Feeds:
Posts
Comments

Posts Tagged ‘medicine’

But Mr T plays one on TV.

He says we should probably wear masks, but he won’t. Why? Because hey, kings and dictators don’t wear masks behind a “resolute desk.” This guy with the bad spray tan is too vain to model the best defense we’ve got for this “invisible enemy,” besides social distancing. I get why he thinks he’s a king, but how could an inanimate object be resolute? So of course I had to look up the definition of “Resolute,” an adjective:

firmly resolved or determined; set in purpose or opinion:

characterized by firmness and determination, as the temper, spirit, actions, etc.

I think we can all agree a desk cannot feel resolute, but Mr T is resolutely set in his opinions. He is vengeful, narcissistic, and mendacious. Maliciously mendacious in fact. I’ve been trying to look for the silver lining in this global pandemic. Bob and I have stopped watching Mr T’s coronavirus pressers, which are just stand-ins for his campaign rallies. I’ll occasionally listen to Governor Cuomo who is the voice of reason these days, along with a real doctor, Anthony Fauci.

Another real doctor is the Groom, who is currently researching that anti-malarial drug that Mr T is so fond of mentioning. His research on this drug started last week, LAST WEEK, along with 40 other institutions across the United States. Until we have any evidence, any evidence at all, it is political and medical malpractice for Mr T to continue to push the idea that we “may” have a possible “cure” for coronavirus.

The Groom is set to be back “On Call” in his ICU in about 2 weeks, right when our curve should hit its peak. This is not a reality show Mr T, and you are not a doctor.

Dr Sanjay Gupta on CNN is another doctor I believe; he’s been saying the same thing my husband, another real doctor keeps saying – the antibody test is going to be critically important. Not just to bring those who’ve recovered back into the workforce, but also to give everyone a certain sense of comfort. After all, my little “cold” right after the tornado may have immunized me already.

Dr Gupta and Bob have also been criticizing our lack of testing in the beginning; seeing how South Korea confronted the pandemic with lots of testing and tracing and isolating is illuminating.

“At the peak, medical workers identified 909 new cases in a single day, Feb. 29, and the country of 50 million people appeared on the verge of being overwhelmed. But less than a week later, the number of new cases halved. Within four days, it halved again — and again the next day.

On Sunday, South Korea reported only 64 new cases, the fewest in nearly a month, even as infections in other countries continue to soar by the thousands daily, devastating health care systems and economies. Italy records several hundred deaths daily; South Korea has not had more than eight in a day.”   https://www.n20/03/23/world/asia/coronavirus-ytimes.com/20south-korea-flatten-curve.html

Of course it’s extremely hard to catch up when your president spends 2 months blaming this pandemic hysteria on the mainstream “Fake” news, like a toddler. Nothing is ever his fault! He is, after all, the greatest living con man with a “…disordered mind, a darkened attic of fluttering bats.”  https://www.nytimes.com/2020/04/05/opinion/trump-coronavirus.html?searchResultPosition=1

My daughter is another doctor on the front lines of this outbreak. She gets out of her car after a shift in the ER, takes all her clothes off and dumps them in their red zone (garage apartment), then takes a shower. Only after that, will she walk across her lawn and enter her home. She has had to reuse her PPE and still worries about possibly infecting her family. I believe every single thing she says.

Our family will be Zooming in for a Passover Seder this week with another doctor in the family, a retired orthopedic surgeon on Long Island. It’s Holy Week for the 2 big religions in our country and I wish you all a peaceful and safe Seder and Easter. And I wish Mr T would let his real doctors do the talking.

Here they were as baby doctors in Virginia!

MedSch Classmates May08

 

 

 

Read Full Post »

I’m exhausted. And I’m experiencing a pretty high state of anxiety; I don’t want anyone else out there, reading this, to think that you are the only one. I tell my children, “I survived a tornado, so what’s a little virus gonna do?” Plenty, as it turns out:

My brother and sister were going to visit us this week, they cancelled; My son and his wife, plus our NY cousins were coming for the Bride’s seder, they cancelled; Dinner party, cancelled; This morning I’ll meet up with the Groom at the hospital after my PT to pick up the Love Bug because school was cancelled. The L’il Pumpkin’s school is in the hospital, should I be afraid?

It honestly terrifies me that the Bride sits at the front door to this pandemic. And she starts her early morning shift in the ER soon. She’s talked to Bob and the Groom about taking precautions because we all know the big wave is about to hit our country, flooding ill-equipped hospitals with seriously ill patients.

We don’t have enough tests, we don’t have enough ICU beds, we don’t have enough Ecmo machines to carry on the work of the heart and lungs.

And the Groom will have the most immuno-compromised, the most critically ill patients in his Medical ICU. Will he need a Hazmat suit? Vanderbilt is planning to screen people in their underground garage, at least they have a plan. Is my fear realistic?

Thousands of new cases across the world are being reported each day, and the true scale could be 10 times higher.

There are 1,323 confirmed cases in the US, 117 in Canada.

Thirty-eight people have died in the US due to the virus and one person has died in Canada.

Officials say risk remains low for the general US public, but is growing.

Mr T’s speech on Wednesday night only served to accelerate my anxiety, given on the same day the WHO called the Coronavirus, aka COVID-19, a pandemic. Europe has porous borders, banning everyone except British people makes NO damn sense. This disease is already here and it strikes randomly and with precision, like a tornado. Only 20% will become seriously ill, most of us will feel like we have the flu. Will they take my temperature when I visit the Great Grands?

Our country could have started preparing for this in November, but Mr T demands loyalty and supplication from his civil servants, and so he has gone about decimating the very structure that should have been in place. We elected him to disrupt the government, and look what we got! A reporter with the Rolling Stone says,

“…we lost both the top White House official in charge of pandemic response and his global health security team last May, and none of them were replaced. This is what it looks like once a government that was built ostensibly to serve the public is deconstructed and reformed to serve an autocrat in training wheels. It looks like a chief of staff claiming the press is only covering a pandemic that has spread to at least 56 nations because “they think this will bring down the president.” 

A virus is not political – COVID-19 will strike anyone at will. This bears repeating – it is not the media’s fault, the Coronavirus is not a hoax! When I get over this generalized feeling of doom and gloom, I’ll remember to be mad at the clown in the White House. Bob told me yesterday, “The problem in this country is lack of testing. In South Korea, for instance, almost 4000 people per million population have been tested. In the Netherlands, it is 350 per million population. In the United States it is five per million.” 

5 people per million.

I’m not sleeping, and if you’re having trouble sleeping, let’s make a hot steaming cup of Ginger Vanilla tea together and breathe.

My hands are sweating. Don’t worry if you have clammy hands too, because we don’t need to shake hands anymore anyway. We need to stay 6′ away from everyone.

I kept my appointment with my hair stylist yesterday, I missed it last Tuesday because, you remember, the tornado on Monday night. Bob told me if the hair stylist was sick to come home, and he meant it. But he was fine and we had a small dose of fun. He fixed my pale pink hair, now it’s a bright fuchsia!

To be perfectly honest, right after the tornado I had a bad headache and was congested. I thought my headache was because we had no power – so I had no coffee. Caffeine withdrawal can be brutal. I thought my congestion was because I’d been sweeping and cleaning up city sidewalks. Nothing like a disaster to mask the symptoms of a common cold.

The L’il Pumpkin had croup, and the Love Bug had a cough. I stayed away from Great Grandma Ada and Hudson.

And now I wonder, did we all have this virus? I didn’t run a fever and never even had a sore throat. Last week, being tested for Coronavirus didn’t cross my mind. But if I did, how long is it communicable? It would have been nice to know, but without a fever I probably wouldn’t have been tested even if I wanted one. Even if my doctor could get her hands on one.  I’ve been to the gym once, a few days ago, and I usually have to wait for Bob to finish after my workout. A guy sat across from me coughing, without covering his mouth in any way.

I wanted to smack him.

And I’m really not a violent person, I went to Catholic school. So let’s give ourselves a break and realize that we are all feeling somewhat unmoored and adrift at the moment. In this social contract we have to each other, let’s practice “social distancing.” I’m not going to a really cool concert in East on Sunday. Nicole Atkins, a friend of the Rocker’s is singing, and Norah Jones will be there. And the Heartbreakers, but maybe the Bride and Groom want to go?

Nope, Nicole just DMed me, the show has been cancelled.

I just wanted you to know you’re not alone out there. We’re all scared and needing a little TLC right about now. If you’re working from home, or your kids have been sent home from college, you’re lucky. Your livelihood doesn’t depend on tips or touring. If you have small children at home, try to treat this time like an adventure. Stress can take its toll on all of us.

This president started his term with a lie. Let’s stay #NashvilleStrong and keep it real. I’m always available via social, text and email. Let’s stay connected. Here we are doing arts and crafts last weekend in the stairwell – our safe place during the tornado.

IMG_7276

 

 

 

Read Full Post »

Coronavirus is the bug; and the boat, harbored in the Japanese port of Yokohoma, is the Diamond Princess. This would be my idea of a living hell.

I’ve already suffered from a mosquito bite that infected me with West Nile, another dainty little virus that blossomed into a severe case encephalitis. It was the worst headache I’d ever had, for a week, and it left me with a significant visual loss. Having to endure something similar, on a cruise ship, in a foreign country…

Also, Bob and I have never really wanted to set sail with thousands of strangers on one of those multi-level behemoths. Maybe it was that first outbreak of Legionnaire’s disease? I must admit I’ve become a bit hypochondriacal in my later years – if someone sneezes I will immediately turn and walk away, I’ll take the next elevator, I may even start wearing a mask!

Bob’s more about action and adventure, he told me that all you do on a cruise is “Eat,” but that was purely anecdotal. Maybe he’s afraid of gaining a pound or two? He’s certainly not afraid of a little virus, he loves to tell me how many teensy tiny organisms live on our bodies all the time! “It’s a cesspool!”

Yesterday, 99 new people have tested positive for the Coronavirus on the Diamond Princess, with nearly 400 Americans onboard. So far, only 46 Yanks have tested positive and they were promptly sent to a Tokyo hospital. I guess we should feel good that at least our government has started to evacuate its citizens back to the US, where they will have to be quarantined for another two weeks.

But what if your spouse tests positive? Would you return home without them?

There are now 542 sick patients on the boat because somehow or another their attempt at a quarantine failed miserably. Some blame it on the crew who ate together with their masks off. But really, no one knows. The Diamond Princess has the largest number of infected people outside of China.

Last week a pilot-friend of Bob’s called him from Colorado. He’d been at an IT conference in California with many Pan-Asian participants. After he returned home, he received a letter from the conference organizers saying an attendee traveling on his airline (though, luckily, not his flight) had tested positive, and if he exhibited any symptoms he should promptly go to the nearest ER. Since he didn’t want to be quarantined and wrapped up in a bubble, he thought he’d call my husband.

“Have you had any fever?” Bob said. Luckily the answer was no.

We are considering another river cruise. We really enjoyed our trip down the Danube on a Viking ship with slightly less than 200 passengers. The only bad thing that happened was a woman falling, she broke her leg on a slippery hill in a small town. Sadly, we had to leave her behind in an Austrian hospital.

Travel is risky. But now is the time to do it according to AARP, while we can still hike and change currency with the best of them. We need to keep expanding our minds, learning new things before the inevitable losses of old age. So we’re putting together another trip this year with our Italian chefs, Marco and Claudio for the Fall. This is my idea of heaven, laughing, trekking and cooking, absorbing a different culture, with a group of friends.

Next stop, Corsica!

0-2

 

Read Full Post »

We are busy cleaning up after our New Year’s Day shin-dig. Friends and neighbors brought side dishes – my favorite part of every meal – and I made the usual black-eyed peas, lobster mac and cheese, and a couple of roasted turkey breasts. It was a tight squeeze in our little city farmhouse, but Bob fired up the fire pit so some of us could flow out into the garden.  Totally recovered, Ms Bean was happy to stare at anyone with a Swedish meatball on their plate.

The night before we considered attending the New Year’s Eve concert at our Bicentennial Mall, only a few blocks away, but I guess we’ve become spoiled Nashvillians. As much as I love Jason Isbell, Keith Urban and Stevie Nicks –  https://www.rollingstone.com/music/music-country/keith-urban-stevie-nicks-new-years-eve-932562/ – the chilling 50 degree weather kept us at home all snug in our bed.

We’d visited Great Grandma Ada and Hudson earlier in the day, and Bob paid a “house call” to one of their friends with a “medical question.” It seems he’s hardly retired, still doing remote medicine for family, with a small contingent of nonagenarians on call in the local mix. I kid my husband whenever we venture out, does he have his stethoscope with him?

Turns out Ms Berdelle, who is 92, DID walk down to the festivities on New Year’s Eve so shame on us!

I tried sending care packages of food home with people last night; for a Pot Luck we only had one duplicate, Hoppin John of course. We are all now doubly lucky in 2020!

I read that today is National Return Day. Every gift you never wanted, or maybe Aunt Anna sent you something you already have, will be returned today! Whenever I see a duplicate of anything, I remember our little Bride receiving the same exact My Little Pony for her birthday one year. She jumped up and down yelling, “She has a twin!” How could I deny her a twin pony?

Maybe that’s why I’m not a returner. About 10% of purchases in brick and mortar stores are returned after the holidays, but 20% of online gifts are returned. Obviously, it’s easier to send something back via your mailbox than it is to get in the car and try to park around this time of year. But I’m more of a re-gifter. OK, now you know. It’s a lot easier to shove something in a closet and wait…

Here’s to a very happy and healthy 2020 to all of you! I’m wishing my children and anyone on the road this weekend safe travels home. And if you’re taking a child back to college after winter break, consider picking up an absentee ballot at your city hall before you go!

I’m not a resolution type either, which makes me wonder what the heck am I?

Let’s see, I’m trying out a new elliptical at the Y, it makes you feel like you’re cross-country skiing and it’s good for my knees. I’m learning to say, “No” more often (see the last blog post). And I’m singing more torch songs. And if you clicked on the Rolling Stone link above, you’ll hear “Stop Draggin’ My Heart Around.” In this #MeToo age, those Tom Petty 1981 lyrics from the New Year’s Eve Urban/Nicks duo don’t translate very well. But we could all try not to “…buckle with the weight of the world” in 2020.

“You need someone looking after you
I know you really want to tell me goodbye
I know you really want to be your own girl
Baby you could never look me in the eye
Yeah you buckle with the weight of the world
Stop draggin’ my…
Stop draggin’ my…
Stop draggin’ my heart around”

IMG_6976

Read Full Post »

My Nashville family has returned home from New Zealand and Australia. They Ubered straight from the airport to their home, just a few hours after we’d tucked the Grands into bed. Bob and I were happy no bones had been broken during our tenure. Well, just my left thumb, when a basketball landed straight on it in the Sound Waves pool. This was ostensibly the highlight of their week with us, the biggest water park in the world!! (maybe) at the Grand Ole Opry; but for me it was always those tender bedtime talks.

I found out that the L’il Pumpkin loves school. He really loves learning, and can now count by tens! He also plays alphabet Go Fish with aplomb, proving he’s ready to read. And the Love Bug is so sweet she offered to finish singing my Yiddish lullabies because my Fall cold was having its most severe effect on my throat. In fact, my croaking voice wasn’t relaxing at all, it only made them giggle.

Pop Bob had fun fixing little things around their house. Like any good pilot, he had his checklist of things to do – new batteries for the dogs’ invisible fence collars, fix master bathroom door, replace the silverware holder in the dishwasher. I texted my daughter in the middle of their trip, asking her if they might mind all this fixing-up? Great Grandma Ada had once warned me about stepping on the toes of in-laws.

The Bride replied, “You are welcome to fix as much as you’d like!”

After all, they are a busy professional couple. The Groom was accepting an award for his Vanderbilt research in Melbourne, at the World Congress of Intensive Care in collaboration with Australia New Zealand Intensive Care Society (ANZICS). As much as we’d like to think the world is flat and connected by technology, there is still something to be said for actually meeting up, face to face, with others around the globe doing research in your field.

Still, we could Facetime with them after meeting a koala! And I could pull out my smart phone at Sound Waves and slo-mo video the Love Bug under a waterfall!

I was reminiscing with Bob about his primitive use of early video cameras, the kind you hoisted on your shoulder in the 80s. Just then the Rocker texted us – did we happen to have that stop-action film he made in our NJ garage with his Star Wars action figures? He was just about the Bug’s age when he and a friend would spend hours recording Luke Skywalker’s adventures in minute detail. If the weather wasn’t conducive for a trip to the beach, creativity ensued on that cement floor.

The L’il Pumpkin and Pop Bob assembled an incredible Star Wars battle station in Legos while I drove the Love Bug to basketball practice one night last week. And just like that, this morning, my son and his new company Totem has released another amazing Star Wars trailer, “Star Wars: The Rise of Skywalker.”

All those years ago, in our garage with his imagination, and later with his bandmates. Music was always playing in his mind and through his fingers. I am trying to convince the Bride that we should all be Star Wars characters for Halloween because,  “The Story Lives Forever.” Here are our little Jedi Knights at the museum.

IMG_6551

 

Read Full Post »

Last night, amid a flurry of texts and Tweets, Bob and I were glued to the Democratic Debate. The Bride had asked us if we wanted to join their “watch party,” but I was determined to stay home and take notes. I knew adding two delightful children to that mix would completely throw me off my game. I was disappointed to see social media quickly turn snarky on Uncle Joe for his “record player” comment, and am still wondering what Bernie said to him as Castro pounded Biden again and again about “opting-in.”

While Castro was questioning his elder statesman’s memory, Bob was reminding me about the concept of “opting-out.” In case you forgot, behavioral economist Richard Thaler wrote a book about this very idea, about how to get people to do what’s right and is in their best interest! His groundbreaking book “Nudge” describes the ideas for which he won the Nobel Prize. Though not an entirely new concept, using psychology to mold public policy and marketing is new.

Prof Thaler’s central insight is that we are not the rational beings beloved of more traditional economic theory.

Given two options, we are likely to pick the wrong one even if that means making ourselves less well off.

Lack of thinking time, habit and poor decision making mean that even when presented with a factual analysis (for example on healthy eating) we are still likely to pick burger and chips.  https://www.economist.com/free-exchange/2017/10/09/the-nobel-in-economics-rewards-a-pioneer-of-nudges

Why? Because it’s our habit, it’s easy, and it tastes good. Climate change and our clogged arteries just don’t factor into a good burger! When Corey was asked if he would have all Americans adopt his Vegan diet, he said “NO” in two languages!

But if we apply Nudge theory to health care the answer is simple. Forget private vs medicare for all vs Amy Klobuchar who READ the bill; according to Thaler and Bob we enroll everybody in ONE healthcare plan! Give it a name and give people the option of “opting-out”…. and because it’s such a pain in the neck for most of us to change, the majority will stay on that plan.

My psychologist brother Dr Jim has said time and again, “There’s always that 10%!” Sure maybe 10-20% may opt-out for something better like a boutique, fancy schmantzy doctor plan, mostly people who are up around the 1-5% stratosphere. Some may just want none of this healthcare nonsense, they want to live like a hermit and prepare for the end of days. Doomsday preppers aside, this is what universal healthcare looks like in most of the G7-or even 8 countries.

My Friday morning quarterback, Dr Bob, has just told me that last night was “…Pure Posturing.” Granted his experience as an ER doctor and Director of his group, who also opened an Urgent Care and ran his own billing company for years gives him a unique “from the trenches” perspective, but when he talks the business of medicine I mostly listen! Because it’s still a “For Profit” business model – private insurers make 20% on every dollar paid for healthcare in this country, while Medicare makes 1%!!!! PLUS:

Bob insists that we are already paying for 80% of our healthcare in one form or another!

We already pay it in premiums (630Billion), out-of-pocket expenses (365B), and in state and Federal taxes (1.695Trillion) for Medicare, Medicaid, and the Military.

It’s only that 20% that businesses and unions pay that needs to be addressed, and think about it –  one political party wants to phase that into Medicare over 4 years, buy-in or buy-out or maybe even call it something else…. and the other party just wants to return to the past and forget about affordable healthcare. Think about what you would want.

Now who is the nudnik or the PAB in the room? Hint – he wasn’t on that stage last night.

This is us voting for the guy who didn’t win Nashville’s mayoral contest last night. Let’s nudge ourselves into picking a winner this time Dems!

146C4CEB-2AB7-46A2-97F8-33B2F11B837C

 

 

Read Full Post »

My heart goes out to Sen John McCain, 80, who was recently diagnosed with an extremely aggressive brain cancer. His glioblastoma was found “incidentally” in medical parlance, in that doctors were removing a blood clot that was associated with this condition when they found the culprit. It’s the same kind of tumor that killed Sen Ted Kennedy and Joe Biden’s son, Beau.

It’s the same cancer that killed my Father.

My Father was a pharmacist in Scranton, PA. He had survived the Great Depression and was raising five children with the Flapper. At first, it was only headaches, but later he lost the use of his left arm. My sister Kay had to help him actually grind medication in a mortar at the back of the drug store while her younger brothers read comic books up front. Psychology was a relatively new field at the time; a psychiatrist told my parents that they should have another child because my Father had “lost the will to live.”

I am that sixth child and I wouldn’t be here if it weren’t for his glioblastoma. The Flapper always joked that I was the only child she had planned! My Father’s friend, an ophthalmologist, noticed his bulging retina and sent him back to the university hospital where they operated on his brain right before Christmas 1948. I was three months old. He died in April the next year, he was only 47. Our Year of Living Dangerously was just beginning.

Although I may not have agreed with Sen McCain’s policies over the years, I have always considered him a true patriot. And unlike many politicians, he didn’t couch his words in innuendo. He played it straight and tried to be fair and work across the aisle. His daughter, Meghan, Tweeted:

“It won’t surprise you to learn that in all this, the one of us who is most confident and calm is my father. He is the toughest person I know. The cruelest enemy could not break him. The aggressions of political life could not bend him. So he is meeting this challenge as he has every other. Cancer may afflict him in many ways: But it will not make him surrender. Nothing ever has.”

But this type of cancer is a very cruel enemy indeed. Survival rates are devastating – only 14 months average with 5-10% alive five years after the diagnosis. Will he choose to fight with chemotherapy and radiation, or will he choose to battle Mr T on the Senate floor? Looking at his recent statements to Sen Lindsay Graham, I think he may do both!

Something happens to us when we are reminded of our mortality, when time begins to shrink. Bob said after his cervical surgery, he had less patience with hospital shenanigans and employee’s misbehavior. Before surgery he may have forgiven a surgeon’s harassment in the OR, for example. After surgery, not so much.

McCain is a war hero, and he is already criticizing Mr T’s strategy, or lack thereof, in Syria and Afghanistan. But if you recall, that other Lion of the Senate, Ted Kennedy, was instrumental in getting President Obama’s ACA passed while he was battling this same cancer. If John McCain were to bring both parties together to salvage healthcare in this country, his legacy would be outstanding. I wish him well on this battlefield.

And check out the Google Doodle today. It’s celebrating the 106th birthday of Marshall McLuhan, who coined the phrase, “The medium is the message.” He predicted the internet but I wonder what he would think of Twitter. It was a key factor in Mr T’s election, and has taken the place of greeting cards as our politicians send heartwarming thoughts to McCain in 140 “characters.”

I don’t know which brother’s arm is sticking out behind the Flapper, but this is one of the few pictures I have of my Father.    IMG_0991

 

 

 

 

 

Read Full Post »

Older Posts »

%d bloggers like this: