

Aftermath Two

Sweater (veins series)

Cancer
We are all good these days (haven't you heard?). Starlets cruise the plague and combat zones of the world for orphans of color. We are commanded to worry about polar bears and the ice-cap shortage. Habeas corpus will be extended to al-Qaeda and apes. But in the daily churn of ordinary life, these young men and women are committing more than their share of goodness.He does well by male nurses, avoiding cliches about female nursing, although he does essentially refer to nurses as people who have just escaped welfare. This is a class matter. Nurses today are very touchy on this point, but there is no escaping that nursing still bears the marks of little white caps and skirts. Paul Fussell, in Class, A Guide Through the American Status System, calls nursing a job for female proles. Essentially any job, he says, in which you wear a uniform to work marks you as a prole. I find it hard to disagree with him. The years intervening 1983 and 2008 have served more to drag down medicine than to elevate nursing. The youngest doctors I work with seem almost wholly uneducated outside medicine and have poor command of language. As hospitalists, many of them are working for the man just as much as nurses and can be seen wearing around scrubs. Nurse practitioners often pointedly leave behind their scrubs for clothes sometimes dressier than the doctors, but still few are educated outside nursing and medicine. To my mind, among the youngest set in the hospital, the Physician Assistants tend to have the widest-ranging minds.
If you follow with any attention at all the James Bond movies, you are probably aware that they are based on books, which were written by the late Ian Fleming, a British journalist who served in naval intelligence during WWII. He was born in 1908, so this year marks the centenary of his birth. As part of the centenary activities, the British Heart Foundation is trying to raise awareness (and money) to combat heart disease. The rationale is that Fleming died of a heart attack.
Although he was athletic as a youth, never obese, and kept active throughout his life with activities like snorkeling at his villa in Oracabessa, Jamaica, he was an avid smoker and drinker. His first biographer John Pearson records in Alias James Bond-The Life of Ian Fleming this medical assessment by a "New York heart specialist whom Fleming, unbeknownst to his friends, visited in the autumn of 1946":The patient admits to smoking seventy cigarettes a day and drinking at least a quarter bottle of gin. He is not seriously ill but during the last two months has complained of a pain in the heart. He has slightly low blood pressure, the cardiograph shows an inverted T wave, but there are no important clinical symptoms of heart weakness. The above symptoms could all be the result of nicotine poisoning. I instructed the patient that the situation could not be improved by medication--only by will power.This write-up was 18 years(!) before his death by heart attack on today's date, August 12, 1964. At 56 years old, Fleming was quite young, even for a time when people had shorter life expectancies. He left behind a wife who divorced her husband to be with him and a 12-year-old son.
If there were a radio station that nurses were going to listen to, wouldn't it make sense for it to be called "RN"? Does such a radio station exist? Actually, yes.The regular guy went first, and stopped after seven dogs... Using fluoroscopy, an x-ray that gives a real-time view of what’s going on inside the body, the doctors saw what you’d expect: His stomach was indeed full of hot dogs and hadn’t stretched much from its original size.
Then they looked at the competitive eater. First, they noticed that his empty stomach showed virtually no peristalsis, the normal squeezing motion that helps the stomach break down food. He started eating hot dogs and his stomach got bigger and bigger. Ten minutes in, he’d eaten 36 dogs. He said he didn’t feel full, but the researchers told him they’d seen enough.
“His stomach now appeared as a massively distended, foodfilled sac occupying most of the upper abdomen, with little or no gastric peristalsis,” they wrote in their paper. Levine said the stomach was like no healthy stomach he’d seen in his 30-year career. He compared it to a “giant balloon that looks like it has no limit.” The eater’s previously flat belly swelled out as if he were pregnant.
The Risk/Benefit Assessment of Drugs-Analysis and Response (RAD-AR) Council of Japan has released a new batch of pictograms for use on pharmaceutical packaging. No more deciphering complicated dosage directions and warnings — a glance is all it takes now.

“Cell culture technology could represent the future of influenza vaccine production,” said virologist John Oxford of The Queen Mary School of Medicine in London.
Scientists had previously been using chicken eggs but they found it difficult to obtain the right type and observed that the virus, H5N1, kills chickens rapidly.
...
Cell-based vaccines would require less advance planning and could be made year-round, it was reported.
Baxter also has created a seasonal flu vaccine made in cells instead of eggs.
The vaccine, called Celvapan, is made in the Czech Republic.
Because it is not possible to test whether the vaccine actually prevents infection, the researchers measured antibodies in their volunteers in Austria and Singapore. They said it induced an immune response similar to the body's defence against a natural virus infection.








In the first official admission that the universal prevention strategy promoted by the major Aids organisations may have been misdirected, Kevin de Cock, the head of the WHO's department of HIV/Aids said there will be no generalised epidemic of Aids in the heterosexual population outside Africa.
Dr De Cock, an epidemiologist who has spent much of his career leading the battle against the disease, said understanding of the threat posed by the virus had changed. Whereas once it was seen as a risk to populations everywhere, it was now recognised that, outside sub-Saharan Africa, it was confined to high-risk groups including men who have sex with men, injecting drug users, and sex workers and their clients.
Other news that seems largely to have been ignored is the announcement by University of Texas researchers that they have found an "Achilles' heel" to HIV. This is especially interesting to me since our local infection control specialist, Dr. Stephen G. Hausrath, was an HIV researcher at UT before going to medical school. I firmly believe every hospital should have their own Dr. Hausrath. He is from central casting, no joke--infectious disease bowtie and all. I mean that in a loving way, though. Two nurses I respect and who are working on their NP degrees both asked to have a rotation with him.Paul's group has engineered antibodies with enzymatic activity, also known as abzymes, which can attack the Achilles heel of the virus in a precise way. "The abzymes recognize essentially all of the diverse HIV forms found across the world. This solves the problem of HIV changeability. The next step is to confirm our theory in human clinical trials," Paul said.
Unlike regular antibodies, abzymes degrade the virus permanently. A single abzyme molecule inactivates thousands of virus particles. Regular antibodies inactivate only one virus particle, and their anti-viral HIV effect is weaker.
"This is an entirely new finding. It is a novel antibody that appears to be very effective in killing the HIV virus. The main question now is if this can be applied to developing vaccine and possibly used as a microbicide to prevent sexual transmission," said David C. Montefiori, Ph.D., director of the Laboratory for AIDS Vaccine Research & Development at Duke University Medical Center. The abzymes are now under development for HIV immunotherapy by infusion into blood. They could also be used to guard against sexual HIV transmission as topical vaginal or rectal formulations.

The new needle has an inner diameter of around 25 microns and an external diameter of 60 microns, which is about the same size as a mosquito's mouthpart. Its size and the fact that it works by suction, makes it painless. To compare, a conventional syringe needle has an outer diameter of around 900 microns.Unfortunately, it seems it is not designed for taking blood for CBC, BMP, PTT, etc:
...
Its size compared to earlier models also means that surface tension effects are exploited further, and the same capillary flow that draws water up into trees helps draw blood into the microneedle.
The researchers have calculated that their needle can extract 5 microlitres of blood per second. This volume is sufficient for measuring blood-sugar levels in diabetics using a glucose sensor that can be attached to the needle in a "wristwatch" design.via BoingBoing














Bnei Brak, Israel's most religious city, also has the highest average life expectancy: 81.1 years for women and 77.4 years for men.
What makes that finding even more curious is that Bnei Brak also happens to be Israel's poorest city, confounding the expected correlation between increased wealth and health. Moreover, smoking among males remains entirely too popular, and even a casual glance around the streets of Bnei Brak will serve to establish that news of the benefits of exercise and a low-fat diet has not yet reached many of its inhabitants.
A growing body of scientific evidence suggests the key to the longevity of Bnei Brak residents may well be their religiosity. Fully three-quarters of the 300 studies to date of the relationship between religious belief and health have shown a positive correlation.
Does the author mean current "average age" in Bnei Brak? Add up the ages of all people living in Bnei Brak and divide by population? That would just show that Bnei Brak has a lot of old people living there. Or does he mean "life expectancy?" Life expectancy means that a child born in Bnei Brak today would have a "life expectancy" of 81/77 as you said, assuming he lived his entire life in Bnei Brak. A tough statistic to gather. Either way, I have read much on this thesis in medical literature lately. In fact, even Grossmont Hospital, San Diego, CA had a recent grand rounds on the evidence for the positive health effect of prayer and religious observance. Good stuff. Thanks.
My two summer courses for the nursing program are over, and last night we had the midsummer night festival's meal from Andreas Viestad's Kitchen of Light (poached salmon with horseradish sour cream, cucumber salad, and boiled potatoes), so I guess my summer is on the downswing. What have I been up to?


I have to say I really disliked Soc101. Although the first lesson was about how sociology is a positivist science, our textbook, Kendall's Sociology in Our Times, makes it quite clear that the academic practice of sociology is part science and part political activism. In terms of major problems, the textbook (and I guess sociology in general) still use Marx and Freud pretty much uncritically, although in their own fields (economics and psychology), these two are not taken seriously any more.
Similarly, Theodor Adorno's Authortarian Personality is taught uncritically in the textbook, although it has pretty much been totally discredited and Adorno's F-scale has been replaced by other tools amongst personality researchers. If you have trouble going along with my scandalization, just check out the F-scale for yourself. I scored a 2.6, which makes me a liberal airhead, but as you can see if you take it yourself, it really doesn't measure anything except how you conform to Adorno's idea of what makes a Nazi.
Dear Nurses and Nursing Students,
I know you don't really care about social sciences, and just want to put them behind you to get onto "real nursing." I respect and understand that. Therefore, just take my warning to heart: Marx and Freud are dead ideas, and when you see them referenced in your nursing textbooks, just ignore them. Take with a large grain of salt anything you read in nursing literature that is not solidly based in biology or life sciences research.
Yours,
Someone educated outside nursing

The sitting can be done with or without gin, but always preferably with something good to read. I recently came into possession of bottles of both Hendrick's and Bombay Sapphire and will enjoy comparing them. To read, I have the newest volume of the journal Arion, I have to finish The Birth of the Clinic, and I intend to read all the Ian Fleming novels this year (as it's his centennary). And of course there's swimming, and pork ribs and...