When I was in the hospital in December, my room mate was an old lady who could say three things: "Yes, No, Because". The nurses kept her in a chair by her bed which had an attached tray, like a high chair, which kept her trapped. The old lady would yell at anyone who came by, "Let me out of prison!" She had no idea the year, or where she was, and would constantly hurt herself trying to escape.
Her whole family came and visited her one day. Daughter, son-in-law, and various others. For two hours they all talked, while the old lady randomly yelled out "Yes", "No", or "Because", and incredibly the family always managed to make sense of her ranting. They just assumed she was responding to one of their comments.
Of course, it is possible they knew the extent of her dementia and were just trying to save her, or the other relatives, embarrassment. Or they were just trying to be positive. In any case, it makes me hope that euthanasia is legal by the time I'm in that condition.
Saturday, March 29, 2008
Saturday, March 22, 2008
Hospital - Part I - Crohn's
I spent a few weeks in the hospital due to my Crohn's disease. Being an engineer, I kept notes and have some interesting observations which I'll try and relate over the next few posts.
Crohn's disease is when your immune system attacks your intestines. It causes swelling which can be treated by anti-inflammatories (e.g., steroids) or immune suppressants (e.g., remicade). Crohn's symptoms read like a Pepto ad; it mainly causes pain and diarrhea.
The swelling eventually leads to scaring called strictures. Unlike the swelling, strictures can only be treated with surgery (usually a resection). I've had about 3 feet of small intestine removed (we have about 22 feet of small bowel total ... thanks Maxim!). Strictures can clog up with food and cause partial blockages, which is why I went into the hospital.
I've been to the hospital 3 times for partial blockages. Most times it happens late at night when the pain and nausea become too much for me to handle. The wait time in emergency has been between 2-5 hours before I get in, the nurse starts an intravenous line, and they give me pain-killers (usually Fentanyl). They always ask you to rate your pain between 1 and 10, with 10 being the worst pain in your life. I usually am at a 9 before I get the pain-killer, and have vomited several times.
Given that Crohn's is related to your immune and digestive systems, there are several lifestyle changes that will help reduce problems. Avoid weakening your immune system by not getting enough sleep, working too hard, drinking alcohol or coffee, or smoking. It is best to avoid difficult to digest foods like nuts and popcorn. I have found steak is particularly difficult to digest, and almost all my blockages have been preceded by eating steak (and Caesar salad ... thanks Earl's!).
In the next few blogs I'll try to go over some of the crazy roommates I had in the hospital, and essential things you should bring if you are going into the hospital.
Crohn's disease is when your immune system attacks your intestines. It causes swelling which can be treated by anti-inflammatories (e.g., steroids) or immune suppressants (e.g., remicade). Crohn's symptoms read like a Pepto ad; it mainly causes pain and diarrhea.
The swelling eventually leads to scaring called strictures. Unlike the swelling, strictures can only be treated with surgery (usually a resection). I've had about 3 feet of small intestine removed (we have about 22 feet of small bowel total ... thanks Maxim!). Strictures can clog up with food and cause partial blockages, which is why I went into the hospital.
I've been to the hospital 3 times for partial blockages. Most times it happens late at night when the pain and nausea become too much for me to handle. The wait time in emergency has been between 2-5 hours before I get in, the nurse starts an intravenous line, and they give me pain-killers (usually Fentanyl). They always ask you to rate your pain between 1 and 10, with 10 being the worst pain in your life. I usually am at a 9 before I get the pain-killer, and have vomited several times.
Given that Crohn's is related to your immune and digestive systems, there are several lifestyle changes that will help reduce problems. Avoid weakening your immune system by not getting enough sleep, working too hard, drinking alcohol or coffee, or smoking. It is best to avoid difficult to digest foods like nuts and popcorn. I have found steak is particularly difficult to digest, and almost all my blockages have been preceded by eating steak (and Caesar salad ... thanks Earl's!).
In the next few blogs I'll try to go over some of the crazy roommates I had in the hospital, and essential things you should bring if you are going into the hospital.
Friday, February 29, 2008
Empathism
I was raised non-religious, and I've struggled with an objective way to define morality that doesn't appeal to deities or ancient textbooks. The results of that struggle is an ethical system called Empathism.
The start of it came when I read an article which described how depraved the animal kingdom was. Murder, rape, assault, slavery, and child abuse occur in levels much higher than in human populations. Why are animals so immoral when compared to humans? If I could find the difference between animals and humans, I could find the reason for our behaviour.
Then I read an article about levels of consciousness. There are basically three levels:
Of course, it is more complicated than that. Some selfish behavioiur is required, or else you would die of starvation because you gave all your food away. But many ethical problems can be solved by applying this.
The start of it came when I read an article which described how depraved the animal kingdom was. Murder, rape, assault, slavery, and child abuse occur in levels much higher than in human populations. Why are animals so immoral when compared to humans? If I could find the difference between animals and humans, I could find the reason for our behaviour.
Then I read an article about levels of consciousness. There are basically three levels:
- Awareness - All animals are aware of their environment at some level, whether it is through sight, smell or touch. All behaviours are driven by instinct and are reactions to their environment.
- Self-Awareness - A tiny sliver of animals possess self awareness, the ability to identify themselves as unique. Some primates, like orangutans, and maybe dolphins possess this ability. The main method to study this is to put red dye on the animal and place them in front of a mirror. If they touch the spot on their body (usually the top of their head), then it means they understand the animal in the mirror is them, not just another animal. They figure orangutans evolved this ability to prevent them from falling out of trees (clambering theory).
- Others-Awareness - The final level is when you become aware that other people are self-aware. Only humans possess this ability, which is often described as empathy. It is interesting that children under 4 or 5 do not possess this ability. For example, if you put an object on a table, put a screen in front of it so the child can't see it but you can, and then ask the child, "Can I see the object", the child will answer no.
Of course, it is more complicated than that. Some selfish behavioiur is required, or else you would die of starvation because you gave all your food away. But many ethical problems can be solved by applying this.
Thursday, February 28, 2008
Liberal Deficit
Some viewer of CTV Calgary news emailed in saying Liberals have kept "us in the red", implying that Liberal parties tend to run deficits. Historically, this isn't always the case. While Liberal parties tend to fund social programs, they also tend to keep taxes high to pay for them. I've overlaid federal budget surpluses with Liberal governments. In the recent history, the Liberals have run large surpluses. In Alberta, the Liberals haven't been in power for 37 years. So what the heck was that viewer talking about? I would imagine it was just electioneering because Albertans vote on Monday for a new provincial government. Only Castro has ruled for more years that the Conservatives in Alberta.
Wednesday, February 27, 2008
Don't stop taking anti-stupid pills
A recent study found that placebos are nearly as effective as Prozac in dealing with mild depression.
http://www.breitbart.com/article.php?id=080227102745.p467o58k&show_article=1
Fine. But why would anyone think this means they should stop taking their anti-depressants? The study compared placebos (i.e., sugar pills) to anti-depressants, not nothing to anti-depressants. The doctors and researchers are still fairly sure that nothing still does nothing. This study reveals how powerful placebos are, not about how ineffective anti-depressants are.
http://www.breitbart.com/article.php?id=080227102745.p467o58k&show_article=1
Fine. But why would anyone think this means they should stop taking their anti-depressants? The study compared placebos (i.e., sugar pills) to anti-depressants, not nothing to anti-depressants. The doctors and researchers are still fairly sure that nothing still does nothing. This study reveals how powerful placebos are, not about how ineffective anti-depressants are.
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