Asthma

“Go run and play.” She said. She always said that. She never understood how impossible that was, running and playing. Even short sprints would leave me breathless. when I was in elementary school, participating in my first field day, I tried running in all the races. I couldn’t finish most of them. When I came back in tears dejected and frustrated, the teachers tried to console me with a participation award. I still have it around here somewhere.

No one, especially not my mother, the “go run and play” voice in my head, ever thought to ask if I was having trouble breathing. Never in my life did anyone ask. I just assumed this was the way everyone felt while running. The feeling of slow asphyxiation, the inability to ever get enough oxygen into the blood.

I remember the time when running became a thing that everyone thought they should do. I listened incredulously to the descriptions of the runner’s high, wondering how anyone could ever get to that state of euphoria while slowly strangling to death. But I was intrigued by the idea, so I bought a pair of running shoes and some sweats, and tried running a few times just to check it out. Could I run long distances, at all? In all the times I’ve tried, I have never made it much further than a hundred yards, no matter what mindset that I started the run with. It simply was not possible for me to run long distances. I was never going to experience the runner’s high.

Bicycling was different. If you do the exercise correctly, bicycling puts you in the prone position. In a prone position you breath easier, and I could ride all day on reasonably flat ground if I needed to. Trying to ride uphill was a near-impossibility though, as I soon found out when I moved away from the flatlands of Kansas as a teenager.

Breathing is key. If you can’t breath well enough, you can’t do any of these things. I never understood this fact when I was younger. I just assumed that everyone faced the pain of their lungs being on fire all the time that they were exercising or competing. I simply wasn’t driven enough. Wasn’t motivated enough. Wasn’t good enough to compete.

That is where interest in competition stopped for me. I knew I couldn’t win, so I decided not to try. No sport that required physical stamina would ever be something I would excel at. That was me as a teenager and a young adult.

When I met the Wife, she infected me with a need for competition that I had never cultivated in myself. We tried playing softball on the team one of my architecture firms maintained. Between dysgraphia causing me to catch balls with my face almost as much as I caught them with my glove, and my restricted lung capacity keeping me from being able to sprint around the bases without needing to stop and catch my breath, I didn’t lead the roster of most valuable players on the team. To say the least.

I had to change allergists a few years back. The allergist that I had been going to retired, and the random choice that I was required to make put me into the hands of an allergy and asthma specialist. He immediately suspected that I had borderline asthma, and confirmed it with testing. Once again my mother’s indoctrination into the cult of Mary Baker Eddy had taken its toll. Had she been curious enough to go talk to doctors about her son’s weird breathing problems, I might have gotten treatment early enough that my lungs would have developed better.

We treated the Son’s borderline asthma when he was a baby. It was breathing the albuterol with him while giving him his treatment that made me wonder if perhaps I had similar problems. I few years later I no longer had to wonder about it. I’d like to officially thank the Church of Christ, Scientist for fucking up my life and the lives of my mother and her siblings and her children. Without their influence, I wouldn’t have had to watch my mother die from a treatable disease, with virtually the last words out of her mouth being “doctor’s don’t know anything.” As it turns out, they seem to know quite a bit.

300,000 Dead Americans

We went from 200,000 to 300,000 in less than three months.

We hit 100,000 officially dead to the Coronavirus back on May 27th. It took 4 months to get to 200,000 from that number. It is expected we will hit 400,000 dead by January 20th, a mere 2 months away.

Joe BidenPresident-elect Biden Delivers Remarks on the Electoral College Vote Certification

I wouldn’t even have known we passed 300,000 today if Joe Biden hadn’t observed that we passed that landmark after marking the victory that was recorded by the electoral college today. A grim pairing for a grim year.

Fuck you 2020. Let’s hope your next of kin is kinder than you were.


I hate being right.

washingtonpost.com

Anemic Dizziness

I’ve been dizzy for several weeks now, in an unbroken chain of dizziness. During this period of dizziness I had blood drawn for my semi-annual blood tests, tests that came back showing that I was anemic. I wasn’t anemic by much according to the normal ranges for iron in the blood; but still it was low enough that my doctor was concerned about it and thought to mention it to me.

I basically blew the concerns off at the time. I mean, anemia? Right? What is anemia? It means low levels of red blood cells in your blood. It wasn’t critical. It wasn’t like I was four pints low on blood and I really needed a transfusion (I’ve heard that reported by others who have had anemia over the years) I was a few points low on the percentages of iron in my blood in one test. I figured, no big deal, I’ll just start ingesting a bit more iron in my diet. I shifted to taking the Wife’s daily vitamin for a week or so (her’s has iron in it. Men generally don’t need iron supplementation, women do) but after that I went back to my same old Men’s One-A-Day that doesn’t have iron in it, and I forgot all about it.

Until today. Today, as I’m standing there with the world in a fog of dizziness around me, not actually spinning but always worried that the general dizziness might turn into vertigo, it suddenly occurred to me. Brain function. Oxygen carried by red blood cells. Red blood cells distinguished by their ability to carry oxygen because of the ability to bond with the iron that is in them (that is what makes them red after all) is it possible that this prolonged bout of dizziness is caused by the anemia and not the Meniere’s?

To answer this question I turned to Dr. Google, like most of us do these days. As usual, Dr. Google was not a useful source of information on the subject of anemia and related dizziness. This image is the summary that Dr. Google offered me for the search phrase dizziness low iron. See what is second on the list? It took a minute for the reality of the situation to sink home.

Dr. Google on dizziness low iron

Acupuncture. Acupuncture is second on the list of recommended treatments for dizziness. I was almost apoplectic with outrage while reading this summary. Acupuncture has no proven use for dizziness, and yet it is second on the list of what to do about dizziness from anemia. Why? Why is this on the list at all? Why does Dr. Google think that medicalnewstoday.com is a reliable medical news source? Why is this unknown resource cited in a summary that purports to offer solutions to a particular problem? Cited at the top of a list of other possible answers to the question.

I’d like to thank Dr. Google for putting the word anemia back in my vocabulary today (words keep disappearing on me when I’m dizzy like this) put the word back in my vocabulary list so that I can hone the question I want to ask, but seriously? Why is is this website quoted as a source? In Dr. Google’s defense, Healthline is the first resource offered on the page, but the clarification block appears directly under that resource. Healthline’s value as a resource is also questionable. I wouldn’t take their advice as being rock solid without checking facts in other places first. When you read symptoms off a list of symptoms and you start saying “yeah that sounds right” even though you haven’t been complaining about that particular symptom, it’s time to find a second resource.

Using the search phrase dizziness anemia proved to be even less revealing than the previous search phrase. The top resource on that results page was yet another poorly written questionable source that I wouldn’t trust to give me advice about which direction was North, much less give me advice on how to treat chronic health issues.

After a few hours of fruitless searching I decided to quit looking and simply treat the problem that I know exists and see if that helps. I already know I’m anemic because my general practitioner told me I was. I was anemic when this dizziness started. I’m going to approach the problem as if I was suffering from anemia, and simply start by taking some iron supplements to see if the dizziness recedes or not. I have also been listless and tired a lot lately. Maybe it is anemia after all? Stay tuned.


Several days later, after a few days of adding iron to my diet (The Wife’s supplement didn’t have iron in it contrary to my prior statement) I’m already starting to notice less dizziness. Which is good. I didn’t want to have to go back to the ear, nose and throat doctor and get steroids injected into my inner ear again.

I will only be adding iron to my diet for a few weeks at most. I don’t want to overdo it and cause other types of damage that can be caused by having too much iron. I’ve never suffered from anemia before. At least, no anemia that I know of. The doctor who told me I was anemic also told me that blood donation could not have caused the anemia, but I’m at a loss to explain why I would suddenly be anemic outside of the blood donation that I had just given the day previous to getting the blood tests done. I guess I will go back to him and get an order for another blood test and see if the anemia is still present, after I’ve finished my few weeks of iron inclusion.

Weather and allergies frequently mess with my vestibular system. These are a known triggers for Meniere’s in some people. I thought the dizziness was coming from weather and allergies, but then it lasted through several changes in both. I tried the vestibular therapy exercises, as I mentioned previously on the blog, and they helped for a few hours but the next day the dizziness would be back. This is a last-ditch effort. I did not want to take iron supplements because I know that iron can be quite toxic at high doses.

I don’t know what caused the dizziness and I won’t know, possibly ever. This is the problem with chronic illness and common complaints like dizziness. If the dizziness that I’ve had for a solid month goes away, and I get a blood test that shows the anemia is gone, I will have demonstrated correlation. An interesting set of facts that might be related. If I get extended dizziness several more times and each time taking iron makes it go away, I’ve demonstrated a possible causal link. At least for me.

Dizziness is one of the most common symptoms/complaints that doctors hear. Almost anything can cause it. Dizziness is not just one thing, either. It can be a mental fog. It can be a feeling of imbalance. It can be active rotation and when it is active rotation it should be referred to by its real name, vertigo or rotational vertigo. Every time I get a symptom these days I’m always wondering if it is Meniere’s or if my thinking it is Meniere’s means something more serious is going on and I’m missing it.

What I do know now is that next time I donate blood I will be sure to include more iron in my diet before and afterwards. I don’t want to do this again and blood donation is still my only explanation for the anemia. If I become anemic again even with these precautions, then I’ll get concerned.

Toxic Isolation

Perhaps even before the virus, before Brexit, we had all been quarantined in our own naked individualism — an isolation far more toxic. There we were, incarcerated and alone inside the penitentiary of our temporal identities with no faith or care for anything other than the fleeting fulfillment of our wayward wants. This is the divide that British people have to reach across for there ever to be any real sense of unity among us. Ultimately, it is the island of self that we must either leave or remain trapped within.

NYTimes – Brexit: What Were We Thinking?!

Is This It?

In the cool light of an impending winter’s day, watching as the world economy spirals down the drain of the Coronavirus pandemic; as the various nations of the world including the vassal states of my own country flex their muscles to assert their dominance, and lastly in light of the naked insanity of our president and his supporters, is it completely reasonable to ask the question:

Is this it? Is this the end of us?

The question could be answered in a number of ways. Parsing the question, it depends on what you mean by the word us. The human race will continue on, and the world will continue spinning just like it always has. In that sense the answer is no. No, it is not the end of us. Some form of government will continue. Other nations will take over our leadership role. This process has already started and will continue whether we want it to or not.

A different take would be to observe that every empire in history has fallen. They rise, and then they fall. We watched the Soviet Union dissolve before our very eyes just over thirty years ago. This could be the point in time where the empire that the United States maintains falls apart.

Maybe our empire should fall apart. Maybe we shouldn’t have an empire in the first place? I’ve been warning people for years that the US is one major crisis away from ceasing to exist. Some people laughed when I first proposed this problem back in the day, the problem that the United States is a paper tiger.

A paper tiger in that, the American people don’t want an empire. They never have wanted one. The federal government in Washington D.C. established one anyway. They did it in our name, at the urging of power brokers of previous generations. Stealing the lands of our neighbors and putting native peoples to the sword in a fair approximation of England or France or any other empire-building nation of previous generations.

We have built a military that is unrivaled in the modern world, spending blood and treasure at a phenomenal rate to the benefit of our corporate masters and even to the benefit of the assembly line workers that build all the armaments that we currently deploy. We can, with pinpoint precision, remove any threat that we recognize as a threat with that military. We can do this and we have done this, right up to this point in history.

We are the wealthiest, most powerful nation in recorded human history. How can we just cease to exist?

…and here we are laid low by a virus, the simplest form of life on this planet. Life so simple that it barely qualifies as life in the first place. It is a little bit of replicating code that has evolved to use the larger bits of life around it to make more of itself without ever knowing what it was doing. It just does what it does, and we can’t stop it.

We can’t stop it. Not with jet planes or nuclear weapons or all the money in the world can we stop it. We can’t stop it unless we accept that we have to stop it, and then make that the thing we need to do now instead of building jet planes and nuclear missiles. This is the biggest crisis we’ve faced in our lifetimes, bigger than the crash that happened in 2008 that we still haven’t recovered from. It is possible that we are living through the greatest crisis in recorded human history, when our children’s children look back at this time through the lens of history.

The future of the United States as a political entity is a small thing compared to the effect that a pandemic can have on the human psyche. In the end that is really all that matters. Unless we can grasp the threat we face right now and answer that threat. Unless we put aside the petty dictators and their Trumpismo’s and focus on the real threat, the fear that this virus inspires in us all and the impact that its continued existence unchecked in the world represents, then the United States will be done for in spite of its globe-spanning military presence and its corporate reach.

…and just maybe, in the end, that is the way that it ought to be.

Featured image: IFLScience How Long Do We Have Left Before The Universe Is Destroyed?

Spinal Stenosis

Spinal stenosis is a narrowing of the spaces within your spine, which can put pressure on the nerves that travel through the spineSpinal stenosis occurs most often in the lower back and the neck.

mayoclinic.org

At five in the morning Friday, after an evening spent feasting with the same three people that I’ve been COVID quarantining with since March, them drinking champagne, me drinking water and hoping to be able to empty my bowels later (a generally empty hope as it was that night. Alcohol causes constipation, something on the avoid list for those of us who have issues with our guts) a late night spent watching television in an all-to-rare showing of familial appreciation, I was woken from a rather weird dream in which I could hear animal noises coming from a nearby set of bushes, only to discover that the weird noises were the Wife trying to get up off of the toilet and failing to be able to manage it, try as hard as she might.

Spinal stenosis has been having its way with her over the last few years, and it has caused her to become a frequent visitor to pain specialists as they try to address the various pain complaints (neck, back, feet, knees and legs) that seem to crop up at almost random times and places. The last visit to a pain doctor for treatment was a few days ago, and we thought she was heading into a more lengthy period of being free from the daily grinding pain that Spinal Stenosis inflicts on her.

With a little coaxing I was able to help her get moved into a chair in the next room, but it was clear to both of us in a very short time that we were going to have to transport her to the emergency room in order to get the problem diagnosed and addressed, because the pain that had started bothering her as she and the Daughter were preparing pies and cooking ham together was simply getting worse with time.

The problem she was having did not appear to be related to the recent treatments, but the only way to be sure was to bundle her up and take her to a doctor. So at six am amidst the Black Friday sale desperation visible at every shopping center we passed, I drove her to the ER of the hospital that we seem to be spending more and more time at these days.

With masks in place and temperature checks passed, we were ushered into a private space where the nurses and doctors popped in and out and over the next hour or so, until they finally agreed on the pain meds they wanted to try out. The problem here is that most of the pain meds that have been made available over the last few decades don’t seem to work well for the Wife, and most of them are also extremely addictive with some severe side-effects to boot. She has some preferences for older pain drugs, but those drugs are interdicted as barbiturates or some such, and so you have to pull teeth in order to get a doctor to prescribe you any of them. But those drugs do work, if you can get someone to give them to you. The emergency room doctors will not be doing this. They’ll try some other new drug, one that isn’t already deemed bad for some reason or other. It was a new drug, so we figured why not?

Then came the attempts to get an intravenous tap into the Wife’s veins. This is always a hit and miss process with her. Very few nurses seem to have the skill to get a needle in one of her veins. After a few tries the nurse dragged in an ultrasound machine specifically set up to help nurses with people like the Wife , people who don’t want to give up their secret blood supplies to interlopers like medical professionals. It was a cool gadget and with it she was able to hit a vein with the least amount of trouble I’ve ever seen in the many times I’ve watched them try to get a needle in that woman.

With the IV in place they could finally do the thing they wanted to do, and they gave her the pain medication she needed. Her blood pressure receded from the scary levels it had been at up to that point, and she finally started to doze off, only occasionally being woken by the alarms that seemed to go off every time she fell asleep. Heart rate too low, blood oxygen too low, whatever. After this had gone on for awhile, the nurses came back in and hooked her up with some oxygen and gave her a second shot, and at that point she actually slept for a bit.

Hours had passed by then. As I sat there in my mask trying not to touch anything other than my phone, I marveled at the hectic non-stop activity all around us. City hospitals are always a little busy, but I’ve never seen the kind of activity that was going on during that morning. Signs of the long pandemic we are suffering through were everywhere. Plastic sheeting hastily taped up to partition the various spaces that used to be simply curtained off. Masks, face shields and gloves were in place for every person who wandered in and out of the room, including the janitorial staff. The room next to the Wife’s was filled and vacated three times before we left there sometime around noon. Everyone looked tired and stressed, and I wondered if we really should be taking up these poor people’s times with some simple pain complaint that seemed almost trivial in that time and place.

The Wife was sleeping, which was all I really cared about. Sleeping, when she hadn’t been able to sleep at all before that point because of the constant pain. As I mentioned, they discharged her at about noon Friday. We got back to the house and got her into bed, and she promptly passed back out again. The pain doctors are all on holiday, of course. None of them will be available for consultation again until Monday. In the meantime she needs pain medication to keep the back pain to tolerable levels, and none of the pain meds that are commonly on offer do anything to help her with the pain she is experiencing. The ER doctors got her pain to recede enough that she has limited mobility again but they didn’t have any medication to send home with her.

The Wife has to be able to walk in order for her to to get around inside our house. It is an older two-story home, and it simply isn’t set up for wheelchairs or even a walker to work inside of it, even if she stays on the first floor. She can barely get around the house on crutches. Luckily we had some crutches that her father bought her after she injured her leg in high school and that we have never let go of since then. If we hadn’t had those crutches we would have had to call an ambulance to even get her to the ER in the first place, and she wouldn’t have made it back into the house when we were discharged and sent back home.

One good thing that the COVID pandemic has done is allow telemedicine to gain traction in society. Leaving the house is an invitation to get infected, and so talking to doctors via video chat makes it possible to see a doctor without having to sit next to sick people for several hours at a time. We managed to get a telemedicine appointment with or general practitioner on Saturday morning. That is the miracle of telemedicine. Seeing your GP for a few precious minutes on the weekend in order to get you some medicine that you need so that you can not be enduring constant pain for three days waiting for the specialist to get back to you about this problem that just might kill you with pain-induced stress. With the desired prescription winging its electronic way to the pharmacist, I can finally rest easy knowing that the Wife will not be in constant agony over this long weekend.

The insane war on drugs goes on, though, and its victims are people like the Wife who cannot get pain medication because every medication that works for her chronic pain is a medication that every doctor can get in trouble for prescribing too frequently. Pain doctors are the targets of convenience for these stupid government drug crackdowns because obviously you go to a pain doctor to get your pain meds. That is what a pain doctor is for. To help you alleviate your pain. Sometimes the drugs are required and when they are required that point in time has a two in seven chance of being on a day when the doctor will not be available to prescribe them, and no one is willing to go out on a limb and give pain meds to a patient that they don’t know personally, even when that person is in the kind of pain that registers as spikes in blood pressure. This situation is intolerable and has to change.

Pain management has to turn a corner and come to grips with the fact that pain meds are both required and potentially addictive, both at the same time. It is a juggling act that the medical establishment had better learn to master, and soon, if they want to head off the next oxycontin embarrassment. That debacle simply waits in the wings for the next corporation to see a chance to reap a profit from people who have pain and have the money to spend alleviating the pain. This problem is not going away because the problems with pain are not going away either. We are going to have to learn how to deal with this problem. The sooner the better.

Facebook

The Tonight ShowSheryl Crow “You Don’t Know How It Feels” Tom Petty – Nov 25, 2020

Vestibular Physical Therapy

I had been seeing a Physical Therapist for years before the time of COVID. I have a recurring issue with the lower back, a common complaint among older people, come to find out. I’ve also messed up my neck and shoulders in car accidents over the years, so I have plenty of things to work out with my physical therapist. Or did have before the time of COVID. I haven’t been back to Symmetry Physical Therapy since before March of 2020, because as painful as my joint and muscle problems are, they pale in comparison to the kinds of problems catching COVID would mean to someone like me.

Back in 2019, when the lack of plague allowed me to leave my house for things other than the essentials, I just happened to be at my Physical Therapy appointment when I mentioned that I was having recurring problems with minor vertigo and dizziness that lasted for weeks or months at a time. He got a quizzical look at that point asked me if I had ever tried any vestibular training exercises.

I had never even heard of vestibular training before, much less tried any of the exercises. He then demonstrated a few of them for me and had me work through them. I don’t know that they had any positive effect, but the knowledge that there was PT for my vestibular problems started me on a mission to find out more about the subject.

After mentioning the subject to my Ear, Nose and Throat doctor (ENT) on my next visit (she was mortified that we had never discussed the subject before) She gave me a referral for and I went to see the specialists over at 360 Balance, which just happened to be the people that my PT had been to a seminar with and had put the bug in his ear about retraining the vestibular system after injuries like the ones that Meniere’s inflicts on sufferers.

Over the course of the next six months or so we set up a set of exercises that addressed the issues that arise from the inner ear damage that Meniere’s causes. The exercises did, in fact, stop the nagging dizziness problems that I had been experiencing all that summer of 2019, and I have not had a recurrence of those symptoms since then. Did not have them again until a few days ago.

I’ve been slacking off my exercise regimen lately. The allergens outside the house have kept me sequestered indoors more often, and even the little bit of pollen and dust that get into the house are enough to make me feel like I’ve got a permanent head and chest infection. A feeling that can persist for weeks on end. Starting sometime last week I started to feel like I was heading into another bout of vertigo, so I started taking my meds in response. I’ve managed to avoid worshipping at the porcelain altar so far (knock on wood) but I have had that nagging bit of dizziness and nausea that comes along with it that has persisted for almost the whole week since I first noticed the warning of oncoming vertigo.

So today I decided it was time to break out the PT routines and see if I was going to finally worship the god of the toilet bowl or if I was going to stop feeling this stupid constant dizziness. The results are mixed. I do feel slightly less dizzy just sitting here typing. Any kind of movement does make the dizziness worse though. There is something different about the way my inner ears are working at the moment. I can determine that much. I don’t think I’m quite through the woods with this re-arrangement that my vestibular system is going through.

At least I can sit here and type words without feeling like the room is going to take off spinning like a top. That is a good thing. I think I will go walk the dog once I’m finished writing (I did) but in the meantime I’ll outline the exercises the therapist has me doing to help ease the dizziness.

  • Dynamic Standing Balance – I have a pillow that is so damn firm that it doesn’t give under the head when you lay on it. The Wife and I both hate the thing, but now I have a use for it. I place it on the treadmill near the grips in case I fall over and stand on it. Then I close my eyes trying to maintain balance for 30 seconds.
  • Kick the pillow out of the way and stand with your ankles touching. Close your eyes and try to maintain balance. If you can do that for 30 seconds, move your head from side to side at a moderate pace and try to maintain balance for 10 back and forth movements.
  • Vestibular Ocular Reflex (VOR) Exercise/ Gaze Stabilisation Exercise – I do both back and forth and up and down with these exercises. I set a metronome to 150 beats a minute and try to keep the mark on the wall steady for at least 15 seconds of head movement. I had to slow the metronome down today for the first set. I could not keep the mark still at that pace.
  • I can’t find a name for this one. I hold my thumbs out at eye level and maintain my gaze on them. This should be done against some kind of busy background. Bookshelves or blinds are both good choices. Rotate your torso to the left and to the right, back and forth, repeatedly, maintaining eye focus on your thumbs while the background moves behind them. I find this to be one of the best exercises for quieting the periodic dizziness that I get between vertigo spells. Making the world spin on purpose while focusing on a still object counters the feeling of spinning when it hasn’t yet turned into active vertigo.
  • Walking with head movement is the last exercise that they had me doing. Not just side to side, as the video demonstrates, but also up and down and diagonally (high left, low right/high right, low left) if you can pull that off without tripping all over yourself, try giving yourself mental tasks to do like naming groups of things or counting backwards from different starting points.

The hard part is making yourself do these things every other day or so. You feel fine and you think I have better things to do, so you don’t do the exercises that day. Before you know it a month has passed and you wake up dizzy for no apparent reason. Then you have to get back on the bandwagon and deal with the dizziness and the nausea until the exercises have the intended effect and you start to feel better. Now I’ve done my exercises and walked the dog. Time to reward myself with some more video gaming!

TrumpConLaw 40-42

twitter
TrumpConLawJacobson and COVID EP. 40 – 04.24.20

twitter
TrumpConLawThe Socially Distanced SCOTUS EP. 41 – 05.29.20

twitter
TrumpConLawPolice, Race, and Federalism EP. 42 – 06.27.20

If you think #MAGA means anything other than Misguided Appallingly Gullible Americans, you are the person these tweets were written for.

Editor’s note.

There are several things that I should explain in this editor’s note. One thing that I should explain is that I have changed phones and carriers multiple times over the last year, and consequently some of my podcast feeds got lost. Trumpconlaw was one of those feeds. I had wondered why there hadn’t been new episodes of the podcast over the summer. Radiotopia could well have tried to deliver me new episodes and the reply would have been “new phone, who dis?”

The second thing I should explain is my complete dissatisfaction with the way WordPress is dealing with embeds these days. The new functionality is apparently intentional and not a bug. This conclusion leads me to believe that I have no alternative but to get rid of the Gutenberg/Jetpack add ons for WordPress and fly solo, because I want to be able to craft the HTML code to my liking on my blog. I’ll have to ponder what direction represents forward from here.

I have modified all the previous audio links for TrumpConLaw now. Modified all the audio links and updated the articles, and am finishing up the last of the Trump articles before moving on to new things. I’m doing what everyone should do as the new year approaches.

Normal Saline Causing Vertigo?

I learned something new. I love it when that happens. When I was hospitalized for the night after having my angioplasty last year,

…I started to experience vertigo. I didn’t think too much of it, other than the irritation that I felt while trying to wheedle a Xanax out of the nurse because of the vertigo. The stress of having to argue with the nurse about a medication that the hospital could see on my charts as being a medication I have been prescribed adding to the anxiety of an approaching vertigo spell. Yeah, that was fun.

But still. I couldn’t figure out why I had that sudden bout of vertigo. No warnings, none of the normal patterns (not that surgery is normal) But then I remembered that they had me on an intravenous drip of normal saline for most of the day and the night, about 16 hours of normal saline by the time I started to feel the spinning. For a lot of Menerieans salt=vertigo and saline is definitely salt. I have been on a reduced sodium diet for decades now because reducing salt is also what they recommend for people with hypertension, another chronic illness that I enjoy.

Sixteen hours of saline fluid introduced into my system. Surely that wouldn’t cause vertigo, right? I mean, normal saline is the same sodium levels as blood, right? Why else call it normal saline? It turns out that this is not the case. Normal saline just means the saline solution most frequently used in hospitals, and the salt levels are not the same as the levels in the blood.

Each bag of saline contains the same amount of sodium as 20 snack-sized bags of potato chips.

webmd.com

I haven’t eaten an entire bag of salted potato chips in… well, it has to be at least a decade. I occasionally (once a month or less) get a snack bag of air-fried chips from Schlotzsky’s (another Austin original) along with my regular original sandwich (hold the cheese and add the guacamole, please) and unsweetened iced tea, and that is almost more salt than I need in a day. I know they changed that bag at least twice while I was there, which is a lot more salt than I needed.

The assumed harmlessness of introducing normal saline into the bodies of all of their patients has been a point of worry for many doctors. So much so that there have been trials conducted using other replacement fluids than saline solution,

For more than a year, the emergency room and intensive care units at Vanderbilt rotated the IV fluid used to hydrate patients. On even-numbered months, they used saline, and on odd-numbered months, doctors could choose between either lactated Ringer’s or Plasma-Lyte-A. Both Ringer’s and Plasma-Lyte have less sodium than saline, along with other electrolytes. Most of the patients on balanced fluids in the study got lactated Ringer’s.

webmd.com

When I read the phrase lactated Ringer’s I heard it in one of the voices from the show Emergency! from way back when. That was the show that first got me interested in medicine and emergency care. My mother would probably be horrified to learn that I was indoctrinated into the evidence-based medical system by a TV show that she let me watch as a child.

Facts VerseEmergency! Behind the Scenes Facts & Secrets – Aug 26, 2020

Lactated Ringer’s or the Plasma-Lyte appears to be the better way to infuse fluids into patients. Not world’s better, but statistically measurable improved results from not relying on normal saline for all the patients admitted into the hospital. If you also need lower saline you might ask for one of those two the next time you find yourself needing surgery. Here’s hoping that time isn’t in the near future.

The Battles You Choose

Maddow speaks to AOC last night on her news program.

MSNBCRachel Maddow ShowRep. Ocasio-Cortez Warns Of Severe Fallout As Trump Rejects New Covid Relief – Oct 6, 2020

In that clip, and in other segments in the show, Rachel and her guests seem to be incapable of understanding what it is that Trump and McConnell are doing right now. She uses the phrase politically inexplicable several times. This is an incorrect assessment.

Telling Americans and their representatives in the House and Senate of the legislature that they won’t get coronavirus aid until after Trump’s SCOTUS nominee is confirmed is politically explicable, if you understand that the Republicans are fighting on a different battlefield than the rest of the country is fighting on.

The battlefield that the Republicans are willing to die on is the battlefield where they turn the United States, through control of its courts, into a Christianist country perfectly aligned with the prosperity gospel dogma espoused by their evangelical base. The dogmatic anti-abortion hordes that were created by Jerry Falwell and his Moral Majority, promoted to power by Ronald Reagan, that went into resistance mode under Newt Gingrich and then the Tea Party, and are now given voice my Mitch Mcconnell and the last, dying coronavirus-infected gasp of Donald Trump. They are demonstrably ready to die on that battlefield, and they are determined to take us with them.

V.P. Pence’s attitude towards Kamala Harris and the extra COVID-19 precautions that the council on debates has proposed confirm this assertion of mine. He is quite likely a super spreader himself now, since he spends so much time sucking Donald Trump’s cock in their private meetings. It is only a matter of days before he too shows a positive coronavirus test result, and he’ll get the same gold-star treatment that is reserved for the politically powerful in the United States of today. This is the country that America’s evangelicals have been working towards since 1978. Do you like it?

The war the rest of us are fighting is the one where the coronavirus is destroying our country with the president’s help. The president that has done nothing but pander to his evangelical, white nationalist base since he took office. The death of Ruth Bader Ginsburg has given them all one last chance to lock in the changes to our government that they have been seeking for more than forty years now. They think that with six solid conservative votes on the SCOTUS they will finally be able to enjoy the fruits of their Christianist efforts, establishing the dogmatic supremacy that the evangelical faith was established to produce more than a hundred years ago.

Roe v. Wade Was a Conservative Decision

Liberals should not capitulate. The Democratic party should continue blocking the efforts to replace RBG with Amy Coney Barrett. She, like Kavanaugh and Thomas, has no business being on the highest court in the land, much less being there for the next sixty or seventy years. Her willingness to subvert fact with dogma precludes her from ever being suitable for the federal bench, at all. Do not give in and allow them to fast track the corruption of our courts. If the Senate confirms no more judges until after next January 20th it will be a service to the country, even if that service comes at the cost of more lives destroyed by the coronavirus. Don’t do anything, if that’s what it takes. I’m betting the conservatives will blink first. Especially once the coronavirus finishes working its way through the ranks of Washington elites.

h/t to Stonekettle on Twitter for the featured image. Who created that image Jimmy Kimmel?