Tag Archives: diabetes

LOOSE ENDS

HONOUR: King George V knights Lieutenant General John Monash at the Australian Corps headquarters in France on August 12, 1918. Photo: AWM E02964.

A friend in Australia pointed out something interesting about Lieutenant General John Monash, “the outsider who won a war” (the title of a biography about him published in 2004).   He did, indeed, receive a knighthood from King George V in 1918.   It was no ordinary knighthood.

The knighthood was unprecedented in that the King crossed the channel to present it to Sir John Monash at the Australian Army Corps headquarters in the Chateau where they were based.  This was during the First World War, on August 12th, 1918.  It was the first time in 200 years that anybody had been knighted on the battlefield.

Clearly, Sir John was held in high esteem.

—————————————————

DIABETES

My blood sugar has been worse since I returned to the US.   It’s difficult to say why.   I’m eating the same.    Stress is minimal.   I think the only difference is the quality of food.

There’s way too much garbage in our food (in bread, for example; the subject of an article in The Guardian newspaper this week.   We have the worst bread in the western world.   The bread contains additives, which are banned in other western nations.

Diabetes has restricted my mobility, which rules out hikes.   It also means that I need a wheelchair when going through airports.   The only airport that let me down was Detroit.

There’s only one solution – move to Australia!  I could eat cheesecake every day and still stay within the recommended range.

————————————————-

CELL PHONE ADDICTION

Mobile phones are banned in Australia.   You can’t drive and use a phone, of any type.   You can’t even touch one in the car  even if the car is stationery – I know a lot of people who would find it hard to let go!

Not only does this cut down the accidents, it’s also a great stress reliever.

I mentioned last week that Australia is more relaxed that the US. One reason must be mobile phones.   When people are always on the phone, they don’t relax.   Take a four- or five-hour journey in Australia – without a phone, it’s pure relaxation!

I should add that hands-free phones are ok.

———————————————————

DEATH OF BOB HAWKE

One of Australia’s most memorable prime ministers, Bog Hawke, died while I was visiting the country. He was PM from 1983-91.

News coverage was all positive.  One TV news program said that he was “a gambler, a womanizer and an adulterer.”   The same narrator added that he was “a great bloke.”

———————————————

CHURCHILL

I’ve started reading Andrew Roberts’ 1,000-page biography of Sir Winston Churchill.   This means I’m slowly progressing through two biographies at the same time, the one on Churchill and the one on Monash.   I got both out of the library.

I may post a few quotes on Churchill as I progress through the book.

“No less a figure than Mark Twain introduced Churchill at his first New York lecture, saying: “Mr. Churchill by his father is an Englishman, by his mother he is an American, no doubt a blend that makes the perfect man.”

At the Press Club, he made the following observation.   “After seeing many nations, after traveling through Europe, and after having been a prisoner of the Boers, I have come to see that, after all, the chief characteristic of the English-speaking people as compared with other white people is that they wash, and wash at regular periods. England and America are divided by a great ocean of salt water, but united by an eternal bathtub of soap and water.”   (p 78, Churchill, by Andrew Roberts).

—————————————————–

BORIS SET TO WIN?

Donald Trump isn’t the only leader going through constant efforts to discredit him.   Describing Boris Johnson as “a friend of mine,”   Mr. Trump came close to endorsing him Thursday.    Mr. Johnson is the favorite so succeed Theresa May. Is it just a coincidence that legal action is being taken against him when he is running for the Tory leadership?   He is being accused of lying.

His accusers say that his claim that the UK subsidizes the EU by 350 million pounds a week was a lie, which influenced voters in favor of Brexit.   “Remainers” are as bewildered as anti-Trump voters in the US – they cannot comprehend that others disagree with them!

Mr. Johnson has promised to deliver Brexit with or without a deal.   The British Foreign Office really doesn’t want to leave with “no deal.” Discredit Johnson and it’s likely the country will never leave the EU.

The European parliamentary elections were a mixed bag.   People turned away from the main parties in droves.   In Britain, the six-week-old Brexit party got more votes than anybody, but still not a majority. Some interpret this as the people supporting “Remain” in the EU.

A move toward the “extreme Right” was noticeable in many countries, including France and Germany; but, at the same time, there was also a move toward the Greens.

It will be some time before Europe settles down.

After all the upheavals, the prophesied ten nations will be in place (Revelation 17).

——————————————————————

LONDON NO LONGER LONDON

Actor John Cleese is having to defend himself after making the comment that “London isn’t really an English city any more.”    Of course it isn’t.   Over half the people of London are immigrants (first, second and third generation immigrants).   They are not ethnic Englishmen.

It’s a fact.   Just don’t mention it!

Pat Buchanan asked this week (May 30th):   “Is the Liberal Hour ending in the West?”   With the rising tide of populist feeling in the West (and even in India), it seems that the ideas of “one worldism” are dying.

“Why is liberalism fading away, and nationalism ascendant?

“The former is an idea that appeals to the intellect; the latter, rooted in love of family, faith, tribe and nation, is of the heart.   In its potency to motivate men, liberalism is to nationalism what near beer is to Bombay gin.”

——————————————————

DEATH OF FRANCE

The Middle East Forum saw symbolism in the fire at Notre Dame Cathedral and the death of the Judeo-Christian values in modern France.

“There was something darkly symbolic about the fire that nearly destroyed the cathedral of Notre Dame in Paris on April 15 – the morrow of Palm Sunday — and the fall amid heavy smoke of its 93-metre iron spire.   One couldn’t help linking the religious and architectural disaster with a deeper crisis:   the passing of France as a distinct country, or at least as the Western, Judeo-Christian nation it had hitherto been presumed to be.

“Writing in Causeur the morning after, Hadrien Desuin, a conservative journalist, conveyed some of these feelings as he observed:   “Beyond the cathedral’s fire, France itself is burning . . . We have witnessed the Church’s slow death . . . and now even the old stones are collapsing . . . Yes, France may die . . . That’s what Notre-Dame’s flames tell us.”   (Michel Gurfinkiel, 5/30).

—————————————————————————–

WHAT’S BEIJING DOING IN HAIFA?

“Below the radar screens of all but a few experts, a dispute is brewing with the potential to disrupt defense cooperation between the U.S. and Israel and embroil the Jewish state in America’s increasingly intense trade conflict with China.

“The story begins in 2015, when Israel’s Transportation Ministry accepted an offer from the Shanghai International Port Group to operate the port of Haifa for 25 years, starting in 2021, and invest $2 billion to expand the port into Israel’s largest harbor.   Notably, this decision was taken without the formal involvement of either Israel’s security cabinet or its National Security Council.

“As far as I can tell, this agreement went almost unnoticed for three years, until the transfer of part of the new port to Chinese control in the summer of 2018 sparked a furor in the Israeli media.   But it took a meeting this past August between a delegation from the Washington-based Hudson Institute and Haifa University’s Research Center for Maritime Policy and Strategy to make this issue a matter of international concern.

During this meeting, the U.S. delegation, which included retired Adm. Gary Roughead, former chief of naval operations, and ex-Pentagon official Douglas Feith, weighed in against the deal with a vehemence that reportedly stunned many Israeli participants.

“Adm. Roughead noted that China’s presence in Haifa might force the U.S. Sixth Fleet to abandon the port and dock elsewhere.   As he explained in remarks reported in the Jerusalem Post, “The Chinese port operators will be able to monitor closely U.S. ship movements, be aware of maintenance activity, and could have access to equipment moving to and from repair sites and interact freely with our crews over protracted periods.”   He also expressed concern that the Chinese could use the new port’s information systems to conduct surveillance and threaten U.S. cybersecurity.”    (William Galston, WSJ, 5/28)

—————————————————————————-

GERMANY STRENGTHENS TIES WITH LATIN AMERICA

(Own report) – With a Latin America-Caribbean Conference, the German Foreign Ministry is launching a new political offensive in the struggle for influence in Latin America.   Germany and the EU’s influence on the subcontinent has been stagnating, while China’s importance is growing.   The government hopes to counteract this development by helping German companies to increase their opportunities in Latin America – and this at a time when massive protest is being raised against German companies’ activities, for example, in Brazil.   The Brazilian judiciary has currently taken action against the Technical Control Board (TÜV) South, for its alleged complicity in a dam burst in January of this year, killing more than 250 people.    Brazilian activists are also accusing the Bayer and BASF companies of selling agricultural poisons in their country, which are banned in the EU.   Over the past decade, more than 2,000 people have died in Brazil from agrochemicals. Berlin is also envisaging the inclusion of Latin American countries into NATO structures.   (German Foreign Policy, 5/29)

————————————————————-

MERKEL AT HARVARD

Angela Merkel gave the commencement address at Harvard University today.

She called for a strengthening of ties between Europe and the US, building on what has been accomplished in the last seven decades.

Politico reports:   “Angela Merkel urged Harvard graduates Thursday to “tear down walls of ignorance and narrow-mindedness” in a speech laced with apparent jibes at Donald Trump and his policies.

“Though she did not name the U.S. president, the German chancellor devoted much of her Harvard University commencement speech to attacking major pillars of Trump’s presidency:    protectionism, trade wars and building walls.

“She also warned of the “threat climate change poses to our planet’s resources” and called for the world to work together.   Trump announced in 2017 that he would pull the U.S. out of the Paris climate agreement.”

————————————————-

Trump will win 2020 election unless Democrats impeach, says expert

(Independent, 5/30)

Advertisements

BELOW THE LINE – a regular column for those living below the poverty line or on a drastically reduced budget

Dollar

One of the biggest challenges of unemployment is not having medical coverage.  This can be quite a challenge when you have health problems – I have Type 2 diabetes and high blood pressure.  Both had worsened during my period of unemployment, requiring an additional two medications.

Aware that our insurance would expire at the end of February, I started looking at medical expenses much more carefully.

I worked out an arrangement with my primary doctor whereby he will charge me $57 a visit.   I was also told I could get my quarterly A1C check for only $14.    My podiatrist said he would charge $80 per visit.

In an emergency, ER cannot turn you away, even if you have no money, so we’re covered there.

When it came to prescriptions, I called three pharmacies to get a price for each of the five prescriptions I have been on.   Without insurance, they would cost me about $350 a month.

Believe it or not, I have managed to get that figure down to $13.33!!!

One drug for diabetes is priced at $283.75 for a month’s supply.   In consultation with my doctor about our changed insurance situation, he said I could switch to a less powerful drug called Metformin, which is free at Meijer’s.

Meijer offers a second one free.  Both are loss leaders.  The idea of offering them free is to get you to purchase all your prescriptions there, which would then give them a nice profit as drugs can be very expensive (and very profitable).  But you don’t have to get all your prescriptions at one place.   We often shop at Meijer anyway so these two loss leaders still bring us into the store to buy food and other things.

Target is cheaper for two of the other prescriptions.  I can get a three-month supply of Glimepride (a drug for diabetics) for $20; and a three-month supply of Metoprolol (for high blood pressure) for $10.  By buying them quarterly I saved an extra $6 on the two.

Both are generics.  Always choose generics when they are available.

Wal-Mart is the cheapest place for Lisinopril, a drug for high blood pressure I did not even need before unemployment.    It will also cost me $10 for three months.

So my total expenditure on prescriptions comes to $13.33 each month; with four visits a year to each doctor my total medical costs over twelve months should work out at $764.    If we had chosen private insurance we would have been paying more than that each month with a high deductible.

It clearly pays to shop around.   There’s always a cheaper option.

PUTTING MY FOOT IN IT

Foot 2

Mentioned in the article were outpatients, those who go to the hospital in the morning for quick surgeries and are home in time for dinner.   I’ve had three such surgeries in the last eighteen months, all on my feet.

The first surgery, on September 1st, 2011, was for a bunionectomy.   The surgery itself lasted about an hour, but the repercussions caused me to have serious medical problems for almost one full year.

During surgery I got infected with one of those new bacterial infections London is warning about.

It was clear within a few days of surgery that something had gone wrong.   The wound in my left foot was just not healing.  The podiatrist tried all the usual things, then took a blood sample from the infected area and sent it to the lab.

I still remember his face when it came back.

We had gone to his office.  He had the results in an envelope, which was un-opened.  When he opened it, his face literally changed color.  From pink, it changed to white and there was a look of horror in his expression.  He mumbled something about how he could not handle this and was sending me to the hospital immediately for treatment.

When he finally passed me the lab report, I saw that I had contracted VRE.  This meant nothing to me.   But I’m now very familiar with it.   My foot was infected with the bacterial infection for almost a year – it’s even possible that it’s still in there.  I have to check my foot every day and at the first sign of the area turning red I have to go back for more treatment.

What is VRE?

The simple answer is this —-

MRSA is a bacterial infection that thousands of people get every single day.  It’s normally treated with a strong antibiotic called Vancomycin.   VRE is Vancomycin Resistant Enterococci.   IOW, there is no sure treatment for VRE!   No antibiotics work.

This did not stop them from putting me on a serious regimen of antibiotics, taken both orally and infused through a PICC-line in my right arm.  A nurse came twice a day to administer the infusion.  As my youngest daughter is a qualified nurse they let her do it on weekends.

The strong antibiotics were not only expensive  (one pill was $132 and a week’s infusions was roughly $5000), they also led to some uncomfortable side effects, which required further medications.

It was suggested on at least three occasions, by three different doctors, that the best thing would be to have my foot amputated, though they use a different word that makes it all sound better.   I said I would only agree if the infection was spreading beyond the foot, which I’m thankful to say it never did.   If it spread it would kill, just like MRSA does.

After a few months of this we were not getting anywhere.   We did have lots of people suggest various treatments, all of which I gratefully tried.  People were absolutely wonderful.  Two people even sent me moonshine assuring me it would work wonders.  I wasn’t sure if I was supposed to soak the foot in it or drink it!  I had a wound vac (which was great fun!), and even hyperbaric treatments (which were horrible).  It was a nine-month-long nightmare.

It was then that a wound care professional in our church contacted me to see if she could be of any help.  My wife started consulting with her and from then on, we got results!  She was amazing.  Basically, everything I had been told to do had been wrong.  Moist healing is the best.  (I had been told to let it air out between dressings.)  In moist healing, where the wound is kept moist and semi-airtight, the skin cells can migrate across the wound bed and fill in the wound.  She recommended silver based dressings that not only killed the bacteria but also debrided the wound (got the mucky stuff out of it).  It was just amazing to watch it heal – if I had had her instructions at the beginning, this nonsense wouldn’t have lasted a whole year – maybe only a couple of months.

A lesson I learned from this is that antibiotic resistant bacterial infections may be solvable with simple treatments.  After all, people did live before antibiotics, some of them even to a ripe old age.   We have become very dependent on them since World War II.   Sadly, their overuse may have weakened us all, so that we are more vulnerable to infection.

If that’s the case, then the catastrophe the British government warned of will likely come true!