366 days of gratitude

August 30, 2016

My farmer had a meeting in Dunedin this afternoon which gave me an opportunity to have a couple of hours in the city.

My mother’s family lived there so we went down periodically when I was young to visit relatives which also provided the opportunity to go to Moana Pool.

Like most who studied at Otago, I hold fond memories of Dunedin as a student city.

A few years later my children were born there and although two of them also died there the standard of care we received takes the edge off that sadness.

Later still I returned to the city to study again which gave me a different but still positive perspective on Dunedin student life.

When I’ve gone down more recently it’s been for a particular purpose so I enjoyed the opportunity for a little retail therapy and a wander this afternoon.

Today I’m grateful for memories of Dunedin. being able to visit the city and also that I can come home to the country.


Word of the day

August 30, 2016

Refocillate –  refresh, revive, reanimate or resuscitate; restore vigour; give new life.


Rural round-up

August 30, 2016

Pet theories don’t make water safer:

Federated Farmers urges the public to apply some good old-fashioned common sense and scrutinice the statements of activists as they push their anti-farming agendas in the wake of the Havelock North water-borne gastrointestinal disease outbreak.

Top of the list would be Dr Mike Joy’s statements on The Nation last Sunday where he said:

“’Central and local government had allowed massive intensification [of dairying] that had caused the problem’ when in fact the closest dairy farm we can find is some 40 kilometres away”, Federated Farmers president Dr William Rolleston says.

Or his statement that “animals have to come out of agriculture”.

“The sanity of this statement for New Zealand can stand on its own merits.

“In the context of this bacterial episode he said that ‘over time you find it deeper and deeper and deeper [in the groundwater]’ when it is known that as water penetrates the ground, bacteria are progressively filtered out and their survival diminishes.” . . .

GoodYarn mental health scheme award winner – Sally Rae:

A rural mental health initiative developed by WellSouth has received international recognition.

WellSouth’s health promotion team was named joint winner of best mental health promotion/mental illness prevention at the Australia and New Zealand Mental Health Services Conference in Auckland for its GoodYarn programme.

GoodYarn was developed specifically for farming communities to increase awareness of the signs and symptoms of stress and mental illness, to give people the confidence to talk with someone when they were concerned, and to know where to get help. . . 

Farmers: we will fight for livelihoods – Tim Miller:

Farmers in Tarras are prepared to go all the way to the Environment Court to protect their livelihoods.

Members of the Lindis Catchment Group voted at a meeting in Tarras last night to  appeal the Otago Regional Council’s decision to set a minimum flow rate for the Lindis River catchment at 900 litres per second from October 1 to May 31 every year.

Committee member and local farmer Bruce Jolly said 26 members of the catchment group voted unanimously in favour of appealing the decision. . . 

 

Cattle theft would’ve need 10 trucks – Federated farmers:

A possible theft of 500 dairy cows from a Canterbury farm has stumped police investigating their disappearance.

Pennie Ormsby-Saunders told Newshub she has a herd of 1300 cows but last week noticed more than a third of them were missing.

Rick Powdrell from Federated Farmers says stock thefts are a concerning trend.

“In recent times there’ve been a number of thefts in that area. Now whether these are connected, we don’t know. . . 

Stand built for world champs – Sally Rae:

Four South Otago men will have little time to admire their handiwork when the world’s best shearers and woolhandlers converge on Invercargill next year.

Since May, Otago Shears committee members Bruce Walker, Ken Payne, Neville Leslie and Geoff Finch have spent 130 hours preparing the shearing stand for the Golden Shears World Shearing and Woolhandling championships.

About 4500 sheep will be shorn by competitors from about 30 countries at ILT Stadium Southland from February 9 to 11. . . 

US ag exports expected to rise by $6 billion in 2017:

US agricultural exports are expected to rise in 2017 from 2016 levels, largely due to higher exports of oilseeds and products, horticultural products, cotton, and livestock, dairy, and poultry.

According to the latest Outlook for US Agricultural Trade Report from the US Department of Agriculture’s Economic Research Service and Foreign Agricultural Service, agricultural exports in fiscal year 2017 are projected at $133.0 billion, up $6.0 billion from the revised fiscal 2016 forecast of $127.0 billion.

Agriculture Secretary Tom Vilsack said: “These numbers once again demonstrate the resiliency and reliability of US farmers and ranchers in the face of continued challenges. . . 


What about the doctors?

August 30, 2016

Proponents of euthanasia argue that people have autonomy over themselves which includes the right to die.

They rarely look at the debate from the point of view of doctors who would prescribe lethal doses of medication or administer them.

At The Spinoff, Medical Association chair Stephen Child gives that perspective:

For many, the key discussion point is whether it is possible to write and administer perfect legislation that permits someone autonomy at the end of life without the secondary negative consequences of:

  • inappropriate deaths
  • reduction in quality of palliative care
  • normalisation of suicide.

Both sides of this debate will emphasise anecdotes, surveys or “research” demonstrating cases of potential intolerable human suffering, or cases of coercion/inappropriate decision making, resulting in potentially unnecessary death. . . 

The ethical standards of a profession often go beyond public opinion, the law and market demands, and may also differ from the personal values held by some individuals within that profession. The role of professional ethics, however, is not only to prevent harm and exploitation of the patient but also to protect the integrity of the profession as a whole. This often requires the professional body to fulfil a leadership role to ensure clarity and provide direction.

The NZMA, along with the World Medical Association and 53 national medical associations, holds the following positions on voluntary euthanasia and assisted dying:

  • We recognise the rights of patient autonomy, so we recognise the right for society to have this discussion. We also acknowledge that people currently have the right to end their own life and that this legislation focuses on third-party assistance with this act.
  • We recognise the rights of patients to refuse treatment or for the removal of lifesaving treatment, and that the natural consequences of an illness may progress to death.
  • We recognise the rights of patients to have good access to high quality palliative care services and we passionately advocate for improved resources, education, workforce and facilities to achieve this goal. We strongly oppose the current necessity for our major hospice facilities in New Zealand to have to raise half their funds themselves.
  • We recognise the patient’s right to have administered analgesia and sedation to relieve pain and suffering – even if a secondary consequence of this is the shortening of life. Morphine is not an agent of euthanasia, and will not by and of itself reliably end the life of a patient. These agents are administered to relieve suffering, applying a risk/benefit analysis similar to all treatments, with a shared understanding of the potential risks in their prescription.

It might look like dancing on the head of a pin but there is a difference between giving something to alleviate pain and suffering in the knowledge it could hasten death and giving to deliberately kill.

. . .  Many people, however, still find confusing the difference between the concept of administering terminal analgesia/sedation to a dying patient, and that of administering voluntary euthanasia to a patient with concurrently stable physiology. The difference between palliative care and assisted dying is well documented and clear. The World Health Organisation definition of palliative care includes the statement that palliative care “intends to neither hasten nor postpone death”.

In jurisdictions where euthanasia and assisted laws exist, concern is growing about the impact on palliative care, where those seeking euthanasia are referred first to palliative care for assessment. This has led to confusion in patients as to the role of palliative care and – in some instances – patients who are opposed to euthanasia declining palliative care services.

The profession as a whole has also echoed concerns about the accuracy of diagnosis and prognosis, as well as the lack of certainty around measuring the capacity of patients facing terminal illness, who often also have reactive depression, altered brain physiology from medications or metastases, as well as potential external coercion factors.

For the profession, as well as ethical considerations, physician-assisted dying raises issues of:

  • potential impacts on palliative care delivery
  • potential changes to a doctor-patient relationship
  • difficulties with adequate training, assessment and regulation of the profession
  • potential negative impact on health providers participating in such acts.

Principles of autonomy and self-determination are, of course, central to this debate. The NZMA respects and supports patient autonomy but is concerned about relying on these principles to enact euthanasia or assisted suicide. Principles of autonomy demand full knowledge of risks and alternatives, and consent must be free of coercion, duress or undue influence.

An absolute guarantee that those who choose assisted dying are doing it voluntarily would be extremely difficult to establish in legislation and ensure in practice. Doctors are often not in a position to detect subtle coercion – as is also the case when trying to identify signs of emotional or financial abuse of elders more generally. Coercion also extends to assumptions of being a burden, giving rise to a sense of an “obligation” to die.

Given the gravity of the risk involved for individuals where autonomy is claimed but cannot be guaranteed, the belief that autonomy should trump all should be viewed with caution. . . 

 

I gave doctors permission not to keep trying to save the life of our first son and seven years later asked them not to call the crash team when our second son stopped breathing.

Both had degenerative brain disorders and any treatment would have only prolonged their suffering and postponed their inevitable deaths.

If I faced the same decisions in the same circumstances I’d do the same thing.

That isn’t euthanasia though.

It’s also very different from an adult in full control of their minds who requests the right to die and I understand how the fear of  what might be ahead could lead someone to that decision.

But legalising euthanasia isn’t only about fully competent individuals who want the right to control their lives and deaths.

It’s also about others who might feel pressured to choose a premature end or who might forgo high quality palliative care for fear euthanasia will be an inevitable consequence.

And it’s about medical professionals and what it asks of them too.

In abridging the article from which I’ve quoted, I missed a paragraph on surveys carried out in Canada, New Zealand and the United Kingdom. Each survey showed while roughly 30% of doctors agree “in principle” with the concept of assisted dying only 10% would feel comfortable in participating.

That’s what is often missed in the debate. It’s not just about the right to die and the patients, it’s also about the right to kill and the doctors.

P.S.

There’s an assisted suicide table-talk in Auckland tonight:

Broadcaster and comedian Jeremy Elwood hosts the Ika-Spinoff.co.nz current affairs cabaret, Table Talk, on the subject of Assisted Suicide. Join panelists David Seymour MP, promoter of the End-of-Life Choice Bill; Dr Jan Crosthwaite, University of Auckland Proctor and formerly Department of Philosophy; and Dr Stephen Child, Chair of the NZ Medical Association for a free-ranging discussion of a topic that defies politics.

Enjoy the full & delicious Ika menu, join a table or book for a group. Doors open and bar and dinner service from 5.30 pm, the discussion will start at 7.30 pm.

Follow the discussion on the TheSpinoff.co.nz

WHEN
August 30, 2016 at 5:30pm – 10:30pm

WHERE

Ika Seafood Bar and Grill
3 Mt Eden Rd
Auckland 1023


366 days of gratitude

August 30, 2016

Whoops this is yesterday’s post again.

The reason I’ve been tardy with the gratitude posts isn’t that there’s nothing to be grateful for, it’s that I’ve been following the advice to keep away from screens in the evening in the quest of better sleep.

That and going to bed early with a book is working and I”m grateful for it.


Quote of the day

August 30, 2016

Of all created comforts, God is the lender; you are the borrower, not the owner. Ernest Rutherford who was born on this day in 1871.


August 30 in history

August 30, 2016

1363 Beginning date of the Battle of Lake Poyang; the forces of two Chinese rebel leaders— Chen Youliang and Zhu Yuanzhang—were pitted against each other in what is one of the largest naval battles in history, during the last decade of the ailing, Mongol-led Yuan Dynasty.

1574  Guru Ram Das became the Fourth Sikh Guru/Master.

1590  Tokugawa Ieyasu entered Edo Castle.

1720 Samuel Whitbread, English brewer, was born (d. 1796).

1791 HMS Pandora sank after running aground on a reef the previous day.

1797 Mary Wollstonecraft Shelley, English writer, was born (d. 1851).

1799 Capture of the entire Dutch fleet by British forces under the command of Sir Ralph Abercromby and Admiral Sir Charles Mitchell during the Second Coalition of the French Revolutionary Wars.

1800 Gabriel Prosser led a slave rebellion in Richmond, Virginia.

1813  Battle of Kulm: French forces defeated by Austrian-Prussian-Russian alliance.

1813  Creek War: Creek Red Sticks carried out the Fort Mims Massacre.

1835 Melbourne was founded.

1836 The city of Houston was founded by Augustus Chapman Allen and John Kirby Allen.

1862  American Civil War: Battle of Richmond: Confederates under Edmund Kirby Smith routed a Union army under General Horatio Wright.

1862 – American Civil War: Union forces were defeated in Second Battle of Bull Run.

1871 Ernest Rutherford,  Nobel Prize in Chemistry laureate, was born (d. 1937).

Ernest Rutherford LOC.jpg

1873 – Austrian explorers Julius von Payer and Karl Weyprecht discovered the archipelago of Franz Joseph Land in the Arctic Sea.

1903 Guide Joseph Warbrick and three tourists were killed instantly whenRoturua’s Waimangu geyser erupted unexpectedly.

Four killed by Rotorua geyser

1907 – John Mauchly, American physicist and co-founder of the first computer company, was born (d. 1980).

1908 Fred MacMurray, American actor, was born (d. 1991).

1909  Burgess Shale fossils discovered by Charles Doolittle Walcott.

1909 – Virginia Lee Burton, American author and illustrator, waws born (d. 1968).

1912 Nancy Wake AC GM, New Zealand-born World War II secret agent, was born (d. 2011).

1914  Battle of Tannenberg.

1918 Fanny Kaplan shot and seriously injured Bolshevik leader Vladimir Lenin.

1922 Battle of Dumlupinar, final battle in Greco-Turkish War (1919-1922).

1926 – Kawarau Falls dam became operational.

1930 Warren Buffett, American entrepreneur, was born.

1935 John Phillips, American singer/songwriter (The Mamas & the Papas), was born (d. 2001).

1942  World War II: Battle of Alam Halfa began.

1943 Jean-Claude Killy, French skier, was born.

1945 Hong Kong was liberated from Japan by British Armed Forces.

1945 – Supreme Commander of the Allied Forces, General Douglas MacArthur landed at Atsugi Air Force Base.

1946 Peggy Lipton, American actress, was born.

1951 Dana, Irish singer and politician, was born.

1956 Lake Pontchartrain Causeway opened.

1962  Japan conducted a test of the NAMC YS-11, its first aircraft since the war and its only successful commercial aircraft.

1963 Hotline between the leaders of the U.S.A. and the Soviet Union went into operation.

1967  Thurgood Marshall was confirmed as the first African American Justice of the United States Supreme Court.

1972  Cameron Diaz, American actress, was born.

1974  A BelgradeDortmund express train derailed at the main train station in Zagreb killing 153 passengers.

1974 – A powerful bomb exploded at the Mitsubishi Heavy Industries headquarters in Marunouchi, Tokyo – 8 killed, 378 injured.

1984   The Space Shuttle Discovery took off on its maiden voyage.

1995 – NATO launches Operation Deliberate Force against Bosnian Serb forces.

1999 – East Timor voted for independence from Indonesia in a referendum.

2003 – While being towed across the Barents Sea, the de-commissioned Russian submarine K-159 sank, taking 9 of her crew and 800 kg of spent nuclear fuel with her.

Sourced from NZ History Online & Wikipedia


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