Self-Diagnosis – Avoid Cannibalism

The internet is awash with medical, pseudo-medical and dietary advice. It is very easy to ask Dr Google, Nurse Edge or Prof DuckDuckGo for advice and thereby arrive at a diagnosis. No doubt this may drive the medical profession up the wall, but on occasion it might be useful. I am able to research things thoroughly without arriving at a firm self-diagnosis. I don’t have a favourite disease, nor a goal I am aiming at. There is no bucket list of maladies. Looking through a list of rare diseases I found this one, which is quite specialised, no need for fava beans and a nice Chianti.

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Kuru

Awareness: There’s no known Kuru awareness group or dedicated day.

Discovery: Occurring at epidemic levels in the ’50s and ’60s, it was eventually discovered by Daniel Carleton Gajdusek, whose research won him the 1976 Nobel Prize in Physiology or Medicine.

Treatment: There’s no treatment for Kuru, other than the preventative measure of not committing cannibalism.

Symptoms: Tremors and muscle jerks (Kuru is the Fore tribe’s word for ‘shiver’), headaches and arm and leg pain, difficulty walking and swallowing, progressive and severe coordination problems.

Discovered only in a remote region of New Guinea among the Fore tribe and closely related to mad cow disease, Kuru is caused by prions, which is a protein that encourages build-up of abnormal brain tissue that results in irreversible brain damage. 100% lethal, it’s brought on by the consumption of human brains that contain the infection. The Fore tribes practiced cannibalism prior to the 1950’s to preserve the spirits of the dead, but it is now outlawed.

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The prophylactic advice to not commit cannibalism is not too arduous to follow. It should be within the ability of most. I read today that ~75% of Americans are obese. I just cross the threshold for obesity which means that ~70% are more weighty than me. That it is a serious arthritis epidemic in the making. Lardy, lardy.

People can self-diagnose with all sorts of things including grandeur, omniscience and importance. They may imagine themselves angelic and incapable of the oral phase change of butter. Not all diagnoses are accurate.

Today my results for alpha-1-antitrypsin are in and the result is mid-range and very normal. Which raises a slight question about the low alpha 1 globulin data. I would like to see the error bars on reading a labelled electrophoresis result. My guess is that they could be a few percent. As a technique is does not scream highly quantitative to me.

Alpha-1 (α1) globulins

Proteins migrating within the alpha-1 region include alpha-1-antitrypsin (constituting about 90% of the band intensity), alpha-1 lipoprotein, alpha-1-acid glycoprotein, and alpha-1 fetoprotein. A haze stain at the leading edge of this band may be due to high-density lipoprotein (HDL).

The GP may wish further clarification. Up to her, if she thinks I need more tests. The thing making up ~90% in the electrophoresis is normal using a more quantitative method.

Logic suggests that having something iffy with my liver is possible / likely. But I am not yet yellow. One genetic problem has now been ruled out. There is a faint hint on line of some endocrine stuff implicated. We shall see what, if anything, the specialist suggests.

I may hear back from the Rheumatologist next week and it is possible something else needs investigated.

On exactly the ten year anniversary of my arse {colon} cancer operation I get to see an anaesthetist to ensure that I am OK to have a colonoscopy. Some blood / piss tests to measure creatinine may be on the cards….

Ten years ago I was in the GP’s office after a sigmoidoscopy. They has found 11 polyps in the lower part of my colon. I had read that 1 in ten polyps turn cancerous. Given that they has not looked “upstream” I said sampling the probability that often suggested that I may have colon cancer “upstream”. He looked shocked and wanted to reassure me. I was calm and knew the reason behind my statement. A few days later they found more polyps and a T3 cancer.

By the middle of July, just after Bastille Day, I will know the state of my chimney and if there are more polyps {or worse} or not. This sets the clock ticking for the next “gold standard” investigation in due course.

I will be enjoying industrial strength laxative on Bastille Day. There will be metaphorical fire works chez nous. We already have the Sudocrem.

I personally would not diagnose a MOT pass, I would fail my contrôle technique and should probably be kept off the streets to protect other road users…

Being a Part of a Wider Story

We all have stories about our lives which we tell to others, we have the so-called curriculum vitae which we use to gain {or otherwise} employment. More often than not we may be bigged-up in our own version of our events, our narrative assimilation. Rarely do we cast ourselves villain.  In our stories there are other people, other cast members, upon whom we may apportion blame. The “baddies” are not us or ours. There is propaganda and PR about our role in the world. To imagine that we recollect and then retell with 100% accuracy is delusional. Our perception is not omniscient and our bias remains. Our stories contain fiction and are skewed.

From time to time events can happen which can get us to completely re-evaluate our lives and the events therein. Our erstwhile self-diagnosed angelic roles may be called into question. How we see someone can change dramatically and that can unpick our previous narratives.

I can envisage this story, told piecemeal in the blog, being part of a much wider picture. One that could attract media attention and upend many things. For example, were I to be outed as a tulku then everyone who has ever interacted with me might change their story. There may be a few lines in a newspaper and even a wiki page. People could have an interesting snippet to add to conversation over dinner. Some might view an incarnation as a science academic interesting, if only for a fleeting moment. Before they watch the next TikTok.

“When I knew him, he was a right piss artist…Tsk, Tsk.”

In other contexts, some might imagine tremendous luck and an auspicious meeting.

This is of course hypothetical. In this corner of the internet, I am not a part of a wider story. It is / I am unknown. But you never know when our stories might come crashing down.

Because of what I can envisage I am pretty confident that I could handle it. Not that I am likely to need it.

Unless people are monitoring this blog, only a tiny few people know. If it is being monitored then that too adds to some wider story, which in the fullness of time might emerge. It adds flavour and spice. Secrecy is always a tasty plot line.

We sometimes are a part in a wider story of which we are almost completely unaware.

You the reader may be a part of one, which you may or may not ever become aware of.

One day everything you thought you knew, might change.

Then again it might stay the same.