Tomorrow morning I will be at Alta
Bates Hospital here in Berkeley, and my friend and colleague Joel
Piser will be operating on my prostate, which has grown too big for
my britches in an excess of manliness, I guess. It should be a minor
laser procedure, and here's hoping that that's all it is.
It has led me to reflect, once again,
on the proclamation of the public health community that the major
advances in health have not been personal medical services, but
advances in hygiene, cleanliness, food safety, immunizations, and
other mass programs. While I'm sure that is true as far as it goes,
it should not lead to a derogation of the importance of medicine.
Without them, I wouldn't be here, and neither would millions of
others who overpopulate our world. In the near term, facing this newly available prostate surgery, I reflect that without it, I would sooner or later be in the situation faced by Peter the Great, who died after 13 days of not being able to pee, in great distress as we can imagine, as especially I can imagine.
Indeed, my medical adventure started early. When I was born, I had tight tendons in
my right foot and bony abnormalities that must have resulted from
malposition in the womb as my foot was forming. The tendons were
released by an orthopedist – I believe by Richard Kaplan, whose
wife later became my father's companion when my mother died at age
72. Without that surgery I would have been crippled with a permanent
limp. In primitive times I would not have survived.
At the age of 14 I broke my right tibia
and fibula sliding into home plate in a misguided attempt to steal
home – I still remember my friend John Raezer, my third base coach,
saying, “You can do it, Budd! Steal home!” Out by a mile as
Jimmy Laird blocked the plate with ball in glove. Off to the
hospital to have my leg set and casted by my father's colleague Dr. Kim.
Again, were we in primitive times (pre-baseball), perhaps death.
Same thing at age 40 when I fell off a
skateboard and was taken to Merritt Hospital where friend Mal Barer
put a pin in to stabilize that right fibula. Not so much danger when Mal operated twice on my right knee to trim the meniscus, nor years later when my left knee had similar surgery, but still, seemed helpful to my walking without pain.
In 2009 I had my right hip resurfaced;
otherwise I would have been crippled; now, I'm pretty good.
In 2011 I was going blind from a
pituitary macroadenoma, fixed by miraculous surgery that is now
routine. Death would have been certain without he surgery.
http://buddshenkin.blogspot.com/2011/08/welcome-to-neurosurgeryland.html
In 2016 my melanoma was removed, which I appreciated, and again were it untended, it would have killed me. Still could, though I doubt it.
I currently take two blood pressure medicines daily. Without these I would have been long gone from hypertension complications. These medicines were unavailable 50 years ago.
I currently take two blood pressure medicines daily. Without these I would have been long gone from hypertension complications. These medicines were unavailable 50 years ago.
I currently take a statin for
hypercholesterolemia and hypertriglyceridemia. I would probably have
had a fatal heart attack or stroke without these.
I take thyroid replacement and androgen
replacement medicines because of the destruction wrought by the
pituitary tumor. I would be severely impaired by lack of thyroid
hormone, and I guess the absence of testosterone wouldn't be good for
me either.
In sum, the point I'm making is this: complain that personal medical care is overemphasized, complain that
it is far too costly, complain that public health is underfunded and
underappreciated, complain all you want. But personally, I wouldn't
be here without it, and neither would many of you reading this.
How we pay for it is optional and could
be a lot better. How luxuriously we are treated is likewise
optional. But as for me, give me personal medical care or give me
death.
Budd Shenkin
Budd,
ReplyDeleteI wish you the best possible and a stream that is a dream.
I would not be alive without modern medicine either. Thank you for being present for me during my own recovery. Bruce Gach,M.D.
Hey, Bruce! I remember your ordeal well, and your insistence on a proper diagnosis, your search for the best treatment, and your bravery. Admirable!
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