MURDER, POLITICS, AND THE END OF THE JAZZ AGE
by Michael Wolraich
Order today at Barnes & Noble / Amazon / Books-A-Million / Bookshop
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MURDER, POLITICS, AND THE END OF THE JAZZ AGE by Michael Wolraich Order today at Barnes & Noble / Amazon / Books-A-Million / Bookshop |
Comments
excerpt
by artappraiser on Sat, 05/09/2020 - 2:56am
The following obit is a perfect example of why I don't think it's that fruitful to continually focus on demographics and risk factors and accessibility to health care, along the lines of victim olympics (though that is undoubtedly helpful for epidemiology as to controlling infection spread).
If this guy can't be sure of being saved, who can? As far as death and disability from this virus, it's just a crap shoot.
Dr. Barry Webber, Surgeon Who Stuck With His Patients, Dies at 67
Avoidance is the only thing we have right now. If you're going to complain about people with unfair risk, it is essential workers who have that, just that simple. It's not about access to treatment options. They don't which treatments work! They don't understand the disease yet! That's where the rich powerful sick have it just like the poor sick: once infected, it's a crap shoot.
In Peter Piot's story, another thing that stood out to me: he recounts how in hospital, he was afraid they might put him on a ventilator! Because he knew about it, that those on ventilators had a high death rate and no one is sure that it's helping more than hurting. That he was so grateful that powers-that-be decided he only needed oxygen. While at the same time explaining he was in no shape to even be involved in decisions about how he was being treated. This is one of the most famous virologists in the world! Just letting his fate up to whoever happened to be taking care of him behind those masks.
I lost a friend early on in the pandemic in NY. We in his circle have all heard he died on a ventilator in a pleasant small-ish hospital in the far north suburbs in NY near his home. All of us think he probably made a fatal mistake going there, just by virtue of that care team not knowing the latest on treatment protocols, which he would have had more access to at a busy public Queens hospital where all the poor people were being taken. Because: those teams, in those lousy crowded chaotic hosptials, would have been the ones learning the fastest about what treatments were working and what weren't.
by artappraiser on Sat, 05/09/2020 - 3:52am
I take your point that treatment options are very limited and we do not understand the disease yet. Identifying risk factors and examining demographics is important to that work. Alongside of the effort to produce a vaccine is the search for ways to reduce the lethality of it. Differentiating risk gives clues to pathology.
by moat on Sat, 05/09/2020 - 10:47am
One case proves nothing. You need demographics to verify patterns. Governor Cuomo is talking now about how they are putting more testing resources in minority neighborhoods to address the outsized number of coronavirus case coming from those neighborhoods.
When adult patients present with low oxygen levels, it is usually associated with elevated CO2 levels. The high CO2 level is detected by the brain and the sensation of shortness of breath occurs. Applying oxygen to hypoxic adult patients usually results in suppressing respiration by decreasing the brain sensing the low oxygen level. This is called hypoxic drive. Respiration stops. The technique used to increase oxygenation with out causing breathing to stop is to put the patient on a ventilator.
Because physicians were alert and questioned why ventilators were not helping in coronavirus they wondered why. They recognized CO2 levels were not as high as expected. They thought of children with congenital heart disease, some have low oxygen levels (cyanosis), but are still awake and alert. They looked for a different method of delivering oxygen. The prone position was a solution. They began administering blood thinners to treat the possibility that blood clots were forming in the lungs.
https://www.sciencemag.org/news/2020/04/why-don-t-some-coronavirus-patients-sense-their-alarmingly-low-oxygen-levels
Physicians on the front lines are looking at the data from a large number of cases. They do not believe that because one person died, no one can be saved.They are looking at demographics. They are about delivering health care. This is not about some mythical victim olympics. If you have read a report of your blood chemistry, you will see that a measurement of renal function called glomerular filtration rate (GFR). There are two levels considered normal. One is based on Caucasians, the second is specifically for African Americans. This is a new disease. Personal feelings about the use of demographics don't matter. Making sure that we maximize data retrieval to verify that treatments and access work for everyone.
by rmrd0000 on Sat, 05/09/2020 - 12:06pm
Sigfried & Roy lose partner
by PeraclesPlease on Sat, 05/09/2020 - 8:42am