Wednesday, March 31, 2021

Morgan Griffith on Energy Policy

 From U.S. Representative Morgan Griffith (R-Va-9), editorial comment below:

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The position of this web site is that, while Congress may have to agree on ways to power big expensive things like Washington's Metrorail, most of us could already come close to energy independence ("going off the grid") and thus reduce the need for those suspected carcinogens, the high-voltage power lines. If you can get down to one electrical circuit or none, you can tell both sides of the debate in this congressional committee "Not in my name do you have to pollute anything, raise any rates or taxes, build any more high-voltage towers or cables, or anything of the kind." This is fun, Gentle Readers. 

Belated Tortie Tuesday Post: The Care and Feeding of Sick Humans

Serena: “Why d’you want to call our post that? Nobody fed you. You weren’t eating.”

PK: “Of course not. Eating food when you know it won’t stay down and nourish you is wasteful. The feeding of the Very Sick Human is easy. You just don’t.”

Serena: “Well. What a time we have had this week. After eight days of grumbling about being sick our human suddenly progressed into being Very Sick.”

PK: “On Monday, the fifteenth of March, the first poison spraying of the railroad occurred. As usual, people were given no warning, so on Monday I hauled the laptop out to that parking lot on the edge of town to go online. I wondered why the laptop seemed so much heavier and the road so much longer on the way back. At one point I sat down on a log beside the road to rest and suddenly felt faint; had to lie down on the gravel beside the log so that I wouldn’t fall off it. Fortunately there wasn’t much traffic and no one seemed to notice. The faintness eventually passed. I got up and went home.

On Tuesday, the sixteenth, early in the morning I felt that surge of otherwise unprovoked anger that has always been the prodrome of my celiac reactions. I used to worry that it was a serious emotional problem; I learned that, since the anger fades away as soon as I recognize what it is, it’s a valuable warning, (1) that I’m about to have a celiac reaction, and (2) that all our emotional feelings need to be considered as physical reactions to body processes rather than any kind of guide to how we ought to live!

I walked out again. Now I could see the poisoned plants beside the railroad. Very foolishly, I used the Internet while waiting to meet someone who I knew is irresponsible and likely not to keep appointments. The person didn’t keep that one. About halfway home a neighbor offered me a lift, so I got home without fainting.

But the celiac reaction lasted all the rest of the week. Basically the celiac reaction consists of acute damage to the interior lining of the digestive tract. Little temporary bleeding ulcers can pop up inside the mouth and anywhere further down. Damage to the bowels can cause a very specific pattern of irregularity that may or may not be complete or follow the same time schedule every time. Usually the reaction lasts only two or three days, but with heavier exposure the spastic colon can fail to resume its job for several days. However long it takes for the cause of the reaction to be expelled from the body, I have less strength and energy than I normally have.

That’s why I say that, when it’s possible for celiacs to avoid the cause of our reactions, which is normally wheat gluten, the celiac trait is not a disease but a super-power. Most celiacs grew up pushing ourselves to work through that chronic fatigue, so when we don’t have the chronic fatigue, we’ve overtrained and have tremendous strength and energy.

But when the cause is glyphosate, which we can’t avoid, the superpower turns into a disease again. And I feel very, very bad about the way our government allows other people to make me sick without even having to pay me damages, just because those people are too lazy to pull up their own weeds.

In the U.S. the top-selling glyphosate product, Roundup spray, was pulled off the market for individual gardeners. That’s a big step in the right direction but other products, some of which combine glyphosate with other chemicals that may make their effects on humans even worse, are still available to the irresponsible gardener. Meanwhile big corporations like the railroad company, which buy their poisons in bulk, are still free to torture people.”

Serena: “And kill kittens.” (Image not shown, out of kindness: stillborn, defective kitten that turned up in the yard while PK was sick.)

PK: “And songbirds. And honeybees. Don’t get me started. Anyway on Monday, the twenty-second, bowel activity seemed to be resuming. I thought I’d soon be well. I made plans to meet someone in town on Wednesday. Then on Wednesday I woke up in pain that kept me awake for hours. When I looked at the clock it was exactly 3:00 a.m. The pain was coming from the whole “core” of my body, the abdominal area. During a celiac reaction I usually bloat up enough that only the ‘fat pants’ fit, but suddenly the swelling had increased by two or three times. Even at the back of my waist, the soft tissue was rigid and tender. I was breathing in a strange pattern where my bloated abdomen expanded when I breathed out. The diaphragm muscle was having to work hard to keep that bloating from expanding up into my lungs. All the muscles in that part of my body were cramping; when I moved in a way that bent or twisted the core, the pain became enough to block any other movement I’d been trying to make.

Serena: “Were you delirious, like I was last fall?”

PK: “Not delirious, actually. I could see and recognize and remember things. However, my thoughts were—distracted. In the time it would normally take to edit a chapter of my book manuscript I’d be occupied with the new mental challenge this new disability presented, like ‘What is the least painful way to move six inches up or down in bed?’

At first I hoped the bloating and pain would subside when I’d been to the bathroom. Surprisingly, although standing up was difficult and painful, once I was standing up I could walk—but not make any use of the bathroom. I was very weak and felt faint after exertions like walking across the bedroom to get another pillow out of the closet. But nothing was moving in those bloated tissues. Glyphosate can cause paralysis. My colon was paralyzed.

I began to worry that some part of my damaged digestive tract had ruptured. My father lived with an intestinal hernia for years. It ruptured in the week before he died. Blood poisoning, in addition to bloating, set in. My natural sister, who didn’t check on either of our parents as often as I would have done, went to his flat and found him too feverish to talk. So she rushed him to the nearest hospital. Without asking questions about his background or history, the hospital staff rushed to give Dad a total anesthetic, clean up the mess in his abdomen, and stitch up the hernia. Irish people can have very different reactions to several things than English people have. One of those reactions is that upon coming out of a full anesthetic, people of Irish descent may have a fatal stroke. This is why we might say “The operation was a great success, but the patient died.” Dad’s operation seemed to be a great success, but he died. He wasn’t even seventy-five years old.

It occurred to me that if something had ruptured, it might be a good idea to start the surgery with a local anesthetic while I was able to explain these things.

I called our local EMT service, the Scott County Life Saving Crew, a fine organization that belongs on everybody’s charity list. They sent out a nurse and EMT to determine whether I needed immediate surgery. Since my pulse, blood pressure, and temperature were normal for a healthy person and I wasn’t vomiting, they said it was up to me whether I wanted to go to the hospital.

I could think of some possible benefit from going to the hospital. A hospital might be able to determine whether this glyphosate reaction was being complicated by salmonella (which it now seems to have been). If so, an antibiotic might clean it right out. I’ve never liked the idea of possibly aggravating damage to the colon by adding even a simple saline solution, but this bloating and blockage were horrible enough to make me willing to reconsider having an enema, in a hospital setting where damage to the colon could be repaired.

I could also think of the expenses. Hospitals tend to like to keep people in beds “for observation” for several hours before anything is done about a condition that is not life-threatening. This allows doctors to treat life-threatening conditions first, allows nurses to observe symptoms the patient may not have mentioned, and allows the hospital to start billing with a thousand dollars a day for that hospital bed. I could think of ways to pay for an antibiotic or an enema but not for a day in a hospital bed.

I decided to suffer through this episode in my own bed, where at least I had books to read and would not be exposed to other people’s germs.

But after I’d gone inside, surrounding myself with paperback books and a plastic jug I could use for a bedpan, I did begin vomiting. Several times during the next three days, whether my stomach contained water or nothing at all, it heaved. A bowel movement brought only partial relief. I made five or six tries to get up and feed the cats before I was finally able, right after vomiting, to drag myself to the porch. Then I felt faint and lay down.”

Serena: “You seemed glad to see me, but you didn’t even try to touch or kiss me or hold out a hand for me to sniff. I thought about sitting on you and purring, but you didn’t seem to want that.”

PK: “No! I suppose you might have curled up on my arm or shoulder, the way Heather used to do, but even my chest was sore from that laborious double-breathing process. I thought your sitting on me would hurt more than help.”

Serena: “Okay, right, keep your fur on, as we say. I know where I’m not wanted. I didn’t even let Silver ask. But we were concerned about you.”

PK: “I had heard Sommersburr calling you. It was Friday. I had not had the energy to feed you dinner on Wednesday after the nurse left, nor breakfast nor dinner on Thursday. I thought, ‘He’s inviting you to his house, and people who like cats enough to adopt an old ugly tomcat like Sommersburr will probably want to keep you two. Will I ever see you again?’ I looked out the window and didn’t see you and thought, ‘Now by the time I get to the kibble bin, they’ll be too far away even to hear me.’”

Silver: “No such! Sommersburr was inviting us to his house, but we told him to go home. We knew you weren’t dead. We wanted to see you.”

PK: “Seeing you right at the door brought tears to my eyes. Most cats do not have a noticeable capacity for love of any other creature but themselves. Social cats do, which is what makes you special, but although there’s no doubt that Serena loves you, Silver, I have wondered whether she even likes me.”

Serena: “Well I’m not the soppy sentimental type. Never was. And you’ve done some things I really did not like. But I suppose the bottom line is, given a choice between dinner with a stranger or sitting hungrily outside the door watching for you, I choose you.”

PK: “I love you, too, Serena. As soon as I was able to stand up I fed you and Silver. And Sommersburr, but he didn’t eat.”

Silver: “He is a cat who loves, like us. He knew we needed every kibble we could snap up!”

PK: “Then I went back to bed and stayed there. A routine chore like giving you two your breakfast had suddenly become a full day’s work, even though the cramps and bloating did seem to be subsiding. I kept sipping water. My mouth stayed so dry I could hardly speak but, eventually, most of the water stayed down. I read paperback books and thought about things. I dozed a lot, after the first few horrible hours; every time I woke up from a dream I’d been dreaming about the writing I wasn’t doing. On Friday night I made three or four tries to go out and dump the bedpan and give you your dinner. Eventually I did get the bedpan dumped but did not get back to the kibble bin.

It's lasted a full week and it's not over yet. I've felt that I've been making some very small amount of progress every day. Bowel movements did eventually appear; they had the look of salmonella. This afternoon, the thirty-first of March, when I finally got my Internet back, I sat up for four hours, the longest time I've lasted all week. One of the more convenient genes I inherited is for resistance to bacteria like salmonella, so I expect to make a full recovery without having to pay for professional help.

One reason why older people seldom talk to counsellors is that young counsellors don’t understand what the change of life is all about. For young people, mental health means wanting to stay alive at any cost. For older people, mental health means accepting that we can’t always stay alive, in any meaningful way, and accepting that our lives are going to end. Young people always think we’re talking about suicidal depression. No such. We may appreciate the good things of this life more than the young do—I remember noticing, several times, the pretty new flowers and green leaves of spring, from my bedroom window, and wondering whether I’ll be here to enjoy them next year. For me, if I can have another fifty years to live on my own, with or without any new mates or young that might come along, I’d still take every one of those years. But I don’t want even one year of pain or being dependent on other people.

That’s what my blog buddy and mentor and best friend for life, Grandma Bonnie Peters, was thinking when she did the Last Road Trip while she was weakened by liver cancer. She might have preferred to have the stroke after spending more time with those relatives, rather than before, but the goal was to have that stroke before she got to the really horrible stage of liver cancer.

People didn’t want to let her go. I can certainly relate to that. It was GBP’s nature, as a nurse and a mentor for people living with health problems, that made people feel dependent on her, and she hated to be depended on. She always told people, no matter how much they liked a friend, never to depend on a friend for anything. She loved George Peters but, when he felt the need to be in an assisted living project, she refused to stay there more than a few hours at a time. She didn’t want to raise ‘mother’s girls.’ Of her two daughters she chose to spend her declining years with the one who was less responsible and less emotionally involved with her. She liked the independence of having time to clean up her own mess, even after she’d seen how that could mean lying on the floor for thirty-some hours instead of being rushed right off to the hospital. As a friend she would push people away, even hurt and disappoint them, if she thought they were getting too close. I think she wanted people to be able to accept that she was gone, when she was gone.

Nevertheless a lot of them weren’t, and I get that, now, too. ‘How could you have let her go on that trip?’ Well, for one thing, as her husband knew, when GBP wanted to do a thing, you could offer alternatives; she’d ignore them. You could sit on her; she’d bite, and eventually you’d have to get up and she’d go right back to Plan A. If you did not fully agree with her plan, your best chance was to go along with her and try for damage control.

Do I miss GBP? Often. Lots of women love to play “mommy,” and I suppose we should let them feed their prolactin cycles, though I wish more of them would just adopt babies and stop oozing their prolactin into adult conversations. And I have some older friends—I suppose it’s the way they feel they need to define a relationship with someone younger—who’ve said “I could be your mentor.” And frankly, if there’s anything GBP and Suzette Haden Elgin and Bonnie Prudden failed to teach me, as mentors, I am probably hopeless and never going to learn it; not that I mind watching other people for pointers. I’ve not felt a need for mentoring or mothering since GBP’s died. I’ve been profoundly blessed; I’ve been the student who becomes the teacher’s peer and friend. She would ask me for tips as easily as I would ask her, but mostly, when I spent time with her, we strategized. Reminisced, too, and cooked, and walked. I miss that.

None of The Nephews has been dependent on me for anything but auntly love. They’re old enough to get by without that, by now. I suppose it’s possible that some people may miss the friendships they’ve had with me, too—but adults have to live with that kind of loss.

I worry about people bothering their heads about me being Very Sick “all alo-o-one.” If I become sick enough to feel that I need to be in a hospital, I suppose I could force myself to go to one, but when I’m sick I prefer to be all alone. Having someone else watch does nothing whatsoever to improve the experience of vomiting. Nobody else really had to know that I’m the sort of patient who, however long it takes and however much of a challenge it feels, will sponge-dry and disinfect the spot where a little vomit splashed on the bed, before I lie down again. That was Thursday’s big achievement. I vomited, I splattered, I bloodywell cleaned the spot and lay down in a sanitary bed. Nobody needed to watch that. Nobody needed to “help.” Maybe I needed to know that, even with my new disability, I could still be myself.

Maybe another time, if not this time, I’ll get sicker and die, “all alo-o-one.” If so, the most important thing for other people to know is that I preferred to be all alone, in my favorite place, with some of my favorite living people (even if they happen to be cats—real good will matters more than species does).

Anyone who feels inclined to fret about my being sick, ill, injured, “all alo-o-one”…well, first of all, I’m not really, even when all of The Nephews are with their own parents or at their own schools or generally living their own lives. It’d be nice if one of them turned out to be a congenial housemate for me, but Gate City has turned a lot of people off the idea of living with me, and no young person should have to try to start a career in Gate City because they think I’m “all alo-o-one.” Emotionally? I have the cats. For security? I have the neighbors; we’ve seen that even the Bad Neighbor would feel it a blot on his honor if he didn’t summon help for someone who was ill. I think, if like our poor friend Oogesti I’d collapsed beside the road, I’d rather just die than be picked up and ministered to by the Bad Neighbor; still, the Bad Neighbor did stay beside Oogesti until the ambulance came. For emergency medical help? I have the Life Saving Crew. I now have two cell phones.

But please—for Heaven’s sake, for your sake, for my sake, for all of our sakes!—don’t fret about the possibility that I might manage to have the dignity to die alone, in my own home, without calling for help. It’s generally agreed that a good death is a quick death in which the person doesn’t have time to call for help.

Fret, instead, about the fact that the only reason why I’ve been sick, or am likely to die, is that in these United States the law still allows people to poison the air their neighbors have to breathe—to poison me—to make me sick. Me today, you tomorrow. Meditate on that fact, and let it make you angry. Fighting mad.

Glyphosate Awareness.

Carry it on.”

Serena: “For us cats, too.”

Silver: “And the songbirds, the butterflies, and the honeybees.”

Tuesday, March 2, 2021

Morgan Griffith on the Possible Vaccine Surplus

Is that going to be a problem? If we have more COVID-19 vaccines than we need, can we just send them to some place that doesn't? I only report these things but I'm glad to report that this web site is back on Congressman Griffith's e-mail list.

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Sunday, February 28, 2021 –

Could We Have a Vaccine Surplus?

The headline on February 27 was a story that seems to be both old news and extraordinary: the U.S. Food and Drug Administration (FDA) approved for emergency use a COVID-19 vaccine produced by Johnson & Johnson after finding it to be safe and effective.

It could be considered old news because Johnson & Johnson’s vaccine is the third COVID-19 vaccine to be authorized since December 2020, following those from Pfizer-BioNTech and Moderna.

Nevertheless, the successful creation of these vaccines, with possibly more on the way, remains a remarkable accomplishment. A U.S. Government Accountability Office report found that vaccines typically result from a process that takes ten years from the exploratory stage to large-scale manufacturing and FDA review and licensure.

In contrast, the FDA approved the first two COVID-19 vaccines only eleven months after our country recorded its first case of the coronavirus. Each vaccine dose today being administered to Americans represents a great scientific and logistical accomplishment.

As of February 26, more than 68 million doses have been administered, resulting in 13.9 percent of the total U.S. population receiving at least one dose. The United States is well ahead of President Biden’s goal of administering one million doses a day for the first one hundred days of his presidency. In fact, the country had already met that goal on at least three days before he took office.

The Trump Administration’s Operation Warp Speed, which brought together government, the private sector, and the scientific community to achieve the unprecedented feat of creating a coronavirus vaccine within a year, supported the manufacture of promising vaccines before they met with final FDA approval. As a result, as soon as the FDA signed off on a candidate, doses of it were available for distribution. Pfizer began shipping its vaccine within 24 hours of the FDA’s approval.

Operation Warp Speed offered a head start, but manufacturers now are focused on increasing capacity to keep up with demand. Vaccinating the entire eligible population of Americans, currently estimated at 260 million people, presents a great challenge. The eligible population is less than our total population because no vaccine is currently authorized for children or pregnant mothers. Also, there are people who do not want to be vaccinated, and that is their right.

During a recent Subcommittee on Oversight and Investigations hearing, we heard testimony from representatives of the companies developing vaccines that have been approved or are promising candidates. In addition to Pfizer, Moderna, and Johnson & Johnson, AstraZeneca may be approved in March or early April, and Novavax currently has a vaccine candidate far advanced into clinical trials.

I came away from the hearing with optimism that they would meet that challenge.

Pfizer is on track to deliver all 300 million doses that it has been contracted to deliver by Operation Warp Speed by the end of July. So is Moderna. Both of these vaccines require two doses, so that means 150 million people would be covered by each of these manufacturers.

At the time of the hearing, Johnson & Johnson’s vaccine had not yet received emergency use authorization, but it nevertheless is set to deliver 100 million doses by the end of June. This vaccine only requires one shot.

Taking these three vaccine manufacturers together, enough doses have been pledged by the end of July to cover 400 million people, well over the 260 million Americans eligible for vaccination.

When I asked the panel of witnesses whether this meant the United States would have a vaccine surplus in the summer, all five agreed that it was plausible.

With a vaccine surplus after eligible Americans are vaccinated, the remainder could be distributed for use in other countries.

That will not be the end of the work. Mutations of the coronavirus threaten to prolong the pandemic, as the current vaccines may not provide as much effective protection against them. Fortunately, both the Moderna and Pfizer vaccines apparently do defend individuals against emerging variants, but the companies are nevertheless studying the possibility of booster shots to maintain their efficacy.

Children are not currently eligible to receive these vaccines, so pediatric trials are under way to see whether a separate vaccine for children would be necessary.

Vaccines offer the best path to a restoration of normalcy in our lives. I appreciated the update from the vaccine manufacturers and was encouraged by their reports of progress in our effort against the coronavirus. I am hopeful that better days are on the way. Too many vaccine doses is a problem I would like to have.

If you have questions, concerns, or comments, feel free to contact my office.  You can call my Abingdon office at 276-525-1405 or my Christiansburg office at 540-381-5671. To reach my office via email, please visit my website at www.morgangriffith.house.gov.

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