Einstein Was Right!

Posted Posted in Brain Science, Continuing Education, Homestudy, Psychology, Uncategorized

By Mary O’Brien, M.D.

“Everything should be made as simple as possible, but not simpler.”  Albert Einstein said that many years ago.  He was referring to physics, but his wisdom could easily apply to any situation, including COVID-19 vaccines.

Increasing numbers of people in business, politics, education and, of course, the media, are trying to force COVID-19 vaccines on everyone.  “Vaccination or termination” has become the new threat to employees and students.  Most people, regardless of their lofty achievements in other areas, are not well-versed in the fine points of immunology.  Sadly, however, some of them are convinced that they know what’s best for everyone.

Nearly everything in medicine carries potential risk and reward.  Both possibilities must always be considered.  Every prescription we write and every procedure we do has some potential to cause harm.  Every patient is unique.  Every individual has a combination of genetic factors, past illnesses, medications, and allergies.  Also each patient has metabolic, endocrine, hematologic, rheumatologic, neurologic, and cardio-pulmonary conditions that may need to be considered.  For example, patients with rheumatoid arthritis, psoriatic arthritis, Crohn’s disease, and other autoimmune disorders produce antibodies that attack their own tissues, hence the need to suppress — with potent drugs such as TNF (tumor necrosis factor) inhibitors — certain parameters of immune function.  Giving such a patient a vaccine, which stimulates the immune system to produce antibodies, can be unwise.  This is usually most problematic with live virus vaccines such as those for varicella, measles, and mumps, and rubella.  The COVID-19 vaccines are messenger RNA-based.  They do not contain live virus.

Pregnant women with COVID-19 illness are at increased risk for serious disease and mortality.  According to the Food and Drug Administration, data on the COVID-19 vaccines are “insufficient to inform vaccine-associated risk in pregnancy”.  Translation:  we don’t know enough yet to be dogmatic about these decisions.

All of COVID-19 vaccines available in the United States (Pfizer, BioNTech, Moderna, and Johnson & Johnson) are safe, effective, and appropriate for the vast majority of people.  But good medical practice is not about the vast majority of people.  Medical decisions are based on the conditions, needs, and details of the individual patient.  Politicians, corporate chief executives, school board members, and media types have no business making (or forcing) medical decisions on other people.

Einstein was right.  Oversimplifying anything is a bad idea.  So is judging others without knowing all the details.

A Class Act

Posted Posted in Continuing Education, Elder Care, Psychology, Seminars, Uncategorized

By Mary O’Brien, M.D.

The lady was a class act.  In a sea of loud, silly, and shallow people, Barbara Bush stood like a lighthouse, radiating wisdom and grace.  She demonstrated remarkable equanimity, regardless of circumstance.  Blessed with razor sharp wit and a penchant for fun, she was nonetheless known to her family as “The Enforcer.”  Candid, caring, committed, and tough, Mrs. Bush had a massive impact on everyone around her.  She set the standards high and refused to indulge any twinge of narcissism in herself or others.  It’s a testament to her character that everyone around her succeeded.  She had the longest marriage (73 years) in American presidential history and was the mother of two governors, one of whom (George W. Bush) was also the 43rd president.

There were, however, those who bemoaned the notion that she was “only” a wife and mother.  Those folks ended up looking foolish.  Mrs. Bush had no misgivings about the value of family.  She was fiercely loyal and protective, but she did have boundaries.  When pestered by the media about her role in the political campaigns of family members, she quipped, “I’ll do anything to help.  But I won’t dye my hair, change my wardrobe, or lose weight.”

The reality was that Barbara and George H.W. Bush, in the late 1950s, lost their three-year-old daughter, Robin, to leukemia.  Barbara’s hair turned white shortly after that tragedy.  She refused to hide her age, stress, or heartache by dyeing her hair.  There was nothing coy, contrived, pretentious, or conniving about Mrs. Bush.  She possessed a refreshing candor and confidence that come from authenticity.  It was clear she had no interest in impressing or manipulating others.  As was the case with Billy Graham, she said what she meant and she meant what she said.  This surely must have perplexed the glitterati in Washington.

Historians will write about Mrs. Bush for years to come.  She was a smart, gracious, strong, and virtuous woman.  Countless children learned to read as a result of her efforts.  No doubt her opinions influenced domestic and foreign policy behind the scenes.  However, Mrs. Bush possessed an uncommon degree of humility, maturity, forgiveness, and forbearance that enabled her to rise above conflict and petty partisanship.  As she once explained, “Politics is what we do.  It’s not who we are.”  Have we ever been in greater need of her example?