Amazon + Teva = A Marriage Made In Heaven

Amazon has upended so many industries--and you can basically buy almost anything there.

And yes, what you can't buy today, you will be able to buy tomorrow. 

What started as books and DVDs is now virtually synonymous with e-Commerce itself!

Next up for Amazon is pharmaceuticals!

Some people may think that Whole Foods gives Amazon the footprint it needs to sell these and dominate.

But what people aren't considering is that Amazon can sell the pharmaceuticals online.

Amazon can do what other online drug distributors can't.

Why?

Because Amazon has the most unbelievable distribution network in the world. 

Currently, people can order drugs through the mail, but these tend to be for regular reoccurring prescriptions that have lead time. 

However, Amazon can outdo these mail order pharma companies, because they can get you the drugs you need when and where you need it. 

- You don't feel well and can't make it to CVS, Amazon will deliver to your door. 

- Need same-day delivery, no problem. 

- Plus do all your shopping together in one fell timesaving swoop. 

My prediction: 
Amazon the low cost, efficient online seller of everything to everywhere is going to partner with Teva Pharmaceuticals, the #1 world leader in low cost generic drugs.

Teva already produces 120 billion tablets and capsules every year, operates in 80 countries, and currently fills 1 in 6 generic prescriptions in the U.S. 

Together, Amazon and Teva can make beautiful music, that is medicine + money!

Who needs CVS when pharmaceuticals perhaps soon can be gotten at Whole Foods or at your Trusty Amazon.com.  

One more time, I see some radical disruption--and this time it will bring you cheaper and more convenient drugs--make a l'chaim to your health. ;-)

(Source Graphic: Andy Blumenthal)

(Endnote: I am a big fan + investor in Teva, and of course, all opinions here are my own.)

Amazon + Teva = A Marriage Made In Heaven

It's Like Saving The Whole World

I saw this sign hanging prominently in a large local Baltimore hospital here (and it comes from the Talmud): 

"He who saves one life...It is as if he saves a whole world."

For doctors, nurses, and other medical practitioners, what greater purpose or joy in life than to save other human lives!

Each person is truly a whole world unto themselves...their thoughts, feelings, and their contributions!

Who knows what one single act of kindness or generosity from someone can have--what impacts down the line to one or even billions of others. 

Today, I have a friend that is undergoing a major operation in this hospital. 

My thoughts and prayers are with him. 

This is his third hospitalization in the last few weeks and it's time for the doctors--with G-d's help--to save his life.

I actually had something similar to this friend many years ago, but the technology wasn't there yet to diagnose it, and I had to have emergency surgery where they went in "exploratory" to find out what the heck was going on.

And thank G-d that they did--they literally saved my life at the time or I wouldn't be writing to you all today. 

I feel so grateful to G-d for his mercy to us and for giving us modern medicine and technology and all the wonderful people who work tirelessly to help all the sick people and to help save their very lives.

I am wishing the best of luck to my friend to come through this with a full and merciful healing.  ;-)

(Source Photo: Andy Blumenthal)

It's Like Saving The Whole World

Rhymes With Venus

So these were some funny stories recently...

First, I came across an information system with a comical name. 

Let just say that it rhymes with venus and starts with the letter P. 

Well not exactly that word, but it very, very close. 

When I heard it, I could not help but say, "That's an unfortunate [system] name."

That's the thing about names and acronyms...you really have to think about what they stand for and what they sound like or you can get yourself into some pretty ridiculous situations and problems. 

Second story is when I was talking to this lady and I asked how she was feeling after going through some surgery and then having various complications from it. 

She told me the pain and problems she was having, and the tests and doctors she is continuing to have to see ,and that physical therapy didn't help much. 

I'm nodding and empathizing and then after this went on for a while, all I could say in dismay for all what she had been through was "Ay, yai, yai." 

Then she asked me about how I was doing after my hip surgeries and I told her how grateful I was for the modern medical procedures and G-d's blessing that enabled me to walk again. 

But what was really funny is that she then starts going, "Ay, yai, yai."

And as the conversation wore down, we were both looking at each other and practically saying in harmony, "Ay, yai, yai."

Anyway...sometimes there's nothing left to say but just that. ;-)

(Source Photo: Andy Blumenthal)

Rhymes With Venus

Thank You Chaplain Berning

I read about this amazing "Spiritual Communications Board" that Chaplain Joel Nightingale Berning invented for New York-Presbyterian/Columbia University Medical Center. 

The board allows hospital patients who are intubated or otherwise can't talk to communicate their spiritual health and needs. 

The top part allows the person to say what religion they are. 

The bottom left, are choices for how they feel from afraid and lonely, to nervous, helpless, and hopeless, and even to identify on a scale of 0 to 10, the level of their spiritual pain. 

And on the bottom right, they can point to ask for spiritual help... from a prayer, song, or blessing to talk with me, sit with me, get my family or hold my hand. 

While hospitals have traditionally been focused on getting a person, with G-d's help, physically healthy again, it is wonderful to see people, like Chaplain Berning looking after the spiritual side of patients wellness and health as well. 

To heal, people don't just need surgeries and medicines, but they need to deal with all the emotions and pain surrounding their condition and their challenging life situations, and this is something that spiritual caregivers can make a huge difference with. 

The health of the soul and the body are linked in more ways than one. ;-)

(Source Photo: here with attribution to Chaplain Berning)

Thank You Chaplain Berning

A Little Wear and Tear

Despite a generally longer life expectancy...people still have lots of aches and pains already by midlife. 

Danielle Ofri in the New York Times points out:

"Our bodies evolved to live about 40 years and then be finished off by a mammoth or a microbe. [However,] thanks to a century of staggering medical progress, now now live past 80, but evolution hasn't caught up; the cartilage in our joints still wears down in our 40s and we are more obese and more sedentary that we used to be, which doesn't help."

I hear from so many people in their 40s that they are already getting knee and hip replacements; they have high blood pressure, diabetes, and are having heart attacks, and many even are seeing their first bouts of cancer.

So in many ways, the 40s really sucks!  

Many of us would be dead many times over already, if not for G-d's grace and the miracles of medical science and technology these days. 

So life is prolonged, and we even often get pain relief, while we are able to continue forward with our families, communities, and careers.

As we read in Psalms 39:4

"Show me, LORD, my life's end and the number of my days; let me know how fleeting my life is."

Perhaps that's what illness is...G-d showing us that we are just mortal and that life is short and we need to make the most of every minute. 

When everything is going just swell, how easy it is to become arrogant and forget how mortal we really are. 

My father used to say:

"G-d doesn't let any tree grow into the heavens."

By our 40s, when most of us are growing our families, careers, wealth, and stature--unfortunately, maybe we sort of need that kick in the pants from Above. 

G-d is our maker and our teacher, and he guides us to the end of our days, and hopefully they are reached with wisdom, meaningful contributions, piety, and love. ;-)

(Source Photo: Andy Blumenthal)

A Little Wear and Tear

Pro Life OR Pro Choice

I took this photo going to the doctor last week.

This guy is standing outside the office building and he goes, "Did you know that there is an abortion clinic in there?"

Sort of stating the obvious as a guy, I said, "Well I'm not going there!"

It was fascinating though watching this guy picketing with his sign, "Pray To End Abortion."

And he's standing in front of some spiffy signs advertising Fendi and Gucci. 

Perhaps, he's not understanding where some people come from and what they go through getting pregnant either not by choice (rape, incest, etc.) or they are not ready to properly care for a child or there is a clear and present danger to the health of the mother. 

While late term abortions are completely anathema and in my mind really are murder, perhaps early term abortions, even if not a desired outcome by any means are at times a type of life-saving necessity for the reasons mentioned. 

Unfortunately, I really don't think it's a simple either/or.  

Yes, we must be pro life and protect the unborn children.

AND

Yes, we must have some element of pro choice and protect the mother and the child when it's birth would bring more harm than good. 

The decision needs to be made case-by-case and are excruciating to decide and do the right thing for all. 

(Source Photo: Andy Blumenthal)

Pro Life OR Pro Choice

Better Than A Cadaver

So I'm at the doctor's office for a checkup.

The doctor tells me to lie down on the exam table. 

There is also a 3rd year medical student in the room as part of her training. 

The exam starts and there are all these devices for checking things out. 

It's feeling a little tense. 

I jokingly say, "I feel like a cadaver lying here (being studied)."

Then the medical student says, "Oh you smell much better than a cadaver! I just took that class."

Oh, how comforting is that--smelling better than a stinkin' dead person whose been embalmed!

At which point, there is some ridiculous talk about dead people and formaldehyde, body odor, and decay.

This was quite a lively visit, but I hope it was helpful to me and to medical science. ;-)

(Source Photo: Andy Blumenthal)

Better Than A Cadaver

A Last Act Of Giving

So after the Rabbi's speech today on the Halachic Organ Donor Society, I joined up to be a donor. 

I had always believed this was the right thing to do, but knowing that there is a kosher way to do it, sealed the cause for me. 

There are more than 123,000 Americans that need lifesaving organ transplants and every 10 minutes another name is added to the national organ transplant waiting list, so if I don't need mine any more, I'd like to help someone that does. 

While ideally, I would like to return my body to  G-d in pristine condition the same way that I received it, I realize that life wears away at us and moreover, sometimes tragedy (G-d forbid) strikes. 

Of course, I hope and pray for a long and healthy life, but if we are in a position to help, how can we not be there for those who need us in one last giving moment. ;-)

(Source Photo of Photo: Andy Blumenthal)

A Last Act Of Giving

Honesty, A Great Policy

So I went to the Podiatrist today for some routine maintenance. 

This was a new doctor for me, and I was going in with a healthy dose of skepticism (until I know the person is good and trustworthy). 

Well after the doctor does all these things, I test the waters and ask him, "So how often should I come back to see you every 6 months or more often or what?"

Here's his opportunity to put money ahead of really caring about the patient and to say to come often and more frequently so they can make more patient visits and more money.

But instead he pleasantly surprised me and goes, "Well let's see how your doing and take it from there."

I loved it--some genuine honesty and not just business and a money-making racket. 

Now, I really do plan to go back to this doctor regularly, because I trust him. ;-)

(Source Photo: Andy Blumenthal)

Honesty, A Great Policy

Insomnia Hurts Like Hell

Insomnia is a horrible ailment that many people suffer with and they do this in the dark and in silence. 

Because when the rest of the world is sleeping, you are lying in bed like a log awake--and not sure how you going to get to sleep or stay awake the next day.

What follows are sleepless nights, sometimes groggy days, and anxiety about even going to bed at night. 

How do I know this?

I've been battling insomnia since my hip's deteriorated painfully, and I had a number of hip replacement surgeries, and a lengthy recovery process, including lots of swimming. 

Despite melatonin, warm baths, and even some sleeping meds, my nights were filled with plenty of staring at the ceiling alternating with tossing and turning in bed. 

I was almost at the point of giving up hope on being able to sleep normally again, and then something occurred to me. 

Stop the meds and just pray!

Over a few days I weaned off the sleep meds, and was feeling really crappy and headachy. 

But the real difference was when I got into bed, I remembered and recited the prayers of my youth from before bedtime. 

And I added for G-d to please help me sleep normally again.

The very first night...I slept perfectly!

Now, it's been three nights in a row--in Judaism, we call that a chazakah (something that is established). 

I am so grateful to G-d for returning me to restful sleep-filled nights--thank you Hashem!

(Source Photo: Andy Blumenthal)

Insomnia Hurts Like Hell

Pain Pain Go Away!

So I am more the emotional type who cries at sad songs or heroic endeavors. 

But with the hip surgery, I have to admit that I have had some moments of literally screaming pain. 

The surgeon said he did about a full half hour of cauterization to prevent another bleed (hematoma) and infection that happened last time...so not sure if this is causing the extra-extra sting. 

Usually when they ask my level of pain, I say like 2-3, because I imagine a 10 being some horrible torture like being sawed in half (while hung upside down--actually saw this in a movie) or flayed of your flesh, burnt alive at the stake, or quartered by horses--or countless variations on these.

Let's just say, the medieval tormentors had this torture stuff down.

In a way, I almost feel guilty expressing my post surgical pain (sort of child's play) relative to these made-to-order cruelties.

Of course for pain, the doctors give you medicine, but honestly I don't like to take these because of side-effects and even addictive properties. 

But the nurse and physical therapist told me not to let the pain get ahead of me, because then it is harder to control it (and also harder to do the full PT and get the benefits from it).

In the hospital, I was amazed that some people had so much pain (i.e. me) and others just sat there in PT seemingly shrugging off the whole experience. 

Still I made it the full loop with the walker the first day (which the therapists told me is maybe 3x what most others do at that point).

Another thing that I am thinking about with pain, is how do you compare emotional and physical pain--which is worse?

The loss of loved ones, deep disappointments, suffering with sickness or disability, anxiety and depression can certainly cause a lot of pain inside--those are the screams that often no one hears.

Also, that hurt can often lead to physical sickness and bodily pain and vice versa--so they are not mutually exclusive.

My father used to tell me that "When you have your health you have everything."

I think this is partly because if you don't have your health, you can't really do or enjoy much else anyway--so good health is sort of a precursor to all other activities and pursuits.

Probably the worst pains are the ones where their is simply no hope of getting better...and you just have to accept the loss or the end. 

The corollary that my father taught me was "Where there is life, there is hope!"

(Source Photo: Andy Blumenthal)

Pain Pain Go Away!

New Body Parts

As I gear up for Hip Replacement #2, my sister sent this funny comic to me. 

I heard that something like a million joint replacements are now done in the U.S. every year. 

And these procedures are expected to increase precipitously with projections by 2030 of:

- 3.48 million knee replacements (a factor of almost 7 times)

- 572,000 hip replacements (an almost 2-fold increase)

This also means that revision surgeries will start to rise rapidly as replacements wear out or are in need of replacement themselves. 

Thank G-d that they have these procedures to help people--I don't know how people lived with the incessant pain and degenerative mobility even a generation ago. 

What's it like to have a body part inserted to augment your own?

Just ask this horse! ;-)

New Body Parts

How You Treat Animals

This little bird is singing pretty with his Coronoa.

But this isn't always how we treat animals. 

Some absolutely revere their animals as integral parts of their family or faith--as pets, they may be loved and cared in nice homes, and as source for milk, dung, and tilling, they may even considered sacred as in Hindu India, or for sacrifices on the Temple alter in Judaism. 

I've seen dogs picked up after and wheeled around in baby strollers, while in the Movies like "Meet The Fockers," Jinx the cat is exalted for doing her deed in the toilet, the same one used by the family.

One colleague told me how she had to run after her dog cleaning up all over her house, when it was sick and had a bleed out of its butt--yeah, ick!

And I remember learning about how in Nazi Germany, dogs would walk on the sidewalk, while Jews were forced into the gutters. 

On the other side of the animal coin...

We have animals sickeningly and inhumanly confined and caged in tiny spaces; starved or fattened; pepped up on antibiotics, and clubbed, electrocuted, given lethal injections, shot and cut up.

Animals are used for food, fur, and even so-called fun from cock fighting to bull runs.

Further, animals are used for research in everything from new medications to abusive studies in mind control and even punishment.

Animals have also been used for horrific torture of POWs where masks were attached to victims faces and a fire would heat the other side and force the rodent locked inside to burrow into the faces of their victims.

Similarly, in Nazi Germany, gruesome studies were conducted on humans by sewing live cats into the stomach of victims.

In more positive ways, animals have been used to locate everything from disease to the implements of war--from dogs being used in identifying human diseases like cancer and tuberculosis to giant rats used to locate land mines. 

Also, animal products are used in many life-saving medications. 

I found the remorse of an animal experimenter today in the New York Times to be refreshing, and those who choose to become vegan or disavow the use of fur and other animal products to be noble, as long as they accept that others may feel different. 

When the experimenter in his guilt thinks about the tables being turned, he imagines aliens coming to Earth and abducting and conducting experiments on us humans...oh, he seems to go, now I know how it must feel. 

Guess he didn't think to walk in that chicken's shoes before...

While to carnivorous animals, we are just another piece of beef in the food chain, other domesticated animals can be "man's best friend."

Killing an animal for survival is one thing, and where people draw that line can vary quite some--for example, how badly does Kim Kardashian need another fur to keep her warm?

But pure abusive and sick treatment of animals for amusement, profiteering, or psychotic ends is wrong, period. 

Animals are not people, but they are G-d creatures and sentient, and they should not be harmed or pained just because some of us like to act like animals too. ;-)

(Source Photo: Andy Blumenthal)

How You Treat Animals

When You're Feeling Blue...

I was intrigued by this "Rescue Gum." 

Whole Foods carries this bright yellow-packaged gum pack (17 pieces), selling it at checkout for just $6.99.

Thinking, they should probably sell this right next to the fruit-flavored "Life Savers."

So this gum is for stress relief, and it's made with 5 flower remedies.

Do you believe in that? 

When I looked this gum up online, it says:

- "Keep out of reach of children.

- If pregnant or breastfeeding, ask a health professional before use.

- Excessive consumption may induce mildly laxative effects.

- Not suitable for animals."

Okay, so if you weren't stressed out before reading the warning on this gum, you are now, right? 

I think I'll pass on the rescue gum, and head over to the hot bar in the back for some seitan and veggies. ;-)

(Source Photo: Andy Blumenthal)

When You're Feeling Blue...

Kidneys By The Pound

So this gallery in Santa Fe had a warped sense of what art is...

They had packages of styrofoam wrapped in cellophane with what looked like meat from the supermarket.

However in the packages, they had these disturbing plastic molds of human organs priced by the pound.

Pictured here is one labeled with a human kidney selling for $1,100.

They also had others hanging from the wall for human lungs and liver.

Considering there are a lot of sick people out there in needs of transplants, I did not think this "art" was in the best of taste. 

Also, with many who traffic in human organs and take advantage of those in poverty or otherwise at risk for selling on the black market, these pieces were more than a little troubling.

Perhaps, there are some who just think of human as just another type of planetary animal whose body parts are another form of meat that can be put up for sale or taken by force to make a profit.

The only thing is they are forgetting that humans have a soul and that can't be sold in the supermarket or black market except to the devil and there is no art in that. ;-)

(Source Photo: Andy Blumenthal)

Kidneys By The Pound

Amazing Advances In Prosthetics

Watch this video...

Where a man who lost both arms over 40 years ago is fitted with these amazing dual prosthetics that he is able to control with his mind and muscle movements. 

Made with financing from the Defense Advanced Research Project Agency (DARPA).

John Hopkins University Applied Physics Lab shows the possibilities for the future for helping everyone from Wounded Warriors to those disabled from accidents and disease. 

G-d creates and we imitate and together we make an incredible flourishing world. ;-)

(Note: My gratitude to Rebecca Blumenthal for sharing this video with me.)

Amazing Advances In Prosthetics

Cancer 101

I saw this in a doctor's office and thought it was very educational on Cancer.

The first diagram has a brief definition of cancer and the incidence of cancer type for males and females.

The second explains the stages of cancer, I through IV, and is shown in the small intestine, as an example. 

This stuff is so scary and horrible. 

The "C" word...we should never hear it, say it, or know from it anymore!

G-d should help us find a cure to rid this world of this disease.

Save us from that which afflicts us, and send us a complete healing of body, mind, and soul, Amen!!!

(Source Photo: Andy Blumenthal)

Cancer 101

A Richy Rich Reward

Check out this lost dog sign in Las Olas.

Do you notice anything unusual?

Look at the amount of the reward for finding this canine.

---Yes, $10,000!!!

A healthy Teacup Yorkie can run you as much as $2,000.

So this reward is 5x that and this kelev is on meds!

Amazing the meaning of money and dogs. ;-)

(Source Photo: Andy Blumenthal)

A Richy Rich Reward

Medicine Back When

I thought you may find these photos interesting of how medicine used to be--not all that long ago.

I took these at Georgetown University Hospital in Washington, D.C. 

1) The Circo Electric Bed rotates a patient 210 degrees to help them go from a prone to a vertical position; push the button and you go almost loop de loop. 

2) A Hospital Ward--no private or semi-private rooms yet; say hello to a dozen or so neighboring patients sharing a room, moaning and groaning, each their own. 

3) An X-ray--say cheese as this machine peers inside your body, hopefully not emitting too much radiation to the patient.

4) An operation--looks serious, almost like an alien abduction, hope they had plenty of anesthesia so it didn't hurt. 

Okay, medicine has come a long way...but we're not there yet, not by a medical tricorder longshot. ;-) 

(Source Photos: Andy Blumenthal)

Medicine Back When

Psychotherapy, In The Beginning

Wow, I love this early photo of psychotherapy.

The girl is lying on some pillows on 2 chairs. 

The Freudian doctor leans over the girl and is yanking on his goatee listening intently...and analyzing!

A man, that I assume is the girls dad is in the background, hovering protectively and hoping she is feeling better soon. 

The mind, like the body, unfortunately can get sick. 

And we need to take care of ourselves and seek help to get better. 

Fear not the competent doctor who really cares and sincerely wants to help (and is not just in it as a pure business).

Pray that G-d guides him to heal you and give you strength in body and peace of mind. ;-)

(Source Photo: Andy Blumenthal)

Psychotherapy, In The Beginning