Showing posts with label medicine. Show all posts
Showing posts with label medicine. Show all posts

Friday, January 17, 2014

On mountains, wolves, allergies and tough questions.

The pithy Latin saying Homo Homini Lupus has been much quoted, most famously by Hobbes. Man is a wolf unto man.

The saying is usually meant to state that people are both predator and prey of each other. Not that long ago fear of wolves was an entirely justified part of the collective psyche. Must re-read Fernand Braudel. Must not get side tracked.

In our city centered culture few people have to deal with predators directly. There is an irony there: because most of us live further removed from Nature, we can afford to take the more holistic view. In the beautiful phrase of Aldo Leopold, we can afford to think like a mountain, precisely because we no longer live on one. 

For those unfamiliar with Aldo's essay, it starts with a young man shooting a wolf, confident that killing a top predator will result in more deer for human hunters. Instead the shortage of wolves leads to an overpopulation of deer. The herd ends up "dead of its own too-much" after destroying its habitat. 
"I now suspect that just as a deer herd lives in mortal fear of its wolves, so does a mountain live in mortal fear of its deer."

We must remember that the wolf keeps the herd healthy. I once read an aboriginal story illustrating the same point. The Creator has granted the People their wish, and there are no more wolves. But the old and sick caribou no longer get culled. In time the herd sickens and so do the people. The wolves have to come back for the good of all.

Medical science comes up with ever more ways to keep weak and damaged individuals alive. 

CBC this morning had an item on a child with life threatening allergies to eggs and dairy. The mother accuses the school of not doing enough to accommodate her child. The words 'discrimination', 'inclusion', and 'rights' were bandied about.
A blog on the proper use of the word discrimination another time.

The mother wants a ban on the offending foods. No child in the whole school must be allowed to bring a cheese sandwich or any food item containing eggs, for the sake of protecting her fragile girl. The school is already peanut free.

Of course one feels for the family. Of course one understands that the mother is doing what any of us would do for her child. But as a collective, where do we draw the line? What about the rights of a struggling single parent to send her child off with the cheapest protein, which happens to be peanuts?

As a society, we must start tackling some thorny questions. We must dare to at least discuss certain topics without fear of being associated with past horrors. If we are wolves to each other, some of us may end up with the task of deciding when to let herd health take precedence over the care for the weak individual. This is not a position to be envied.

Tuesday, March 12, 2013

Sticking frozen embryos into a transplanted uterus? Thoughts on coping, rights and the limits of medicine.

An item on my favourite CBC radio program, The Current. 

News flash from the far shores of medical advance: Frozen embryos are being implanted into a transplanted uterus. And my reaction is: WTF???

The people arguing pro transplant warble on about the tragedy of the woman who cannot bear children. Infertility is considered a health problem, and having your health problems fixed is a right.

This brings us to the whole prickly question of rights. Even as a card-carrying bleeding heart liberal, I believe that the rights thing has been overdone. Rights go with responsibilities.

A nineteenth- century philosopher suggested: "To each according to his needs, from each according to his abilities." I have always thought this a common sense notion. Many people agree. This proposal is among the statements that citizens of the USA mistakenly believe to be in their constitution.  
The paragraph in italics comes from a website on the topic of mistaken constitutionality. http://www.usconstitution.net/constnot.html

"From each according to his ability, to each according to his need."
According to a 2002 Columbia Law School study, nearly two-thirds of persons polled thought that this phrase came from the Constitution or might have been crafted by the Framers. This phrase, however, originates from Karl Marx, and was written in 1875's Critique of the Gotha Program." It is considered by many to be a brief summation of the principles of communism. 

Back to the tragedy of the infertile. 

Dear readers: yes, it is tragic if someone who wants children cannot bear them. But could we, as a society, please come up with different ways to cope with tragedy? Being infertile is not the same as being unhealthy. Life does not come with guarantees. Nobody gets everything. For the infertile, accepting the condition and finding other paths to a meaningful life may well be more conducive to inner peace than an obsessive search for ever more extreme fixes. As a society we seem to be losing the ability to cope with tragedy, any tragedy. A life of ease and fulfilling one's potential has become the default option, or it was until recently. If that was not delivered someone, somehow should fix it and never mind if the community as a whole has the resources. 

We need to human up. 

Anyway, as the steamroller of global change (climate, demographics, power moving to Asia) waltzes over the Western Welfare state, for better or worse, wrenching decisions will have to be made about the limits of care. Just because something can be done doesn't mean it should be done. Let's start thinking.

Thursday, February 9, 2012

Therefor, all men are Socrates

This rant is a reaction to an item on The Current, an excellent show on CBC radio. I am dumbstruck by the strange  reasoning by an MD who otherwise makes good sense.
Those so inclined can listen to the segment here. When possible, always go the source.
http://www.cbc.ca/thecurrent/episode/2012/02/06/dr-agus-with-a-cure-to-end-illness/

Dr. Agus is an oncologist who wants to see more emphasis on preventative medicine. 
All in favor. An ounce of prevention is worth a pound of cure and all that. 

He wants to see people eat a decent diet, get some exercise, toss away their high heels, and keep regular hours. Consider it done, at least in intention.

He wants to see people fight inflammation in order to reduce the risk of cancer in the long run. Great idea. 

He questions the safety of isolated vitamins. He rants against the laziness of people wanting to "take a pill" such as Vitamin E instead of making changes in lifestyle. He cites a bunch of studies that prove the danger of vitamins. That is a whole other topic. Studies dissing vitamins are often done with inferior synthetic vitamins. 

And then he makes a leap of reasoning that has me scratching my head. It has been observed that Statins used to lower cholesterol also lower the risk of cancer, because it turns out they are anti-inflammatory.

He wants all of us geezers over 50 to ask our doctors why we are not on statin drugs and/or baby aspirins. Hello doc, I thought you didn't like pills?

If the mechanism of action of statin drugs is anti-inflammatory, should we not focus on non-drug ways to decrease the load of inflammation in the body? Let's see the reasoning.

Statins are anti-inflammatories.
Anti-inflammatories help to prevent cancer.
Therefor all people should.....were you going to say "eat more anti-inflammatory foods"?
Nope. The good doctor wants all people to ask their doctor if Statins would be good for them.

It reminds me a bit of a Woody Allen moment. I can't remember the movie.
But it goes like this:  
"All men are mortal.
Socrates is a man.
Therefor all men are Socrates."


Friday, January 15, 2010

Amaria and Teamsteria, a fantasy about health freedom

Please note: This essay is NOT meant to diss trade unions in general, nor to discuss the merits of various systems of medicine.

An archived newsletter at http://jonbarron.org (June 21-2004) explains how the AMA originated: as a trade union, to support allopathic doctors in their fight against homeopaths and other natural healers.


That got my imagination going...


Imagine a country where the Union of Professional Chauffeurs is so powerful that the use of private cars is outlawed and bicycles are severely restricted.


We'll call the place Teamsteria.


Most Teamsterians see nothing wrong with their society.
They agree with their government that driving is a serious, potentially dangerous business. Of course nobody should be allowed to do it without extensive training. Imagine the chaos if every Tom, Dick and Mary could get a license. People might get hurt or even killed by insufficiently skilled drivers!


Some Teamsterians hate waiting for buses or cabs and prefer getting around as they please on bicycles. They make the point that bicycles are healthier and better for the Earth.


The authorities complain that bicycles interfere with the proper functioning of car traffic. Every accident between a bike and a car is automatically blamed on the bicycle and widely publicized to boot. Life is made harder for bicycle users all the time. The chauffeurs' lobby would like them to be totally outlawed.


Some Teamsterian radicals propose that everyone should be allowed to get a drivers' license. They are considered a dangerous lunatic fringe.


To bolster its arguments the Teamsterian government points to the chaos and carnage in the neighbouring country, Amaria.


In Amaria every private citizen over 16 is allowed to drive. Every year large numbers of Amarians get killed or maimed in traffic accidents.


Amarians love being able to travel as they please, and consider the daily death toll a price worth paying for the sake of freedom. Amarians look upon their cab-bound neighbours with a mixture of pity and contempt. They wonder why Teamsterians don't rise up and demand the freedom to move around as they please!


However, in Amaria the government is in thrall to another professional union. The Amarian Medical Association has convinced the public that care of the human body is best left to a certain kind of professional. The kind that requires an expensive industry. We are all familiar with it.


Amarians are free to kill themselves on the road, but the government decides what they can put into their bodies.


Teamsterians are utterly appalled at the thought that control over their own bodies could be any less than 100%.


Do some Teamsterians make wrong health decisions? Do some die as a result? Of course! Teamsterians consider it a price worth paying for the sake of freedom...


Which society is crazier? We are like the Amarians. Why do we all put up with it? How come health freedom has never been an election issue yet?


PS. A CBC radio program on traffic issues mentioned that traffic accidents kill 28 people per month in B.C. alone. Can we imagine the furore if a herb did that?