Thursday, June 21, 2018

From my medical blog

stuff and rants on my medical blog

The Gosport scandal. 

Terminal sedation/heavy doses of opiods are sometimes needed for pain relief.

The problem is when opioids are used on folks who don't need them and they end up dead, and no one asks why.
---------------------------

Materialism kills

when folks think their worth depends on being strong and productive, what happens to the rest of us?
Journal article worries about pushing grandmom to think she is worthless to the world, so should kill herself.
Rant.
Sigh. I wish I was a better writer, but this is an important subject.

--------------------------------
 Mosquito control. Disney shows how to do it.

Yes, it can be done. And remember the Yellow fever epidemic in Philadelphia in 1793 before you post a rant about global warming.

----------------------------------

rant about "clinical trials". 

-------------------

Brain dead? Moi?

the protocol to diagnose brain death is strict, so why do laypeople hear about so many cases of people waking up after their relatives are told they are dead so donate their organs...

link


Trenton McKinley, 13, suffered severe brain trauma two months ago from a dune buggy accident. "I hit the concrete, and the trailer landed on top of my head. After that, I don't remember anything," Trenton told FOX10 News....
For the next several days, Trenton was brain dead and barely breathing, according to reports.... "Five kids needed organs that matched him,” said his mother, Jennifer Reindl. “It was unfair to keep bringing him back because it was just damaging his organs even more."
notice the argument? He has to die so others can get his organs.

and the dirty little secret: some docs are taking organs from live patients, or want to change the criteria to include people who are not really dead, because hey, they don't have "meaningful" life so hey, they are better off dead:
They “propose that sometimes the harm of dying is sufficiently small that patients should be allowed to voluntarily accept that harm if it makes organ donation possible”.
It would be permissible to use as donors at least two classes of patients who had given prior consent: the “permanently unconscious” and the “imminently dying”.1 Ultimately, it would be up to “society” to determine the minimal threshold of lively existence below which donation would be permitted. They suggest that organ donation from the “permanently unconscious” be limited to patients declared “brain dead” by current standards, because of uncertainty about the “capacity for consciousness” in patients in a persistent vegetative state or in anencephalic newborns.

------------------------\

Marijuana in workers. 

Why is no body wondering why this study in the use of marijuana by workers, just happends to show many marijuana users are unemployed.

dirty little secret no one is discussing: Alcohol gets you high, but is quickly metabolized (one ounce per hour). So you can drink it in the evening and you are sober in the morning.

Marijuana has a long half life, so doses accumulate if you use it daily or several times a day... the doses then add on top of one another. this is why drug tests stay positive so long, but since it is lipophilic, it also means it accumulates in the brain heart and liver.

------------------------

No comments: