Sunday, August 06, 2006

Get a Diagnosis!

How many of us go through life with undiagnosed ailments and conditions that impair our ability to achieve success, participate in activities, or enjoy life to the fullest? All of the incredible medical knowledge, and therapeutic advances are of no avail to those who are not diagnosed, and unaware of what ails them. Of course those who have more severe forms of a disease are likely to be detected, and those with severe symptoms are more likely to seek medical care.

What we are speaking of here is the iceberg effect - a large pool of undiagnosed patients who remain that way because their symptoms are less severe, atypical, or nonspecific, and subsequently the appropriate investigations are not done, or current diagnostic methods are not sensitive, or accurate enough to detect early, mild, or atypical disease even if the person decides to seek out medical care. Even a very astute, thorough Physician will have difficulty reaching a diagnosis when someone presents with an early, or less pronounced form of many diseases. Of course as medical science progresses, and diagnostic tests improve more of these diagnostic dilemmas will be solved just as the history of medicine tells us. Full Story

An example of this would be diagnostic advances in the diagnosis of Celiac disease - a potentially debilitating gastrointestinal disorder caused by immune sensitivity to gluten, a protein that is found in grains such as wheat, barley, and rye. The mucosal cells (villi or lining of the small bowel) become inflamed, damaged and dysfunctional usually causing some degree of malabsorption along with symptoms of fatigue, pain, bloating, and often diarrhea. In the middle of the last century the only definitive way to diagnose Celiac disease was a small bowel biopsy - an uncomfortable invasive procedure. In the last decade or two highly specific blood tests have been developed that can diagnose the condition - possibly followed by biopsy for confirmation. Despite a simple, ready method to make the diagnosis, Celiac disease demonstrates the classic iceberg phenomenon. Most people who have the condition remain undiagnosed because they do not present in a textbook fashion with signs of advanced celiac pathology, and the patients physician sees no reason to order the necessary blood test. Fortunately, in recent years the tide is changing as more Physicians understand this iceberg effect, and increase their vigilance while lowering their threshold for investigation of Celiac disease.

The implications of this are enormous as there can be tremendous long term physical and psychological health improvements for a newly diagnosed Celiac patient who adopts a gluten free diet. These patients may experience significant improvements in their health within weeks or months of going gluten free. Many other undiagnosed conditions could have a similar iceberg profile, and your symptoms may be related to a pathologic state that is submerged below the surface as well.

If you happen to fall into this category what are some options?

  • Avoid any obvious causes of poor health such as smoking, over eating, lack of sleep etc. that might obscure and adversely affect an underlying disorder.
  • Don't assume that you are a Hypochondriac. Of course a Hypochondriac may constantly seek medical care for suspected undiagnosed ailments, but at some point such individuals will usually be diagosed as such. Of course the Physician could well be dealing with a Hypochondriac who also has a diagnosable physical ailment. These considerations are beyond the scope of this post.
  • Never assume that your poor health or lack of well being is not due to a medical condition that can be diagnosed and treated.
  • Educate yourself through reliable sources as to what might be the medical significance of your complaints.
  • Make sure that any Physician or Health care expert you consult has the necessary expertise in relation to your symptoms and signs (although this determination may be difficult).
  • You may have to consult with more than one Medical Specialist for a diagnosis to be reached.
  • Maintain hope for the future - you may get a diagnosis sooner than later.
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    Monday, July 17, 2006

    Rock On Bloggers!

    Seasons under the Sun still has a pulse!

    The publishing coma is starting to reverse, and the prognosis is improving with new articles and posts to come. For those of you who have supported this site through your blog rolls, subscriptions and various links I thank you wholeheartedly. The legions of honest, helpful, and inspiring bloggers far out number the few trollers and flamers that I have encountered on this journey. At the peak of interest in this site, Seasons achieved a Technorati ranking of better than 200,000 within a few months of inception. For those of you struggling to improve your ranking, or who even care about such things, I would be happy to outline the steps I took to achieve this minor success. On the flip side, I also have some recent insight as to how you can fade away quickly as a blogger, and watch your ranking drop like a stone (i.e. don't post, don't leave comments, don't submit articles etc.). None of this speaks to the fact that blogging can be a rewarding, exciting, educational, humbling, and inspirational endeavor regardless of any preconceived notions of success. Just blog to the best of your abilities, and you will be pleasantly surprised.

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    Saturday, June 17, 2006

    How to Drain your Brain

  • Avoid getting sleep at all costs. Studies have shown that significant sleep deficit results in mental impairment similar to intoxication along with a decline in motor skills.
  • Eat a lot of junk food with high fat and sugar content, and avoid fruits, vegetables, fish, and other "brain" foods.
  • Never Exercise, otherwise you will experience the benefits of better blood flow to the brain along with improved Neuronal metabolism.
  • Don't try and learn a new skill or challenge yourself in anyway, or you might stimulate the growth of new neural connections.
  • Avoid difficult games, problems, and puzzles - that way your I.Q. will stay the same or decline over time.
  • Accept the status quo at work and in life to keep the creative side of your brain dormant.
  • Abuse drugs, alcohol, or other substances to keep your brain cells suppressed, and eventually damage them permanently.
  • Let your emotions run wild - especially anger. Such highly charged states are not conducive to good mental function.
  • Never look for more than one solution to a problem - that way you won't have to engage too many neurons in the task at hand.
  • If you follow this advice you will experience the down side of KISS (Keep It Simple Stupid) - something smart people say when they are over thinking a problem, except in your case you will actually be stupid and simple :-).


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    Tuesday, April 18, 2006

    Smell-O-Vision Cinema Again?

    In the ever competitive world of movie making you often need realism and visceral appeal for success. Despite the present special effects wizardry, high definition images, and computer animation many movie goers are anticipating even more virtual reality effects. One of these "new" cinema sense experiences recently introduced into some Japanese movie theaters is dubbed Smell-O-Vision. "The scents will circulate through the theatre via machines filled with fragrant liquids located under the back row seats". At first whiff this seems like a novel idea. However, it was attempted a few decades ago.

    "Todd's 1960 film Scent of Mystery (1960) delivered scents to the audience throughout the film using a more advanced process called "Smell-o-vision". Problems propagating scents in synch with the film and flushing the scents out between each showing led to Smell-o-vision's early demise." -via Wikipedia

    In view of that historic failure I wouldn't be rushing out to buy shares in Smell-O-Vision companies quite yet even if the technology has improved. Full Story

    Let's see...

  • Certain odors can cause nausea and wretching in some poor souls. Will the theater supply barf bags?
  • Many of the chemicals that create odors and scents are associated with allergic reactions - hopefully nothing that requires a paramedic in the theater or a syringe of adrenalin on standby.
  • As alluded to earlier - how will the scents be cued up to match the movie scenes and then dissipate quickly enough for the next scene? There could well be a peculiar mixture of odors wafting around the theater half way through the movie.
  • Who the hell decides what romance, love, joy, fear and anger smell like anyway?
  • You might get away with scents for flowers, food, coffee, etc. even if they are mixed in with the waft of stale, buttered popcorn, but how many will leave the theatre saying - "boy smelling that coffee Brad Pitt was drinking was an academy award moment".
  • What about some of the nasty odors that life conjures up? For the sake of realism do you want to smell smog, stale urine, dead bodies, formaldehyde and other nasty nasal delicacies while you relax in the cinema?
  • There might be a small benefit for some - the local cinema could actually become the ideal public place to pass gas without embarrassment - if you time it right.

  • I'm going to go out on a limb here, and predict the early second demise of Smell-O-Vision for this decade at least.

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    Saturday, April 15, 2006

    Easter Egging

    How far down the rabbit hole will you go? Hippity Hop. I see a large Pysanka in your future - and it is the World's largest Easter egg. You can go see it in Vegreville, Alberta. Make rubber eggs and paint them for Easter - they'll bounce, but they shouldn't break. Have you ever hunted for virtual Easter Eggs on your DVDs and other media? - there are lots of hidden messages and features on many DVDs. How about a fun, interactive digital Easter egg hunt -nice if you don't want to hide eggs in the yard for the kids. Remember Harvey the rabbit? He's big, but he's no Easter rabbit. Harvey was just a magical, invisible friend for James Stewart - wouldn't mind one myself actually.


    World's largest Easter egg in Vegreville, Alberta

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    Tuesday, April 04, 2006

    Cyborg Century

    "A human who has certain physiological processes aided or controlled by mechanical or electronic devices".

    My friend became a cyborg recently, and it happened rather quickly - he now sports an artificial hip joint made out of titanium - a kind of bullet proof replacement. My mother has been a cyborg for a few years now, ever since she had ocular lens implants after cataract removal. This procedure left her with 20/20 vision in one eye at the age of eighty. I have a few metallic tooth fillings, but I'm not sure if that qualifies me as a cyborg. Thwarting tooth decay doesn't seem to have the same cachet as replacing a joint or correcting near blindness in terms of functional utility to the human organism. In that sense I admit to some cyborg envy, but am fortunate to have my original parts for now. By definition you can become a cyborg without implants or replacing various organs. For example visual devices such as the EyeTap form a wearable computer that allows real time electronic interactions with your environment and the internet as you go about your daily activities. Thus you have both endogenous and exogenous cyborgs, and their hybrid counterparts. This century will likely witness the rise of the cyborg in ever more sophisticated forms beyond replacement of dysfunctional body parts or visual accessories. It's not difficult to foresee some future apocalyptic battlefield where genetically enhanced soldiers run amok. They might wear an exoskeleton that amplifies their strength dramatically and protects them from injury. Their nervous systems might be directly wired to weaponry for instant response and direct control of multiple weapons. There are military scientists working on this technology right now at DARPA (Defence Advanced Research Projects Agency). Hopefully these super cyborgs won't rebel and form their own military elite under a new flag.

    At the moment, since most cyborgs are still essentially like the rest of us they probably aren't banding together in secret societies or plotting to take over the world. Then again, my friend with the new hip did give me an odd look the other day when I asked him if he felt like a "new man" - has the hip replacement triggered his cyborg initiation? The present disjointed, heterogeneous cyborg population may not be compelled to form alliances with others based on diverse technological enhancements many of which will not be externally visible. Will this new cyborg society require modified political, legal and ethical constructs? If the technology is expensive this could create a wealthy elite cyborg class with only a few citizens able to afford the best implants and devices. An organization called the World Transhumanist Association with members from across the globe is already formally dealing with these issues. Of course, no discussion on cyborg technology would be complete without mentioning the ingenious, eccentric inventor/engineer Steve Mann. He may be the first exogenous cyborg pop star by virtue of his wearable computer visual accessory called the EyeTap that has gained him some notoriety in public places. This device allows the user to interact with the web, receive e-mail, record video, and perform other computer functions that raise the question why life as a cyborg is better.



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    Monday, March 27, 2006

    Primal Scream Therapy

    Last Saturday I woke up in a foul mood for no good reason - this probably figured into my wife's decision to go shopping and leave me alone that day. After lounging around in my bath robe for a while in dire need of a shower and shave my outlook didn't improve - downing a cup of espresso didn't help either. This was all feeding into a general state of self loathing compounded by a total lack of motivation to do anything productive. Why? Just the usual mind games and frustration with work issues tantamount to middle aged apathy and whining, or am I being too harsh? This poor state of mind did lead to an interesting outburst though. At the peak of this angst I got up and started walking around the house swearing at the top of my lungs (my apologies to anyone with Tourette's syndrome). This was my version of primal scream therapy, and it actually worked. The forceful release of negative energy followed by disgust and shame at my childish behavior snapped me out of the funk. By the time my wife got home I was showered, shaved, and literally beaming with a new resolve to take on the day. Now I don't want anyone to think that my performance really had anything to do with proper Primal Therapy as shouting or screaming isn't necessarily part of the therapy. Professional primal therapists apparently undergo significant training, and patients are treated in a protected environment. The "Self-primalling" that I tried could actually be dangerous according to the pros. Oh well, it felt damn good at the time, and no I don't need a straitjacket - just a little anger management on occasion. I was going to recommend that others give this a shot, but after some research I now realize that it would be wrong to advocate self-primalling :-). How about just pounding on a pillow?

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    Monday, March 20, 2006

    Chess for Stress

    Are you looking for a new activity or hobby that is challenging - one that can combat daily stress in your life? Chess is an ancient, universal game that has stood the test of time as a supreme test of strategy and intellect. This is not a revelation for anyone who plays the game regularly, or aspires to become an expert, but Chess has far more to offer than just pure intellectual gamesmanship. In the process of playing chess you can achieve a form of self awareness and concentration that is unique. You can exercise your mind and reduce stress in a healthy fashion. It also has parallels with sporting contests where determination, concentration, and competitive desire are important, but without a demand for athletic prowess. The simple appeal of the game is that once you learn how the pieces move you can begin to enjoy its mysteries. Forget about your skill level, and just enjoy the process of playing a game. You can learn and improve your game constantly without concern for ratings or contests, although if you have the ability and desire superlative competition is always available. In this internet age you can join an internet Chess club for a very reasonable membership fee. The beauty of a site such as The Internet Chess Club is that you can play a game at any time (24/7) with others from across the globe, including shorter speed Chess games for those with time constraints. The comprehensive software employed by the chess site records your games, calculates your rating, and takes care of the playing rules (no one can cheat or unintentionally break the rules). There are also tremendous learning resources including game libraries, and teaching sessions. You can play in tournaments, and observe chess masters playing in online events or even receive instruction from them. All of this was unthinkable in the days of physical chess board games only, where games could be few and far between unless you belonged to a club. You can also enjoy many online chess communities and resources while interacting with many others who enjoy the game. Now is your chance to brush up against royalty with Kings and Queens awaiting your commands by learning Chess!

    There have been many movies made that include chess scenes, but there are two Chess movies that can be enjoyed by all. One is called Searching for Bobby Fisher released in 1993 that chronicles the real life struggles of chess champion Joss Waitzkin, and the Luzhin Defence released in 2000 that stars John Tuturro as an eccentric Russian chess master.

    "The oldest recovered chess piece was found in Persia, and is dated to 790 A.D." This and other odd bits relating to the Oldest in Chess can be found on this page by Bill Wall.


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    Saturday, March 11, 2006

    Rize Up

    If you are a prosperous, white, urban professional living a pleasant life in the suburbs you probably haven't asked yourself what's happening on the streets of South Central Los Angeles these days. In fact you'd probably prefer not to think about that tough, gang infested environment at all. Fortunately, I was visually yanked onto those streets while channel surfing when I discovered the best cultural documentary you could imagine called Rize.

    In the midst of gang violence, drugs, and oppression you will see groups of young people searching for a higher meaning to their lives - dancing their hearts out in a spirited, aggressive, frenetic, athletic and passionate way that makes commercial hip hop look bland. Through their commitment to the dance group and each other they stay away from the pervasive drugs and violence. The "Clowns" and the "Krumps" are the colorful, energetic dance groups portrayed in the film, who paint their faces, and almost innately express their African American roots and heritage in the high paced dance routines. The film culminates in competitive dance scenes watched by a live audience at the Great Western Forum called "Battle Zone V" where the Clowns face off against the Krumps for dance supremacy. During the dance spectacle a contestant who founded the Clowns has his home broken into and trashed - a stark reminder of his neighborhood.

    David Lachapelle has crafted a brilliant, gritty and timeless work that will inspire and challenge those who view it. These young adults and kids are a testament to those who can find community and creativity while in the throes of adversity.


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    Tuesday, March 07, 2006

    Razor Blade Blues

    Shaving has inflicted more than a few wounds on the human species over the years - not to mention the needless blood loss, and embarrassing mini bandaids used to hide unsightly nicks. Of course, I'm referring to the use of razor blades rather than electric shavers. I gave up electric razors - in my opinion they never give you that skin close shave, and they seem to increase the risk of ingrown hairs. Unfortunately the price both men and women pay for that razor close shave are the unavoidable nicks, cuts, and lacerations despite the technical wizardry that goes into the making of the modern blade.

    The blade companies probably have armies of research scientists, engineers, and other geniuses trying to create the perfect blades - using all types of space age metals or alloys, and techniques to make the business end of a blade sharp and smooth at an extreme microscopic level - also using battery powered, vibrating blades (a hybrid electric?) - yet the blood letting goes on - Why? Well, one reason is that razor blades get dull, and lose that perfect edge - this fits nicely into ongoing revenues from blade production and sales, but is it unavoidable or could the companies create an indestructible blade? There must be some combination of iridium, gold, titanium, stainless steel, neptuno-urani-satur-jupitanium etc. that could be forged to make a blade that would last for life - wouldn't be good for razor blade sales though right? Of course you can buy two, three, four, or even five bladed razors (new from Gillette), and they might shave you a little closer, but still the bleeding continues. I've got it! They should put a thin layer of coagulant (blood clotting factor) along the edge of the blade(s), so it's right there waiting to go to work on any fresh nick. Probably too expensive - OK it's a dumb idea - they can keep using their aloe lubricating strips. It could be that nanotechnology (see recent Nanotechnology Revolution post) innovation will finally create the perfect cutting razor edge, but again that might not be in the best interest of shaving companies. Unfortunately it's not just blade quality that determines the risk of cuts. Your propensity to bleed also depends on skin thickness and smoothness, hair thickness and distribution, and so on. In addition to using relatively fresh or sharp blades shaving technique is also important. This includes wetting the hair thoroughly to decrease its tensile strength, stroking the razor along the lay of the hair, and frequent rinsing of the razor to decrease debris near the blade surface. If you would like a thorough scientific discussion of optimal shaving technique presented in the context of prep shaving for operations - the Derma-Safe company describes this in detail.

    This all raises the question, as to why most men continue to shave despite the expense, time, and hazards involved. Of course, there are alternatives besides growing a beard if we borrow examples from ancient times - the following excerpt is from the Quik Shave site shaving timeline:

    "In ROME, many men are following the grooming example of JULIUS CAESAR (101-44 B.C.), who has his facial hairs individually plucked out with tweezers every day. He also writes this same year that "the Britons shave every part of their body except their head and upper lip." In early Rome, POPPAEA, wife of the notorious EMPEROR NERO, uses depilatory creams to remove unwanted body hair on a daily basis. Depilatories are used as an alternative to the bloody mess that results from shaving with a blade. The latest available creams include some pretty wild ingredients, like resin, pitch, white vine or ivy gum extract, ass's fat, she-goat's gall, bat's blood, and powdered viper."

    Maybe shaving with a modern razor blade isn't so bad after all.



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