Effectiveness Research (CER) … but it is not clear that this research will be funded adequately over either the short- or long-term. The question of rationing has been addressed but not answered.

How does evidence-based medicine affect the legal malpractice problem that plagues healthcare providers?

ML: If a medical decision is based on such evidence, one would hope that even bad outcomes could not be attributed to malpractice by the practitioner.

With prescribed treatment plans for various diseases, it almost sounds that there could be no deviations. Is that true, and if so, how can U.S. healthcare improve if new and different treatments can’t be used?

ML: Deviations would have to be justifiable by other means, leading to the risk of malpractice action should the outcome be unfavorable; these deviations may not be covered by either public or private plans.

It would still improve, but much more slowly … awaiting the results of clinical trials before new approaches and modalities could be widely used.  This delay would, however, probably encourage more clinicians to enter their patients in clinical trials and would similarly encourage those patients to enroll in the trials.

Is there anything else you’d like to say about evidence-based medicine?

ML: This is an important concept which, if fully implemented, could lead to better outcomes and lower costs. The current state of knowledge is inadequate for basing a healthcare system on this concept … and rigidity could lead to rationing unacceptable to the American people, who are used to having access to all options in care.

A graduate of Case Western University School of Medicine, Dr. Lewin earned her undergraduate degree from Purdue in aeronautics, astronautics and the engineering sciences, and she holds an M.S. in applied mathematics from Rensselaer Polytechnic Institute. Board-certified in internal medicine, she is an assistant professor of medicine at Weill Medical College of Cornell University. She also is immediate past president of the New York County Medical Society. Her decades-long volunteer work has included service to many local projects and organizations and has been enriched by her medical missions to the Third World.

คลินิกเวชศาสตร์ช่องปาก 1

3211401    คลินิกเวชศาสตร์ช่องปาก 1    Oral Medicine Clinic I

การตรวจผู้ป่วยที่มีโรคในช่องปากที่ไม่ซับซ้อน การซักประวัติ การตรวจภายในช่องปากทั้งเฉพาะตำแหน่งที่ต้องรักษารีบด่วน และตรวจภายในช่องปากทั้งหมดโดยละเอียดตามวิธีการเป็นขั้นตอน การใช้อุปกรณ์การตรวจ การบันทึกรายงานผู้ป่วย การพิเคราะห์แยกโรค การวินิจฉัยโรคทางทันตกรรมทั่วไป การวางแผนการรักษา

(Examination of patients with uncomplicated oral diseases: history taking; oral examination of specific area where emergency/urgency treatment is needed; complete oral examination; use of diagnostic aids; recording all findings; differential diagnosis; definite diagnosis; treatment planning.)

(3211401 จุฬาลงกรณ์มหาวิทยาลัย)

Sunday, November 15, 2009

Dealing with death

My local Freethinkers had a meeting about this topic today and one of the guys shared a few quotes about death and dying, including this one attributed to Albert Einstein:

“Our death is not an end if we can live on in our children and the younger generation. For they are us, our bodies are only wilted leaves on the tree of life.”

But what if it is the child who has died? What then?

In the past 25 years, hundreds of children are believed to have died in the United States after faith-healing parents forbade medical attention to end their sickness or protect their lives. When minors die from a lack of parental care, it is usually a matter of criminal neglect and is often tried as murder. However, when parents say the neglect was an article of faith, courts routinely hand down lighter sentences. Faithful neglect has not been used as a criminal defense, but the claim is surprisingly effective in achieving more lenient sentencing, in which judges appear to render less unto Caesar and more unto God.

This disparate treatment was evident last month in Wisconsin, a state with an exemption for faith-based neglect under its child abuse laws. Leilani and Dale Neumann were sentenced for allowing their 11-year-old daughter, Madeline Kara Neumann, to die in 2008 from an undiagnosed but treatable form of diabetes.

It’s one thing if it’s an accident or some quick virus or sudden onset of one of the worst cancers and there’s barely time to say goodbye let alone get the right drugs into the system that may or may not be beneficial in the long run. But when something easy to treat that people can live with for years winds up killing a child because parents prefer to pray instead? It’s inconceivable to me.

In a nation founded on the free exercise of religion, the legal system struggles with parents who act both criminally and faithfully in the deaths of their children. This paradox has perplexed courts for centuries. One of the earliest prosecutions of such a case occurred in England in the 1800s, when the crown charged followers of a sect known only as the Peculiar People, a name derived from a translation of the phrase “chosen people” from the book of Deuteronomy. They were accused of killing numerous children as a result of faith-healing practices.

Today, the Old Peculiars are largely gone (their faith-healing views thinned their numbers considerably), but many other sects such as Unleavened Bread Ministries have prospered.

And I was reminded today that Canada is not immune to this. I can’t find a link to anything relevant to this country, unfortunately, but it’s been suggested elsewhere that prayer should be covered under health insurance. If you pay someone to pray for you, that person should be reimbursed as a health care provider. Christian Scientists in the States were hoping for it and while the original link has 404′d, Ed Brayton quoted some of that article.

After our meeting, a few of us moved into the lounge to continue discussions and the guy who mentioned this to us wondered how many ways hucksters and scammers could work a system like that. And if the person dies anyway, do you sue the guy you paid to pray at him, or take it out on the doctors? Assuming you even bothered to consult a doctor. And when it comes to the prayer part, do you go generic, or contact someone you can tell is affiliated with a church? Does the insurance company have to sign off on a person’s ability to pray first? Any testimonials of successful interventions in life and death situations?

And during the meeting, a woman who works for a memorial service brought up a study that was done regarding terminal cancer patients and how much life prolonging stuff they asked for in the week leading up to their death. The least religious were more likely to just let go, while the most religious in terms of coping wanted everything that might give them another hour, day or week of added personal suffering and added pain for family members – not just emotionally, but financially as well.

Clinicians need to recognize and be sensitive to the role that religious coping plays in medical decisions at the end of life. They may wish to include other health professionals in discussing these matters. For aggressive care at the end of life to prolong that life at all costs leads to a poorer quality of death and emotional issues for friends and family.

I’ll let the wise artists of xkcd.com have the last word.

Fresh start.

All fresh.

Crisp.

New.

Shiny.

I don’t feel completely caustic at the moment. Going through the same shit thrice isn’t cool.

Somehow, I don’t know if I should still hold on to my dream. It seems so remote and impossible. Admittedly, I don’t intend to do anything conventional once I’ve got it. Medicine? It happens to only a select few.

Till I know for sure though, I’ll let the chips fall where they may.

I’ve cleared out everything from my current inventory of posts. That phase is over. New people, same friends and it makes for great company. I’ve come round the bend. Negativity needs to be nipped at the bud. I catch myself habouring self-degrading notions of, well, myself and it doesn’t sit well with me. Not a single iota. I look at myself more honestly now. I don’t make time for self pity, its no good, not healthy and not very sexy. We all need time to hide and weep, collect out shatted egos and find our pride.

Sometimes it takes more testicular fortitude to move on and make things right in a different manner. Not running away from the past, but acknowledging it — taking the result slips, wiping your perky arse and strutting off to make sure the next time you see such a slip, it doesn’t have to endure the same perilous fate.

I look forward to the future with so much more zest and enthusiasm that I could hardly care for the pitfalls that I’ve navigated myself straight into and the transgressions I’ve embellished my personal record with. Lets start the future, now. With the present. You can’t change the past, you can’t tell what the future will be like, but you can actually decide to have a better lunch than starving yourself. Focus on the now, enjoy the moment, because like Ang Hwee said, “This moment now, its gone. Right now is a different moment. You can’t keep going through life unhappy.”. Finally I see the light.

Perhaps now that I’m not such self-debilitating, self harming wimp, the biggest hindrance to me as an athlete is gone.

I’ve learnt to enjoy. Shopping; Nights out with Valerie; Hanging out with Rishik, Kiran and the rest of the Brady bunch; Fervin’s sound advice. I’ve learnt to enjoy living and not endure living.

Its alot healthier now, my state of mind, my emotional state. Everything is in a superior condition.

Only thing is… I’m hungry again.

No. Not for sex you dickwads.

Saturday, November 14, 2009

This Week in The Daily Show... and Fox News' Sean Hannity

It’s time for the 2nd week in November’s Daily Show roundup. It turns out to be a political roundup this week with a smattering of commentary on how media covers politics.

The US House of Representatives passes a healthcare bill (read the full bill text or get the pdf), but in the process, we find out how what happens when babies weigh in on the issue… it turns out the House of Representatives is a bizarre organization.

Fox News’ Sean Hannity covers the Republican protest rally on the House of Representatives healthcare bill and in the process, over represents how many people attended and even used video protest footage from September’s Glenn Beck Tea Party rally to distort reality.

The very next night Sean Hannity apologized for mistakenly using footage from a better attended rally in September while covering this November rally

Enjoy

Dany

Now then. There’s a sixteen-day gap in this blog which I might be reasonably expected to fill in, even if for little more than to satiate the displeasure of the (imagined) regular reader.

Quite a few things have taken place in this time. Firstly, Parisiens have had to put up with my intrusion, laced with halting French, into their idyllic existence for five days. Immigration red tape, in the meantime, droned idly in the background. In fact, my hop to Paris was a successful circumnavigation of the expiry of my student visa; I returned as a visitor with permission to hang about purposelessly for a further six months. Then my impending return to the Far East necessitated some logistical preparation, and the inevitable emotional grappling.

Then there are applications to be done. If I may, I shall throw in a gripe about the ridiculous demands of the Cambridge History faculty, who have their application deadline for overseas students seeking funding set so far in advance of the academic year that it’s unreal. What irony, as they fail to notice, there is in the demanding of incredible foresight in prospective students, in a discipline where astute hindsight is decidedly of greater intrinsic value.

And then, there are books. Ten of them, in fact, recklessly acquired in a whimsical flurry made possible by a Waterstones gift card at the value of a hundred quid. Of these I managed to get through three thus far, and it is the third of which I would so keenly wish upon you, and everyone else who gives the slightest of damn about anything.

Earlier in the life of this prepubescent blog, I was rather gushing in my comments about a certain Nick Davies’ Flat Earth News, on how it challenges common wisdoms, confirms nagging fears and engenders unbridled cynicism. I think it no coincidence that the book I am about to recommend does the same; dispensing similar intellectual tonic on matters so pervasive and fundamentally intertwined in our daily existence. What Davies’ work does for the mass media and the fantasy of speaking truth to power, Ben Goldacre’s does for public health and the systematic, evidence-based pursuit of knowledge.

I shan’t bore with you with a detailed CV of this Goldacre; in fact to do so is to fall into parody of the very evils which the news media perpetrates in much reportage of science news stories. The bare essentials are these – Goldacre is a qualified medical doctor working in London for the NHS, who also writes a weekly column in the Guardian, entitled Bad Science, discussing…well, the flawed practice of science. Find out more about him if you’d like, although it shouldn’t really affect your reading of his work, which should be judged upon its own merits and flaws. If you find yourself incredibly impressed and taken in by a glittering list of his accomplishments, you are exactly the kind of person who needs to read and digest the fundamental message in his book.

Bad Science (the book) is sort of a beginner’s guide to the issues Goldacre discusses in his columns. It presumes nothing and explains everything, demystifies issues of science and its public and social implications, and teaches one to cast a wary eye on anything that wears fancy statistics and bold, definitive “sciency” claims like a badge of honour.

Goldacre starts small, going first after the perhaps more obvious prey that are scientifically-flawed school lessons (Brain Gym), bodycare products (detox and cosmetics), and homeopathy (water memory etc.) – stuff that discerning people, which unfortunately most readers of this book will already be, would know better than to buy into. But this is not a futile exercise in merely stating the obvious. He sets out the fundamentals, the first principles, upon which these science-related issues and products are to be judged, before one can feel sufficiently informed and ready to take on the big boys – the nutritionists riding on the shoulders of sciency-sounding research, the drug firms, big pharma, the news media, the misuse of statistics, and even medical practice in general.

There’s very little of that moralising, holier-than-thou claptrap. Thankfully, Goldacre writes not from a pulpit, but from behind a messy, overcrowded desk of utter geekiness; much like a obsessive compulsive pedant with little patience for intellectual laziness and the betrayal of  scientific empiricism and reasoning. If you are shamed into reticence or inspired to action, it wouldn’t be out of saintly compunction. Rather it would have been the impetus of logic and impulse of rationality that drove you from naiveté and ambivalence.

Read it, digest it, and learn the basic defences against bad science which one day might save you a whole lot of money, anguish and pain. Better yet, go to www.badscience.net to discuss your views with Goldacre, critique his ideas, flag up dubious science news stories and PR disinformation, or just be thoroughly and unashamedly nerdy.

Thursday, November 12, 2009

"Alternative" Medicine - the Real Alternative to the "Health Care" Crisis

Don Beckett, the author of Reiki: The True Story, offers a poignant look at the realities of modern medicine, health care, and how to promote harmony in your life.

“Alternative” Medicine – the Real Alternative to the “Health Care” Crisis
By Don Beckett

First of all, let’s acknowledge that much of what is passed off as Reality nowadays is just the opposite. For example, any kind of medicine except pharmaceutical drugs, nuclear radiation, and surgery, is commonly called Alternative Medicine. The implication is that drugs, radiation, and surgery are Real Medicine, and any other kind of medicine is Fake Medicine. People easily accept this notion, especially because most of us have such a profound ignorance of history. The slightest glimpse into the past will show anyone that the so-called Alternative Medicines are, in reality, the traditional, natural, time-tested ones. The pharmaceutical approach is truly the Alternative – and whether it even fits the definition of medicine is questionable, to say the least. (Webster’s Dictionary defines medicine as: “the science and art dealing with the maintenance of health and the prevention, alleviation, or cure of disease” – which are not things accomplished or even intended by the use of pharmaceutical drugs.)

In the U.S.A. we’ve been simmering for months in a big debate over “Health Care” reform. And, again, the reality is just the opposite of what the words would lead us to believe. “Health Care” is really not about health, it is post-Orwellian code for the maintenance of disease. Pharmaceutical Medicine takes a materialistic and microscopic view of life; therefore, it cannot understand the origin of disease; therefore, it cannot possibly heal disease.

There was a time – before the use of pharmaceuticals became so overwhelming – when Medical Doctors had at least a desire to heal disease, and when their treatments often did allow the patient’s body to heal itself. The healing occurred not so much from what the doctor did as from what the doctor refrained from doing. It was understood that, in most cases, the body could heal itself if the patient merely stopped whatever behavior had created the disease in the first place. The doctors’ famous oath – including the pledge to “do no harm” – illustrates the traditional understanding of exactly this fact. But nowadays this pledge has become increasingly a travesty, as modern medicine has become synonymous with pharmaceutical medicine, and as the harmful effects of pharmaceuticals have become undeniable. In fact, “medical treatment” is now among the top causes of death in America (some say it’s Number One; and even the Journal of the American Medical Association has listed it as Number Three).

Sadly, doctors have increasingly become little more than delivery mechanisms of pharmaceutical drugs. And even the makers of these drugs have stopped pretending that pharmaceuticals are capable of healing anything; their admitted function is merely the suppression of physical symptoms. This in itself is contradictory to the pledge of doing no harm. The suppression of symptoms actually prevents the body from healing itself. The energies of disease are driven deep into the body and trapped there. People feel better, because the symptoms have been hidden; and they make the mistake of believing that the drugs have healed them.

Until recent years, this was not such a dangerous mistake. When I was a child, for instance – and even after that – doctors did not generally prescribe a drug for extended periods of time. Drugs were seen (accurately) as emergency measures; they were taken for relatively short times, only until the body could regain sufficient balance that the suppression of symptoms was no longer necessary. Then, without the continued intake of the drug, the body could bring the original disease to the surface and release it, and also (eventually) rid itself of the drug toxins. But nowadays the whole strategy is to get as many people as possible taking as many drugs as possible, every day for the rest of their lives! (Ka-ching, ka-ching – listen to the Song Of The Cash Registers!)

What people are not seeing in this picture (though I can’t imagine why) is that, after years of daily pill-taking, the body eventually breaks down to such a point that it can no longer hold the trapped and destructive energies of the mountains of pills that have been consumed. These extreme energies finally break loose and create havoc in the body (and people say things like, “I don’t understand it – I haven’t been sick a day in the past 20 years, and now suddenly, overnight, my whole body is full of cancer!”) … and, at that point, nothing can overcome them.

Thanks to this campaign by the drug industry, it has now become a life-and-death matter that we not succumb to their brainwashing! Despite the nonstop advertisements urging us to “Ask your doctor if *^%#@()()+&$$ is right for you!” … it’s crucial that we see pharmaceutical medicine for what it really is – extreme, emergency treatment – and that we use it only in that way. Any pills taken for long periods of time will have unintended and dangerous consequences. Therefore, it’s important that we take them for no longer than truly necessary.

Health Care … or Disease Maintenance…?
Yes, we’re having this big debate over “Health Care” reform – but the only reform will likely be in who pays for the drugs and the doctor visits and the high-tech tests and procedures, all of which are merely disease maintenance. And the reality is, these things have become so expensive that no one – not patients, employers, insurance companies, or government – can afford to pay for them any longer.

This is actually quite a blessing in disguise – because it will force us to get real about health care. It will force us to focus on health and healing instead of on disease!

One more false appearance we’ve been seduced by – and this goes back way before pharmaceuticals – is that there are many diseases. This leads to the belief that we need many different remedies. However, in reality, there is only one disease and one remedy.

We are not materialistic, biological machines, even though we give that appearance. Each of us – and every living being – is a projection of the One Spirit, the one and only Source, the true Self. Everything in our world is composed of vibrating photons of light, projected from the Source. We humans have been given the luxury, and the awesome responsibility, of controlling our energetic vibrations – and one thing we have done with that is to create disease: in ourselves and in the world around us.

There is only one disease, and that is the result of creating vibrations that are not in harmony with the vibration of the Source. This one disease manifests in various forms, as various symptoms. We mistake the variety of symptoms for a variety of diseases – which we call cancer, heart attack, pneumonia, AIDS, kidney failure, swine flu (also earthquakes, hurricanes, floods, droughts, pollution), etc. – but in reality the only disease is disharmony between our vibration and Source vibration. Compared to infinite Source, we are infinitesimal; guess which one (Source or us) is most affected by the disharmony!

Seen accurately, pharmaceutical-surgical medicine is emergency medicine. In life-or-death situations, drugs and/or drastic mechanical procedures are sometimes the only things that can keep us in the physical body – and I’m grateful to them for saving my life, at least three times. But we must realize the difference between such emergency provisions and real healing.

The only real healing comes from getting ourselves back into harmonious vibration with our Source, the infinite Self. In a word, Self-realization. All roads lead to Self-realization … because there is nowhere else to go! We are all continuously being healed, as we are drawn inevitably to Self-realization – though some roads are quicker and more pleasant than others, and we can choose our own road.

We can choose the pharmaceutical-surgical road (which will eventually get us there, by leading to something better) … or we can choose a road more in harmony with Source, to begin with. We can choose a road such as Meditation or Yoga, Martial Arts, Conscious Breathing, Affirmations, Macrobiotics, Johrei, Reiki, etc. (and many variations of most of these). In doing so, we are choosing real Health Care instead of disease maintenance.

CLICK HERE to learn more about Don Beckett’s book, Reiki: The True Story.

CLICK HERE to read Don Beckett’s story behind the writing of Reiki: The True Story.

CLICK HERE to visit Don Beckett’s website.

The million people in my neighborhood

I don’t want a lethal plague or epidemic to sweep across the country and ravage the city I inhabit, partly because I would  be among the first to sicken and die, also because I would have to watch my friends die, even if I didn’t.  But at the same time, I’ve felt for the last week or so like this town I live in is unreasonably crowded.  Every time I approach an intersection, I’m overwhelmed by the sheer number of people on the sidewalks.  Lines everywhere are too long.  At the bakery I like to visit some mornings, I can’t seem to get a table anymore, as they are all taken.  I reiterate:  I don’t want a disease to wipe these people out, so that’s not solution to this problem I’ve decided to have.  Maybe some of them could move to Jefferson City

Tuesday, November 10, 2009

Father drops right to life fight

A father who had been fighting to stop a hospital withdrawing life support from his seriously ill son has dropped his objections.

The one-year-old, known as Baby RB for legal reasons, was born with a rare, genetic muscle condition that makes it hard for him to breathe independently.

The hospital was backed by the baby’s mother.

But the move had been strongly opposed by the child’s father at a High Court hearing.

However, the father changed his mind after hearing medical evidence which suggested it would be in the best interests of the child if medical support was withdrawn.

Lawyers for the health authority caring for the baby in intensive care told Mr Justice McFarlane: “All of the parties in court now agree that it would be in RB’s best interests for the course suggested by the doctors to be followed.”

“It is, I suspect, impossible for those of us to whom such an event has not happened to do more than guess at the impact of it upon these two young parents,” said Mr Justice McFarlane

BBC News

News From Around The Blogosphere 11.9.09

1. Cancer Boy is now cancer-free – As Carl Sagan once wrote, science delivers the goods. Many months ago, I blogged about the continuing saga of Daniel Hauser, the boy with Hodgkin’s lymphoma whose crazy anti-medical mother kidnapped to keep him from being poisoned by his court-ordered chemotherapy, but who later returned home with him. Unfortunately, while the boy was receiving real medical care, he was also being given bogus “alternative” medicine” products, which pretty much guarantees that the medicine denialists won’t give science the credit its due. But what’s most important is that Daniel Hauser is cancer-free and the chemotherapy didn’t poison him to death like the medicine deniers predicted.

2. An economic collapse didn’t occur today, so the world won’t end on Wednesday! – Cause I know you were all worried that it would. Ever since September, I’d been blogging about the constantly moving doomsday goalpost of one really delusional website. First, it predicted the world would end on September 21st. Then that turned into October 21st. Then October 23rd. But now whoever’s running it is wising up and adding conditions. Yesterday, the prediction was that if an economic collapse occured on November 9th, The Rapture would come on November 11th. Well, the Dow Jones went up over 200 points today, so I guess we’re all safe. Phew! That was a close one.

3. Iran to execute 3 men for being atheists? – 3 Iranians are charged with apostasy, or leaving Islam:

Habibollah Latifi, Ehsan (Esma’il) Fattahian and Sherko Moarefi have all been sentenced to death for “enmity against God” in unconnected cases over the last two years. They are believed to be on death row in a prison in Sanandaj, the provincial capital of Kordestan.

Everything you’ve come to expect from “The Religion of Peace.” Please sign this petition to the Iranian government.

4. Christopher Hitchens and Stephen Fry definitively and demonstrably defeat the Catholic Church in debate – At the start of the debate, 678 people in the audience thought that the Catholic Church was a force for good in the world while 1102 disagreed and 346 were undecided. But by the end, only 268 thought the Catholic Church was a force for good in the world while 1876 disagreed with only 34 left undecided.

 

Sunday, November 8, 2009

Hey we paid them RM6000, we deserve to have a say!

Dear management of XXXXXX Hospital,

I am pleased to inform you that my father is satisfied with his stay at your medical centre. I would also like to reassure you that we will not pursue the fact that my father had overstrained himself during a medical check-up ordered by your doctor any further, even though my mother is stubbornly convinced that your side should be blamed. But let’s be honest with ourselves, even a teenager-aspiring-to-be-a-doctor-then-surgeon like me knows that we don’t tell a middle-aged man with hypertension who hasn’t exercised since 2 centuries ago to run on a treadmill at an almost maximum speed. It’s no surprise that he felt an almost immediate chest pain that led him to be hospitalized in your ICU (‘Intensive Care Unit’ not ‘I See You’) for 5 days. But like I said, we will not pursue it any further.

The main reason I am writing this to you is because I would like to help you make yourself better, since “Help Us Make Ourselves Better” is your slogan on your feedback form. Now I realized that I should have written this on your form and submitted it, but unfortunately 3 lines is simply not enough for me. So my first suggestion is, provide more space on your feedback form for people to complain — oops! Did I say complain? I meant — help you make yourself better. Three measly lines is simply not enough for us to help you. What if that person has big, bulgy and monstrous writing? Just ONE word takes up the entire line. Three lines is not even enough to address the topic of concern. 

       The          Vending    Machine… 

See?

Speaking of machines, your auto-pay machine needs some serious reprogramming. What do you mean by “Please do not use coins”? You tell me to pay RM2.50 but I can’t use coins to pay 50 cents? And if I only have a 50-ringgit note, am I suppose to let your stupid machine return me forty-seven 1-ringgit notes and 50 cents? How am I suppose to pay the cab? Let him count 1-ringgit notes in the dark? He’ll probably drive me to an abandoned road then leave me there  due to stress from counting too many 1-ringgit notes. I am lucky if I even make it home alive.

Refusing to move away from the auto-pay machine topic, I have some issues with your rates. Isn’t RM2 for an hour or less a little too expensive? My father alone has had around 30 visitors already. And almost everyone owns a car because Malaysia is ‘rich’ with crude oil and we just don’t care about our choking and dying environment. So congratulations to you for managing to collect around RM60 from one sick patient. Keep it up and I will tell all my relatives to park at your “For Staff Only” area. I am sure you wouldn’t want that to happen, do you?

Your staff had been kind and very helpful throughout our visit there. Their dedication and competency towards their work is commendable. However, I cannot say the same for the workers at your convenience store and canteen. When my father wants something, he MUST have it. When he wants a toothpick, he expects his daughter to go around looking for one. My first stop is your convenience store. The worker at your convenience store looked no older than 16 years old – I’m not sure if that is even legal. When I asked for a toothpick he looked at me like I was asking him whether he sold any germanium at his little store. I assume the answer is a no and promptly left for the canteen. The cook at your canteen did not look underage so that is good news. But when asked for a toothpick, he got all confused thinking it is a dish and proceeded with asking me to describe the taste and texture of it. In the end, I returned to my father’s ward without a toothpick, but that’s okay because by then he had already forgotten all about it.

I hope you will take my suggestions into serious consideration because, let’s face it, we both know I make sense.

Your’s truthfully,

Patient No. B45

18th Down Under Feminists' Carnival!

Apologies for the lack of DUFC logo – for some reason, I stick in the image and link, hit “update” – and WordPress disappears the whole thing!

Welcome to the 18th Down Under Feminists’ Carnival! (And apologies for the delay.)

This Carnival has an optional caring theme, thanks to Australian Carers’ Week (which was October 18 to October 24). The theme for this year was “Anyone, Anytime, Across Australia”, which I modified to “Anyone, Anytime” for the purposes of the DUFC.

There wasn’t much sent in on theme, so I’ve expanded the DUFC rules just a little.

First, though, the introductory posts I wrote may be of interest. Here’s my discussion of why caring is a feminist issue, and a discussion about intersectionality of two particular identities: being a carer and being a person with a disability. You can also check out a more advanced discussion about why there is more silence about the care of elders (compared to the many discussions about the care of children) over at Thus Spake Zuska – Zuska is not an Antipodean blogger, but I’ve included her for the sake of the theme and because I think that post is a really good discussion about the role of carers.

While we’re on the topic of expanding the DUFC guidelines a little, I’m going to squeeze in a post I wrote after the end of October, but which is on topic: it’s about the lack of support for parents who are caring for their children with disabilities, and the lack of choice that lack of support entails.

On the subject of parents who are caring for their children with disabilities, Miz Lippy tells us why it can be confronting to remember what has happened to a child “just like yours”, while in September, she had a good rampage about people who think it’s somehow more moral to be a parent of a child with a disability. Meanwhile, back in July, Penthe described the tension between her and her husband’s feminist parenting principles and protecting their child from possible teasing or bullying.

And now, it’s back to your usual Carnival schedule: feminist posts by Antipodeans, which could be about absolutely anything.

Of course, the issues faced by people with disabilities is a topic that always stimulates a lot of feminist blogosphere discussion, and this month has been no exception.

We’ve seen the creation of a new blog, FWD/Forward: FWD (feminists with disabilities) for a way forward. It is not a solely Antipodean blog, but you’ll find two of our own there: Lauredhel and Chally.

Meanwhile, Chally describes how the mythology of the “Aussie battler” creates ableism of a particularly Australian flavour. Lauredhel looks at the way doctors’ medicalisation of disability adds complication to the abortion debate and also reminds us how the issue of accessibility is so often completely forgotten by those who should be key providers of accessibility.

And not quite this month, but close enough, Joanna’s post comparing disability access to organic fruit has been published in a magazine – so while the post was originally published in August, it has only just been unlocked (and hence I feel comfortable including it in the carnival now).

Then there’s The Arts.

Richie leads off with an excellent take-down of the film Lesbian Vampire Killers. Richie also reminds us that Doctor Who owes its continued existence to people who are not het males, and has done since the beginning, even if there are some people who find it more convenient to forget that.

But it’s not all doom, gloom and misogyny. Stephiepenguin reviews “who’s that chik? a hip hop tale of a brown girl with big dreams” and

Women also participate in geekery. Brenda Wallace reviews the One Laptop Per Child project for potential women contributors while Mary recounts stories of harassment related to conference presentations being filmed, and suggests guidelines to conference organisers.

Racism is another favourite topic.

tor wonders why Western men are so obsessed with the hijab – but don’t seem to care about other atrocities against women, wherever they occur. In other news, racism is racism no matter where it occurs, as a shiny new coin explains. In fact, that topic received quite a lot of appropriately negative attention – including a bingo card.

Racism against Indigenous Australians is important enough that it deserves its own bold heading. Chally gives us some numbers that show that rates of Aboriginal and Torres Strait Islander children in care are skyrocketing in Queensland – and these kids are often not being placed with Aboriginal or Torres Strait Islander families, either. Can anyone say “are we creating another Stolen Generation?”

Elsewhere, religion is causing problems as Deborah tells us about a pharmacist in Griffith who thinks he has the right to impose his own version of morality on everyone else. While not strictly a post on religion, this is a post about impositions of morality: blue milk outlines the reasons why all Australian states should reform abortion laws NOW.

Sexual violence is something which features in every DUFC – as it should, because it is (unfortunately) always with us. Ludditejourno gives us some numbers which show that survivors of sexual violence are not receiving the funding support they deserve. a shiny new coin unpacks rape culture a little. And part of that rape culture is the sort of phenomenon described by newswithnipples – the phenomenon where a child is dressed like a little adult woman (ie sexy, since all women are sexy, dontchaknow), and then described as “a dominatrix”.

Violence generally also features, with Helen explaining why gender essentialism within families can be dangerous.

On a lighter note: since [stereotype alert!] women love to talk, conversation skills are a must for the modern feminist. Chally leads the way with some inspiring answers to common questions. Elsewhere, K8y explains to Crikey precisely where all the women might be. And I assume from the title that this will fit here: Chally submitted this post – I didn’t get to see it before Feministe went down, and I can’t access it at the moment, but I’m pretty confident in taking her word that it’s DUFC-appropriate, when it is available again.

One of the things we quite like talking about is sex – and sex ed is an important topic, as can be seen from Wildly Parenthetical’s thoughtful post on the problems with sex ed as it currently is in most places.

But - I hear you ask – what about the men?

Well, don’t worry! Because, as you would expect from a feminist blog carnival, there’s plenty to remind us that men are still the dominant gender. They are:

- the boss of your feelings, as tor explains;
- entitled to your objectified, mechanised servitude – a shiny new coin shows us how Lynx/Axe thinks it should be done;
- not being connected in any way with rape, as ludditejourno demonstrates; and
- not remembering how to spell their children’s names.

Finally, a bit of fun: some non-cute cakes over at Mim’s place (because what is feminism about if it’s not about subverting cutesy stereotypes?).

And that’s it for the DUFC this month! Apologies again for the slight delay. Number 19 will be on in December at The Professional Lap Cat (Optional Theme: Invisible sexism – the elephant in the room). More details about the carnival here – thanks, as always, to Lauredhel for her co-ordination.

Saturday, November 7, 2009

What we've become, where will we go?

If I asked for you to walk backwards and enjoy the scenery in a post-modern world of hallucination and deprived modernism, would you, seeing how far we have come, consider it at the least? Or would you so blindly bat an eye at the thought like a patron of the arts to a vagabond among a cluttered city street? I would like to say you have matured past that stage of complete nihilism towards childhood dreams and words misunderstood, but I am sorry to say the image you have now reflects the wealthy patron of broken hearts.

Are my words too metaphorical for you or just not that important? Or is it the history of violence and intensity of my passion that throws you off? Who cares?

There is a great chunk of both our lives living in silence and whether it is ever to be spoken of is up to the architect, not the artist. But the architect is an artist at heart and we as artists have a great tendency to be irrational. So, was the moment of silence of which we shared in complete and utter confusion of our beings an irrational afterthought to never be thought of again or was it more a turning point to only learn half of? I mean to say it seems we are no longer confused. We have a good footing upon which direction to step in. But are we really going to let something so important to our morphing of who we are, where we have gone and where we are going to be left in silence? I believe the more we understand something, the more intelligent we become. And does that not make perfect sense?

So here I am, not the battered, medicated psyche patient you kissed four, maybe five years ago.  No. Here I am, the artist I have been dreaming of. There you are, the architect who can finally adore herself the way she deserved. Matured? Definitely. Healed? Pretty sure. Speaking? No. Why? Somebody is scared and I know it’s not me, never was. So speak, child. So speak, you beautiful influence. So speak and let your impact be heard. And when your dust settles, the air you breathe will be much cleaner and a piece of your puzzle in life will silently fall into place. You’ll be that person you’ve always wanted when you start to live life with no regrets. Here’s a start; quit regretting me.

Imaging the possibilities

Do you ever wake up in the middle of the night with your mind racing and you’re unable to go to sleep? That happened to me last night. I woke up thinking about how doctors make doctors-in-training (better known as medical students) learn medicine and it occurred to me that maybe we’ve got it wrong.

Maybe we’re holding back progress from Day 1.

Maybe we’re serving the interests of tradition and not the interests of progress.

Maybe there’s a better way.

Think about the last time you needed to know something. For example, let’s say you were going to buy something on Amazon.com. Now, that product may be cheaper elsewhere and it may not be so what do you do? More than likely, you check a price summary website like pricewatch.com or you check your other favorite sites before ordering.

Now apply that to a hospital setting. The doctor is “pimping” the medical student for information and the student may or may not know the answer. Traditionally, the student will either be rewarded for knowing the answer to a random question or will be met with mild disapproval or ridicule for not knowing the 3rd step of the WHO clinical treatment guidelines for chronic flatulence. The physician will then likely provide the answer and move on with the case.

Stop. What are the problems with this scenario? How can the training interaction between the doctor and student be improved? What steps can be taken to improve the ultimate goals of patient care?

Now contrast it to this scenario. The same question is asked, our intrepid medical student doesn’ t know the answer and is met with mild disappointment. However, using the wonders of current database and integrative technology, our hero rapidly refers to the treatment guideline and, combined with his/her knowledge of medicine, is able to provide an answer to the pimping physician. The student has now not only learned real-time integration of new information but he/she has also learned clinical self-reliance, an important step in becoming an excellent solo practitioner. The supervising physician can then tweak the students response where necessary and further contribute to the patient care learning process. The final piece of the puzzle is now in place: clinical teamwork. This experience is then carried forward with the student learning to, when needed, integrate the PDA data device into clinical decision and share resulting treatment ideas to reduce errors and improve quality.

Errors which, by the way, contribute to the preventable death of ~195,000 Americans per year (HealthGrades, the healthcare quality company), injure an additional 1.5 million Americans and cost $6 billion a year not taking into account lost wages, productivity or additional health care costs. Studies also indicate that 400,000 preventable drug-related injuries occur each year in hospitals.  Another 800,000 occur in long-term care settings, and roughly 530,000 occur just among Medicare recipients in outpatient clinics.  The National Academies of Science and Engineering, the Institute of Medicine, and the National Research Council note that these are all likely underestimates.

Ron Zook, former coach of the Florida Gators, said that you learn more from failure than from winning. Ron Zook was also fired after a few seasons. Let’s not follow Zook’s logic.

Some progressive schools like Florida State University are beginning this approach to bedside-integrated technological medicine and it should be expanded as rapidly as possible. This is the 21st century with an exponential increase in knowledge, technology and information access. We have to be willing to think creatively and integrate innovations if we’re going to do the best for our patients.

So for me, I’ll keep my iPhone, Epocrates, and Neph Calc. I’ve never been one to be stuck on tradition.

Thursday, November 5, 2009

Fall-related ED visits rising for seniors

Accidents are among the top 10 causes of death in those over 65.  Falls are far and away the most common cause of injury and subsequent death from injury in seniors.  We have all seen ads on television regarding alert systems for the elderly, particularly those who live alone.  The famous line, “help I’ve fallen and can’t get up”, has become part of the daily American lexicon.  However, falls are always serious business, especially for the elderly.  Bone fractures, such as hip and pelvic fractures, are not only painful, but often require surgery and prolonged convalescence and rehab in order to recover.  Additionally, fractures usually cause limited or even total loss of mobility resulting  in bed rest for the most part. This is an ideal set up for pneumonia and related pulmonary complication which are most often the actual cause of death.  Of course, neurological trauma (head trauma) also leads to death in the case of falls, most specifically intracranial bleeds, caused by the tearing of veins along the surface of the brain.  Subdural hematomas may not actually show up in terms of symptoms for days or even weeks.  Because so many of those over 65 are on blood thinners of some kind (such as Coumadin, Plavix and Aspirin) they are a high risk for bleeding due to falls.  Fall prevention is essential in any home as is a means of communication in case of emergency.  Falls can and do kill  . . . ben kazie md

Falls continue to be a serious problem for elderly patients. Seniors who hurt themselves in falls made more than 2.1 million emergency department visits in 2006, according to a report released in October by the Agency for Healthcare Research and Quality. 30% of these patients had to be admitted to the hospital, with ED costs totaling $6.8 billion. The cost of all medical care directly related to falls is about $20 billion.  One in 10 visits to the ED among adults 65 and older were related to a fall, according to the report

10% of seniors’ ED visits related to falls – http://www.ama-assn.org/amednews/2009/10/26/prse1029.htm

Each year, approximately one-third of elderly adults experience a fall.1 Falls are the most common cause of fatal injuries among elderly adults age 65 years and older, as well as the most common cause of nonfatal injuries in this population.2 The direct medical cost for fall-related injuries among the elderly is about $20 billion annually and is expected to increase substantially over the next decade as the population ages.3 Often, common fall-related injuries, such as fractures, open wounds, or head traumas, are serious enough to result in emergency department (ED) treatment. These injuries can impair mobility and may require admission to a long-term care (LTC) facility for a year or more.4 Because many falls are preventable and their impact on the U.S. health care system is significant, it is important to better understand the types of fall-related injuries experienced by elderly adults, particularly those injuries requiring treatment in an ED.

Emergency Department Visits for Injurious Falls among the Elderly, 2006 – http://www.hcup-us.ahrq.gov/reports/statbriefs/sb80.jsp

Seniors are more at risk of accident due to balance disorders, failing eyesight and slower reflexes. Simple falls can result in fractures that cause immobility, disability and may hasten death. Accidents cannot be planned, but precautions can be made to prevent them.

Falls and Fracture: Stay safe, stay independent! – http://seniorhealth.about.com/cs/prevention/a/falls.htm

Falls and Older Adults – http://nihseniorhealth.gov/falls/toc.html

National Vital Statistics Reports; Deaths: Final Data for 2006 – http://www.cdc.gov/nchs/data/nvsr/nvsr57/nvsr57_14.pdf


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Tuesday, November 3, 2009

Ukrainian Death March?

The mainstream press aren’t covering it much, if at all. From the alternative news sources, we hear a plague is sweeping the The Ukraine. The information coming out of there is very, very confused. It’s been related to H1N1, pneumonic plague, and any number of other possibilities. We do seem to get consistent word this is only in some western areas, and perhaps some of Belarus.

Now for the other stuff. Some are saying this is connected to the incident two months ago involving a certain alleged Mossad agent named Joseph Moshe. The man was apparently trying to reach the Israeli consulate, but the police intercepted him. We don’t know why, but they allege he had threatened to bomb the White House or something equally crazy. He didn’t come that close to the White House. Instead, he was trapped by police cars in the parking lot close to the consulate. But they didn’t arrest him, simply forced him out of his car, and we are told they confiscated some papers from him. The alternative news sources say those papers were evidence Baxter’s Ukraine lab was producing bio-warfare agents. This was two months before the hullaballoo in Ukraine.

But let’s get a little context. This part of Ukraine is quite poor, with folks sometimes lucky to eat. And do you remember Chernobyl? Lots of the contamination went right to this area. Not so long ago, routine WHO reports indicated these folks suffered a high degree of compromised immune system. I understand TB is a serious problem there. In that situation, just a seasonal URI (head and chest cold) could be pretty rough. How much tinkering with natural plagues would it take? From past years, we’ve seen this part of the world suffers a fairly high mortality from all sorts of natural bugs. With a reported death rate below 100 for some 250K sick folks for this particular incident, it sounds pretty mild.

We can’t doubt Baxter is capable of doing it, first in the technical sense, but also in the sense of likelihood — they sold AIDS tainted blood products after they knew officially their stock was tainted. They also shipped those tainted vaccines all over the world, which was just accidentally discovered by a lab in Czech Republic. Please note: The Austrian lab is known for its rigorous enforcement of procedures, so this could not possibly have been an accident. So we can see there is something awfully nasty going on with Baxter. And why, for Pete’s sake, has no governing body held them accountable? I am forced to suggest there is a pay-off somewhere to government officials.

Somewhere in all the madness, we may never really know what’s going on. It doesn’t help there are elections coming real soon in Ukraine, and just about anything can be made a propaganda issue with these folks. That business of the “Orange Revolution” was pure poppycock, in that it was all funded by Western governments like the US. That campaign was bought, but it’s not as if there weren’t some eager vote vendors in Western Ukraine. Most of what you think you know about the world is likely nonsense, simply because it’s too hard to get an honest answer, even if you are running around the place. Deception is the norm.

If you want to feed your voice into the panic, feel free. My position is the official noises and the alternative news noise are both probably wrong. Sure, we weren’t given the real story about Joseph Moshe, nor are we getting much truth about the sickness and mortality in the Ukraine. Watch out for Baxter, sure, but I suspect this story is blown way out of proportion.

การใช้แมคโครโมเลกุลทางการแพทย์

3700209    การใช้แมคโครโมเลกุลทางการแพทย์    Applications of Macromolecules in Medicine

สมบัติทางฟิสิกส์และทางเคมีของแมคโครโมเลกุล การสังเคราะห์แมคโครโมเลกุลทางเคมีและทางชีววิทยา ความสัมพันธ์ระหว่างโครงสร้างกับคุณสมบัติของแมคโครโมเลกุล การนำแมคโครโมเลกุลมาใช้ทางการแพทย์และการวิเคราะห์ในห้องปฏิบัติการทางการแพทย์ ได้แก่ การวิเคราะห์ทางเคมีคลินิก ภูมิคุ้มกันวิทยาคลินิก อณูชีววิทยา โลหิตวิทยา และธนาคารโลหิต ปฏิกิริยาของโฮสต์ต่อแมคโครโมเลกุล

(Physical and chemical properties of macromolecules; chemical synthesis and biosynthesis of macromolecules; correlation between structure and properties of macromolecules; applications of macromolecules in medicine; applications of macromolecules in medical laboratory analysis: clinical chemistry, immunology, molecular biology, hematolory and blood banking; reaction of host to macromolecules.)

(3700209 จุฬาลงกรณ์มหาวิทยาลัย)

Sunday, November 1, 2009

A whole new chapter begins.

Tomorrow, the first core block of third year begins with a day in my placement hospital.

It feels a little bit like the first day of school, except that I didn’t spend the evening before my first day at school doing a frantic recap of how to examine the cardiovascular system. It’s surely not been all that long since I was meeting my classmates for the first time, taking my first steps into the medical school, sitting down in my first lecture, brainstorming my first PBL. But tomorrow morning, the comfortable familiarity of that routine gets stripped away and something new — something that’s different and yet not — will begin. I’m a little bit excited and a little bit petrified.

1 week to go

Next week is playhouse weekend, and from the amount of email’s i’ve been getting regarding this, it seems that everyone is hyped up (adrenaline rush) for this drama competition. As I watched the play, I think it is perfect! Original, refreshing. Perhaps the script is a little overly chauvinistic, but it sure does provide a good laugh. Haha, well, I don’t mind not winning it though, all that matters is that it unites the whole cohort and it serves as an avenue for fun.

Next week though, it is going to be quite hellish i suppose. It will be 6-9 everyday for the next 4 days, coupled with a full run at the theatre on fri. Gosh. I guess everyone’s coordination and effort is needed for this to be a real success. Without a doubt. It will definitely be a mentally and physically tiring week for everyone involved.

RFKC is back again. I hope this time, it will be an even bigger blast =)

Round 3…going to fail. I honestly feel helpless.