Health, Aging & Medicine
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I am back ………
Over three years after my last entry on this blog, I have decided to resume writing. So much has happened since then…….. For a start, I turned 80 last January and so I am now in the ninth decade of my life! My three children are also getting on—one is in her mid-50s, one in her early 40s and the youngest is in his late 30s. Who would have thunk that I would actually have middle-aged children, or close to it! Two months ago, we moved from Tampa to be close to our son, Amit, and his partner, Brett. Although we are still quite functional, we are at a stage…
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Physician heal thyself ……….and other observations
Gender selection with a marked preference for male children has been a major problem in India and some other countries. It has resulted in severely skewed male/female ratios in some parts of India with major repercussions as a shortage in the number of eligible young females has caused social unrest in these locations and the need to find eligible young women from other parts of India where the ratios are not as skewed. The graphic below shows the extent to which these ratios are skewed because of gender selection which occurs mainly through the abortion of female fetuses. It shows the worst offenders among states in India where the greatest…
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“You are going to die” – more on aging, death and longevity
I have been down with a prolonged bout of the flu and so I have not kept up with the blog. I hope to make up for this over the next few days given that there is a plethora of subjects I have wanted to comment about. But this post has little to do with my recent illness except in a very peripheral way – despite the post prior to this one also focusing on aspects of the same subject by Khushwant Singh. Over the past several years I have been involved in discussions with peers and family about aging and the ramifications of doing so ranging from medical care,…
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Khushwant Singh: About faith and aging
I am within spitting distance of reaching 67 years and although I don’t by any means obsess about aging, there are articles and discussions about aging that catch my attention in a way it would not have done a decade ago. It is in this context that a recent excerpt from Khushwant Singh’s latest book made for interesting reading and those of us who are seniors can relate to some or all of what he writes. I have always enjoyed reading Khushwant Singh’s writing – a combination of the thoughtful, the irreverent, the insightful and, occasionally, the vulgar. He has been a controversial figure over the years but even his…
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Coincidence or can dogs detect cancer?
I had read some months ago that dogs were being trained to detect cancer ……. with some success. But nothing could have been more remarkable than what happened with our very own dog, Max …… a German Shepherd who is just over five years old. Max is an intelligent dog and seems to have a strong sense of smell as evident in the way he goes about finding items as he sniffs around and locates them. German Shepherds are often viewed as “one owner” dogs, in that they develop their greatest affinity to one person in the house. In the case of Max that affinity was towards me. He would…
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“No parent should have to bury their child”
“The young perish and the old linger …………….. no parent should have to bury their child” Theoden in “Lord of the Rings: The Two Towers” When my mother was terminally ill with cancer in 1964, her mother who was then in her late sixties would tell me that she (my grandmother) would like to die. I could not relate to her comment and when I asked her the reason she would merely say that she had lived long enough and was ready to meet her Maker – my grandmother was a deeply spiritual person who believed that what awaited her after death was immeasurably better than her life on earth.…
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Concierge Medicine – a passing fad or a growing trend?
There is a fascinating trend developing in the US – still in its infancy – but one that could see rapid growth. It has been labeled “concierge medicine” and is the result of a variety of factors: consumer demand, consumer frustration, financial incentives for physicians, the impact of managed care, reduced reimbursement and the shortage of good primary care physicians. Basically, the way it works is for patients interested in such an arrangement to pay their physician a retainer of say $1500 annually – in return for which, they get priority in being able to see their doctor usually the same day, ready phone access to the doctor directly and…
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My Colonoscopy: Dave Barry Redux
It has been a while since I updated this blog – attributable to laziness more than anything else after we returned from Cochin back to the US. There have been events which I wanted to write about but for some reason never got around to doing so. So it may seem a little odd that my first entry after a four month hiatus should be about a colonoscopy I had last week. But as you read on, you will see why I felt that a light-hearted account with the help of Dave Barry is a good way to restart the blog. For those who live outside the US who are…
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Health care reform is in the eye of the beholder
They say that beauty is in the eye of the beholder – perhaps, the same can be said for health care reform. Barack Obama’s health care reform which goes under the title – H.R. 4872, The Health Care & Education Affordability Reconciliation Act of 2010 - is now law. To describe it as “reform” is a misnomer. The positives accomplished are to provide health coverage to 32 million Americans who are either uninsured or under-insured. It has also made illegal the use of pre-existing condtions as grounds for denying coverage. But the other side of the coin is that Obama essentially gave away the store to the insurance industry. Despite…
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Is this the face of health care rationing?
In 1994, we were living in Southern California when the Northridge earthquake occurred. It was 6.8 on the Richter scale and took place in the early hours of the morning while we were asleep. Our house literally shook for what seemed an eternity but was actually less than a minute. It felt like King Kong had grabbed hold of the house and was literally shaking it! Our house was probably about 7 miles – as the crow flies – from the epi-center. Several days later I was in a discussion with an associate at the company where I worked. He was a Californian – born and bred – and I…
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Waist size by decree
I posted a few weeks ago about North Carolina’s plan to require higher health care premiums from state employees who are obese – a proposal that generated criticism especially from those who felt that reversing obesity was more appropriately done through education. The “tea-party” crowd and Republicans who are so up in arms about various policies espoused by Barack Obama and the Democrat controlled Congress and especially health care reform should be glad that they don’t live in Japan. I say this because Japan is the only nation that has decided to mandate the waist size for men and women! In an effort to combat obesity and the corresponding impact…
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Should a “fat tax” be part of health care reform?
Any insurance is, by definition, discriminatory since premiums are based on actuarial determinations of risk. For example, life insurance premiums are higher for men than for women because the life expectancy of the former is less than the latter. People who are engaged in high-risk activities such as mountain climbing are also subject to higher premiums or denial of life insurance coverage. Similarly, teenagers pay considerably more for car insurance than do adults because they are a higher risk group when it comes to accident claims. Someone with prior accidents or moving violations usually pays a higher premium for car insurance than someone who is accident free. The question that…
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Myriad thoughts on health and aging
I was talking to a couple of people this week and the subject came up about aging and how the topics of our conversation changes as we get older. We seem to emphasize certain areas that were never a subject for discussion in years gone by. One conversation was with my sister, Fifi, who lives in Australia. We asked each other about our well-being as far as it concerns our health. She remarked about how when she conversed with our older sibling, the conversation invariably seemed to veer into issues pertaining to health even though neither has any health issues of major consequence. I realized that I tend to do…
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“Singer’s Nodules”, Deafness, Silence & Bliss
It has been a while since I updated this blog – attributable to laziness and procrastination. The catalyst for starting again was a thought-provoking email I received from my older brother, George, who is 70 years and was recently diagnosed with “vocal nodules” – also called “singer’s nodules” or “screamer’s nodules”. George is not much of a “screamer” and his singing is, for the most part, limited to a bawdy song about Cleopatra. It is more likely the result of excessive talking having taken its toll as he makes presentations to audiences around the world on the subject of multi-cultural mathematics. Apparently the remedy for this particular ailment is to…