I feel sick and sad this morning
Footnote to my story in November called “Why don’t auckland hospitals work smarter rather than harder.” and the previous one The Hospital is the best place to be when you are sick, or is it?
My friend passed away this morning after an agonising battle with cancer. One has to wonder how much easier it would have been for her if she had received the treatment she was entitled to at the times she was turned away due to strikes and staff shortages. I’m sure she would still be with us today if she was able to receive the treatments and surgeries she was scheduled for.
Her husband is one of those nice old school Kiwi guys who listens to what he is told and didn’t want to rock the boat. He refused to fight through the management or the media to get the treatment his wife needed because he felt that was not the way you behave. Now he has lost his wife and soul mate too soon. We had to respect his right to be true to himself, but I’m not sure we have to accept the system that put him in that position.
My advice, if you are in a situation like that, where lives can be saved or prolonged and the bureaucratic penguins and the system is holding stolidly fast to this is where the line starts and if you’re not there anymore when you get to the end of the line, will the next patient shuffle forward, make a noise like someone’s life depends on it, especially if it does. People who go to the media miraculously get the treatment they need and sometimes before its too late.
We Kiwis need to stop being PC and accepting the bs that comes from our health industry. Note its not the wonderful hospital staff, they are put in an invidious position by the administrators, by the beurocrats and by the politicians who sleep sound at night and whose close ones are probably not getting turned away because “a registrar is off sick and the shift couldn’t run”. They are the ones who have to lie to the patients and their families when cost cutting measures, old fashioned systems full of lost paper files and ancient systems, and cost cutting means many people don’t get their surgeries, live or die in pain.
This person’s story is over. We won’t be going to the media or fighting because it is not what her husbands wanted. I respect that and much as it burns me, I will not add to his grief or risk creating feelings of guilt to him to make matters worse. He came from a generation who said yes sir, I know you are doing your best and genuinely trusted that. She may still have died, in fact probably would have, but she might have had a few more years and she certainly wouldn’t have suffered the degrees of agony of that she did over the last 4 months. We don’t do that to animals.
If you find yourself in a situation like this, make a noise, get your loved ones help, let the media know and as a country we have to get our government and administrators to invest in the new technologies that in the long run will cost less and save more lives.
Why don’t Auckland Hospitals Work Smarter Instead of Harder
Your Ashes on Record
I’ve lost friends and a family member recently which has led me to think about what I would want to do with my ashes. We don’t often face our mortality and a number of topics have come up recently. For example, what happens to your social networking and web presence when you die. One solution I discussed in a previous blog was Legacy Locker, who can provide access to your records to anyone you want to access them. Do think about the consequences of this though, especially who you provide access to.
Another topic that I have pondered on is my funeral. No I’m not planning to die anytime soon. Hopefully I have at least another 40 years on this planet. But I would like to have control over at the very least, the music that is played. I have a few tracks in mind, like Santana’s Samba Pa Ti, which I love. I’d also like to have at least one of my own songs that I have recorded, but I am hoping that my best work is yet to come, so that may change.
I definitely plan to be cremated. I hate the idea of worms crawling through my bones. So what to do with my ashes. Well I think I’ve found the perfect solution. A company called Add Vinyly will press your ashes into 30 records containing 24 minutes of any audio content you want. Now you can not only have control of what’s played at your funeral, but you can be a physical part of the performance and any of your friends who want to can have a piece of you so to speak.
What do you reckon?
Is Kiwi Ingenuity a Thing of the Past
OK, apologies for the blogfade. My father in law has gone to rest 3 months after being told he had 3 days to 2 weeks left after a second long battle with cancer. I’ve had lots of things I wanted to blog about, but haven’t had the time or state of mind. But I’m back with bells on.
Lots of things coming up, so please keep an eye out. What’s coming up?
I want to talk some more about health technology and ask why we aren’t using it in our hospitals to the degree that we should even though it can save time, money and most of all, lives.
I also want to explore in depth the Number 8 Fencing Wire way of life in New Zealand and whether it still exists. I want to explore why, when we have so many brilliant minds in New Zealand, it doesn’t result in increased GDP and why the little guy stays little.
I discussed this with a colleague a few days ago and he postulated that we are still celebrating Ernest Rutherford, the Hamilton Jet, Peter Jackson’s Lord of the Rings, AJ Hackett and Number 8 fencing wire and some guy who rode an Indian motorcycle faster than it was designed to go and that they are all in the past. He seemed to think we weren’t so smart any more.
So I asked him, what about the Rex, 3D Printing, the Martin Jet Pack or Mark Rocket’s Rocket? He hadn’t heard of any of those and I suspect very few Kiwi’s have.
I have long bemoaned that New Zealand doesn’t take advantage of a fairly unique mindset that makes up many Kiwis. There are so many opportunities, so many capable people, but we seem to be unable to capitalise on them. Yes there are grants, there are incubators, there are clusters, but most good ideas either go by the wayside or fly overseas where investors recognise an opportunity when they see one.
So I’m going to do some digging and some talking and maybe even have the opportunity to help a few people on the way. New Zealand has the potential to be an innovation and center of excellence capital of the world. Whether it is a gadget that stops the paint tin falling off a ladder or nanotechnology, we are great problem solvers.
More people, businesses and government need to recognize and harness our ability and we need to do it differently if we want to get a different result. Our smarts are everywhere but they are disorganized and rudderless. I say we wake up and smell the coffee.
Let’s go Kiwis! Come along for the ride. Don’t just listen, come and join the conversation. Have you got some good ideas? What’s holding you back?
And When I Die
No I’m not talking about my blog, but it is relevant to the podfade. There is so much I want to write about. How thrilled I was about The Hyperfactory achieving their harvest plan and that Derek and Geoffrey are planning on coming back to New Zealand to share their knowledge and help others follow in their successful path. As you know location based services and mobile marketing are amongst my passions.
I would also have liked to talk about the Rex which set foot in New Zealand, just as I was bemoaning the difficulty of Kiwi innovators to capitalise on their ability; again an area that has been of great interest to me. Then of course there is the tentative success of the oil cap on the BP oil well. I have pondered much on Oceanic Dead Zones, whilst the BP accident helps extend them.
Two months ago I was faced with a family crisis. My father in law was told that he had somewhere between 3 days and 2 weeks to live. Life as I know it, pretty much stopped. Our close family was in shock, even though we knew it would come eventually. Before you offer condolences, he is still alive:)
Having developed a taste for tobacco while serving in the air force, 20 years ago he had a laryngectomy as a result of throat cancer. He didn’t take it lying down. He learned to talk again and picked his life up. He became involved with the Lost Chord Club and eventually became President, counselling others through their throat cancer journey. He also visited schools and let children look into his stoma, seeing that he had to breath through a hole in his neck, caused through smoking.
So for most of the last 20 years he was in remission, then the cancer returned and as often is the case 2nd time around, it was not going to be possible to treat it.
So my life and that of my family has changed dramatically for a while and many of things I have been wanting to do, I haven’t had time for. We spend as much time as we can with him, because once it is over it is totally over.
It strikes me that whilst we all know that from the moment we are born, we can be certain of one thing (I have blogged about people (such as some from Singularity University) are doing everything they can to avoid it) it appears that death is a given for each of us.
So we have been assisting with respite care, trying to help him maintain his dignity as he becomes helpless, and his confusion as to both why he is still alive and what will become of him when he dies. Will there be a place for him in heaven? Is there a heaven? These things worry him. He has never been a religious person, although he was a church choir boy many years back. He worries about his wife and what will become of her after he passes on.
We all worry about each other, how each is going to cope with the end. I wonder how the women of the family cope now, they look after him around 18 hours a day, partly because they want to and partly because there are not many people who understand how to look after someone with a hole in their neck, who can’t talk. If he had a shower and water got into his stoma, he would drown. If his neck valve leaks (and this happens from time to time) when he eats a few spoonfuls of his porridge, the food can leak into his lungs.
Anyway, things aren’t normal right now and no one can tell him what is next tomorrow, let alone for eternity. Two months ago he was told maximum 2 weeks. Two weeks ago we were told “a few days”. It took us a while to understand what he meant every time he woke up and asked “What’s going on?” We thought he meant Who’s here? or Is someone going to take me to the toilet? But eventually we figured out that he is asking, “Why am I still alive?”
So it seemed appropriate as I wait for my finger nails to toughen up again (for guitar) after washing the bathroom and shower, so I can do my latest Berklee Music assignment and then head back to the rest home after a work out at the gym (down to one a week because I go to the rest home straight from work) that today’s blog be about something more basic than singularity and the latest problems with iPhone 4. Once you break it down, we are just an essence in a body that peaks somewhere between late teens and mid twenties and then starts to die.
Sometimes all that matters is the people that are close to you and can give you comfort, and you them. When you break it down, we are beings in flesh and blood in a temporary home.
Dead zones in the ocean
I was talking with someone recently about the Waikato River water that provides some 10% of the drinking water in Auckland. This was approved despite much protest, on the basis that Metrowater would only use it in emergencies. I suspect that Mayor George Wood at the time knew that it would end up being turned on all the time, as part of his deal with his crony mayors.
The water was declared safe by WHO standards, however councillor Joel Cayford, who is now employed by ARC said that it was unsafe. I attended the public meeting where he explained that WHO standards listed a number of quality requirements, but excluded many ingredients such as dioxins, heavy metals, fertiliser and more. In my opinion the meeting wasn’t helped by constant interjections from rent a protester, which didn’t help the cause.
Not long after approval was given by the regional mayors, including the Mayor Bob Harvey of Waitakere who approved it on the condition that Waitakere water would only come from local dams in the rainforest, thus not having to take this water.
What has this got to do with dead zones in the ocean? Well here’s the thing. A lot of the objections against using Waikato river water were because it contains huge amounts of leached chemicals from farms including fertiliser, antibiotics and much more. It appears that these same types of chemicals are flowing from rivers around the world into the sea and several studies are suggesting that the rise in industrial food production is increasing the number of dead zones rapidly.
Oceanic dead zones are areas where the oxygen levels in the water are so low that they kill of almost all forms of marine life. There are now more than 400 oceanic dead zones around the world and they are growing fast.
According to experts, including NASA a major contributor to these dead zones is fertiliser that flows to the ocean from farms both in the form of chemicals leaching from farms and from the animal manure which still contains these chemicals. The nitrogen and phosphorous feeds the algae and phytoplankton, making these plants grow rapidly.
In New Zealand, we have become aware of algal bloom. This is occurring more commonly now both in coastal waters, such as our local Waiheke Island, and also in freshwater lakes, including many in the Waikato, where 10% of our drinking water is coming from.
So what does this mean? We know that fresh water is going to be on of the important issues in the future, both from climate change and from man-made intervention. We know that our oceans are becoming polluted, much of it from man-made waste. We know that the fish stocks are becoming depleted in many parts of the world, due to over fishing, to feed growing nations. But fish are also now seriously at risk from the oceanic dead zones, where oxygen levels are so low that fish and other marine life can’t survive.
We seem to be in danger of creating the ‘unrealistic and unbelievable’ wasted planet that is often depicted on science fiction movies.Am I exaggerating? Well check these examples out:
A dead zone the size of New Jersey of the coast of Oregon and Washington, may be irreversible.
The Mississippi Delta dead zone is one of the smaller ones in the world, only 3,000 square miles. The US Government is investing $320 million to try to slow it down, but as long as the chemicals keep flowing down and farm production is increased, we have a problem.
The Baltic sea apparently contains 7 of the 10 worst oceanic dead zones and it appears that the surrounding countries haven’t been doing much about them. The end result could be the loss of almost all marine life in the area. This map shows how bad it is in places, where the red areas represent areas where the water essentially contains no oxygen.
It appears that the man-made damage to the oceans and lakes in the world could present an even greater problem than global warming and of course one that is compounded by it. If so much water ends up unable to sustain life, how will we survive, especially the poorer areas on the planet, where water is already scarce. The sea’s health is not something we can take for granted, no matter how vast it appears. The attractive colours of algae bloom that we sea coming back each summer in bigger areas, is evidence that we need to change some of our ways, and quickly.
I’ll leave the last word to Joanne from Rocketboom who explains it far more succinctly than I:
It’s Official Swine Flu is a Pandemic
In the last hour or so, WHO has announced that we now have a Pandemic, the first in 41 years as infections have climbed over 30,000 people. As I said in my previous blog, many people still have their heads in the sand, thinking it won’t happen to them, but pretty much everyone I know is aware of people close to them who either have N1H1, or have been asked to quarantine themselves just in case.
WHO Chief Margaret Chan made the announcement a short while ago saying that “Swine Flu is unstoppable.” She also went on to say that it has progressed so far that it is no longer possible to follow the track of the virus and htat the statistics only reflect the data from countries who have good tracking measures in place.
This takes me back to my prvious blog where I asked if you were prepared. It is now quite likely that you may have to be quarantined and if this is the case, your whole family may find itself in this situation. I meet and shake hands with a lot of people every day, my wife works in a retirement village and my daughter is a school teacher. Between us, the chances of getting exposed become much higher.
Just to put this into perspective, the last time WHO declared a pandemic, the Hong Kong Flu, 41 years ago, around 1 million people died.
Now I’m not trying to say the sky is falling, but I am saying you need to consider what it means to be prepared. If you have a little more food in the cupboards and don’t need it, cool, have a non swine flu party when its all over. Make sure you wash your hands regularly after contact with other people, you can buy handy little bottles of hand cleaner that doesn’t require water.
A final reminder for you, who are thinking, I’m young and healthy, it’s the elderly people who get killed with these viruses. Think again, the majority of deaths with Swine Flu have been aged 30-50 years old.
Japan closes 4,000 schools to protect them from Swine Flu
Japan has always been very sensitive to protecting people from viruses. In the western world we have been looking at masks from the perspective of keeping ourselves safe from others. When I visited Tokyo for the first time I asked about the people I saw wearing face masks and found that this is normal practice for people who have a respiratory illness such as a cold or flu, so that they could continue to work and go out while protecting other people from their germs. In NZ we don’t look at it that way, if we share our germs, its just tough luck for the recipient.
Of course one of the problems in Japan is shear numbers of people, not dissimilar to Mexico City. I used to stay in Shinjuku and would regularly catch local trains to get around Tokyo City. Shinjuku station serves over 1 million people a day, the first time I visited Tokyo they still had men with white gloves, pushing people onto the trains to make way for more.
Today I read an announcement that Japan had closed over 4,000 schools and kindergartens as around 170 confirmed cases of Swine Flu had been found around Kobe and Osaka. It seems that there are as yet no confirmed cases in Tokyo and of course authorities are hoping that they can contain it, although chances are it has already been rushed in by bullet train.
In the meantime, downunder, it is as if it’s all over, and people are starting to think that it was all overhyped and just another case of bird flu, where there was a brief panic followed by nothing.
It seems that there is so much confusion about Swine Flu that it makes it very difficult for the average Joe Citizen to know what to think. On one hand we hear stories that it may be more infectious than we thought, while on the other hand scientists are postulating that it is quite weak.
Traditionally the influenza virus targets babies and elederly people, both groups having weakened immunity and comparisons with the 1918-19 flu epidemic stop here, because the Swine Flu is killing people of all ages and seems to particularly attack people in the 25-40 age group. Noone knows why that is at this stage, but it is certainly another reason why people should be more vigilent, especially given that this is probably the age group that does the most international travelling and therefore more likely to either catch the virus, or to be carriers.
As a footnote, some people are thinking that because WHO hasn’t raised the alert to Phase 6, it can’t be too serious yet. The official move to Phase 6, which is specified as a pandemic is only based on the number of countries that it has been found in, not the severity of the illness. Officially a pandemic is when the disease is global, but given that it has now been found in 40 countries, many countries are asking WHO to announce it as a pandemic now.
While this blog is starting to get a good following, I would love to get more readers and encouraging me to keep writing. If you feel that my blog is interesting I would be very grateful if you would vote for me in the category of best blog at the NetGuide Web Awards. Note that the form starts each site with www whereas my blog doesn’t and is of course http://luigicappel.wordpress.com.
Thanks so much for your support:)
Could Swine Flu Be Man Made?
I have to start by saying I don’t think it was, but it is a ligitimate question, given that bioviolence is something that many countries around the world will be considering and it is an obvious threat from terrorists. We don’t hear anything about the neutron bomb these days, but the concept of killing off people but leaving the environment intact, is not new.
Several years ago I was helping a water authority with mobile data communications around the same time as a meeting of world leaders . Even though bioterrorism has not been seen in this country, there were was hightened vigilence of the city’s water reservoirs, to ensure that they were not deliberately contaminated as a protest against the international meeting.
You would have to have your head in the sand to not consider the act of unleashing a virus as a possible act of warfare and in order to run tests to assess the viability of such an exercise, it would seem that the best way to test whether this is possible, would be to try it on humans.
Swine Flu has so far only been highly contagious in one city of the world. Most of the deaths occured in Mexico or a small number of people who had been to Mexico City. If you were running tests, you would of course not want your tests to accidentaly kill off a large percentage of the human race, you would want it to be in controlled environment, particularly one where your countries citizens were a vast minority.
It is common public knowledge that the US military does research into infectus diseases and according to The Frederick News, Fort Meade is investigating the possibility of missing virus samples fromthe U.S. Army Medical Research Institute of Infectious Diseases. It doesn’t take any stretch of the imagination to consider wht the Army would have such an Institute. You could ligitimately suggest that they need this in case other countries or terrorist groups decide to engage in bio-warfare and of course in order to understand how to defend against such attacks you would of course have to know how to create the viruses.
The web is littered with sites like Freedom Watch saying that since 9/11 the US has been preparing for further terrorist attacks and that biological warfare would make a lot of sense. Many of these sites appear to be from civil liberty organisations and while many of them are based on reasonable foundations, there are obviously many that appear on the redneck fringe.
Nevertheless, this type of warfare of sorts has been documented for thousands of years, with the first known use of biotics was from 1500 – 1200 BC where Hittite texts suggested the use of ergot being used to deliberately contaminate water wells. Ergot was the same hallucinatory that is said to have been the foundation of the Salem witch trials, where the rye was contaminated causing LSD like hallucinations. So the concept is nothing new.
I spent quite a lot of time looking for any credible authority that suggests that there is any credibility to this possibility, but they all seem to quote Freedom Watch and similar sites as their source.
So was Swine Flu N1H1 man made? I doubt it. Is it possible, of course. Could a virus like this be mutated and used by terrorists or foreign governments as a military weapon, absolutely.
So back to the future. According to NZ Herald, the current list is now over 6,600 people in 33 countries, including over 70 deaths. The media in the US keeps saying they aren’t seriously concerned at the moment because summer is coming and the bacteria doesn’t survive for long in warm temperatures. Of course in New Zealand we are now heading into the flu season and there are currently around 400 people in isolation as I write this blog. A bit different to the bird flu we were worried about.
In one of my next blogs I will see what I can find out about the 2nd wave. Traditionally these sorts of viruses come back again in waves with the waves often having mutated and being far more virulent than the first and this is one of the problems for the makers of Tamiflu, because the antivirus they make now in massive quantities, might be powerless against the next wave of the bug. Will the 2nd wave start down under, or will it come in 4-5 months on the Amercian continent. Will we be ready for it?
While this blog is starting to get a good following, I would love to get more readers and encouraging me to keep writing. If you feel that my blog is interesting I would be very grateful if you would vote for me in the category of best blog at the NetGuide Web Awards. Note that the form starts each site with www whereas my blog doesn’t and is of course http://luigicappel.wordpress.com.
Thanks so much for your support:)
For the last word, lets look inside a Mexican Swine Flu Isolation Ward.
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