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

Ebola Has Arrived

The Washington Post ran an article on August 1, "Why You Are Not Going To Get Ebola In The U.S."

As of about 10 minutes ago, they are now reporting, "As Ebola Confirmed In U.S. , CDC vows, 'We're Stopping It In Its Tracks.'"

What do you think we'll see in the news about Ebola within the next 6 months or year--completely eradicated, mostly contained, spreading slowly, or G-d forbid a global pandemic? 

G-d should help us to conquer this disease quickly and completely. 

(Source Photo: here with Attribution to European Commission Humanitarian Aid and Civil Protection)

Ebola Has Arrived

Doctor In Context

I took this photo in the doctor's office. 

No, this is not my doctor, but a statue of one on the countertop.  

What's funny to me is how he looks in context of the bottles and anatomical models all around him.  

Either the doctor has shrunk or the other things are really huge.

My dad used to tell me that doctors only know what G-d tells them, so we should pray that G-d gives them the wisdom to help us. 

And my grandfather used to say in German that "G-d is my doctor."

Maybe that's why the image of the doctor is looking up--to get the guidance from the one above to help us. 

That's the intersection of medicine and faith--where truly big things can happen. ;-)

(Source Photo: Andy Blumenthal)

Doctor In Context

The Ebola Bomb {^}

Ebola is the "one of the most virulent microbes" to mankind--there is no known cure and it has a 90% mortality rate. 

The death toll from the current outbreak of ebola in West Africa has now hit 1,145.

And according to the U.N. Health Agency, the number of deaths are "vastly underestimated."

Already, as of two weeks ago, more than 100 health workers had been infected. So who is going to care for the infected and sick, when the medical professionals themselves are sick and dead? 

According to the World Health Organization, Ebola is spread by "direct contact (through broken skin or mucous membranes) with the blood, secretions, organs, or other bodily fluids of infected people, and indirect contact with environments infected with such fluids."

However, as frightening and deadly as ebola is as a disease that spreads and must be contained, what is even more terrifying is that there are those who believe that terrorists may try to harness it into a dirty bomb.

CBS reports that a disease expert from Cambridge University says that "A bigger and more serious risk is that a [terrorist] group manages to harness the virus as a power, then explode it in a bomb in a highly populated area."

A biological bomb like this "could cause a large number of horrific deaths," and would further spread the disease--and until it stops, no one knows. 

Visiting any number of local doctors offices, emergency rooms, or hospitals that are already filled with patients and with lengthy wait times to be treated, I cannot imagine what an Ebola (type) outbreak would look like.

I hope and pray we never find out the suffering, death, and havoc something a virus like this would cause--whether transmitted through human-to-human contact or by one of the dirtiest, sickest bombs you could imagine. 

(Source Screenshot: here with attribution to Unicef)

The Ebola Bomb {^}

Upside Down in D.C.

So coming downtown this week in D.C., I see this quite unhelpful posted sign. 

If you can read upside down, while rushing down a busy street with a million and one things on your mind for the day, it says, "Sidewalk Closed. Use Other Side."

Of course, the people flowing speedily down the streets in the morning, were still walking on this sidewalk, despite the construction and potential dangers. 

But in a way this reminds me of a bigger question here--is this really a sign of the times?

Today, I read in the Wall Street Journal about continued problems with Healthcare.gov--no, not related to the crashing websites, exemptions and delays, parts being overturned (such as with the contraception mandate), low enrollment (particularly after accounting for over 5 million people that lost their coverage with the new law and in effect had to sign up), but now in terms of thousands of people who signed up not getting their benefits due to continued problems with the enrollment system.

This is not just an issue for this party or that, but rather matters of government that we as a unified nation must tackle togther to grow our capabilities and competitiveness econically, militarily, and socially. 

Are the signs pointing us in the right direction and what streets should we be going down as a nation in order to succeed? 

(Source Photo: Andy Blumenthal)

Upside Down in D.C.

A WOW Wheelchair

Absolutely loved the article and video in Bloomberg Businessweek on the Tankchair.

Brad Soden makes these amazing ruggedized wheelchairs for wounded veterans and other disabled people in need of getting around some rougher terrain. 

They are customized for each user and cost about $15,000 each. 

They are built on tank-like treads and can go up stairs, through fields, across streams, and over snow.

"Basically, it's get off the couch and go enjoy life!"

They are tough and can last 15-20 years!

He first made one for his wife who was paralyzed from the waist down in a car accident and was having difficulty keeping up on a family camping trip. 

Soden is truly inspirational--he produces these not too make money, but too help people. 

"The body can't keep up, so we're gonna fix it."

This is an awesome man making an extreme machine. ;-)

(Source Photo: Tankchair)

A WOW Wheelchair

Saw It Right Off

This was something amazing that really gave me pause. 

In the physical therapy center, hanging on the wall, encased in this wooden box.

A saw from the civil war that was used by the doctors of the time to amputate soldiers legs and arms. 

The saw was so ominous looking, especially with it's design of medieval-looking torture, it's raw industrial quality, and the age and rust. 

I could literally envision the utter fright on the faces of the young men upon seeing the doctor approach with this tool. 

They would give you a piece of wood to sink your teeth into, so you wouldn't bite your tongue off when they started sawing away at your limbs.

Not sure how people lived like this...not all that very long ago. 

(Source Photo: Rebecca Blumenthal)

Saw It Right Off

Outrunning The Needle

This nice gentlemen who works in the medical profession was telling me a funny story today.

He grew up amidst a collection of small villages in El Salvador.

The person who gave the vaccinations to the children used to go to the school to administer the medicine to them.

When the kids saw him coming, they would run out of the school, through the school yard, over the fence, and all the way home to try to avoid the shot.

He also said that the school personnel would chase them to their home to bring them back…one way or another, they were getting the dreaded needle. 

It reminded me of when I was a little kid in the pediatrician's office, and the doctor was pulling out a long needle to give me a shot, and I hopped off the table, and ran for my life. 

I ran out of her office, past the nurse's station, and into the welcoming arms of the patient reception area.

But the doctor and nurse caught up to me as well and brought me back for my shot too.

It sort of reminds me of the saying, "You can run, but you can't hide."

In life, it really doesn't matter whether we want to do something or not.

When the time comes to face the challenges that await us all, even if you try to ignore it, avoid it, or run away from it…it will eventually catch up to you.

Maybe it's worth a run sometimes, if you can avoid an unnecessary fight, but if it is something you have to face, like your medicine, you might as well just stay and take the needle like a man/woman and get some cookies and ice cream afterwards. ;-)

(Source Photo: here with attribution to Dan4th Nicholas)

Outrunning The Needle

Healthcare Where You Need It

Great new medical examination device from Tyto Care.

Handheld, mobile, cloud-based solution for performing a basic medical examination, anywhere--either remotely guided by an online physician or using the 3D avatar on the device itself for conducting a self-examination.

The device looks like the one in the doctors office that checks your ears, but it also has sensors to listen to your heart and lungs, and for viewing your eyes, throat, and skin, and for taking your temperature. 

The results can be read by the end-user or sent to a physician for review and diagnosis. 

When your not feeling well or aren't sure what's wrong--isn't great to have the convenience to have your vitals checked from wherever you are and the self-sufficiency to even get and see your own basic medical stats. 

In a time where we are under more stress to get adequate medical care due to families made up of dual working parents, jobs that are 24/7, and a declining ratio of medical professionals to patients--the Tyto seems like a breakthrough that can help us get checked and get help, anytime and place. 

Now, we just need to get our medical practitioners online and in regular remote communication with their patients--so the traditional office visit and emergency room aren't the only options for being seen. ;-)

Healthcare Where You Need It

New And Hip

So this is what a new hip looks like.

Well almost, anyway--this is a small-scale model of one.

About 300,000 people per year benefit from this procedure in the U.S.

Thank G-d for such medical advances. 

I don't know what people did in earlier times having to live with the pain and loss of function and mobility before they had this available. 

My father always told me that the doctors are G-d's messengers and they only know and can do what G-d tells and enables them to do.

In that sense, a good doctor is really an angel of G-d's mercy.  

It's amazing and miraculous! ;-)

(Source Photo: Andy Blumenthal)

New And Hip

Pain Pain Go Away

Pain Pain Go Away, Don't Come Back Another Day.

I saw this ad about controlling back pain. 

The wincing face on the back was very effective. 

Given that back pain is  so common, I am sure many people can empathize with this.

For almost a year, I have been suffering with some arthritic pain although not back-related that has been horrible.

I never realized what this even was!

I'm at the point, where I feel surgery, with G-d's help, is the only answer. 

Of course, I am not keen to have surgery and keep thinking how I may be able to put it off. 

And then the inflammation flare-up and pain comes back and I rethink this again that I have to go forward and just take care of this. 

I feel that I am too young for these problems, but life does not ask when or what.

Certainly, I am thankful it is nothing worse--and there are so many things worse.

And I appreciate that there are modern treatments these days that probably didn't really exist just 20-years ago. 

Not sure exactly, what people did "in the olden days" when they had these things and just had to live (or die) with them. 

I just want to be pain free and completely healthy again, so I can fully enjoy all the things that I always did. 

Please G-d. 

(Source Photo: Andy Blumenthal)

Pain Pain Go Away

From Flat Tires To Wounded Warriors

Totally awesome new technology breakthrough for treating hemorraging patients from the battlefield to the obstetrics ward. 

Popular Science reports how a pocket-size syringe filled with sponges can stop bleeding in seconds. 

Instead of having to apply wads of gauze and apply pressure"that doesn't always work...[and] medic must pull out all the gauze and start over again," the injection of sponges into the wound "boosts survival and spares injured soldiers from additional pain."

This same technology developed by RevMedx for the military is being adapted for postpartum hemmorages, and I would imagine could eventually be used in other serious bleeding cases whether caused by accident, trauma, in surgery, or other medical necessity.

The sponges are about 1-centimeter circles and are coated with a blood-clotting, antimicrobial substance.

Once injected, the sponges expand to about 20 times their size to fill the wound, apply enough pressure to stop the bleending, and clings to moist surfaces, so they aren't forced out by gushing blood. 

The sponges have X-shaped markers on each that are visible on an x-ray image to ensure none are left inside. 

The solution is sterile, biocompatible and in the future may be biodegradable so they don't have to be removed from the body. 

And to think that the inspiration was Fix-a-Flat foam for emergency tire repair. ;-)

From Flat Tires To Wounded Warriors

Disability Rights - To Life Or Death

I read today in the Wall Street Journal an editorial by Joni Eareckson Tada--which I couldn't have disagreed with more. 

Let me start by saying that I have the greatest respect for Ms. Tada who is herself a quadriplegic and has overcome unbelievable challenges to become a huge successful author, radio show host, and advocate for disabled people. 

Yet in the editorial, she rails against those with disabilities that choose death over life and the laws that would enable this. 

She says, "first it was assisted suicide," and now it's unlawful birth suits after a child was born with severe disabilities that could have been genetically screened for, and an upcoming Belgium law that may "legalize euthanasia for children with incurable diseases--who, with the support of their parents or guardians, ask to die."

Ms. Tada calls these out as some sort of incredible "double standards" vis a vis the "freedom and dignity that the ADA [Americans With Disabilities Act] championed"--she says that "instead of helping the disabled live full lives, new laws seek to help them die."

While I appreciate her sentiments, I cannot agree with them--not everyone is Ms. Tada who decided she wanted to live and was able and fortunate to do what she has done.

This is a free country and people deserve the right to decide for themselves, making an informed and a well-thought out decision and with their loved ones, if they are too young, old, or otherwise unable to make the decision anymore for themselves. 

Having seen the ravages of disability, especially with my own mother, who suffers from Parkinson's Disease and other ailments, I cannot believe that anyone would try to force life on someone who has endless pain and suffering and wishes only for their final peace. 

Ms Tada asks, "What type of society do we want?"  She goes on claiming that "if we are seeking a good society then we do well to defend the rights of the helpless-not nullify their rights," yet this is exactly what Tada is advocating by seeking to nullify their right to end their suffering. 

If it amazing that people will "put down" a sick dying animal to relieve it of it's suffering when it is beyond cure, but we don't show the same mercy to fellow human beings when they are in the clutches of death and torment.

There is most certainly a time when it is enough pain, enough disability, when there is no more hope, and the most decent human thing we can do is free the person from their intolerable suffering.

Life is a wonderful thing if it can be lived, but if it is a living hell, then we should be merciful and let people go to their final resting place without the anguish that only they can ever really understand.

(Source Photo: here with attribution to GizM ()17)

Disability Rights - To Life Or Death

Prosthesis Anyone?

This was a picture I took from the office of an orthopedic surgeon. 

The surgeon is listed as a top doctor in Washingtonian Magazine. 

Next to the medications, bandages, and splints was this statue of a sailor with a wooden leg. 

I suppose the message is clear--if only he had a good orthopedic surgeon, he could have a modern functional prosthetic instead of this old wooden leg. 

Well, thank G-d for modern medicine, and hopefully it will only get better and better with time. ;-)

(Source Photo: Andy Blumenthal)

Prosthesis Anyone?

Have You Ever Seen A Shark With Cancer?

For a long time people have learned from the animal kingdom. 

We learn how to fly from birds, how to swim from fish, how to fight from lions and tigers, and so on. 

But an interesting article in the Wall Street Journal gave this new and expanded meaning to me. 

Researchers are now looking at animals to learn how to ward off some of the worst diseases known to man. 

For example, apparently Sharks do not get cancer, but more than that even when scientists spent 10 years trying to induce cancer in sharks, they couldn't!

Shark have compounds that actually kill tumors--WOW!--If we could learn how to mimic that in humans, imagine the death and suffering that could be prevented, and the extension and perhaps quality of life that could be gained.

Similarly, grizzly bears, which can weigh 1,000 pounds, and can eat 58,000 calories a day, put on 100 pounds or more in the weeks right before they hibernate for the winter, yet bears don't suffer from routine ailments of obesity, such as diabetes, heart attacks, and strokes. 

Not that any of us want to be 1,000 pounds, but imagine if heavy people did not get all sorts of diseases from clogged arteries and the like.

While heart disease and cancer each accounts for 1 out of every 4 deaths in the U.S. and are the top two leading causes of death--how amazing would it be if we could not only "talk to the animals, walk with the animals..." but also fight disease like the animals? ;-)

(Source Photo: Andy Blumenthal)

Have You Ever Seen A Shark With Cancer?

Radiating Goodness

So I met two amazing people today. 

The first was a lady with Multiple Sclerosis (MS).  

She told me her story about how it was her 30-year anniversary this year. And she said she had been diagnosed with MS only one year after her wedding. 

She almost cried when she told me that her husband had stayed with her all these years she was sick. 

First, she had a nurse at home to care for her, and then when the demands were too much, she got into the nursing home and has been there since May, which she said wasn't a long time and that it was good there. 

Talking with her, I was amazed at how good an attitude she had for someone that had suffered so much and for so long. She was also an incredibly nice person and said how lovely some of the other patients looked today and that they should eat something to keep up their strength. This lady was truly inspiring.

The second lady I met was a private nurse for one of the elderly patients in the home. 

She sat at lunch between the old lady she took care of and the other woman with MS. 

Yet even though she was privately paid by the elderly lady, I was amazed that when she wasn't caring for the old lady, she took the time and effort to care for the MS lady, whom she otherwise had nothing to do with. 

In fact, she was alternating in feeding one and then the other. Also, making conversation with everyone else at the table asking how they were, taking pictures with her iPad mini (she found a place that sells them for only $79!) and saying how happy her patient was looking today and making her smile (even though the patient seemed unable to even speak). 

It was truly amazing to see the caretaker generally caring for others, not just for the money or because it was her job, but rather because she could help and really wanted to.

I'll tell you, there are still good people out there--some almost angels. And when you find them, it is a miraculous experience. You can almost see G-d in them. Like the physical world is just an illusion, but these eternal souls are what's real--radiating goodness to every soul they touch. ;-)

(Source Photo: Andy Blumenthal)

Radiating Goodness

Nasty Flu Shot

I took my daughter for a flu shot last evening. 

We went through the typical drawn-out paperwork and long wait to get something so routine. 

When the medical practitioner finally arrived with the flu shot, there was a little baggy with all the acoutrements including alcohol wipe, band-aid, cotton, etc. 

As the lady starts taking out the items to get ready for giving the shot, she drops the cotton on the floor. 

She picks it up quickly, and pretending we didn't see, she quickly throws it back on the medical tray. 

Now I am watching...

She open the band-aid and places it at the ready on the side.

Then she get the syringe AND the cotton that had just fallen on the floor, ready in hand. 

As she is about to give the shot, I say, "You're not going to use the cotton on my daughter that just fell on the floor, are you?"

Her eyes look askance and she throws the cotton back down on the tray, and says, "Oh, of course not."

I spoke with my daughter afterwards about this as it was hard to understand how a medical practitioner could on one hand, be administering a helpful medicine to a patient, and at the same time, was about to use a dirty cotton on the wound afterwards.

What happened to people actually caring about people and taking pride in the jobs they do, rather than just being in it for the paycheck only?

(Source Photo: here with attribution to Sun Dazed)

Nasty Flu Shot

From The Window In the Nursing Home

I visit the nursing home pretty often to see my mom who is there. 

While I try to focus on my mom and her needs, I do notice other patients there. 

The images are deeply impactful on me...here are ten that are on my mind today:

1) The husband and wife who are both in the home in a shared room--the wife is wheelchair-bound and the husband dutifully pushes her around the floor. This weekend, I saw them together at the nurses' station asking for some crackers. When the nurse came back with some individually wrapped crackers in cellophane, the couple took them and went off down the hall happy as clams.

2) The lady at the table who is overweight, but always asks for more food. She doesn't talk much except to ask for more dessert. She stares at the other patients and seems annoyed and upset with them.

3) The guy who was a lawyer, but now has dementia, and sits and talks half to himself and half trying to engage others, but all that comes out is sort of gibberish. So others just nod or say something to politely acknowledge him, but can't converse with him with any meaning. 

4) The lady in the room who sits in a chair hunchback. She never seems to leave the room or the chair. Sometimes, she watches TV and other times appear to be crocheting. Mostly she sits hunchback, looking uncomfortable, but settled for the long hall like that. 

5) The woman who sits outside her door in the hallway. She is in a wheelchair, and she doesn't say anything, but she stares at you while you walk down the hallway. She sits there watching--sitting and watching. 

6) The younger but still old disheveled guy. He comes into the dining room to eat, but gets food all over himself. He sits alone, always. He eats quickly, leaves half his food, and gets up and goes out while everyone else is still picking away at their food. 

7) The lady with a wall of baseball caps. She has no hair, maybe she has cancer, I don't know. She usually is in bed, sitting up. The caps look like they have a lot of meaning to her, but I'm not sure if it's because she's a sports enthusiast or why.

8) A lady in a wheelchair that pulls herself along down the hall. She puts one foot in front of the other in these baby steps motions, and the chair moves along, slowly, but at least she is mobile, somewhat. 

9) This weekend, I looked out the window of the home, and there was a woman on the sidewalk. She had fallen on the ground, on her butt. Her walker was next to her, but she could not get up. Some people were near here, apparently trying to get help, but not wanting to touch or move her themselves. I ran for the floor nurse, and she came to the window to see. She said is that so and so, which meant nothing to me, and then she ran off to help her get up. 

10) A lady sits downstairs by the glass windows--she is dressed up fancy like older healthy people are want to do. Next to her is an older gentleman in a turtleneck, but he is just visiting and is her son. They seem to be sort of wealthy as they sit upright in the high-back chairs and discuss family and what she's been eating at the home. They look askance at some of the other patients who are crying out in pain. 

The nursing home, like the hospital is a horrible place to be, even when you have to be there.

In both places, even the most caring doctors and nurses and attendants, cannot make up for the fact that you are a prisoner of age, failing health, and disability--and let's face it, even if many are nice or attentive, not everyone is. 

I am still unclear why people must suffer so--why we haven't found a better way to end good, productive, and loving lives.  

I am not sure that people are really even focused on this issue of old age, because it's not sexy, it's at the end anyway, and "they had the chance to live their lives."

Maybe, it's because we simply don't have the answers yet, can't afford what they would take, or we would just rather not deal with mortality, pain, and suffering when there are so many other things to do. 

But one day, we all will face the piper--and it would be comforting if we had better answers.

(Source Photo: Andy Blumenthal)

From The Window In the Nursing Home

Cancer Takes It Away

This is an amazing video.

It is about the life of Angelo and Jennifer Merendino.

Initially, they a lived a fairy tale life, until she was diagnosed with breast cancer. 

You can see in the video the brutal transformation Jennifer underwent from the disease.

Yet, the love and togetherness this couple maintained is inspiring.

A link with photos of this couple's battle with cancer is here.

Jennifer died on December 22, 2011 at the young age of 40. 

Angelo, a NY photographer compiled their painstaking journey in a book called The Battle We Didn't Choose available at their website My Wife's Fight With Breast Cancer.

It is difficult to look at the pictures of Jennifer's illness and deterioration, especially when marked in contrast to her husband throughout.

The numerous personal pictures makes me feel a little uncomfortable, even as I believe, they are meant to be educational and giving--with 1/2 the proceeds from the book's profits to be going to a non-profit for breast cancer victims. 

The story is very tragic, yet too often repeated throughout society...some may be able to find hope in it, and to appreciate what we have, when we have it.

Cancer Takes It Away

Pain is Relative

I've always found it a little strange when the doctor (or nurse) asks you, "On a scale of 0 to 10, how much pain are you in?"

Why?

Because pain (like many emotions) is relative to our understanding of it. 

To me, when someone says a 10 for pain, I think of someone under the most excruciating pain--like when someone, G-d forbid, is being tortured. 

However, someone else may think of 10 as just being really sick and uncomfortable. 

That's why I like this graphic that is used to level-set what each number in the scale represents. 

Using this simple graphic, our definition of pain is not purely subjective, but rather each person can look at the faces and expressions and see how they relate to them. 

Of course, the goal on the right for zero pain is a great goal, even if not always achievable. 

In a sense this is a very basic personal architecture--where you have your "as-is" on the scale and your "to-be" which is your goal. 

Then the doctor and patient work together to figure out a transition plan on how to get there (medicine, rehabilitation, healthier living, etc.). 

While pain is usually just a symptom, it is a beginning to get at the root cause of what is bothering us and needs to be fixed. ;-)

(Source Photo: Andy Blumenthal)

Pain is Relative