CVID

A Few Facts About CVID

We found a rather concise explanation of CVID on Yoni Maisel’s blog. I’ve altered it just a bit, but he did the work:

What It Is: 
Common Variable Immune Deficiency – A rare, genetically determined, immune-system disorder. The cause remains unknown.


Is it common:
No. Approximately 1 in every 50,000 individuals have the disease according to the National Institutes for Health.


What People With CVID Lack:
Life-saving and life-sustaining antibodies. Those with CVID simply do not produce them in sufficiently effective amounts or at all.


Living in Fear:
People with CVID fear pathogens of all types: bacteria, fungi, parasites, protozoals, and more. They realize that pathogens which might only affect others mildly have potentially life-threatening repercussions for them.


Conditions Associated With CVID:
There are numerous secondary auto-immune diseases and a highly-increased predisposition to various types of malignancies associated with CVID. Lymphoma, for instance, has an 11-fold increase in CVID – that’s 1100%. Those with CVID often have respiratory problems as well, such as severe, uncontrolled asthma. 


Delay in Diagnosis:
According the the Immune Deficiency Foundation (IDF), there is an average delay in diagnosis of 12 years from the onset of symptoms, with nearly a quarter of patients experiencing a delay of over 20 years. This, unfortunately, represents a very protracted period of being ill with nobody knowing quite what is wrong, and can lead to permanent, irreversible damage. It usually takes a very perceptive and proactive physician or specialist to connect the dots and follow up with diagnostics.


What Keeps CVID Sufferers Alive:
Regular intravenous or subcutaneous infusions of immunoglobulin (antibodies).


How to Remain Healthy:
People with CVID depend upon antimicrobials: antibiotics, anti-fungals, anti-parasitics, etc. They tend to be on these agents quite often and for longer durations than our “normal” counterparts. (This can often lead to even more health issues.) 


Who Figured This All Out?
Dr. (Colonel) Ogden Bruton (1908-2003) – pediatrician and Chief of Pediatrics at Walter Reed Army Hospital. Although he discovered the related PI disorder “agammaglobulinemia,” Dr. Bruton was the first researcher to uncover Primary Immunodeficiency Disorders.


The Face of Immunodeficiency
David Vetter, the Original “Bubble-Boy”. Although what David suffered from, Severe Combined Immunodeficiency, is somewhat different than CVID, David has become the everlasting face of Primary immune Deficiency.


Daily Lifestyle:
Aside from suffering more frequent illnesses than the normal population, CVID patients probably don’t live much differently than most others… but with far more caution and awareness of risks and dangers to our immune-system health. When our immunoglobulin levels are high (post-infusion) we tend to be rather “normal.” When they are down, we tend to be fatigued and very susceptible to illnesses.


Life Expectancy:
According to the Mayo Clinic, with proper treatment a 20-year survival rate is 64% for male patients and 67% for female patients. 


Where Does The Future Lie:
Probably in adult stem-cell technology which has already made significant inroads in the treatment of the Primary Immunodeficiency Disorder Severe Combined Immunodeficiency (SCID).

Math Sucks

I did some quick math. There two people in the United States who are responsible for most of the attack ads we see on TV right now. If they had spent their money a little differently, they could have paid for 62,500,000 school lunches for needy children.

But I guess buying politicians is more important.

Bertrand Russell’s Ten Commandments

1. Do not feel absolutely certain of anything.

2. Do not think it worth while to proceed by concealing evidence, for the evidence is sure to come to light.

3. Never try to discourage thinking for you are sure to succeed.

4. When you meet with opposition, even if it should be from your husband, your wife, or your children, endeavor to overcome it by argument and not by authority, for a victory dependent upon authority is unreal and illusory.

5. Have no respect for the authority of others, for there are always contrary authorities to be found.

6. Do not use power to suppress opinions you think pernicious, for if you do the opinions will suppress you.

7. Do not fear to be eccentric in opinion, for every opinion now accepted was once eccentric.

8. Find more pleasure in intelligent dissent that in passive agreement, for, if you value intelligence as you should, the former implies a deeper agreement than the latter.

9. Be scrupulously truthful, even if the truth is inconvenient, for it is more inconvenient when you try to conceal it.

10. Do not feel envious of the happiness of those who live in a fool’s paradise, for only a fool will think that it is happiness.

Bertrand Russell, “A Liberal Decalogue” (1951). This Liberal Decalogue first appeared at the end of the article “The best answer to fanaticism: Liberalism” in the New York Times Magazine (16 December 1951). It was then included in The Autobiography of Bertrand Russell, Vol. 3,  1944-1967.

It seems to be a pretty nifty list indeed. The only thing I find myself in disagreement with is #5. I do respect authority, as those in positions of power have usually earned that rank through study and skill. BUT – I absolutely will question authority, nearly constantly.

Uncle Hippie’s Happy Chainsaw Tips

Q: Running a chainsaw sometimes hurts my ears. I’ve tried earplugs, but they get all gunky and fall out. What should I do?

A: Move closer to the stage next time you go to a concert.

 

Q: My fifteen-year-old chainsaw has recently started billowing clouds of blue smoke. Is that normal?

A: Yes. Through personal experience, I know that fifteen is the age of experimentation. You should expect any fifteen-year-old to be difficult to start, smoke a lot, and kick back.

 

Q: Should I sharpen my chain at 30 degrees, or 32?

A: Yes.

 

Q: Uncle Hippie, what sort of lubrication should I use on my two-stroke?

A: If it only takes two strokes, do you really need any lubrication? I feel there may be other problems here.

 

Q: My chainsaw is running quite rough and stalls a lot. I feel the problem may be with the fuel mixture. Is there a way to adjust that? How should I go about doing it?

A: Yup, here’s what you do. First, make sure the engine is off. You can tell an engine is off by listening very, very carefully. If you can hear your wife yelling at you to take the garbage out, the engine is indeed most likely off. (See question #1.) This is very simple, but you MUST complete the following steps in order. It will be tempting to skip to the last step, but don’t. Remove the two nuts holding the safety cover on, take the safety cover off, move the blade bar back, and remove both the chain and the bar. Get a regular screwdriver and slip it under any likely looking piece of plastic and gently try to pry it off to get to the engine. Once you’ve broken that, try the other side. Okay, now that you’ve spilled gas and oil all over your workbench and have broken all the plastic bits off the unit, you should be able to see the engine. I’ve found that most of it isn’t really used, so go ahead and just sort of start turning whatever you can see that turns. I mean crank on it. Most things on an engine will make a “cracking” noise right after it’s broken – that’s what you’re listening for (see question 1). Now, the final step – again, do NOT proceed to this step without completing all the steps above. Show the pile of broken parts to your wife, explain that you’ve tried everything you can think of to fix the saw but it’s useless, then go buy a bigger saw from the store and grunt in a manly way.

Buy vs. Lease

Posted on Craig’s List:

What am I doing wrong?

Okay, I’m tired of beating around the bush. I’m a beautiful 25 year old girl. I’m articulate and classy. I’m not from New York. I’m looking to get married to a guy who makes at least half a million a year. I know how that sounds, but keep in mind that a million a year is middle class in New York City, so I don’t think I’m overreaching at all.

Are there any guys who make 500K or more on this board? Any wives? Could you send me some tips? I dated a business man who makes average around 200 – 250. But that’s where I seem to hit a roadblock. $250,000 won’t get me to Central Park West. I know a woman in my yoga class who was married to an investment banker and lives in Tribeca, and she’s not as pretty as I am, nor is she a great genius. So what is she doing right? How do I get to her level?

Here are my questions specifically:

  • Where do you single rich men hang out? Give me specifics — bars, restaurants, gyms
  • What are you looking for in a mate? Be honest guys, you won’t hurt my feelings
  • Is there an age range I should be targeting (I’m 25)?
  • Why are some of the women living lavish lifestyles on the upper east side so plain? I’ve seen really ‘plain jane’ boring types who have nothing to offer married to incredibly wealthy guys. I’ve seen drop dead gorgeous girls in singles bars in the east village. What’s the story there?
  • Jobs I should look out for? Everyone knows – lawyer, investment banker, doctor. How much do those guys really make? And where do they hang out? Where do the hedge fund guys hang out?
  • How you decide marriage vs. just a girlfriend? I am looking for MARRIAGE ONLY

Please hold your insults — I’m putting myself out there in an honest way. Most beautiful women are superficial; at least I’m being up front about it. I wouldn’t be searching for these kind of guys if I wasn’t able to match them — in looks, culture, sophistication, and keeping a nice home and hearth.

THE ANSWER

Dear Ms. Pretty,

I have read your post with great interest. Guess there are lots of girls out there who have similar questions like yours. Please allow me to analyze your situation as a professional investor. My annual income is more than $500k, which meets your requirement, so I hope everyone believes that I’m not wasting time here.

From the standpoint of a business person, it is a bad decision to marry you. The answer is very simple, so let me explain. Put the details aside, what you’re trying to do is an exchange of “beauty” and “money”: Person A provides beauty, and Person B pays for it, fair and square. However, there’s a deadly problem here, your beauty will fade, but my money will not be gone without any good reason. The fact is, my income might increase from year to year, but you won’t be prettier year after year. Hence from the viewpoint of economics, I am an appreciation asset, and you are a depreciation asset. It’s not just normal depreciation, but exponential depreciation. If beauty is your only asset, your value will be much worse ten years later.

By the terms we use in Wall Street, every trading has a position, dating with you is also a “trading position”. If the trade value dropped we will sell it and it is not a good idea to keep it for long term – same goes with the marriage that you wanted. It might be cruel to say this, but in order to make a wiser decision any assets with great depreciation value will be sold or “leased”. Anyone with over $500k annual income is not a fool; we would only date you, but will not marry you. I would advise that you forget looking for any clues to marry a rich guy. And by the way, you could make yourself to become a rich person with $500k annual income. This has better chance of success than finding a rich fool.

Hope this reply helps. If you are interested in “leasing” services, do contact me…