Health – Spinor Info

Murder is not the answer

Dec 112024

Many expressed support, perhaps even admiration for the young man who killed the Brian Thompson, the CEO of the insurance company UnitedHealthcare last week. The reason: the company is universally despised, notorious for the zeal with which it denies claims or makes life otherwise difficult for insured Americans.

However, therein lies the problem. The company is doing EXACTLY WHAT IT IS EXPECTED TO DO. Apologies for the all caps but I need to stress: Commercial companies are not charities. They do not exist to make life easy or pleasant for their customers. They have one goal and one goal only: MAXIMIZE SHAREHOLDER VALUE. Within the confines of the law of course, but not confined by anything else. In particular, not confined by compassion, empathy, or social responsibility.

Brian Thompson did exactly what he was supposed to do as the CEO of a commercial company: he did his best to maximize shareholder value. Had he acted otherwise: had he chosen to place his personal values ahead of his duties as CEO, he could have been held even criminally liable, for failing to act in the interests of his company’s shareholder.

Yet for this, he was killed.

One may wonder: Don’t Americans deserve better? But that’s the wrong question. Health care is not something that is “given” to Americans by some higher power. The health care system—in particular, a for-profit health care system dominated by private insurers—is what a majority of Americans repeatedly CHOSE to have. Many of them speak disparagingly of the single payer, universal health care systems that exist in various forms here in Canada, in the United Kingdom, or in the European Union. “Socialist medicine,” they tell us, exaggerating the systems’ shortcomings while glossing over one basic fact: No one is left without necessary medical care in either Canada or Europe, and no one is going bankrupt due to unexpected, astronomical medical expenses.

In the end, Mr. Thompson was murdered for doing precisely what he was supposed to do: faithfully managing a FOR PROFIT corporation to the benefit of its shareholders. And the system remains the same. Nothing changes, except that health care might end up being a tad more expensive in the future, because now there will be the added expense associated with higher life insurance premiums and personal bodyguards for insurance company top brass.

The Ebers Papyrus

Health, History No Responses »

Feb 042024

The illness of our cat Rufus made me read up on the subject of spontaneous remission. No, I do not cling to false rays of hope, I was simply curious: Does it really happen? How often?

Long story short, Google soon led me to a study mentioning the earliest known description of induced spontaneous remission: The Ebers Papyrus.

The Ebers Papyrus is a roughly 3500 years old document, essentially a medical textbook or at least notes. In addition to recipes for numerous remedies, it also contains descriptions of various illnesses, their diagnosis, and methods of treatment.

Here is one example out of many:

Experiential knowledge regarding an a’at growth of fat: When you identify an a’at growth of fat on any body part of a man (and) you find that it comes and goes under your fingers, and where it somehow can be permanently separated by your hand, then you say for this: “This is an a’at growth of fat. A disease that I will treat.” Because of this you then prepare a knife-treatment for it. May it be treated according to the treatment of a wound!

I like it especially (assuming it is not a stylistic mistranslation) how the text instructs the physician-in-training to announce his diagnosis. It instills confidence, but also potentially invites questions or criticism before a treatment is attempted. And there’s no mumbo-jumbo, no superstition or religious mysticism: Facts are facts.

From more than three thousand five hundred years ago.

Pro-life

Health, Politics No Responses »

Jul 032022

So let me get this straight. You are pro-life. You stand strong. No exceptions. Once a woman is pregnant, she must be compelled by the full force of the law to bring that pregnancy to term. If she tries to assert bodily autonomy by essentially withholding her support from the fetus, you call it murder.

Very well, I understand that viewpoint. I might even be sympathetic to a certain degree: human life is precious, and even an unborn infant can often survive with medical help, and grow up to be a wonderful person.

But let me offer a strong analogy. Suppose you are the driver of a vehicle that causes an accident. Not necessarily your fault. Perhaps you did everything right: you obeyed the rules of the road, you paid attention, you were not impaired. Yet… shit happens. You hit someone. That person is now on the side of the road, bleeding to death when the paramedics arrive.

“What’s your blood type?” asks one of them. You dutifully answer, “O, RH-negative.” – “Excellent,” says the paramedic. “Now lie down here while I hook you up.”

“Wha…?” you ask in shocked surprise. “Oh, you will be donating your blood to keep the victim alive.”

“But… I don’t want to?” – “Doesn’t matter. The law says that you have no choice,” they reply.

“But,” you continue, “I am anemic. I cannot give blood without serious risk to my own health.” – “Doesn’t matter,” says the paramedic. “The law permits no exceptions.”

“But,” you interject again, sounding like a broken record, “look at the victim! His skull is split open! Half his brain is smashed! He will never recover!” – “That may be true,” says the paramedic, “but so long as there’s a heartbeat, we must act according to the law or we risk criminal prosecution.”

At this point, you take a tentative step to leave, but the paramedic warns you that this would qualify as fleeing the scene of an accident, and your refusal to give blood will automatically result in a second degree murder charge.

A week later, at your funeral, your deeply religious relatives remark what a good person you were, willingly risking, in the end sacrificing your life to save that of a stranger, a shining light for the pro-life movement. The irony is completely lost on them.

Lest we forget, many abortions (pretty much all later-term abortions) happen for similar reasons: because the fetus is not viable, because the mother’s life is at risk, or both. Not because of some imaginary pro-choice callousness when it comes to the meaning and value of human life.

How not to write about vaccinations

Health, Politics No Responses »

Apr 252022

I am reading an article in The Globe and Mail, with an attention-grabbing headline: Unvaccinated disproportionately risk safety of those vaccinated against COVID-19, study shows.

Except that the actual study shows no such thing. Nor does it involve actual vaccines or actual people.

What the study shows is that the simple (dare I say, naive) epidemiological model known as the SIR (Susceptible-Infected-Removed) model, when applied to a combination of two (vaccinated vs. unvaccinated) populations, indicates that the presence of the unvaccinated significantly increases the chances of infection among the vaccinated as well.

D’oh. Tell us something we didn’t know.

But the point is, this is a purely theoretical study. The math is elementary. The results are known (in fact, it makes me wonder why this paper was published in the first place; it’s not that it is wrong per se, but it really doesn’t tell us anything we didn’t know simply by looking at the differential equations that characterize the SIR model.) Moreover, the actual nuances of COVID-19 (mutations, limited and waning vaccine efficacy, differences between preventing infection vs. preventing hospitalization, death, or “long COVID” — in other words, all those factors that make CODID-19 tricky, baffling, unpredictable) are omitted.

So what will such a study accomplish? The authors’ point is that the model’s simplicity is a strength, as it also offers transparence and flexibility. I think in actuality, it will just muddy the waters. Those who are opposed to vaccination, especially mandatory vaccination, will call this study bogus and naive, an example of ivory tower theorizing with no solid foundations in reality. Conversely, some of those who are in favor of vaccination will present this paper as “proof” that the unvaccinated are selfish, irresponsible extremists who should be marginalized, ostracized by civilized society.

The Globe and Mail article is already evidence of this viewpoint. A quote from one of the study’s authors serves as a representative example: “In particular, when you have a lot of mixing between vaccinated and unvaccinated people, the unvaccinated people actually get protected by the vaccinated people, who act as a buffer – but that comes at a cost to the vaccinated.”

Does anyone think that pronouncements like these will help convince those who are ideologically opposed to vaccination or bought into the various nonsensical conspiracy theories about the nature, dangers, or efficacy of COVID-19 vaccines, especially mRNA vaccines?

A Dunning-Kruger world

Biology, Health, History, Religion 1 Response »

Sep 302021

I have had it up to my eyeballs with misinformation about vaccines, mRNA vaccines in particular. People who up until 2020 could not tell the difference between acronyms like “RNA” and “WTF” suddenly became experts on molecular biology, capable of evaluating the professional literature and arriving at profound judgments, telling us that the vaccines are “fake” and such, or worse yet, they amount to “gene therapy”.

With all due respect, I first encountered the acronym “mRNA” (or its Hungarian equivalent, mRNS) not in 2020, not in 2019, but in 1980 or 81, from a Hungarian translation of Watson’s book on molecular biology of the gene.

Now granted, even if I had read that book cover-to-cover (I didn’t) it would not make me an expert on molecular biology. But I knew enough for the expression “mRNA vaccine” to make sense to me right away when it first showed up in news reports. In short, I know enough to spot the bullshit. Such as all that anti-vaccine scaremongering that has become ever so popular on the Interwebs lately.

Something similar happened 20 years ago, in the wake of 9/11. Many folks, especially Americans, who previously couldn’t tell Mohammed the prophet from Mohammed Ali, and who have never been in the same room with a textbook on comparative religion previously, suddenly became experts on Islam, making grand pronouncements about it being the religion of terror and all that. I first read a textbook on comparative religion back when I was 10 or so, from a 1927 2-volume tome on religions of the world:

This is volume one, titled “Primitive and cultural religions, Islam and Buddhism”. As with the Watson textbook, the images in this blog entry are of my own making, done just moments ago using my phone camera, of the actual books I have in my personal library.

Again, reading this book did not make me an instant expert. But it did give me enough background to spot the flood of bullshit that permeated the discussion after the 9/11 terror attacks.

Coming from a family and personal tradition that values learning, values impartial knowledge, it almost feels like physical pain, being confronted with such gross ignorance and outright lies each and every day. Enough already. Don’t listen to me, but don’t listen to the bullshit artists either. Listen to the actual experts (and not a cherry-picked subset of so-called experts who say what you want to hear). That’s what experts are for in an advanced scientific-technological society in which no human can be a master of all trades, and in which we rely on each other’s knowledge and experience.

Someone on Quora recently compared the anti-vaxxer movement to a hypothetical scenario on an airliner in distress: instead of following the crews’ instructions and donning oxygen masks, passengers stage a revolt, led by an “expert” who already knows better than the pilots how to fly the damn plane because he played with Microsoft Flight Simulator!

Groan.

Updated COVID maps

Health No Responses »

Jul 142021

I was looking for something else in my blog when I came across this post of mine from last May, putting my rusty R programming skills to use and producing some maps representing COVID-19 statistics.

Needless to say, the situation is quite different today, but in some ways at least, the more things change the more they remain the same.

The number of cases per million people is up, way up of course.

However, the trend remains the same: the worst numbers come from Europe and the Americas. I still cannot decide if this is a characteristic of COVID-19 or simply a result of more thorough testing and more transparent reporting in liberal democracies.

The death statistic is also similar:

The reddest areas are again the Americas and Europe, including Russia, but also Iran. The encouraging news is that the death rate per million didn’t rise quite as fast as the number of cases per million population. This may indicate that we have become more successful treating people (of course a more sinister possibility is that the most vulnerable, such as the elderly in homes, died first, pushing up last year’s death statistic.)

To see this more clearly, here is the mortality rate, that is, the percentage of deaths per cases:

Last year, North America and Europe, along with China, led the pack. This year, it’s quite different: both North America and Western Europe have fallen behind, which is to say, fewer people who catch COVID-19 actually die.

Another difference of course is that we can now protect ourselves and others around us by getting vaccinated. So please, do not hesitate, do not buy into insane conspiracy theories. Vaccines carry a tiny risk, but so does stepping outside to do your shopping, because you never know when a wayward car might jump the curb and kill you. But vaccines also protect you from a debilitating illness that often cripples even its survivors with lasting health effects. And no, vaccines are not an evil plot by Gates or Soros to get you microchipped; the technology just doesn’t work that way. Similarly, no, 5G cellular technology, which is mostly about using radio waves more efficiently, often with less power than current networks, has nothing to do with biology. Last but not least, whether the virus came from bats or a lab (there is little doubt in the literature that it is of natural origin, but that does not exclude the possibility that it was released from a lab by accident — such accidents are known to have happened even in high biosafety labs around the world) makes no difference: in the end, it can kill or maim you just the same, and the best way to protect yourself and your loved ones is through vaccination and responsible behavior (masks, distancing). In short (and with apologies for preaching): it’s not politics, people. It’s epidemiology.

Second dose

Health, Personal No Responses »

Jun 262021

My beautiful wife and I both received our second jabs today.

Our first dose was AstraZeneca, but it is now recommended to choose an mRNA vaccine for the second dose. My remaining concern is whether this mixed shot is good enough to enter other countries, the United States in particular, where the AZ vaccine never received emergency FDA approval. We shall see… worst case, I guess, is that we will need a third dose.

A serious thought about the Wuhan lab

Health, Politics No Responses »

May 302021

A few days ago, I posted an old Far Side cartoon about an accident at a virology lab. It was intended as humor, appropriate in light of the announcement that the US government seeks additional information concerning the possible role of the Wuhan virology lab in the pandemic. This investigation was triggered by the revelation that back in November 2019, researchers from that lab became sick with symptoms similar to those of CODID-19, compounded by secrecy by the Chinese government.

I think this investigation is warranted. I do not prejudge its outcome.

I do feel it is important to mention, however, that there is a difference between engineering a virus vs. releasing a virus. The fact that COVID-19 is not an engineered virus was well-established early on. Conclusions can of course change in the light of new information but I don’t think there is much room for change here. It has all the hallmarks of a virus that jumped from animals to humans (which such viruses, I am told, often do) and none of the hallmarks of a bioengineered virus. So I think in light of that it is quite unlikely that the virus was the result of, e.g., a botched bioweapons experiment or worse yet, an intentional pandemic.

Could it have been accidentally released? That’s another story altogether. The mandate of the Wuhan lab, I understand, is to research illnesses such as SARS or COVID-19. This lab produced many research papers over the years warning the world that a much more serious pandemic than the SARS epidemic is possible, even likely. Those papers were prophetic, but largely unheeded. It would be ironic if the same lab was found responsible in the end for causing the very pandemic that it tried to help prevent, and if the Chinese government played a role in suppressing information that, early on, could have saved many lives, they should be held responsible.

But for now, we don’t know if any of this is true. The Far Side cartoon was not intended to imply anything. It is just… funny, and uncannily prophetic. Just like the Wuhan lab’s research papers from years past.

What happened in Wuhan

Health, Humor No Responses »

May 292021

Thanks to a share on Facebook, I now know exactly what happened in Wuhan in November, 2019.

This.

Sweet dreams…

Vaccines (not) made in in Canada

Canada, Health, Politics No Responses »

Apr 282021

The CBC just published a very informative article on the history of vaccine manufacturing in Canada, explaining why this G7 country, one of the top industrialized nations on Earth, is entirely dependent on imports when it comes to COVID-19 vaccinations.

It really is disgraceful. Canada’s Connaught Labs, founded in 1914, was at the forefront of global vaccine production for many decades.

But then came the decline. Vaccine production is not always a profitable enterprise. Connaught Labs was eventually nationalized by Pierre Trudeau’s government but then, as far as I am concerned inexplicably, the emphasis for this now Crown corporation was to turn a profit!

Why???

Eventually, it was reprivatized by Mr. Mulroney, who promised that the action will bring “net benefits” to Canadians.

Yeah, right.

The federal government is now investing serious monies to expand capabilities for future pandemics. I can only hope that this lesson is not going to be forgotten anytime soon.

Booked

Health, Personal No Responses »

Apr 142021

Our vaccination appointment is booked. Yippie!

Yes, it is the AstraZeneca vaccine. No, I am not concerned about blood clots. The risks are very small, and are far outweighed by the benefits of becoming vaccinated. (Our family doctor enthusiastically agrees.)

Vaccines and politics

Canada, Health, Hungary, Politics No Responses »

Feb 062021

In recent days, especially in light of the sudden drop in vaccine deliveries in Canada, I saw a lot of criticism aimed at the Canadian government and its perceived failure to secure vaccine supplies or vaccine manufacturing in Canada.

Reality is a little bit more nuanced. Manufacturing a 21st century vaccine is not exactly something that can be done anywhere. The fact that Canada doesn’t presently have the expertise or infrastructure is lamentable but that’s the result of a decades-long trend, not the decisions of the past several months.

Meanwhile in Hungary, Orban’s government is criticized for telling people that they will be vaccinated with whichever vaccine is available at the time; if you don’t like the vaccine being offered, you’re sent to the back of the line. A bit harsh, to be sure, but this is a bleeping global health emergency. Orban’s government may be criticized for acting in haste when they approved the Chinese and Russian vaccines (although the Russian vaccine seems effective; the Chinese vaccine is probably also fine, what is questionable is the ethical shortcuts they took with the testing and approval process). But acting in an authoritarian fashion when there is a global health emergency is precisely what even the most liberal, most democratic governments are expected to do. Orban can, and should, be criticized for undermining the country’s democratic institutions, its press freedoms, its judicial independence, its constitutional principles, but not for acting decisively when decisive action is needed during a pandemic.

Wider column needed

Health, History No Responses »

Jan 262021

Today, I had to widen a column in an Excel spreadsheet in which I record some numbers.

It is a spreadsheet that I use to keep track of confirmed COVID-19 cases.

The actual number of cases is likely much higher, since systematic testing is not available everywhere, and even where it is, people with milder symptoms or no symptoms at all may not get tested.

This number is also accompanied by the number of known COVID-19 fatalities: well over 2 million and counting, with the end nowhere in sight. COVID-19 may yet put the Spanish Flu to shame, despite a century of progress in medical science, despite the scientific miracle of rapidly developed, engineered I should say, mRNA vaccines.

To all of us on the Good Earth…

Art, Health, Religion No Responses »

Dec 242020

Tonight, this view of earthrise from the historical Christmas flight around the Moon by Apollo 8 seems and feels especially profound.

We are all in this together on our tiny blue marble. For now, hunkered down, but not beaten. As a result of 21st century science and an incredible push by researchers, we now have working vaccines that will soon be distributed to millions, starting with health care workers and the most vulnerable. Who could ask for a better Christmas present? And even amidst all this, we can still share a joke, as people from Romania to New Zealand, from Canada to Iran erect copycat versions of the famous Utah monolith.

[G]ood night, good luck, a Merry Christmas – and God bless all of you, all of you on the good Earth.
– Frank Borman, Apollo 8 mission commander

There is hope for us in 2021 on this good Earth.

Pandemic

Health No Responses »

Nov 192020

It was less than three weeks ago that I blogged about a terrifying milestone: the number of new COVID-19 cases reached 100,000 a day in the great United States.

And now here we are today, with over 192,000 new cases registered in the past 24 hours.

Frankly, this is beyond terrifying, especially considering the horrific stories of many COVID-19 survivors about the debilitating consequences of this disease.

Trick or treat

Canada, Health, Hungary, Local Ottawa No Responses »

Oct 312020

Would you like me to scare you into offering me some Halloween candy?

Here are some plots from the spreadsheet that I’ve been using to keep track of COVID-19 numbers since the spring.

I am tracking global figures, numbers in the US, Canada, the province of Ontario and my city Ottawa, as well as the country of my birth (and where our elderly parents live), Hungary.

The number of cases needs no explanation. The trends are not good. Hungary, in particular, appears to be a representative case of Europe in general, where the numbers began skyrocketing in recent weeks, per capita figures far exceeding those in Trump’s America. (So perhaps it’s not politics, after all.)

The daily growth rates are also alarming. The only place with a downward trend is Ottawa. Everywhere else, the growth rate is increasing. A constant growth rate in this chart would correspond to an exponential rise in the total number of cases; an increasing growth rate implies super-exponential behavior.

This is also reflected in the doubling rate. In this chart, the higher the number, the better; a high number of days means that the spread is slow. Again, with the exception of Ottawa, the numbers are trending downward (which is bad), or at best, are perhaps stagnating (in Canada and Ontario). And look at Hungary again! According to the latest data, the number of cases there doubles every 16-17 days or so, which is frightening.

These charts show seven-day averages. Again, the usual disclaimers apply. Country-to-country comparisons need to be made with care, due to differences in testing and reporting regimes. But the trends are another matter.

Terrible but puzzling numbers

Canada, Health, Hungary, Politics 3 Responses »

Oct 302020

The latest figures from the United States are scarier than ever. It appears Dr. Fauci was right when he predicted that the daily number of new cases will reach 100,000; according to the World-o-meter data that I’ve been following, there have been 101,461 new cases in the US today.

Does this mean that the United States officially qualifies as a “shithole country” with regards to how it manages the pandemic?

Not so fast.

Per capita, these figures mean 306 new cases per million people in the past 24 hours.

But look. Here’s my country of birth, Hungary. They were doing well until they weren’t. In the past 24 hours, they produced 3,286 infections. For a country with only 9.65 million people, that’s a lot. So much, in fact, that at 340 cases per million people, they are actually ahead of the United States. (What a relief: America is not number one.)

And wait! Before you jump to the conclusion that Mr. Orban’s illiberal populism is to blame, look at France. In the past 24 hours, they produced a staggering 49,215 new infections. Granted, that’s less than half the number of new cases in the US. But they only have less than one fifth the population! So per capita, their figures translate into a truly whopping 754 new cases per million people.

So perhaps it’s not politics, after all.

None of that excuses Mr. Trump as he mocks experts and holds “super spreader” campaign events. Perhaps 306 is less than 340 or 754, but it is still a lot of people. And as a result, around a thousand Americans die every day who could otherwise have lived. Clearly, the country could do a better job.

Canada, too. Perhaps our statistics look better than American statistics, but there is no room for complacency. This second wave is hitting us hard, much harder than the spring outbreak, and there is no sign of it ending anytime soon. On the national level, the rate of new infections is below 100 per million people, but it’s much higher in hotspots. Today’s breaking news: The province of Manitoba registered 350 cases per million, exceeding the US average.

A vaccine may or may not be coming soon. Even if it does, it will likely be imperfect, offering limited immunity. And it will take months for a mass vaccination program to reach the requisite level for vaccine-induced “herd immunity”. Long story short, the end is not yet in sight. This is likely going to get worse, perhaps a lot worse, before it gets better.

But it’s not politics, people. Wear those damn masks. Wash your hands. Keep away from other people. Resist the temptation to visit grandma on her birthday or hold a large Christmas family dinner. For crying out loud, this is not some backdoor to communism. You are not a lesser human, a less manly man if you wear a mask and keep your “social distance”. This is centuries-old science, which is how human society was able to cope with past epidemics. Ignore it and you may be directly responsible for infecting, perhaps crippling, even killing your loved ones.

Colon Cancer Check

Health, Personal No Responses »

Oct 302020

I don’t usually write about such matters, but a letter like this one is always a nice one to get even when there is no raging pandemic:

Let this serve as a public service reminder: If you are, like me, in your fifties, especially if you are a male, with a sedentary lifestyle (spending your days in your office chair), perhaps overweight: You are at risk. Early detection may mean the difference between surviving to a ripe old age in good health vs. dying before you get to enjoy life as a pensioner.

Listening to scientists

Health, Politics, Science No Responses »

Oct 192020

Since when is listening to the scientists a bad thing?

Trump complains if Biden is elected, “He’ll listen to the scientists.”

Wait. Is that a bad thing?pic.twitter.com/YIqHER6SJW

— Keith Boykin (@keithboykin) October 19, 2020

Now as to the claim that if he listened to the scientists, he’d have tanked the economy… here is what Mr. Trump’s pandemic response accomplished with respect to the US economy:

Compare this against China, where the totalitarian government, to their credit, actually listened to the scientists:

Even Canada, with a much less spectacular pre-pandemic economic performance than the United States, fared much better than our southern neighbor on which much of our economy depends:

So I suppose, Mr. Trump, you just gave millions of thinking Americans another reason to vote for Mr. Biden. I’d laugh but… neither the state of the US economy nor the number of dead, rapidly approaching a quarter million, qualify as laughing matter. Not to mention the seemingly inevitable march towards an increasingly illiberal, increasingly authoritarian America, driven by structural causes that go back decades and which a Biden Administration is just as unlikely to address as preceding administrations.

Topic police

Health, Internet, Personal No Responses »

Sep 102020

In the last few days, I was:

scolded in one Facebook group, when I commented on a post and made a mention of other personalities (who are not directly connected to the topic of the group), intended to serve as examples showing that the issue being discussed was a much broader one;
had a repost of mine of a funny image to a humor group unceremoniously deleted, for supposedly reposting “ad nauseam” something that I have not yet seen in that group since I became a member a few months ago.

Yes, I know, discussion group moderation is a thankless task. Been there, done that.

But, as I often reminded all-powerful witches and wizards in our favorite MUD (Multi-User Dungeon) games, there is no point overdoing the policing. It sucks away the fun for everyone. By all means, step in and police blatant violations… but also be wise and know when it is more appropriate not to notice things, even when they technically qualify as infractions. The goal, simply put, is to make things fun for everyone, not to enforce rules at all costs. In short, rules exist for our convenience, not the other way around.

If only people were this conscientious when it comes to pandemic-related rules for social distancing and wearing masks… Rules that are there, you know, because they actually save lives?

Oh well. Done ranting for the day.

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