A daily dose of odds and sods, some interesting, some bizarre, some funny, some thought provoking items which I have stumbled across the web. All to be taken with a grain of daily salt!!
Kannu This article was truly amazing. I never knew how much complicated touch was. As a sense, I don't think we use it enough son. Cultural reasons no doubt but that's a shame. I think you draw closer to a person if you touch them. Keep touching them to be with them. Feel them. It's warmer. You feel better. A hug is like that. Full body touch. Wrapping yourself around somebody is a great feeling and it's related to touch. Here's a test you can do. Have you touched somebody with your eyes closed? Stop the other senses and just focus on how the touch feels. You'll feel different. It's a very subtle feeling. That doesn't mean you go about being creepy and touching everybody:) Hope you feel better today son. Love Baba Touch (Stanford Encyclopedia of Philosophy) http://plato.stanford.edu/entries/touch/ (via Instapaper)
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There are two ways of looking at this problem son. Well three ways. When you and Diya were born, I didn't have parental leave. And mamma didn't work so the question of leave didn't exist. But if fathers leave was available, then I would have loved to take it. Spend more time with you. When you have your kids, son, make sure you take the full amount. Don't worry about the future son. Or career. The time you spend with your new born baby and your wife is so precious that it will keep on giving you happiness through your entire life time. Secondly, there's the USA situation. I find it very strange that USA doesn't do it and it's not mandatory like in other countries. Very strange. Then again there's no demographic pressure either. Their birth rates are good. But the republicans are a dying breed anyway so entropy will take care of the nay Sayers.
Thirdly as an economist, you will know that this has a cost. Paid parental leave means that the company gets hit twice. First with the loss of the mother's time and then the cost of maternity cover or if the role isn't covered, then lack of productivity. This, when aggregated, means there is a cost of this. Sometimes it can be handled. Sometimes it can't and ends up being very painful. So the studies that this article talks about say there's no impact. Or they couldn't measure it. Or they were able to manage the impact. Finally remember that the unmarried people in the office have started to complain. Why should they bear the cost of somebody who is taking a lifestyle choice? It's a fair question. Difficult decisions son. When you will become a manager, you'll have to deal with these questions. Missing you. And remembering the bestest day in my life when you were placed in my arms :) Love you Baba The Real War on Families: Why the U.S. Needs Paid Leave Now http://inthesetimes.com/article/18151/the-real-war-on-families (via Instapaper) Each one of these women went back to work less than two months after giving birth due to the financial toll of unpaid maternity leave. (Kate Milford)
Benrahou had to attend to another crisis: she was the mother of a very sick baby, and her carefully constructed paid maternity leave had disintegrated.
Leigh Benrahou began laying plans to have a second child almost as soon as she had her first, a daughter named Johara, in 2011. Benrahou, 32, wanted to time the next birth so that when she returned to work, her mother, who works at an elementary school and has summers off, could babysit. Most importantly, Benrahou wanted to spend as much time as she could with her new baby while also keeping her relatively new job as the registrar at a small college.
While her husband, Rachid, 38, earns enough at a carpet cleaning company to cover their mortgage and food, without her paycheck they'd be forced to live close to the bone. And if she quit her job, Benrahou, who has a masters in nonprofit management, would take a big step backward in what she hoped would be a long career in higher education.
So Benrahou, who has wavy dark blond hair, blue eyes and a tendency to smile even through difficult moments, set about what may be the least romantic aspect of family planning in the United States: figuring out how to maximize time with a newborn while staying solvent, employed and, ideally, sane.
Only in America
Most people are aware that Americans have a raw deal when it comes to maternity leave. Perhaps they've heard about Sweden, with its drool-inducing 16 months of paid parental leave, or Finland, where, after about 9 months of paid leave, the mother or father can take—or split—additional paid "child care leave" until the child's third birthday.
But most Americans don't realize quite how out of step we are. It's not just wealthy, social democratic Nordic countries that make us look bad. With the exception of a few small countries like Papua New Guinea and Suriname, every other nation in the world—rich or poor—now requires paid maternity leave.
Paid parental leave frees mothers and fathers from choosing between their careers and time with their infants. For women, still most often the primary caregivers of young children, this results in higher employment rates, which in turn translates to lower poverty rates among mothers and their children.
Research shows that paid leave can also be a matter of life and death for children. By charting the correlation between death rates and paid leave in 16 European countries, Christopher Ruhm, a professor of public policy and economics at the University of Virginia, found that a 50-week extension in paid leave was associated with a 20 percent dip in infant deaths. (The biggest drop was in deaths of babies between 1 month and 1 year old, though mortality of children between 1 and 5 years also decreased as paid leave went up.)
According to the Bureau of Labor Statistics, only about 13 percent of U.S. workers have access to any form of paid family leave, which includes parental leave and other time off to care for a family member. The highest-paid workers are most likely to have it, according to BLS numbers, with more than 1 in 5 of the top 10 percent of earners getting paid family leave, compared to 1 in 20 in the bottom quartile. Unionized workers are more likely to get benefits than nonunionized workers.
What do the rest of American women do without a law that guarantees this basic support? Some new mothers who don't get paid leave quit their jobs, which can leave them desperate for income and have serious consequences in terms of work opportunities and lifetime earnings. Others may choose not to have children (though it's impossible to definitively quantify how the difficulty of integrating work and childbirth factors into those decisions). And some try to stitch together their own paid leaves through accumulated vacation time and personal days, or through independently purchased insurance policies.
The best-laid plans
Though her employer doesn't offer paid leave, Benrahou figured she'd create her own, taking time away from work through the Family and Medical Leave Act, which entitles new parents to up to 12 weeks off, unpaid. She knew all about the law's loopholes—that, for instance, it only applies to workplaces that have at least 50 employees. Hers did; she wouldn't have taken the job if it hadn't. She knew, too, that she had to have worked for her employer for at least 12 months to qualify. That part was trickier.
She had started her job in February 2014, which meant that she wouldn't qualify until the following February. She counted back nine months from then and got to May, but then, to be safe, tacked on another two months in case the baby came early, so: July. That's when she and Rachid would start trying for a second.
Then there was money. Reluctant to lose 12 weeks of income, Benrahou decided to opt into her employer's disability insurance policy, paying roughly $40 a month into the plan so she could receive 60 percent of her salary for up to six weeks of her maternity leave, plus an additional $1,000 toward the cost of her hospital stay. She would also save up her two weeks of annual paid vacation time.
Numbers crunched and policy purchased, Benrahou went off birth control on schedule in July and became pregnant within a month. But her carefully laid plans started to go awry in her 20th week, when she was diagnosed with placenta previa, which can result in early delivery. Despite some bleeding and cramping, and several brief hospital stays that used up her sick days, Benrahou stuck to her plan, working as much as possible after her diagnosis in order to save her precious vacation time. But, in late December, her water broke. Though her due date was April 1, Leigh Benrahou gave birth by C-section on Christmas Eve—too soon to qualify for FMLA leave or any payoff from her disability insurance.
Ramzi Benrahou was born at 26 weeks and just over 2 pounds. Knowing that 20 percent of babies born at his gestational age don't survive, Leigh spent the first hours after the delivery singularly focused on her tiny son's survival. He needed oxygen, since his lungs weren't fully developed. And, when he was whisked away for medical attention, Benrahou had to attend to another crisis: She was the mother of a very sick baby, and her carefully constructed paid maternity leave had disintegrated. So, freshly stitched up and still groggy from anesthesia, she spread out her medical fact sheets, insurance policy papers and lists of phone numbers on her hospital bed and began to grapple with her new reality. Though her college was on winter break, which put off her return by about a week, Benrahou realized she'd have to go back to work when classes resumed on January 6, less than two weeks after giving birth.
Less than a month
Like Benrahou, most U.S. women end up returning to work sooner than they'd like—sometimes just weeks or days after having a baby. Just how soon they're going back is difficult to determine. We know that most employers don't offer paid leave, but no federal agency collects regular statistics on how much post-childbirth time off, paid or unpaid, women are actually taking.
Census data on employment patterns among first-time mothers show that between 2005 and 2007, more than half who worked during their pregnancy were back on the job within three months of giving birth. A 2008 study by the Department of Health and Human Services' Maternal and Child Health Bureau, meanwhile, found that the average length of maternity leave, when taken, was 10 weeks. But more recent data is scarce, even though the recession left many women living on razorthin margins, ratcheting up the pressure to rush back to work after giving birth.
How are new mothers faring in today's age of austerity? Data analyzed for In These Times by Abt Associates, a research and evaluation company, provides a window into these experiences. Abt went back to a 2012 survey it conducted for the Department of Labor of 2,852 employees who had taken family or medical leave in the last year, looking specifically at the 93 women who took time off work to care for a new baby.
Nearly 12 percent of those women took off only a week or less. Another 11 percent took between one and two weeks off. That means that about 23 percent—nearly 1 in 4—of the women interviewed were back at work within two weeks of having a child.
The educational divide between those who took shorter and relatively longer leaves is striking: 80 percent of college graduates took at least six weeks off to care for a new baby, but only 54 percent of women without college degrees did so.
Pumping in the parking lot
What's it like to be back on the job in the first weeks after having a baby?
For Natasha Long, who was back three weeks after her third child, Jayden, was born in 2012, the worst part was missing out on bonding time with her son.
Long, who was 29 at the time, was determined to make sure Jayden got breast milk. But the factory where she worked, ACCO Office Supplies in Booneville, Mississippi, didn't have a lactation room. So when she was on breaks, she had to run out to her truck. She sat in the cab, worried that someone might see her, and pumped, while tears rolled down her face and over the plastic suction cups attached to her breasts.
Long cried because she wanted to be holding her baby rather than sitting in the parking lot of a factory in her old Yukon Denali. But exhaustion clearly also played a role in her emotional state. Her job was simple—to place stickers with the company logo on the bottom right-hand corner of plastic binders and then box up the binders. But the shifts were long—from 6 a.m. to 6 p.m.—and she put in four or five a week. Because the factory was an hour's drive from her home in Okalona, Mississippi, Long had only 10 hours left in the day to do everything else, including tend to her three children, spend time with Jayden's father, and sleep. By the time she got back in the evening, her children, who were being looked after by her father during the day, were on their way to bed. To pump breast milk before leaving for work, she had to get up at 4 a.m.
After just a few days of this crazed schedule, Long began to develop strange symptoms, including a headache that never seemed to go away and a choking sensation that left her feeling breathless. She started biting her fingernails to the quick—something she'd never done before—and crying a lot. "I felt like I was alone," says Long. "I wanted to fall off the face of the earth." Long had never been depressed. But when she went to the doctor, he surmised that her physical symptoms were rooted in her mental state, which was itself rooted in her schedule. When her doctor said he thought she was depressed, Long worried that if child welfare authorities found out, they might take her children away. She had seen other people's children put in foster care. But when her doctor prescribed her antidepressants, she took them.
Long is not the only one to suffer emotionally from a quick return to work. Research has shown that longer maternity leaves, whether paid or unpaid, are associated with a decline in depressive symptoms, a reduction in the likelihood of severe depression, and an improvement in overall maternal health, according to a working paper issued by the National Bureau of Economic Research. One national study of 1,762 mothers found that a one-week increase in maternity leave was associated with a 5 to 6 percent reduction in depressive symptoms from six to 24 months after birth. Another found that women who took less than eight weeks of paid leave experienced more depression than those who had longer leaves and were in worse health overall. Mothers who work more than 40 hours a week, as Long was, were more likely to be depressed than those who worked 40 hours or less, according to a study by Child Trends, a research center.
Women who go back sooner also tend to breastfeed less, which cuts into the benefits breast milk confers, including better immunity and lower rates of childhood obesity, allergies and sudden infant death syndrome. It was only through heroic efforts that Long was able to breastfeed Jayden until he was 1.
Shorter maternity leaves may also have a negative effect on the development of early motor and social skills and even, later, on vocabulary, according to several studies. So far, Jayden, 3, hasn't shown signs of missing any developmental milestones. What nags at Long is the thought that her absence in those first few months might have affected their relationship. He refuses to call her "mama," and although there's no research to indicate this would be a result of failed early bonding, she still fears that's the reason.
Too busy to fight
For low-income women, the lack of paid maternity leave is just one of many missing supports to help them stay afloat while bringing new life into the world. By the time Jayden was born, pregnancy had already put Long in a perilous financial situation. She was on bed rest for the last four and a half months of her pregnancy. Big Dollar, where she worked at the time, didn't fire her for not coming in—but it didn't pay her, either. So Long filed for public assistance, which required her to attend classes. Though Mississippi is supposed to exempt people who are physically unable to take such classes, and Long's doctor had warned her to stay off her feet, she says she was denied benefits when she didn't attend.
Family members pitched in to pay for her groceries and rent while she was unable to work, but by the time Jayden was born (healthy, at 37 weeks), Long knew she had reached the limit of their generosity. When she went back to work at the dollar store, they offered her only reduced hours. It wasn't enough to repay her debts, so she went to an employment agency, made no mention of her days-old baby, and got her job at ACCO.
Other social supports are glaringly absent for U.S. mothers, especially poor ones, who fill waiting lists for scarce subsidized childcare spots and underfunded early education classes. In comparison, Sweden and Denmark spend roughly 10 times what we do on childcare per person.
Without adequate options or support, low-income workers, who are more likely to live paycheck to paycheck and less likely to have access to any type of leave, often have little choice but to power through. As our data confirm—and as finances dictate—less educated women, who tend to have lower-paying jobs, are likely to take less time off after having children. Often, that means not just going back to work early, but going back to very long work hours, very early.
Raven Osborne, for instance, a 22-year-old single mother in Tupelo, Mississippi, went back to work just one week after her first child, Kylan, now 2, was born in August 2013. In addition to being a full-time college student, Osborne was waitressing full-time at IHOP, but her earnings—tips plus a base salary of $2.13 an hour—weren't enough to cover her rent, car payments and daycare costs. Perhaps ironically, her tips were much higher—sometimes more than $100 a shift—when she was visibly pregnant. But once she had the child, they went down again, so Osborne added a few overnight shifts at Texaco when Kylan was four weeks old, leaving the baby with his grandmother. Working upwards of 60 hours each week, the new mother barely saw her son, except when she got home from work, when she often fell asleep holding him. She could have taken unpaid leave from IHOP but chose not to because she needed the pay.
This winter, Osborne returned to work four weeks after her second child, Anthony, was born. Now she's working full-time at a debt collection agency on top of several shifts at the nearby Coles supermarket.
"I don't like asking for help" is how Osborne explains the frantic pace she's kept up during her first year-and-a-half of motherhood. Her mother pitches in by watching the kids when she can, though she, too, has two full-time jobs—one at Walmart and another as an aide at a retirement community.
Clearly, women with low earnings are the least likely to have a financial cushion that allows them to forgo a paycheck. But it's not only those on the bottom of the pay scale who can't afford to take unpaid leave. More than 2.5 million employees need time off from work to care for themselves or another but can't afford to take it, according to a 2012 study from the Center for Economic and Policy Research.
Tracy Malloy-Curtis, a fundraiser at a nonprofit in New York City, could have taken more time off, unpaid but with job security, after she had a baby a few years back. ("It's a civil rights organization," she explains, though she doesn't want to name it because she still works in the field.) Instead, Malloy-Curtis, who is 43, married, and the primary breadwinner in her family, went back five and a half weeks after having a son—and a complicated C-section—for fear she otherwise could not afford to pay her mortgage and cover the other basic costs of her life.
"Physically, I was a wreck," she says. An infection around her C-section wound hadn't yet healed when she went back to work. "I was still bleeding, my incision wasn't closed." Pus dripped down her leg under her work clothes.
Those who do take leave may find themselves penalized afterward. Jackie Wheeler took six weeks of paid maternity leave after her son, Enzo, was born in 2011. Wheeler, who lives in Westminster, Colo., was working at the front desk of a local branch of Chase Bank. Though her son had severe medical problems as a result of being born early, Wheeler had intended to go back to her job. Before giving birth, she says, she had even been talking with her boss about interviewing for an assistant manager position. "I saw myself as moving along in the company," she says.
But after she returned to work and Enzo was released from the hospital, she took another six weeks of leave. At that point, her boss told her he thought it was best that she resign—if he didn't fill her position right away, he said, corporate headquarters would eliminate it. And Wheeler was too overwhelmed at the time to challenge him.
The birth of hope
While, in the United States, the lack of time off can too often turn new motherhood into a distressing ordeal, most other cultures treat this immediate post-natal period as a sacred time, when both the new mother and baby receive help and special attention. Throughout history and all over the world, people have tended to carve out a minimum of at least six weeks in which women are exempt from responsibilities other than child care, according to Malin Eberhard-Gran, a Norwegian public health scholar who has compiled a cross-cultural comparison of post-natal practices.
In some Muslim traditions, new mothers spend the first 40 days after birth in their mothers' homes, for instance. Many Latin American cultures also bracket during the same period, known as la cuarantena (from the Spanish word for "forty"), and exempt women from work responsibilities. In some other countries, women are granted special treatment for even longer. Traditionally, women in Japan and India go to their mothers' homes for several months after giving birth. And today, by law, the 30 countries in the Organization for Economic Co-operation and Development (OECD)—democracies with market economies—provide an average of more than a year of paid leave.
Here in the United States, advocates have been fighting for a century to get new parents just a few weeks off with pay. But the tide may be turning. In 2002, California became the first state to pass a paid family leave law, which provides workers who need to care for a new baby with 55 percent of their usual weekly pay, to a limit of $1,104 for up to six weeks. New Jersey passed a similar law in 2008. And in 2013, Rhode Island granted workers up to four weeks off with pay for "family care," including care of a new baby. Despite dire warnings from business interests, most employers in New Jersey and California (where programs have been in effect long enough to be studied) haven't found that paid leave has hurt productivity, profitability or turnover. (Full disclosure: I was a co-author of the New Jersey study).
The Obama administration is attempting to build momentum for paid sick leave, one of the main ways women piece together paid maternity leave. In the 2015 State of the Union address, President Obama called on Congress to send him a bill guaranteeing U.S. workers seven days of paid sick leave—but in early August, Senate Republicans blocked a Democrat-sponsored bill to do so. In the meantime, Obama has an executive order in the works that will extend a week of paid sick leave to all federal contractors, and his adminstration has issued $1.25 million in grants to study how paid leave programs can be developed in states. Labor Secretary Tom Perez, who has been outspoken on the issue, has spearheaded a #leadonleave campaign, in which he and White House aide Valerie Jarrett travel the country to boost local paid leave policies.
But, so far, even a Democratic administration committed to the issue hasn't been enough to overcome resistance to it. When bills have been debated in states, Republicans have been so vehement that paid leave is bad for business and a "job killer" that legislation at a federal level has been assumed to be a no-go. And, at least until very recently, congressional Republicans have mostly scoffed at Democratic efforts. But for the first time, a bill proposed by Sens. Kirsten Gillibrand (D-N.Y.) and Rosa DeLauro (D-Conn.) this spring that would provide benefits for workers who take time off to care for a new baby or sick family member was met with a counterproposal from Republicans, which would allow hourly workers to put overtime toward paid leave.
The issue is also clearly gaining ground in certain states, where at least ten family leave proposals have been introduced since March. Though Republican presidential candidates have had little to say about the issue, Democratic contenders Hillary Clinton and Bernie Sanders have both come out as strong proponents of paid leave. While Sanders has been more specific about his plan, calling for 12 weeks off, with pay, both are making a moral case to which there is no politically sound retort: Families need paid time off to take care of their new babies. Men, women and children will gain from this basic human dignity.
Barreling ahead
After three months, Leigh Benrahou only has a blurry recollection of her first weeks back at work just days after her premature son was born. "I remember walking really slow and wearing stretch pants and just making it happen," she says hazily. She spent those early days cutting a path between the college; the hospital's neonatal intensive care unit (NICU), where Ramzi spent four months and underwent two stomach surgeries; her 3-year-old daughter's daycare center; and her home, where, despite her exhaustion, she found it difficult to sleep.
At work, Benrahou tended to the needs of her students, whose questions about enrollment requirements and course changes occasionally provided distraction from her own, far graver problems. But mostly it was surreal—and painful—to be there. Climbing stairs was difficult because of her recent surgery. And pretty much every time she closed the door to pump breast milk, she wound up crying. Harder still was being away from her tiny baby, whose health was still so uncertain. Every time she got a call from the hospital when she was at work—and there were many—her stomach clutched.
"They say it's like being on a roller coaster, [having a child] in the NICU," says Benrahou. "But a roller coaster is fun. I wanted to throw up all the time."
Benrahou didn't throw up, though. Instead, like so many other American women, she barreled ahead, doing her best to both take care of her newborn and remain employed. Though she never got to take leave when and how she had planned, she was recently able to take 12 weeks off through the FMLA under the category of caring for a sick relative—in this case, her infant son. And now the woman who so painstakingly planned her family's future doesn't know what's ahead. Ramzi's long-term prognosis is unclear; he's still on oxygen and has a feeding tube. About a quarter of babies born at 26 weeks go on to have lasting disabilities.
Benrahou's hope is to keep working. And mostly she remains upbeat. But sometimes she can't help but wonder whether Ramzi's early birth was preventable; and whether continuing to work after her diagnosis so she could make the best of her miniscule amount of time off brought about Ramzi's early delivery. It certainly wasn't the way she planned it. This article was supported by the Leonard C. Goodman Institute for Investigative Reporting.
Well. You'll go through what I went through and to a lesser extent going through with your grandfather. We rely on doctors to tell us what to do. If I knew more about medicine I could challenge but I don't. So I just go with whatever they say. Look at mum. She's suffering from a frozen shoulder for the past year and countless trips to the doctor hasn't fixed the issue. Tests and poking and and and nothing. One of my friends keeps moaning about the epidemic of tests that the NHS orders here in the uk and fulminates against the quacks in London. But lessons learnt son. We need to ask more. And challenge more. Sometimes it's better not to do anything. But it needs some faith in yourself and the knowledge that sometimes you will make a mistake. And that's the problem. If you don't test, operate or what have you, what if you were wrong and it goes bad?
You know I suffer from hidranitis suppurativa. It's a problem with the endocrine glands and manifests itself in skin lesions who are horrendously painful. And then I've got to gobble painkillers like candy to get through the day. There's no cure. The only cure that the doctors said was to surgically remove the skins from around my groin and armpits. Which would be sodding disaster. So I told them to bugger off. I take turmeric. Stopped smoking. Cut out red meat. Stopped taking sugar. Am physically active. Switched from briefs to boxers. And and and. Surgery isn't fun son. Having gone through a few, it's painful.
Anyway you may have to decide for me or mum. So this article gives you some useful guidance on how to handle Medical treatments and say No sometimes.
Millions of Americans get tests, drugs, and operations that won’t make them better, may cause harm, and cost billions.
It was lunchtime before my afternoon surgery clinic, which meant that I was at my desk, eating a ham-and-cheese sandwich and clicking through medical articles. Among those which caught my eye: a British case report on the first 3-D-printed hip implanted in a human being, a Canadian analysis of the rising volume of emergency-room visits by children who have ingested magnets, and a Colorado study finding that the percentage of fatal motor-vehicle accidents involving marijuana had doubled since its commercial distribution became legal. The one that got me thinking, however, was a study of more than a million Medicare patients. It suggested that a huge proportion had received care that was simply a waste.
The researchers called it “low-value care.” But, really, it was no-value care. They studied how often people received one of twenty-six tests or treatments that scientific and professional organizations have consistently determined to have no benefit or to be outright harmful. Their list included doing an EEG for an uncomplicated headache (EEGs are for diagnosing seizure disorders, not headaches), or doing a CT or MRI scan for low-back pain in patients without any signs of a neurological problem (studies consistently show that scanning such patients adds nothing except cost), or putting a coronary-artery stent in patients with stable cardiac disease (the likelihood of a heart attack or death after five years is unaffected by the stent). In just a single year, the researchers reported, twenty-five to forty-two per cent of Medicare patients received at least one of the twenty-six useless tests and treatments.
Could pointless medical care really be that widespread? Six years ago, I wrote an article for this magazine, titled “The Cost Conundrum,” which explored the problem of unnecessary care in McAllen, Texas, a community with some of the highest per-capita costs for Medicare in the nation. But was McAllen an anomaly or did it represent an emerging norm? In 2010, the Institute of Medicine issued a report stating that waste accounted for thirty per cent of health-care spending, or some seven hundred and fifty billion dollars a year, which was more than our nation’s entire budget for K-12 education. The report found that higher prices, administrative expenses, and fraud accounted for almost half of this waste. Bigger than any of those, however, was the amount spent on unnecessary health-care services. Now a far more detailed study confirmed that such waste was pervasive.
I decided to do a crude check. I am a general surgeon with a specialty in tumors of the thyroid and other endocrine organs. In my clinic that afternoon, I saw eight new patients with records complete enough that I could review their past medical history in detail. One saw me about a hernia, one about a fatty lump growing in her arm, one about a hormone-secreting mass in her chest, and five about thyroid cancer.
To my surprise, it appeared that seven of those eight had received unnecessary care. Two of the patients had been given high-cost diagnostic tests of no value. One was sent for an MRI after an ultrasound and a biopsy of a neck lump proved suspicious for thyroid cancer. (An MRI does not image thyroid cancer nearly as well as the ultrasound the patient had already had.) The other received a new, expensive, and, in her circumstances, irrelevant type of genetic testing. A third patient had undergone surgery for a lump that was bothering him, but whatever the surgeon removed it wasn’t the lump—the patient still had it after the operation. Four patients had undergone inappropriate arthroscopic knee surgery for chronic joint damage. (Arthroscopy can repair certain types of acute tears to the cartilage of the knee. But years of research, including randomized trials, have shown that the operation is of no help for chronic arthritis- or age-related damage.)
I don't like rats. Seriously. It might be cultural or it could be historical due to their reputation of spreading disease but I'm not exactly a rat lover. Even though I loved watching ratatouille. And the fact that Ganesh's personal animal is a rat. Go figure.
Heck I hate pigeons as well and call them flying rats. They are very destructive indeed. They gnawed through many books we had in bhopal. Tragic. And clothes and and and. Never ending battle against these buggers.
Reminds me of the problem I started to face when I was at the previous bank. We moved into a new building and suddenly started to find, after some time, a spate of network outages. Weird. Networks don't go down that often. So we dug (no pun intended) into it.
People started to eat too much at their desks and would drop food and crumbs. They would also store food stuff in their cupboards and desks. This would attract rats inside the building who loved this cornucopia.
So we had to get rat catchers in. Change behaviour. Removed all the dustbins. Ask the cleaners to hoover every night. Not fun.
Still quite an interesting story about rats. Also talks about Galapagos :)
On the front lines of humanity’s high-tech, global war on rats
By Josh Dzieza
Last May, a member of Alberta’s rat patrol paid a visit to a farm on the outskirts of Sibbald, a small town near the Saskatchewan border. He found holes bored into the foundation of a grain silo and feces littering the trash pit: telltale signs of a rat infestation, probably 100 strong. He scattered aquamarine pellets of poison, then returned with seven pest control officers, including Phil Merrill, head of the province’s rat patrol. Using a crane, they hoisted the granary off its foundation, watching for anything scurrying out, one officer standing ready with a shotgun. All the rats were dead. The patrol stomped on the burrows, then burned the silo for good measure. It was a bit of a disappointment, Merrill said. A few years earlier, they’d gunned down 157 rats at a single farm.
Merrill was swigging chocolate milk and recounting stories of past infestations as we drove toward the control zone, a sparsely populated buffer between Alberta, the largest inhabited rat-free region on Earth, and the rest of the infested planet. There was the rat in an Air Canada cockpit (chased down the tarmac, killed) and the infestation at the dump (poisoned, monitored with night-vision cameras to be sure). Keeping the province rat-free requires constant vigilance, and every spring and fall, Merrill and his team patrol the zone.
All members of the genus Rattus are banned from the province, but Alberta is especially alert for one species: the brown rat, also known as the wharf rat, sewer rat, and Norway rat. That last one is a bit of a misnomer: the species traces its origins to northern China and reached Europe only in the 18th century, where it scurried aboard ships and made landfall in North America around the time of the American Revolution. Fast, strong, and highly adaptable, it’s now present just about anywhere humans live or visit.
A structure in Alberta suspected of rat infestation and subsequently burned down. Image courtesy of Phil Merrill
Alberta had the good luck of being one of the last places rats invaded, and in 1950, the government decided to keep them out rather than try to control them once they gained a foothold. The first and most important step was to teach Albertans — some of whom had never seen rats before — to fear and hate them. Preserved rat corpses were exhibited at schools and fairs, and the government printed World War II-style posters depicting a province besieged by rodent hordes. The message was clear: if the rats were to be kept out, all citizens had to do their part — fortifying their farms, reporting incursions, and if need be, taking up arms.
The campaign has been largely successful, and half a century on, Albertans remain vigilant. Merrill’s rat patrol has a hotline, 310-RATS, where people can report possible sightings. The hotline gets hundreds of calls a year, mostly false alarms — misidentified muskrats or pocket gophers. When Albertans do spot a rat, they often act quickly, beating it to death with bats or shovels before calling it in. They even report their neighbors for keeping pet rats, or fancy rats, as exterminators call them. Rats are rats, and Alberta’s government gives them no quarter. Sometimes the owners have their rats flown out of the province, but generally, Merrill said, “We take care of them.”
Alberta’s landscape makes eradication feasible. It’s sparsely populated, and its sprawling farms and small towns provide few structures where rats can shelter from the harsh winters. The 250,000-square-mile province is protected by the Rocky Mountains in the west, frigid forests to the north, and badlands to the south. Accordingly, the government concentrates its efforts on a 400-mile-long strip on the eastern border with Saskatchewan.
As the nine members of the patrol travel through the control zone, they check every building that might harbor a rat. They examine foundations for signs of gnawing, ask farmers if they’ve seen anything suspicious, and hand out buckets of poison pellets. Merrill, an energetic and affable 64-year-old who’s worked pest control since 1971, says that the key to catching a rat is to think like a rat: you want a granary, preferably an old wooden one; you want bales of barley or something with a bit of protein to snack on; and you want water. Each time Merrill clears a site, he marks it on a GPS map with a skull and crossbones.
We pulled up to a farmhouse, and Merrill knocked on the door. “Rat patrol here, come to see if you’re harboring any rats,” he called out. A gangly, weathered man in his 60s invited Merrill in, pulled out a chair, and the two swapped local rat gossip.
They discussed a dilapidated grain house just over the border in Saskatchewan. As a rule, rats stick close to home, rarely traveling more than a few hundred feet from their nest, but when things get too crowded, some venture out, running through the surrounding fields; most die, but a few find a new building and start to breed. Merrill reckoned there were hundreds of rats in the grain house, and the colony was sending rats out in a 5-mile radius. With the cooperation of the other province’s pest control officer, he wanted to poison it, maybe raze it completely. “We’ve got to fight them over there so we don’t have to fight them over here,” he told me.
I'm was reading about how the London government identified the source of cholera via the mapping of deaths. I think I've mentioned that map to you before. Fascinating son. It's amazing how data visualisation helps in public health and Decision making. I'm embarking on a process to create graphs and reports for the next 4 years. It's bloody exciting. To design something that thousands of people in the bank will use to drive their actions and then millions of customers will be impacted by those decisions.
But this story was even better. How people work to improve public health. And it doesn't take much closer money son. Just needs people to be smart and change way of working. While I was in the gulf, I was surprised that people kept working even though it was horribly hot. According to the ILO, you cannot work when the temperature is more than 50 degrees c. So guess what? The temperature never rose beyond 50 degrees. Same in India. That's why so many people die of heat stroke. I'll take you to a desert one day son. It's a spectacular experience son. Makes you mystical but you've got to respect it.
Anyway. Have a lovely day and if you can shift the suitcases from the hallway to up to your room that would be good. I fell over the bloody things three times today!
In May, 1998 when I was travelling in Odisha, hospitals reported 2,042 deaths due to heat stroke across the state, right from the coastal cities to western regions.
A doctor posted at a government hospital in the coastal town of Kendrapara said, “I have counted more deaths than births in a week. Heat wave has killed more people than an epidemic.”
This is an extraordinary practise. Forget the religious back-story behind this but what caught my attention son was the amazing dedication and perseverance these guys showed over years and years of diligent fasting and diet control. I find it so difficult to control my diet. Forget about mummification I just want to lose weight but it's difficult. And here people are dieting with an eye for immortality? Bloody hell.
way to preserve a person’s remains, whether to be worshipped or because they’re planning on using that body at a later date. But some people have gone to incredible lengths to prepare their own bodies for mummification while they were still alive.
So this study basically says that if you sleep for the usual 7 hours, you will be ok, but if you sleep for an hour more, you will be happier. well, excuse me, Captain Obvious.
Sleep is an important part of life, with an individual spending an estimated 32 years of her life asleep. Despite this importance, little is known about life satisfaction and sleep duration. Using German panel data, it is shown that sleep is an important factor for life satisfaction and that maximal life satisfaction is associated with about eight hours of sleep on a typical weekday. This figure represents, on average, an hour more than people currently sleep suggesting that more sleep would lead to a higher reported satisfaction with life.
This article uses individual records of 930,000 burials and 630,000 baptisms to reconstruct the spatial and temporal patterns of birth and death in London from 1560 to 1665, a period dominated by recurrent plague. The plagues of 1563, 1603, 1625, and 1665 appear of roughly equal magnitude, with deaths running at five to six times their usual rate, but the impact on wealthier central parishes falls markedly through time. Tracking the weekly spread of plague, we find no evidence that plague emerged first in the docks, and in many cases elevated mortality emerges first in the poor northern suburbs. Looking at the seasonal pattern of mortality, we find that the characteristic autumn spike associated with plague continued into the early 1700s. Natural increase improved as smaller crises disappeared after 1590, but fewer than half of those born survived childhood.
A story of London.
These are the mortality graphs in London plague years by parish relative to median mortality in the preceding five years. What is very clear is that the deaths happened in North London..actually near where we live. Fascinating behaviour. It was quite interesting to imagine how these outbreaks and epidemics would grow through time, can you imagine deaths at 5-6 times normal rampaging through the crowded, dirty tenements of London? fascinating.
We will face this problem more and more. I have heard so much from so many people that boys are useless idiots as far as looking after the parental units are concerned. Its the daughters who help look after the old folks. But people don't think about the impact this has on the daughters. One way of seeing this is to see if this has any mental health issues. This obviously means that the health care and social care sectors of the country have to worry about it. Also for the old fogeys, please put aside sufficient money so that you have proper support in a care home or with nursing, or what have you. You have already managed to bugger it up with loading debt on them but one to think deeply..
2. Is caring for elderly parents detrimental to women’s mental health? The influence of the European North-South gradient Date: 2013-11 By: Elenka Brenna (Dipartimento di Economia e Finanza, UniversitĂ Cattolica del Sacro Cuore ) ; Cinzia Di Novi (UniversitĂ Ca’ Foscari, Dipartimento di Economia, Venezia ) In the last decades, both the lengthening of life expectancy and an accentuated decline in birth rates have reduced the consistency of the younger generational cohorts. Due to an ageing population, the burden of care giving is expected to intensify in the next quarter of the century in Europe, especially for mature women. This paper investigates the impact of the provision of constant care for elderly parents on the mental health of adult daughters, between the ages of 50 and 65, living in different European countries. Data is collected from the Survey of Health, Ageing and Retirement in Europe (SHARE). Information on mental health status is provided by Euro-D depression scale, a standardized measure of depression employed across European countries. We focus on differences in the effects according to a North–South gradient: we test whether the relationship between informal caregiving and mental health differs across European macro- regions. Our results reveal the presence of a North-South gradient in the effect of caring on women’s mental health. Keywords: caregiver burden, depression, parent care, LTC systems, mature women JEL: I10 I12 D10 URL: http://d.repec.org/n?u=RePEc:ctc:serie1:def004&r=age
Although both biological and psychological factors are important in the etiology, the exact pathogenesis of lifelong premature ejaculation (PE) remains to be clarified. Obesity is a worldwide epidemic that contributes to many chronic diseases. Obesity is associated with erectile dysfunction, but the relationship between obesity and PE has not yet been specifically investigated. The aim of this study was to evaluate the relationships of these two conditions. Between January 2008 and December 2009, we evaluated consecutive patients with lifelong PE in the urology outpatient clinic. Control cases without lifelong PE were selected randomly among cases attending the department of internal medicine for a checkup procedure. The age and sex of control group were matched with that of the study group. Body mass index (BMI) of each case was calculated using the World Health Organization criteria by the measurements of the physician instead of relying on verbal expressions. The mean (±s.d.) age of the premature ejaculators was 31.7±5.7 (range 21–51) years and in the control cases it was 32.3±6.7 (range 22–54) years. The comparison of the mean (±s.d.) weight between the study (74.1±11.2 kg) and control groups (81.9±6.4 kg) revealed a significant difference (P<0.001). The mean BMI of premature ejaculators (24.9±3.4 kg m–2) was lower than the mean BMI of control (27.5±3.6 kg m–2; P<0.001). As the BMI increased, the number of patients decreased in the PE group. The number of the obese cases in the control group (n=26, 24.1%) was three times greater than the obese premature ejaculators (P<0.005), and the number of PE patients were approximately two times greater than the control cases in the normal-weight class (P<0.001). This is the first prospective study that investigated the relationship between lifelong PE and obesity, and we found that patients with lifelong PE were leaner than the healthy control cases.
what a choice…be a porky and have lesser PE, be lean and mean and have a greater PE tendency. Truly mother nature is naughty.
Well, i always thought that the best way to survive an elevator accident which is in free fall is to just pray. Well, more importantly, to jump just before it crashes. it was an idle thought, of course you cannot really figure out when exactly to jump as you don't have any external references and you will end up into a little paste. So this article tells you what to do, the answer is “lay down flat with your back to the ground”to spread the impact.
An interesting historical record of how an arrow wound was healed son. I was reminded of how taita did a similar thing in wilbur smith's novel.
Btw son, do learn how to do first aid. It's very useful and the time you need the knowledge, it's going to be vital. One of the things like swimming, cycling etc. good things to know.
Plus it allows you to know yourself son. Medically. I don't mean that you need to do a Michelangelo and go about doing dissection on dead bodies but a working knowledge of medicine, anatomy and being accustomed to blood and organs helps.
Given at the session Aspects of Medieval Military History I, at the 48th International Congress on Medieval Studies (2013)
Michael Livingston, Associate Professor at The Citadel, explains what happened in one of the most remarkable cases of battlefield surgery from the Middle Ages – the arrow wound suffered by the future Henry V at the Battle of Shrewsbury in 1403.
Prince Henry was only 16 years old when he marched with his father’s forces to Shrewsbury in western England to fight against the rebel army led by Henry “Harry Hotspur” Percy. With English longbowmen on both sides of the battle, arrows caused many of the dead and wounded, including Henry Percy, who was killed when he lifted up his visor and was struck down by a shot.
According to one chronicler’s report, Prince Henry was also “hurt in the face by an arrow.” A much more detailed account survives in the Philomena, a medical tract written by John Bradmore. The account was originally in Latin, and a Middle English translation of it survives as well.
Lettuce has been harvested for millenia—it was depicted by ancient Egyptians on the walls of tombs dating back to at least 2,700 B.C. The earliest version of the greens resembled two modern lettuces: romaine, from the French word “romaine” (from Rome), and cos lettuce, believed to have been found on the island of Kos, located along the coast of modern day Turkey.
But in Ancient Egypt around 2,000 B.C., lettuce was not a popular appetizer, it was an aphrodisiac, a phallic symbol that represented the celebrated food of the Egyptian god of fertility, Min. (It is unclear whether the lettuce’s development in Egypt predates its appearance on the island of Kos.) The god, often pictured with an erect penis in wall paintings and reliefs was also known as the “great of love” as he is called in a text from Edfu Temple. The plant was believed to help the god “perform the sexual act untiringly.”
I think teenagers will be more happy to eat this if they are told that its going to help them boink!
I saw Min in the Petrie Museum the other weekend.
people were not very happy with the display of the erect Phallus and when it was first displayed in the early 20th century, it was covered by a label!
Interestingly, for many many years, the idea of seeing the nude was anathema to Europe. We have so many instances that nude statues or even examples of Min like the above had the phallus hidden. I came across another article here. The abstract:
This essay proposes that we question the current understanding of the Italian Renaissance nude by examining contemporaries’ perceptions of nakedness. Despite the importance of the nude for the development of Western art, there have been few studies that consider how the revival of the nude form in fifteenth-century Italy was understood by people at the time.Most scholars, understandably, see the new fashion for portraying naked figures in the fifteenth century as a direct reflection of the enthusiasm for classical antiquity during this era. Without denying the crucial importance of antique precedents, I wish here to investigate another possibility: that travellers’ accounts of naked natives encountered on European voyages of exploration, particularly those to sub-Saharan Africa, influenced the creation of what has been called a ‘Renaissance anthropology’ – debates about the nature of mankind.This provided a new conceptual filter through which the nude figure was seen – and in some cases, these accounts may have directly affected the iconography of otherwise puzzling images.
Here’s an example of an iconic image
Masaccio, Expulsion from Paradise, 1426. Fresco, 208 × 88cm. Florence: Brancacci Chapel, Santa Maria del Carmine
Interesting how our ideas of nudity change…this painting is in a chapel! So the painting was painted in 1425. Then around the 18th century, Cosimo Medici asked for fig leaves to be painted on the genitals to hide them. Then in 1980, the painting was cleaned and the fig leaves removed.
So many myths. So little facts. One interesting article son. I didn't realise the stats in the withdrawal method. Fascinating. I always believed that pre ejaculate had sperm.
Lesson for you? Wear condoms for the first few times. It doesn't matter if you like it or not son, you have to be safe. Once you are comfortable, no issues, no diseases, etc etc, then you can go bareback. And plus your first objective is to ensure your partner enjoys and loves the act. Golden words son. If you make sure first and foremost that your partner enjoys, then you will enjoy more.
With the “next-generation condom” initiative, Bill Gates is acknowledging that the practical reasons people don’t use condoms warrant honest conversation.
As the late author Norman Mailer put it, “The only thing you can depend on with condoms is that they will take 20 to 50 percent off your f***.” In a conversation with Madonna on the topic, Mailer also condemned condoms for making people part of “the social machinery” and destroying “most of the joy of entrance.” Madonna argued that condoms are “essential in the age of AIDS,” but conceded, “they feel terrible.”
If we’re honest, many of us do see condoms as robbing us of pleasure, stealing some excitement and spontaneity from intimacy, and dulling the intensity of sexuality. It’s okay to say that. These factors are the primary reasons that still only 60 percent of teenagers claim to use condoms. These factors warrant acknowledging. From there, condom usage declines as people grow older. The number one reason we have seen given time and again for refusal to wear condoms is the reduction of pleasure.
Anyone who dares criticize the condom is typically made the subject of demonization and condemnation.
It is politically incorrect to acknowledge the truth and simplicity of the condom’s inadequacy. Criticism of the condom opens one to righteous demonization and condemnation. Condom defenders often stifle honest and helpful discussion about sexuality, unplanned pregnancy, and sexually transmitted infections.
now i always thought that banning plastic bags was a no brainer, no? they are disgusting and end up creating crappy landscapes such as this.
I guess i shouldn't have been surprised that this happens. The law of unintended consequences, eh?
Most alarmingly, the industry has highlighted news reports linking reusable shopping bags to the spread of disease. Like this one, from the Los Angeles Times last May: “A reusable grocery bag left in a hotel bathroom caused an outbreak of norovirus-induced diarrhea and nausea that struck nine of 13 members of a girls’ soccer team in October, Oregon researchers reported Wednesday.” The norovirus may not have political clout, but evidently it, too, is rooting against plastic bags.
Warning of disease may seem like an over-the-top scare tactic, but research suggests there’s more than anecdote behind this industry talking point. In a 2011 study, four researchers examined reusable bags in California and Arizona and found that 51 percent of them contained coliform bacteria. The problem appears to be the habits of the reusers. Seventy-five percent said they keep meat and vegetables in the same bag. When bags were stored in hot car trunks for two hours, the bacteria grew tenfold.
That study also found, happily, that washing the bags eliminated 99.9 percent of the bacteria. It undercut even that good news, though, by finding that 97 percent of people reported that they never wash their bags.
Jonathan Klick and Joshua Wright, who are law professors at the University of Pennsylvania and George Mason University, respectively, have done a more recent study on the public-health impact of plastic-bag bans. They find that emergency-room admissions related to E. coli infections increased in San Francisco after the ban. (Nearby counties did not show this increase.) And this effect showed up as soon as the ban was implemented. (“There is a clear discontinuity at the time of adoption.”) The San Francisco ban was also associated with increases in salmonella and other bacterial infections. Similar effects were found in other California towns that adopted such laws.
What an interesting story about kids who cannot feel pain. For somebody who has lived with pain almost all my adult life due to my knee, I can't even imagine how that feels.
Quite fascinating.
"The Hazards of Growing Up Painlessly" by Justin Heckert
The life of 13-year-old Ashlyn Blocker, who has a congenital insensitivity to pain.
The Hazards of Growing Up Painlessly The life of 13-year-old Ashlyn Blocker, who has a congenital insensitivity to pain. Justin Heckert | The New York Times Magazine | Nov 2012
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“I showed her how to get another utensil and fish the spoon out,” Tara said with a weary laugh when she recounted the story to me two months later. “Another thing,” she said, “she’s starting to use flat irons for her hair, and those things get superhot.”
Tara was sitting on the couch in a T-shirt printed with the words “Camp Painless But Hopeful.” Ashlyn was curled on the living-room carpet crocheting a purse from one of the skeins of yarn she keeps piled in her room. Her 10-year-old sister, Tristen, was in the leather recliner, asleep on top of their father, John Blocker, who stretched out there after work and was slowly falling asleep, too. The house smelled of the homemade macaroni and cheese they were going to have for dinner. A South Georgia rainstorm drummed the gutters, and lightning illuminated the batting cage and the pool in the backyard.
Without lifting her eyes from the crochet hooks in her hands, Ashlyn spoke up to add one detail to her mother’s story. “I was just thinking, What did I just do?” she said.
Over six days with the Blockers, I watched Ashlyn behave like any 13-year-old girl, brushing her hair, dancing around and jumping on her bed. I also saw her run without regard for her body through the house as her parents pleaded with her to stop. And she played an intense game of air hockey with her sister, slamming the puck on the table as hard and fast as she could. When she made an egg sandwich on the skillet, she pressed her hands onto the bread as Tara had taught her, to make sure it was cool before she put it into her mouth. She can feel warmth and coolness, but not the more extreme temperatures that would cause anyone else to recoil in pain.
Maybe one day people will regard it as repugnant that other people hold their moral views on kidney sales so strongly that they are willing to cause innocent people to die for them.
When I can sell my brains, my arms, my energy, my voice, my acting, my back, and and and, why cant I sell my kidneys? And no, just because some will be forced does not mean that I cannot sell my kidneys, just like just because some people are sold into slavery cannot mean that I cannot work like a labourer.
We frequently have “bring your daughter to work” day, a way to encourage more women participation in the banking industry, but when I saw this Dalit man’s photograph with his baby daughter, it took me aback.
His name is Babloo (my namesake as it happens) and he lives in Bharatpur, a small town in India. His wife died during childbirth but to keep body and soul together, he makes a living driving a rickshaw.
An interesting story of what happens when you take drugs. As you know, I used to smoke and then after using the patch, I left smoking. It's been now what 5 years? One of the worst mistakes in my life, smoking. Even now, I cannot bear being around smokers, mainly because I'm afraid I will start again. Addiction is bad, son.
But also remember we are bio chemical animals. And when we go off the rails and are ill, chemicals are poured into us. In a way, that is worrisome because it's far too easy to pop pills. So my advise is to not take pills as much as possible and rely on diet and exercise.
And never ever do drugs. Besides the fact that I will personally break your legs and Lock you into your room till you break your addiction, you don't need drugs to have fun or feel better. Drugs are for losers, nothing justifies it. Fun, creativity, joy all can and will be done by the power of your mind. And stay away from People who do drugs. They will not only screw up their lives but also yours.
I’d heard it was the most effective stop-smoking drug yet. So I took it. Then those reports of suicidal ideation began washing in.
DEREK DE KOFF • NEW YORK • FEB 2008
Things were looking good. My doctor had gone through the test results and told me I was perfectly healthy—except my breathing was a little shallow. That didn’t surprise me. I’d been smoking for twelve of my 32 years, and my father died of lung cancer in his early fifties. That’s why I was having my first physical in five years: I’d decided it was time to stop for good.
I’d heard about Chantix, a relatively new drug from Pfizer that blocks nicotine from attaching to your brain receptors. That way, you stop receiving any pleasure from cigarettes at all—even as the drug, snuggling up to those receptors the same way nicotine does, reduces withdrawal cravings and unleashes a happy little wash of dopamine to boot. Wonderful things they can do nowadays.
My doctor wished me luck as he wrote out the prescription, telling me it was the single most important decision I’d ever make in my life. I had the medication that night, 35 minutes after dropping into Duane Reade. While waiting, I gleefully chain-smoked Parliament Lights. One of Chantix’s big perks is that you can smoke for the first seven days you’re on it (most people take it for twelve weeks)—more than enough time, I thought, to say good-bye to an old friend.
I swallowed my first pill the next day before work. It was a beautiful fall morning, an almost obnoxiously cinematic day to turn over a new leaf. But by the time I was halfway to the office, I started to feel a slight nausea coming on. Of course, that is a common side effect, as are constipation, gas, vomiting, and changes in dreaming. These five symptoms were emblazoned in a large font on the patient-information sheet.
My stomach settled as I finished my first cup of coffee. I slipped into my boss’s office, proudly announcing that I’d just started taking Chantix. “You’ve probably seen the commercial,” I said. A CGI tortoise races against a sprightly CGI hare, while a paternal voice-over reminds us that quitting smoking “isn’t for sprinters … it’s all about getting there!” Clinical trials demonstrated a whopping 44 percent of patients were still off cigarettes after twelve weeks, the ad says. The tortoise winks knowingly.
Here is a photo of a 69-year-old man who drove a delivery truck for 28 years.
This—which is called unilateral dermatoheliosis (one-sided photoaging)—is the result of exposing only half of your face to direct sunlight for nearly three decades.