Monday, December 27, 2021

E.O. Wilson, a Pioneer of Evolutionary Biology, Dies at 92

A Harvard professor for 46 years, he was an expert on insects and explored how natural selection and other forces could influence animal behavior. He then applied his research to humans.

...During his baptism, he became keenly aware that he felt no transcendence. "And something small somewhere cracked," Dr. Wilson wrote. He drifted away from the church.

"I had discovered that what I most loved on the planet, which was life on the planet, made sense only in terms of evolution and the idea of natural selection," Dr. Wilson later told the historian Ullica Segerstrale, "and that this was a far more interesting, richer and more powerful explanation than the teachings of the New Testament."
...
nyt

Sunday, December 26, 2021

‘Magic’ Weight-Loss Pills and Covid Cures: Dr. Oz Under the Microscope

The celebrity physician, a candidate in Pennsylvania's Republican primary for Senate, has a long history of dispensing dubious medical advice on his daytime show and on Fox News.

...Over the years, Dr. Oz, 61, has faced a bipartisan scolding before a Senate committee over claims he made about weight-loss pills, as well as the opposition of some of his physician peers, including a group of 10 doctors who sought his firing from Columbia University's medical faculty in 2015, arguing that he had "repeatedly shown disdain for science and for evidence-based medicine." Dr. Oz questioned his critics' motives and Columbia took no action, saying it did not regulate faculty members' participation in public discourse...

nyt 

Friday, December 24, 2021

James F. Fries, Who Studied the Good Life and How to Live It, Dies at 83

He showed that while a healthy lifestyle won't help us live much longer, it can stave off chronic disease and disability until our final years.

James F. Fries majored in philosophy as an undergraduate, so it's no surprise that as a medical researcher he was obsessed with how to lead a good life, even though his interest was more about physical than moral well-being.

His focus, starting in the mid-1970s, was on what Dr. Fries (pronounced freeze) and other scientists called the failure of success. They noted that one great achievement of the 20th century was the rapid increase in life expectancy, thanks to improvements in vaccinations and sanitation that dramatically reduced deaths from acute, transmissible disease.

But that increase in life span did not mean an accompanying increase in "healthspan," or the duration of one's life free from chronic conditions like hypertension, diabetes and heart disease.

Dr. Fries, who trained as a rheumatologist and spent his entire teaching career at Stanford University, was a data guy, long before large data sets became a common tool in medical research. He was among the first to create an international database of patients that tracked their health over time, an enormous effort that began in 1975 with a grant from the National Institutes of Health...

https://www.nytimes.com/2021/12/24/health/james-f-fries-dead.html?smid=em-share

Tuesday, December 21, 2021

Pandemic science

"The pandemic revealed to us, over and over, the messy, fitful work of science. Hopefully anyone who once satisfiedly intoned, “I believe science,” now sees that science is not a monolith but a process. And this year we watched that process with unprecedented scrutiny—not “we” the science writers, but “we” the public, “we” the people desperate for news and information and, most of all, guidance. We were told to wash our hands, and then told that surface transmission was minimal. We were told that masks were unnecessary, and then that they were our most essential defense, and then that to wear them outside was more deference to politics than public health. None of these changes and reconsiderations meant that science had failed us. Science, to the extent that it’s a cohesive entity, was simply doing its job—gathering evidence, testing theories, refining our understanding of the world."

"The Best American Science And Nature Writing 2021" by Jaime Green, Ed Yong: https://a.co/dwPdfWl

Sunday, December 19, 2021

Read the syllabus

Professor Put Clues to a Cash Prize in His Syllabus. No One Noticed.
Tucked into the second page of the syllabus was information about a locker number and its combination. Inside was a $50 bill, which went unclaimed.

Kenyon Wilson, a professor at the University of Tennessee at Chattanooga, wanted to test whether any of his students fully read the syllabus for his music seminar.

Of the more than 70 students enrolled in the class, none apparently did.

Professor Wilson said he knows this because on the second page of the three-page syllabus he included the location and combination to a locker, inside of which was a $50 cash prize.

"Free to the first who claims; locker one hundred forty-seven; combination fifteen, twenty-five, thirty-five," read the passage in the syllabus. But when the semester ended on Dec. 8, students went home and the cash was unclaimed.

"My semester-long experiment has come to an end," Mr. Wilson wrote on Facebook, adding: "Today I retrieved the unclaimed treasure."
...

Wednesday, December 8, 2021

The World Is Unprepared for the Next Pandemic

The latest Global Health Security Index finds that no country is positioned well to respond to outbreaks.

“I would call this a damning report,” said Dr. Rick Bright, the chief executive of the Rockefeller Foundation’s Pandemic Prevention Institute, who was not involved in creating the index. “The world is not ready.”
https://www.nytimes.com/2021/12/08/health/covid-pandemic-preparedness.html?smid=em-share

I’m an E.R. Doctor in Michigan, Where Unvaccinated People Are Filling Hospital Beds

With every shift, I see the strain people sick with Covid-19 put on my hospital.

...I often feel full of trauma, guilt and despair. I'm mad at the Fox News personalities and the Republican politicians who downplay vaccination. I'm frustrated with people who aren't doing more to protect themselves and their loved ones. Sometimes, I'm just mad with a kind of seething aimless anger. But even on the hardest days I box my emotions and get back to the work of caring for patients because I made a commitment to heal people, not hold grudges...

nyt

Monday, December 6, 2021

What’s Really Behind Global Vaccine Hesitancy - The Atlantic

"In the public-health world, the rise of Omicron prompted a great, big "I told you so." Since the new variant was detected in South Africa, advocacy groups, the WHO, and global-health experts have said the new variant was a predictable consequence of vaccine inequity. Rich countries are hoarding vaccine doses, they said, leaving much of the developing world under-vaccinated. But in reality, countries with low vaccination rates are suffering from more than just inequity..."

https://www.theatlantic.com/politics/archive/2021/12/which-countries-have-most-anti-vaxxers/620901/

Sunday, December 5, 2021

Is It OK to Claim a Religious Exemption to the Covid Vaccine?

"…Some people seem to think that merely uttering the words 'religious exemption' obliges us to let them do whatever they want that way chaos lies."

https://www.nytimes.com/2021/11/30/magazine/religious-exemption-covid-vaccine-ethics.html?referringSource=articleShare


Phil.Oliver@mtsu.edu
👣Solvitur ambulando
💭Sapere aude

Friday, December 3, 2021

 Low level hedonism is a maschochism


(https://www.webroot.com/us/en/resources/tips-articles/internet-pornography-by-the-numbers)

https://fightthenewdrug.org/how-porn-sex-technology-is-contributing-to-japans-sexless-population/ 

Continuing on the note of online pornography, addiction, digital representation 

In regards to online porn particularly we are having less of what we are representing. This is a loss of realizable potential. The perfect example of substituting the desire to directly experience what we actually want and finding counterfeit or making counterfeit versions of it. There is a perfect example of this in play in an example found in a baby boomer trend. The increasingly industrialized, suburbanized baby boomers’ had a generational obsession with the old west. They want what they can’t have, the freedom, the simplicity, and the ruggedness the cowboy archetype embodies. He is everything they want to be and can’t be.

Actual, real, direct, attainable, and sustainable, meaningful,  pleasure is cut off, isolated, replaced, and substituted for a phony simulacrum of this pleasure which actually retards and handicaps the brain circuitry which regulates and produces this pleasure response. And our actual sex lives if we have any, are regulated by this simulacrum, or better yet existentially downgraded, since the act itself becomes identified with its representation, rather than its direct expression. We can only find a home in the counterfeit of our desires. 


Porn addicts do experience brain damage. The neurochemical reason for this is due to overstimulation and eventually degrading of certain areas of the brain. This can and does result in loss of willpower-executive function. And perhaps a relevant anecdote: a materialization, depersonalization of women, which is a fissure between you and the other half of the species. It widens an interpersonal wall between you and the other sex.

Really distorting perception and blocking off normal inter-sexual relations. 


An academic article on internet pornography addiction reads, “Many recognize that several behaviors potentially affecting the reward circuitry in human brains lead to a loss of control and other symptoms of addiction in at least some individuals. Regarding Internet addiction, neuroscientific research supports the assumption that underlying neural processes are similar to substance addiction”. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4600144/



The level of dopamine secretion in the brain engaged by pornography has no rival or parallel in nature whatsoever. Porn’s effects on the brain can be described as acting like that of a super drug. The user actually is damaging the dopamine reward system which is the single mediator between our bodies and the pleasure which can be gained or accessed normally/naturally. They are crippled by these effects. They are handicapped by this dopamine feedback loop which closes the possible attainable pleasure in life or pleasure from life. As well as closing the very real sense of acting on one’s own will. 


The reason why this is so relevant philosophically is we take for granted our own ability to filter what we want out of us, through our power of will, our self-control. But this is nonsense, the chemical balance that makes people who they are if thrown off just a hair can change their whole emotional state, their personality, their relationship to others. Being you is being in a perfectly balanced chemical equilibrium. “We” are finely tuned systems that can be set off-kilter very easily. Also, the very will itself is altered and replaced by this very same dopamine feedback loop, damaging our very necessary and very important neural reward system. 


This online trend of internet pornography is just a reflection of our collective masochism, self-loathing, self-destruction disguised as hedonism. When in fact the person is able to literally attain less pleasure than the normal person, his equipment for doing so is damaged. Pleasure is just a neural circuit and it can be damaged. 


Real hedonism should be concerned with sustaining, attainable, pleasure, and doing so in a way that allows its continued consumption, and access. This online porn literally fits the definition of masochism: gaining pleasure from one’s pain. Or for our purposes, one’s neural destruction. 


This is also just the neuroscientific effects of this digital masochism. This does not account for the ontological degradation and alienation which is taking place in more pronounced ways and at higher levels.  Pornography is just a microcosm, and it does more damage to the person than mere bodily harm; it damages the person’s comprehension of the most meaningful activity for many they will engage in their lives.


 In quiet, dull isolated post-industrial lives, sex is on an island, one of the few remaining avenues or arenas where immense and intense sensory stimulation is still in reach. It is the only activity in life where direct stimulation of the organs is possible. Food being of course a poor substitute for this. The pleasure from this is simply not available in any other area of life.  Simulacrum, or pornography which I have identified as digital machoism, is the philosophy of the internet. It replaces the actual act of sex and sexuality with a simulacrum a phony, to quote Jean Badudrllad we are dealing with hyperreality. “Hyperreality is the inability of consciousness to distinguish reality from a simulation of reality, especially in technologically advanced societies.[8]”https://www.mlsu.ac.in/econtents/2289_hyper%20reality%20boudrilard.pdf


Or in other words when the simulation of sex replaced the act then sex is over. Sex is a power that can generate life-changing pleasure which brings a person up in the stratosphere above the petty, arduous and banal, pain, and bore of the culture we are all trapped in, the pleasure which cuts through the miasma of his or her entire nihilistic era. An act which is the condition for sustaining the final remaining remnant of our nature, the “couple” more than a sociological unit, it is a living organism. The final vestige of our former paleolithic tribal nature. Real, actual, romantic relationships, with someone you care for, supply us with enough wholeness to make industrial pressures and stresses endurable, or more endurable. 

And the only thing, which can make such stresses endurable, if not the fulfillment of love, then hope, the aim, the pursuit of love, which is the only real aim or dream that can bring lasting happiness for many of us, in my view anyway. This is all lost when we masochistically botch off the real for the hyperreal. 



These are the effects of the imposture of hedonism we are talking about. This is only one example, social media itself is a dopamine feedback loop that harvests and mines your pleasure response. The drive and expansion of these technologies are predicated entirely on advertising, and the point of course is to waste your time. Your time is a resource to be mined, and your dopamine is a drug to be exploited to keep you coming back for more. Social media could as well be the face of this new masochism. Micro-identities spawned by the internet seem to replace real living communities with counterfeits. 


Online relationships are not possible. This is another example of the masochistic decline in our culture. Real face-to-face interaction is not possible to replace. All human communication is predicated on micro cues, which are removed in indirect, online, or technological contact. This is a sort of emotional genocide or war on our species nature. Intelligence is threefold: mathematical, linguistic, and emotional, we have cut out a whole aspect of ourselves, the emotional is forgotten. The cold screen of cell phones will never replace warm direct interpersonal contact. There is no personality, no tactile feedback, no humanity to carbon replacements for human contact which constitutes almost the entire internet and its subsequent micro identities. And almost our entire media, and our entire technological culture predicated on fulfilling the bottom line, expanding progress, efficiency at the expense of us. This is a deep self-hatred of species-wide scale, we are talking about, it can’t be anything else to do to each other so wrong.

"The Virus That Shook the World"-COVID Frontline documentary

Thursday, December 2, 2021

Public health and Well-being

Vivek Murthy and Richard Davidson – The Future of Well-being
On Being with Krista Tippett

What if the future of well-being is about "tipping the scales in the world away from fear and toward love"? And what if it's a surgeon general of the United States, Dr. Vivek Murthy, who talks this way? Krista draws him out with his friend, the groundbreaking neuroscientist Richard Davidson. Together they carry deep intelligence and vision from the realms of science and public health, expansively understood. They explore all we are learning to help move us forward as a species. This conversation was held as a live Zoom event, sponsored by the Center for Healthy Minds.

What if the future of well-being is about "tipping the scales in the world away from fear and toward love"? And what if it's a surgeon general of the United States, Dr. Vivek Murthy, who talks this way? Krista draws him out with his friend, the groundbreaking neuroscientist Richard Davidson. Together they carry deep intelligence and vision from the realms of science and public health, expansively understood. They explore all we are learning to help move us forward as a species. This conversation was held as a live Zoom event, sponsored by the Center for Healthy Minds.

Richard Davidson is the William James and Vilas Research Professor of Psychology and Psychiatry at the University of Wisconsin-Madison. He founded and directs the Center for Healthy Minds there, and was the Founding Director of the Waisman Brain Imaging Lab. He is also the Founder and Chief Visionary for Healthy Minds Innovations, a non-profit that translates laboratory science into real world tools. He is author of The Emotional Life of Your Brain.
Dr. Vivek Murthy is the 21st United States Surgeon General, commanding a service of more than 6600 public health officers. He also served in this role from 2014 to 2017. 

Find the transcript for this show at onbeing.org.

Listen on Apple Podcasts: https://podcasts.apple.com/us/podcast/on-being-with-krista-tippett/id150892556?i=1000543769935


Phil.Oliver@mtsu.edu
👣Solvitur ambulando
💭Sapere aude

Sunday, November 28, 2021

Could Covid Lead to Progress?

Mass tragedies sometimes have unexpected consequences.

...Of course, for meaningful lessons to be learned from a tragedy — whether a factory fire or a pandemic — you have to begin by acknowledging the facts of the event itself. The rise of Covid denialism, in America and elsewhere, is often taken as a reason to doubt that any progress will grow out of the tragedy of Covid-19. But as depressing as anti-science belligerence can sometimes be, there is abundant evidence that we are learning from this epidemic. To begin with, the period from March 2020 to May 2020 almost certainly marked the most significant short-term change ever in worldwide human behavior. Vast sections of the planet effectively froze in place for a few months, and then adopted, en masse, a whole new set of routines to flatten the curve and slow the spread — a genuinely new trick for Homo sapiens. It was not obvious in advance that such a thing was even possible.

Imagine, if you can bear it, what happens the next time word emerges of a novel virus devastating a midsize city somewhere in the world. The slow-motion reaction that characterized the global response to the news from Wuhan in early 2020 would be radically accelerated. Even without public-health mandates, a significant part of the world’s population, particularly in cosmopolitan cities that were hit hard in the early days of Covid, would instantly mask up; where possible, workers would switch back to Zoom; unnecessary travel would cease. No doubt some portion of the population would play down the magnitude of the threat or invent a preposterous conspiracy theory to explain it. But a meaningful number of people would switch back into the “pandemic mode” they learned in 2020-21...
https://www.nytimes.com/2021/11/22/magazine/covid-progress.html?smid=em-share

The Gene-Synthesis Revolution

Researchers can now design and mass-produce genetic material — a technique that helped build the mRNA vaccines. What could it give us next?

...In a way, that future has arrived. Gene synthesis is behind two of the biggest “products” of the past year: the mRNA vaccines from Pfizer and Moderna. Almost as soon as the Chinese C.D.C. first released the genomic sequence of SARS-CoV-2 to public databases in January 2020, the two pharmaceutical companies were able to synthesize the DNA that corresponds to a particular antigen on the virus, called the spike protein. This meant that their vaccines — unlike traditional analogues, which teach the immune system to recognize a virus by introducing a weakened version of it — could deliver genetic instructions prompting the body to create just the spike protein, so it will be recognized and attacked during an actual viral infection.

As recently as 10 years ago, this would have been barely feasible. It would have been challenging for researchers to synthesize a DNA sequence long enough to encode the full spike protein. But technical advances in the last few years allowed the vaccine developers to synthesize much longer pieces of DNA and RNA at much lower cost, more rapidly. We had vaccine prototypes within weeks and shots in arms within the year.

Now companies and scientists look toward a post-Covid future when gene synthesis will be deployed to tackle a variety of other problems. If the first phase of the genomics revolution focused on reading genes through gene sequencing, the second phase is about writing genes. Crispr, the gene-editing technology whose inventors won a Nobel Prize last year, has received far more attention, but the rise of gene synthesis promises to be an equally powerful development. Crispr is like editing an article, allowing us to make precise changes to the text at specific spots; gene synthesis is like writing the article from scratch...
https://www.nytimes.com/2021/11/24/magazine/gene-synthesis.html?smid=em-share

Monday, November 22, 2021

PHIL 3345-Spring 2022

 Returning to MTSU, January 2022-

PHIL 3345,
Dr. Phil Oliver-Office hours TTh 11:15-12:45 & by appt.
TTh 4:20-5:45 pm, James Union Building (JUB) 202
Supporting the philosophical study of bioethics, biomedical ethics, biotechnology, and the future of life, at Middle Tennessee State University and beyond... "Keep your health, your splendid health. It is better than all the truths under the firmament." William James
===

Our anchoring theme: the psychological and social dimensions of medicine and the life sciences from birth to death, with a special emphasis this semester on the ethics of pandemic and public health.

Texts 2022. We’ll begin with these texts:

  • Bioethics: The Basics (Campbell) ”...the word ‘bioethics’ just means the ethics of life…”  
  • Beyond Bioethics (Obasogie) “Bioethics’ traditional emphasis on individual interests such as doctor-patient relationships, informed consent, and personal autonomy is minimally helpful in confronting the social and political challenges posed by new human biotechnologies…”  
  • The Premonition (Lewis) "The characters you will meet in these pages are as fascinating as they are unexpected. A thirteen-year-old girl’s science project on transmission of an airborne pathogen develops into a very grown-up model of disease control. A local public-health officer uses her worm’s-eye view to see what the CDC misses, and reveals great truths about American society..."  
  • Lifelines: A Doctor's Journey in the Fight for Public Health (Wen) “Public health saved your life today—you just don’t know it” is a phrase that Dr. Leana Wen likes to use. You don’t know it because good public health is invisible. It becomes visible only in its absence, when it is underfunded and ignored, a bitter truth laid bare as never before by the devastation of COVID-19. 

 

Each student will also choose and report on an additional relevant texts pertaining to public health, thus enabling us to extend our study of the field by “crowd-sourcing” many more of the crucial issues it raises.

For more info contact phil.oliver@mtsu.edu

Saturday, November 13, 2021

Whether Patients Understand Is Beside the Point

Ending health disparities is too important a goal to cede to propagandists.

Last week, during a White House press briefing on COVID-19, CDC Director Rochelle Walensky urged Americans to get jabs for their kids. “We know that vaccination helps to decrease community transmission,” she said, “and protect those who are most vulnerable.”


Her message was succinct, accurate, and easy to understand. But it was at odds with new guidance from the American Medical Association and the Association of American Medical Colleges. In a document called Advancing Health Equity: A Guide to Language, Narrative and Concepts, the AMA and AAMC urge physicians and other health-care workers to replace many “commonly used” words, such as vulnerable, with “equity-focused” alternatives, such as oppressed...


https://www.theatlantic.com/ideas/archive/2021/11/leftist-language-policing-wont-fix-health-disparities/620695/?utm_source=email&utm_medium=social&utm_campaign=share

Tweet by Gregg Caruso on Twitter



Phil.Oliver@mtsu.edu
👣Solvitur ambulando
💭Sapere aude

Wednesday, October 27, 2021

How to Talk to a Science Denier | Center for Inquiry

A generation ago, the flat-earther at the end of the bar or the anti-evolutionist in front of a congregation could be ignored. But today's science deniers—climate change skeptics and Covid anti-vaxxers—threaten all of us: solutions to both global catastrophes require the public's collective buy-in. Drawing on the latest academic research and his own experience speaking with those doubtful of established facts—including at a recent Flat Earth convention in Denver—McIntyre outlines the common themes and psychological roots of science denialism, illustrating a throughline from the disinformation campaigns created by tobacco companies in the 1950s to today's climate deniers, anti-vaxxers and Covid-deniers. Importantly, he also offers tools, techniques, and reasoning strategies that are effective in mitigating the effects of scientific disinformation. When science denial becomes a public health threat, all of us—laypeople and experts alike—have a responsibility to help combat it
https://centerforinquiry.org/video/how-to-talk-to-a-science-denier/

Monday, October 18, 2021

Public Health Is in Crisis

Threats, Resignations and 100 New Laws: Why Public Health Is in Crisis

An examination of hundreds of health departments around the country shows that the nation may be less prepared for the next pandemic than it was for the current one.

PORT ANGELES, Wash. — As she leaves work, Dr. Allison Berry keeps a vigilant eye on her rearview mirror, watching the vehicles around her, weighing if she needs to take a more circuitous route home. She must make sure nobody finds out where she lives.

When the pandemic first hit the northern edge of Washington's Olympic Peninsula, Dr. Berry was a popular family physician and local health officer, trained in biostatistics and epidemiology at Johns Hopkins University. She processed Covid-19 test kits in her garage and delivered supplies to people in quarantine, leading a mobilization that kept her counties with some of the fewest deaths in the nation.

But this summer, as a Delta variant wave pushed case numbers to alarming levels, Dr. Berry announced a mask mandate. In September, she ordered vaccination requirements for indoor dining.

By then, to many in the community, the enemy was not the virus. It was her.

Dr. Berry should be attacked "on sight," one resident wrote online. Someone else suggested bringing back public hangings. "Dr. Berry, we are coming for you," a man warned at a public meeting. An angry crowd swarmed into the courthouse during a briefing on the Covid-19 response one day, looking for her, and protesters also showed up at her house, until they learned that Dr. Berry was no longer living there... (continues)

Friday, October 15, 2021

Public Health Ethics

At its core, public health is concerned with promoting and protecting the health of populations, broadly understood. Learn more about Public Health Ethics here: https://t.co/1e8SLW7src
(https://twitter.com/dailySEP/status/1448924328712708098?s=02)

Sunday, October 10, 2021

Anti-vaccine chiropractors rising force of misinformation

Anti-vaccine chiropractors rising force of misinformation
https://www.latimes.com/world-nation/story/2021-10-09/anti-vaccine-chiropractors-rising-force-of-misinformation


Phil.Oliver@mtsu.edu
👣Solvitur ambulando
💭Sapere aude

Wednesday, October 6, 2021

‘You’re Dying,’ I Told My Patient. I Wish I Hadn’t.

Why a patient in denial is such a challenge for doctors.

My patient's chart was brief. A diagnosis of colon cancer that might have been cured had he not disappeared from medical care to return, nearly a year later, with cancer so advanced that it had torn through his intestines.
Colleagues at the hospital had called him to schedule appointments, to get follow-up and to start chemotherapy, but he never responded. Now he was back, but there was nothing the surgeons could fix, and so he would remain in the intensive care unit until his death.
When he arrived in our unit one night last winter, his cheeks were gaunt, his body wasted and abdomen protruding. He was also angry. As I remember the events of that night, as soon as the doctors in training and I gathered at his bedside to explain his prognosis, he lashed out. There was nothing wrong with him, he insisted. All he wanted was for us to treat his pain so that he could go home. He had things to do: a game to watch on television later that night.
As a critical care doctor, I am familiar with denial in its many permutations. I know how it feels to sit at a bedside and in windowless conference rooms, talking with families who cannot or will not let themselves acknowledge what is unfolding in front of them. We learn language to show that we are on their side, while also making it clear that things are not going to be OK. "I wish that the antibiotics were helping, but I worry that your loved one is dying," we say...

https://www.nytimes.com/2021/10/06/opinion/doctor-patient-death-truth.html?smid=em-share

Tuesday, July 27, 2021

Habit de-forming, for health and happiness

Harvard Center for Health and Happiness (@HarvardCenterHH) tweeted:

"All habits need to be re-examined from time to time."

This @GreaterGoodSC podcast examines the practice of temporarily abstaining from something you find enjoyable. Featuring @michaelpollan & Dr. @DunnHappyLab. https://t.co/bH0Remkn1e https://t.co/LNmO6oJ7DQ
(https://twitter.com/HarvardCenterHH/status/1418658460753858560?s=02)

Sunday, July 25, 2021

1st Black woman to earn a medical degree in the US

Overlooked No More: Rebecca Lee Crumpler, Who Battled Prejudice in Medicine
As the first Black woman to earn a medical degree in the United States, she persevered to make care accessible to women and Black communities, regardless of their ability to pay.

This article is part of Overlooked, a series of obituaries about remarkable people whose deaths, beginning in 1851, went unreported in The Times.

For more than 125 years, people trampled — unknowingly — across the grass where Rebecca Lee Crumpler rests in peace alongside her husband, Arthur, at Fairview Cemetery in Boston.

Her burial plot was devoid of a gravestone even though she held a unique distinction: She was the first Black woman to receive a medical degree in the United States.

It would take more than a century, from her death in 1895 until last year, for Crumpler to be given proper recognition by a group of Black historians and physicians. Were it not for them, she might still be languishing in anonymity... nyt

Sunday, June 6, 2021

What the Covid Rookies Saw

As the coronavirus tore through New York, a group of medical students graduated early to help the hospitals under siege and found courage they didn’t know they had.
https://www.nytimes.com/2021/06/04/opinion/covid-new-doctors-healthcare-workers.html?smid=em-share

Alzheimer’s Drug Poses a Dilemma for the F.D.A.

If the agency approves it, aducanumab would be the first new Alzheimer’s treatment since 2003. Patients are desperate for new options, but some scientists say there isn’t enough evidence it works.

https://www.nytimes.com/2021/06/05/health/alzheimers-aducanumab-fda.html?smid=em-share

Thursday, June 3, 2021

‘I Had Never Faced the Reality of Death’: A Surgeon Becomes a Patient

Infected early in the pandemic, Dr. Tomoaki Kato, a renowned transplant surgeon, was soon on life support, and one of the sickest patients in his own hospital.
==

Early in the pandemic, as hospitals in New York began postponing operations to make way for the flood of Covid-19 cases, Dr. Tomoaki Kato continued to perform surgery. Patients still needed liver transplants, and some were too sick to wait.


At 56, Dr. Kato was healthy and exceptionally fit. He had run the New York City Marathon seven times, and he specialized in operations that were also marathons, lasting 12 or 16 or 20 hours. He was renowned for surgical innovations, deft hands and sheer stamina. At NewYork-Presbyterian/Columbia University Irving Medical Center, where he was the surgical director of adult and pediatric liver and intestinal transplantation, his boss has called him “our Michael Jordan.”


Dr. Kato became ill with Covid-19 in March 2020.


“I was in a denial situation,” he said. “I thought I was going to be fine.”


But he soon became one of the sickest patients in his own hospital, dependent on a ventilator and other machines to pump oxygen into his bloodstream and do the work of his failing kidneys. He came close to death “many, many times,” according to Dr. Marcus R. Pereira, who oversaw Dr. Kato’s care and is the medical director of the center’s infectious disease program for transplant recipients...

https://www.nytimes.com/2021/06/03/health/covid-19-diagnosis-surgeon.html?smid=em-share

Sunday, May 16, 2021

How Humanity Gave Itself an Extra Life

How Humanity Gave Itself an Extra Life

...How did this great doubling of the human life span happen? When the history textbooks do touch on the subject of improving health, they often nod to three critical breakthroughs, all of them presented as triumphs of the scientific method: vaccines, germ theory and antibiotics. But the real story is far more complicated. Those breakthroughs might have been initiated by scientists, but it took the work of activists and public intellectuals and legal reformers to bring their benefits to everyday people. From this perspective, the doubling of human life span is an achievement that is closer to something like universal suffrage or the abolition of slavery: progress that required new social movements, new forms of persuasion and new kinds of public institutions to take root. And it required lifestyle changes that ran throughout all echelons of society: washing hands, quitting smoking, getting vaccinated, wearing masks during a pandemic... 

Steven Johnson 

https://www.nytimes.com/2021/04/27/magazine/global-life-span.html?referringSource=articleShare


Phil.Oliver@mtsu.edu
👣Solvitur ambulando
💭Sapere aude

America is Failing Its Moral Test on Vaccines

Vaccinating the world is possible. The United States should lead the way. 

The United States is well on its way to protecting Americans from the coronavirus. It's time to help the rest of the world. By marshaling this nation's vast resources to produce and distribute enough vaccines to meet global demand, the United States would act in keeping with the nation's best traditions and highest aspirations while advancing its geopolitical and economic interests. It is a moment of both obligation and opportunity.

Unfortunately, instead of a bold, comprehensive strategy to vaccinate the world as quickly as possible, the Biden administration has thus far made a string of tactical decisions: donating millions of doses to countries in need, signaling its support for patent waivers that might expedite vaccine production efforts and nudging two companies — Merck and Johnson & Johnson — to collaborate on increasing supply. These are good steps, but they are not nearly sufficient to meet the moment. The United States and the rest of the world's wealthiest nations are facing a great moral challenge.

Covax, the World Health Organization's initiative to pool vaccine resources, remains profoundly underfunded and has failed to meet even its modest target of vaccinating one-fifth of the population in the Global South. Without a major course correction, the rest of the world will have to wait until 2023 or later for large-scale vaccination initiatives like the one underway in the United States. The consequences of this disparity are expected to be severe. Hundreds of thousands more people will get sick and die from a disease that is now preventable with a vaccine. The global economy will contract by trillions of dollars, according to the International Chamber of Commerce, and tens of millions of people will plummet into extreme poverty as the virus continues to fester and evolve in the world's more vulnerable reaches.

As global hunger rises and global life expectancy falls, instability will prevail. Already, Colombia is mired in deadly protests over the pandemic's economic fallout. India is facing its gravest humanitarian catastrophe in a generation. As the United Nations has warned, a similar crisis in Syria would be catastrophic...

Wednesday, May 5, 2021

"a moral and epidemiological failure"

As Covid Ravages Poorer Countries, Rich Nations Spring Back to Life

Despite early vows, the developed world has done little to promote global vaccination, in what analysts call both a moral and epidemiological failure.

The contrast could hardly be sharper.

In much of the developed world, vaccine orders are soaring into the billions of doses, Covid-19 cases are easing, economies are poised to roar to life and people are busy lining up summer vacations. In many less developed nations, though, the virus is raging on, sometimes out of control, while vaccinations are happening far too slowly to protect even the most vulnerable.

That split screen — clubs and restaurants reopening in the United States and Europe while people gasp for oxygen in India — was never supposed to be so stark. Some 192 countries signed up last year for Covax, a vaccine-sharing partnership, and the Gates Foundation poured $300 million into an Indian factory to make doses for the world's poor. The European Union's top executive told a global summit last June: "Vaccination is a universal human right."

But the virus is spreading more rapidly than ever, driven largely by gains in South America and India, and the campaign to vaccinate the world is floundering.

India, an important source of vaccines in normal times, has halted exports as it fights a record surge in the virus and an expanding humanitarian crisis. That has delayed critical shipments, with India making the majority of Covax supplies... nyt

Friday, April 30, 2021

Vaccine hesitancy

Sunday, April 25, 2021

Peter Singer interview

The New Yorker has just published a long interview with on a wide range of issues - it's a condensation of 3 interviews over about 5 hours, and has come out well: https://t.co/0owqCXQg7y
(https://twitter.com/PeterSinger/status/1386302543995695109?s=02)

Sunday, April 11, 2021

Medical School Needs a Dose of the Humanities

The horrors of Covid-19 may give proponents of the liberal arts an unexpected opening.

Over the past year, ordinary medical research nearly ground to a halt as researchers focused on coronavirus vaccine trials and treatments. Single-mindedness paid off. Drugmakers developed lifesaving vaccines in record time, and now a third of Americans are at least partially vaccinated.

But ultimately, the pandemic is a once-in-a-century crisis that may force health professionals and medical schools to look beyond the traditional tools of modern medicine and think more broadly about how we train doctors to grapple with public health catastrophes.

There were signs of a reckoning at the very start of the pandemic. When Covid-19 hit the Northeast, the Yale School of Medicine moved classes online and pulled many students off clinical rotations. "The dean sent an email that said, go home, take this time to study," Max Jordan Nguemeni Tiako, a Yale medical student, told me. "I thought, oh my God, I can't imagine studying for an exam right now." Mr. Tiako and a small number of the faculty and students worked together to create new courses that students could take instead, including an intriguing elective called "Covid-19: A History of the Present."

The class — convened over Zoom, of course — gave the 65 students who signed up an opportunity to document and analyze their pandemic experiences. Some were helping friends and family sift through unreliable medical information; others were caring for children or volunteering in underserved communities in New Haven. But the course was also a beachhead for the medical humanities, a broad field that includes disciplines ranging from philosophy and history to visual art, creative writing and film. The medical humanities focus on a question: "What does it mean to make a healer, to train people who can attend to suffering?" Joanna Radin, a Yale historian who helped teach the new class, told me... 

Monday, March 22, 2021

On Immunity (Eula Biss)

...Biological and social, our interdependence is a defining feature not only of our civilization, not only of our species and all living species, but of life itself — life the physiological process and life the psychosocial phenomenon. "Every atom belonging to me as good belongs to you," Walt Whitman exulted in the golden age of chemistry — the new science he saw as "the elevating, beautiful, study… which involves the essences of creation." Meanwhile, the development of cell theory was revolutionizing biology, making of this philosophical field as old as Aristotle an even newer science that illuminated the essence of life. Cells became to biology what atoms were to chemistry. Biology ushered in the revelation that every cell belonging to me as good — as healthy, as vital, as fit for replication — belongs to you.

That delicate interdependence of life and lives, with its tangled roots in biology and cultural history, is what Eula Biss explores in On Immunity: An Inoculation (public library) — a book of penetrating and poetic insight, drawn with that rare scholarship capable of correcting the warped cultural hindsight we call history; a book of staggering foresight, conceived in the wake of the H1N1 flu pandemic, yet speaking with astonishing prescience to the complex epidemiological realities and social dynamics of the COVID-19 pandemic unfolding more than five years after its publication...

https://www.brainpickings.org/2021/03/19/eula-biss-on-immunity/?s=02

Tuesday, March 16, 2021

"The Lessons of the Pandemic" (1919)

In 1919, the journal Science published "The Lessons of the Pandemic," assessing what was learned from the Spanish flu. A hundred-plus years of medical progress later, the same challenges remain.  https://t.co/fzmSIoXL5Z
(https://twitter.com/NYTScience/status/1371815489224212483?s=02)

CDC identifies public-health guidance from the Trump administration that downplayed pandemic severity

Federal health officials have identified several controversial pandemic recommendations released during the Donald Trump administration that they say were "not primarily authored" by staff and don't reflect the best scientific evidence, based on a review ordered by its new director.

The review identified three documents that had already been removed from the agency's website: One, released in July, delivered a strong argument for school reopenings and downplayed health risks. A second set of guidelines about the country's reopening was released in April by the White House and was far less detailed than what had been drafted by the CDC and the Federal Emergency Management Agency. A third guidance issued in August discouraged the testing of people without covid-19 symptoms even when they had contact with infected individuals. That was replaced in September after experts inside and outside the agency raised alarms...

https://www.washingtonpost.com/health/2021/03/15/cdc-removes-some-trump-era-guidance/

14 Lessons for the Next Pandemic

We asked doctors, scientists, public health experts and health advocates to take a look back — what would they redo, if they could?

One year. More than 500,000 dead. What did the United States do wrong in handling Covid-19? What needs to be rethought? We asked scientists, public health experts and health advocates to tell us about mistakes, missed chances and oversights — and how to prepare for the next pandemic.

https://www.nytimes.com/interactive/2021/03/15/science/lessons-for-the-next-pandemic.html?smid=em-share

Sunday, February 28, 2021

Regional disparities in COVID-19 mortality

For many statisticians, virologists, and public-health experts, the regional disparities in COVID-19 mortality represent the greatest conundrum of the pandemic. https://t.co/jceUvjwOAs
(https://twitter.com/NewYorker/status/1366103402850242569?s=02)