The Upsides of Death

My family and I are currently working through a sudden death of someone central to all of us.  Anne Octavia Jay, my ex-wife, suddenly died.  For months, she was working through some medical issues that seemed surmountable, but then there was some extra-bad news. Then, about two weeks ago it started pouring bad news. This deluge included a sudden diagnosis of stage four cancer.  On Christmas Eve, she suffered cardiac arrest, which led to forty minutes of CPR. In the ICU we learned what kind of damage can happen to a person's brain after forty minutes of CPR.

On the day after Christmas, my two young adult daughters and I gathered around Anne in the ICU to say our goodbyes. I learned that for a patient who has suffered this sort of damage, the fact that she occasionally opened her eyes means nothing at all.   I learned what "comfort care" means. I am learning what it means to be the only surviving parent.  I am learning how hard it can be to lose a parent.  I am learning the awkwardness of being an ex-spouse who loses one's ex-spouse. What am I to be called?  An "ex-widower"? What is the proper name for a person in my position, someone who still cared deeply for my deceased ex but who feels awkward because our marriage fell apart and we divorced each other?

I don't really have an end in mind for this post. Mostly, I'm emoting, but I wanted to share that I was particularly right about one thing. I've always assumed that one can use most "bad" events as good experiences, not just as good learning experiences. We the survivors have learned a lot together.  I now know how to be a better friend to other people who have lost their loved ones.  I now know better how to appreciate the complexity of the human body.  We shouldn't be surprised when our bodies don't work; rather, we should be more more surprised that they ever actually work, given their mind-boggling complexity.  I've learned to appreciate the human heart.  Anne's heart faithfully beat for 59 years, which is a stunning achievement regularly exceeded by the heart-beating streaks of countless other people such as me (I'm in my 60's).

Mostly, I've learned to appreciate the importance of community.  I've seen many dozens of people come out of the woodwork to offer comfort and assistance for my daughters and me in many major and minor ways.  I now have increased respect for the way healthcare workers treat the family of dying patients. I've learned to appreciate straight talk from these professionals.  I've learned to appreciate the patience and kindness of all the people at the cremation service we are using.  We are surrounded by good-hearted people, including countless friends and relatives.  They are everywhere.  They are constantly bringing us flowers and soup and snacks and offers of ever-more help. It has been humbling.

We are in our George Bailey moment and people are running to our rescue in droves to tell us that we are not alone. It feels wonderful.  I know that the hard part will be when all of the adrenaline is gone and when my daughters and I will experience unrelenting emptiness.  That leads me to also appreciate the many friends and professionals who offer grief counseling individually and in groups.

Death in one's family can be one of the better ways to learn what it means to live a good life.  And to paraphrase Tim McGraw, I have better learned to live like I am dying.

I'll end with a Facebook tribute I created for Anne. More than anything else, she wanted to make sure her children were OK. This was her prime directive.  My daughters are working through this with me and I am strongly convinced that we will be ultimately be OK as we continue our life journeys stronger and wiser. Thanks for reading through to the end.

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Planned Parenthood Falsely Suggests that Doctors “Assign” a Baby’s Sex at Birth

In his recent article, "Is Sex 'Assigned' at Birth?," evolutionary biologist Colin Wright criticizes Planned Parenthood's claims that a doctor "assigns" a baby's sex at the time of birth. As Wright points out, a doctor merely notices and reports the baby's sex. Planned Parenthood's website makes as much sense as claiming that an obstetrician "assigns" a baby's two-leggedness or "assigns" the eye color of a newborn.

There's good reason to believe that Planned Parenthood intentionally misused the word "assign," given that this word appears 19 times on Planned Parenthood's highly problematic webpage, "Sex and Gender Identity." Here is an excerpt:

Sex is a label — male or female — that you’re assigned by a doctor at birth based on the genitals you’re born with and the chromosomes you have. It goes on your birth certificate . . . . Instead of saying “biological sex,” some people use the phrase “assigned male at birth” or “assigned female at birth.” This acknowledges that someone (often a doctor) is making a decision for someone else. The assignment of a biological sex may or may not align with what’s going on with a person’s body, how they feel, or how they identify.

Wright's article is a patient and focused response to yet another instance where activists are attempting to use ideology to rewrite biology. Wright's counter-measure consists of serving up the kind of accurate biology lesson that most high school science teachers have uncontroversially delivered over many decades. That lesson goes something like this: "Here's a male mouse. Notice the penis. Here's a female mouse. Notice the vagina. Here's a diagram of a male human and a female human. Same thing. Quiz tomorrow."

Real-life biology is something that many Critical Justice Activists have self-trained themselves to find irrelevant. They also find real-life biology incomplete--those biology books keep forgetting to talk about feelings when they discuss gonads! Many of today's Woke students don't like hearing any blunt talk that they are human animals or that it is Nature (not a doctor) that calls the shots regard to a baby's sex. Wright explains:

The claim that biological sex is “assigned at birth” is very misleading as it draws a false equivalence between transgender and intersex people, and suggests that identity, as opposed to reproductive anatomy, defines one’s biological sex.

Rather than being “assigned” at birth, sex is simply recorded at birth using genitalia as a very reliable predictor of underlying gonad type. The fact that doctors, on very rare occasions, are wrong in their assessment does not therefore immediately call everyone’s sex into question.

Planned Parenthood employs many highly educated and careful writers, so the wording on its website was not an accident. Planned Parenthood consciously decided to use the word "assigned" to falsely suggest that arrogant doctors steeped in scientism shoot from the hip whenever they designate a baby's sex. That's how I read their ideologically-laced webpage. They take this position despite the fact that the sex of almost every baby is determined about nine months prior to the birth. And once the baby is born, figuring out whether Nature chose pink versus blue is truly simple. Truly, a doctor merely needs to take a quick look. This process of sexing was perfected thousands of years before the patriarchy got around to inventing the multitudes of modern baby doctors, those people who arrogantly determine one's sex by looking at gonads.

I can feel Wright's frustration as he spells out the facts of life for activists (as well as for those of us who are unnerved by the vocal Woke mobs). This effort by Wright is merely the most recent of a series of basic sex-ed lessons he has been offering (see also here and here). It's unfortunate that any of his articles were necessary, but I'm relieved to see that he is out there offering accurate biology bit by bit, to try to keep us all on the rails.

What is my main reason for writing this article? Because new parents should never be made to feel any hesitation or shame when they announce "It's a girl!" or "It's a boy!" We have all heard many people announcing and celebrating the sex of their newborns. On every occasion that I've heard such an announcement, I'm certain that there was no hint of any animosity toward people who have undergone the process of transgendering. Announcing a baby's sex is always a perfectly appropriate thing to do, no footnotes and no asterisks needed. These joyous moments have no relevance to the hyper-sensitive feelings of transgender activists. In fact, if there were activists in my presence right now, I would urge them to each put one finger in one their own ears so the following information might stick: "When new parents joyously exclaim 'It's a girl!', this is an undeniable biological fact that has absolutely nothing to do with you. It's about the baby."

Since Planned Parenthood twice mentioned "intersex" on the above webpage, it's worth asking how often doctors get it wrong when they tell the parents what sex they have observed in the newborn baby. The answer: almost never. As Wright discusses, the reproductive anatomy of a baby is unambiguously male or female over 99.98 percent of the time. Many activists seem to think that it is insensitive to bluntly announce the sex of a baby because of "intersex." They claim this even when only 2 out of 10,000 newborns are diagnosed with intersex conditions. They claim this despite the fact that intersex conditions have absolutely nothing to do with the issue of transgendering. I suspect that transgender activists keep bringing up intersex conditions because it confuses and extends what would otherwise be swift endings to bad arguments.

Planned Parenthood, an organization claiming an expertise in medical matters, needs to get its medical facts right, then revise its webpage accordingly. There's a lot of work to do. One thing they desperately need to be add is this: For the great majority of people, biological sex robustly aligns with gender. This fact is not something shameful, insensitive or mean-spirited. It accurately describes most human beings, except in Planned Parenthood's namby-pamby world of biology where this is a fact that must not be uttered. [More . . . ]

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Update on U.S. COVID Vaccines, Medical and Economic Issues

I walked away feeling notably enlightened after listening to one of my favorite podcast hosts, Steven Levitt (Co-Author of Freakonomics) interviewing Moncef Slaoui, the head of Operation Warp Speed (the U.S. COVID-19 vaccine program).  Highly recommended.   The show is called "People I Mostly Admire."  This episode was released on Dec 11, 2020.

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Where We Are on COVID Vaccinations?

[This is Part IV of a four-part series about COVID vaccines, starting with Part I].

We have three vaccines that appear to be effective and safe. To date, the public discourse has been about getting to a vaccine. The results are impressive, brilliant, even Olympic.

The remaining work is not glamorous. The people involved aren’t inventing new science or commanding nature to obey their orders. They have more in common with your neighbors, teacher Debra Smith and carpenter Tony Jones, than with esteemed personalities such as Dr. Debra Birx and Dr. Tony Fauci. There won’t be daily televised briefings about delivering 27 doses to your doctor and 113 to your pharmacy. Success will not be reported; any stumble will be the subject of nightly news for months. But the job will get done in the Western World.

There are people who will refuse to be vaccinated. That won’t matter much until we’ve sorted through those who want to be vaccinated. Different people will have different ideas about who should get the first vaccines. PharmDs will follow a practitioner’s orders, or health department edicts. Practitioners are likely to make their own decisions based on individual patients.

There’s great news. The scientists have finally decided to follow the science. Data have always shown that young children aren’t immune to COVID19, they just experience much milder symptoms, rarely need hospitalizations and almost never die. And, children under eight are rarely contagious. Dr. Fauci announced that there was no reason to keep elementary schools closed, and little reason to close middle schools and high schools. Teachers will be at risk from one another, but largely not at all from students. Masks, social distancing and frequent hand-washing should suffice.

This will free up parents to get a sanity break, otherwise known as going to work. Data appear to show that children of elementary school age are being deprived of socializing and developing interpersonal skills, and that all K-12 students are on average falling significantly behind in mathematics and reading. According to a JAMA (Journal of the American Medical Association) Pediatrics study of 135,000 patients, seven percent of K-12 students were infected, and hospitalization rates were about 1.9%, concentrated in children with compromised immune systems. Case fatality rate is near zero.

Yes, a few children get sick and some actually die. That is tragic. So is using those statistics to justify closing down schools, increasing childhood suicidal ideation and driving more people into poverty.

Other good news: The US Army, the world’s best logistics organization, has been planning, building capability and testing distribution throughout the U.S. Several other militaries are likely to be doing the same, including Australia, Japan, the UK, Germany, Netherlands, Denmark and a few others.

[More . . . ]

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COVID Vaccine – Long Pole #3 – PFZ

[This is a continuing series beginning with #1 and #2].

There is yet a third vaccine coming on the market, let’s call it PFZ. It uses technology similar to MDN, injecting messengerRNA into the body, with instructions for building a part of the COVID19 virus necessary for the virus to function, but which by itself is not dangerous. The supply chain will be similar to MDN’s, with a major difference. PFZ must use a subset of cold chain logistics called super-cold chain, among other things. PFZ must be stored at -70C, or -94 Fahrenheit. This is close to the coldest surface temperature ever recorded on earth, -89.2 Celsius (-128.6 Fahrenheit), in Antarctica in 1983.

Manufacturing PFZ is done in a super-cold environment. The amount of energy needed to cool an entire manufacturing plant to -70 Celsius is significant, and the equipment isn’t easily maintained by a shade-tree mechanic. A lot of automation will be required, because humans don’t do well at those temperatures. Putting humans in heated suits runs the danger of heating the entire plant. Automated machinery will load vaccines into vials and vials into cold-storage sealed boxes. If dry ice is used, there are often two or three layers of boxes surrounding the 200 or 1,000 vials.

The packages are transported via truck or train to an airport/seaport for forwarding. Here is where the functions of manufacturing, distribution and retail probably deserve some information. Manufacturing produces products in quantity. It rarely sells single products to individual consumers, because it isn’t equipped to do so. It has no displays, no cash registers, no way to keep retail customers out of manufacturing areas once allowed inside the facility, it has no large call center to take orders, it cannot process credit card purchases – all of those are handled by retail organizations, which do them well. Manufacturers who sell directly to the public usually find that they’re competing with their own best customers, distributors.

The purpose of distribution is to deliver and buffer manufactured goods to retailers. Manufacturers produce in quantity, and distributors break down the quantity into bite-size chunks, store it, and send it to retailers when they need it. A retailer, such as a pharmacy or doctor’s office, has no use for a box of 1,000 vials of a vaccine, or 5,000 doses, because the retailer cannot serve that many customers for an injection in one day, especially of a vaccine that can’t be warmed, cooled, warmed. They rely on distributors to handle storage, breakdown and delivery.

With PFZ, retailers need to order exactly the number of doses needed for one day, and keep the boxed vials in refrigerated storage fortified by dry ice. Super-cold storage is expensive and rare. It is found in large hospitals for use with some laboratory specimens and some pathologists’ testing; it is also found in limited quantity in research institutions. Huge distributors, pharmacy chains and hospital groups are building new super-cold storage capability and have been for months.

I don’t pretend to know how the problem of sparsely-populated rural areas will be covered. The problem is called “The Traveling Salesman” by mathematicians and is different in every case. This has addressed PFZ in the First World, where a lot of cracks can be papered over with money and reallocation of resources. Cracks in Second- and Third-World countries are broader, deeper and more difficult to resolve. With enormous resolve and herculean effort, India can meet much of its need for MDN; it lacks the super-cold storage needed for PFZ.

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