Saturday, November 01, 2014

Seeking Meaning.

Dr. Craig Spencer's condition as updated this afternoon:



"Serious but stable," definition, please. Okay.



US practice

A wide range of terms are often used to describe a patient's condition. The American Hospital Association advises physicians to use the following one-word conditions in describing a patient's condition to those inquiring, including the media.
...

Serious

Vital signs may be unstable and not within normal limits. Patient is seriously ill. Indicators are questionable. http://en.wikipedia.org/wiki/Medical_state

Wait!

• Serious – Vital signs may be unstable and not within normal limits. Patient is acutely ill. Indicators are questionable. http://outbreaknewstoday.com/dr-spencers-condition-unchanged-tulsa-patient-tests-positive-for-malaria-59961/

On the whole, I think I'd rather be "seriously ill" rather than "acutely ill." I said I think.

Serious: Vital signs may be unstable and not within normal limits. Patient is acutely ill. Indicators are questionable.
http://www.slate.com/articles/news_and_politics/explainer/2009/11/what_does_stable_condition_mean.html
Alright, that's 2-1 for "acutely" ill.

Hey, what about the "stable" part, huh?

Stable means just that, stable: he isn’t becoming Critical nor is his condition improving to Fair.
http://outbreaknewstoday.com/dr-spencers-condition-unchanged-tulsa-patient-tests-positive-for-malaria-59961/
Wait!

Other terms

Other terms used include grave, extremely critical, critical but stable, serious but stable, guarded,[2] satisfactory, and others.

A frequently cited condition is "stable". Typically, stable is not a condition on its own; it is usually qualified with an aforementioned condition. It is commonly used to denote conditions where a patient has a favorable prognosis or stable vital signs. The American Hospital Association has advised doctors not to use the word "stable" either as a condition or in conjunction with another condition, especially one that is critical, because a critical condition inherently implies unpredictability and the instability of vital signs.[1] Despite this, "critical but stable" conditions are frequently reported, likely because the word "critical" in mainstream usage is often used to denote a condition that is severe and immediately life-threatening.

So! "Serious but stable" means that the patient's vital signs may be "unstable," the patient is "acutely" ill and "indicators are 'questionable,'" he isn't getting better or worse,...the, um, "unstable" nature of his vital signs are..."stable?", he has a "favorable prognosis?," which seems to contradict that his "indicators are 'questionable'" and "stable vital signs" does contradict the part of the definition of "serious" that "vital signs may be unstable"--But which would not contradict that part of the definition of "serious" that vital signs may NOT  be unstable, the alternative to "may;" if something "may be" it also "may NOT be. See?  Probably best not to use "stable" with a condition as the AHA says "especially one that is critical" which Dr. Spencer is NOT, he's "serious," so AHA does NOT "especially" advise against using "stable" in conjunction with "serious," it just "advises" that "stable" NOT  be used in conjunction with "serious;" it's just their advice, there's no law against it or anything, you can do it if you want; Bellevue wanted to so they did. So, that's it...You're welcome.

Friday, October 31, 2014

"He is a Seeker."
"From time to time, God causes men to be born--and thou art one of them--who have a lust to go abroad at the risk of their lives and discover news--to-day it may be of far-off things, tomorrow of some hidden mountain, and the next day of some near-by men who have done a foolishness against the State."

"Little Friend of all the World."


Have I mentioned that I love children above all things? Well, I do, and a lot. A bushel and a peck and a hug around the neck.
It's Friday UTC but those scholars have me pretty uninspired. Don't feel like dancing. Maybe go to the Mosque and pray, I don't know. See how I feel.

Oh! It's Halloween! Shit. Maybe I'll dress up as a big A or a frigging amber wave of grain. I don't know, pretty uninspiring costume ideas. Maybe I'll just take it easy.

Scholars.

I just can't get over that painting. "A Scholar" by Rembrandt. When was the open-mouth look a sign of intelligence? In Remmy's time I guess. It is so associated--universally--with doltishness now. "Lobotomized Uncle Performing Only Menial Task He Can, Copying," that would be the name of that painting today. I mean, whoever you are, do you realize how much you look like Paul Krugman?! Jeez.

Hearda L&C. Didn't know it was in Portlandia. What's that logo supposed to mean?

Grow wheat in Kansas. Gotitgotitgotit. Glad they don't grow tumors.


?  "A Utah State?" What do you mean A Utah State? Not even curious enough to look it up. DON'T care.

Pretty unimpressive group of Krugmans today. 

Thursday, October 30, 2014

Earhart

"The patch was as unique to her particular aircraft as a fingerprint is to an individual. Research has now shown that a section of aircraft aluminum TIGHAR found on Nikumaroro in 1991 matches that fingerprint in many respects. For a detailed study of this important new development see The Window, The Patch, and The Artifact, Research Bulletin #73 on the TIGHAR website."

That's a fail. 

1. TIGHAR cite to no forensic authority for their assertion that the patch was "unique."
2. As unique "as a fingerprint." In fact, the National Academies of Science in a review of all the forensic fields has stated that there is insufficient scientific basis to make the claim of uniqueness as to fingerprints! And have recommended against fingerprint comparison experts so testifying. 
3. "Match." NAS says drop the "match."

At this point TIGHAR has proved nothing. However the evidence is strongly supportive of their proposition that the found evidence came from Amelia Earhart's aircraft.

Amelia Earhart in Kiribati?

This is the evidence. Immediately below Earhart's plane taking off from Miami. The lighter aluminum patch is clearly visible.


And today, that patch believed found on Kiribati.

The dimensions are said to be the same. Don't look the same. That piece is pretty shiny after 77 years, no? Metallurgical tests?

Wednesday, October 29, 2014

Do not look at Kiribati like that, woman. They find it, you see.

"Amelia Earhart Plane Fragment Identified."-Fox News.

"New research strongly suggests that a piece of aluminum aircraft debris recovered in 1991 from Nikumaroro, an uninhabited atoll in the southwestern Pacific republic of Kiribati, does belong to [Amelia] Earhart’s twin-engined Lockheed Electra."-Fox.

Get out of town. Amelia Earhart on Kiribati? Kiribati! My bros and sis-bros! How it does go? You famous now for more than coconut bra and disappear in ocean!

Yahoo, excuse me Yahoo!, news puts a ? at the end of its headline and goes on to say:

"At least that's the contention of researchers with The International Group for Historic Aircraft Recovery (TIGHAR), a private organization that's been on the trail of Earhart for years."

Kiribati, they no deprive you of this. Flying TIGHARS find it on Kiribati! 

The Day.

Referring Sites:

-62.210.181.15:3130.

Weirdest thing I ever saw. No idea what that is.

Search Keywords:

-obama clinically depressed?
-barack obama depressed 2014 (yesterday)

There have been several similar search queries since writing that post.

Countries:

Man, we fell out of favor with the South Koreans real fast, not a single visitor today! And how many yesterday, 50+? Google why do you report out BS like that? U.S. 79, Russia, 30, only two countries in double figures. 

Tuesday, October 28, 2014

"Jerry Jones is Fucking Crazy."-Deadspin.

He-he-he-he. Oh my God, thank goodness somebody else writes like that. Deadspin is an American sports website, well-respected. It doesn't matter who Jones is. Thank you Deadspin for that headline.

Moving On.

It was to be called the "Pitt Vaccine."

He came from the east. Jonas Salk came from New York and he came west looking for a laboratory of his own. Pitt gave it to him. He wanted complete control and went on national radio and preempted JAMA's publication of the scientific paper written by him and his Pitt team. "The Scientist Speaks for Himself," was precisely what his career became. It was the "Salk Vaccine" after the the scientist spoke for himself and at the conference at the University of Michigan where the trials were deemed a success he credited none of his Pitt colleagues by name.

He left Pitt when Chancellor Edward Litchfield wouldn't give him total independence from the university for a proposed new mega-lab and in 1960 the Salk Institute for Biological Studies, producer of eight Nobel Laureates was created, in LaJolla California.

A Precisely Measurable Triumph.

Google's doodle today is:


The caption to this photograph, from Wikipedia's "polio vaccine" page, reads:

"Jonas Salk administers his polio vaccine on February 26, 1957 in the Commons Room of the Cathedral of Learning at the University of Pittsburgh where the vaccine was created by Salk and his team."

There was a time. There was a time when this nation, and the world, turned its attention, and its hopes, to Pitt.
FREETOWN, Sierra Leone — It took a plane, a bus, a water taxi and a van to get Samantha Power here to the capital...-NBC News.

Sierra Leone, she's yours.

The Day.

EntryPageviews
South Korea
59
United States
32
Russia
25
Poland
19
Germany
10
Ukraine
9
France
8
Australia
5
Slovenia
4
China                                           2                                         

Ok, fine. Somebody from South Korea email me, publocc@gmail.com. Make my The Day.
Bullshit.

Monday, October 27, 2014


Pageviews ("Now") by Countries.

South Korea, 25.
United States, 3.
Canada, 1.
Russia, 1.
Swaziland, 1.

Bullshit.
Dilma Rousseff, whose cell phone President Obama bugs, won reelection as president of Brazil.

Sunday, October 26, 2014

The Day.

Search keyword:

afghanistan daily mail.

Pageviews by country:

Russia, 26.
United States, 26
Germany, 11.
France, 10.

Fiji, 1.

Sporting news:

-One Mississippi down. The University of lost. Mississippi State won.
-lol Pitt.
-Manchester City didn't play. I don't think they played. Missed it if they did. Totally friggin missed it. NO idea.

Scholarly types:
























Moscow.












Waltham.
















I picked an old book off my bookshelf; I would have gotten the book in 1977 or 1978. I was leafing through the book and there was what appeared to be a bookmark. It was a small letter, folded. Had no idea what it was. I took the small letter out and unfolded it and saw the blue of my father's business letterhead at top.  I was astonished. The letter was undated and typewritten and I read:

Ben,

When you get down, pray a little to God. It really does help.

-Dad

Dad was a good man. I have no memory of this letter, no idea why I was "down" in 1978-79, the happiest year of my life, but I must have been home on break from graduate school, something obviously was troubling me and when I left my father would have gone back to work and typed out that note at the office and mailed it to me. My dad was a good man.

Haven't They Suffered Enough?


The mad Irishwoman is going to west Africa.
FOR IMMEDIATE RELEASE
October 25, 2014; 6:00 pm

Joint Statement of Health and Hospitals Corporation and Department of Health and Mental Hygiene

The patient at Bellevue Hospital Center is entering the next phase of his illness, as anticipated with the appearance of gastrointestinal symptoms.

The patient is awake and communicating. The Bellevue clinical team in charge of care for the patient is in constant communication with CDC and with other leading medical centers such as Emory University Hospital and the Nebraska Medical Center.  A large CDC team has been actively involved in advising the Bellevue staff and we are very appreciative of the additional guidance.  

In addition to the required supportive therapy, we initiated antiviral therapy within hours of admission. We also administered plasma therapy yesterday. These therapies have been used at Emory and Nebraska. 

The patient's fiancĂ©e will return to her home this evening under quarantine.  

And there you have it, the official statement. 
Thank you, you've been very he'pful.

Ebola: Craig Spencer.

The condition of New York City’s first Ebola patient, Dr. Craig Spencer, worsened* on Saturday, though he remained awake and communicative, health officials said.
...
Dr. Spencer, 33, was “entering the next and more serious phase of his illness, as anticipated with the appearance of gastrointestinal symptoms,” Ana Marengo, a spokeswoman for the city’s public hospital system, said in a statement. Dr. Spencer has been in isolation at Bellevue Hospital Center since Thursday, when he reported a 100.3 degree fever.
...
The statement was careful not to convey a sense of pessimism, and patients undergoing treatment can worsen before they recover.
...
Part of the usual course of the disease is the onset of diarrhea, which can cause an enormous loss of fluids and electrolytes, shut down the kidneys and disrupt the heart rhythm. The key to treating Ebola patients is supportive care, experts say, so that they can stay alive long enough to allow their immune systems to fight off the virus. That usually begins to happen two to three weeks into the illness.
-The New York Times.

Well, that is not good, is it? No. What I cannot tell from this story in the Times is if it is bad. Well, "worsened" is bad, isn't it? Yes. How bad? That's what I cannot tell. Is it "just" bad, i.e. inevitable and we got this not to worry don't get hysterical? Or is it, "We thought our treatment in this first phase would have kept him from this "next and more serious phase"? 

The New York Times is a quasi-official house organ of the United States government and you have to read the Times as palimpsest. This is a very "neutral" report, isn't it? Yes, it is. They have clearly gotten the message to tone it down, to not create "hysteria." But they reported it! That Dr. Spencer's condition "worsened." I think to make more sense of this report, to know how bad is this bad we would have to know if Nina Pham or Amber Vinson went through this "next and more serious phase" and I don't know that. Reading the Times as palimpsest, I would guess Pham and Vinson did not enter this more serious phase. I think the last-quoted paragraph about trying ro have the patient "stay alive long enough"--I that is real bad, I bet Pham and Vinson never got this bad. That's what I bet. But I lose bets.

UPDATED 1:06 am, UTC: "Officials said the changes were anticipated but didn’t characterize whether his condition was worsening."-Wall Street Journal.