A Last Act Of Giving

Organ Donation.jpeg

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


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


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


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


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


(Source Photo of Photo: Andy Blumenthal)

Someone I Know And Didn’t Know

Be Batman

So this is a true story…


I am on the crowded metro coming home from the office, sitting facing backward and toward the middle of the car. 


There is some noise and rustling coming up from behind me, and I see people’s heads turning and startled looks on their faces. 


I turn around to see what is going on…


Someone in a wheelchair is screaming to get off the train. 


However, he is caught about halfway in between the closing metro doors, and can’t get back in or out and off the train. 


There is one guy who was apparently standing by the doors, and he is trying to get the door open, but can’t budge it.


Everyone else on this busy train seems just frozen, almost as if time had stopped (really). 


But the double train doors are wedged into the larger and smaller wheels (for hand turning) on the side of the wheelchair. 


The person in the chair is still calling out for help and to be released from the clasp of these heavy doors around him–in his seated position, his lower torso from his thighs down are positioned outside the train, but his upper body is still on the train. 


The conductor is trying to move the train again and again…and it’s not apparent whether the failsafe mechanism for the open door will work as the train is lurching forward and the doors are sort of vibrating in this quick open/close fashion. 


Then, I see someone spontaneously jump out of their seat.


They are racing to the wheelchair jammed in the doors.


I see them first try and push open on the left side…but it’s still not budging.


Then, they try and pull the other, right side, open towards them…but it’s to no avail as the forceful doors are wedged in on around the chair. 


With everything around them a blur of seats and faces, the person turns their head looking around for another way…


They see like a target standing out in the distance, an emergency intercom on the front wall of the train.


The person lunges toward it and hits the round button.


The conductor who is still fidgeting with the doors to get them closed and trying to move the train ever forward comes hastily on the speaker, but apparently not connecting the call to him with what’s going on with the doors and wheelchair says “Yeah, what’s the emergency?”


The person catching himself, musters the words to say into the comm device, “There is a wheelchair stuck in the train doors– OPEN THE DOORS!”


The conductor immediately reacts and the doors pull apart from both sides, and the wheelchair almost falls forward, the disabled person sort of thrown from the train, but finally on the platform, and wheeling themselves as quickly as they can towards the elevator to get away from this whole situation. 


With nothing left to do, the person who helped, let’s out a deep breath and is visibly shaken, but also glad to see the person in the wheelchair safe and on their way. 


As he is walking back to his seat, he realizes there are a lot of eyes on him that were just a blur before. 


At the same time, over the speaker system comes the relieved voice of the conductor with a simple “Thank you.”


I see the person sit down, calling his wife to tell her what happened, he starts to silently cry. 😉


(Source Photo: Andy Blumenthal)

Don’t Worry About It–Yeah Right!

Calm
Lately, with the Ebola outbreak, primarily in Africa, but unfortunately also spreading here into the U.S., we are hearing refrains from politicians and pundits, not to be afraid.



– It won’t come here.

– It’s hardly contagious.

– Out health care system is superior.

– It’s all under control.



But what we are finding is that the reassurances are mostly empty words to calm a growing restless public, who are justifiably afraid, and see little to no action from their leaders.



– Ebola has come here to Texas, Maryland, and New York.

– Experts now admit that you can even get Ebola from sweat on the bus, and they blame broken protocols (as yet to be identified) that inflected 2 nurses in Texas.

– Yes, our health system is superior, but we are mostly inexperienced with dealing with a true pandemic.

– Define, “It’s under control” as the CDC is now projecting 1.4M infected by January (and growing exponentially)!



This is like the old adage that we are always trying to fight the last war, and not preparing with an open mind for what the next one will look like.



Similarly, we fail again and again to predict the threats and risks that confront us…Pearl Harbor, 9/11, Depressions/ Severe Recessions, ISIS, and much more are evidence of this.



FDR said “There is nothing to fear but fear itself,” but this is dead wrong.



I am afraid that we are not fearing enough (or that even worse, we are afraid to fear)–when this is perhaps of as great, if not of greater importance to adequately preparing ourselves to the immense challenges ahead of us.



Fear can cause paralysis or even chaos, but fear can also drive intelligent preparation, innovation, and life-saving measures.



Lately, many have said to me that unhealthy eating or gun violence is what we should fear and act on, and I think this is truly narrow vision.



We can’t live with heads in the sand, because there are multiple issues that we must confront.



True, we don’t have unlimited resources to address everything 100%, but as I’ve been telling people, we can worry about multiple issues (and I certainly do), work to address them with common sense—in other words, walk and chew gum at the same time!



Everyone seems to have their pet peeve issue that they want politicians to address, but we don’t have the luxury of paying attention to those that big mouths, lobbyists or politicians elevate to fear factor status, and ignoring others that may pose real significant threats to us. 



Frankly, I would rather be a little needlessly afraid, but more thoughtful, prepared/protected, and ahead-of-the-curve in addressing issues, than fearless, foolhardy, not ready, and extremely sorry later. 



While Ebola may or may not be catastrophic to us, when you hear coldly, almost matter-of-factly, “Don’t worry about it,” while thousands are dying and many more horrific deaths are at hand, and we are told by the U.N. that there is no real plan if things continue to go south, then be afraid, be very afraid–and let that guide you to creative problem-solving, and not deer in the headlights inaction. 



(Source Photo: Andy Blumenthal)

Health Monitoring Ad Nauseam

Art
So the new Apple Watch promises to monitor our every virtual health status as technology and person blend to become one.  



However, the question raised in the New York Times is whether this level of continuous monitoring is really all that necessary?



“One central rule of doctoring is that you only gather data that will affect your treatment?”



But how can more data hurt you?



– Change in measurements are often normal: For example, “blood pressure jumps up and down in response to thoughts, hydration, and stress.”



– Data sometimes outstrips our ability to understand it:  So collecting more and more data may actually end up concealing the needle in the haystack, rather than culling the crucial piece of evidence we need for a diagnosis and treatment. 



– Data can sometimes belie the underlying truth: “Some patients die with ‘Harvard numbers, [and in others] test results can can look bad even when the patient is fine.”



– Obsessive-compulsive monitoring may actually stress us out: “If you were dieting would stepping on the scale 1,000 times a day help you lose weight?” Perhaps, the stress of monitoring every stat we generate may actually make us sick from fear and worry.  



The point is that as they say, “there can be too much of a good thing”–monitoring and checking is helpful, but not every minute of every day without some intelligent filtering and analysis. 



Perhaps, the technology will evolve to wear the monitoring is unobtrusive and where the artificial intelligence is there to more or less accurately decipher true warning signs from run of the mill changes in bodily functions, and where data is aggregated to get a holistic picture and diagnosis of the person rather than a snapshot of individual functions.



No one can live under a microscope and making ourselves sick with an endless stream of health tracking and worries is not helpful. 



However, in time, the technology will most certainly evolve to where it will be discreet, accurate, and truly lifesaving. 😉



(Source Photo: Andy Blumenthal)

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. 😉