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2011年9月18日星期日

Kidney Stoned, But Recovering

What started with a wicked pain in my side the last week in June morphed into a summer’s worth of pain, infection, complication, hospitalization, ICU, procedures, sick days, frustration, rage, humility and a new knowledge of myself I didn’t imagine when my king hell kidney stone first announced its presence.

I’ve been one of those guys who just doesn’t get really sick. I’ll have the occasional flu or upper respiratory infection, sprain or cavity. The sort of minor ache or ailment that requires the minimal amount of medical care—take two aspirin and call me in the morning.

But after the first treatment didn’t work and the second came with complications, and I found myself catheterized, on a steel table in the emergency room with a 103.5 fever and the doctor on duty saying “you’re staying in the hospital,” I realized that with middle age had arrived middle aged discontents, illness and medical procedures a big part of them.

My family was traumatized, my workplace amazingly understanding, some friends engaged and concerned while others unaware of my travails (I didn’t post the gnarly details to Facebook—you’re welcome). I'm blessed to have a good health insurance plan.

But inside my head things reached a point where I wondered what the next complication might be, whether a fever that turned into a night in the hospital and spread into a six-day stay would morph into something more menacing.

Then it did. Back in the hospital for an outpatient procedure days later I unexpectedly aspirated under general anesthesia, only to awaken 16 hours later, hands tied down to the bed rails and tubes down my throat to my lungs and stomach. It was the sort of living horror movie I only imagined in those disengaged moments when the lawyer explains the medical power of attorney and living will documents before you sign. 

All in all, my doctor said I was lucky to come out of it with two days in the ICU and a bad sore throat and congested lungs; I could’ve had a tracheotomy and been on a ventilator. Laying there with multiple tubes in and out of my body it was hard to feel lucky.

But the anesthesiologist had been quick on the draw, my doctor was able to extract the malevolent renal calculus, and though greatly weakened, I was on my way back to my workaday week, the simple joys of my family, and the entitled curmudgeonliness Patch lets me display here from time to time.

So it came to be this week I had a final procedure and was cleared by my doctor with the happy news that he didn’t want to see me for six months. I’m regaining strength, and I’m happy for the little things. My child’s hug, a wife who can freak out a little less, a walk outside in the evening air, four in the morning passing without someone waking me up to draw blood—these are a few of my favorite things, to paraphrase Hammerstein.

That which does not kill us makes us stronger. Nietzsche wrote that, and I’m trying to make it fit my current situation, although I’m still weak enough that I can’t quite yet play practice goalie for my daughter’s pre-practice soccer workouts. My fears about growing old and invasive medical procedures have been realized. 

It won’t make the next round, should it come, any easier. But I certainly will have a higher threshold for pain, embarrassment, frustration and rage. And I think I’ll try to not sweat the minor aggravations as much.  

As I lay in the hospital in the evening gloaming one night, machines going ping and beep around me and nurse-angels drifting by my bed to hang another bag of antibiotics or shoot another syringe of sweet narcotic into my lines to kill the pain, I wondered if things would ever return to normal for me and if I would appreciate them more if they did.

They are, and I’m trying.

2011年5月15日星期日

Ministry of Agriculture says milk now melamine-free

The quality of the nation's fresh milk has improved and testing shows it is now free from melamine, according to the Ministry of Agriculture.

The ministry, which oversees the production and collection of fresh milk, is responsible for ensuring its safety.

In an online notice issued by the ministry during the weekend, it said random tests conducted last year and during the first part of this year showed it was melamine-free and that quality was good. The ministry said it will carry out another special campaign soon to continue to guard against the use of the illegal additive.

Melamine is an industrial chemical that people have, at times, added to watered-down milk to make it appear to have a normal protein count.

The notice said more than 20,000 batches of fresh milk were tested and all passed the scrutiny during spot checks throughout 2010 and in the first quarter of this year.

"It shows the safety of fresh milk has significantly improved throughout the country," the ministry said.

During the past year, the ministry has taken steps to close sub-standard milk collection stations, which are partly blamed for the melamine scandal in 2008. It said it closed 6,890 milk collection stations nationwide during the campaign.

The 13,503 registered stations that remain and the 7,980 vehicles used to transport fresh milk are all now being operated under supervision.

The ministry has also trained some 5,000 dairy farmers and technicians on the technology used in the modern milk industry and explained the country's policies concerning dairy products.

However, experts questioned the thoroughness of the oversight.

"The government mainly cracks down on dairy farmers and milk collectors but pays little attention to milk's circulation, which involves distributors," Wang Dingmian, former vice-chairman of the Guangdong Provincial Dairy Association, told China Daily on Sunday.

Wang said milk distributors are in a state of anarchy and claimed no department has been trying to fill that regulatory gap.

Food safety experts also said the authority should make changes in the way it carries out spot checks so tainted milk does not slip through the loopholes.

"A good sample cannot ensure all the other products from the same batch are also good," said Sang Liwei, a food-safety lawyer in Beijing and a representative of the Global Food Safety Forum, a non-governmental organization.

Wang said, most of the time, dairy farms and businesses "make preparations for" the inspections. He claimed farms and businesses are warned by the local authorities to "be prepared" before the food safety commission swoops to conduct a spot check.

"The watchdog cannot see the real situation if the shady food processors are hidden and the safety loopholes still exist," Wang said.

Nationwide outrage about the safety of milk erupted in 2008 when melamine-tainted baby formula sickened about 300,000 infants and took the lives of six children who had kidney stones and other kidney damage.

Following the scandal, the government took steps to crack down on illegal practices in the dairy industry but reports about unsafe milk continue to surface from time to time.

Several dairy farms in Sanmen county, Zhejiang province, were recently found to have been adding illegal additives and using syringe bottles that had been discarded by hospitals as milk containers, according to the Oriental Morning Post on Sunday.

Earlier, police in Chongqing municipality confiscated 26,000 kilograms of milk powder that was tainted with melamine and that had been produced before 2009.

2011年5月10日星期二

Bland County cancer survivors will be treated to luau

John Goins will be among the cancer survivors attending this Saturday’s Bland County Relay for Life Survivor Luau at Central United Methodist Church’s fellowship hall beginning at 12:30 p.m. The county treasurer and all other cancer survivors in the county will be treated to a day of fun with food and prizes.

“I think the get-together is a good thing,” Goins said earlier this week. “”There are quite a few people here in Bland County surviving cancer. I think that gives us all hope.”

According to him, his kidney cancer was diagnosed three years ago through a routine X-ray after he suffered a bout of kidney stones and walking pneumonia. A small mass on the outside of his kidney was removed without damage to the organ.

“I didn’t have to have any treatments,” Goins noted. “The doctor found it early enough that it hadn’t damaged my kidney. The mass was all on the outside of my kidney and the tumor was removed without taking out my kidney.”

He has undergone a checkup for the last two years and will continue for three more at which time he will have a more extensive set of tests.

“I encourage everyone to have a routine checkup once a year,” Goins said. “Early detection is so important with any health problem. So many people put off going to the doctor until they feel bad. Checkups are critical. Your health is one of the most important things you can have.”

While the Survivors’ Walk is an important part of the American Cancer Society Relay for Life for Bland County, the committee has provided a pre-Relay for Life event for cancer survivors for several years. It honors them with a luncheon and other activities.

This year’s survivors’ event will have a luau. Those attending may dress in their favorite Hawaiian shirt.

“We’d love to have all local survivors come out with their caregivers for a ton of food, Survivor Bingo and lots of fun and fellowship,” said April Dutton, the county’s Relay for Life chairman. “Being with our cancer survivors keeps us, the committee, in focus and reminds us why we do what we do.”

The 2011 Bland County Relay for Life is set for Friday, June 24, and Saturday, June 25. It will be held at the Bland County Fairgrounds.

Last year’s local Relay for Life raised $70,527.44 for the American Cancer Society. The goal had been $55,000.

All money collected is used by the American Cancer Society to fund research projects and other programs.