Quotulatiousness

February 2, 2010

Not the first, certainly not the last

Filed under: Cancon, Health, Politics — Tags: , , — Nicholas @ 07:10

Danny Williams, premier of Newfoundland and Labrador, will be having heart surgery later this week. This is a bit of a surprise to most, as he’s known to be a regular exerciser and hasn’t missed time for illness recently. Here’s Kenyon Wallace’s report:

Newfoundland and Labrador Premier Danny Williams is to have heart surgery in the United States later this week, a press conference this morning is expected to confirm.

Media reports last night suggested the popular 59-year-old Premier has opted not to remain in his home province or country for the scheduled surgery, opting instead for treatment at a U.S. institution. The exact destination is not known.

“I can confirm that Premier Williams did leave the province this morning and will be undergoing heart surgery later this week,” said Mr. Williams’ spokeswoman, Elizabeth Matthews, in an email to the Canadian Press.

Not the first Canadian politician to elect to get medical care in the United States, and (on past experience) he’ll certainly not be the last one either. A cynic might note that the leaders don’t have the same confidence in the Canadian healthcare system that the people do . . . or it might be that politicians see themselves as far too important to have to wait until their turn under our system (where wait times are a quiet shame).

February 1, 2010

Cookie Monster after visiting Room 101

Filed under: Bureaucracy, Health, Humour — Tags: , , , , — Nicholas @ 09:41

L. Neil Smith looks at the sad remains of a once-great Muppet:

My only child turned twenty years of age early last month, so it has been some time since I kept daily track with her of the various comings and goings of the diverse and colorful inhabitants of Sesame Street.

Thus it was with considerable dismay that I recently learned that my favorite of these denizens had been abducted, tortured, brainwashed by the vile forces of political correctness, and returned to society a broken, pitiable shadow of his former self, rather like Winston Smith in 1984, after rats had been used to force him to scream “Do it to Julia!”

A product of merciless North Korean-style mind-conditioning, the great blue googly-eyed Cookie Monster now mouths mindless, robotic platitudes and slogans like “cookies are a sometimes snack”. He even eats broccoli — the Green Death — in public, like a circus geek consuming broken lightbulbs and handsful of worms. Gone is the joyous hedonist we knew who was a living exemplar of Robert Heinlein’s famous dicta, “Dum vivamus, vivamus!” and “Anything worth doing is worth overdoing!”

He has become just another “progressive” icon, different-looking on the outside, yes, but filled up on the inside with the same bland, gray, unappetizing pablum as Smokey the Bear, Bono, and Janeane Garofalo.

January 29, 2010

This is more than a slight confusion of terminology

Filed under: Asia, Health, Military — Tags: , , , — Nicholas @ 08:33

Jon (my former virtual landlord) sent along a link to this FoxNews story indicating that there is a long road ahead — sociologically speaking — for Afghanistan:

An unclassified study from a military research unit in southern Afghanistan details how homosexual behavior is unusually common among men in the large ethnic group known as Pashtuns — though they seem to be in complete denial about it.

The study, obtained by Fox News, found that Pashtun men commonly have sex with other men, admire other men physically, have sexual relationships with boys and shun women both socially and sexually — yet they completely reject the label of “homosexual.” The research was conducted as part of a longstanding effort to better understand Afghan culture and improve Western interaction with the local people.

The research unit, which was attached to a Marine battalion in southern Afghanistan, acknowledged that the behavior of some Afghan men has left Western forces “frequently confused.”

The report details the bizarre interactions a U.S. Army medic and her colleagues had with Afghan men in the southern province of Kandahar.

[. . .]

Apparently, according to the report, Pashtun men interpret the Islamic prohibition on homosexuality to mean they cannot “love” another man — but that doesn’t mean they can’t use men for “sexual gratification.”

Trying to use a western term, which almost certainly has highly negative connotations to Afghans who may have encountered it, isn’t likely to be helpful in dealing with the Pashtuns. Labelling is the least of the concerns, I’d think.

The U.S. army medic also told members of the research unit that she and her colleagues had to explain to a local man how to get his wife pregnant.

The report said: “When it was explained to him what was necessary, he reacted with disgust and asked, ‘How could one feel desire to be with a woman, who God has made unclean, when one could be with a man, who is clean? Surely this must be wrong.'”

January 26, 2010

CF improve medical evacuation by adding medical technicians to crews

Filed under: Cancon, Health, Military — Tags: , , , — Nicholas @ 07:35

Strategy Page reports on a change in crew composition for Canadian Forces medical evacuation helicopters:

Canadian forces have added a medical technician to the crews of their medical evacuation helicopters, joining a trend that has played a part in saving the lives of many troops wounded in combat, or injured in a combat zone. Previously, Canadian troops had relied on American, or other NATO, air evacuation services. But now Canada has suitable helicopters (CH-146s) for that work, and established an air ambulance service. Following a four year old recommendation by their own military planners, Canada trained medical technicians to work on the medevac choppers, and thus increase the chances that badly wounded soldiers would survive. Canada has also upgraded all of its combat medical care during its years of operations in Afghanistan. This is part of a trend that has been going on since World War II. It’s all about having more medical care available sooner.

The fighting in Iraq and Afghanistan has brought about a major change in how the United States deals with combat casualties. The result is that over 90 percent of the troops wounded, survive their wounds. That’s the highest rate in history. There are several reasons for this. The main one is that medics, and the troops themselves, are being trained to deliver more complex, and effective first aid more quickly. Military doctors now talk of the “platinum 10 minutes,” meaning that if you can keep the wounded soldier, especially the ones who are hurt real bad, alive for ten minutes, their chances of survival go way up. Medics have been equipped and trained to perform procedures previously done only by physicians, while troops are trained to do some procedures previously handled only by medics.

January 13, 2010

From scaling to NSFW images in a few short steps

Filed under: Health, Humour — Tags: , — Nicholas @ 15:10

I mentioned to Jon, my former virtual landlord, that I’d been to the dentist this morning for a scaling. Somehow this went straight to the hidden blogging streak he’s been concealing for the last few years:

Every three months? Wow — that’s aggressive. You’re showing that plaque who’s boss, I guess.

[We] picked up a set of powered toothbrushes — I think they might be the Arm and Hammer brand — and we’ve been using them for several months now. I think the powered brush has made a noticeable difference in icky build-up and in the time it takes the dental assistant to pry said ick from my stumps.

Previously, the inside surface of the lower stumps would become noticeably grainy as the dental appointment approached, and that’s the area in which the most scaling work is usually done. You can really hear it when the ultrasonic pointy-ouch machine digs in to the ick — the pitch of the tool changes from that of stepped-on marmot to roto-tilled kitten.

The brush seems to be able to reduce all that — I don’t notice an accumulation of crud on the bottom teef, and the scaling at the last appointment went very quickly. Which was a bit of a disappointment, really, as it reduced my face time with the dental assistant’s lovely bosom. Oh, yes — there is a trade-off for everything. A normal scaling may mean having to hold your mouth open uncomfortably wide whilst a machine making a sound like a flayed kitten dipped in hot oil digs around your gums, spewing forth a geyser of spit and blood and pus and plaque and tissue and soul which spatters all over your shirt and pants and shoes and the wall opposite whilst your fingernails splinter as you shred the arms of the chair with a grip that would turn coal to cubic zirconia, but all is forgotten as the young dental assistant nestles your head in her firm yet alluringly soft and ever-so-subtly yielding breasts. You know what? I can feel the plaque hardening on my teeth even now, just thinking about my next cleaning.

I think I blew it last time, though, when she paused in the ultrasonic inquisition to ask if I was OK. “Oh god, yes”, I replied. “More! More!”

But there was to be no more. We were done.

January 12, 2010

Headline writing 101: get the reader’s attention

Filed under: Health, Humour, Media — Tags: , — Nicholas @ 12:51

For a perfect example of how to grab the (male) reader’s attention, pay heed to Lester Haines:

Women to ‘chest drive’ Bulgarian airbags
‘Simulated breast prosthesis’ – sport before you import

As you’d imagine, based on the headline, there are images in this article that might be unsafe for certain work environments.

November 30, 2009

Doctors urged to advise patients on reducing their carbon butt-print

Filed under: Britain, Bureaucracy, Environment, Health — Tags: , , , , — Nicholas @ 09:20

The Climate and Health Council in Britain is urging GPs to provide their patients with information on how to reduce their carbon output:

The Council has been recently formed to study the health benefits of tackling climate change and promotes a range of ideas from reducing your carbon footprint by driving less and walking more to eating local, less processed food.

It wants to raise ‘health’ on the agenda of December’s UN Climate Change Summit in Copenhagen.

They believe that offering patients advice on how to lower their carbon footprint can be just as easy and achievable as helping them to stop smoking or eat a healthier diet.

Other proposals include for all developed nations to pay an extra five dollars a barrel on oil and a tax on airline tickets. This would go into a special fund to develop low-carbon alternatives to existing technologies, they say.

So, after waiting for however many weeks to get that precious 2.5 minutes of actual patient-doctor interaction, two minutes will now be composed (in a Freudian slip, I originally mistyped that as “composted”) of Climate-Puritan hectoring. That’ll do wonders for both the environment and for doctor/patient relations.

November 25, 2009

QotD: Why Canadian-style healthcare won’t succeed in the United States

Filed under: Bureaucracy, Cancon, Health, Quotations, USA — Tags: — Nicholas @ 12:59

Speaking from immediate personal experience here: Many Americans have romantic visions of Canadian health care but Canadian health care works as it does only because Canadians are deferential to authority and unwilling to complain loudly no matter the situation. The shock of a visit to an ER department will not dent a Canadian’s feckless stoicism. Loud complaints are just another way of drawing undue attention to yourself, this considered extremely rude north of the border; so much so that queue jumpers earn little opprobrium while the man kicking the queue jumper out of line earns frowns of disapproval (again, personal experience as the line enforcer). Consequently, wait times, waiting lists and twelve hours of nothing at the emergency room are just another government thing to be endured.

Like the winter, supposedly.

I am reminded of an observation to the effect an armed society is a polite society. Obama can enact his shitty little elitist plan as he likes; I doubt it will change the American character, at least not before Obama’s shitty little elitist plan is revoked. In the meantime, I pity the fool American medical resident who talks to his or her patients the way I saw patients dealt with at one of downtown Toronto’s elite hospitals yesterday.

Nick Packwood, “Why socialist medicine will fail in the United States”, Ghost of a Flea, 2009-11-24

November 23, 2009

NFL to finally address concussion problems

Filed under: Football, Health — Tags: — Nicholas @ 13:07

The NFL has been under fire recently for failing to address the serious problems players have had with concussions. A concussion is a potentially serious injury, yet the league has been unwilling to force teams to treat their injured players with due care: a player who has “had his bell rung” is often encouraged to return to play, which drastically increases the chance of further — and more serious — injury. Alan Scharz reports:

[. . .] the league will soon require teams to receive advice from independent neurologists while treating players with brain injuries, several people with knowledge of the plan confirmed Sunday.

For generations, decisions on when players who sustain concussions should return to play have been made by doctors and trainers employed by the team, raising questions of possible conflicts of interest when coaches and owners want players to return more quickly than proper care would suggest.

As scientific studies and anecdotal evidence have found a heightened risk for brain damage, dementia and cognitive decline in retired players, the league has faced barbed criticism from outside experts and, more recently, from Congress over its policies on handling players with concussions.

This is good, not only for current NFL players, but also for college and high school football players, as the professionals set an example to younger players about how to play the game and how to cope with injuries. You can’t just “walk off” a brain injury, and the NFL has to set the precedent of treating concussions as the serious injuries they are. Gregg Easterbrook has been calling for the NFL to show leadership on this issue for quite some time, most recently in his column last week:

The league’s position is that individual clubs set their own medical policies, but that is a transparent cop-out. Most teams will sit a player with a concussion so bad he can’t remember what he had for lunch. But as soon as the player recovers enough to recall the playbook, he may be cleared to resume competition — and may be pressured to do so. Yes, there is an assumption of risk to performing in the NFL, and players know the sport is dangerous. But going on the field with an elbow that hurts is very different from competing with an injured brain. Players recovering from concussions shouldn’t be allowed back on the field until after extended rest. It should not be the player’s decision to make — that is management evading its responsibility, as well as a form of pressure on athletes who are expected to be macho about knowing no fear. The NFL should prohibit concussed players from returning until they have had a mandatory recovery period, or been cleared by neurologists unaffiliated with the league, or both.

This is especially important because NFL behavior sets the tone for college and high school players — and there are 500 of them for each one in the NFL. When high school or college players see NFL athletes rushing back onto the field soon after concussions, or pretending to the trainer to be fine in order to be sent back in, that’s the behavior they emulate. If the NFL instead sent a message that all concussions should be treated seriously and conservatively, college and high school players would imitate that.

In addition to being more careful about treating injured players, the league should also change two pieces of equipment that could help to increase player safety in the area of concussions:

The league should mandate helmets with concussion-reducing designs — the Riddell Speed (successor to the Revo), the Schutt Ion and the Xenith. None are panaceas, but all are likely to lessen concussion incidence or severity. If the NFL set an example by allowing only helmets engineered against concussions, the NCAA and eventually high schools would follow.

The league should mandate double-sided mouthguards — which are much more affordable for high schools than advanced helmets. Boxing has long required double-sided mouthguards, exactly because they reduce concussions.

November 17, 2009

British health care becomes more equal

Filed under: Britain, Bureaucracy, Health — Tags: — Nicholas @ 12:41

. . . as even celebrities have to wait their turn for a doctor’s care, screaming in pain for hours:

“The racecourse doctor did a good job at the racecourse and gave me as much morphine as she could, but when I got to the hospital I was basically hysterical with pain and they wouldn’t give me any more painkillers.

“The race was at 2.20, and half past midnight was the first time that I saw a doctor. The leg was broken in two places, and the bone had come out through the skin. I’m usually fairly numb with injuries, but this time I was in so much pain that I was just saying, ‘knock me out, knock me out’. Still they wouldn’t give me any painkillers, and they said they would operate in the morning. There were people coming in with twisted ankles getting treated while I’m screaming next door, and they’re basically telling me to wait my turn.”

After a successful operation the following day, Crosse’s ankle swelled as he had not been told to keep it raised. “They came down and asked me why I didn’t have it up and I said no one had told me to,” Crosse says. “I had a very bad night again without enough painkillers to quieten me.”

After two days, Crosse says, he decided that enough was enough. “I thought, I’m getting out of here whatever happens. They told me they would get me an ambulance [to a hospital in Swindon] but they kept me hanging on all day and at 7pm told me I’d have to wait until the morning. I went on the internet and looked up a private ambulance. Basically I had to book my own ambulance to get out of there.”

I’m sure the government will swiftly move to address the issue Crosse raises here — by banning private bookings of ambulances.

November 11, 2009

The only surprise is that it’d only be 33%

Filed under: Cancon, Economics, Health — Tags: , , — Nicholas @ 08:22

Alison Martin summarizes a survey of Quebec workers which found (among other things) that 33% of men would show up for work even if they or a family member had H1N1:

According to a poll of Quebec workers, many employees in Quebec would still show up for work even if they had the H1N1 flu virus.

Close to one-quarter of respondents to the poll conducted in September 2009 on behalf of the Ordre des conseillers en ressources humaines agréés said that they would still go to work even if they or a member of their household had the H1N1 flu virus. This attitude is even more prevalent among men, with one in three (33%) reporting that they still intended to go to work if they or a relative caught the virus.

Close to 60 per cent of respondents said that they show up for work even when they really aren’t feeling well.

“We’ve already noted that employees in Quebec tend to show up at work even when they’re ill. They don’t seem to be sufficiently aware of the risks of such behaviour, which in the end benefits neither the employee nor the employer, and definitely should be stopped,” explained Florent Francoeur, CHRP, Ordre president and CEO.

The question was clearly worded to elicit the most newsworthy headline: it’d be an odd family if everyone stayed home if even one person in the family was ill . . . and a family with limited long-term employment prospects. Private sector employers tend not to have the same kind of generous sick time provision that public sector employees get, so employees don’t tend to take as much sick time as civil servants.

For many workers, if they don’t show up for work, they don’t get paid. This is especially true at lower income levels, where missing a few days pay can be a severe economic dislocation.

November 9, 2009

Coffee and the placebo effect

Filed under: Food, Health, Science — Tags: , , — Nicholas @ 13:45

Neuroskeptic reports on some interesting results from a coffee study:

The authors took 60 coffee-loving volunteers and gave them either placebo decaffeinated coffee, or coffee containing 280 mg caffeine. That’s quite a lot, roughly equivalent to three normal cups. 30 minutes later, they attempted a difficult button-pressing task requiring concentration and sustained effort, plus a task involving mashing buttons as fast as possible for a minute.

The catch was that the experimenters lied to the volunteers. Everyone was told that they were getting real coffee. Half of them were told that the coffee would enhance their performance on the tasks, while the other half were told it would impair it. If the placebo effect was at work, these misleading instructions should have affected how the volunteers felt and acted.

Several interesting things happened. First, the caffeine enhanced performance on the cognitive tasks — it wasn’t just a placebo effect. Bear in mind, though, that these people were all regular coffee drinkers who hadn’t drunk any caffeine that day. The benefit could have been a reversal of caffeine withdrawl symptoms.

H/T to Tyler Cowen for the link.

November 3, 2009

“Like Soylent Green, medicine is made of people”

Filed under: Health, Science — Tags: , , — Nicholas @ 13:04

Colby Cosh on the paradoxical nature of the public’s view of medicine:

We’re conditioned to think of “medicine” as a single, coherent planned enterprise, if not a conspiracy, and we often fear and despise it — until we decide we need it. At which point it cannot possibly move fast enough to please us. Like the state or the church, medicine is an impersonal abstraction, but one that seems to have common priorities and intentions, significant powers and one voice. Rationalists and believers in progress invoke it; nutcases and conspiracists resist it.

In a way, both are paying tribute to a fiction, much like Christians and Satanists. In real life, there is no pope or president of medicine, no temple where it can be consulted, no medical mandate of heaven. The emerging vaccine debacle, though mercifully likely to have fairly limited public-health consequences, reveals the terrible truth. Like Soylent Green, medicine is made of people. Not just doctors, but administrators, industrialists, economists and politicians — none of them angels, and none with an angel’s ability to predict mass behaviour, perceive and weigh risk, or foresee the judgment of future history.

[. . .]

People have always been prone to weird beliefs, but now there is a medium that compounds those beliefs, allows them to coalesce into a historical counter-narrative and unites their holders like never before. For the first time, there are people who seem not just weird, but positively, thoroughgoingly “weird-ist.” Try spelunking amidst the Internet detritus of the anti-vaccine movement. There is no philosophical reason that strange beliefs about vaccination should correlate with fringe beliefs about UFOs, reptilian elites, 9/11 “truth,” JFK, the world ending in 2012 you name it. Yet the correlation is real, and not hard to confirm.

October 27, 2009

Statistical measurements are important

Filed under: Bureaucracy, Health — Tags: , — Nicholas @ 07:52

So why, especially right now, have the US government’s key players in the public health arena stopped counting swine flu cases?

Part of the mystery comes from a federal government in such a tizzy to spread its vaccine and declare “national emergencies” that it doesn’t think it’s necessary to keep counting. Via CBS News:

In late July, the CDC abruptly advised states to stop testing for H1N1 flu, and stopped counting individual cases. The rationale given for the CDC guidance to forego testing and tracking individual cases was: why waste resources testing for H1N1 flu when the government has already confirmed there’s an epidemic?

Given that regular seasonal flu causes thousands of deaths annually, you’d think it would be good statistical discipline to count the cases of H1N1 separately, both the gauge the severity of the disease and to chart the effectiveness of the vaccination program. Lumping seasonal flu and “flu-like symptoms” together with H1N1 seems a big step backward from normal public health practice.

October 26, 2009

A partial answer about increasing body weight

Filed under: Economics, Food, Health — Tags: , — Nicholas @ 00:20

Here are some useful images that help to explain why North Americans have been getting heavier over the last few decades:

Over the past few decades, portion sizes of everything from muffins to sandwiches have grown considerably. Unfortunately, America’s waistbands have reacted accordingly. In the 1970s, around 47 percent of Americans were overweight or obese; now 66 percent of us are. In addition, the number of just obese people has doubled, from 15 percent of our population to 30 percent.

While increased sizes haven’t been the sole contributor to our obesity epidemic, large quantities of cheap food have distorted our perceptions of what a typical meal is supposed to look like. These portion comparisons, adapted from the National Heart, Lung, and Blood Institute’s (NHLBI) Portion Distortion Quiz, give a visual representation of what sizes used to be compared to what they are today.

Pizza_then_and_now
Bagels_then_and_now

H/T to John Scalzi for the link.

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