Dr. Hugh Tildesley |
The
steroids associated with minimizing the side effects of the infusion shoot my
sugars up and I am using insulin aggressively to control my levels. Steroids
create significant insulin resistance thus I have needed up to 150 units daily
in the first few days post infusion, which tappers to about 30 units a day as
the steroids clear. To put this in perspective you normal folks out there your body
uses approximately 24 units of insulin a day.
High
glucose levels are my enemy. The tumour takes up glucose avidly and does not
require insulin to do so. It follows therefore that if my glucose levels are
allowed to rise too high, I am just feeding the tumour; you lose marks for that
strategy. I am contemplating writing a paper on this stuff as it is not in the mainstream
diabetes literature, and the cancer guys appear to be more interested in the
latest poisons than glucose uptake by pancreatic tumours.
Hamish
returned from LA on Tuesday, Catherine from Edmonton the following day. Great
to have them home and to feel their support. As Yogi Berra said: “ 90% of this
game is 50% mental.”
Dr. Oliver Sacks |
The arts
report: Oliver Sacks passed away, having just finished his biography and read
many of his books, the world has lost a uniquely talented individual.
Michael
Lewis: The Big Short a wonderful explanation of the etiology of the crash of
2008. A little anxiety provoking in these unsettled times. A reminder that
investing still involves gambling.. like it or not.
Chris Farley |
I am
Chris Farley: A documentary on this SNL icon. A touching portrayal and we were
lucky enough to see it at the Rio and director Brent Hodge and his brother
Kevin Farley took questions, a movie worth seeing but Amy will win the Academy
Award for best film in this class.
Tesla
Titillations: Another internet download this week, updating my blind spot
warning and making trip planning seamless with the Tesla power stations.
On
Wednesday’s men’s night we were on the second tee and the back shop guy was
confused where to put the tee marker, I suggested a quick call to the pro shop
for clarification. The conversation his end started: “ I am with Dr. Tesla’s
group and was……..”. Classic. I do not mind his mispronunciation of my name.
Meanwhile
at the Cancer Agency this week my name was:
Heeaaough.
The
drought is over and one would expect that this would unleash unbridled
celebration. Au contraire, events since the rains had led to further rantage!
Vancouver
has just finished a record drought and appropriately, officials demonstrated
caution if not prudence in introducing water restrictions. The impetus was:
reservoir levels falling below “acceptable” levels:
The restrictions introduced in July
effectively decreased consumption.If the red line continued the reservoir would be almost depleted by November 1 |
The
rains came and the reservoirs were replenished to 2014 levels for this time of
the year.
Why on
earth continue water restrictions? Is there evidence we will deplete levels?
Not really, but even if we did, restrictions could be re-introduced.
A
reading of How not to be Wrong The Power of
Mathematical thinking by Jordan Ellenberg would give them ample guidance.
Who
suffers? The cleaning guys who make their income by power washing windows and
buildings.They make the majority of their money in the summer, the policy suspended their ability to make a living.
I
suspect the ban will be lifted when our hard working city employees return from
their 6-week vacations.
Not to
be totally negative, the data put out by the city on a daily basis is very
helpful and my emails to them were promptly returned, but these are the guys
who collect the data and do not make the decisions.
Until
next time
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