Tag Archives: medicine

An Historical Note

I can’t remember if I began writing and posting these diary entries on Facebook each day, or if I wrote it here on WordPress and just forgot about it. Regardless, I know I wrote these short updates of my bout with COVID-19 beginning at the very tail end of 2020. Actually, the results came in on my brother’s birthday. I was more than halfway through my 74th year on this planet and I was somewhat riddled with the dreaded comorbidities.

Since most everyone seems to have forgotten (or understandably repressed the memories of) just how difficult things were during the pandemic, I’m posting this now to memorialize my struggle with the disease.

12/24/20 at 14:37:
Out of an abundance of caution, I initiated an e-visit with Kaiser to determine if I’ve got COVID. I don’t have any of the worst symptoms, but I definitely have some of them. I’m scheduled for a test this coming Monday.

12/28/20 at 09:48:
Getting my COVID-19 test in the parking lot.

12/29/20 at 09:12:
Well … Now if someone asks if I personally know anyone who’s tested positive for COVID-19,I can answer “Yes.”

Me!

So … the illness I really didn’t want to test my immune system and my overall health on finally got me. Now I have to isolate for 10 days. I think I’ve already been through the worst over the weekend.I’m taking MucinexDM once every 12 hours, an occasional Aleve, and vitamin C. I can’t taste a damned thing and I wasn’t terribly hungry for the past four or five days; I’ve lost eight pounds in the last six days. I’m feeling good today. No fever this morning and SpO2 is staying around 95%. No congestion, hardly a cough. I know this thing can offer some surprises, so I’m monitoring myself carefully, but it looks like I won’t suffer as much as I thought I might, which is a pleasant surprise. Still, being cautious seems prudent.

12/29/20 at 20:08:
Have I mentioned I feel like shit. I have a mid-grade fever and I’m sweating under the blanket, but I get the chills if I get out. Typing this is difficult. Stomach is sour and SpO2 has dropped as low as 91%. I’m dizzy, weak, tire easily, and can’t take a deep breath without bronchial pain. Other than that, I’m feeling just peachy.

12/30/20 at 10:02:
Sitrep: As of this morning, I am feeling better. No fever, but that’s how yesterday started. SpO2 is 96. I think the low reading I got yesterday was an anomaly. I have never felt as though I was having trouble getting enough oxygen. Still taking MucinexDM every 12 hours, which seems to be working quite well as a cough suppressant and expectorant. Also taking vitamin C. Still hurts to take too deep a breath, but doesn’t cause spasmodic coughing. Kaiser and many, many people have sent me lots of instructions, many of which I will choose to ignore, because that’s the kind of asshole I am. Haven’t left the bedroom.

Bottom line. This sucks, but I don’t think it’s going to kill me. Then again, this virus has proven to be trecherous and I have waaay too many comorbidities to let my guard down. Stay safe y’all. At least try … that’s what I did.

12/31/20 at 17:31:
The battle continues. My normal temperature is 97.6. This morning it was 98.7. Since then it’s been as high as 102.5 and everywhere in-between. Currently, it’s 101.1. Linda went out and got me some vitamin D, Zinc, & NAC, all of which are said to be efficacious in combating this fucking virus. Happy God damned New Year, reprobates.

01/01/21 at 12:21:
Happy New Year everybody. Well, these last few days have been trying and difficult, to say the least. I can finally taste again; not completely but it’s getting there. I no longer have to pay as close attention to my breathing as I have for the last couple days, as my bronchial tubes are opening up and taking deep breaths is far easier than it’s been up till now.

I still have another five full days before I can even leave the bedroom really, at least without wearing a mask and worrying about what I touch. I think I see the light at the end of the tunnel, and it’s daylight, not a train coming for me. I’m very grateful.

Temperature continues to be normal. Still dizzy and weak, but a bit more aware. Onward and upward.

 01/01/21 at 15:47
Man! This virus doesn’t give up. Temp is back to 102.3° F.

01/02/21 at 10:26
OK – Health update. I can’t recall the last time I had the flu, or anything for that matter, that caused me to have a fever, so I’m not sure if what’s been happening to me is the normal progression of dealing with a virus. As noted over the past few days, I wake up feeling reasonably well, with no fever, and by mid-afternoon I’m burning up.

Last night it got up to 102.5, the highest it’s been since last weekend. I feel as though my fever broke last night. I finally had to take my t-shirt off. It was soaking wet. I put another one on and it was pretty soaked by 9pm, so I took it off as well and, for the first time since this started, I was comfortable sleeping without a t-shirt, which is how I normally sleep.I had taken two Aleve, since my fever seemed to be climbing and within about an hour it was down to 98.3, which is still nearly a degree above my normal temperature of 97.6, but a good sign.

So . . . the signs are all good, but I’ve heard too many stories of people seeming to be on the mend then, boom, they’re in the hospital being intubated. No victory lap for me yet. Eight more days of quarantine. Hopefully, by next weekend I’ll be chomping at the bit to leave the bedroom. I haven’t really cared this past week.

ADDENDUM – I should add my breathing has improved considerably. I can take pretty deep breaths without pain or the need to cough and I have no congestion at all. I almost didn’t take a MucinexDM this morning, but decided not to tempt fate.

01/02/21 at 15:58
Yesterday at almost exactly the same time, my temperature was 102.3. Just now it was 99.1. I would call that an improvement. So there.

01/03/21 at 19:12:
FYI – No news is good news.

01/04/21 at 13:14:
Update: While I believe I’m pretty much out-of-the-woods wrt the possibility of being hospitalized, recovery is clearly going to take some time. I just took a shower for the first time in a week and I almost couldn’t finish. I had to stop and rest halfway thru drying myself. This virus really takes a lot out of you. I can only imagine how much more difficult it might be for people who are really overweight. I feel so much better being clean (I was too sick to care for a week) but I’m beat from the effort.

Be careful out there, folks. There’s a far-too-large contingent of obstinate assholes whose selfishness is making it harder to avoid becoming infected.

 


How to Die Well, According to a Palliative Care Doctor

Came across this wonderful, reasonably short article about death and dying, a subject I have long been interested in; especially as I’m winding down my 75th year here.

Preparing for death by making peace with it.

Excerpt:

Read more (much more) by clicking on the link below:

Source: How to Die Well, According to a Palliative Care Doctor


The Vagus Nerve and Meditation

Brainstem

An image of a human brain stem illuminated with fluorescent proteins.

I don’t think I use this blog enough to share info like I do on Facebook. As I think about it, though, it seems the things I post here have a much longer shelf life than those I share on FB. Also, my original intent for this blog was to address issues of seeing systems, particularly emphasizing how infrequently — and incompletely — we do so. The piece from Business Insider I’m going to link to here was shared with me by Jon Husband who, in my mind, is inextricably linked to systems concepts via his pioneering work with what he has labeled Wirearchy.

The article concludes with the researchers, Kevin Tracey and Paul-Peter Tak, recognizing how science and, particularly, medicine have approached understanding of the human body as an effort to understand each organ in isolation, and as separate entities. They now realize the systemic nature of the body, and argue for an understanding that is more holistic and that recognizes how everything is connected.

I also found myself thinking about the progress of our understanding and how it shows just how indifferent nature, biology, and evolution are to anything resembling “fairness” or “justice”. Those are human concepts, creations that make sense to us, but have no place in how or why things happen in natural systems. Evolution is interested in what works and a level of adaptability that allows for constant change in survival strategies. Everything else is merely part of the side-show.

What really struck me was the thought of all the people who have existed before us and how much discomfort, pain, and agony have been suffered in the past, prior to our gaining the various understandings we have come to embrace over the last few hundred years of our existence as a species. The “breakthrough” discussed in this article seems somewhat revolutionary and serves to point out how valuable the ability to see systems really is at improving our lives.

Here’s the link. Check it out. Shouldn’t take more than five minutes to read.


Health News – Neuroscientists Find That Status within Groups Can Affect IQ

NOTE: This is the first time, to my recollection, I’ve posted directly from Posterous. I’m not sure how I want to deal with this, but thinking I’d rather share a link to the article than the whole damn thing. Nonetheless, this is a fascinating look at how social status can affect intellectual performance, which points out yet again the impossibility of understanding anything well in isolation from the system – or environment – within which it exists and operates. My comments from Posterous are at the end.

PASADENA, Calif.—Our cognitive abilities and decision-making skills can be dramatically hindered in social settings where we feel that we are being ranked or assigned a status level, such as classrooms and work environments, according to new findings from a team of researchers from the California Institute of Technology (Caltech) and four other institutions.

The finding flies in the face of long-held ideas about intelligence and cognition that regard IQ as a stable, predictive measure of mental horsepower.

“This study tells us the idea that IQ is something we can reliably measure in isolation without considering how it interacts with social context is essentially flawed,” says Steven Quartz, professor of philosophy at Caltech and one of the authors of the new study, which appears in the current issue of Philosophical Transactions of The Royal Society B. “Furthermore, this suggests that the idea of a division between social and cognitive processing in the brain is really pretty artificial. The two deeply interact with each other.”

“You may joke about how committee meetings make you feel brain-dead, but our findings suggest that they may make you act brain-dead as well,” says Read Montague, director of the Human Neuroimaging Laboratory and Computational Psychiatry Unit at the Virginia Tech Carilion Research Institute and corresponding author on the paper.

To investigate the impact of social context on IQ, the researchers divided a pool of 70 subjects into groups of five and gave each individual a computer-based IQ test. After each question, an on-screen ranking showed the subjects how well they were performing relative to others in their group and how well one other person in the group was faring. All of the subjects had previously taken a paper-and-pencil IQ test, and were matched with the rest of the group so that they would each be expected to perform similarly on an IQ test.

At the outset, all of the subjects did worse than expected on this “ranked group IQ task.” But some of the subjects, dubbed High Performers, were able to improve over the course of the test while others, called Low Performers, continued to perform below their expected level. By the end of the computer-based test, the scores of the Low Performers dropped an average of 17.4 points compared to their performance on the paper-and-pencil test.

“What we found was that sensitivity to the social feedback of the rankings profoundly altered some people’s ability to express their cognitive capacity,” Quartz says. “So we get this really quite dramatic downward spiraling of one group purely because of their sensitivity to this social feedback.” Since so much of our learning—from the classroom to the work team—is socially situated, this study suggests that individual differences in social sensitivity may play an important role in shaping human intelligence over time.

During the computer-based test, about a third of the subjects underwent brain scans, using functional Magnetic Resonance Imaging (fMRI). This type of imaging allows scientists to track increases in oxygenated blood flow, indicating heightened activity, in the brain. At the start of the test, researchers observed increased activity in all the participants in a brain region called the amygdala, which is associated with fear and emotional arousal. Among High Performers, that activation decreased over time, while it remained steady in Low Performers.

“What is causing the Low Performers to be hindered by the social context is something for follow-up studies, but certainly the suspicion is that it’s a dimension of personality that is driving the difference,” Quartz says. That dimension could be neuroticism, the tendency to worry or to ruminate about social information. “The pattern of activity that we see originally in both groups, but especially in the low-performing group, is quite similar to the pattern of activity you see in studies looking at the neuroscience of neuroticism.”

The researchers also tracked activity in the nucleus accumbens, a part of the brain involved in the processing of rewards. They observed elevated activity in the nucleus accumbens when a subject’s rank within the group increased. “That shows that the task was motivationally important to people,” Quartz says. “When they saw their rank go up, that was a reward.”

The idea for the new study came, in part, from a study published in 1999 in which researchers from Emory University examined social rank—a strong and extremely motivating signal among primates. It has long been known that even monkeys that have never met before can quickly sort themselves based on social standing within the group. The Emory researchers isolated low-ranking rhesus monkeys and taught them a learning task. They found that in the presence of high-ranking group members, the monkeys who had learned the task acted as though they were not familiar with it.

“Social rank isn’t as well understood in humans,” Quartz says. “So we wanted to see what would happen when social rank becomes salient in a group of humans, as it does in most real-world learning environments. We wanted to see if this has an effect on the expression of IQ.”

Throughout the 20th century, IQ was used in different arenas as a way of sorting or classifying people into niches. Because people believed it to be a more abstract notion of cognitive ability, it was thought to have strong predictive validity of mental capabilities even from age six. But IQ was always measured in social isolation. “That reflects a long tradition of intellectual history, of considering rationality and cognition to be this isolated process,” Quartz says. “But one of the things that we’re learning more and more in social neuroscience is the role of our social contexts and the social adaptation of the brain.” Understanding the role social context plays and its differential impact on the brain may ultimately help educators and others to design more effective learning environments.

The present study found some unexpected trends, including the tendency for female subjects to be more affected than males by the implicit signaling of social status during the test. Although all of the subjects scored similarly on the paper-and-pencil IQ test, 11 of the 14 Low Performers on the ranked group IQ task were female, while 10 of the 13 High Performers were male. Due to sample size limitations, additional studies are needed to validate the finding and to investigate possible causes.

In addition to Quartz and Montague, additional authors on the paper, “Implicit signals in small group settings and their impact on the expression of cognitive capacity and associated brain responses,” are Kenneth Kishida of Virginia Tech Carilion Research Institute, Dongni Yang of the Baylor College of Medicine, and Karen Hunter Quartz of the University of California, Los Angeles. Montague is also affiliated with the Wellcome Trust Centre for Neuroimaging in London. The work was funded by the Wellcome Trust Principal Research Fellowship, the Kane Family Foundation, and the National Institutes of Health.

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Written by Kimm Fesenmaier

Deborah Williams-Hedges
626-395-3227

The part of this I find fascinating, even though I’m tempted to point out I’ve always found meetings a bit mind-numbing, is the apparent systemic nature of IQ and overall cognitive ability, and it’s (again apparent; more research is in order) cultural sensitivity. The apparent gender bias, for instance, tracks well with much previously observed behavior. I suspect there would be other, similar results in the future related to less generic (genderic?) aspects of culture as well. Vewy intewesting!