Life: Slow-moving American medical system

 I am a lucky guy. I've hardly had any major sickness or injury in my life. 

Knee injury in skiing and ACL reconstruction was the biggest injury. But it was oh-so-many years ago. Although I quit skiing and was cautious in taking on martial arts exercise afterwards, I've been walking, jogging, hiking, dancing and doing everything else just fine.

As such, I've stayed away from hospitals and doctors, other than annual flu shot and covid vaccinations. 

However, in the past a few years, I started feeling funny sensation in my upper right abdomen and back. I had some pulsing pain around my liver a few weeks ago. I am fine, but the sensation/pain is a nuisance.

I am a cancer biologist. I've seen many tumors in mice in person and photos of human cancers. This kind of long-lasting abdominal pain/sensation makes me nervous. Just get to see a doctor and ask a diagnosis should be a much better way than speculating by myself.

Speaking of speculation, most likely it is gallstone or related inflammation. Imaging analysis should pick up gallstone, kidney stone or tumor (I'm not gonna like it. I attended a lecture on Hepatocellular Carcinoma last Friday. They presented survival curves from recent clinical trials for liver cancer, and they did not look too promising. Treatment benefits were there, but small. Liver cancers are still "difficult" cancers for sure...I digress). Blood work should detect liver damage or inflammation (hepatitis) if any, which can be followed up with other diagnostics to determine the cause and therapy strategy.

What should be done is there as routines for hospital staff.  They can answer what this is. And we can determine what to do next.

I am from Japan. I don't know recent situations in Japan, but I was used to get to see a doctor quickly, in a matter of hours and days at most, when sick.

American medical system moves like glacier for me.

After the pain episode, by the book, I asked my primary care physician to refer me to internal medicine.

2.5 weeks later, I got a call (yesterday) that the referral got through. They made an appointment with a doctor on December (now is Sept 22),......2.5 months later.

I'd get to see a doctor if it is an emergency, like stroke, heart attack, serious injury or acute infections (...would I? I hope I would). But for non-emergency, the system seems to be moving so slow. And I doubt covid patients are still clogging up the hospital system.

Seriously, some aspects of American life are like those in third world countries. 

Well, maybe because I am not very familiar with the medical system and there may be a fast lane (I did ask around, though). Or maybe the hospital system seriously needs work. Or maybe it is just such a time and we have not recovered from the covid impact on medical system (I saw some doctors and nurses quit).

I know the doctors, nurses and hospital staff are working hard for what they are supposed to do and for what they can. I am not trying to be a Karen. But from the standpoint of a patient, there are improvements to be made.

What can I do to make improvements?

Science: Translational Advances in Cancer Prevention Agent Development (TACPAD) 2022 (9/7-9/2022)

Translational Advances in Cancer Prevention Agent Development (TACPAD) is a scientific meeting sponsored by the Division of Cancer Prevention, NCI (National Cancer Institute) and the Office of Disease Prevention, NIH (National Institutes of Health).

The three day virtual meeting presented talks from the researchers in the NCI cancer prevention group.



In recent years, the NCI cancer prevention program went through significant changes in its portfolio (i.e., what kind of research topic they fund and support). Notably, increase in immuno-oncological approaches to prevent cancers (with target-specific drug, vaccines [peptide, DNA], etc).

Reflecting the shift, many talks were about cancer vaccines targeting cancers in different organs (lung, colon, ovary, oral, pancreas, etc).

Yet, there also were more familiar topics; inflammation, target-specific drugs, and so on.



Many talks were about clinical trials, meaning that the cancer prevention approaches are moving from lab animals to the clinic. Some did not show good efficacy, others looked promising. We will see if they go up the ladder further.



Recent advancements in technology are also showing in the presentations. Data science approach is combined with model-based laboratory studies.



A thing about cancer prevention research is that we are dealing with generally healthy population even with a higher risk of developing cancer, instead of cancer patients with existing cancer.

Risk-return in clinic is assessed conservatively. Some approaches used in cancer therapy (an emergency situation) are (unfortunately?) not an option in prevention research with the fear of side effects, although they are proven effective on the specific cancer. An example is immune checkpoint inhibitor. There are many things to consider in translational science application to the public.



I saw cancer prevention research results steadily advancing toward clinical application. It is good.

 [TACPAD meeting webpage]

Science/Life: Professor M.H. retirement party; see your career from an end

Professor M.H is Professor in Cell biology department. She had been working on an enzyme related to liver cancer. 

She is wife of my postdoc-era boss. They are the reason somehow I came to OKC, and the first people I met in OKC. I was staying in their home for a few days before I found and settled in my apartment in this strange city.

Her retirement party was today. 

They came to this institute in 1999-2000. Her active tenure as professor encompasses 22-23 years.

There were speeches from her colleagues and herself. How one defines success in his/her life is his/her prerogative. But a Professor's main work are research, teaching, and administration. The speeches portrayed her accomplishments in each of these three categories. And the portrayal sounded good.

Sometimes it is good to think from the end (or an end). At the end of her tenure, her accomplishments in the 22-23 years were counted as tangible events. We should actively design our own events as well. Well, things do not go as planned in many occasions, but we should have vision for the future as a part of our own pursuit of happiness.

While seeing her retirement, in these days I am working on my career also. This is such a time to look back the past, and to work on the future with vision.

Dance: diagnostic tips to dance with salsa beginner-followers

No doubt, dancing with beginners is trickier than dancing with advanced/intermediate dancers.

Most social dancers start with salsa dancing. That also means, you'd encounter a lot of beginners in salsa/Latin socials in this back-to-school season.

I went to a Latin social full of beginners. 

I hope salsa instructors teach them soon enough. In the meantime, here are my tips to dance with beginner-followers.

On the social dance floor, I usually take a moment to assess her skill level. Pay attention to the following;

Before dancing

Is she wearing dance-appropriate shoes?

   Platform, rubber-sole, shaky high heels are causes of tripping or twisted ankle. Be extra careful to dance with her.

Her physique

   Is she tall, short, or in the middle? Looks heavy or light? Is she athletic, trained or untrained? Does she look like she can move? Dance is done with body as the tool, and this kind of initial body diagnostics is a part of social dance. But there is always a room for surprise.

Basic footwork

Is she doing basic steps?

    At least this much needs to be taught at first, before going on to the main floor.

Is she stepping on time?

    On 1 and On 2 are confusing. But at least, everyone should listen to the song and figure out the step timing and be consistent.

Does she have quick feet, or is she slow to respond? 

      How she moves is a big giveaway. If her feet are slow (as with many beginners), she can stumble easily. Be extra careful.

Attitude

Is she willing to dance?

Is she having fun, or nervous and stiff?

Is she willing to follow-and-dance?

    If not, I may just dance double solo. Still can be a good time.

Partner work

Can she follow cross body lead?  

      If so, that means she can match direct lead-input to her body frame to her footwork. A good start.

Does she have arm frame (not noodle arm)?

     A follower with noodle arm is unleadable with arm/hand input. You may need to stick with two persons solo dance or body lead.

Does she follow her hand?

     "Follow her hand" requires internal coordination in her body. Arm frame needs to be there, which also needs to be connected to body and her feet. You lead with your body and the energy flow goes through direct contact point(s), which is mostly your hand(s). Beginner followers may not know how to respond, and the response may be late or feel forced. In the case, that much is what you can now. Force it, and you may get elbowed unintentionally.

Can she do both inside spin and outside spin?

      Inside turn (she spins toward her centerline) and outside turn (she spins toward outside) have distinctive energy flow patterns. Inside turn is continuous, while outside turn has a moment of pause/pushback. Proper response requires proper frame.

    ***********************

I am happy if a beginner follower can do this much. At this stage, they might already be at an intermediate dancer-level. Social salsa is not complex or difficult to have fun.

Intermediate dancers can teach beginners. In fact, many of local social dance instructors are intermediate dancers. Nothing is wrong with it.

From "advanced" dancers, I want to see some "wow" factor, something to distinguish themselves. Advanced dancers need to present awesome dances that are inspiring, so that they make others want to dance like them.

That is my definition of "advanced" dancers. Have nothing to do with his/her contest points or data on CV, but just the convincing power of his/her dance here and now. The standard is high, but I can hope.

Everyone is a beginner at first. Is there anyone who becomes an advanced dancer among these new beginners? I wonder and hope.

PS  Maybe due to this late summer weather, I feel so sleepy recently. I may need to rest up. I even bought a bottle of melatonin and going to test it on myself. Will deep and fast sleep at night fix this sleepiness? N=1 experiment on me and I'll see the result soon.