Category Archives: Health

Sittin’ in the morning sun….

This was the view at dawn from one corner of our room in the San Francisco Airport Marriott Waterfront Hotel. The room provides, as realtors might coyly say, “a partial bay view.”

That is a portion of San Francisco Bay out there. And it is visible from a part of the room. A chair has been strategically placed in that precise spot to emphasize the view. This morning, I enjoyed seeing it.

For those waiting with bated breath, my initial procedure yesterday at the University of California San Francisco medical center at Mission Bay was a success.

Its limited goals were to get a scope and some tools down my throat into my gut to examine the area around a small obstruction in my plumbing, which involved trying to get the tiny camera and tools into the lower end of a bile duct; relieve the immediate symptoms of jaundice the blockage has created; and get material for a biopsy for testing.

Two prior attempts at Straub hospital in Honolulu failed when the entry point to the lower end of the duct couldn’t be accessed.

The same thing happened yesterday. However, here at UCSF, there were multiple contingency plans. Plan B, which was to lower a miniature ultrasound tool down there as well to find an alternative path, did the trick. Plans C and D were unnecessary, but involved a radiology team standing by in case we needed to trigger those options.

What it means is that the immediate symptoms of jaundice, including my “Yellow Man” appearance, should fade over the next couple of days. That is a biggie.

And we have been cleared to return to Honolulu in a few days.

This isn’t over, since that biopsy could deliver bad news. But in the moment, it is a big relief.

I’m very fortunate to be covered by Meda’s insurance plan, a huge benefit she earned over 50 years of employment by the University of Hawaii system. Today, I’m appreciating that good luck in a very meaningful way.

We plan to be home by Saturday night.

I’m forced to take a leave of absence

I’ve been posting at ilind.net more or less regularly for 26 years, beginning in early 2000, if I recall correctly (although it might have been the following year).

I think this is the first time I’m reluctantly putting it aside for more than a few days.

The greatly edited story is that I watched the weekend’s storm from a 6th floor room at Straub Hospital.

Two attempts to complete an endoscopy failed, and I’m hoping to be admitted to a medical center in San Francisco for further diagnosis and treatment.

I might be moved to grab the keyboard now and then, but I need to avoid that little daily background stress and concentrate on my health.

I know you all understand and I appreciate all of your support.

And don’t forget that this remains a good place to search for interesting tidbits from the past z25 or 26 years.

Subscribers will get a notice when I’m ready to resume.

A short personal note

This is addresseed to regulars who stop by this site from time to time.

I have just discovered a medical issue that I have to deal with. It came up with minimal notice and took me by surprise.

While I’m trying to push the diagnostic process along, and trying not to scare myself by searching online for potential worst case outcomes, I might be a little erratic with posts here.

Hopefully it will be resolved soon.

The best I can suggest is that you subscribe, if you haven’t already. That way you should get an email notice each time I post.

So please bear with me while I sort things out.

The value of vaccines

I saw this study referenced in a lawsuit filed by 15 states seeking to overturn the Trump administration’s reversing of longtime child vaccination protocols supported by years of evidence.

It provides estimates of the value of childhood vaccinations in sharp contrast to the actions of the current adminiatration.

The study: Health and Economic Benefits of Routine Childhood Immunizations in the Era of the Vaccines for Children Program — United States, 1994–2023

Link: CDC Morbidity and Mortality Weekly Report of August 8, 2024

Abstract
Since 1994, the U.S. Vaccines for Children (VFC) program has covered the cost of vaccines for children whose families might not otherwise be able to afford vaccines. This report assessed and quantified the health benefits and economic impact of routine U.S. childhood immunizations among both VFC-eligible and non–VFC-eligible children born during 1994–2023. Diphtheria and tetanus toxoids and acellular pertussis vaccine; Haemophilus influenzae type b conjugate vaccine; oral and inactivated poliovirus vaccines; measles, mumps, and rubella vaccine; hepatitis B vaccine; varicella vaccine; pneumococcal conjugate vaccine; hepatitis A vaccine; and rotavirus vaccine were included. Averted illnesses and deaths and associated costs over the lifetimes of 30 annual cohorts of children born during 1994–2023 were estimated using established economic models. Net savings were calculated from the payer and societal perspectives. Among approximately 117 million children born during 1994–2023, routine childhood vaccinations will have prevented approximately 508 million lifetime cases of illness, 32 million hospitalizations, and 1,129,000 deaths, at a net savings of $540 billion in direct costs and $2.7 trillion in societal costs. From both payer and societal perspectives, routine childhood vaccinations among children born during 1994–2023 resulted in substantial cost savings. Childhood immunizations continue to provide substantial health and economic benefits, while promoting health equity.

A copy of the lawsuit is attached below.