Category Archives: Science

The transit of Venus

Michele and I went up Russian Ridge to watch the transit of Venus. I have read about the transit of Venus across the sun several times in the last couple of days, but Michele has been talking about it for a month. Since it was going to be at sunset, I suggested that we go up where we could see the sun sink into the ocean with Venus in transit. It turned out to be colder than we both thought it would be – in the mid 40’s when we got back to the car after standing outside for an hour – but the light was golden and then sun sank right on cue.

As it sank, Michele got the picture she wanted: Venus visible against the setting sun on the lower right hand side right where she knew it would be.

I got what I didn’t expect, the wonder of seeing Venus as a round object – not just a bright star – twenty three and a half million miles from us….crossing in front of the sun.

 

9AM….everyday

 

 

Everyday at 9 AM, I go into Sequoia Hospital for an intravenous shot of an high-octane antibiotic – daptomycin, Daptomycin with a capital “D”? – to protect my cow aorta valve. Every day for six weeks; Saturdays, Sundays, New Years Day, at 9 AM. I do not think that I have done the same thing at the same time for six weeks in my entire life, it is very strange – not bad necessarily, but strange – and I am having a hard time getting used to it.

What is also strange is the PICC line in my arm, just below the armpit, that runs through a vain – or artery, I am not sure which – up, through my shoulder, and down to a large gaggle of pipes near my heart. According to Wikipedia, the PICC lines are used when intravenous access is required over a prolonged period of time or when the material to be infused would cause quick damage and early failure of a peripheral IV, and I think that is the case with me. I had a peripheral IV port in my hand that they used for a couple of days and my hand is still sore.

I think of the PICC as a very small, very long, hole that runs from outside my body to, almost, my heart. It is very handy: anything anybody wants in me can just be shoved in through the hole; the Flue Vaccine I forgot to get earlier in the year, a Pneumonia Vaccine I didn’t even know I should have, lunch – I guess. But, and it is a big BUT, protecting that hole from bad stuff getting in is a big deal. A much bigger deal than protecting a  IV because any bacteria traveling up the PICC would end up right next to my heart which is what they are trying to protect, in the first place, by pouring in the dosages of antibiotic.

Tuesday is the changing of the covering-dressing day and it is sort of emblematic of my whole Sequoia experience and – by only slightly fantastical extension – our health care system.

 

The changing of the covering-dressing is almost ritualistic in its detailed, loving, complexity; it is driven, in large part, by outside vendors coming up with new, improved, and increasingly expensive ways to do it; it is staggeringly wasteful; and once you see it, it is hard to think of a cheaper, simpler, way to do as good a job. First the nurse takes a sterile envelope containing sterile gloves and opens it to to form a sterile area, then she empties all the cleaning supplies and sterile dressings on to the sterile area. After she puts on the gloves and facemask, my existing dressing is removed and the area cleaned.

Each part of the new dressing comes in a sterile package that is now waste and has to be carefully disposed of. As an aside, much of the waste has my name and birthdate  on it and each time that happens, it has to be disposed of differently so that my name doesn’t end up in the garbage where somebody could see it. End aside. Then the new dressing, including a jell-packet of disinfectant, is put on to cover the entry point of the PICC.

Lastly, the new dressing is dated. Then, probably for the second or third time, the nurse asks me my name and birhdate and gives me my daily charge of daptomycin. I have no idea what all this costs, somebody once said that the daptomycin, alone, is $110.00 and it comes with its own – wrapped in a sterile covering, of course – connecting line and two syringes to flush the PICC line before and after the dose.

Then I am happily on my way, back into the world.

 

 

 

 

Ask for Adenium obesum; Google will give you about 12,600 results in 0.12 seconds

2200326606_e8204a5105_o

Or Dorstenia foedita in 0.17 seconds with about 7,830 results*. We truly live in an an age of wonder.

My grandmother was born in the late 1880s – about 16 years, give or take 5, before Wilbur and Orville first flew the Flyer – and she died after John Glen orbited the earth.  I used to marvel at the change she went though, but it is nothing compared to the change we are going through.

True, from horse and buggy to orbit seems like a big jump.  But very, very, few people will ever go into orbit; it just isn't part of our life. But everybody – OK, maybe not everybody, but everybody with a small rounding error – has a computer and access to the World Wide Web. Really, access to an almost infinite well of knowledge.

With a smart phone – and we will all have smart phones soon – we have access everywhere, anytime. All the time.  Astounding! A huge percentage of the world's knowledge – maybe not knowledge, but facts, at least –  is at our fingertips. Literally, as Joe Biden would say. What do walruses eat? When was Hypatia murdered by religious fanatics? How far is the airport from a hotel – any hotel you want – in the downtown section of the capital of Paraguay?

We are living in a time of wonders that were inconceivable 20 years ago.

 * somehow I find it very amusing that Google can come up with results in 0.17 seconds but – apparently – doesn't have time to count the exact number of results