During swine flu “epidemic” I was taking an ethics class where we were discussing cases like killing of patients (when federal and local government abandoned you).
A Protestant preacher came to talk to us about tough decisions about ventilators “we won’t have enough for all those premature babies and old people”. The usual. He was a man close to 70 and he had every intention of living. Forever. It seemed to me.
/2
At the time I was very much tracking swine flu but the main viral vector of transmission (phones) was not present as it is now. Fear and panic lingering did not cross over well from healthcare to the public.
/3
But that preacher was scared. Scared in a way only an egoist in an individualist culture like America can be. He sure was not thinking of the survival of us as people. Oh no. His thoughts were onto getting a ventilator for himself. And the premature babies, of course.
/4
At the time I I had no option but to inquire who, in his opinion, would be taking care of the old and the premature if his actions destroy the young, the ones who have children, the ones who do the heavy lifting, the ones who work.
The fool did not think that far.
/5
*lingering=mongering
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I don’t know if I will ever get into the mind of Ivan Illich but I have all the time allotted to me to do so. I am terribly slow because I read acknowledgements and references and look up some that look interesting and will expand a short statement into a fuller understanding. /1
If some of what he conveys in Medical Nemesis I understand as a carrier of the same culture, all of the religious writings are like speaking Chinese for somebody who was raised in an atheist secular country without God. /2
As a small child I dutifully spat in the direction of a church walking past it. Our books had footnotes to explain basic references to biblical stories because we were raised in a complete vacuum of knowledge of prior Christian civilisation. /3
I am looking at Quoted Tweets of “What a great thread! Yeah, yeah” and imagine a group of villagers with pitchforks and torches. Not that anybody can make sense of this info for it might make sense to the narrowest group of specialists in this subject. /1
New variant news thrown at villagers produces an effect of fear. Not that anybody ever lost sleep at new viral variants of anything ever before but you word it right and believers in science can’t sleep now. “They is al’ ‘cited” /2
Then comes Lord Farquaad to explain things to you and tell you all about many vaccines you can be getting for every strain of any virus that ever comes your way. The villagers “get ‘cited even mo’. They is peein’ theirs pants they is so ‘cited to get dem shots ‘n al’” /3
Western ideas kill not only kinship but even nuclear family. Immigrants infuse hospitals with old ways of relating. An Egyptian adopts me, an immigrant from Ukraine, as his child on the basis of common faith - Orthodoxy. /1
A Liberian calls out a man from Laos “Pop” or “Papa. A Ghanaian calls a White Southern rural woman “Mama”. To a Russian child every stranger is an aunt or uncle. The world of Indians consists of aunties and uncles. /2
A descendent of the people who enslaved my ancestors is the one who comforts me in my grief, offering water and walking me to my car. /3
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I need to go hunting for scissors to cut it open. Once I extract what seems to be a cover for a small field tank that can fit five of me, two pieces of paper fly out onto the floor. Instructions and inspection tag. /2
I have a terrible habit of reading instructions for fear I miss some important information previously unknown to me. I learn not to use the gown as a raincoat. I’m comforted by two stamps from a Cambodian inspector that this gown works as it’s supposed to. /3
I bring my own food to work. Every time. I carry air crew “suitcase” of food. If I leave my suitcase at home, I either have to go hungry or ask a family member to drive 2hr round trip to make up for my lapse in memory. /1
For years I have endured relentless comments that try to decipher my “magical” eating system. I used to engage. Now ignore and eat in silence while nodding. /2
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All modern research questions frame your mindset and self-frame research paradigm. Broad thinking: how little of everything can a citizen survive on; how cheap can your upkeep be? /1
When an American patient lands in an Austrian hospital for a back problem, a doctor tells him to perform a set of exercises.
- How many?
- Do you have anything else to do? /2
This interchange illustrates two mindsets colliding at bedside. How little can I get away with vs there is no limit to effort when it comes to your wellness. /3