The last of the great generation: a country doctor who served generations and delivered over 6,000 babies, including me. Rest in peace, Doc. (A grateful thread) porterandsonfd.com/obituary/paul-…
He truly put patient care first. He was also the first to distribute birth control to the women of my county, as a health issue. archives.cnn.com/1999/HEALTH/12…
Here's his story in his own words of how he created an easy credit system for poor people with no health insurance before Medicare, delivering babies for a $60 fee, that's about $560 today. Still it was about 6 weeks of the average income then & there. journals.lww.com/greenjournal/C…
He lived above his clinic so he could always be on call. My mother tells the story of when I was born that she was told he would be right down. She said to the nurse to tell him to hurry if he was going to get there in time to deliver me.
Evidently he just pulled his trousers over his pajamas that morning. How could my mother tell? Doc Maddox he didn't tahe the time to fasten his belt or zip his trousers. Good thing, too. She arrived at 6:40 am and I was born at 6:47.
He turned no woman away. Many of whom in the 1960s had had no prenatal care. By 1963 he was delivering 300-400 babies A YEAR. As the only doctor for miles with no hospital within two hours drive.
He hired a woman to sit with the mothers, basically a doula to help out. She didn't earn much, just $5 a delivery, but it was still about 10% of his fee.
His caesarian rate was 3%. His patients couldn't afford hospital stays and so he worked to deliver babies the old fashioned way in every possible case to keep costs down and improve outcomes.
By the time I was born, Doc Maddox had **46,000 patient visits a year** in addition to a rate of a delivery every day. Doc kept busy.
He said that getting more mothers birth control would let him get a little more sleep. It also, he argued, would raise the per capita income in a poor area. He started out giving birth control to the mothers who came in for deliveries.
CBS in 1967 filmed Doc showing a newborn to his mother:
Mother: "Was it a boy?"
Doc: "Nope. It's a girl. Did you get pregnant while you were using a diaphram or did you just throw it away and get pregnant?"
Mother: "I left it in Ohio"
Doc: "Didn't work that way did it?"
That was his humor. He went on to tell her right there, before putting the baby in her arms about the birth control pill. This was 1967 in Applachia. Only 7 years after the introduction of the Pill & 2 years after the Supreme Court made it legal for married couples to use.
A biography of Doc and his wife Pat tell the story of what he faced having conversations about birth control with his patients.amazon.com/Moving-Mountai…
Doc treated my earaches, my sore throats, my fevers, my chickenpox, and that time I got a needle broken off in my foot.
"Too far from your heart to kill ya."
Rest in Peace, Dr. Paul "Doc" Maddox. Thank you for a life well lived so others like me, my family, my community could live a little bit better.
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A key Mu3k theory made it into the @nytimes opinion pages this week. Touted and burnished by a professor at a top university WITHOUT transparency that Musk funded him for $10 Million for the research. How? 🧵
Humanity is collapsing from population decline. Sound familiar? It's the pet theory of ultra-rich Western white guys like Musk. He funded the center run by the author of this @nytimes op-ed with a $10 million grant. nytimes.com/interactive/20…
What I find EXTRAORDINARY that this funding is not listed on website for the center, the Population Wellbeing Institute, nor did the author say in his op-ed bio that he leads PWI. But Bloomberg broke this story last month about Musk's donation to PWI. bloomberg.com/news/articles/…
"If you do not have symptoms, you must not seek a test, as the scientific evidence shows that the test may not be able to detect whether you have the virus."
How in hell are we going into a second wave with this as the NHS messaging?
I say this having returned from a US state (KY) with free, rapid, on demand testing. Waste a test? Nobody wants to do nasal swab tests for fun. I flew back to the UK knowing I wasn't putting my family at risk (neg.)
And now I sit in 14 days legally mandated quarantine because I actually follow the rules.
The best minds in AI ethics are not even one step removed from this mess.
The goals here were clear: preserve standardisation in unprecedented times. But public trust? Fairness? Equity? People in charge ranked those goals lower than that of standardising marks across schools. But absence of 'ground truth' here -- 2020 individual exam results --> FAIL.
We need instead to understand how these systems are rolled out in practice -- not just open the so-called black box but what's around that box: who built it, who is using it, what are they doing with it, who do they think it is for, what do people know/THINK they know about it.
Data are for 2017 and cover the whole year. Of course we've only had 6 months of Covid data in 2020 (Feb-Aug), but already it it is the third top cause of death in the US. cdc.gov/nchs/data/nvsr…