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Wednesday, August 22, 2012

The Aging process and Alzheimers, can we stop it ?

We all age. There is no getting around it; we all suffer the effects of time on the human body. Sadly, the probability that each of us will die as the result of some severe pathology is 100 percent (Gems, 2011). But what if we can slow down the aging process or even stop it all together, what would be the effects on our social well-being and living for an additional 50-60 years? What if one could start taking one pill daily starting at age 50 that would prolong life and eliminate the possibility of contracting those diseases associated with old age, would you be taking it? What would it be like if the diseases associated with aging such as cardiovascular disease that leads to heart attacks and strokes; neurodegenerative diseases such as Alzheimer’s and Parkinson’s that erode the self; and macular degeneration which blinds and all the cancers were to become history. What would be the consequences on the environment and the economy? What is stopping us from increasing our life span now? The cause of aging remains one of the great unsolved scientific mysteries. Still, the past decade has brought real progress in our understanding raising the prospect that treatments might one day be feasible. Yet aging is not a disease, and the prospect of treating aging is extraordinary in terms of the potential impact on the human condition, so would it be ethical to try to treat it (MD, 2012)? The problem with aging is the deterioration at the molecular, cellular and physiological levels. An analogy might help us to understand. It is like a brand new car just assembled at the factory. When it is brand new, it works just fine. However, just after a few years some of its parts start to wear out. The battery and breaks usually are the first to wear out and need replacements, and soon the seals in the transmission and the engine have reached the end of life cycle and they will also need replacement. After about 10 years of being used it becomes just so much junk and heads for the junk yard. Now, the life of the car could be extended if the proper maintenance program was employed. One might be inclined to think that staying healthy will be beneficial in living longer. In a recent study conducted by Ed Diener and Micaela Chan has produced a report on how happy people live longer, subjective well-being contributes to health and longevity. By subjective well-being we mean people’s evaluations of their lives, which can be judgments such as life satisfaction, and evaluations based on feelings, including moods and emotions. Diener goes on to report of a controlled experiment of married couples. These couples were given blister wounds and assigned to a marital disagreement condition and to a social support interaction during two consecutive stays in a hospital setting. Those couples who had a higher state of marital conflict were slower in would healing (PhD, 2010). Research over the past decade in the study of aging has made remarkable progress in extending the life of laboratory animals. In fact, it is easy. Work on the tiny nematode worm Caenorhabditis elegans, which is widely used in genetic studies. It has been discovered that by altering their genes one can slow aging in C. elegans. The longevity of this worm has been extended by tenfold. It has now been shown that genes that influence again in the worms also influence aging in mammals. Humans also carry these genes (Gems, 2011). One can surmise that leading a healthy life and have a few genes altered will increase one’s life. Due to advances in medicine and the elimination of Polio and similar diseases has led to more people living longer. The average life span in 1900 was 45 years of age; now it is 78 years of age. However, no matter how long one lives, one still dies. One can ask: What do they die of? The answer is a range of aging related illnesses. One then would ask: So what is the benefit by extending life? All that has been achieved is that diseases have been delayed for a while (Gems, 2011). Now we come to a two edged sword. If we can prolong longevity one can ask the question: how long is long? Will we be satisfied with reaching 140 years of age then say to ourselves; lets shoot for another 20 years of life. While it seems that living longer only prolongs the inevitable, it would not make them any less awful. Should we extend life in favor of having a healthy lifespan and in the process postpone the illnesses of aging? Ultimately, the success of any medical treatment should be gauged in terms of the degree to which it extends a healthy lifespan. In conclusion, living longer will present problems for the future. The effects on the economy are vigorously being debated. If we can prepare it socially, politically and institutionally along with keeping the birth rate low, we should be able to ensure long, healthier, happier lives for our children and for our grandkids, which I believe will be more thankful than resentful. References Gems, D. (2011, July/August). Aging: To Treat, or Not to Treat? Retrieved from American Scientist: http://web.ebscohost.com.lib.kaplan.edu/ehost/detail?vid=3&hid=105&sid=9bfac76a-6c20-447e-848f-b12b56c8be0c%40sessionmgr115&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=aph&AN=61928429 MD, R. H. (2012, February). Spotlight on Aging Research. Retrieved from National Institute on Aging: http://www.nia.nih.gov/newsroom/spotlight-aging-research PhD, E. D. (2010). Ed Diener. Retrieved from Ed Diener: http://internal.psychology.illinois.edu/~ediener/

Thursday, August 11, 2011

America, Where did we stray off the path?

America, Where did we stray off the path?

C. S. Louis once wrote, “Education without values, as useful as it is, seems rather to make a man a more clever devil.”

At what point in time did we confuse morals with ethics? When did our culture change it’s reliance upon being self-sufficient to having a dependency upon others for their basic needs? At what point did we start to lose our sense of direction? Maybe it was when FDR instituted the Social Security Act of 1935. Maybe it was when our educators were forced by law to teach that morals were not as important as having the abilities to judge conduct? Wasn’t it President Johnson who declared a “War on Poverty” and encouraged the people to create the “Great Society?” Wasn’t it he that urged Congress to pass the Medicare Act along with a host of other controls and made the government more intrusive in the private sector under the guise that this will be the cure of what’s ailing America?
I suppose that many people reading this column will now find something else more entertaining to read. Who cares if our morals and our inability to judge ethical conduct are now nowhere to be seen? When three siblings decide to go on a rampage similar to that of Bonnie and Clyde, I wonder where our nation will be in the next twenty years. Will our TV ads be similar to those in Germany where nudity is accepted? Will our citizens take to the streets and riot and show such disorderly conduct because they can no longer be supported by all the government’s social reforms passed over the past three decades? When a government enacts laws aimed at protecting and helping the poor, the only thing that will be accomplished is making a longer list of recipients.
Pride and integrity are two words missing in our vocabulary when it comes to our social behavior. When we cannot tell the difference between what is “fair” and what is “usurping the rights of others,” we remove the restraints that allow civilized society to exist and we begin to tear down our moral values, unleashing the worst part of humanity. Our collective attitude now becomes “what’s in it for me.”
I’m not against helping out those who are truly in need at my expense. Weren’t we taught the “Golden Rule” Do onto others . . . ? Maybe that’s our problem, we’ve forgotten who we are suppose to help. The word I would use for this action is ‘grace,’ or unmerited favor. We must come to understand that the poor, the sick, and the dying will always be among us. But now, we as a whole, have left the judging of who is poor, who is sick, and who will die to a government of laws lacking in moral stature and has become dedicated to the philosophy that making all things equal under the law will solve all the woes and worries of a society that no longer cares for anything except self appeasement.
“Socialism is a philosophy of failure, the creed of ignorance, and the gospel of envy, it’s inherent virtue is the equal sharing of misery,” Winston Churchill


Friday, July 29, 2011

One man's quest for true health reform

One man's quest for true health care reform

If ever there was a man set out on a mission its this man. His name is Dr. Raj Gandhi, his mission is to reform health care. He has written a book called “Sense of Direction, It Needs to be Restored, Health Care.” His mission is to get people to take action, individually, collectively and massively. Why? Because if we don't, health care will be the burden that will be on our backs for generations to come.

This book is a must read. It will open your eyes as to what has happened over that last 30-40 years that has put this nation into a tail spin to where it is today. I've read this book but find my words inadequate to express my opinion, so I have quoted several reviews from medical doctors and editorial reviews. I couldn't have written it better if I tried.

“This book is critically timely in addressing the severely compounded problems facing health care system in the USA that is probably the most expensive in the world,” Dr. Raj K. Gandhi has used his precise surgical thought process and global clinical / surgical expertise to dissect all of the key elements ailing our healthcare system. His narration of actual episodes and cases in an easy to understand language that keeps even a lay reader engaged, in spite of the cited medical terminologies that too are well explained, provides convincing evidence of the ills that have eroded our healthcare over the years.” Dr. Pushkar Kual, Professor Biological Sciences, Clark University, Atlanta

From the San Francisco Book Review, “Progressing through the chapters, the writing becomes more technical and reads rather like a medical journal, insurance claim, and legislative materials all wrapped into one. The subject is such a highly heated, debated, and relevant reality that it is refreshing to see not only an honest depiction at the travesty of our health-care approaches and the way our citizens are treated (or rather, left untreated), but also a thought-provoking and genuine attempt at a real solution.
In chapter 7, Sense of Direction, Dr. Gandhi has given precise statement of the problems as well as their solutions. The solutions to each of the problems are skillfully formulated, along with their rationales....adequate enough to convince the reader of the validity of his proposed solutions that must be adopted by the federal government and all other agencies involved, in order to restore our healthcare system.”

My favorite part is where Dr. Gandhi writes about seven true life stories that sets the basis for why this book is written. Two of the stories are about Mrs. Dhareyecow and Willy Joe which filled me with agony and angst as I learned what happens between doctor and patient relationships from admittance to paying the bill. I truly believe that what Dr. Gandhi has put into print deserves our fullest attention. I look for it to become a “best seller“ soon.
Unfortunately this book is not available at our local Wal-mart but is available through the larger book stores or Amazon and his web site.





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Wednesday, April 27, 2011

An e-mail from an old friend

An e-mail from an old friend
Erich Fromm once wrote, “Who will tell whether one happy moment of love or the joy of breathing or walking on a bright morning and smelling the fresh air, is not worth all the suffering and effort which life implies.”
One of my good friends who lives in Ohio and reads this column wrote back in response to last week’s column telling me how cancer and illnesses has affected her family over the years. Her reason for writing was to share her experiences and to let us know she was praying for Barb and me.
Here’s a woman whom I know has had more than her share of problems in life and still took a few minutes of her time to express her concern because she has empathy for others who face the same problems she has already experienced in her life. In our attempt to console others sometimes the only thing we can do is to write a little note and pray for others, if only to let them know “I understand and I care.” We all need a little TLC in our lives from time to time. It’s these people who see this need and take the time to respond for they want to give of themselves if only to say, “Here’s a little ray of sunshine on an otherwise rainy day.”
We can ask ourselves, “why me” when tragedy strikes. We can wonder if God was picking on us for some good reason or is it “just the luck of the draw.” But I’m one of those who thinks that all things have a reason as to the what, where, when and the why. Sometimes it’ll take a lifetime before one can look back and see with 20/20 hindsight what his purpose was in life. We can lament or we can rejoice or probably just be satisfied with making it through. However I do like what Erma Bombeck once wrote, “When I stand before God at the end of my life, I would hope that I would not have a single bit of talent left, and could say, ‘I used everything you gave me.’"
Whether we know it or not, somebody is always watching us. Many years ago as Barb and I were leaving our church several teenage maidens gave me a plate of cookies that they had made. On the plate was a note saying that they had been observing me and it floored me. Why would anyone want to observe my actions let alone some teens? It’s how we act or react to these events, good or bad, that we struggle through in life that others will judge us in ways which could be flattering or unflattering. One may never know who has you under their microscope. And since we don’t know, how do you want to be seen or remembered? As a nag, a bitter old person who has let life beat them down or do you want to be seen like this lady in Ohio who wears her battle scars with humility knowing that when she comes before God she can say, “I have not a single bit of talent left, I used everything up you gave me while I was back on earth.”

If Men could Talk

If men could talk

There is an old saying that goes like this, “At twenty we worry what others think about us; at forty we don't care what others think about us and at sixty we discover there wasn't anyone thinking about us in the first place.” Well this past week I turned 66 years young. I received a phone call from my mother (along with a birthday card), my one younger brother and from two of my four children. My wife wished me a happy birthday and that concluded my birthday celebration. I've never had a surprise birthday party given in my honor and probably never will. Now I don't want anyone to assume that I'm being sarcastic, I'm not. Most men I know really don't want the attention or being doted on just because he turned another year older. It ruins our macho image and besides we might just have to act at being humble.
But as we grow older, I'm finding out that circumstances will make us conform to situations we never faced before and we find ourselves becoming vulnerable. When I was much younger I was very “Macho.” A rebel at heart with an attitude of being self sufficient. If someone asked me to do something, I'd learn quickly how to do what was asked or needed to become proficient to do the task. The problem of being self sufficient is, you don't know how to ask for help when you're caught in a dilemma where self sufficiency isn't sufficient. Example, I recently had an physical examination because of some problems we start to face as we age and as a the result of being “Macho” the probability now is that I might have cancer. If I had done what all us men should have been doing sixteen years earlier, there would be no probability of having any cancer today.
So what am I saying? A lot of what I've been writing about is called the male psyche. I'm not a psychologist and I sure would have a hard time trying to explain the male psyche. But if you go to Hardies early in the morning you'll find a good representation of the male psyche in action.

If men could talk, what would they really say? Would you hear about what motivates them? Would you hear their ambitions, deep seated resentments, their intellect, the love of life? How about shame, emotional absence, masculine insecurity to name a few more. I suppose that we men find it hard to go up to his best friend and say, “Hey Bob, how's your masculine insecurity coming along?”
But in reality, we don't want to know because us men won't realize our own shortcomings let alone to recognize the real needs in the lives of our fellow man. And I suppose that is part of being a male.

According to my doctor the odds are, I probably will have cancer and I've now become vulnerable to learning how to live life as a victim or as a survivor. Should I be belligerent and say, “How can this be?” Or accept the obvious knowing that how I've lived in the past governs what is happening today. There was a song that Frank Sinatra sang so many years ago that rings true with so many of us men, “For what is man, what has he got? For not himself, then he is naught to say the things he truly feels, and not the words of one who kneels, the record shows I took the blows and did it my way.”
Hickory, Dickory, Dock
For what ever reason, this little silly childrens' rhyme pops up in my mind. The trouble with things like this is, they reverberate in my mind like some old song of years gone by. At first I thought their might be something behind this little rhyme that I should consider. Isn’t it strange that some senseless limerick we learned way back then just won’t die? I can remember when our children were still infants Barb would recite stories or sing songs that were taught to her when she was a child. Unfortunately life isn’t a fairy tale and “once upon a time” never really existed. But in our minds, as we grow older, we seem to want to remember a time that truly was when growing up in that land of “milk and honey.”
So where am I going with this. There are some things in life that’s hard to explain. Give you an example, if you were in New Orleans this past week you celebrated Mardi gras. It was originally meant as a day for confession just prior to the start of Lent. (And I suppose that there are many people that needed to confess after that night was over.) In this kind of adult playground we hide behind a false mask so that we can let our inhibitions run lose. It’s that Jekyll and Hyde thing. College students have to have that “spring break” for about the same reasons. They don’t want their “education” to interfere with their “studies.” So now we can see the two sides of our human nature. There is the side that needs to remember “Once upon a time” and a side that says, “Walk on the wild side.”
Now I see a need for a way to keep a balance between the two sides, call it a hobby, recreation or religion, a way to keep reality in its place. We need to know where the middle ground is to help keep us sane in a world that is in turmoil. It’s just how far one goes on either side that can lead us into trouble. If we keep ourselves in the “once upon a time” side, we put reality aside. If we walk too far on the “wild side” we lose sight of realism.
If we look to TV and the internet and the newspapers we see more sensationalism that has become the reality of life: Wars and rumors of wars, pestilence and unemployment, national debt beyond any human understanding and belligerency beyond all belief in our political system and finally (?) sex, a multibillion dollar industry.
And maybe that’s my point, in this fast and furious pace of life we have created for ourselves, we need to find firm ground to hold onto to balance this thing we call life. For life, as we are coming to know it, seems like it’s headed to Hell in a hand basket. It becomes each of us then to find firm ground in an otherwise world of thick, slimy, smelly mud.
Hickory, Dickory, Dock, the mouse ran up the clock, saw the time was late, ran down to meet his fate, to hide in fear and dread, poor mousy now is dead, Hickory….Dickory….Dock.

Sunday, April 3, 2011

Is our health care system killing us?

Nick Harmon columnist for the Walton Tribune
If you are concerned about Obama"s health care you need to read this book by Dr. Raj Gandhi.
Here's what the San Franscisco Examiner's review
By San Francisco Book Review (San Francisco) - Sense of Direction It Needs to be Restored: Part I Healthcare (Hardcover)
"A nation of 300 million people, the most powerful, most advanced, richest, and yet most indebted, we spend over 15% of the gross domestic product (GDP) on healthcare, which is higher than anywhere else in the world, and still rank 35th on the health care scale of the World Health Organization (WHO) and manage to keep 47 million people without any health insurance coverage. Have we lost our sense of direction?" Dr. Raj Gandhi has written a startling and searing account of our health care crisis and a potential cure to go along with it.

//Sense of Direction// takes its readers through a well-guided maze, from the dark beginnings of a health condition, including the worrisome trip to the hospital emergency room, continuing through to diagnosis, treatment and then, ultimately, the chaos of billing to the patient and the health insurance company. Gandhi's writing style is engaging in that he utilizes the narrative form in the cases of his patients; the information is enhanced by an engrossing story feel, albeit highly infused with medical terminology, which I found to be overwhelming to some degree. Readers across the board will appreciate his short story technique.

Progressing through the chapters, the writing becomes more technical and reads rather like a medical journal, insurance claim, and legislative materials all wrapped into one. The subject is such a highly heated, debated, and relevant reality that it is refreshing to see not only an honest depiction at the travesty of our health-care approaches and the way our citizens are treated (or rather, left untreated), but also a thought-provoking and genuine attempt at a real solution.

The stories of Mrs. Dhareycow, Willy Joe, and even Mrs. Gandhi's stories will fill readers with agony and angst, which are often the preludes to change. This is a read for those in power: lawmakers and voters alike. This is not a lazy day read, not an easy one; it is, however, one that is worth investing in and passing along. It will enlighten, anger, and possibly move you to become part of the change this country so desperately requires.