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Lakeshore
An author of no particular popularity

Jay Lake
Date: 2009-02-24 05:15
Subject: [links] Link salad is trying hard to look like Gary Cooper
Security: Public
Tags:cancer, funny, health, links, personal, politics, religion, reviews, technology
A reader discusses The New Weird — Including a nod to my work. But "faithpunk"?

New adventures in comparative reporting — The Big Blog of Cheese is funny.

The 10 Emerging Technologies of 2009

Dilbert with an SFnal response to the current social and economic problems

Well, that's unusual...tacit with a perspective on the Catholic Church's stance on HIV and genetic engineering. (Thanks to danjite.)

When Will Emergency Rooms Go Back to Being Emergency Rooms? — The ER triage system nearly killed me, literally, when I first presented with the symptoms that turned out to be my colon cancer. It has some designed-in failure points which (presumably) represent the best-effort compromise of limited resources, but people with sprained ankles were being jumped ahead of me in the queue while I was busy losing 25% of my blood volume, simply because they expressed pain and I didn't. If I'd been left in the lobby another 10 or 15 minutes, the abrupt collapse of blood pressure I experienced inside the ER could have been fatal. So I'm kind of sensitive to this issue.

?otD: What do you put on your Ritz?




2/24/2009
Body movement: 45 minute stationary bike ride
This morning's weigh-in: n/a (spaced out)
Currently reading: The Confidence-Man: His Masquerade by Herman Melville; Black Blade Blues by John Pitts


Originally published at jlake.com.

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User: joycemocha
Date: 2009-02-24 15:27 (UTC)
Subject: (no subject)
Pope Sidious. Heh. I particularly like that term, especially since more folks will get it than if I keep calling him 'the Rat'.
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J Erwine - writer/editor
User: jerwine
Date: 2009-02-24 15:41 (UTC)
Subject: (no subject)
I know what you mean about the ER. My fiancee and I spent seven hours in the ER yesterday because she was having severe abdominal pains (worse than labor) and vomiting. Still, people who didn't seem to be having too many problems were admitted before us.

It turned out that she has kidney stones on both sides...even when they gave her pain meds in the ER, it only helped with the pain for a very brief period of time.

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Bibbit
User: bridget_coila
Date: 2009-02-24 15:51 (UTC)
Subject: (no subject)
The Catholic one is weird...especially since I happen to know it isn't actually true.

The Catholic church has no issues with gene therapy. Actual gene therapy, that is, (not talking about stem cell research-which is an entirely different thing, but the process of manipulating DNA for therapeutic purposes.)

Actual gene therapy was around long before stem cell research (which mostly came about after the early 1990s)and the Catholics have never had a problem with it. Still don't.

They DO have a problem with certain applications of it (like giving gene therapy or even hormonal treatments to make short kids grow taller- and lot of non-Catholics have problems with some of these things, too, btw.) But using gene therapy to combat viruses? Or to cure genetic diseases like cystic fibrosis or hemophilia? Never been a "sin" or even a problem.

They also DO have a strong position against stem cell research. (Which I think is harmful and misguided in its own way) But that is not in any way the same thing as being against gene therapy (which they most decidedly are NOT against).

I'm pretty anti-Catholic most days, but I try to limit my dislike of the Church to things that are actually true.

(As an aside- I do find it amusing that I got angry at the post not because of the religious aspects but because they got the science wrong! Damn laypeople who don't know their gene therapy from embryonic stem cell research! And don't get me started on the science journalists who probably started this whole thing!)

B
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Sean P. Fodera
User: delkytlar
Date: 2009-02-24 20:21 (UTC)
Subject: (no subject)
That's correct. The Catholic Church has no objection to gene therapies used to correct obvious genetic defects (such as those that cause diseases or abnormal development) or to eliminate viruses which may produce mutations in human DNA. The guy's whole post is based on misunderstanding a soundbite from a news article that doesn't even reflect the official position of the Church. Sounds like someone with an axe to grind, and no intellectual consideration of the subject at hand.
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User: csinman
Date: 2009-02-24 16:45 (UTC)
Subject: (no subject)
My Ritz approve of being slathered in cream cheese or peanut butter.
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Dave Thompson: beLIEve
User: krylyr
Date: 2009-02-24 17:00 (UTC)
Subject: (no subject)
Keyword:beLIEve
I would be very curious to read a collection of faithpunk.
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Menolly
User: nolly
Date: 2009-02-24 17:53 (UTC)
Subject: (no subject)
I would, too.
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brent_kellmer
User: brent_kellmer
Date: 2009-02-24 17:50 (UTC)
Subject: super dooper...
I understand about the ER debacle -- it's been that way for a long time and I think that the training system has to change significantly for that to change (which I don't forsee anytime soon). My mother taught nursing for years (she used to be Dean of the School of Nursing at WSU) and I remember volunteering for a "mock-disaster" that they had once for training students. They had faux-injury makeup that they used and it came across as very realistic -- in more ways than one. I was badly injured -- abdominal injury and internal bleeding, if I recall -- but I also had a nasty superficial wound on my face that would have made it painful to cry out for help or make a lot of noise. So ultimately, I got left for later in the queue -- behind broken legs -- because I couldn't express pain.

I think the big problem with most ERs is that they tend to be as much administration as anything else, and that's what the triage ends up based on, not the medical need. (I'll put in the obvious disclaimer that this isn't always the case, but it seems to be all too frequent).
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Jay Lake
User: jaylake
Date: 2009-02-24 17:53 (UTC)
Subject: Re: super dooper...
Yes, I apparently failed three tests:

1) Presented by private car. *All* ambulance rides take priority, even if they're just hangnails.
2) Express no pain. I wasn't in pain, it was internal bleeding. It didn't *hurt*, I was just filling a toilet bowl with bright blood every 15 minutes.
3) Have no visible trauma. Sprained ankles were seen ahead of me because of the visible trauma (and pain) tests.

I was literally bleeding to death in front of them, but because they couldn't *see* the blood, it didn't count.

Edited at 2009-02-24 05:54 pm (UTC)
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misofuhni: Magic--Fifth position en pointe
User: misofuhni
Date: 2009-02-25 02:47 (UTC)
Subject: Re: super dooper...
Keyword:Magic--Fifth position en pointe
If I may interject here.

I've had the dubious honour of dealing with emergency rooms in two countries. Thank goodness they were both English speaking countries. I'll break it down by incident.

Incident one: I broke my ankle in a major U.S. city while on holiday. I was presented to the E.R. by taxi and was placed in a wheelchair upon entering the E.R. I was not in pain (then again, I have a very high tolerance to pain. In fact, I refused a Percacet because I wasn't in pain.) Since it was a simple, double fracture, they could not diagnose until an X-ray was performed. The only delay of any real consequence was waiting for the bloodwork for the pre-op that we were trying to schedule. I was X-rayed, casted, typed, and EKGed in about 5 hours. No, I wasn't supposed to have been released, but I suppose they didn't have any beds around for me to be admitted to. Every doctor I tell this to ends up having to pick up their jaws when I told them I had an open-reduction surgery as an out-patient on a holiday week-end.

Bottom line: I feel that my case was handled in an efficient manner, with the exception of the lab, on the Thursday before a major holiday.

Incident two: I broke my ankle (the other one) in a small city outside of the U.S. I was presented to the E.R. by ambulance. My triage and stuff went well and was X-rayed within 2 hours. Again, I wasn't in pain, in fact, I was joking around with the O.P.P. who was flirting with me. About three hours after my entry to the E.R., they had a serious accident come in. Even with that interrupting my care, I was admitted within 5 hours. Surgery the next day, yada, yada, yada.

Bottom line: Different country, same care.

Where am I going with this? As the article states, use emergency rooms for emergencies. If you have a primary care doctor, call them. That is why they have beepers and answering services. I worked for a doctor for ten years and never did he ever complain about when I beeped him for a probable emergency. Better safe than sorry. I'm distressed to hear about the horrible care you received, but we, as consumers of medical advice, need to take our health into our own hands. Like the reporter stated about his grandfather, he avoided the E.R. Perhaps he did it in fear of the apathy of the triage system, or perhaps he did it because he knew what was going on and did what any other doctor would do.

End rant.

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Crystal erm Daisuki-chan
User: love_of_anime
Date: 2009-02-24 18:02 (UTC)
Subject: (no subject)
I can't resist speaking up now. Taco for one-million dollars and yes that's my final answer. I have it in my eighties play list.

♪If you're blue...♫ You drew me out with music. ^-^;;
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