Saturday, July 30, 2022

The Marvels of Modern Medical Procedures

Most of us have benefited greatly from “modern medicine,” and from the standpoint of those who lived in previous times, even 100 years ago, much that is common now would have seemed quite marvelous to them. 

The Marvel of Knee Surgery

This is the first blog post I have finished writing since my July 20 knee replacement surgery. (My 7/25 post was written entirely before then.)

While I still have some discomfort, I have confidence that for years to come I will have far less knee pain than I had for months (and even years) before surgery. But what did people do before 1968?

It was in ’68 (when I was 30) that the first-ever total knee replacement surgery was completed, although the development of knee arthroplasty (joint replacement surgery) began way back in the early 1860s. But it was not even very satisfactory until several years after 1968

What about before then? Perhaps most people died before ever needing knee surgery—or they just had to put up with the pain.

June (my wife) had knee replacement surgery twelve years ago, and after a few weeks of recovery has had full use of that knee with little discomfort ever since. I am expecting the same—and I wish I had had this surgery last year.

I chose a clinic where the patient goes home the day of surgery “no matter what.” We left to go to the Total Joint Center at 5:15 a.m. and were home about eight hours later. Although I am sorry for the extra burden it put upon June, by midnight I was able to take care of my own needs.

How grateful I am that I now live in 2022 rather than in 1922—or even in 1972—and that I had easy access to a competent surgeon, proficient nurses, and a modern medical facility.

I am also grateful that I have insurance (a Medicare Advantage plan) that covered most of the expenses of the operation and the prescribed pain medicine.

The Marvel of C-section Births

June and I have been thrilled this year with the birth of our first two great-grandchildren, one in February and the second earlier this month.

Both of our precious great-grandchildren were born by cesarean delivery, not because of some emergency after labor began but because of conditions that led the doctors to conclude that C-section would be safer than natural birth.

Relatively safe cesarean deliveries date back to the 1920s, but such births became much more common after the development of penicillin in the 1940s—and then still more common after ultrasound (sonograms) became widely used in the 1970s.

The lives of many women and babies are now regularly being saved because of the availability of safe C-section deliveries.

So, again, I am most grateful for modern medical procedures, grateful for the benefit I have received this month and for the benefits that my granddaughters each received this year in the births of their babies.

What about Those for Whom Modern Medicine is not Available?

While I, as well as my two granddaughters and their husbands, were able to greatly benefit from the marvels of modern medical procedures this year, millions of USAmericans are not able to benefit as fully because of the lack of (adequate) insurance.

According to this Jan. 2022 website, approximately 30 million people in the United States are uninsured and risk financial ruin if they become ill or injured. Worse, there are approximately 9 million uninsured children in the country. That’s about one out of every 10 children in the United States.

In the poorer countries of the world, not only is there no insurance for masses of people, there are also far too few trained doctors and adequate medical facilities.

It is not surprising that the three countries with the highest infant mortality rate (deaths per 1,000 live births) are also among the top seven poorest countries in the world (as measured by their gross national income per capita).

Much more needs to be done domestically and internationally for all to be able to enjoy the marvels of modern medical procedures. Can’t we actively promote that?

17 comments:

  1. Well, we’re all pleased and grateful for your and your granddaughters’ and great grandchildren’s good medical fortune at this time. Thanks for sharing. And, yes, we should all be working for universal health care. It is one of the two issues I’ve never been hesitant to take a position on in the pulpit since I entered the professional ministry in 1974. —Anton

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    1. Anton, I'm glad you were able to post comments from your iPhone, and when you give your name at the end as you did, you are no longer anonymous.

      Thanks for making universal health care implicitly something that we can and should actively promote here in the U.S. However, I had not promoted that in 1974, or during the following thirty years, for as you know I was living in Japan during those years and there was already universal health care there. That is, no doubt, one reason that now life expectancy in Japan is the second highest in the world (slightly behind Hong Kong) according to www.worldometers.info. Life expectancy for Japanese females is about 6.5 years longer than for females in the U.S.

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  2. About five minutes ago, Thinking Friend Virginia Belk in New Mexico sent the following comments by email:

    "We should; Senator Bernie Sanders has advocated for universal health care throughout his career. We could if every one of us truly believed in 'liberty and justice for all.' Our neighbor to the north, Canada, has had a workable system for many years. I pray someday, we will!"

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  3. I have just received the following email from Thinking Friend Glenn Hinson in Kentucky. In my email this morning to those on my Thinking Friends mailing list, I mentioned that this week Dr. Hinson celebrated his 91st birthday. Here is his response:

    "Thank you for remembrance of my birthday, Leroy. May I add to your statement of the 'Marvels of Modern Medical Procedures'? August 29, 2012, nearly eleven years ago, I had open-heart surgery (six by-passes!). As you note, I am now 91 and have enjoyed a relatively healthy life. When I awakened from surgery, I felt good. I walked the next day around the nurses' station and have kept walking ever since. We must do everything in our power to bring such medical miracles to people everywhere."

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    1. Wow, I had forgotten about what serious surgery you had in 2012, which was certainly a much more serious surgery than what I had this month. Your surgery and the life you have since are certainly due to the marvels of modern medical procedures, and I am so thankful for the good years you have had since that surgery.

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  4. Here are comments received this morning from Thinking Friend Eric Dollard in Chicago:

    "Thanks, Leroy, for reminding us of the marvels of modern medicine. I am very pleased to see that your knee surgery has gone so well. My wife was in the hospital for three days each time with her knee surgeries, but out-patient surgery is much better, so medicine is getting better.

    "I favor universal health insurance (e.g., Medicare for all) and investment in clinics and hospitals in our poorest areas where such facilities are often lacking. We also need to invest more in epidemic preparedness so that we will be better prepared to face the next, and inevitable, epidemic. Given the current political climate in the US, I am not optimistic about these issues."

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    1. Thanks, as always, for your comments, Eric. June was also in the hospital for at least two nights after her knee surgery, and she doubted the wisdom of my agreeing to have surgery at a place with the stipulation of home the same day "no matter what." But by the next day, she was convinced that it was a good decision. And this afternoon, ten days after surgery, I walked down the hall of our home without a cane, without a limp, and without pain (and having taken only one Ibuprofen tablet for my only medication since getting up). Yes, I am very grateful for the marvels of modern medical procedures!

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  5. Local thinking Friend Ken Grenz shares these comments:

    "Thanks for your pondering. Jeanette has had both knees successfully replaced and is knee pain free! I would likely never have been around to meet you except for major coronary bypass surgery 17 years ago. Yes, easy to take all that for granted (vaccines and antibiotics as well) -- and easy to 'pass by on the other side' of the millions who must live medically a century or more ago! Thanks for your reminder.

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  6. My story with modern medicine reached a peak in the summer of 2020 when I had cataract surgery, right in the middle of the Covid pandemic. Without it, I would have crossed the boundary of darkness, where I would not have been safe to drive, and would have dropped further and further into that darkness. Or perhaps it was nearly 20 years ago when modern medicine held back the dangers of diabetes, allowing me to continue to function today. How sad that modern medicine has its own dark side in USAmerica.

    USAmerica has by far the most expensive healthcare system in the world, and the price keeps escalating. Yet the life expectancy sits beside that of Cuba, which spends only a fraction as much. Partly that is because Cuba works aggressively to encourage preventive medicine. Partly it is because tens of millions of USAmericans have little or no insurance. Partly it is a corrupt system that lets drug companies charge whatever they want. Partly it is a high-stress society that drives poor health in numerous ways.

    When your healthcare system is more about making money for the rich rather than about caring for the people, then problems will abound. When one of the seven deadly sins somehow morphs into "Greed . . . is good!" lots of problems are going to follow. (Quote from 1987 movie character Herman Gekko in Wall Street.) That defense of sociopaths is the cornerstone of the hyper-capitalism of neoliberalism. It is like a fire burning hot with global warming, devouring society as it spreads. Like the giant sequoias of California, our modern healthcare system is itself in great danger.

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    1. Thanks for your comments, Craig, and I am grateful that the marvels of modern medicine helped you to combat diabetes successfully and to improve your eyesight. I, too, am grateful for the cataract surgeries I had in 2018 and 2019 that took care of my declining loss of clear vision--and I haven't had to wear glasses since. So, for that reason also, I am personally grateful for the marvels of modern medical procedures!

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  7. So glad to know your gait is surer and less painful now, Leroy! Two comments alone, but related, on the current topic: First, for all the talk of "man's progress", how ironic it is that such "progress" does not include most of the planet's people, its benefits accruing mostly to the folk of the rich and fully (or over-) developed nations. Strangely, the US as the primary example, as you and others have noted, still has pockets of deprivation or lack of access to basic, consistent health and medical care--tracking with our stunning rate of functional poverty. It's systemic. Second, it is so interesting how our younger folk (and many of their elders), have little knowledge of and less appreciation for such things as modern dentistry, antibiotics, vaccines, advanced diagnostic and surgical techniques, and a multitude of therapies for burgeoning diseases. These "matters of fact" occlude the history of past (but quite recent) realities for our own country and present miserable realities elsewhere.

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    1. Thanks so much, Jerry, for your excellent comments. Both points you made need to be widely known and acknowledged.

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  8. Local Thinking Friend Will Adams, who is also in his 90s, shares these comments:

    " I didn't know about your surgery until now. I'm very glad it turned out well.

    "I've never understood how so many who call themselves Christians can turn their backs on medical and other human needs when the scriptures they claim to follow plainly tell us to feed the hungry, clothe the naked, etc. I sometimes suspect that those for whom Christianity is just an insurance policy haven't ever read the Bible.

    "My father spent his life trying to get those who profess Christianity to understand and act upon what Christianity requires. He did a lot of good in his life, but I think he died convinced that he was a failure. I don't think that not achieving the impossible is a failure."

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  9. Dr. Adams's father was a prominent Baptist seminary professor and was one of my New Testament professors at The Southern Baptist Theological Seminary sixty years ago. Here is my response:

    I certainly think that your father was not a failure, but I can sympathize with his feeling discouraged at times for I have also been discouraged by apparent lack of results from my good efforts. But I try to remain confident that we all have more positive influence than we ever can know.

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  10. Late last night, Facebook Friend Ed Costin posted on Facebook the following comments about this blog article:

    "In light of recent happenings concerning women’s healthcare, I wonder if you think the miracle of modern medicine shouldn’t also apply to women seeking personal decisions with family planning, like contraception and, when sought, abortion services within the first two trimesters of pregnancy? Because currently, 'Christians' are leading the march to ban these services to women all across the country. Thoughts?"

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  11. Thanks for your comments, Ed. And, yes, you are right, some "Christians" have been leading the march to ban contraception and abortion services to women across the states. But as we have discussed before, all Christians are not the same.

    You asked for my thoughts, and I have no hesitation in saying that I do think "the miracle of modern medicine" should apply to women seeking the personal decisions with family planning decisions that you mentioned.

    As you know, Tuesday voters in Kansas by a large margin rejected the proposal to eliminate the recognition of the legality of abortion in the state constitution.
    An article in this morning's Washington Post was titled "How abortion rights organizers won in Kansas," and the Mainstream Coalition was mentioned as one of the groups that worked hard for the No vote yesterday. (See https://www.washingtonpost.com/nation/2022/08/03/kansas-abortion-amendment/.)

    Mainstream Coalition was founded in 1993 by Dr. Robert H. Meneilly, founding minister at Village Presbyterian Church, and he now serves as its Chairman Emeritus. Many clergy and active lay Christians have been involved in the fine work of the Coalition for these past nearly 30 years.

    My wife and I are members of Rainbow Mennonite Church in Kansas City, Kansas. Several members have posted messages on Facebook rejoicing in Tuesday's No vote in Kansas, and my guess is that 90% or more of our church members who voted, voted No.

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  12. Ed, I might add that in our own experience the availability of contraception was very important. In 1960 Leroy was in Seminary and we were a family of four living on a $50 a week salary from a small church in Kentucky. At that time Planned Parenthood in Louisville was first offering the Pill and I began using it soon after our second baby was born. We had planned to have two children and then have a gap before having two more. (The first summer of our marriage, 1957, we had written the 4 names of our children we planned to have in our diary.) Had it not been for Planned Parenthood and the Pill who knows how many children we might have had during the ten year gap we were able to have? It enabled Leroy to stay in Seminary until he completed his PHD (1969-1966) and we were appointed to Japan as missionaries as we had planned. By then the talk was "population explosion" --only reproduce to replace yourself" and we thought long and hard. But in 1970 we decided to have our other two children who had been planned for. They both grew up to become teachers who are doing their part to make the world better. I am thankful for Planned Parenthood and the Pill, and I pray that politics will not deprive young parents from this important aid to planning their Families.

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