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Of the 1332 posts I have polluted cyberspace with, the most frequently visited is a post on the topic of neutron lethargy written in May of 2008. The post is titled Neutron Lethargy- This Weeks Obscure Dimensionless Quantity. My intent was to write about some of the obscure yet interesting factoids and concepts that I run into in my daily travails.

I’ve been drawn to nuclear topics since junior high school. Sometime in 8th grade I began to to build several scientific projects as described in the Scientific American column The Amateur Scientist written by C.L. Stong. Stong published a collection of articles in a book titled The Scientific American Book of Projects for the Amateur Scientist, 1960, Simon and Shuster. This book was (is) a treasure trove of information on how to assemble equipment for scientific investigation.

In jr high I spent some time trying to assemble an “Atom Smasher” (p 344). It was an evacuated glass tube with filament electron source a meter away from the positively charged target. The target was a 3 x 1/4 inch disk of aluminum with many perforations over which aluminum foil would serve to seal in the vacuum. The aluminum foil was to serve as a window through which electrons could collide with a sample on the exterior. Sadly the project eventually ended due to the lack of access to a McLeod gauge, bulk mercury, and a diffusion pump. The required Van de Graff generator was available for a few hundred dollars. The failure was perhaps fortuitous because even if I had managed to assemble the thing, I might have been exposed to x-rays during the accelerator’s operation.

Turning my attention to more feasible projects I did manage to do some biology experiments. The most interesting was growing protozoans from an infusion of grass and soil in standing water. After several days the water would turn cloudy and fetid. Using a decent Christmas microscope we were able to view a magical world of microorganisms scooting around in their herky-jerky manner. It was mesmerizing.

A glove box project afforded a place for growing microorganisms with petri dishes purchased at a hobby shop. I was able to grow mold and some blend of bacteria on Jello in the petri dishes, but the microscope didn’t have the resolution for bacteria. Since I had no interest in pathogens, the glove box was not really needed. But it looked cool.

By 10th grade I did manage to successfully build the cloud chamber project (p 307). Unfortunately I only witnessed stray cosmic rays and background radiation. As it turned out, the polonium 210 alpha source loaned to me by a physics teacher had long since decayed to inactivity. Building the chamber was a tremendous learning experience made possible through the use of the metal shop at school. It was of sheet metal construction with a dry ice and methanol coolant chamber built in. The actual chamber was made from  the bottom quarter of a Folgers coffee can cut and fitted with a glass viewing port and Plexiglass illumination ports. As I recall, the most problematic aspect of the construction was finding an adhesive that would not detach at dry ice temperature.

An electromagnet was built in an attempt to bend the path of the particles by a magnetic field, but was wholly inadequate for the job. Learned another lesson there too.

The book by Stong was something that lit up my curiosity and put a fire in the belly to explore. This was the beginning of what turned out to be life-long career in science. Strangely, the total lack of interest by the adults around me only strengthened my resolve to build and learn.

A grim message from Chairperson Vanessa Allen Sutherland of the US Chemical Safety Board reads-

“The U.S. Chemical Safety Board (CSB) is disappointed to see the President’s budget proposal to eliminate the agency.  The CSB is an independent agency whose sole mission is to investigate accidents in the chemical industry and to make recommendations to prevent future accidents and improve safety.  For over 20 years, the CSB has conducted hundreds of investigations of high consequence chemical incidents, such as the Deepwater Horizon and West Fertilizer disasters.  Our investigations and recommendations have had an enormous effect on improving public safety.   Our recommendations have resulted in banned natural gas blows in Connecticut, an improved fire code in New York City, and increased public safety at oil and gas sites across the State of Mississippi.  The CSB has been able to accomplish all of this with a small and limited budget.  The American public is safer today as a result of the work of the dedicated and professional staff of the CSB.  As this process moves forward, we hope that the important mission of this agency will be preserved. ”     -posted 3/20/17

I want to voice my support generally for this elite group of accident investigators. As a chemical safety professional myself I am disappointed to see the CSB regarded low enough by the President’s budget writers to warrant being in the proposal for elimination. The job of the CSB is to investigate the cause(s) of chemical, petrochemical, or other facilities that handle materials having the potential to produce serious accidents. Having done accident investigations myself, albeit at much reduced scale from a petrochemical refinery, I appreciate what a difficult job this is and the great value of the disseminating findings to the industry.

The value of any given CSB report is the story of how an accident is initiated, how it propagates, and how it may couple with diverse systems. As a crucial part of the report is a detailed dissection of the relevant operational systems and human/machine interfaces and how they may have coupled to the event. It is educational and very useful for the safety community to learn how unfamiliar failure modes initiate and how knock-on effects may steer the accident in directions that are difficult to predict.

Planning for process safety involves input from the fields of chemistry, engineering and operations. Importantly, it requires imagination because planning safe operations is about predicting the future. Shutting down CSB investigations will deprive the engineering and safety community of a valuable resource detailing subtle or non-obvious ways in which complex systems can fail.

Recall the Apollo 1 fire or the Challenger explosion and how inquiry into those events lead to better appreciation of failure modes and the layers of protection that can be put in place to prevent the failure. If this kind of investigation is kept confidential, the advance of safe system design will stagnate.

Guapo, AZ. The American Greenhouse Association (AGA) released a statement Friday in response to the Trump Administration’s denial that greenhouse warming is not based on established science. The spokesperson for the AGA, Mr. Harlan Stamen, announced that the greenhouse industry has begun a fundamental reexamination of the science behind the greenhouse effect. The AGA was one of many organizations meeting last week at their industry’s annual conference at Pultroon University.

Mr. Stamen, standing before a packed room of reporters, bluntly stated “we thought we understood how the greenhouse effect worked. Honestly, we thought that problem was solved. Then we hear from the new administration in Washington that as many as a few percent of scientists were unsure.” Stamen went on to say that greenhouse researchers were working feverishly to understand how certain substances, CO2 among them, in fact just do not absorb solar energy as believed. “Clearly”, Stamen allowed, “we have to figure this thing out. We have no clue how our greenhouses get warm in sunlight.”

The spokesperson for the White House Office of Inquisitions,  Olivia Gastly, Esq., released a statement saying that the Office is “aware of many individuals in Democrat science who think they understand these issues of climate- I mean, who knew it was so complicated-  but our belief .. our belief … is backed by many years of assurances by the very best people that using fossil fuels cannot possibly produce global warming.”

President 45 has chosen a cabinet, with senate confirmation, that outwardly seems chosen specifically to deconstruct the large scale structure of the federal government. This has come out in the open by admission from the likes of Steve Bannon, but serious dialog about the consequences of this has only just started.

If you step back a bit and think about what role the federal government has had in modern US culture, you might realize that the federal governmental superstructure has provided a framework and a shelter for many things citizens and businesses have come to rely on.

Some science oriented services the federal government has provided-

  • Funds for industrial expansion in 2 world wars
  • DARPA, which funds for the development of advanced military hardware, including aviation, communications, orbital platforms, electronics, robotics, computer technology, and more. All of this has spillover benefits to the nation at large.
  • A military establishment that countless young men and women joined that helped them build a career for life after enlistment
  • The GI bill post WWII credited with aiding the formation of the American middle class
  • The FAA regulates the operation of a large scale civilian aviation system, including organizing the airways, aviation safety, air traffic control
  • NIST, which provides for common weights and measures as well as the definition and standardization of many other units of measure for science and industry
  • CDC, which monitors and aids in the identification and containment of diseases
  • NOAA, which provides a large array of satellites and computer capacity for weather forecasting
  • EPA, that agency much maligned by pollution-generating industry, is charged with oversight of surface waters of all kinds as well as the purity of the air we breath.
  • The NIH which serves as an effective national resource for the advancement of medicine in research and in practice
  • The NSF has for many years funded basic scientific research, and in doing so provided many generations of scientists and engineers for industry and academics
  • NTSB is charged with investigating transportation accidents and promoting transportation safety
  • you get the picture …

I am not entirely sure what the slogan “Make America Great Again” really means. It is a brilliant piece of propaganda in the sense that it stirs the emotions of voters, but cannot be pinned down to any one meaning. The image of greatness is in the eye of the beholder.

When I think of this greatness business, my mind naturally goes to the source of our vast science and engineering prowess. The US evolved a unique and effective system of research and development.  The American university/government R&D machine has over many years provided breakthroughs in technology, but also it provides a constant supply of valuable scientific and engineering talent for any and all who need it.

Another benefit of our scientific establishment is the treasure trove of knowledge it leaves behind for posterity. Working in an R&D heavy manufacturing environment, I have at my finger tips the largest collection of international scientific references in the world. This is the CAS registry at the Chemical Abstracts Service and it is in fact national treasure.

I use this resource almost daily to uncover known technology and substances dating back to the late 19th century. A great resource to have because in business, you can’t afford to reinvent the wheel. And a lot of wheels have already been invented. Highly detailed information can be retrieved to provide the knowhow to solve problems encountered in industrial R&D today. Information that is in the public domain. Even better, because of the practice of peer-review, the information usually can be considered highly reliable.

Our government/university R&D complex is the goose that laid the golden egg. It is part of the engine of ingenuity that drives our economy.

Industry benefits from tremendously from a constant supply of talented engineering and scientific talent graduation from the best university research establishment in the world. It is this way in large part because of financial input from federal government funding agencies. Yes, there are monies available from private organizations. But I don’t think it compares in magnitude and breadth to funding from DoE, NSF, NIH, etc.

When I see that the present crew of republican elected officials and their appointees gunning for the large scale teardown of government agencies and reductions in force, I am naturally worried about the future of our education and R&D apparatus. I have trouble believing that the present congressional majority and the White House have the knowledge and intellectual bandwidth to comprehend the consequences of their actions.

This whole deconstruction of the federal government in favor of state control has the smell of a return to confederacy. Ask yourself how a confederate states of America would function when challenged by China or Russia militarily. How would the disunity by strong state control of resources respond in the case of an incremental land grab like the Russian takeover of Crimea. What if China takes over Taiwan and threatens hegemony of the Pacific?

The present political regime in DC threatens to do great harm to a civilization that used to be the envy of the world. Opportunity, wide open spaces, modernity were an attribute of a productive, unified nation. Do a majority of the citizens want what amounts to the libertarian dream of personal responsibility in the form of isolated bubbles of humanity? Does every aspect of our lives have to be a potential profit center for someone? Competition thrives with individual choice. But civilization requires cooperation. I vote for civilization.



EPA administrator Scott Pruitt has made clear by his comments that he knows little about science generally, let alone those areas that EPA is charged to oversee. If the Wikipedia site is to be believed, Pruitt’s education and career track in no way qualifies him to direct or make assertions on behalf of the EPA.

I would say that Pruitt does not have the credentials to speak authoritatively on the matter of climate science. This contention should be printed everywhere 24/7.

Plainly, he is the boss man of a wrecking crew for dismantling environmental protection.



I have concluded that we are witnessing in the political sphere today the wholesale deconstruction of our national public spaces and civic institutions by elected officials responsive to influences substantially unknown. And unknown by design. The last few decades have seen erosion of public support of public education, both emotional and financial. Plainly, conservative media have been gradually beating down public support by sheer repetition of slogans and falsehoods. Legislatures have withdrawn funding or applied unfunded mandates to public schools to the effect that when they fail to meet absurd goals, they congratulate themselves on their prescience. The claim that they want more accountability from teachers is a thinly vailed attempt to disband teachers unions. Teachers, being optimists and educated, are frequently of liberal disposition.  This is the application of propaganda and it works. Republicans are good at it because they know how to apply sustained fear in the hearts of voters too preoccupied in their own lives to research issues. The right owns the left side of several population bell curves and are advantaged by it greatly.

An AG from Oklahoma will soon be administrator of the EPA. For decades Republicans and conservative media have chanted the same message that regulations are bad with the subtext that they are inherently bad. They are bad for business and inhibit job creation they say. If discharging persistent pollutants into the air or waterways is bad for business, then tough shit. We do not need that kind of business.

Not a peep is uttered on the events that lead to the rule making by the agency. I lay this omission squarely on corporate media. Water pollution doesn’t make good television. Apparently even the success stories of agencies like EPA do not make compelling television. If you want to see a world unimpeded by environmental protection, go visit some of the industrial districts in China, Southeast Asia, or India. Tell me how the free market is working there. China by the way has gotten religion on environmental protection due to decades of rampant pollution.


Chaffetz withdraws bill, slinks back into hole


Representative Jason Chaffetz [R-UT-3] has introduced H.R. 621 which aims to direct the sale of 3.3 million acres of federal public land in the west. The bill is titled “H.R.621 – Disposal of Excess Federal Lands Act of 2017”.  Below is a copy of the bill.

1st Session

H. R. 621

To direct the Secretary of the Interior to sell certain Federal lands in Arizona, Colorado, Idaho, Montana, Nebraska, Nevada, New Mexico, Oregon, Utah, and Wyoming, previously identified as suitable for disposal, and for other purposes.

January 24, 2017

Mr. Chaffetz introduced the following bill; which was referred to the Committee on Natural Resources

A BILL To direct the Secretary of the Interior to sell certain Federal lands in Arizona, Colorado, Idaho, Montana, Nebraska, Nevada, New Mexico, Oregon, Utah, and Wyoming, previously identified as suitable for disposal, and for other purposes.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. Sale of certain Federal lands previously identified as suitable for disposal.

 (a) Short title.—This Act may be cited as the “Disposal of Excess Federal Lands Act of 2017”.

(b) Competitive sale of lands.—The Secretary shall offer the identified Federal lands for disposal by competitive sale for not less than fair market value as determined by an independent appraiser.

(c) Existing rights.—The sale of identified Federal lands under this section shall be subject to valid existing rights.

(d) Proceeds of sale of lands.—All net proceeds from the sale of identified Federal lands under this section shall be deposited directly into the Treasury for reduction of the public debt.

(e) Report.—Not later than 4 years after the date of the enactment of this Act, the Secretary shall submit to the Committee on Natural Resources of the House of Representatives and the Committee on Energy and Natural Resources of the Senate—

(1) a list of any identified Federal lands that have not been sold under subsection (b) and the reasons such lands were not sold; and

(2) an update of the report submitted to Congress by the Secretary on May 27, 1997, pursuant to section 390(g) of the Federal Agriculture Improvement and Reform Act of 1996 (Public Law 104–127; 110 Stat. 1024), including a current inventory of the Federal lands under the administrative jurisdiction of the Secretary that are suitable for disposal.

(f) Definitions.—In this section:

(1) IDENTIFIED FEDERAL LANDS.—The term “identified Federal lands” means the parcels of Federal land under the administrative jurisdiction of the Secretary that were identified as suitable for disposal in the report submitted to Congress by the Secretary on May 27, 1997, pursuant to section 390(g) of the Federal Agriculture Improvement and Reform Act of 1996 (Public Law 104–127; 110 Stat. 1024), except the following:

(A) Lands not identified for disposal in the applicable land use plan.

(B) Lands subject to a Recreation and Public Purpose conveyance application.

(C) Lands identified for State selection.

(D) Lands identified for Indian tribe allotments.

(E) Lands identified for local government use.

(2) SECRETARY.—The term “Secretary” means the Secretary of the Interior.

SEC. 2. Clarification regarding State laws.

Nothing in this Act shall affect the implementation of State laws, including State enabling Acts.

Suddenly we have a bill seeking to sell federal land “suitable for disposal, and for other purposes“.  I’ll add four comments:

1) federal land is public land, and not just for taxpayers, but all citizens,

2) the word “disposal” is a rhetorical kicker that is suggestive of salvage, and

3) the phrase and for other purposes is far too vague.

4) there is no language barring sale to foreign interests.

This bill is too shadowy and too soon. Citizens should have a chance to see for themselves what kind of land this is. We need transparency and some idea of who could buy and what is likely to happen to these lands. But more importantly, there should be some deliberation on the matter of what responsibility we have to future generations to maintain wild spaces for their use. Our public spaces in America set us apart from other nations who, because of their long and complex histories, were unable to plan for public spaces.

Do you really believe that you’ll be better off when this land is snatched up by monied interests?

A parting thought. Much of the land now occupied in the west was settled by homesteaders who developed the land and made a living from it. Why can’t that happen today? This land formed a basis for the inheritance of wealth for future generations. Did Mr. Chaffetz even consider this? Doubtful.

You may know that after an Amazon transaction you will eventually receive a notice requesting an evaluation of the quality of product and delivery. In the 5-star rating system the top three ratings are Fair, Good, and Excellent. What you don’t know is what constitutes “Excellent or Good” service. What if your order shows up on time and is undamaged? Does that deserve high praise? I’ll answer that. The delivery of a product on time and in spec, even a day or two early, is within the range of ordinary or expected. It does not qualify as excellent or even good.

Conversely, a selection of “Fair” seems unfair to a vendor. If a common parcel delivery to a customer did not also deliver giggling delight, but rather an “OK, here it is”, maybe the customer would be inclined to give a mid-range rating accurately reflecting the absence of glee. Fair is death by faint praise.

What they are missing is an answer indicating that the product and delivery was “as expected” or, “nominal”.  Excellent or Good imply some sort of action above and beyond a baseline value.

Amazon is smart to collect ranking data on their vendors. It keeps them edgy and sharp. I get that.

An Excellent rating should result from service leaving the customer standing there with their pants around their ankles and a goofy grin on their face. That would rank as Excellent in my book!

But I would offer that another purpose is to condition customers into believing that ordinary products and deliveries from Amazon constitute some kind of premium service. Early on, maybe. But now it is normal. It’s just an ordinary transaction worthy of, at most, a wink and a nod.

Much as I would like to indulge in witty and ironic commentary about the results of the 2016 general election, it would be yet another steaming load of pathetic word paste gumming up the internet. There are no words or sentences you could construct that would make a meaningful difference in the direction our wobbling American culture seems headed for.

I’m left with the conclusion that only civil disobedience can disrupt the unholy congress of corporate media, banking, energy and the foetid red-light district of governmental-industrial conjugation. After all, aren’t the B-school gurus always going on about disruption? It’s good, right?

Could it be that donors and lobbyists amount to a 3rd house of Congress?

Enormous corporations, it seems, no longer have need of our democratic republic. Fortunes are stashed abroad, sheltered in tax havens lest a slice finds its way into public kitty. Thanks for the use of American infrastructure- you know, public education, Army, Navy, Air Force, Marines, Coast Guard, Border Patrol, FBI, FDA, NIH, NASA, NSF, public highways, airways, NOAA, etc., etc. Deregulation is creeping forward. We live in a period of reconstruction. Neoliberal doctrines have taken hold and may be near a critical mass in state legislatures, perhaps to bring a modern constitutional convention.

America has become a big barrel of fish, stunned by the high voltage of short life-cycle electronic marvels and easily harvested. We’ve become increasingly compliant with the tightening harness of ever advancing complexity and the cloying whispers of big data.

Neoliberalism has its flying leathers on and wants to take flight. There are minerals to extract, civic institutions to suffocate and public lands to privatize. Like the quivering desire of a lusty 18 year old, capitalism knows only one thing- that it wants more. Always more and in bigger gulps. The second derivative dollars over time must be greater than zero in perpetuity. Our brains soon grow tired of static luxury and comfort. Satisfaction, like our lives, is only transient.

The invisible hand of the market, we’re told, will surely trickle down a baptism of unexpected benefits to the masses, if only the rotten buggers would let the acquisitive have their way. After all, if your taxes are lower, the first thing a business owner will do is to add hirelings. Yes?

Wait a minute … if business is flat, why add staff? Why not keep the premium handed to you by the 99%?  Hmmm.

The gospel of laissez-faire is practically physics, you know. A force of nature both inevitable and irreducible.

Taking to the streets is a form of persuasion that has rewarded many movements here and abroad. In thermodynamics, power is the rate at which work is done through the transfer of energy resources. Anthropological power lies in the ability to allocate and focus resources on a need or desire. Money is power because for a price, you can persuade someone to get most anything done. There is no shortage of those who would step up to the challenge or sell their souls or accept any spiritual disfigurement for the hefty feel of lucre in their hands.

If the tin ear of corporate media are deaf to the reasoned voices of those who don’t buy advertising, then what is left for us to do? Elect a businessmen? This general election cycle a species of disrupter was elected president. This charismatic fellow can work a crowd like Castro or Hugo Chavez or Mussolini or (add your own dictator)? A large crowd in the spell of a colorful and grandiose orator seeking high office meets the show business definition of “compelling.” If the event results in fisticuffs or tempers flaring like Roman candles, so much the better.

Electronic news broadcasting is really just show business. A key element of a good story is conflict. Look at any movie. The writers take a sympathetic character and do terrible things to them. There is a chase, violence and intrigue, reconciliation and a twisty ending. Sound familiar? TV is made to do this and they are good at it. And it sells. Watch Chomsky’s Manufacturing Consent.

Civil disobedience, as opposed to picketing, makes meaty footage because there is the possibility of imminent violent conflict. It is compelling. As an exercise in power, though, immediate resolution rarely happens. The power aspect comes to play when and if the establishment is forced to confront awkward questions. Often establishment authority is refractory to public scrutiny. Other times it folds like a lawn chair.




More than a few people in my meager sphere of coworkers, family, and acquaintances are of a decidedly conservative bent and apparently bathe in the fetid wellspring of the Fox network for their daily ablutions. I recognize this because more than a few use substantially the same phraseology as they express the similar contentions on politics or of some duplicitous liberal miscreant. Most are admitted non-sciency folk and have heard that the current dust-up about AGW, Anthropogenic Global Warming, derives from assertions of a self-serving conspiracy by unscrupulous scientists angling for grants or in service of some deeper, darker purpose.

Like many people I’m trying to follow and comprehend the topic of climate change and AGW. Having taken no more than an undergraduate semester of meteorology and oceanography as well as flight training, I can grasp basic concepts and use some of the vocabulary in a sentence. So, when I’m asked for my opinion I usually just shrug my shoulders and offer a scenario for consideration.

Forget CO2 for a minute. What happens to surface water if the atmosphere and oceans get a bit warmer? It’s safe to say that, generally, there will be more moisture entering the air. It’s a fact that water vapor is a greenhouse gas. Water vapor absorbs infrared energy from the sun. Any influence that manages to cause the atmosphere to hold more water is an influence that will cause the atmosphere to capture more thermal energy and result in warming. Being more buoyant that dry air, moist air can convect to produce clouds.

The change from liquid water to gas is an endothermic process. Energy is absorbed to produce water vapor from surface water. During cloud formation, upwelling air naturally cools and condenses to aerosols and droplets. These may freeze to ice and liberate the latent heat of fusion. This is an exothermic process, liberating latent heat which warms the air causing further convection. So, a parcel of moist air convecting upwards will result in an inrushing of surface air which is drawn upwards to sustain a column of rising moist air. The early cloud building phase of a thunderstorm (cumulonimbus) is characterized by strong updrafts from convection.

So, one might expect storm behavior to change as the relative humidity increases. As the average air temperature rises, the higher latitudes (north and south) might be expected to see some change as well.

In the northern hemisphere one of those changes could be the melting of higher latitude snowpack and glacial ice. Ice and snow pack consists of fresh water. Fresh water is less dense than salty ocean water. As fresh surface water runs onto briny oceanic water, it will tend to stratify according to density with lower density, less briny water tending towards the surface.

The thermohaline circulation, also referred to the Atlantic conveyor, is responsible for the gulf stream current that flows in a northeasterly direction along the Atlantic coast of North America and into the north Atlantic. This current is responsible for delivery of relatively warm water to the north Atlantic. These warm waters are partially responsible for the temperate climate of the UK and northern Europe. One of the most important concepts of climate science is that one cannot separate the oceans from climate. Due to the considerable heat capacity and latent heats of water (relative to air), the oceans are a substantial reservoir of energy capacity in direct thermal contact with the atmosphere.

The gulf stream’s arrival to the cooler north Atlantic where the water increases its salinity and density due to low temperature and evaporation to form a region of sinking water that forms a subsurface current. This current circulates to the Pacific and Indian oceans and eventually back to the north Atlantic in a loop of circulating water. For the north Atlantic, this loop is at the surface and transfers heat back to the north Atlantic in the form of warm surface gulf current water.

The gulf stream submerges between the coast of Norway and Greenland. In doing so, warm water is transferred to the north Atlantic. Should Greenland undergo a sudden warming with subsequent release of melted fresh water, it would be expected that the process of sinking of briny surface water would be suppressed due to the presence of less dense surface melt water from Greenland. The effect would be to suppress the potential energy of descending cold briny water feeding the Atlantic conveyor as well as oxygen transport to the ocean depths. Upwelling water from the deep transports vital minerals to support the food chain. The loss of this upwelling will have a distinct affect on the fisheries.

If it transpires that the loss of heat transport to the north Atlantic results in a general cooling of that body of water to form ice, how is the overall heat balance of the earth affected? Could it trigger another ice age?

The point of this is to offer that a rise in air temperature can lead to consequences that are not intuitively obvious. Talking about global warming should not end with just “warming”. The ramp up to global warming is a disturbance that may have surprising results.

Note: This was written a year ago. The throat and prostate cancers are currently in remission and I have had time to enjoy the new stents in my right coronary artery. In the last few years I’ve been sonicated, dissected, radiated, biopsied, chemically castrated, spiked with positron emitters, poisoned with platinum, and stented. Yes boys and girls, what a delightful time it has been.

It doesn’t take long in one’s treatment regimen to see that a large industry consisting of diverse technologies has grown around cancer. As one is lead through the maze of corridors and treatment plans, it becomes apparent that the treatment centers are backed by some serious industrial might. As I walk into the cancer center my blood pressure is taken by an automated device, a digital scale takes my weight, and a small device with a light source in it takes my blood oxygen. The staff unlocks the terminal with a fingerprint reader and enters the data into my patient file. The doctor and a dapper young resident soon arrive and consult the terminal. Blood tests are short turnaround and performed on site. The onco-doc and the resident look at the results and divine some kind of conclusion from the numbers.

In nuclear medicine, a local 18F provider produces F18-labeled drugs for daily delivery to the rad labs in small leaden containers. Shortly before delivery a radiochemist quickly isolates the 18F (KF?) and prepares the 18F-glucose that the patient will receive as an injectable from a shielded syringe.

After a bit of resting time to allow the radio-sugar to circulate, the radioactive patient is placed on a motor-driven table that slides into an integrated CT-PET scanner for a bit of tomographic wizardry. A 3D x-ray map of the body is reconstructed from the CT beam data. As soon as the x-ray data is captured, the adjoining PET scanner is switched on and the patient is moved into the sensing zone of the device where gamma rays emissions reveal their location in three dimensions. After the data is collected, it is superimposed on the X-ray CT image to show anatomical locations that indicate an excess accumulation of the glucose. Cancer cells, being immortal and capable of mobility, can reproduce at a higher rate that normal cells. This leads to increased glucose uptake and, accordingly, a greater concentration of radiolabeled deoxyglucose in the cancer cells. A greater concentration of 18F-labeled glucose betrays the location of concentrated cells as they light up in the gamma spectrum.

The pharmaceuticals for chemotherapy are often quite toxic so the nurse who administers the drug is required to don PPE for preparation and administration of the dose. Specialized furniture is provided for the comfort of the patient and family. In the infusion suite of UC Hospital patients lie on recliners within a walled space with a view of the outdoors. Many patients watch familiar television programs as poison drips slowly into their veins. Some patients get sick relatively soon and succumb to fits of vomiting. Others are so strung out from the treatments that they lay there impassively. Worried family and friends strive to manage their own fears while trying to be attentive and positive.

Everywhere in the hospital disposable implements are used. The amount of sterile consumables used by a busy hospital is substantial. Sterile wrappers, clam shell packaging, syringes, IV bags, gauze, tubing, etc. I doubt that the shadows of medical and nursing students ever darken an autoclave anymore.

The breadth of technology and applied science in a hospital is staggering. Microprocessors monitor a wide variety of sensors that then produce digitalized output to either a dedicated screen display or to a nursing station.

The whole system at the hospital is devised to use every available minute of the physicians time. Receptionists verify the patient’s identity and assure the computer that the insurance information is in place. Patients are lined up for entry to the examination rooms.

At a university hospital, physician/professors on duty may have students and residents in tow to observe the great variety of disease states covering a wide range of illnesses. In a recent visit to my head and neck onco-doc, the three polite medical students took turns noodling the scope in my throat to get a thorough look-see. I had all I could do avoid laughing while the students took turns carefully manipulating the slender optical fiber device as it twisted about up through my nasal spaces and emerged below the uvula. The monitor displayed in sharp definition the glistening pinkish tissues in the treatment zone. As before treatment the primary tumor was not visible to the eye.

The industrial cancer business is vast, staffed by highly educated people, data driven and supported by a web of supply chain industries. The extent of the integration of data management is apparent as soon as you check in. Before the appointment is granted your identity and insurance status are verified by the accounting system and copayment is taken. An assistant guides you into a room where digital equipment takes your vital signs and the results are loaded into your patient record on the spot. You wander into another room and the nurse records the purpose of the visit and takes note of your vital signs and history. Soon the doc ambles in, logs into the data system and reviews the information. The appointment begins in earnest.

Those of us in our late 50’s have lived long enough to witness the gradual takeover of electronic and data technology in every aspect of our lives. In the early 1960’s, most of our lives were entirely analog. Television, radio, film, music, automobiles, and general business activities were largely conducted with technology that was fundamentally analog in nature. That is, energy was manipulated or work done via frequency or intensity modulation of electrical properties or by machinery powered by distant turbines. Devices driven by binary math and Boolean logic were around obviously but were only just beginning to enter the consciousness of common folk.

The point is that computer technology has, over a short interval, applied novel decision making or influences on the most intimate elements of our individual existence: The conduct of our wellbeing and how we process the never-ending stream of bewildering sensory input into our consciousness. Applied to the present discussion, health care providers and patients today face a torrent of data in the form of images and measurements that must be wrought into some kind of picture that people can comprehend and use to make plans. Inevitably there are data that, while accurate, are irrelevant to a given issue. And inevitably there are still questions that cannot be answered honestly owing to a fundamental lack of understanding.

For the patient there is a bewildering stream of science-based information and not so sciency information. There is a tendency in people to pay attention to optimistic product testimonials by other afflicted individuals. Magazines and cable television telegraph anecdotal sales pitches at people desperately seeking relief and even a cure. Many people feel the allure of anti-establishment messages promoting dietary plans. There is much talk of anti-oxidant, cleansing and herbal approaches to the treatment of disease states. The fact is, substances which might very well have cancer-preventative properties may be quite useless in the treatment of cancer.



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