Thursday, April 21, 2011

Random Thoughts (Regarding Transportation)

When I was three, I was at the airport with my parents seeing my dad off for a business trip or something. Maybe it was a business trip, I was three, so who cares, right? I decided to explore the airport while my parents were busy with tickets, baggage and the like. “Here’s an interesting doorway” I thought. “My, what a long hallway!” was my impression after entering the interesting doorway. After venturing down the long hallway, I found a big, comfy seat and climbed up into it to make myself comfortable. A few minutes later, Patsy, my dad’s secretary, came and whisked me away from my comfy seat and brought me back to my mother and father who were visibly disturbed. Apparently in 1968, it was very easy to climb aboard any old plane bound for Las Vegas. There were no x-rays or full body scanners or whatever, Yet, somehow, civilization as we know it continued.

In fifth grade, my class had sold the most “America’s Finest” candy, and hence we were entitled to a pizza party at the nearby Shakey’s Pizza place. It did not occur to me to wonder at that tender age why the Corporate Executive Officer of the establishment might be named “Shakey.” Anyway, we had no school bus to transport us to Shakey’s, only four blocks away, so we walked. After having our fill of impossibly bland pizza (during which I distinctly remember singing along to Foreigner’s “Cold As Ice” [or was it Journey?]) while waiting for our pizza, my entire class walked back to the school. Upon arrival, we tarried at the entrance, during which time I decided to hop up onto a low wall bordering a garden. My butt overshot the trajectory and landed upon four feet of nothingness, causing the rest of my body to hurtle forth to the ground. Upon impact, my left arm struck a concrete cinderblock bordering the garden. When I arose from the tumble, I noticed that my hand was four inches lower than my arm - my wrist was broken!. This caused me no slight consternation, so naturally I screamed like a schoolgirl. Later, after my mom had collected me and brought me to the doctor, I had a splint wrapped with ace bandages around a rigid arm support. Since the outer covering of the splint was merely ace wraps rather than plaster, it was impossible for friends to sign, as friends of the cool kids did when they wore a real plaster cast for broken bones. With this physical and obvious reminder that I was not a "cool kid" to this day, I curse mere splints.

When I was eight, my mother and my two sisters flew to Tampa to visit my mother’s brother, my Uncle Merlin. Yes, Merlin, as in the wizard in the Knights of the Round Table. Don’t say anything bad about my Uncle Merlin; he’s one of the coolest people I know, and I’ll kick your ass if you do (cool kids be damned). My mom, my two sisters, my aunt Mimi and I were flying on National Airlines. During the flight, the plane was hit by lightning. All the lights went out. Since it was our first flight, my sisters and I thought it was just part of the ride. My mom and Mimi sort of freaked out.

At age twenty-eight, I got married. My dad died the next year and my Mom gave us his old Dodge K-Car. I had been driving a 1990 Ford Ranger, which I had kept nicely. The K-Car had been parked for years under the pine trees in front of my parents’ house, and was coated in the dried sap of the evergreens. It was a car preserved in amber. It could have been displayed in the Smithsonian alongside the prehistoric dragonflies and mosquitos that have been preserved through the millennia by the same mechanism. Shortly after having been bequeathed to me, the amber-preserved K-Car was my vehicle, while my new wife tooled about town in my nice pickup. I didn’t complain; something about a woman who drives a pickup always... stimulated me.

In 1998, my wife and I invited my mother and our friend Ingrid to join us in a trip to Ireland to visit my wife’s parents. Long story short, the airline owed us an upgrade for bumping us off the flight across the pond and subsequently losing all our luggage. On the return trip to the United States, we were bumped up to Business Class, which I highly recommend. But on the flight from Atlanta to New Orleans, we were back in pigs-and-chickens class, which I recommend not so highly. My mother was several rows behind us during the rather turbulent flight, which seating arrangement I highly recommend. During the bumpy parts of the flight, I could hear my mother, who has a fantastic singing voice, singing “Lady of Knock” to the other woman sitting next to her. At the baggage carousel, I gave that woman what I hoped would be interpreted as an envious, yet simultaneously apologetic, glance.

During my elementary school years, I rode bus number 22, driven by Mr. Jimmy, who was also my Catechism teacher. In the last year of school before Sam Barthe Athletic School For Boys was sold to EcĂ´le Classique, my younger brother also rode Mr. Jimmy’s bus number 22. Having seniority, and determined to take full advantage of it, as a seventh-grader I sat sullenly in the back of the bus with the upperclassmen, while I forced Patrick to sit in the front of the bus with the kids his own age.
Note: I had absolutely zero talent for athleticism, while Patrick was the quintessential athletic paradigm. I have yet to forgive him for that.

Friday, February 25, 2011

Would finding E.T. change our view of God?

The following is a comment I made on an article addressing the question in the title of this post. The question has been posed for a while (I hesitate to say "millennia") and much effort has been spent anticipating humanity's reaction to the discovery of extraterrestrial intelligence (ETI). But I seldom see opinions discussing the alternative. So here's my two cents:

Humans may be going down a road with the destination forever far in the distance with this question. If we find ETI (or they find us), great, the question is answered. Chat show pundits, theologians, atheists and philosophers are in business for life (to paraphrase Douglas Adams).
On the other hand, what if we don't find ETI? When do we call it quits? At what point will we say "Yes, humans are alone in the universe"? What if the time comes when we've colonized every habitable planet in the Milky Way galaxy and still haven't found life? Right now, we look at the billions of stars out there and think "Surely, someone else is out there." But if humans are ever spread across the whole galaxy (unlikely) and no one else is there, will we say then that we're definitely alone or will we look to the trillions of other galaxies, each with billions of stars, and think "Maybe they're out there?" and devise ways to investigate that possibility? Given the virtually infinite size of the Universe and possibilities of life to examine, it seems that if we don't find other intelligent life, the search could easily continue till we die - all of us.
If you've ever looked for something that wasn't there (but you didn't KNOW it wasn't there), when do you stop looking? You looked under the bed, in the fridge, between the cushions and in your pockets. And later, you looked again in all those same places and some new ones, didn't you? Even when you said to yourself "I quit!" the question still gnawed at you. Where could that thing be? The same goes for the search for ET. Even if humanity, as a collective, "quits" searching, someone will still be wondering what else to try.
Until definitive proof is found that there is ETI out there, it seems that humanity's search will continue. If that search takes however many billions or trillions of years the Universe has left, I don't doubt that there will be someone who keeps searching.

Friday, January 28, 2011

The Not-So-Violent Toll Of Internet Shutdowns


So today you can hardly turn on the media without hearing about Egypt. Protests, riots, tear gas, police cowering on rooftops... the works. One other noteworthy thing is that Egypt’s internet access has been shut down according to multiple sources, such as here. Now, this internet blackout isn’t noteworthy because it happened. It’s the response that’s noteworthy. This was brought to my attention by @BurbDoc on the Twitters. As he puts it, “Iran shuts down Internet, we get our panties in a wad. AssMubarak does the same shit, we DO NOTHING.”

As anyone on Twitter or Facebook can tell you, when Iran shut down internet access last year, vast swathes of humanity protested the lack of access. Thousands put up little green avatars (reminiscent of Iran’s flag) in “support” of their internet-deprived Iranian brethren. But as @BurbDoc puts so succinctly (which is kind of necessary in the 140 characters Twitter gives you), we who are flush with internet service now collectively say “Egypt’s internet is off? Oh, okay.”

I have no words of wisdom or inspiring quotes from Mohandas Ghandi, Thomas Jefferson, Jesus or Mohammed to quell the riots. I have no special insight into Egyptian thinking. In fact, I don’t even know what the Egyptian uproar is about (and I’d wager that the vast majority of Americans don’t either). But I do have a great imagination. And my imagination brings me to a special place where I envision the rest of the worlds’ reaction should various countries be deprived of internet access. 

For example, if the headlines read “American Internet Access Shut Down!” the country would be in turmoil. A deep, sonorous hue and cry would be voiced. But since there’s no internet access, the voices would carry no farther than the next room, since no one could post their indignance on Facebook. The rest of the world would cry out against the shutdown, but secretly rejoice that the USA isn’t taking up all the bandwidth with their silly ignorance. China would offer us expensive, long-distance dialup internet, which we’d happily pay for.

“United Kingdom Loses Internet!” The rest of the world would protest the blackout, citing England’s long history of contributions to the world’s intellectual knowledge base (but forgetting that Wales, Scotland, Northern Ireland and the Isle of Mann are also part of the UK). The people of the UK would grumble mightily, but only over many, many drinks at the pub.

“Russia’s Internet Goes Dark!” The rest of the world offers condolences. “We’re so sorry for your loss,” they’d say, much as one uselessly offers the same line at a funeral while secretly hoping to sleep with the hot widow. The rest of the world quietly emails one another, saying it’s probably for the best that those Russians can’t get on the net.

“China Has No Internet!” The Chinese people are duped when the government immediately puts up fake “websites” that extol the virtues of China and Communism to which every Chinese internet user is rerouted. World of Warcraft gold farmers go bankrupt, since the only people that buy their game-gold are other Chinese Warcraft players. In the rest of the world, the entire real global economy collapses.

“Sweden’s Internet Is Shut Off!” The rest of the world writes, emails and protests the appropriate parties until the steady stream of Swedish internet porn is restored.

“France No Longer Has Internet!” The French are saddened but quickly resolve themselves to their fate, accepting their national loss. The rest of the world brings them restored internet access. As usual.

“Ireland Can’t Get in the Internet!” The Irish people immediately assume it must be their own fault and confess their sins to whoever will listen. Fifty billion “Hail Marys” and “Our Fathers” later, the Irish feel better and celebrate and/or drown their sorrows at the local pub. But still no internet.

“Argentina Loses Internet Access!” Access is quickly restored when five billion soccer fans get rowdy over their inability to check up on their team.

“Brazil’s Internet Is Shut Off!” The gay community creates their own internet and ships the entire structure to South America specifically so Brazilian guys can restart transmitting their photos and webcams.

“No Internet in Italy!” Nobody notices. Including the Italians.

“India’s Internet Goes Dark!” The rest of the world, looking for customer support, also completely loses internet access. The dark ages resume globally.

“Jamaicans Can’t Get on the Internet!” The rest of the world says “Jamaica had internet?” Jamaicans say “We had internet?”

Friday, December 10, 2010

On My Soapbox

No really, I'm literally on about soap. You'd think it wouldn't be that challenging. All I want is a decent bar of soap. Not anything like "Dr. Ganja's Super Organic Earth Soap With Genuine Cannabis Naughtiness" or "Miss Victoria's Soothing Tiny Bubble Body Cleanser With Exfoliating Aromatherapy Modules" or even "Ultra-Macho Sweaty Guy Bodybuilder Body Wash With Genuine He-Man Pheromones (Women will throw their vaginas at your armpits!)".

I just want a bar of soap. Not body wash. One that I can get at the grocery store, not have to go to a boutique, or order from a stupid catalog. I've been trying various soaps and can't find one that's decent. Here are my experiment results:

Irish Spring: Smells nothing like Ireland or spring. Perhaps they mean the bed spring from an overly-scented Dublin whore's boudoir?
Safeguard: For when I want to smell like an old men's locker room.
Olay: Dead fish. 'Nuff said.
Ivory: 99.44% pure toxic chemicals. And what is that weird itch afterwards?
Lever 2000: For when you want to announce your presence to everyones' noses while you're still out in the parking lot.
Camay: For when I want to smell like an old ladies' locker room.
Dove: Out, out, damn'd soap! I need to use a loofah afterward to get the "moisturizing" cement off.
The dogs' shampoo: Remarkably, the least offensive surfactant in my bathroom!

So, those are the soaps that are commonly available at the store. If I've overlooked any, please recommend your suggestion so I can try it. Until then, I'll be enjoying my shiny coat and freedom from fleas.

Tuesday, December 7, 2010

My Living Will


My “Living Will”

I, Sean Fitzmorris, being of sound mind & body, and the fact I’m posting this on the Internet notwithstanding, do hereby make this my request should I ever be incapacitated by injury, disease, or other life-threatening process.

Under no circumstances are any healthcare providers, paid or volunteer, to perform CPR on me, including artificial respirations or chest compressions. There are exceedingly few people that survive such therapy and frankly, I’d rather use that slim chance to win the lottery.

Should the preceding request go unheeded and I am on a ventilator, under no circumstances should artificial ventilation continue for more than one week. If I cannot be taken off the ventilator in that time, please remove the endotracheal tube or whatever artificial airway is in my body and turn off the ventilator. I will take my chances. 

Under no circumstances am I to be fed. This includes tube feedings via any port in my body including intravenous, nasogastric, orogastric, percutaneous endogastric or duodenal routes, or even if someone should offer to cut up my food and/or feed it to me. Should the recommendation for such a form of nourishment be mentioned as part of my care, I summarily refuse it.

I refuse any procedure involving a cerebral angiogram. 

I refuse any “clot-busting” agents, including tissue Plasminogen Activator, streptokinase, retavase or any other drug used for this purpose. I do not want to hemorrhage in my brain or any other organ I am using.

Any of my organs or tissues may be harvested for donation. However, if it is recommended that I receive any donated tissues or organs, I summarily refuse. I’ve seen those poor souls after getting an organ transplant, and it may be life, but not as I know it or want it.

Under no circumstances am I to be dialyzed, in any way, shape or form, including hemodialysis, CVVHD, SLED, or CAPD. I am a happy person, and dialysis is just sad.

Should the recommendation be made that I have artificial holes created in my body for the purpose of breathing, eating, nourishment, or excreting waste of any kind, I summarily refuse it. This includes tracheostomy, tracheotomy, cricothyrotomy, colostomy, nephrostomy, ileostomy, suprapubic catheter,  PEG tube or any other ostomy.

Should the time ever come when I cannot clean my own anus under my own power, all medicines I am receiving are to be stopped, all nourishment is to be halted, and all hydration, oral or intravascular, is to be ceased. I will either get better or die; either is preferable to me.

Under no circumstances am I ever to be placed in a nursing home, skilled nursing facility, long-term care facility, or any other place of similar ilk. Allow me the dignity of dying in my own home or that of my loved ones. 

Should the circumstances of my death be attributable to stupidity of my own causing, feel free to laugh and poke fun at my corpse. I would have loved the joke, too. But do not subject me to any of the situations I have outlined above. Thank you.

Sean Fitzmorris
7 December 2010

Tuesday, November 23, 2010

The Onus

The Onus

When you come to the hospital or call an ambulance, you are expected to be the main agent in directing your own healthcare. You have the right to decide what you are willing to undergo toward your own care. You are encouraged to ask questions about what the staff is doing or planning to do, possible outcomes, side effects and alternatives. Every invasive procedure requires your informed consent, whether it is a lumbar puncture, surgery, a colonoscopy, a central IV line or anything that is beyond minimally invasive. At any time, you may decide that you do not want this or that. You can refuse any medication, any procedure or any tube that is inserted into your body. You may even leave the hospital whenever you want. The refusal of any aspect of your care that the healthcare providers deem necessary is accompanied by the possible consequences of your refusal. If you don’t want to go to the hospital after a car accident, the paramedics will explain why you should go and advise you that if you do not, you could suffer long-term injuries, paralysis or even death. If you still choose not to go, they will respect your wishes and have you sign a form stating this, despite the possible untoward outcomes. The same goes at the hospital. You could be in the process of actually dying, but if you don’t want the care that is offered, the doctor will say “You realize that you could/will die without this lifesaving treatment, don’t you?” After your affirmation of this, you will be allowed to leave and die in whatever way the Grim Reaper finds you. 

There are obvious problems with this mentality, both on the part of the patients and that of the healthcare providers. Allow me to focus on the latter for a moment. As a healthcare professional (in the state of Louisiana, at least), when someone decides that they don’t want this or that type of care, you are required by law to respect their wishes, no matter how deleterious their refusal may be. UNLESS they tried to commit suicide. Or unless some third party says they "think" the patient might have maybe sort of tried to commit suicide or otherwise harm themselves. At that point the patient is committed under a Physician’s Emergency Commitment, or PEC. A PEC remains in force for 72 hours during which the patient is a ward of the hospital until a psychiatrist releases them from it. As one doctor recently explained to a patient who balked at a PEC, “you have no rights and cannot make any decisions for yourself because you’re a danger to yourself. You are a ward of the hospital for the next 72 hours.”

Now, the clear problem I have with this idea is this: people can decide for themselves what they can accept as “healthcare.” Even if not choosing a particular route will cause them to die. The doctors and nurses and paramedics must allow every patient who wants to do so to refuse care and die. The healthcare providers may view the patient’s refusal as suicide, but must nonetheless respect their wishes as long as they are informed of the consequences. Why is this not the case with someone who came in for a self-inflicted overdose or slashed wrists? Why can they not refuse care despite the obvious deleterious effects such a refusal can encompass? The congestive heart failure patient can leave the hospital after informing the staff that he is going to never take his meds, load up on pure sodium and pig out on the highest-fat food he can find and wash it down with gallons of alcohol and the hospital staff will happily wave good-bye to him as he shuffles on his swollen feet out the door. But if a perfectly healthy person wants to leave the ER after an ill-considered attention-getting gesture like scratching their wrist with a butter knife or taking an extra Ambien or Vicodin, that person is PEC’d, restrained and kept there against their will for days. Why the double standard, medical people? How is the CHF person not a danger to themselves or "gravely disabled," (as the PEC paperwork states is a condition of needing to be PEC'd)? I know that the horrible, black-magic “L” word is key here (liability). But if the refusal paperwork that the CHF patient signs is good enough to cover your asses when their cyanotic, swollen body is found buried under a mountain of fried chicken bones and bottles of Olde English 800, why isn’t it good enough for the person who wants to leave the hospital or ambulance after their silly little stunt? How is it that that person can’t direct their own healthcare, regardless of the possible deleterious outcomes?

Before you black-wearing, pill-popping, self-cutter emo people start cheering, though, allow me to direct a little insight in your general (though not specific) direction. People call the ambulance all the time for whatever problem they have. They show up at the ER all the time, again for whatever problem they have. Many are admitted to the hospital for said problems. Then after calling the ambulance or landing in an ER room or finding themselves in their hospital bed, they decide that they don’t want this or that thing. “Don’t stick me with a needle again!” “I don’t want those EKG wires pasted all over me!” I hate this catheter; take it out!” “I’m not going to take those pills!” they shriek. Then why on God’s green Earth did you come to the fucking hospital?  If you don’t want to be in the hospital, why did you call the fucking ambulance? What the hell did you expect? Despite the recent explosions of feel-good advertising that hospitals have embraced over the last decade or two, being in the hospital sucks. It’s an unpleasant experience, fraught with frequent tests, poking, tubes & wires, questions, assessments and yes, needles (or worse). Being carted there in the ambulance is at least as unpleasant, with a rough ride, countless questions, no bathroom, no food or drink and yes, needles (or worse). The medical experience is not fluffy bunnies, warm blankets and bedtime stories. Did you think it was? If you have the many years of medical experience and education to make meaningful decisions about your care, then by all means, take matters into your own hands. If you do not, then shut up and the let the professionals do what you asked them to do. If you want to get better by the standards of Western medicine, then call 911 and go to the hospital and comply with all the stuff the paramedics & doctors & nurses tell you and do to you. If you don’t want to undergo the barrage of unpleasantness that is the hospital experience, then stay the fuck home and let nature take its course. Save everyone else the trouble and ass-pain.

Thank you. This message is brought to you by The Medical Industry, who doesn’t really give a shit about you or your problems, but are willing to deal with it as long as we get a paycheck.

Wednesday, November 3, 2010