The Occasional Perspective - 10/10/24

Opinions and Reflections 

First, My Apologies – Over the last decade-plus that I’ve been writing The Fickenscher Files the approach has been to remain apolitical. However, the recent explosion of misinformation coming from all sides – not just politicians – has gotten me agitated, especially as it relates to the health of people, our nation, and the world. So, bear with me…

The Health Of The World And Weather Extremes – If you’ve been listening to the news, you most likely can’t help wondering about the extreme weather hitting Florida. However, that’s not the only area of concern. Some significant weather events in the last 10 years include: 

  • 2023: A heat wave swept the Midwest and Southwest of the United States with at least $1.2 trillion in damages from 173 events
  • 2014–2023: The warmest decade on record throughout the world, with 9 of 10 warmest years ever recorded during this period plus storms like Hurricane Dorian that hit the Southeast US coastline (2019), the flash floods, and extreme rainfall in December (2018), Hurricane Nate (2017), and the list goes on…
  • A North American heat wave killed at least 225 people and brought extreme heat to most of the United States and Canada.

And now, Hurricanes Helene and Milton are following the same path with destruction upon destruction. Next, we’ll probably experience Hurricane Agonia – an extraction from the Greek reference for a difficult struggle and the associated pain that accompanies the struggle – a fitting name for an upcoming storm!

But, the question is: When are we going to do something about it? It was very disturbing for me to learn that the House Committee on Oversight and Accountability and the Senate Budget Committee jointly investigated Big Oil, issuing a report in September 2021. The report is disturbing at best. Here’s an excerpt: 

“Our investigation revealed how Exxon, Chevron, Shell, BP, API, and the Chamber worked in concert to mislead the public, policymakers, and investors with public promises to reduce emissions and meaningfully contribute to the transition away from oil and gas, while privately seeking to lock in continued fossil fuel production for decades into the future…The investigation also demonstrated that the fossil fuel industry continues to knowingly obfuscate the dangers of natural gas, which they have billed as a clean and green fuel.  This evidence, combined with the entities’ failure to comply fully with validly issued congressional subpoenas, suggests that further investigation by the executive branch is warranted.”

“Our investigation into the fossil fuel industry calls to mind the historic congressional investigation into deceptive practices of the tobacco industry and its trade associations, which led to investigations and litigation by several state attorneys general and the Department of Justice (DOJ)…is well situated to pursue further investigation and take any appropriate legal action, as it has in similar cases involving the tobacco and pharmaceutical industries.” 

Health is both personal and global. The information I share is primarily focused on the personal side. However, if we are all truly concerned about the “health of the people” a natural concern should also concern the state of the world we live in! The health of the world will not subside as an important attention getting noticed on all of the news outlets because there is no cycle where it ends – like the upcoming election. Rather, the problem is only getting worse. Perhaps we in medicine should start training “Globalogists” to focus on the issue of global warming and its effect on the environment. Just a thought…

Political Misinformation – People are suffering, homes are destroyed, displacement is rampant, and – on top of all that – we have irresponsible and reprehensible disinformation being spread indiscriminately on the airwaves by certain individuals. Examples include accusations that funds are being taken from FEMA to support immigrants coming into the country to “vote” for candidates (Democrats, of course). The accusations are categorically incorrect and, in fact, dangerous. Anyone can fact-check the real information at the FEMA website, a responsible governmental agency. It’s disturbing at best that such disinformation would be spread in an effort to grasp power! Our political discourse has fallen into the gutter from my perspective. Let’s get back to arguing about the direction for the country and the world, the policy ideas and disagreements rather than gutter discussions that take us nowhere.

The Occasional Perspective - 9/19/24

When I feel I must share my thoughts and perspectives on a burning issue…

On Narcissistic Behavior the events of the last couple of months in various forms have heightened the number of behind-the-scenes conversations among healthcare providers related to Narcissistic Collapse that occurs when a narcissist’s ability to uphold their grandiose, confident image is threatened. When challenged or confronted, individuals with the disorder will often become enraged, resulting in impulsivity, intense lashing out, or harm to others. While this reaction isn’t typically intentional, it’s a way for the narcissist to re-establish a sense of control. I encourage all of my readers to check out the above-noted hyperlink on the disorder. In brief (and, I quote) from the site highlighted above:

“A narcissistic collapse happens when a narcissist believes that someone (or something) is threatening their ability to maintain their superficial inflated ego. People with narcissistic personality disorder (NPD) often look down on others to maintain the positive images they hold about themselves. If their behavior is called out or challenged, their fragile self-esteem is damaged, resulting in intense reactions and abuse toward others.1

“Narcissistic collapse isn’t an official psychiatric term and hasn’t been extensively studied. However, some researchers and psychologists argue that collapse essentially disarms the false self associated with narcissism.2 Because narcissists are so insecure, they often feel empty and hollow–they need admiration from others to feel validated.3

 The issue is coming to the forefront as part of our national conversation. As healthcare providers, all of us need to offer the best analysis and perspective on what we see and hear in the ongoing debates about the future of our nation.

Citations:

 

Responding In Kind - 8/29/24

Responses and comments from my readers…I do receive periodic information from the many readers of the blog. While I have often responded individually, I decided that I should share more transparently. Hopefully, this contributes to an ongoing dialogue… 

A Couple Of Rediscovered Emails – [#1] I appreciated and enjoyed - even savored - every bite in this newsletter. Thanks for continuing to share your musings with all of us!! Janet.G – KMF Response: Thanks!! Much appreciated. [#2] I really enjoyed your latest communication. I am now a healthy 84-year-old widower with 2 Labradoodles and am basically pretty happy. I am always hungry after reading your food news. Keep up the good work. Kent.G – KMF Response: From one health care warrior to another – Thanks!! 

On The Increased Loneliness Citation – “I was struck by your loneliness statistic. And cell phone problems. I was recently on local TV advocating to prohibit cellphones in schools. [We] note how often we go out to eat and people look at their cell phones instead of each other. Such a world. At least the election will give us our first female President. Yippee. So glad we lived to see this. Fondly” – R.O. KMF Response: Agree on all counts, except we should not count the chickens before they are hatched!

On The Simone Biles Quote – “Gosh I only have 350 turtles. I left a note to my executor to take them to my funeral and invite all the attendees to take one home.” – K.K. KMF Response: Not a bad idea. Perhaps I’ll reconsider and join you in the Great Turtle Giveaway.

On My Commentary – As always I enjoyed this issue and equally appreciate another person’s perspective/vantage point. I was somewhat surprised that after all of your support and propping up of President Biden over the ~past year, that you did not acknowledge (KMF: not in my blog) that you had misjudged who he had become and his cognitive and physical decline that those of us not so ideologically blinded by him have witnessed and known for a long time.   It must sting to know that his owned party knifed him in the back and threw him to the sharks (KMF: not true, that’s Fox spin) …his removal from 2024 was anything but valiant, patriotic, country above self or any other nonsense…So fast forward, the world, yes the world, has the prospect of a VP that by her own words and actions, up until the moment she was anointed, is far left of left….this is her record (KMF: I don’t believe “left of left” but, show me the record and details!) and no amount of spin or revisionist history can change the facts (KMF: So, send them!).  VP Kamala’s record makes President Biden’s record look like a far right conservative in comparison. Then we have Trump that many love to hate because of his ‘stereotypical New Yorker‘ approach and of course the media bias, twists and misinformation to go along with his own missteps (KMF: No. It’s the authoritarian and Mafioso approach to life, liberty and the pursuit of happiness. And, it goes on from here…  Warmest regards, T.M.

The Occasional Perspective - 8/29/24

Opinions and Reflections

 You Be The Judge – Heather Cox Richardson is a historian the provides regular commentary on current political events happening around the world and in the USA that will have an impact on society writ large. In her August 19 blog, she noted the difference between the Republican and Democrat platform reports. Rather than provide you with a commentary on the two documents, I thought I should make it easy for all of my readings to access each of them. You should review for yourself the platforms for the two competitors and determine which provides the best map forward for our democracy. In other words, rather than me or anyone else being the judge of what is said and laid out for the future…you be the judge!!

Also, if you’re interested, here is the Project 2025 Report outlining the “wish list for a Trump Presidency” published by the Heritage Foundation. It’s a bit lengthy at 920 pages but provides sufficient detail to outline where some who are quite close to the former President and the Republican Party believe the nation should go. Or, you can go to the “Readers Digest” version of the Project 2025 Report. I have not found a similar document for the Democrats. If I find it, I’ll let you know.

 

Responding In Kind - 2/26/24

Responses and comments from my readers…I do receive periodic information from the many readers of the blog. While I have often responded individually, I decided that I should share more transparently. Hopefully, this will contribute to an ongoing dialogue… 

G.W. Writes: Dr.F. – I usually learn one new word reading your articles. This edition; “echolalia”. Brilliant!  KMF Responds – Well, thanks but I didn’t create it.

O.D. Writes: The two biggest dangers that humanity faces is the unfettered proliferation of cloning and AI.  Both represent unknown and dangerous consequences.  KMF Responds – I’m not sure if they are the “two biggest” but surely they are in the Top 10. And, in keeping with my note above, those of us who are concerned about “health care” need to become much more conversant and involved in the debates, discussions, and directions we taking a society – across the world – related to these two issues. But, yes – I would put them in the top tier of issues that need to be on our radar screens…

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