Monckton and Monty – dead parrot parody of IPCC

Watts Up With That?

Python_dead_parrotFirst, if you have not seen the Monty Python “dead parrot” sketch in your lifetime, before you read the satire from Christopher Monckton below, watch this video. Just click on the thumbnail at right.

Now the following will make a bit more sense from the satire context. YMMV.

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Richard Muller: ‘shale gas technology should be advanced as rapidly as possible’

Watts Up With That?

by Richard Muller, Professor of Physics, University of Califoria at Berkeley

Some oppose shale gas because it is a fossil fuel, a source of carbon dioxide. Some are concerned by accounts of the fresh water it needs, by flaming faucets, by leaked “fugitive methane”, by pollution of the ground with fracking fluid and by damaging earthquakes.

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Coils, some info.

A couple of days ago, in a different place, I answered a request for info about coil implants. I thought my answer might be relevant here, so here it is.

This could be a fairly long answer so please bear with me.
My own position is that I had valves to my right lung very successfully in February 2012. I give presentations at medical seminars to give a patients perspective. I am not medically trained.
Yesterday (Tuesday, 13/05/2014) I was at a seminar in Cardiff about the Modern Management of Emphysema. Part of that seminar discussed surgical and associated methods of intervention, and coils were discussed as part of that. Valves and coils are used as alternatives for Lung Volume Reduction from surgical methods where diseased parts of lungs are cut from the chest. From where we were several years ago to the present, many advances have been made, particularly with regard to the use of valves and coils, and the management of patients after these devices are fitted. Valves received early acceptance, because they are easy to implant and have a much lower impact on the patient, and importantly, should they prove to be causing problems, they can easily be taken out. These valves are little one-way valves that are set to only allow air to pass out of the targeted area of the lung. This has the effect of sucking that part shut, thereby reducing the volume of the lung and allowing that rest of the lung to operate better. The down side of valves is that they are suitable only for a relatively smaller number of patients. This is because they work well only if the divisions between the different lobes of the lung are intact. (These divisions are called ‘fissures’, and are substantial features inside the lung that can be seen on X-ray or CT scan images.) See what I wrote about Colateral Ventilation as an answer to a question within this article,
healthunlocked.com/blf/ques…
Using coils is one way to avoid the problems associated with colateral ventilation, because their action is purely mechanical. They are made from a medical alloy called nitinol (an alloy of nickel and titanium that our bodies find acceptable, and do not reject). Nitinol has a very useful property in that it is a memory spring. It will always try to return to its set shape. A number (usually about 10) are placed into targeted areas in the lung using a bronchoscope (tube with camera down the throat). They go in straight, and return to their ‘memory’ shape over a period of several days. This makes that part of the lung ‘scrunch’ up.Collectively, they close down a section of lung and reduce the volume of the lung. Advantages are mainly that colateral ventilation is not an issue. Disadvantages. Some patients have had some discomfort as the coils take up their natural or memory shape. The areas closed off lose any ventilation, so that natural secretions as well as mucus cannot drain from that part easily. Coils require a minimum density of tissue to get hold of, so if you have large cavities or ‘bullae’, then they are not suitable. Internal tearing of the tissues within the lung is also a small, but possible risk. Therefore infection is an issue that needs consideration and urgent treatment if it occurs. If a problem does present itself, extraction of only a few coils may be possible. This procedure is not considered reversible.

A couple of short videos for you to see. The first shows how valves are fitted, and the second one explains coils.

http://www.youtube.com/watch?v=7C6CGqXLtuM

http://www.youtube.com/watch?v=Ku9VkEnrdFg

I hope this helps. If you need more info, ask.

breathe easy

Together for Health – A Respiratory Health Delivery Plan

On Tuesday of this week (29th April), having been invited to attend by Chris Mulholland of the BLF, I was present at the Senedd (home of the Welsh Assembly) for the launch of an initiative, Together for Health – A Respiratory Health Delivery Plan.
This is intended to be a three year plan to take us to 2017. This was an excellent event attended by many Assembly Members, who gave very freely of their time to talk to the other attendees. I met and spoke to the Welsh Minister for Health and Social Security, Mark Drakeford AM, for several minutes about differences in my life before my lung operation and after. I also met and spoke to other AM’s, surgeons, consultants, doctors and respiratory nurses who all have an interest in respiratory disease. Also present were other patients, members of Breathe Easy Groups and representatives from the support industries that keep us going. As well, there were the media with reporters from Welsh papers and news agencies as well as the BBC News, who did a short live broadcast for the One O’clock News, with a more detailed piece later for the evening news. For me, I saw this as a very successful day.
Since then, I have received a copy of the document published by the Welsh Assembly detailing the plan. As it is now published, I can spread it about. Therefore for those interested, it can be accessed at:

http://wales.gov.uk/docs/dhss/publications/140429respiratoryen.pdf

Breath easy, everyone