RSS
Today, @UWMedicine announced that it will no longer use race to calculate estimated glomerular filtration rate. This move came in light of concerns raised by UW medical students, including critical conversations facilitated by the Anti-Racism Action Committee. Such a huge win.
— Elizabeth Stein (@lizstein_) May 26, 2020
Liz,
I understand you are a True Believer in everything you’ve been told by your fellow Social Justice Jihadis, but you really shouldn’t murder your future black patients with bad medical care just to prove your political correctness. In reality, the people you trust were yanking your chain about how race doesn’t biologically exist, while your upcoming black patients actually need you not to throw away their lives with your credulity.
Actually by taking race out you are adversely affecting the outcomes for all patients.
If anyone is interested, this is a thoughtful article on eGFR and race:
Reconsidering the Consequences of Using Race to Estimate Kidney Function.
http://www.nephjc.com/news/raceandegfr
A sample.
They wouldnt do this unless the reseach and acadmic ctudy has notbeenn duly and thoruoiogoy investignatedReplies: @anon, @Reg Cæsar
The med school must have its certification pulled immediately.
Liberal egalitarians have already destroyed the social sciences. If you allow them, they will destroy the natural sciences as well.Replies: @DocAnon, @Richard B
Liz looks like a public health doctor, not one you’d ask to check out that nasty cough you’ve got.
The comments on that Tweet are amusing.
https://twitter.com/thenephrologist/status/1265117583189016577
Discussion of her use of "wypipo" in the comments is a bonus.
I know everyone here will be shocked to learn she is at UCSF:
https://profiles.ucsf.edu/vanessa.grubbsReplies: @SOL, @Nachum
The formula she’s on about is approved by NICE in the UK.
https://en.wikipedia.org/wiki/Renal_function#Estimated_GFR_(eGFR)_using_the_CKD-EPI_formula
Included in the calculation are factors for male/female/black/nonblack.
https://en.wikipedia.org/wiki/That_Hideous_Strength#N.I.C.E.
Tsk. So the new equation is racist; sexist; ageist; and body shaming.
Heads will explode.
They need to quit using gender too. It’s the next predictive factor after eithnicity.
The progressive left’s relationship with its favorite minorities is truly unintentionally abusive. You have this health nonsense, in higher ed you have millions of under-qualified minorities getting leveraged up to fund an army of administrators and receive degrees that will not justify their costs, and in criminal justice the worst elements of society are let out early so they can go back to terrorizing their co-ethnics.
Plus there is the ultimate abuse: eventually putting these same minorities in charge of the country.
Let em kill the goose that laid the black golden egg Steve! The more they do for minorities in the name of “caring”, the more they harm them! How’s that multigenerational ghetto welfare state working out for the SJW’s?
Good… lord… this is a thing…
The problem is, we have the relevant data for race. While we don't know enough about the true genetic causative factors to look at those directly.
I think there is a decent argument for using a B/W weight based on admixture rather than dichotomous B/W for looking at things like eGFR.
But I suppose that is even more racist. So off to the reeducation camp with me.Replies: @anon
But luckily, she's got an original idea to sort it all out.Maybe patients can be asked to sign a consent form in which they indicate whether they would prefer to have a politically correct diagnosis, or a more accurate diagnosis.
“No BiDil for you!”
Medical News (iSteve Exclusive!)
Today UWMedicine announced it will no longer be performing lobotomies.
Instead patients will be turned into cretinous morons by critical conversations facilitated by the Anti-Racism Action Committee.
Such a huge win.
Does this also mean that when a white person calls the police due to a minority being a criminal or suspiciously acting, we can leave mention of race out of it?
100% of the time. 100%. The first category to describe person of interest is their race. Even in the cases where no race is specified. The first thing the radio dispatcher then says to the patrolman is race unspecified or race unknown.Replies: @Joe Stalin, @Billy Shears
Someone should write a story where all along SJWs are manipulated by some evil racist/sadist into unintentionally hurting minorities through schemes like these. Fighting against over-represenation of blacks in school suspensions and classes for the mentally handicapped are other ones. Desegregation and the sexual revolution too, plausibly.
A recent case in point - a friend who is an executive for a ubiquitous show/athletic wear company commented that as the Covid-19 stimulus checks started hitting bank accounts they saw a massive surge in shoe sales. So yes, it did pump money into the economy, but I doubt the intent was to make sure the the lower income could buy the latest sneakers - which will naturally be superceded by a more fashionable model in a few months.Replies: @SOL
Antiracist Hitler.
YouTube deletes it every few days.Replies: @SunBakedSuburb, @Shmendrix
https://image.cnbcfm.com/api/v1/image/103769548-GettyImages-86187715.jpg?v=1529472060&w=740&h=416
The final line in the story that photo is from:
A Florida town repealed its saggy pants law shortly after is passed in 2014 when the National Association for the Advancement of Colored People threatened to sue, WKMG-TV reported.https://www.cnbc.com/2016/07/06/sc-town-bans-saggy-pants.htmlReplies: @Anon, @hhsiii
Yes, but which lives matter?
Down the Twitter thread, some “academic” presents a “paper” called “Addressing the Elephant in the Room: Microaggressions in Medicine.”
Again they could have called it anything but instead somehow chose a title that contradicted itself. Is this what stupid people do when they know their argument is dumb? Like misusing the word literally?
As an NHS out-patient a few years ago I was invited to take part in a research study. I agreed.
The nurse got her clipboard and started taking me through her questions. We hit an obstacle. She asked me to agree to an ethnic identity from a list she read out. I said that I didn’t do that sort of thing. I may even have animadverted to Apartheid, the Nazis, or the like.
When I told this tale to a friend he said ‘But your race does matter for medical reasons’.
I replied ‘Of course it does. So why didn’t she invite me to talk about race? Twaddle about “identifying” as part of an “ethnic group” is no bloody good.’
I suspect the question was not intended to be medically useful but rather to create a record to show that a suitably “diverse” bunch of people were being “served” by the NHS; or not being served, as the case may be.
Anyway, The Establishment having lost my trust on anything to do with race (and many other topics) I have decided that I will no longer volunteer for research studies, I will no longer donate to national charities, and probably I will no longer vote. I am, you may say, disillusioned.
Or quizzes upon World-Affairs,
Nor with compliance
Take any test. Thou shalt not sit
With statisticians nor commit
A social science.
-- Auden
This seems like loony SJWism but my guess is the true intent is more malicious.
The new calculation will make GFRs seem lower than they actually are which means blacks will get on the transplant list earlier and get prioritized for organs. Which means that non-blacks will be getting bumped.
The people behind this know this and that’s exactly why they’re doing it. It’s the medical equivalent of adding 200 points to the SAT scores of black people.
% of donors who are black: 12.5%For kidneys this is certainly even more skewed, as blacks are particularly hard hit with kidney disease. minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=27With that said, bumping up GFR estimates for blacks can definitely be somewhat unscientific. The supposed logic is that blacks have a higher percentage of muscle in their body composition at a given BMI than other races, so they make more creatinine. However, body composition varies tremendously among individuals regardless of race, so there probably should be a more precise method of estimating GFR than just racial buckets.Replies: @Charon, @Semperluctor
I’ve made sure that my dr license and medical records forbid organ donations.Replies: @Rob McX, @anonymous, @SimpleSong
From They’ll Snuff Your Life to End Their “Stigma”:
Our public debates oftentimes don't arrive at a point where logic is at play - let alone where logic of the second-order should be applicated (not to mention even crappier subjects which would ask for even more sophisticated reasoning).Replies: @HA, @Rob
I recall well because my father was something like an 8-gallon lifetime Red Cross donor, with a rare blood type, and he was barred from donating as travel to Haiti (business conference c. 1980) was one of the disqualifications. We had a laugh about that.
Reference material: https://www.nephjc.com/news/raceandegfr regarding physiological differences between races that mandates taking race into consideration in these calculations.
Bwahahaha, I want to be counsel on the first lawsuit in which a paramedic refuses to give the correct blood type to a dying black accident victim because he/she believes that race is a social construct.
These people are lunatics.
A glomerular filtration rate, I guess from a cursory Web search, has something to do with how well your kidneys are functioning. I suppose the reason you don’t want to ignore your glomerular filtration rate is that could lead to a person ending up on dialysis and eventually dead. This is probably something that your Primary Care Provider (PCP) ask you lifestyle questions and orders blood tests so “they catch it in time.”
It kind of doesn’t matter anymore if the racial differential is genetic, such as a predisposition to high blood pressure, or cultural, such as a preference for a lot of fried food. Surgeon General Jerome Adams ran into the SJW buzz saw when he urged blacks and hispanics to “practice social distancing” for the benefit of one’s grandmother, using the “ethnic appropriate” terms of “Big Mamma” and “Abuela.”
Steve is being way too nice. These SJWs are evil, horrible people who are enemies of civilization and need to be removed from positions of influence.
Identity is political warfare, a zealotry that has pushed the Democratic Party and the remnants of American liberalism into the darkness of authoritarianism. The civilian intelligence agencies, technocracy, and a cabal of notable billionaires have been funding and facilitating the drive toward totalitarianism before the virus arrived. Knowing the close relationship between certain American and Chinese elites -- businessmen and bankers, politicians and CCP leaders, scientists and academics -- the virus is probably a tool of these ministers of night.
Just say it’s a white alt-right youth. Cops are really desperate for any “Great White Defendant” they can catch.
The gender question will be removed soon enough…
But lactation counselors are now required to talk about "chestfeeding," so as not to be "non-inclusive" to XX humans who used their naturally-occurring uteruses to gestate infants, but are NOT women, (we're told.)Women no longer breastfeed after birth, see.
Pregnant people chestfeed after birth. Get it right!
As Steve has pointed out in the past, unrulier cohorts of society benefit the most from more rules. As mistake I see constantly made by elites when trying to cope with the behavior of the less capable is to devise policy that would make sense if applied to the upper half of society (in terms of ability/intelligence) and then apply it to the lower half and then be shocked that things don’t turn out well.
A recent case in point – a friend who is an executive for a ubiquitous show/athletic wear company commented that as the Covid-19 stimulus checks started hitting bank accounts they saw a massive surge in shoe sales. So yes, it did pump money into the economy, but I doubt the intent was to make sure the the lower income could buy the latest sneakers – which will naturally be superceded by a more fashionable model in a few months.
Too bad there’s no BS Filtration Rate
Gordo, so ignore Sickle Cell and Mediterranen Anemia and why not pretend every one is O Negative.
On this page about sickle cell at the CDC, I'm seeing a picture of persons who all have the same dark skin shade.
https://www.cdc.gov/ncbddd/sicklecell/facts.html
That seems disingenuous to me.
This page on the Merck drug company website, the incorrect language is blatant. "Sickle cell disease affects blacks almost exclusively."
https://www.merckmanuals.com/home/blood-disorders/anemia/sickle-cell-disease
There's a lot of work that needs to be done here.
If I’m understanding correctly, the SJW beef is that the test threshold for blacks to get on the list to receive a kidney transplant is higher, thus racism.
But what’s really insidious about all of this is that organ donations (I believe) mainly come from family members or co-ethnics. So they are going to be clogging up the queue of black folks waiting on the kidney transplant list with patients who don’t need it (harming the legit cases) as well as putting some number of both donors and recipients through unnecessary, inherently risky surgical procedures. It’s a triple negative…
“…including critical theory conversations facilitated by the Anti-Science Action Committee.“
FIFY, Liz.
“Such a huge win.”
Emblematic of the technocracy thought process.
https://www.bing.com/videos/search?q=video+lemmings+over+a+cliff&view=detail&mid=C7E0D90B33D0052A1644C7E0D90B33D0052A1644&FORM=VIRE
Neil
But the hilarious irony is that these self same people are right now – completely unselfconsciously – screaming blue murder that Covid 19 is somehow someway, inevitably white controlled – ‘targetting’ ‘people of color disproportionately’.
Every damned time
The trouble with logically correct reasoning is that it leads to wrong conclusions every now and then. It is not enough for an argument to be valid that it looks at first sight as if it was logically correct.
Our public debates oftentimes don’t arrive at a point where logic is at play – let alone where logic of the second-order should be applicated (not to mention even crappier subjects which would ask for even more sophisticated reasoning).
Now, maybe all those worries are false, but when they had an adequate and safe(so they thought) blood supply, should they risk screwing it up?
Antiracist Hitler.
YouTube deletes it every few days.
https://twitter.com/nquadriMD/status/1260939431906693120Replies: @ben tillman, @Peter D. Bredon, @Forbes, @res, @Hypnotoad666
The imprecise use of the English language by non-white SJW scolds is ubiquitous.
“These SJWs are evil, horrible people”
Identity is political warfare, a zealotry that has pushed the Democratic Party and the remnants of American liberalism into the darkness of authoritarianism. The civilian intelligence agencies, technocracy, and a cabal of notable billionaires have been funding and facilitating the drive toward totalitarianism before the virus arrived. Knowing the close relationship between certain American and Chinese elites — businessmen and bankers, politicians and CCP leaders, scientists and academics — the virus is probably a tool of these ministers of night.
Antiracist Hitler.
YouTube deletes it every few days.Replies: @SunBakedSuburb, @Shmendrix
Adolf looking good in his Tommy Bahama.
None, apparently.
Blood types are just a social construct. MHC alleles are just a social construct. KIR genes are just a social construct.
Progressives themselves write that story all the time. Whenever their schemes blow up in their faces, they just retcon the whole endeavor as a right-wing project. Look at eugenics, residential schools for aboriginal children, or even a more abstract concept like a “colorblind society”. Thanks to their total control of the media and education system the cover up usually sticks.
On the one hand, it’s not accurate to assume that “black” people have majority African ancestry, especially in these flight-from-white days. Remember the “black” president who preceded Trump?
But on the other hand, the data used for input into the formula may have used a black cohort who identified as black rather than who asserted majority African ancestry, so it may have been pre-compromised.
The real danger is if researchers will in the future be required to disregard race and not record it in research results, thus compromising dosages and the like for white people.
But then isn’t another favorite beef of black activists that researchers mostly study white men? This is true, since early studies are going for clear, baseline results, so you want a simple, uniform “lab rat.” Women’s bodies are more complex and introduce too many confounding variables, and blacks, in addition to being a minority, don’t much like volunteering for white man’s medical research. After getting the baseline, you make smaller studies with the other groups to see if tweaks are necessary.
An unintended side effect of making scientists disavow racial differences would be that GWAS scores for intelligence, mostly computed from whites, and thought to be unreliable when applied to blacks, could now be applied to blacks with impunity. Black genomes don’t do that well with current IQ GWAS SNPs.
“Did you just call my kidney tha n-word?”
“I’m a name my girl Nephrology, like an African queen of Egypt.”
“Renal function? It’s aight. Rather go to Vegas, tho.”
“Glomerulus? Ain’t he got a full ride to Clemson?”
Our public debates oftentimes don't arrive at a point where logic is at play - let alone where logic of the second-order should be applicated (not to mention even crappier subjects which would ask for even more sophisticated reasoning).Replies: @HA, @Rob
“Our public debates oftentimes don’t arrive at a point where logic is at play…”
I agree with that. Pundits are for the most part dispensers of “schtick”. Logic is not really the point. Rather, they have one little hammer, next to which everything becomes a nail. To a feminist, everything that happens in the world is proof that man oppresses woman. Did the sun come up today? See, that’s clear evidence women are being subjugated, what’d I tell you? And if it didn’t, well, then it’s even more obvious that the feminists were right all along. The fact that what might really be infuriating them is the thought of dying alone and getting eaten by cats escapes them. The same is true of Marxists and class struggle — a classic case of a hammer that renders everything else a nail.
Likewise, we now have various conspiracy theories that coronavirus is really just a plot to establish a police state, to take away America’s guns, or its freedoms, or its masculinity, to rid it of “whiteness”, or of Trump, etc. and sifting through the deluge of information and misinformation, the theorists will find plenty that supports their viewpoints. But if you look back, you’ll see that even earlier, anything at all that happened in the world was part of that same conspiracy, virus or no virus. Which suggests that this is just another opportunity for them to work their schtick despite their confusion about a topic as difficult as epidemiology (which, like reality in general, has no particular inclination to respect or conform with our biases and ideologies) and to sublimate their neuroses about their impending (or long since past) male menopause.
Yes and installing an army of useless, highly-paid political commissars is kind of the point of these policies.
So, all STEM is good, but some STEM is better?
Actually, public health measures (sewers, indoor plumbing, air space, etc.) since 1900 have had more effect on life expectancy (i.e., no mass epidemics in hitherto crowded, filthy cities) than all the Chesterfield-puffing pill-pushers and knife jockeys combined. That’s why cities have Public Health departments.
“Hospital-acquired diseases” is the third highest cause of death, and let’s not forget all those hospital-bound Corvid deaths.
Speaking of Covid, that checking out that cough is non-essential, so good luck.
It’s working out quite well for the people behind it all since the point is to siphon resources off you and depress your birth rate while increasing the number of those they’re using as bio-weapons against you. You don’t win anything or really get anything positive out of saying “I told you so” as your throat is slashed and you are stuffed into the cannibal’s cook pot.
https://twitter.com/nquadriMD/status/1260939431906693120Replies: @ben tillman, @Peter D. Bredon, @Forbes, @res, @Hypnotoad666
Oh, don’t worry. STEM folks are super-IQ geniuses who won’t be affected by all that non-STEM nonsense, right?
The nurse got her clipboard and started taking me through her questions. We hit an obstacle. She asked me to agree to an ethnic identity from a list she read out. I said that I didn't do that sort of thing. I may even have animadverted to Apartheid, the Nazis, or the like.
When I told this tale to a friend he said 'But your race does matter for medical reasons'.
I replied 'Of course it does. So why didn't she invite me to talk about race? Twaddle about "identifying" as part of an "ethnic group" is no bloody good.'
I suspect the question was not intended to be medically useful but rather to create a record to show that a suitably "diverse" bunch of people were being "served" by the NHS; or not being served, as the case may be.
Anyway, The Establishment having lost my trust on anything to do with race (and many other topics) I have decided that I will no longer volunteer for research studies, I will no longer donate to national charities, and probably I will no longer vote. I am, you may say, disillusioned.Replies: @black sea, @David 'The Diversity Mastermind' Lammey
Thou shalt not answer questionnaires
Or quizzes upon World-Affairs,
Nor with compliance
Take any test. Thou shalt not sit
With statisticians nor commit
A social science.
— Auden
https://twitter.com/nquadriMD/status/1260939431906693120Replies: @ben tillman, @Peter D. Bredon, @Forbes, @res, @Hypnotoad666
This! After 2-3 decades of complaints (valid or otherwise) of under-representation of blacks/black health as targets/basis for medical research.
It exists. It’s called “The Hidden Truth” by Hans Schantz.
The one confounding feature of “race as social construct” is… Racial preferences “quotas” and the like have no legitimate foundation! What the SJW’s need to then do is argue against racial preferences / quota’s because they are not based in any objective reality, or scientific evidence. They are based on an illusion constructed by bad white ppl! Preferences and quotas are therefore inherently racist!
just Jews doing what they always do.
you’ll mostly be able to avoid the results of this Steve, since you’re an old man. too bad you won’t let us younger posters discuss what it will mean to live in such a country or how we can respond.
Do you ever listen to the police radio scanner?
100% of the time. 100%. The first category to describe person of interest is their race. Even in the cases where no race is specified. The first thing the radio dispatcher then says to the patrolman is race unspecified or race unknown.
https://www.broadcastify.com/listen/feed/31652
Rx Viagra to Liz
Yes, but the smallest and most different groups will be most affected per capita.
If anyone is interested, this is a thoughtful article on eGFR and race:
Reconsidering the Consequences of Using Race to Estimate Kidney Function.
http://www.nephjc.com/news/raceandegfr
A sample.
My recollection from the early ’80s–my employer had a self-insured blood bank, so all employees had to donate once a year, with exemptions–was a series of questions to get around directly asking if you were queer, as other issues were in play, e.g. intravenous drug use, etc. It screened for several at-risk behaviors.
I recall well because my father was something like an 8-gallon lifetime Red Cross donor, with a rare blood type, and he was barred from donating as travel to Haiti (business conference c. 1980) was one of the disqualifications. We had a laugh about that.
True, but the media only cares about the black patients you are murdering.
Not sure this particular “stone” is really naive, but a lot of people her age are that naive. They were lied to about those subjects for their whole lives. They have no idea that it’s a scam or a joke.
The “private truths, public lies” situation ends up in the truth dying out. At some point, no one remembers the truth.
As I’ve gotten older, though, the truth has been forgotten. The fact that you couldn’t say something publicly became evidence that it was false — rather than just a polite evasion for the sake of social harmony.
I wonder if this is specific to Western culture, or if it’s just part of the natural life-cycle of societies — they eventually create so many “polite fictions” that the people in charge lose the ability to distinguish truth and make-believe, thus leading to the society’s downfall.
Your comment is clearly making fun of the dispossessed and disprivileged and discomforted and – dehydrated and hungry extorted huddled masses – and thus nothing but – – – racist.
(not really sorry for being – unearnest)
Thanks. This response makes clear at least one of the people really driving this.
Discussion of her use of “wypipo” in the comments is a bonus.
I know everyone here will be shocked to learn she is at UCSF:
https://profiles.ucsf.edu/vanessa.grubbs
The exchange between the two and the mentioning of the other women involved in research...
I once read a line of advice: "When you use profanity, no one hears anything else."
Oh, she doesn't actually practice? Thank God. I wonder if she passed her boards.
100% of the time. 100%. The first category to describe person of interest is their race. Even in the cases where no race is specified. The first thing the radio dispatcher then says to the patrolman is race unspecified or race unknown.Replies: @Joe Stalin, @Billy Shears
I recommend the Chicago Police for your daily dose of racial realism!
https://www.broadcastify.com/listen/feed/31652
https://twitter.com/nquadriMD/status/1260939431906693120Replies: @ben tillman, @Peter D. Bredon, @Forbes, @res, @Hypnotoad666
Leaving aside the race is entirely a social construct nonsense, they actually do have a point. Race is simply serving as a useful proxy for genetic variation. What we should really be looking at is that genetic variation rather than race.
The problem is, we have the relevant data for race. While we don’t know enough about the true genetic causative factors to look at those directly.
I think there is a decent argument for using a B/W weight based on admixture rather than dichotomous B/W for looking at things like eGFR.
But I suppose that is even more racist. So off to the reeducation camp with me.
Worth noting is that this self-identification process seems to be fairly accurate. Race as a proxy for genetic variation works, and definitions of race as crude as self-identification are good enough to get the job done.
As more of our population becomes "half and half" like Obama, I suppose it will be more difficult to use race to narrow the search for patients who might have this disease.
SJWs didn’t take “race is a social construct” seriously before? There was some Harvard anthropology student named Jason Silverstein who wrote an article in The Atlantic back in 2015 that was arguing all health disparities were caused by the Man keeping black people down.
He attempted to down play BiDil’s effectiveness on black patients by saying it would have worked on anyone, not just blacks, but the only tested on them and no one else. BTW, the guy works as a contributor for VICE now.
Our public debates oftentimes don't arrive at a point where logic is at play - let alone where logic of the second-order should be applicated (not to mention even crappier subjects which would ask for even more sophisticated reasoning).Replies: @HA, @Rob
Back before testing blood for diseases was a thing, was it it really a bad idea to exclude blacks? Black people have much higher STD rates today, with antibiotics. I can guess they were much worse off before antibiotics. Plus, it may have been reasonable to be concerned that blood from sickle cell carriers would respond differently to the anticoagulants and long term low oxygen level, or freezing.
Now, maybe all those worries are false, but when they had an adequate and safe(so they thought) blood supply, should they risk screwing it up?
The new calculation will make GFRs seem lower than they actually are which means blacks will get on the transplant list earlier and get prioritized for organs. Which means that non-blacks will be getting bumped.
The people behind this know this and that's exactly why they're doing it. It's the medical equivalent of adding 200 points to the SAT scores of black people.Replies: @Anonymous (n), @res, @Smithsonian, @Alden
Blacks are already over-represented among organ transplant recipients compared to their representation among donors.
% of recipients who are black: 21%
% of donors who are black: 12.5%
For kidneys this is certainly even more skewed, as blacks are particularly hard hit with kidney disease.
minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=27
With that said, bumping up GFR estimates for blacks can definitely be somewhat unscientific. The supposed logic is that blacks have a higher percentage of muscle in their body composition at a given BMI than other races, so they make more creatinine. However, body composition varies tremendously among individuals regardless of race, so there probably should be a more precise method of estimating GFR than just racial buckets.
Perhaps there’s room here for a Nobel in medicine for the three of us.
Under any of the various formulae shown on the linked page near the top of this thread, there is an assigned constant for black; it’s hard to ask a black patient to identify the percentage of white admixture, but a muscle mass adjustment to the black constant would be relatively easy; for example some combination of BMI and chest/waist ratio would give a good approx. of muscle mass at any given body weight. That number would then be multiplied through into the already established constant. Then you compare the predicted EGR numbers with the actual numbers obtained empirically. Then go back and tinker with the formulae a bit until you get a robust result.
Hmm, maybe there’s a way after all to keep everyone, including the SJW crowd happy.
There could be a constant which is race neutral... it uses BMIand chest/waist ratios to account for the greater muscle mass of any race of male, indeed it is even gender neutral, as an humanoid bodybuilder on ‘roids who was assigned female at birth would probably fall into that set, and would be thrilled to do so.
QED. Can we have our Nobel now?
Seems so.
you'll mostly be able to avoid the results of this Steve, since you're an old man. too bad you won't let us younger posters discuss what it will mean to live in such a country or how we can respond.Replies: @VinnyVette
iSteve is a battle scarred warrior and early voice in the wilderness on these issues… NOT cool!
https://twitter.com/thenephrologist/status/1265117583189016577
Discussion of her use of "wypipo" in the comments is a bonus.
I know everyone here will be shocked to learn she is at UCSF:
https://profiles.ucsf.edu/vanessa.grubbsReplies: @SOL, @Nachum
“THE” Nephrologist.
The exchange between the two and the mentioning of the other women involved in research…
A recent case in point - a friend who is an executive for a ubiquitous show/athletic wear company commented that as the Covid-19 stimulus checks started hitting bank accounts they saw a massive surge in shoe sales. So yes, it did pump money into the economy, but I doubt the intent was to make sure the the lower income could buy the latest sneakers - which will naturally be superceded by a more fashionable model in a few months.Replies: @SOL
Got EBT to cover other stuff.
anyone know the family history of the stein surname? is it italian? anyone nose?
German jews refused to use surnames as a means of avoiding taxes. Around 1820 the various German countries cracked down by forcing Jews to adopt surnames. Many Jews refused. So local officials just assigned surnames such as stone , stone hill, cat, hill , iron hill, gold hill , silver hill, rose in bloom valley , sugar man , sugar , deer, hillman zuckerberg of face book is sugarhill in German
The forcing Jews to adopt surnames is considered anti Semitic and discriminatory by Jews.Replies: @Anonymous, @HA
When it comes to sex, the SJW position on medical research is that it is discriminatory against women to not recognize their different biology. (Researchers traditionally avoided using female subjects because they were worried about potential birth defect issues from trial drugs; also women’s hormonal fluctuations and pregnancies can throw off results.) But in everything else, it is wrong think to recognize that women have different biology because sex is merely a “social construct.”
For race it is the exact opposite, however. In medicine, it is discriminatory to recognize obvious differences in biology. But for everything else, it is wrong think to not recognize that “black bodies” are different because they are permanently impaired by redlining, or whatever.
To recap: Medicine must ignore race and notice sex. Everything else must ignore sex and notice race. Got it?
Again they could have called it anything but instead somehow chose a title that contradicted itself. Is this what stupid people do when they know their argument is dumb? Like misusing the word literally?Replies: @anonymous, @tyrone
The idea of a micro-elephant is kind of cool, actually.
Looking forward to the next USDA food pyramid recommending 100 times the current levels of vitamin A. After all, the Eskimos have been eating all that raw seal meat for centuries, and you don’t see their livers exploding.
It's eating too much liver that's a problem.
You didn’t expect “duplicity” when it comes to women? “Sarc” excellent point!
https://twitter.com/nquadriMD/status/1260939431906693120Replies: @ben tillman, @Peter D. Bredon, @Forbes, @res, @Hypnotoad666
Speaking of imprecise, the issue is using race as a proxy for susceptibility, not pathology itself. In that regard, using “imprecise proxies” to reach a diagnosis is kind of what doctors are supposed to do. For example, a fever and swollen glands are an “imprecise proxy” for the condition of having an infection. The DSM-V could be re-titled as the “Imprecise Proxy Book.”
But luckily, she’s got an original idea to sort it all out.
Maybe patients can be asked to sign a consent form in which they indicate whether they would prefer to have a politically correct diagnosis, or a more accurate diagnosis.
Tell that to poor Amy Cooper
I bet white people are over-represented as blood and organ donors in the US, just as they are in the UK.
NHS blood services have to appeal for more black and Asian blood and organ donors.
https://www.unz.com/isteve/if-philip-roth-was-good-or-bad-for-the-jews-was-tom-wolfe-good-for-the-southerners/#comment-2351453
“A special thanks to our black donors” says the NHS – perhaps because they’re so rare?
The new calculation will make GFRs seem lower than they actually are which means blacks will get on the transplant list earlier and get prioritized for organs. Which means that non-blacks will be getting bumped.
The people behind this know this and that's exactly why they're doing it. It's the medical equivalent of adding 200 points to the SAT scores of black people.Replies: @Anonymous (n), @res, @Smithsonian, @Alden
Agreed. See the Vanessa Grubbs tweet in my earlier comment for confirmation.
Currently trending on Twitter: Jimmy Fallon faces criticism over resurfaced blackface footage.
great insight.
Plus there is the ultimate abuse: eventually putting these same minorities in charge of the country.
Does anyone know what formula hospitals in Africa use to calculate eGFR?
Indeed they are. For example, some diversity doctor ladies who “practice in academics” (i.e., they don’t practice at all), want to share their important article: “Addressing the Elephant in the Room: Microaggressions in Medicine.” A micro-elephant? Really? You can’t make this stuff up.
Since when is women of color a medical specialty?
I might approve if women of color physicians tended to, and only to women of color patients, and of course men of color physicians would only treat men of color patients. Think of it as better treatment for superior people of color by superior people of color.
By no means should this be misconstrued as separate but equal.
Universities have become indoctrination camps, the graduates are now Marxist stooges in professions they will use to further the perverse agenda they are parroting. It’s going to get worse from here…
Vitamin A toxicity has long been known to the Inuit.
It’s eating too much liver that’s a problem.
The point is that SJWers are now changing real-world medical policies at a medical school in accord with their fantabulastic idiot-ology, not just penning dumb “studies” that no one reads at some Ivory Tower shit hole.
The SJWs (roughly) have a real-world track record too -- in the third world, where the famines happen.
Meh. It seems silly to have various dosages of medicine too. Why can’t we just make one size to fit all. Heck, why can’t we just have one medicine that treats everything?
Something like Brawndo, but for people….
Uh no you are not
They wouldnt do this unless the reseach and acadmic ctudy has notbeenn duly and thoruoiogoy investignated
If Tiny is Cthulhu, does that make Corvinus Titus Crow?Replies: @SFG
Point well taken… My point is playing nanny to them has not benefitted the blacks at all! The more they meddle the more it blows up in their faces!
How many kidneys will end up being rejected? Are kidneys being harvested from all the young murdered blacks? Why not?
That woman has no business changing bedpans, much less calculating filtration rates.
Yeah, and Jimmy Kimmel did blackface on The Man Show when he did his Karl Malone impression.
As it happens, the old method was weak. It was not dependent only on race, but also on muscle mass. The dependency on muscle wasn’t as easy to work around as the dependency on race. You could have asked “are you black?”, but there was no question or correction factor for muscly people. The cystatin C method does away with both race and muscle mass.
I scrolled through the first comments, and gave up. I searched the thread for cystatin, and there is nothing. You are obviously clueless as to what the change meant, and why it was done. Instead, lots of you are concerned that doctors will kill you.
The idea that switching to a more accurate method “kills” makes me believe you are more religious in your beliefs than the other side. I am wondering if how much, if anything, of what I read here is true.
The new calculation will make GFRs seem lower than they actually are which means blacks will get on the transplant list earlier and get prioritized for organs. Which means that non-blacks will be getting bumped.
The people behind this know this and that's exactly why they're doing it. It's the medical equivalent of adding 200 points to the SAT scores of black people.Replies: @Anonymous (n), @res, @Smithsonian, @Alden
Possibly, but it will also mean unnecessary transplants, and that is seriously bad for the recipient.
The new calculation will make GFRs seem lower than they actually are which means blacks will get on the transplant list earlier and get prioritized for organs. Which means that non-blacks will be getting bumped.
The people behind this know this and that's exactly why they're doing it. It's the medical equivalent of adding 200 points to the SAT scores of black people.Replies: @Anonymous (n), @res, @Smithsonian, @Alden
Blacks are already priority for kidney and liver transplants. The problem is that only Whites donate organs. So the available organs are not compatible because black as well as Asians Hispanics don’t donate organs.
I’ve made sure that my dr license and medical records forbid organ donations.
Yeah, same feeling here. People tell me I'm selfish.
But who wants to be parted out like an old car?
Besides, the doctors might want the organs while they are really fresh, before the spirit has flown.Replies: @Nachum
The transplant team will explain that they can't do that, they can't direct an organ to someone of a particular race.
Sometimes the family will decide to donate anyway, sometimes they refuse if it can't be guaranteed to go to a black person.
The irony is, it pretty much is guaranteed to go to a black person, since they have more organ failure and fewer donors there is a big shortage of organs that are good immune matches for blacks. Matching organs is a complex process of how sick is the person and how good is the match, but supply and demand being what they are, while some white organs go to blacks (often somewhat suboptimal matches) pretty much no black organs go to whites.
But, you can't come out and say that, so often blacks will refuse to donate.
Never seen white people do that.Replies: @Alden
This is the University of Wisconsin. IN MADISON. Ground zero of liberal egalitarian phantasms.
Liberal egalitarians have already destroyed the social sciences. If you allow them, they will destroy the natural sciences as well.
Remainder of comment more or less applies, however.
It’s gonna get really fun when someone’s decides that species don’t exist. If you tell ole’ Liz here that she should build a nest and attempt to lay eggs in it, she just might try.
“I’m a name my girl Nephrology, like an African queen of Egypt.”
“Renal function? It’s aight. Rather go to Vegas, tho.”
“Glomerulus? Ain’t he got a full ride to Clemson?”Replies: @Clyde
Bofo!
These women of color are having a field day getting their mindless dreck published. In this case by – Annals of Emergency Medicine. This Annals started in 1972 so I figure more easily manipulated. Plus methinks Emergency Room Docs trend less white. Lots of Asians there?
The nurse got her clipboard and started taking me through her questions. We hit an obstacle. She asked me to agree to an ethnic identity from a list she read out. I said that I didn't do that sort of thing. I may even have animadverted to Apartheid, the Nazis, or the like.
When I told this tale to a friend he said 'But your race does matter for medical reasons'.
I replied 'Of course it does. So why didn't she invite me to talk about race? Twaddle about "identifying" as part of an "ethnic group" is no bloody good.'
I suspect the question was not intended to be medically useful but rather to create a record to show that a suitably "diverse" bunch of people were being "served" by the NHS; or not being served, as the case may be.
Anyway, The Establishment having lost my trust on anything to do with race (and many other topics) I have decided that I will no longer volunteer for research studies, I will no longer donate to national charities, and probably I will no longer vote. I am, you may say, disillusioned.Replies: @black sea, @David 'The Diversity Mastermind' Lammey
Why would any White Man VOLUNTEER (cuck) for anything in the pozzed diversitardity AA police state of Gross Cuckstain???
But on the other hand, the data used for input into the formula may have used a black cohort who identified as black rather than who asserted majority African ancestry, so it may have been pre-compromised.
The real danger is if researchers will in the future be required to disregard race and not record it in research results, thus compromising dosages and the like for white people.
But then isn't another favorite beef of black activists that researchers mostly study white men? This is true, since early studies are going for clear, baseline results, so you want a simple, uniform "lab rat." Women's bodies are more complex and introduce too many confounding variables, and blacks, in addition to being a minority, don't much like volunteering for white man's medical research. After getting the baseline, you make smaller studies with the other groups to see if tweaks are necessary.
An unintended side effect of making scientists disavow racial differences would be that GWAS scores for intelligence, mostly computed from whites, and thought to be unreliable when applied to blacks, could now be applied to blacks with impunity. Black genomes don't do that well with current IQ GWAS SNPs.Replies: @Anon
I have to disagree with this. This isn’t easy to admit, but over the years I’ve “volunteered” for many of Phase I clinical research studies with organizations such as Altasciences, Celerion, Covance, PRA Health Sciences, and MedPace. Several of these facilities are located in the Kansas City metro area. The stipends are good — usually between $250 and $400 a night and some studies can last over a month. I’ve already earned near $10,000 for a 3.5 week in-house study. Perfect health is a requirement for consideration — in addition to being substance free.
Well, let me tell you that about 75 percent of the participants in these studies are Blacks — many of them jailbirds or evading active warrants (protected by HIPPA). Many cheat their way through the urine tests during screening and often staff are aware of this. At one clinic, a staff member informed me that without catering to a certain demographic, they’d never be able to fill studies and appease their clients. Most of the Blacks in these facilities act like animals and openly degrade Whites. I’ve seen them get hostile with non-Black participants and staff — and they do nothing in fear of lawsuits. These acts of hostility were criminal in nature — threats, simple assault, and harassment.
Unfortunately, I had to succumb to these following some tough times due to the crippling nature of PTSD. It was a tough pill to swallow — especially for someone who has a world-class professional background. However, the inability to focus, detachment and self-isolation destroyed my life for several of years.
This is ever more evidence that we need Self-Determination
We need partisan appointment of these academics, no other way will restore the rightful power of the Right within academia.
https://en.wikipedia.org/wiki/Renal_function#Estimated_GFR_(eGFR)_using_the_CKD-EPI_formula
Included in the calculation are factors for male/female/black/nonblack.Replies: @Percy Gryce, @bomag
NICE:
https://en.wikipedia.org/wiki/That_Hideous_Strength#N.I.C.E.
The NY Times has identified the most intersectional person in the world:
https://www.nytimes.com/2020/05/26/books/review/fairest-meredith-talusan.html
Two things, one I would be delighted if we got rid of race and all that goes with it such set a sides and quotas and restructuring tests. Start with the Census Form. Great by me. Two, I remember but am having a hard time finding the story of a teenage black boy denied a heart transplant because he would not follow his care givers directions on meds etc. I think he got his HT after a racial shit storm and then lost his life in a drive by? Anyone else recall this?
https://thenypost.files.wordpress.com/2015/04/teen.jpg?quality=90&strip=all&w=1236&h=820&crop=1Replies: @Reg Cæsar
Again they could have called it anything but instead somehow chose a title that contradicted itself. Is this what stupid people do when they know their argument is dumb? Like misusing the word literally?Replies: @anonymous, @tyrone
Addressing the elephant shrew in the room……..better?
I guess there are limits to POCs’ challenged to power:
https://www.theartnewspaper.com/news/kent-monkman-regrets-work-showing-sexual-assault-of-canadian-prime-minister-justin-trudeau
Minneapolis’s wierdly Justin Trudeau-like mayor (((Jacob Frey))) burst into tears, describing police attempts to subdue a suspect by kneeling on his neck, at the press conference where he fired all four officers involved. It’s a good thing he’s downsizing the police force because local blacks are now gathering in huge crowds and shouting about justice. Turns out the SJW expectation for what victory looks like in US race relations is a cheap copy of what neocons think victory looks like in Afghanistan.
———
The national newsmedia continues its tomb-like respectful silence as Sandy Hook “witness” Peter Manfredonia continues his murder spree and eludes police.
https://www.boston.com/news/crime/2020/05/26/uconn-student-peter-manfredonia-on-run
https://www.nbcconnecticut.com/news/local/police-id-armed-and-dangerous-suspect-after-1-killed-1-injured-in-willington-attack/2276309/
Anon said:
Peter Manfredonia lived very close to the home of Adam Lanza and was one of the “parents” seen running away from the school after the “shooting” occurred. He is currently on the run after killing 2 people and the national media is %@$#@%# SILENT.
Of course anon is wrong. The national newsmedia is not &@%$#@% silent. The national newsmedia is respectfully silent, thinking of all those poor children who died from exposure to massively overgrown mold at a New England private school. Did you check in?
% of donors who are black: 12.5%For kidneys this is certainly even more skewed, as blacks are particularly hard hit with kidney disease. minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=27With that said, bumping up GFR estimates for blacks can definitely be somewhat unscientific. The supposed logic is that blacks have a higher percentage of muscle in their body composition at a given BMI than other races, so they make more creatinine. However, body composition varies tremendously among individuals regardless of race, so there probably should be a more precise method of estimating GFR than just racial buckets.Replies: @Charon, @Semperluctor
Thanks. Why isn’t someone making a federal case of these disparities? Is it simply because they appear to favor black people? Even though race doesn’t exist, I mean?
Hey! Is it possible that race only exists when members of a certain race are attempting to secure more benefits for themselves?
I happened to visit the transplantation ward of a local university hospital. All of the patients were black. Why are they willing to accept nonblack organs? And who’s paying for all of it?
Is that what Joe was checking Tara for? Or a hernia?
http://marginalrevolution.com/wp-content/uploads/2014/05/Type-I-and-II-errors1-625x468.jpgReplies: @jsm, @SFG
You joke.
But lactation counselors are now required to talk about “chestfeeding,” so as not to be “non-inclusive” to XX humans who used their naturally-occurring uteruses to gestate infants, but are NOT women, (we’re told.)
Women no longer breastfeed after birth, see.
Pregnant people chestfeed after birth. Get it right!
Apparently race does not exist …
… except when it does.
Since when is women of color a medical specialty?
I might approve if women of color physicians tended to, and only to women of color patients, and of course men of color physicians would only treat men of color patients. Think of it as better treatment for superior people of color by superior people of color.
By no means should this be misconstrued as separate but equal.
Thirty years ago there were suggestions– jokes, probably, but who knows?– that gangsta rap was cooked up by the smarter sort of Klansmen, to make their points for them.
Then there was the visible underwear thing…
The final line in the story that photo is from:
A Florida town repealed its saggy pants law shortly after is passed in 2014 when the National Association for the Advancement of Colored People threatened to sue, WKMG-TV reported.
https://www.cnbc.com/2016/07/06/sc-town-bans-saggy-pants.html
I’ve made sure that my dr license and medical records forbid organ donations.Replies: @Rob McX, @anonymous, @SimpleSong
There was uproar in Britain 20-odd years ago when it was revealed that some people who wanted to donate organs stipulated that they only be given to white patients. Needless to say, the NHS refused to accept the organs. Better let people die than be racist.
UK Taxpayers Must Pay for Surrogacy
I believe this is the patient you are referring to.
20-odd years ago Britain did not have a Supreme Court. Is there any “uproar” today when that institution makes the NHS pay for “treatment” abroad that is illegal at home?
UK Taxpayers Must Pay for Surrogacy
so, they’re gonna assume some average?
Oh boy, welcome to the age where every race will get mediocre treatment!
Very true
I guess I don’t have to use sunscreen then, because race is a “social construct” and there’s more genetic variation between me and an Irishman than between me and a Nigerian. I feel a whole lot smarter now.
https://thenypost.files.wordpress.com/2015/04/teen.jpg?quality=90&strip=all&w=1236&h=820&crop=1Replies: @Reg Cæsar
They let patients administer shots now? Must be a non-union hospital!
They wouldnt do this unless the reseach and acadmic ctudy has notbeenn duly and thoruoiogoy investignatedReplies: @anon, @Reg Cæsar
Dtbb, Harvesting of any sort is a job Americans won’t do. Kidneys rotting in the killing fields.
Liz Stein …
Hi Steve,
Can you make a best of Steve sailer post? You had one a few years ago. Just a sampler of each subject you touch on – coalition of fringes, women in Silicon Valley, suicide by cop, etc.
Also, this may be helpful for a future blog post.
They wouldnt do this unless the reseach and acadmic ctudy has notbeenn duly and thoruoiogoy investignatedReplies: @anon, @Reg Cæsar
Headed by Prof. Cthulhu.
Well, at least it’s not the ADL.
If Tiny is Cthulhu, does that make Corvinus Titus Crow?
That’s what ideologues do, they completely believe that worldview, it’s inconceivable to them that they could be wrong. So why would they stop at something with real world consequences? There isn’t any self awareness or doubt on their part.
Joe Biden: “I’m prepared to say that I have a record of over forty tears, and that I’m going to beat Joe Biden.”
One of the most profound meme-ready facts I was struck by in converting was that the Democratic Party has a huge checkable real-world track record, over the better part of a century: in all the messed-up unsafe major cities.
The SJWs (roughly) have a real-world track record too — in the third world, where the famines happen.
I’ve made sure that my dr license and medical records forbid organ donations.Replies: @Rob McX, @anonymous, @SimpleSong
“I’ve made sure that my dr license and medical records forbid organ donations.”
Yeah, same feeling here. People tell me I’m selfish.
But who wants to be parted out like an old car?
Besides, the doctors might want the organs while they are really fresh, before the spirit has flown.
The problem is, we have the relevant data for race. While we don't know enough about the true genetic causative factors to look at those directly.
I think there is a decent argument for using a B/W weight based on admixture rather than dichotomous B/W for looking at things like eGFR.
But I suppose that is even more racist. So off to the reeducation camp with me.Replies: @anon
I read somewhere (probably on ISteve) that French doctors screen patients who self-identify as black for sickle cell anemia, and using race in this way helps them fight the disease.
Worth noting is that this self-identification process seems to be fairly accurate. Race as a proxy for genetic variation works, and definitions of race as crude as self-identification are good enough to get the job done.
As more of our population becomes “half and half” like Obama, I suppose it will be more difficult to use race to narrow the search for patients who might have this disease.
Emblematic of the technocracy thought process.Replies: @Neil Templeton
Our brethren.
https://www.bing.com/videos/search?q=video+lemmings+over+a+cliff&view=detail&mid=C7E0D90B33D0052A1644C7E0D90B33D0052A1644&FORM=VIRE
Neil
I’ve made sure that my dr license and medical records forbid organ donations.Replies: @Rob McX, @anonymous, @SimpleSong
One thing I’ve seen play out a number of times is that a black family will say to a transplant team that they’ll only donate organs if they can guarantee it goes to a black person.
The transplant team will explain that they can’t do that, they can’t direct an organ to someone of a particular race.
Sometimes the family will decide to donate anyway, sometimes they refuse if it can’t be guaranteed to go to a black person.
The irony is, it pretty much is guaranteed to go to a black person, since they have more organ failure and fewer donors there is a big shortage of organs that are good immune matches for blacks. Matching organs is a complex process of how sick is the person and how good is the match, but supply and demand being what they are, while some white organs go to blacks (often somewhat suboptimal matches) pretty much no black organs go to whites.
But, you can’t come out and say that, so often blacks will refuse to donate.
Never seen white people do that.
https://en.wikipedia.org/wiki/Renal_function#Estimated_GFR_(eGFR)_using_the_CKD-EPI_formula
Included in the calculation are factors for male/female/black/nonblack.Replies: @Percy Gryce, @bomag
Despite its overall superiority to the MDRD equation, the CKD-EPI equations performed poorly in certain populations, including black women, the elderly and the obese, and was less popular among clinicians than the MDRD estimate.
Tsk. So the new equation is racist; sexist; ageist; and body shaming.
Heads will explode.
I scrolled through the first comments, and gave up. I searched the thread for cystatin, and there is nothing. You are obviously clueless as to what the change meant, and why it was done. Instead, lots of you are concerned that doctors will kill you.
The idea that switching to a more accurate method "kills" makes me believe you are more religious in your beliefs than the other side. I am wondering if how much, if anything, of what I read here is true.Replies: @DocAnon, @Craig Nelsen
They are using CKD-EPI Creatinine, not cystatin-C. Still dependent on creatinine, and therefore, muscle mass.
OT: Victim of Central Park Karen says he can’t see how the firing of white investment banker firing helps and can’t judge if she’s racist after she hysterically called cops on him claiming ‘there’s an African American man threatening my life’
https://www.dailymail.co.uk/news/article-8360133/Central-Park-bird-watcher-condemns-death-threats-against-Amy-Cooper-called-cops-him.html
“People compared the incident to the death of Emmett Till, a 14-year-old boy killed in 1955 after white Carolyn Donham accused him of assaulting her, as well as the Central Park Five. ”
The kidney function estimate is a damned if you do, damned if you don’t situation.
The actual lab measurement is of a substance called creatinine, which comes from muscles, and is cleaned out of the blood by the kidneys. Blood creatinine is higher if you have more muscles, or if your kidney function is worse.
Measuring kidney function directly is expensive and/or time-consuming, but can be done in special circumstances or in studies. So researches have come up with different equations to correlate blood creatinine with actual kidney function.
These equations (MDRD, CKD-EPI) spit out an approximate kidney function (‘estimated GFR”) for a given creatinine. They also need some kind of proxy for muscle mass, which is done by age, sex, and (sometimes) race.
The problem is that self-identified African Americans have a higher actual measured kidney function on average for any given creatinine than whites. Probably by having more muscle mass, but other explanations are possible. So you have two choices for your estimating equation: adjust your equation for race or systematically under-estimate AA kidney function.
So they decided the latter is the lesser of two evils. Under-estimating kidney function for AA will have both beneficial and deleterious effects for blacks:
1. As chronic kidney disease is arbitrarily defined by these “estimated GFR” cutoffs, more AA will be classified as “chronic kidney disease.” Many people with more or less normal kidney function will now be “stigmatized” with the CKD stage III label. As AA are already far over-represented in kidney disease, this discrepancy will get worse as you misclassify many.
2. Inadequate antibiotic dosing. Many antibiotics are cleared from the bloodstream by the kidneys. In that case, you need to adjust the dose based on kidney function. If the computer spits out an estimated function that is too low, you may not get the full therapeutic dose you need. But this will be hard to detect in practice, and probably only matters for edge cases.
3. Earlier transplant listing. To begin accruing wait time for kidney transplant, you have to have an estimated GFR below 20. Wait time for kidneys is several years, depending on the state, so getting that clock started sooner is beneficial. If your “true” kidney function is 23, but then new equation puts you at 19, you probably get on the list about one year early.
4. ?Earlier dialysis start. Initiation of dialysis isn’t determined by the estimated GFR, but that does influence it. Most don’t need dialysis until this is below 10. So if your estimated kidney function looks crappier than it really is, that might push the doc to start dialysis sooner than otherwise. Earlier dialysis conveys no benefit, but does mess up your whole life. So put this in the negative column.
All in all, taking an already mediocre estimating equation and intentionally making it less accurate will have a mildly negative effect on patient care. The real damage is the lying.
https://image.cnbcfm.com/api/v1/image/103769548-GettyImages-86187715.jpg?v=1529472060&w=740&h=416
The final line in the story that photo is from:
A Florida town repealed its saggy pants law shortly after is passed in 2014 when the National Association for the Advancement of Colored People threatened to sue, WKMG-TV reported.https://www.cnbc.com/2016/07/06/sc-town-bans-saggy-pants.htmlReplies: @Anon, @hhsiii
Do blacks even do the saggy pants thing anymore? It appears to be a bygone fad. I haven’t seen a black with that look in ages. I bet too many blacks got caught after being chased by the cops, so they discarded it.
Liberal egalitarians have already destroyed the social sciences. If you allow them, they will destroy the natural sciences as well.Replies: @DocAnon, @Richard B
Actually, this is the University of Washington. IN SEATTLE.
Remainder of comment more or less applies, however.
% of donors who are black: 12.5%For kidneys this is certainly even more skewed, as blacks are particularly hard hit with kidney disease. minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=27With that said, bumping up GFR estimates for blacks can definitely be somewhat unscientific. The supposed logic is that blacks have a higher percentage of muscle in their body composition at a given BMI than other races, so they make more creatinine. However, body composition varies tremendously among individuals regardless of race, so there probably should be a more precise method of estimating GFR than just racial buckets.Replies: @Charon, @Semperluctor
This is interesting.
Perhaps there’s room here for a Nobel in medicine for the three of us.
Under any of the various formulae shown on the linked page near the top of this thread, there is an assigned constant for black; it’s hard to ask a black patient to identify the percentage of white admixture, but a muscle mass adjustment to the black constant would be relatively easy; for example some combination of BMI and chest/waist ratio would give a good approx. of muscle mass at any given body weight. That number would then be multiplied through into the already established constant. Then you compare the predicted EGR numbers with the actual numbers obtained empirically. Then go back and tinker with the formulae a bit until you get a robust result.
Hmm, maybe there’s a way after all to keep everyone, including the SJW crowd happy.
There could be a constant which is race neutral… it uses BMIand chest/waist ratios to account for the greater muscle mass of any race of male, indeed it is even gender neutral, as an humanoid bodybuilder on ‘roids who was assigned female at birth would probably fall into that set, and would be thrilled to do so.
QED. Can we have our Nobel now?
I scrolled through the first comments, and gave up. I searched the thread for cystatin, and there is nothing. You are obviously clueless as to what the change meant, and why it was done. Instead, lots of you are concerned that doctors will kill you.
The idea that switching to a more accurate method "kills" makes me believe you are more religious in your beliefs than the other side. I am wondering if how much, if anything, of what I read here is true.Replies: @DocAnon, @Craig Nelsen
I dunno. What do you think, wypipo, does this sound like the announcement of a switch to a more accurate method?
And even though Jews make up only 2% of America’s population, the triumphant social justice warrior here is a Jewess. What are the odds?
https://twitter.com/thenephrologist/status/1265117583189016577
Discussion of her use of "wypipo" in the comments is a bonus.
I know everyone here will be shocked to learn she is at UCSF:
https://profiles.ucsf.edu/vanessa.grubbsReplies: @SOL, @Nachum
That one jumped out at me right away. Someone cited a paper that argues with this, and she immediately responded, “That paper is b***s***” (no asterisks) before going on a semi-literate rant full of hashtags. Yes, that’s the level of education I want in a medical professional.
I once read a line of advice: “When you use profanity, no one hears anything else.”
Oh, she doesn’t actually practice? Thank God. I wonder if she passed her boards.
Yeah, same feeling here. People tell me I'm selfish.
But who wants to be parted out like an old car?
Besides, the doctors might want the organs while they are really fresh, before the spirit has flown.Replies: @Nachum
Well, the dirty little secret is that all organs (apart from corneas and maybe skin) come from still-breathing people. Whether or not they’re “dead” is somewhat philosophical.
But that is quite clever, since right-wingers then find themselves fighting for the old progressive plan while progressives move the ratchet one notch further.
Antiracist Hitler.
YouTube deletes it every few days.Replies: @SunBakedSuburb, @Shmendrix
Yeah, sure, that’s why the clip you linked has been up for 4 years.
Probably some combination of low resolution, video edits, and/or hardcode subtitles kept the censor algorithms off of it.
The transplant team will explain that they can't do that, they can't direct an organ to someone of a particular race.
Sometimes the family will decide to donate anyway, sometimes they refuse if it can't be guaranteed to go to a black person.
The irony is, it pretty much is guaranteed to go to a black person, since they have more organ failure and fewer donors there is a big shortage of organs that are good immune matches for blacks. Matching organs is a complex process of how sick is the person and how good is the match, but supply and demand being what they are, while some white organs go to blacks (often somewhat suboptimal matches) pretty much no black organs go to whites.
But, you can't come out and say that, so often blacks will refuse to donate.
Never seen white people do that.Replies: @Alden
I made sure it’s on my medical records as well as dr license. At least when I die my organs won’t go to an affirmative action beneficiary.
100% of the time. 100%. The first category to describe person of interest is their race. Even in the cases where no race is specified. The first thing the radio dispatcher then says to the patrolman is race unspecified or race unknown.Replies: @Joe Stalin, @Billy Shears
If you’ve ever played 20 questions and thought about it you know the optimal strategy is to ask questions designed to split the unknown into two equal bins, 50-50. That’s basically all that cops are doing across this country when they notice race.
It’s a common German jewish name Stone in English.
German jews refused to use surnames as a means of avoiding taxes. Around 1820 the various German countries cracked down by forcing Jews to adopt surnames. Many Jews refused. So local officials just assigned surnames such as stone , stone hill, cat, hill , iron hill, gold hill , silver hill, rose in bloom valley , sugar man , sugar , deer, hillman zuckerberg of face book is sugarhill in German
The forcing Jews to adopt surnames is considered anti Semitic and discriminatory by Jews.
Sounds all twee and rich, right?, a bit like Goldberg or Goldman, wealth and solidity implied, with the hint of a poetic stream of gold.
Not a bit of it. Apparently this was a joke name, the comparison bring with the pornographic 'golden showers', in that the officials charged with enforcing surnames reserved this name four those the couldn't or wouldn't pay for better.
The "private truths, public lies" situation ends up in the truth dying out. At some point, no one remembers the truth.Replies: @Mr. Blank
Yeah, I’ve seen this problem get worse and worse over the course of my life. When I was younger, it was generally understood that there were true facts which you couldn’t utter in public, but which nevertheless remained true.
As I’ve gotten older, though, the truth has been forgotten. The fact that you couldn’t say something publicly became evidence that it was false — rather than just a polite evasion for the sake of social harmony.
I wonder if this is specific to Western culture, or if it’s just part of the natural life-cycle of societies — they eventually create so many “polite fictions” that the people in charge lose the ability to distinguish truth and make-believe, thus leading to the society’s downfall.
https://image.cnbcfm.com/api/v1/image/103769548-GettyImages-86187715.jpg?v=1529472060&w=740&h=416
The final line in the story that photo is from:
A Florida town repealed its saggy pants law shortly after is passed in 2014 when the National Association for the Advancement of Colored People threatened to sue, WKMG-TV reported.https://www.cnbc.com/2016/07/06/sc-town-bans-saggy-pants.htmlReplies: @Anon, @hhsiii
That just always looked really uncomfortable to me.
I don’t. They do put it on lab tests though. If I’m remembering correctly the results are not affected it’s the guidelines that are adjusted.
I never really accepted it’s unintentional and I no longer believe that at all. This kind of thing has been going on too long, is too widespread, and flies in the face of too much evidence to be unintentional.
German jews refused to use surnames as a means of avoiding taxes. Around 1820 the various German countries cracked down by forcing Jews to adopt surnames. Many Jews refused. So local officials just assigned surnames such as stone , stone hill, cat, hill , iron hill, gold hill , silver hill, rose in bloom valley , sugar man , sugar , deer, hillman zuckerberg of face book is sugarhill in German
The forcing Jews to adopt surnames is considered anti Semitic and discriminatory by Jews.Replies: @Anonymous, @HA
One instance that masked me laugh is ‘Goldwater’ – as, quite appropriately in Barry Goldwater, originally the German ‘Goldwasser’.
Sounds all twee and rich, right?, a bit like Goldberg or Goldman, wealth and solidity implied, with the hint of a poetic stream of gold.
Not a bit of it. Apparently this was a joke name, the comparison bring with the pornographic ‘golden showers’, in that the officials charged with enforcing surnames reserved this name four those the couldn’t or wouldn’t pay for better.
http://marginalrevolution.com/wp-content/uploads/2014/05/Type-I-and-II-errors1-625x468.jpgReplies: @jsm, @SFG
Technically, the woman in the meme could have an abdominal tumor.
If Tiny is Cthulhu, does that make Corvinus Titus Crow?Replies: @SFG
Wasn’t Titus Crow mostly fighting Shudde M’ell and the Cthonians? I forget.
If I were black, I would be afraid of these SJW’s, very afraid.
https://cjasn.asnjournals.org/content/early/2020/05/09/CJN.12791019.abstract
German jews refused to use surnames as a means of avoiding taxes. Around 1820 the various German countries cracked down by forcing Jews to adopt surnames. Many Jews refused. So local officials just assigned surnames such as stone , stone hill, cat, hill , iron hill, gold hill , silver hill, rose in bloom valley , sugar man , sugar , deer, hillman zuckerberg of face book is sugarhill in German
The forcing Jews to adopt surnames is considered anti Semitic and discriminatory by Jews.Replies: @Anonymous, @HA
“German jews refused to use surnames as a means of avoiding taxes.”
Conscription was also a reason for the imposition of surnames. From History of the Jews, Paul Johnson:
Thank you for that very informative comment! Can you offer any thoughts on why they don’t incorporate weight and/or some measure of fat/muscle balance into eGFR? Have there been any studies comparing corrections like that to race for effectiveness?
Out of curiosity, I sometimes see young people who will voluntarily contribute a kidney to a complete stranger. Obviously, as people grow older their kidney functions decline. Have you seen or heard of such people who are now in difficulty for the lack of two kidneys?
Liberal egalitarians have already destroyed the social sciences. If you allow them, they will destroy the natural sciences as well.Replies: @DocAnon, @Richard B
Liberal egalitarians? People are still using that euphemism?
Yeah, yeah. I know why.
And with that they’ll destroy the world.
What we’re witnessing, what we’re living through, is nothing less than
The Pyrrhic Victory of The “Liberal Egalitarians.”
Lots of people are still so impressed by the Victory “Such a huge win.” they can’t see how Pyrrhic it is.
It’ll just give itself a prestigious sounding, cynically and politically calculated, but otherwise valueless award to convince the already easily impressed that what they’re doing is right, good and beyond reproach.
It’s why every award from The Nobel Prize to the Academy Awards were established in the first place.
To provide the irredeemibly corrupt with yet more cover.
It’s no different from a criminal becoming a police officer, lawyer, judge or politician so as to hide the many crimes they long to commit.
For a better idea of how all of this works just contact the people who run The ADL and SPLC.
The criminal mentality has always found a home in each and every walk of life.
Even Goethe once said words to the effect that “There’s never been a crime committed by humanity that I haven’t contemplated myself.”
And this was a man loved by his mother and lived at the height of his times.
But, even though the criminal has been around since time immemorial, and in all walks of life, the sheer magnitude of criminality today is unprecedented.
Barring a miracle, and at this point it would take one, this criminality will bring the whole thing down, destroy civilization and reduce human beings once again to a simple food-gathering state.
Provided anyone survives the collapse.
But, let’s be honest with ourselves folks.
No one really cares.
In our heart of hearts we all know that if the human race were wiped out tomorrow it wouldn’t even be a tragedy.
We need partisan appointment of these academics, no other way will restore the rightful power of the Right within academia.Replies: @Anon
Yes, I couldn’t agree more — and such appointments would prevent neo-Marxist loons from holding tenured positions such as Dr. Victoria Batema.
I just used the American Kidney Foundation GFR calculator with some nominal inputs and the CKD-EPI creatinine estimated rate increased from 87 to 101 when I checked Black instead of Other.
That seems like it could be a decisive difference. They give results for four different equations and the one based only on cystatin C showed no racial difference, apparently by assumption because it held up for various inputs.
Now that my eyes have been opened about race being just a social construct even in medicine, I’m seeing problems all over the internet.
On this page about sickle cell at the CDC, I’m seeing a picture of persons who all have the same dark skin shade.
https://www.cdc.gov/ncbddd/sicklecell/facts.html
That seems disingenuous to me.
This page on the Merck drug company website, the incorrect language is blatant. “Sickle cell disease affects blacks almost exclusively.”
https://www.merckmanuals.com/home/blood-disorders/anemia/sickle-cell-disease
There’s a lot of work that needs to be done here.
Antiracist Hitler has been posted to YouTube dozens of times. This version is the sole survivor.
Probably some combination of low resolution, video edits, and/or hardcode subtitles kept the censor algorithms off of it.