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Nika Dubrovsky - Feb 12, 2023

I was thinking today how we'd spend David's birthday if he had been around. We probably would have had some great party or we would have wandered into some unexpected place. For one of his birthdays, we went to a small Berlin restaurant with only a few tables, served by a gorgeous Japanese chef. The menu consisted of an endless number of infinitesimal dishes. 10 appetizers, 10 "main courses," 10 desserts, and more. All dishes on teeny tiny plates.

The meal turned into an endless discussion about the dishes: their taste, their smell, and the way they look.

Also I think about the war. About the horror that everyone in the war zone is feeling right now, including residents and soldiers on both sides. I think of the despair of those who have lost loved ones.

And I think about the degree to which all of these calamities are unavoidable or now, and how much of them are part of our choices and our responsibility.

I obsessively think back to six months of David's illness before he died.

He complained every day about his health, but every morning he woke up saying, "I feel so much better. It's almost gone."

It was hard to know how seriously he was suffering and how dangerous his condition was. David was a very gentle but also very stubborn man.

I still think his death could have been prevented.

While sick, David complained of a strange tingling sensation in his fingers and toes that seemed to move through his body. He also had digestive problems and a strange soapy taste in his mouth from time to time.

Doctors with whom I continue to speak say, that these symptoms are indicative of the damage to the sensory nerve and blood circulatory system that has now been documented in many covid patients and is associated with changes in blood clotting and numerous internal inflammations.

If David had been sick today, when we already know much more about covid, he might have been rescued. Now his six-month complaints would be seen as the standard "long covid" rather than the whining of a spoiled professor who can't quite articulate where, how or what he's suffering from.

If we had left England immediately after the epidemic was announced for some backwoods place, he would not have contracted Covid and there would have been no problem at all.

We didn't know how serious covid was. We didn't know how to react to it.

That's why it turned out like this. And there's no need to complain now.

We need to think about the future.

However, it's difficult.

So I think, what if the war, which is already in full force right on our doorstep, in Europe, spills over, will we be able to say that it's a surprise?

If inhuman horrors reach us, will we be able to say that we are prepared to sacrifice our loved ones, suffer ourselves, because it is more important to "win" than to negotiate?

Maybe now is the moment when we can still come to our senses and stop it all at once.

Unfortunately, things move very quickly, and there is no going back.

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Pancreatic Necrosis via Poisoning

Based on the provided search results, pancreatic necrosis can be caused by organophosphate poisoning, which is a type of slow poisoning. Organophosphates are a class of chemicals that inhibit cholinesterase, leading to a range of symptoms including pancreatitis. In some cases, this can progress to necrotizing pancreatitis, where pancreatic tissue dies due to lack of blood flow and oxygen.

For example, one study mentioned in the search results describes a patient who developed severe acute pancreatitis and total pancreatic necrosis after organophosphate intoxication. Another study notes that organophosphate poisoning can cause pancreatitis, and that necrotizing pancreatitis is a possible complication.

Additionally, the search results highlight the importance of early detection and treatment in preventing complications, including necrotizing pancreatitis, in cases of organophosphate poisoning.

In summary, while pancreatic necrosis is typically associated with acute pancreatitis, the search results suggest that slow poisoning with organophosphates can also cause pancreatic necrosis as a complication of pancreatitis.

Key points:

Organophosphate poisoning can cause pancreatitis.

Necrotizing pancreatitis is a possible complication of pancreatitis in organophosphate poisoning cases.

Early detection and treatment are crucial in preventing complications, including necrotizing pancreatitis.

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