Monthly Archives: July 2010

Mutilated Afghan woman on the cover of Time

Bibi Aisha on cover of Time[T]here is an elision here between these women’s oppression and what the U.S. military presence can and should do about it, which in turn simplifies the complexities of the debate and turns it into, “Well, do you want to help Aisha or not?”

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Bullying, education, and compassion

Phoebe Prince
Radical changes are occurring in what democratic societies teach the young, and these changes have not been well thought through. Thirsty for national profit, nations, and their systems of education, are heedlessly discarding skills that are needed to keep democracies alive. If this trend continues, nations all over the world will soon be producing generations of useful machines, rather than complete citizens who can think for themselves, criticize tradition, and understand the significance of another person’s sufferings and achievements.

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Climate change and mass migration

Fence between India and BangladeshFew actual environmentalists want anything to do with these [right-wing] parties, and there doesn’t seem to be anything comparable in the United States, though if global warming does put pressure on immigration, it’s certainly possible that green nativists could find a toehold here.

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Atul Gawande: Modern death and dying

The good death[O]ur responsibility, in medicine, is to deal with human beings as they are. People die only once. They have no experience to draw upon. They need doctors and nurses who are willing to have the hard discussions and say what they have seen, who will help people prepare for what is to come—and to escape a warehoused oblivion that few really want.

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Suicide among veterans is an “absolute crisis”

Soldier crying, PTSDConsidering the two wars were declared and waged with scant attention to their full costs, lawmakers add insult to injury by invoking budget concerns for the traumatic needs of actual warriors.

… “The real question is, why don’t we care anymore?”

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A financial expert argues: Global warming is real

Obama on climate change: I'm sorryWhy are we arguing the issue? Challenging vested interests as powerful as the oil and coal lobbies was never going to be easy. Scientists are not naturally aggressive defenders of arguments. In short, they are conservatives by training: never, ever risk overstating your ideas. The skeptics are far, far more determined and expert propagandists to boot. They are also well-funded. That smoking caused cancer was obfuscated deliberately and effectively for 20 years at a cost of hundreds of thousands of extra deaths. We know that for certain now, yet those who caused this fatal delay have never been held accountable. The profits of the oil and coal industry make tobacco’s resources look like a rounding error.

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Obama appoints Berwick to head CMS

Health care reform opposition protestersThe obstetrician–gynecologist opposes one of the fundamental assumptions of the new health care law – that physicians should be paid according to the quality of their work, not the quantity. How can you argue against the quality of health care? Burgess spoke on the subject at a recent Health Affairs Media Breakfast:

Burgess came to the defense of the current fee-for-service [FFS] system where the provider is paid for each individual service rendered to a patient. The congressman argued that doctors are “so goal directed that we need that impetus” of FFS as motivation to provide the best possible care.

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The earth’s scars

Try to Praise the Multilated World

You should praise the mutilated world.
Remember the moments when we were together
in a white room and the curtain fluttered.
Return in thought to the concert where music flared.

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Links of interest: Can honey combat MRSA?

Honey bee on flowerThe researchers are hopeful that they can build on these initial findings to develop new uses for this potent ingredient in honey, and in light of an alarming trend of antibiotic-resistance, ultimately even put defensin-1 to use as an alternative to current antibiotics.

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The physician as humanist

Still life with porcelain bowl and plums Ladislaus Rath BergerIn 1980 the historian G.S. Rousseau expressed concern that modern physicians no longer embodied the humanist tradition of their predecessors. Now that medicine had become overwhelmingly a science rather than an art, he claimed, the interests and accomplishments of physicians had narrowed.

It was not uncommon, for Victorian and Edwardian doctors … to write prolifically throughout their careers. … In twentieth-century America … only the most imaginative physicians can hope for this artistic lifestyle as a consequence of the economic constraints and housekeeping demands placed upon the doctor.

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The physician as reader of poetry

Why My Wife Should Let Me Have a Dog

If I had a dog his soft fur would not foliate
the sofa or trigger asthma attacks
in my dear wife, ending with a hospital trip,
an adrenaline shot and those inhaler tubes
littering the house.

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The physician as poet

There is harm

because there is this innocent animal,
the body;

because a baby’s unguarded gaze,
and the open regard
of animals both hold patience
with the world,
with mineral fact. Impenetrable

consciousness
arising from, locked into flesh.

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The indignity of the waiting room

I gathered from conversations among those of us waiting that one man had been sitting in reception since 7 am. Well into his 70s, he was clearly nervous, biting his lower lip and muttering silently to himself. Occasionally, he pulled his appointment letter from his bag to double-check the instructions. He walked to the reception desk to ask what had happened. The same careless shrug, with another, “Just take a seat and they’ll call you”. Unable to see a way through this wall of unhelpfulness, he did as he was told. Eventually, he asked a passing nurse for help. She listened and looked him in the eye. But she said that sorry, she could not assist him. He must wait.

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