Sunday, 4 August 2024
Tuesday, 3 January 2023
Welcome to 2023
1907 - Some Things Don't Change
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| Patient: "I can't afford it Doc. I'll simply have to wait until prices come down." |
Clearly there were also health care and inflationary concerns back near the beginning of the last century. (London Free Press, Oct. 31, 1907.)
1923 - Some Things Do Change
"Why Does No One Dress For Dinner at Claridge's Any More?" Barry Humphries, The Spectator, Dec. 17, 2022.
Saturday, 25 June 2022
The Misery Index
Feeling Miserable?
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| Click on the chart for a better view of it. |
Tuesday, 4 January 2022
Speaking of Injections
We face many complications and challenges during the current pandemic, but we should not overlook the very real concerns of those who need cosmetic surgery. Many of them had to attend holiday celebrations wearing their real lips, which were very noticeable under the mistletoe. Even those working alone at home had the wrinkles not covered by sweatpants, exposed on ZOOM.
Although you think you probably know all there is to know about COVID and Omicron, you may not be aware of the fact that, if you are in urgent need of forehead filler, you should wait a bit if you are also reluctantly giving some thought to getting a vaccine. It surely is a stressful time, particularly for wealthy Republican matrons.
You have good reasons, I’m sure, for not believing me, and you are tired of reading about this whole pandemic mess, so I will direct you directly to the sources. The first reference comes from a Republican one, so I am sure it has some substance and in it medical authorities are cited.
“Botox Shot or Covid Boost? The Combo Causes Some Seasonal Wrinkles:
Doctors Advise Patients Seeking Cosmetic Treatments Not to Get a Vaccine Shot Two Weeks Before or After Their Procedure to Avoid the Risk of Swelling,” Alina Dizik, Wall Street Journal, Dec. 27, 2021. I think it is worth providing the first couple of sentences and then I will skip to the medical concerns:
Amanda Madison wanted to look fresh in time for her 50th birthday this winter. The Covid-19 vaccine booster threw a wrinkle into her plan.
She had time to add more volume to her lips and cheeks before her birthday bash, but needed to wait two weeks before and a further two weeks after getting her Covid booster shot before adding additional treatments to achieve "a fresh new start" for the New Year.
Spas and dermatology practices dealing with the holiday injections rush have an unexpected challenge this year: helping patients navigate Covid-19 boosters…
Many dermatologists advise clients to put time between vaccinations and injections of fillers -- gel-like substances used to plump up skin. In rare cases, mRNA vaccines have been linked to an inflammatory reaction to hyaluronic acid-based dermal fillers, the most common kind, according to case reports and research published in the Archives of Dermatological Research earlier this year. That can complicate holiday-season treatments, especially as Omicron increases the need for boosters.
People should wait two to three weeks between fillers and the Covid-19 vaccine to avoid a risk of swelling in areas where facial fillers were injected, says Gregory Greco, president-elect of the American Society of Plastic Surgeons. He encourages patients not to put off the vaccine due to fillers. "We don't want people to delay boosters for fillers," he says.
I was somewhat surprised that those interviewed apparently did not mind using their real names and that they are relatively young. I have since learned that there is a “Botox Boom”, partially propelled by youthful clients. Once again, directly to the source:
“Botox Sales Erupt With Younger Patients: Botox Sales Have Never Been Higher,” Bob Herman, AXIOS, Dec.28, 2021
The big picture: The pandemic drastically reduced the number of people getting cosmetic skin treatments. But the rollout of the COVID vaccines and a larger, younger crowd willing to try Botox injections have led to swelling demand in dermatology offices and medical spas.
By the numbers: U.S. sales of Botox — just the cosmetic version that is used to smooth out face wrinkles and not the version that is used to treat conditions like migraines and neck spasms — surpassed $1 billion in the first nine months of 2021, compared with $600 million in the first nine months of 2020.
Canadian Content
Those of you who insist on more Canadian material, or those of you here who want your surgery done on home soil, should know that one of the sources in the WSJ is in our nation’s capital:
The chances of unwanted side effects as a result of facial fillers and the vaccine are extremely small, says physician Alain Michon. He has seen two patients experience this type of swelling in his Ottawa-based aesthetic practice and published research in the Journal of Cosmetic Dermatology earlier this year. He estimates that less than 1% of patients experience vaccine-associated posttreatment swelling in areas where they have had injections.
The Bonus:
This is not directly related, although it does involve injections. I find puzzling, the Republican/conservative vaccine views which, I think, generally are not in favour of government mandates - or the government at all. On the other hand Republican Rick Perry, a former Governor of Texas (of all places), once mandated a vaccine for girls going into grade six, for a sexually transmitted virus that causes cervical cancer (by the way, the vaccine, Gardasil, works.) Opposition was met, partially because some felt that it might encourage sexual promiscuity. That may be true and it was probably particularly worrisome for those parents who had gotten plastic surgery for their daughters, because they wanted them to do well in beauty pageants and look better under the Friday night lights.
Post Script: Rick Perry still looks rather well. Meg Ryan, not so much.
Sunday, 18 April 2021
What's In The Mail?
The news here in Ontario is not good. The Covid situation has worsened and we have been told to stay-at-home until May 20. That news, as reported by an English newspaper, seemed even worse when it appeared under this headline: "Ontario Gives Police Sweeping Powers as Covid Crisis Spirals Out of Control," (Leyland Cecco, The Guardian, April 16.) One learns that: Police in Ontario will now have the power to stop drivers or pedestrians and ask for their address and reason for being out. Residents could face fines of up to $C750 (US$600) for refusing to comply. Although I was inclined to think that such strict measures were likely necessary to reduce the transmission of the virus, I was unaware of the unintended consequences which will cause an increase in other bad things: “Blanket powers for police to stop vehicles like this bends our constitutional freedoms too far, and will cause a rash of racial profiling,” Michael Bryant of the Canadian Civil Liberties Association said in a statement.
I am a member, I suppose, of a race not subject to the rash, but I will comply with the directives issued and stay on the property. Staying at home means I have lost many of the excuses I typically offer as explanations for my lack of blogging activity. In my defence, however, the pandemic means I don't have much to blog about, just as you don't have much to offer when your neighbours ask, "What's New?" The mail received, doesn't seem like a promising subject, but here goes.
If you didn't realize the mail could be exciting, you probably missed my two earlier posts about the surprising things that can be delivered to your door. I began the year by discussing The Epoch Times, a conspiracy promoting publication that some of our fellow citizens don't want the Posties to deliver. Then in February, Druthers arrived and, among other things, we learned that vaccines should be avoided.
Recently we received, as I am sure you did, a very timely, massive catalog offering "Great Courses" from the "World's Greatest Professors" which you can take right from the home you are now not allowed to leave. The list of things about which you can learn is a long one and you find them here: ShopGreatCourses.com. And, if you act now, the courses are cheap. For example, Western Civilization -- The Way You Wish It Had Been Taught, cost $595 on a DVD, but you can stream it now for $25. (As an aside, I thought such a subject was now verboten, but maybe it is being taught the way we wish it had been and perhaps placed at the bottom, under all the other civilizations.)If you are thinking about enrolling during this pandemic down time, perhaps you should exercise due diligence. I took a look for the professor offering the 'Western Civ" course and he does exist and has emeritus status from the respected university named. Although the catalog received was mailed from Niagara Falls, that is not unusual. The people at the headquarters in Chantilly, Virginia simply forgot to tell them to change the spelling to 'catalogue'. The fact that the headquarters of the CIA is close by, means nothing, I'm sure. It is the case, however, that a little searching found a lot of customers who were not pleased with the products being offered.
Hand -Written Solicitations For Your House
Wednesday, 10 February 2021
Druthers
Newspapers
Vaccines
Saturday, 9 January 2021
Who Should Get the Covid Vaccines First?
In clear violation of the protocols I mentioned in the "About this Blog" section, I will focus on an issue that is both current and complex. I planned to eschew the present because most topical subjects tend to be ephemeral and this blog is designed to be eternal. In this case, however, the current issue has long been around, but avoided, and it will linger for a long time to come and will still be avoided. I also deliberately planned to avoid the difficult subjects because I am not equipped to handle them. I can't handle this one either, but at least I can point out the questions if not answer them. Perhaps you hadn't even thought about them, so I am at least helping in that regard.
The 'issue' in this case we will define simply as the question raised above: Who Should Get the Vaccines First? Complex ethical problems are involved, as are logistical ones which complicate further the ethical ones. I will avoid the problems associated with the rationing of the vaccines, if there are not enough of them and focus on how the delivery of them should be prioritized, which is what the question is getting at. I am sure most of you know the answer to the question - You Should.
The problem with your solution is that there are several million people who disagree with you and that only includes the ones on this continent. The disagreements have started to surface and will, like the virus, increase exponentially as the vaccines are only slowly dispensed. To give one example, which is an irritating one if you are quarantined on a cold day in Canada, consider this question: "Why in the hell is that Snowbird in Florida, getting the vaccine before I do?" That question is not only being raised here. I have a relative in Florida, who indicated that she was not happy with those northerners who were getting the shot before she was unless, perhaps they owned property there. I have another relative in Maryland who is not too pleased that those who are in prison might be given a priority ranking higher than his. You may be getting the feeling now that the question is not so easy to answer.
Increasing numbers of such questions will be asked with increasing urgency over the next few months. While I indicated I don't have the answers, I can at least list some of the questions that are going to be asked and direct you to some of the resources that will help answer them. Unfortunately, it is unlikely that they will indicate you should be first in line.
This post was prompted by an article I read this morning. It provides a clear account of the ethical issues which are rather murky when examined closely. In the middle of the essay, which should be read if you are at all interested in the emotional costs of this pandemic, is this paragraph of questions:
"Given this, who should get the vaccine first? If we prioritize people who are more likely to contract and die from the illness—which is one common method of allocating vaccines—should Black, Latino, and Indigenous Americans be on the top of the list, given their documented vulnerability? Should the risks associated with being among the first to receive the vaccine be distributed more broadly? Should health-care workers get the first doses? What about schoolchildren, or teachers? Should we prioritize people most likely to die from the disease (say, the elderly) or those most likely to transmit it widely (say, college students)? Can a government compel some citizens to get inoculated? Should it? If the U.S. is the first country to develop the vaccine, should it share its limited early doses with the international community? Should the federal government get to decide how the vaccine is allocated among different states? What if multiple vaccines arrive on the market with different levels of effectiveness, or different side effects? Who gets which one?"
It is not very difficult to translate these questions into 'Canadian.' It is being suggested here, for example, that being in the older cohort, I should be vaccinated first. But, is not the student on campus more likely to spread the virus and have many more years to live and be more productive? Will the shot I get come when Trudeau, Ford or a local authority determines it will? Why did that province, get the vaccine first? Should those on P.E.I. be put at the end of the line because they are on an island? Should Canada outbid other countries for the limited supply? One could go on.
The good news is that there are plenty of bioethicists around and available to provide clinical advice in difficult situations. There are also well developed guidelines, protocols and "crisis standards of care" about such things as whether to bother with resuscitation or determine which of the five patients gets the last ventilator. The bad news is that the desperate decision will probably have to be made by a first year resident who to you, looks like an adolescent. No one wants to be in the position to make such a decision, just as our Prime Minister or Premier will have difficulty determining who gets the first vaccine.
The bad news continues. Even if there was conclusive evidence indicating exactly what should be done and a leader willing to make the decision required, there would be many followers who would object. There are some in communities close by who are not willing to obey the rules and there are many, particularly, south of our border, unwilling to submit to government protocols and trust the government even though they believe in The Protocols of the Elders of Zion.
Sources:
The article: "What the Chaos in Hospitals is Doing to Doctors," Jordan Kisner, The Atlantic, Jan./Feb. 2021. On the cover, the question is raised: "Who Should Get the Vaccine First --- and Last?" I will not put the link in because it is unlikely to get you behind the firewall, but the article is very good.
"Guidance on the prioritization of initial doses of COVID-19 vaccine(s)," Government of Canada.
“COVID‑19 Vaccination Program Interim Playbook for Jurisdiction Operations” Center for Disease Control, Oct. 29, 2020.
"Fair Allocation Mechanism for COVID-19 Vaccines Through the COVAX Facility," World Health Organization, Sept. 9, 2020.
"National Academies Release Framework for Equitable Allocation of a COVID-19 Vaccine for Adoption by HHS, State, Tribal, Local, and Territorial Authorities," The National Academies of Sciences, Engineering and Medicine, Oct. 2, 2020.
The Bonus:
Ethical issues can be perplexing and confusing and sometimes even symbols are not clear. If, like me, you associated the caduceus pictured above with the field of medicine, you were correct. But, apparently it is not a good choice. See: "Caduceus as a Symbol of Medicine", or "Things You Don't Learn in Medical School."
Saturday, 12 December 2020
Factlet (6)
Extraordinary Times.... Desperate Times.....
That's Billions With a 'B'
For review, a Factlet is true, whereas a Factoid is only widely believed to be true. I have not provided a Factlet for a while, so here are a bunch of them in one post. My last one was about the Opioid Epidemic and was negative, and this one is about the Covid Pandemic, but is positive. The pandemic has been profitable for some and not just the manufacturers of Purell or the makers of plexiglass. To wit:
To put the chart in context, consider this:
Monday, 3 August 2020
The Cannonball Run

Saturday, 25 July 2020
The Bright Side
Tuesday, 24 March 2020
Duct Cleaning
Loyal subscribers know that I generally eschew current events (they also know the meaning of the word ‘eschew’ - for the rest of you, it means ‘avoid’), because my followers would already know about them and, more importantly, recent news items are eschewed (avoided) mostly because they are troubling and usually begin with a word that starts with the letter “T” (this blog is mainly read by U.S. citizens and Canadians who will be able to figure out what that word is.)
First-time readers will not know that my posts are typically not funny. If you happen upon a humorous one, the content will surely have been taken from a comic, just as the odd clever bits were stolen from someone cleverer. So, to be clear, whatever I come up with below is deadly serious and will likely not be very clever.
I am violating my rule of not discussing current events or the Royal Couple because all the news headlines now begin with a “C” word rather than the “T” one, although the “C” word is often preceded by a “T”one. In this instance, a short explanation of the “C” word may be required for my readers who are on the other side of a border which is now both real and linguistic. In Canada the “C” word stands for 'Coronavirus' or 'Co-Vid 19' and it is referring to a virus which is causing what was an epidemic, but which is now a pandemic which may be catastrophic, or not. The same virus in the United States is called the 'Chinese Virus' because, as we all know, the Chinese caused it and the Americans are more direct.
Finally - The Duct Cleaning Offer
The news is depressing and I will not attempt to attract you by pretending to present some that is ‘Breaking” . Everyone is aware that the virus is transmitted most directly to us by our furnaces through the heating ducts. If you have been reading the news and not hanging up on the robo-call duct-cleaning guy, you will know this. It is tempting here to offer some breaking news and say that the Chinese are directly responsible, but I am unable to do so. I did find out, however, that Reliance Home Comfort was acquired by Cheung Kong Property Holdings LTD back in 2017.My purpose is more uplifting in that I will offer here some rare good news. It is that, during these trying times, I will be a responsible citizen and do my bit by offering, FOR FREE, to clean the ducts of the first 350 readers who respond (there are some, discussed below, who are not eligible to receive this offer.) After a visit from me, you will no longer have to worry about contagion and you will have a good response for the duct-cleaning robo-caller.
Post Script: (the usual bonus stuff for subscribers)
I avoid the headlines and politics because they are awful. I only take a peek occasionally and probably miss all the headlines that are positive and reveal how kind people are and how we are all rallying to whatever flag it is we are flying. Some results from a brief look recently confirmed my views:
Headline -”Canada Post to Reduce Hours, Install Clear Barriers in Response to COVID-19”.
Among the questions that could be asked -Who knew that there was still a post office and that people got mail or that delivering those flyers was that dangerous? This is the first news I have seen about the Posties since they boycotted the Postal Code.
Some family members on the West Coast decided to retreat to an island to get away from it all. Even though they have owned property there for years and it is a large piece which allowed for a lot of distance, they noticed that the residents were less than welcoming and they felt like hippies from the sixties. That happened in Lotus Land where people are supposed to be mellow. The same thing is happening elsewhere according to the headlines I found:
"Seeking Relief from Coronavirus, Urban Brits Flee to the Countryside, Where Locals Beg Them to Please Stay Away,"
LONDON — Like refugees fleeing a coming contagion, anxious, stir-crazy Brits poured out of the cities and into the countryside over recent days, to postcard-perfect hamlets and wind-swept islands, seeking solace or safety in the mountains, lakes and shore....
They were not welcome. The emphatic message from the locals: Go away.
‘Stay On the Mainland’: Tensions Grow as Affluent City Dwellers Fearing Coronavirus Retreat to Second homes [Cape Cod, New England]
"In recent weeks, wealthy city dwellers hoping to escape the novel coronavirus have been fleeing to their second homes, exacerbating long-standing tensions between locals and summer residents. While those from out of town feel they have the right to use property that they own and pay taxes on, year-round residents worry that the new arrivals could be carrying the disease, and that local hospitals aren’t equipped to handle an outbreak."
Apparently even some Southerners are becoming less hospitable - "North Carolina's Outer Banks Closed off to Nonresidents".
Sources:
The two recent headlines are from the Washington Post and the Outer Banks situation is found on ABC News and elsewhere.
And I did not make up the Great Postal Code Boycott of 1972. See: "A Chilly Reception for the Postal Code," CBC Archives, Oct. 21, 2018 and the Wikipedia entry for "Postal Codes in Canada."













