Acute Respiratory Distress Syndrome

From ARDS.org:

The cause of ARDS is not well known. Current scientific information supports several theories about its development, but the precise reason ARDS occurs remains unknown. What is known, however, is that ARDS can come about by either of two basic mechanisms.

The first is a direct physical or toxic injury to the lungs. Examples include inhalation of vomited stomach contents (aspiration), smoke or other toxic fumes, and a severe 'bruising' of the lungs that usually occurs after a severe blow to the chest.

The second mechanism is more common, but less understood. This is an indirect, blood-born injury to the lungs. When a person is very sick or the body is severely injured, some chemical signals are released into the bloodstream. These signals reach the lung, and the lung reacts by becoming inflamed, thus causing lung failure. Examples of this type of indirect lung injury include the presence of severe infection (sepsis) and severe injury (trauma) - the two most common factors in ARDS cases. Other examples are severe bleeding (resulting in massive blood transfusions), severe inflammation of the pancreas (pancreatitis) and some types of drug overdoses.

ARDS has generally been characterized into three stages. In full-blown cases, these three stages unfold sequentially over a period of several weeks to several months.

1 Exudative stage: Characterized by accumulation in the alveoli of excessive fluid, protein and inflammatory cells that have entered the air spaces from the alveolar capillaries. The exudative phase unfolds over the first 2 to 4 days after onset of lung injury.

2 Fibroproliferative (or proliferative) stage: Connective tissue and other structural elements in the lungs proliferate in response to the initial injury. Under a microscope, lung tissue appears densely cellular. Also, at this stage, there is a danger of pneumonia sepsis and rupture of the lungs causing leakage of air into surrounding areas.

3 Resolution and Recovery: During this stage, the lung reorganizes and recovers. Lung function may continue to improve for as long as 6-12 months and sometimes longer, depending on the precipitating condition and severity of the injury. It is important to remember that there may be and often are different levels of pulmonary recovery amongst individuals who suffer from ARDS.

Treatment primarily involves supportive care in an intensive care unit (ICU), including use of a mechanical ventilator (vent) and supplemental oxygen. The goal of mechanical ventilation is to support the patient's breathing during the time needed for the patient's lungs to heal. Good progress has been made recently in improving the use of ventilators.

The seriousness and unpredictability of ARDS can emotionally devastate patients, family, friends, as well as doctors and nurses, especially since very few cases of ARDS are alike. Some patients get better quickly within several days, and others take weeks or months to improve. Some patients have no complications and others seem to develop every possible complication of ARDS. Finally, some victims die quickly, while others die after a long and trying illness.

While ARDS is a very serious syndrome, people can and do survive! It is important family and friends of the patient remain hopeful, and seek guidance from others, including ARDS survivors, families and friends of survivors.

From Matt:

Statistically over 60% of ARDS patients survive and although that might be daunting it is important to note that the underlying causes of this syndrome are yet to be determined. When it was first defined in the late 1960's it was 100% fatal. I am grateful that we live in a time where medical science can give us 60% and family powerful in the spirit to make up the 40% we need.

My experiences with Colton have been marked by a deep respect and love for him. He (and his brothers) are much finer men then I ever was at that age. When someone complains about teenagers not living up to the standards set by the generations that preceded them, I always think of the Stewart boys and the great kindness they continue to share with those around them especially to my parents. My heart and continued respect goes out to Colton and his family whom I love deeply.

Sources and resources:
http://www.ards.org/learnaboutards/whatisards/brochure/
http://en.wikipedia.org/wiki/Acute_respiratory_distress_syndrome
http://www.ardsusa.org/facts.htm

The secret to happiness from one of the richest men in the world

From a recent Q&A with Warren Buffet:

"I enjoy what I do, I tap dance to work every day. I work with people I love, doing what I love. The only thing I would pay to get rid of is firing people. I spend my time thinking about the future, not the past. The future is exciting. As Bertrand Russell says, “Success is getting what you want, happiness is wanting what you get.” I won the ovarian lottery the day I was born and so did all of you. We’re all successful, intelligent, educated. To focus on what you don’t have is a terrible mistake. With the gifts all of us have, if you are unhappy, it’s your own fault.

I know a woman in her 80’s, a Polish Jew woman forced into a concentration camp with her family but not all of them came out. She says, “I am slow to make friends because when I look at people, I have one question in mind; would they hide me?” If you get to be my age, or younger for that matter, and have a lot of people that would hide you, then you can feel pretty good about how you’ve lived your life. I know people on the Forbes 400 list whose children would not hide them. “He’s in the attic, he’s in the attic.” Some of them keep compensating by joining board seats or getting honorary degrees, but it doesn’t change the fact that no one will give a damn when they are gone. The most powerful force in the world is unconditional love. To horde it is a terrible mistake in life. The more you try to give it away, the more you get it back. At an individual level, it’s important to make sure that for the people that count to you, you count to them."

It might seem easy to espouse such ideals from behind a multi-billion dollar fortune, but this is the guy who is giving it all back, leaving next to nothing to his children.

More info: http://en.wikipedia.org/wiki/Warren_Buffett

Playing for Water

There are many days when what I read, see or hear about the world at large is discouraging. Then I see something like the video above. Technology and more importantly innovative thinking can make a profound difference. For some the quest for water is a daily struggle that unfortunately has been the focus of many women's lives in developing nations. How awesome it is to see that playing can replace the shackles of fetching the daily water.

Links: www.playpumps.com

For the Love of LEGO

Yesterday, January 28th, marked the 50th anniversary of the greatest toy I ever owned, LEGO. Whilst rehearsing for a production of Hamlet I learned that LEGO is Danish for "play well." (Hamlet was Danish and therefore must have played with medieval versions of LEGO made out of wood, bone or old crusty cheese. :p )

I remember my first sets from the late 70's and the cool pouch my mother bought to keep them all together. It was a large circle of blue denim with a bright red drawstring. I thought I was pretty slick. The bricks were brightly colored and their resulting composition was limited only by my imagination. Cool and infinitely playable; it wasn't until 1980 that my love affair with LEGO truly began. That's when I received set 497 Galaxy Explorer from the newly created LEGOland space line. Oh the joy of LEGO's that included thrusters and laser canons was almost more than a preteen boy could handle. It had the complexity of an Estes model (without the contact high of model glue) coupled with the challenge of alteration and improvisation. When completed per the included plans, the Explorer ship had a compartment which housed a rover vehicle I found useful in exploring the surface of many uncharted planets (boo-ya)!!

Alas, like the energy and excitement of a first kiss, no subsequent set ever captivated me as much. And over the years my commitment to LEGOdom waned. My mother still has the denim sack and some of my original LEGO's have continue to delight my nieces and nephews. But now and then when I least expect it they magically appear in my life. At a friends playing LEGO Star Wars on the Wii; or more surprisingly resting atop our wedding cake in true old school fashion.

Maybe someday I will tackle the new 5,000 piece Millenium Falcon set that I've heard tell about on the internets. Wouldn't that be keen, Star Wars and LEGO's in one! The thought borders on ecstasy. Maybe I'd better wait...

Play well!

Further Reading: http://en.wikipedia.org/wiki/Lego

Image Source: http://cache.gizmodo.com/assets/resources/2008/01/lego-brick4-timeline.jpg

A Gmail Question for Matt

I'm wondering if there is a special way to organize and file the groups that you send email to. Like, today, I sent an email to about 40 people. Is there a way to retrieve that list of people other than to go back to the letter I sent and copy and paste the addresses, etc.? I'm counting on you, Matt!

Time Out for a Special Announcement

Hi Everyone--
I just wanted to announce to my cousins (Jana, Diana, Melanie, Scott, etc.) that I'm offering a free cousin special! Anyone who would like to have their kids in my children's choir (cousins, that is) may have them come for free! (Okay--you do have to pay $15 for tee-shirts and misc.) That is a $110-$125 savings!! Seriously, I would just love to teach your kids! So--if you want them to join, just call me! (Or comment on this blog!) The age groups are 4th to 9th grade (8:00a.m.-9:20a.m. Saturday mornings) 1st to 3rd grade (9:30-10:30a.m. Saturday mornings). Hope someone takes me up on it!
Love ya!

PS The Hill kids are coming all the way from Highland and Lindon....

More On Time

I came across this article this morning and thought it relevant to my post about time.
http://www.newscientist.com/channel/being-human/mg18925371.700-teach-your-brain-to-stretch-time.html
This is a bit dense but it's the best explanation of the biological perception of time I've read.