Trump and the medical VIP syndrome

It is of course no secret that the wealthy get treated differently from the rest of us and the world of medical care is no exception. Doctors often stray from standard treatments when their patient is seen a an important figure, sometimes in an effort to impress the patient that they are doing as much as they can, and sometimes because the patient demands it. This can happen even when the patient is a friend or relative or a fellow doctor. As we have seen, Trump got all manner of treatments that ordinary people would never have received. This phenomenon even has a name, the ‘VIP syndrome’. But it is not clear that this is a good thing even from the patient’s point of view, because it can result in overly-aggressive treatment that can have unwanted side-effects.
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Strong editorials from Scientific American and NEJM

This election and the extreme nature of the Trump presidency has resulted in the breaking of all manner of precedents. In particular, scientific organization which normally stay out of explicit involvement have decided to make endorsements. Scientific American magazine, for the first time in its history, weighed in with extremely strong language on why it was important to vote for Joe Biden.
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Seth Meyers sums up the week’s news

It is disturbing that neither Trump nor his doctors nor White House spokespersons are saying when he last tested negative for the coronavirus, even as he insists that he plans to hold rallies and demands that the next debate on October 15 be held in person instead of virtually as the debate commission has decided. The fact that Trump seems to have later decided against traveling this weekend after saying that he would suggests that maybe, just maybe, wiser counsels have prevailed on him to not be so utterly reckless.

I will be giving a talk on The Great Paradox of Science

I will be giving a talk about the ideas in my book to the Science Cafe in Cleveland on Monday, October 12 from 7:00 – 8:00 pm (US Eastern time).

The first part will dispel some common myths about science by asserting that there is no such thing as the scientific method; that scientific ‘facts’ are not unchanging objective statements about nature but are theory-dependent judgments; that scientific theories are not falsifiable; that there is no reason to think that scientific theories are true or even approaching truth; that no amount of data can prove the truth of a theory; and that theories cannot even be assigned probabilities of being true.

The second part will describe how science can be so successful despite these seeming weaknesses. I will argue that this more sophisticated understanding of science will provide scientists, policymakers, and members of the general public with the tools they need to make sound, rational decisions in all areas of their lives and to better counter those opposed to specific conclusions of the scientific community–nonbelievers in vaccinations, climate change, and evolution for example–who have been able to exploit the weaknesses in the current folklore about the nature of science to advance their anti-science agendas.

The format of these highly interactive talks is that the speaker presents for just 20-30 minutes and the rest of the time is taken up with Q/A with the audience. These sessions start promptly.

You can join the Zoom session from PC, Mac, Linus, iOS or Android:
https://cwru.zoom.us/j/95328382598?pwd=V01GaEhvRGFWTzE4dU02WEhZcU0yQT09

Meeting ID: 953 2838 2598
Password: 031709

You can sign in starting at 6:45 pm but will be asked to remain in a waiting area until the session actually begins.

How can they tell?

Calvin Coolidge, who presented a “quiet, boring, dour” image to the public, became president in 1923 when president Warren G. Harding died of heart attack. He was elected to the presidency in 1924 and practiced what might be called a minimalist style of governing and personal behavior. He would sleep for about 11 hours a night and also manage to get in a nap during the day lasting from two to four hours. He would speak as little as possible, advising his successor Herbert Hoover that he “could rid himself of long-winded visitors by simply sitting still and in silence until the visitor stopped talking.”
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Trump just doesn’t care about others

Trump left Walter Reed Hospital yesterday despite all the conflicting reports about how seriously he has been affected by the virus. He clearly wants to send a message to his supporters that he is well again because in MAGA world, being ill is a sign of weakness. Hell, even taking precautions to avoid getting sick is a sign of weakness. While he wore a mask when he left the hospital, his gesture of taking it off just before he entered the residence was a gesture of bravado he had clearly planned in advance.


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Katie Porter exposes price gouging by pharmaceutical companies

The congresswoman from California is so effective because she does her homework, showing that what one significant factor driving price increases of drugs is that pharmaceutical CEOs are compensated according to the profits the company makes. She exposes one CEO who tripled the price of the drug his company produced and reaped a fat bonus.

The shambolic White House strategy over Trump’s illness

It is standard practice in politics to put the best face on anything concerning your candidate so one should not be surprised that Trump’s doctors are giving upbeat reports on his health. But what I don’t understand in why they are giving such contradictory messages.

President Donald Trump could be discharged “as early as tomorrow” from the hospital as he battles the coronavirus, his medical team said on Sunday, while acknowledging Trump experienced concerning drops in his oxygen saturation levels both Friday and Saturday.

The timing on a potential release from Walter Reed medical center, where Trump has been since Friday, was a change from the more cautious assessment the president’s physician, Sean Conley, gave on Saturday, when he declined to “put a hard date” on a possible discharge date.

During a briefing on Trump’s health Sunday morning, Conley also confirmed the president had received supplemental oxygen while at the White House on Friday morning — a step frequently taken in more serious coronavirus cases. Conley a day earlier had avoided acknowledging Trump’s need for supplemental oxygen before arriving at Walter Reed.

Separately, Conley also revealed the president had been given dexamethasone, a decades-old steroid. The announcement concerned medical experts because the drug is typically recommended only for patients with severe or critical cases of Covid-19.

U.K. scientists reported in June that dexamethasone, which quiets the immune system, reduced the risk of death for patients who required supplemental oxygen or ventilator assistance. While the drug can aid those severely ill patients, whose symptoms are often the result of an immune system in overdrive, it can also harm those who are not as sick by hampering the body’s ability to fight off the virus.

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