Showing posts with label Medicine. Show all posts
Showing posts with label Medicine. Show all posts

Sunday, November 09, 2014

Ben Carson apparently is throwing his hat into the ring for president.  So we will have another black Republican candidate in 2016!  Carson is obviously a lot smarter than Herman Cain who ran in 2012.  For one thing he is a retired pediatric neurosurgeon.  But more importantly he is a  U. of Michigan alumnus.  Cain cannot match those credentials.  But like Cain, Carson's candidacy is bound to fail.  For one thing he considered himself an independent until recently even though he worked for Fox News.  He has not held any political office.  In the past he has come out against assault weapons and admitted that affirmative action had helped him.  Those things will be attacked by factions within the party.  It is easy for Republicans to embrace him to make them look more diverse.  It is another thing to embrace him to be their leader.  Carson is capable of doing a lot better than Herman Cain but he will not be the Republican nominee.

Whenever someone mentions about black neurosurgeons, only one other name is mentioned along with Ben Carson.  That is Keith Black.  Interestingly, Black is also a graduate of U. of Michigan Medical School.  He is head of the dept. at UCLA.   While Carson is a perfect example of affirmative action doing good, Keith Black is someone who shoots down the idea that minorities always need affirmative action.  Black made it into Michigan's prestigious 6 year undergraduate/medical school program.  This means he only took 6 years to get his BS and MD which most people take at least 8 years.  You cannot get in if your scores and maturity are not way up there coming out of high school.  So who knows?  Maybe if Carson makes a decent run, he can open the way for another neurosurgeon in politics in the future.

I have a complaint about Steve Nash.  Some people are mad that Nash, having declare himself out for the season, is shown on Instagram hitting a golf ball.  I know that hitting a golf ball is not anywhere the same as playing in an NBA game.  So I don't have problem with that.  But I am disappointed that while he has time to play golf, he has not been showing up at practice and games to support his teammates.  He is still being paid while not playing so at least he can do is contribute SOMETHING to the team.  Young guards like Jeremy Lin and Jordan Clarkson sure can use his teaching.  So how about trying to be the highest paid coach in the NBA for this season, Steve?

Sunday, October 26, 2014

Nurse Kaci Hickox has been put under mandatory quarantine by the state of New Jersey after returning from helping Ebola patients in Africa.  New Jersey, New York and Illinois are forcing health workers returning from Africa to be isolated.  I think this is a gross over reaction and is a decision based on fear and not scientific facts.  It is like what they say about war:  The first casualty is truth.  The truth is that the nurse is not sick as Chris Christie claimed.  She is also not contagious  because she does not have symptoms nor fever.  She has been tested twice for Ebola and has been negative both times.  All these facts are ignored and she is being held against her will.

Chris Christie is not protecting the public by making false statements about a person he knows nothing about.  He is causing more fear and hysteria among the public with his order.  He is not a doctor, he has no right to make medical decisions against the advice of infectious disease experts.  These mandatory quarantines only fan more fear.  Already health care workers at Bellevue Hospital, where Dr. Craig Spencer is being treated, are being refused food service!  By the way, I think the only person who may have reason to worry about getting infected by Dr. Spencer would be his girl friend.  Again, this disease require extreme close contact with the patient or his body fluid.  Nobody at the bowling ally or subway is at risk.  Even Duncan, the patient who died, did not infect anyone from his family.  This is even after his treatment was long delayed.

The flu, pneumonia, meningitis, etc. all are way more likely to kill in this country than Ebola.  So let's get our appropriate vaccines and practice good hygiene.  That's the message politicians should get out.  They should not spread false rumors and fan fear.

Sunday, October 12, 2014

With the news that a nurse who took care of an ebola patient has contracted the disease in the U.S., there is more reason for concern.  We are supposed to have the necessary precautions in place to prevent the spread of the disease to health care workers here.  The two patients that were brought back to the U.S. were successfully treated and none of the caretakers contracted the disease.  So it is apparent the precautions in place worked.  But until we figure out what error or errors were committed in the latest case, it is a bit worrisome.  After all, humans make errors even if we are trained and are careful.

At least we know that the virus spread only by close contact when a patient has symptoms.  I think screening at airport is reasonable.  It shouldn't take too long to take the temperature of a passenger as he walks through customs.  This was done in Asia during the SARS epidemic.  It is not 100% effective but I think it at least give travelers a sense of assurance and stop people like Rand Paul who wants to limit traveling from certain areas of Africa to the U.S.

I think of more immediate concern is the spread of enterovirus D68.  Unlike ebola, D68 can be spread by air.  This is means that one can be several feet away and still catch it.  D68 is already in almost every state so we can't screen people by travel history like ebola.  The symptoms are flu like and we are in the flu season so it is difficult to differentiate it from the flu.  Hope people take their children to get the flu shot so that doctors know that it is less likely to be the flu when the kid comes in with flu like symptoms.  It is going to be tough winter for pediatricians and ER doctors!

On a light note, here in LA, the management of the Dodgers and Angels are under fire for losing in the first round of the playoff.  I am sure that is similar in Detroit.  There are mistakes by management to be sure.  But ultimately it is the players who win or lose.  I mean the difference between winning and losing in the playoffs seems most correlated with relief pitching.  That is almost impossible to predict before and even during the season.  Who knew before the season that Brian Wilson couldn't be a set up man?  Who knew that the pitchers of the Royals would be so good?  Last season the Red Sox beat the Tigers because of the bullpen.  This season the Red Sox relievers are terrible.  So I think if a GM can put together a team that win the division, it is hard to fault him for losing a short series playoff.

MSU is getting closer with the results over the weekend.  Too bad Baylor pulled it out.  How are the Red Wings going to be this season?