Colonoscopy prep day!

Good morning, everybody! It’s colonoscopy prep day, and I am so excited!

For you young’uns out there, this is a rite of passage you get to enjoy once you turn 50, or maybe earlier if you have risk factors. This is a process where a doctor invasively scrutinizes every inch of your colon to screen for cancer, and you get to do it every 5 years (or in my case, every 3 years because last time they found a few harmless polyps). So today is the day I get ready for an outpatient trip to the local hospital.

Everyone will tell you the prep is worse than the procedure, and it is. You have to completely empty your bowels so the doctor’s view isn’t impeded by, umm, shall we call them Deplorables? Today I’m purging the Deplorables.

First thing, I’m fasting. No solid foods at all today. I made some pineapple jello yesterday, and I get to have clear broth, but otherwise, it’s all drinking down fluids and nothing else. I do get to drink all the coffee I want, so I will.

I have to take 4 Dulcolax pills this morning, a stool softener.

At 3pm this afternoon, I get to fill up this jug with four liters of water, and start drinking it. I’m supposed to finish all four liters by 6pm. Chug, chug, chug!

It says “lemon flavor”. This is only sort of true, if your lemonade tastes more like watery mucus. I will cope. This is really the worst part of the worst day. Well, maybe the worst part — I do get to spend the rest of the evening expelling Deplorables.

Then, as of midnight, I go dry. No water, nothing, shall pass these lips, and prep day will have passed.

Tomorrow I go into the hospital at 8:15. I get to strip naked and put on one of those chic hospital gowns that opens at the back, and the nurse will stick a needle in my arm, and Dr Sam will walk in and tell me to lie on my side and bring my knees up to my chest, and then deliver the magic drugs and a veil of darkness will fall over the unspeakable events that ensue. He’s going to stick a tube up my butt with a small flashlight and a camera at the end, and also little snippy scissors so he can chop out anything he wants to take a closer look at.

By 10am I’ll be groggily putting my clothes back on and my wife will drive me home, where I’m told I’m supposed to be lazy all day. I can do that! I might also be hungry.

Why am I doing all this? Consider the payoff matrix. It’s the only rational thing to do.

I get a colonoscopy I don’t get a colonoscopy
I have cancer I catch it early! I have to get cancer treatments, but I have a better chance of not dying, and the treatments won’t be as debilitating as if I let the cancer grow. I have cancer, but I don’t know it. It grows until the unpleasant symptoms become noticeable and require more serious intervention. Or I die.
I don’t have cancer Yay! And I know it! Relax, resume my decadent lifestyle until the next colonoscopy. I’m OK! But do I know for sure? I do not. I might have to hold some reservations, rather than plunging into my life of careless hedonism.

As you can easily see, all the possible outcomes from the decision to get a colonoscopy are positive, while all the outcomes from shirking my responsibilities range from negligible concerns to dire, horrible consequences.

We even have graphic examples right here on Freethoughtblogs!

Caine’s Journey.

The Fight, ©Caine, all right reserved

Caine died of this terrible disease in 2018, after a long struggle.

Iris discovers a serious problem.

Fortunately, Iris is surviving, but read her account of her travails: no one wants to go through that. I don’t want to experience that.

So, yeah, get your butt checked regularly. It inconveniently wrecks a day, but that’s better than wrecking your life.

Please stop dithering, CDC and everyone

It’s driving me nuts. We are in a serious pandemic, and authorities everywhere are acting as if the best strategy is to pretend we’re already back to normal, full speed ahead, don’t deviate from the pretense that everything is just dandy. Yet…

The delta variant of the coronavirus appears to cause more severe illness than earlier variants and spreads as easily as chickenpox, according to an internal federal health document that argues officials must “acknowledge the war has changed.”

Public schools are opening in a few weeks, as is my university. No one is acknowledging that the war has changed. Instead, we’re all planning to march right into the maw of the pandemic.

My prediction: they’re all going to be frantically backpedaling by October. I fully expect my school to shut down in-person classes by the middle of the semester.

I could be wrong, and I would be very happy if I were — we could have a gentle, delightful Fall with brightly colored leaves and soft snows and a world that embraces love and peace, and all the homeless would be given homes, and all the sick cared for, the QAnoners could all wake and look at each other and say “What are we doing?” and go home to their families, and peace could reign across all the lands. Sure. It could happen. But only if we struggle to make it all happen. And that’s what I’m not seeing, a will to change and do what needs to be done.

The CDC isn’t helping, either. They keep dithering. Recommendations change at the first breeze of new data, and change back a few weeks later. There is a difference between being responsive to new information, and being too quick to accept new suggestions in the face of uncertainty; it’s also important to build the public trust with consistent messages.

The document strikes an urgent note, revealing the agency knows it must revamp its public messaging to emphasize vaccination as the best defense against a variant so contagious that it acts almost like a different novel virus, leaping from target to target more swiftly than Ebola or the common cold.

It cites a combination of recently obtained, still-unpublished data from outbreak investigations and outside studies showing that vaccinated individuals infected with delta may be able to transmit the virus as easily as those who are unvaccinated. Vaccinated people infected with delta have measurable viral loads similar to those who are unvaccinated and infected with the variant.

Right. So the appropriate message from the very beginning should have been conservative, assuming the worst and establishing a consistent policy. I want to hear the words, “It wasn’t as bad as we feared, now that we’ve got solid evidence from three months of hard science we can think about easing some restrictions,” rather than “Oh, I guess we shouldn’t have told everyone to have orgies, you’ve all got three months to live.”

Be decisive for a change. I wrote to my university president urging her to take a stronger stand, but I’ll make another bold prediction: she’ll dither. It’s all the rage.

Important qualifier to the CDC’s “ebola” comment:

You know, it’s becoming really obvious that the CDC is very bad at science communication, at a time when we need the science communicated effectively.

This cannot end well, Tennessee

The insanity is going too far. Tennessee (or rather, Republicans in Tennessee) want to shut down access to vaccines. All vaccines.

The Tennessee Department of Health will halt all adolescent vaccine outreach – not just for coronavirus, but all diseases – amid pressure from Republican state lawmakers, according to an internal report and agency emails obtained by the Tennessean. If the health department must issue any information about vaccines, staff are instructed to strip the agency logo off the documents.

The health department will also stop all COVID-19 vaccine events on school property, despite holding at least one such event this month. The decisions to end vaccine outreach and school events come directly from Health Commissioner Dr. Lisa Piercey, the internal report states.

Additionally, the health department will take steps to ensure it no longer sends postcards or other notices reminding teenagers to get their second dose of the coronavirus vaccines. Postcards will still be sent to adults, but teens will be excluded from the mailing list so the postcards are not “potentially interpreted as solicitation to minors,” the report states.

That’s amazing. I’m used to Republicans opposing fundamental ideas in science, but now the prion disease that rots their brains has progressed so far that they want to silence information about basic health care. There will be dead teenagers as a result of this policy, and this will lead to another spike in coronavirus infections.

And these changes will take effect just as the coronavirus pandemic shows new signs of spread in Tennessee. After months of declining infections, the average number of new cases per day has more than doubled in the past two weeks – from 177 to 418. The average test positivity rate has jumped from 2.2% to 5.4% in the same time period.

Oh, it already has.

Republicans are a menace to society.

Plagues in history

Here’s an interesting chart (although, portraying pandemics as spiky spheres is a bad choice — people are not good at visualizing relative volumes, and putting those volumes in a perspective that reduces the size of older one is a terrible idea) showing various afflictions on the human species over time.

The Black Death was the big one, but look at HIV — it’s amazing how our culture diminished the significance of that one, pretending it wasn’t happening even as its victims were dying in hospitals, and as prominent figures fell to it.

Smallpox coulda been a contender for the biggest plague of them all, but humans invented something that stopped it in its tracks: vaccination. If only people recognized the importance of that today…

For the love of dog, GET VACCINATED

In hospitals across the country, doctors are noticing an unsurprising phenomenon: the people who are getting admitted to critical care are all unvaccinated.

The trend appears to be occurring at hospitals nationwide.

“I haven’t had anyone that’s been fully vaccinated become critically ill,” said Dr. Josh Denson, a pulmonary medicine and critical care physician at Tulane University Medical Center in New Orleans.

It’s been the same for Dr. Ken Lyn-Kew, a pulmonologist in the critical care department at Denver’s National Jewish Health: “None of our ICU patients has been vaccinated.”

Unvaccinated children, too, seem to be at increased risk for severe illness.

“In our local hospitals, the kids that are getting sick are the ones that are not vaccinated,” said Dr. Natasha Burgert, a pediatrician in Overland Park, Kansas, and a national spokesperson for the American Academy of Pediatrics.

I saw the strangest thing on a television in Washington state: I watched Biden make his announcement that the US was going to ship 500 million vaccine doses to economically disadvantaged countries, then cut to commercial — the state is giving out all kinds of incentives to get people to come in for the COVID vaccine, like automatically entering your name into a lottery with a $250,000 prize.

I don’t get it. Not dying is not enough of a reward?

I’m keeping my mask

Everywhere I go now, people are running around without a mask, like all our concerns about public health have evaporated. Not me. I’m keeping mine for when I’m out and about.

I double-checked those numbers — they’re about right.

According to Scientific American, influenza cases all over the globe have dropped to “minuscule levels.” We’re not seeing nearly the same numbers as we have in previous years because of the health measures in place to help slow the spread of COVID19 — hand-washing, mask-wearing, staying home when sick, and socially distancing.

The publication reports approximately 600 deaths attributed to influenza during the 2020-2021 flu season in the United States, which typically peaks between December and February. Compared to previous years, where the numbers in the 2019-2020 season saw roughly 22,000 deaths, and the 2018-2019 season had more at 34,000 deaths, 600 is a 97 percent drop. So why is that happening? Are the typical flu deaths being categorized as something else?

Nope. The numbers are so low because the flu isn’t around. “There’s just no flu circulating,” Greg Poland, a researcher who has been studying the flu for the Mayo Clinic for decades, told Scientific American. Because of the measures in place for COVID, including increased handwashing, wearing masks, and staying home when sick, no one is out there spreading the flu either.

Who knew just improving the general level of hygiene would be so effective?

The real question is, why are people so eager to return to living in filth? I didn’t have a single day last year where I was too sick to get out of bed, and I didn’t even have the prolonged snotty sniffles of a cold. I don’t miss that.

Wake up, America

I’ve been disturbed by American selfishness — we seriously have swarms of people who are anti-vaccinations, and conspiracy theorists who believe the pandemic is a “plandemic” — and maybe we should look beyond our shores for the global perspective.

So, India…brace yourself for the horrific news.

On Friday, India reported more than 332,000 coronavirus cases in one day – the highest ever recorded by a single country.

Since the start of the pandemic, the country has recorded more than 16 million cases and 186,000 deaths, according to a tracker by Johns Hopkins University.

This means it has now overtaken Brazil, with the second-highest number of confirmed cases worldwide. The first remains the US.

The hospitals are full. People are dying in stretchers outside the hospital, waiting for care. And then, once they’ve died, they’re overwhelming the crematoria.

The unprecedented death rates are overwhelming the nation’s crematoriums.

“No one in Delhi would have ever witnessed such a scene. Children who were 5 years old, 15 years old, 25 years old are being cremated. Newlyweds are being cremated. It’s difficult to watch,” Jitender Singh Shunty, who runs a makeshift crematorium, told Reuters.

As the crematoriums are overrun, people are turning t mass burials in makeshift facilities like parking lots.

We have a moral obligation to make sure everyone in the world gets the best treatment. If you need a selfish reason, one of the reasons for the recent surge in India is the rise of new COVID variants.

How about some good news, though? We might have a successful malaria vaccine!

A vaccine against malaria has been shown to be highly effective in trials in Africa, holding out the real possibility of slashing the death toll of a disease that kills 400,000 mostly small children every year.

The vaccine, developed by scientists at the Jenner Institute of Oxford University, showed up to 77% efficacy in a trial of 450 children in Burkina Faso over 12 months.

Yes! This has the potential to be the biggest medical breakthrough of the 21st century. Defeating malaria would be huge.

Now we just have to get regulatory agencies to attach as high a priority to controlling tropical diseases as we do those that afflict temperate countries.

Hill said the institute might apply for emergency approval for the malaria vaccine just as it did for the Covid jab. “I’m making the argument as forcefully as I can, that because malaria kills a lot more people than Covid in Africa, you should think about emergency-use authorisation for a malaria vaccine for use in Africa. And that’s never been done before.”

The institute would probably ask the regulatory bodies in Europe or the UK for a scientific opinion on the vaccine and then apply to the World Health Organization for approval for use in Africa. “They did Covid in months – why shouldn’t they do malaria in a similar length of time as the health problem is an even greater scale in Africa?” Hill said.

They’ve arranged to have the vaccine mass produced by the Serum Institute of India…uh-oh. You might have guessed this: those facilities are overwhelmed right now by the need to churn out COVID-19 vaccines to deal with the pandemic surge.

Everything is interconnected! Wake up!

People, it’s not over yet

Do I need to announce this every day? The pandemic is not over. If you drop your guard, it can still get you.

New coronavirus cases in the United States continued to rise in the past week, jumping by as much as 12 percent nationwide, as senior officials implored Americans to stick to public health measures to help reverse the trend.

The seven-day average of new cases topped 63,000 for the first time in nearly a month, according to data compiled by The Washington Post, while states such as Michigan, Vermont and North Dakota reported substantial spikes in new infections. The nation appeared poised for a fourth wave of illness even as vaccine eligibility is expanding in many states.

Michigan led the nation in new cases with a 57 percent rise over the past week. The state, which relaxed covid-related restrictions earlier this month, also reported the largest increase in coronavirus hospitalizations, which grew by more than 47 percent.

The virus is still circulating everywhere. You’re swimming in it. The prevalence is still high, so even if you personally have been vaccinated, the virus still has tentacles of infection everywhere. We aren’t really safe until almost everyone is safe. Right now, I’ve got students going into quarantine and dropping out of our ongoing genetics experiment, and it’s not the kind of thing where you can take a few weeks to recover and pick up where you left off — the flies keep doing their thing whether you show up to analyze them or not. So I’m suddenly faced with a need to make all kinds of accommodations, and hope that enough students stay healthy that we can carry through to the end. This does not feel like the pandemic is over. It feels a lot like March of last year, when so many students were getting sick that we had to shut down the lab for the remainder of the term.

Meanwhile, we got people like the Libertarians of Kentucky, who make odious comparisons between more pandemic safety and the Holocaust.

Right. We’ve got a country full of assholes who consider the ability to spread disease to be an essential part of “human liberty”.

Everyone who is not a selfish, entitled git: get vaccinated, get tested, wear a mask, maintain social distancing, don’t start partying in bars just yet.

Don’t slack off now!

I know, we’ve got vaccines now, and over 90 million people, about 35% of the US population, have been vaccinated. The rates of infection and death have been generally declining, so people are getting cocky and dropping their guard. But it’s not over yet.

A year after becoming a global epicenter of the coronavirus pandemic, New York and New Jersey are back atop the list of U.S. states with the highest rates of infection.

Even as the vaccination campaign has ramped up, the number of new infections in New Jersey has crept up by 37% in a little more than a month, to about 23,600 every seven days. About 50,000 people per week in New York are testing positive for the virus, a number that hasn’t much changed since mid-February.

The current infection rates are higher than they were in March of last year, when we were so worried that we went into lockdown. Well, some of us, anyway — too many people ignored the warnings and we had a massive spike in December/January. I guess we’re forgetting that, too, and just getting used to the ongoing risk.

Hey, state governors: when the infections decline, that’s a sign that your current policies are working. It doesn’t mean it’s time to open up all the bars and slow dance with strangers. When you go golfing, do you stop the club the instant you hit the ball, or do you follow through? Stay the course, everyone, for at least a few months more.

Experts worry the public is getting the message that increased vaccination means the state is in the clear, even though only a fraction of the public has completed a full course. Vaccines lessen the risk of severe illness or death from COVID-19, but scientists are still studying how well they prevent the spread of the virus.

“To allow larger groups to gather, to give the message to the public that we’re over the worst and that we can go back to normal is a mistake,” Farber said.

Stony Brook University professor and neuroepidemiologist Sean Clouston said growth in new cases is concentrated in younger people, who can’t get vaccinated in New York unless they have specific health conditions or certain jobs. He said their infection rates could drop once they’re eligible, too.

My grandkids are not vaccinated yet, so I’m going to take it personally if you won’t act responsibly. Also, you just know there are a significant number of demented dingleberries who are going to refuse the vaccination no matter what, and they’re going to lurk among our citizenry as a reservoir of disease.

You implement preventive measures before the problem worsens, Governor Walz

The numbers of the infected are surging in Minnesota, so now our governor says “Whoops!” and decides maybe we should refrain from wild partying.

Gov. Tim Walz strongly indicated during the Monday opening of a new saliva testing center in Minneapolis that he will soon announce restrictions on bars and restaurants as a way of stemming an explosion of COVID-19 infections in Minnesota.

Walz stood with Health Commissioner Jan Malcolm to announce another expansion in testing, this time at the Minneapolis Convention Center, but both officials further lamented an increase in both infection numbers and positivity rates. The state saw 10,000 new infections over the weekend and passed a 10 percent positivity rate.

Walz said health department information is seeing three infection sources: social events such as weddings and funerals, large family gatherings and bars and restaurants. The latter dovetails into another concern of health officials — the large number of 18-to-35 years olds who may be infected but asymptomatic. Those people can be efficient spreaders.

Barn doors, closed, after cow escapes, etc. OK. I think the citizenry have already learned to be slack about these things, unfortunately, and there is also going to be a subset of the population — you know the ones, the conspiracy theorists — who are going to see this as a validation of their belief that the Democrats want to steal muh freedoms.

In more positive news, I’ve been reading the news about the new potential vaccine. It’s an RNA-based vaccine? Cool. That’s an intriguing approach, except for the fact that RNA is remarkably fragile. My concerns were confirmed by this little bit of information:

Pfizer’s vaccine must be stored at ultra-low temperatures, which complicates the massive endeavor to distribute a vaccine throughout the population. Pfizer’s logistical plan includes using dry ice to transport frozen vials. Health facilities can keep the vaccine for up to six months at minus-70 degrees Celsius, or minus-94 degrees Fahrenheit. But many hospitals lack the special freezers that can get that cold.

So that’s like dry ice temperatures, but at least it’s not liquid N2 temperatures. I guess that’s doable, but it’s going to add to the expense and mostly force communities to upgrade their medical infrastructure a bit. Otherwise, though, the idea of using RNA to put the patient’s immune system to work making viral antigens is just kind of brilliant. I hope it’s working soon, and that maybe Governor Walz gets ahead of the game this time and starts making grants to regional medical institutions so they’re ready as soon as the vaccine is available.

Yeah, and closing the bars would have been a brilliant idea, too…last month.