Thursday, February 28, 2008
Booze and Cigs- a Public Health Prevention Scheme
Having this handy bottle opener around would help you monitor your alcohol consumption, eg, I can think of some patients I see every day who could use one of these as a gift to accompany their discharge papers from the ED. Or perhaps ambulances could stock them and hand them out as a public health initiative- sort of like the NYC Condom idea- thanks for riding with us. Maybe one end could have a cigarette lighter which would monitor your smoking too, and another little application would be a breathalyzer. Yes, another great idea for halfbakery.
Tuesday, February 26, 2008
Jarvik and Pfizer
Pfizer, according to our duly elected representatives in the US Congress ( John Dingell and Bart Stupak), has gotten the inventor of the artificial heart, Dr. Robert Jarvik, who has degrees in both Engineering and Medicine, to speak for lipitor in between rowing sessions. This is supposedly misleading because he allegedly is not licensed to actually practice medicine, therefore his advice on an effective lipid lowering agent should not be trusted. hmmmm. This logic is somewhat tenable (more tenable is the idea that he is decidedly not an expert on lipid physiology), however the irony of what appears to be at face value an honest fairly conservative advertising campaign blowing up in Pfizer's face is more palpable than an atherosclerotic thrombus in the LAD.
in training review
Sunday, February 24, 2008
good reads vs librarything
One problem on library thing is the lack of discrimination between books I have and books I wish to have... However, the geek in me likes librarythings taggability (is this a word?), and it's data-driven method- one can create "clouds", which suggest new avenues to go on from previously read books, as well as generate statistics such as "median/mean library obscurity", as well as generate a gallery of pictures of the authors in your library
While migrating my library to GoodReads, I stumbled on a prescient link from my 2005 blog to the NY Times best 100 books of 2005, which I had come across in December 2005 while doing a winter elective at the Mayo Clinic, elicited most likely by my friend Kat in Minnesota. As I looked over the titles picked as excellent in 2005 by the NY Times, I noticed one, Cormac McCarthy's, has since been made into an Oscar Winning movie- "No country for old men", (a nice addition to the 2007 Pulitzer Prize for "The Road" from this secretive author, and another is Friedman's "The World is Flat", "Glass Castle", "Freakonomics", Marquez's "Memories of My Melancholy Whores" were all in there.
In retrospect, I should have picked up Ian McEwan's "Saturday", a book about a day off in the life of a neurosurgeon...
Fast forward to this year's list, 2007 , and I noticed these ones which look good- "Matrimony" by Joshua Henkin, "Septembers of Shiraz" by Dalia Sofer, "Then we came to the end" by Joshua Ferris, and "How Doctors Think" by Jerome Groopman...
My only question now is where Oprah gets her list?
Sunday, February 03, 2008
Class Divide in Brooklyn
Today, Superbowl Sunday, I had off, and I took the morning to venture out to Coney Island which is at the end of my subway line. I found a surreal place, this picture with the seagull sums it up: some sea life, an aquarium, urban decay, the Verrazano Narrows bridge in the background, and some really ugly public housing.
Now, I guess the mermaids that live on Coney Island year round are not the ones that participate in the annual mermaid festival, perhaps the mermaids of Mermaid Manor frequent this establishment?
On my way back from trying to get around the lovely development of Sea Gate to take an unobstructed picture of the bridge, I ran into some more citizens of Coney Island. First were the retirees and Russians of Brighton Beach getting their afternoon winter sun.
As I walked around, it began to dawn on me why the Russians love Coney Island. It's just like home! It's cold, with ugly public housing, which reminds them of the communist housing in Russia, and it has decayed burned out buildings reminding them of the fall of the Communists, and it has a large esplanade for them to parade around, sans high boot kicking, with their orange lipstick and heavy furs. It is perfect for the Russians.
As for me, they can have it. I wonder why Coney Island gets the bad rap. It has the same sand that Fire Island and the Hamptons have, same Atlantic Ocean, maybe it is the reach of government projects that spoiled it. I did see evidence that at least some happy people do enjoy the beach, the Polar Bear club came down with their American Flag in preparation for a cold midwinter swim. Seeing the American flag, it got me to thinking about the place as representative of what US government is good at and what US government is bad at, in fact, any sort of government.
Government is good at making fixed assets which require little maintenance, for example the boardwalk, the tennis courts, the public housing. These are victories for Coney Island. Lots of poor people have these resources. However, what government tends not to be very good at is high demand services like healthcare, education, or trash collection, or policing, or other services which require responsiveness from consumers/users to improve them or provide adequate service. There are too many levels of power/bureacracy/politics between the provider of the service and the user.
This became clear to me as I was walking back to get on the subway. I saw a sanitation enforcement officer parked in a Prius, as I was about to marvel at how efficient the NYC sanitation department is, I noticed the officer threw a cigarette butt out the window onto the street, still smoking. I had my camera with me, so I took a picture of the officer's car with the butt on the street, and as I started snapping pictures, she took off.
I did catch up with her a block or two up the street, as she was policing some businesses who had left their trash in bags out on the street. I asked her if she had thrown the cigarette butt out onto the street. She denied it.
On my way back on the subway, I stopped into another little suburb in Brooklyn, a development of houses which was meant to cater to wealthier folks. The subdivision has street names that are based on English place names... In any case, the subdivision is now surrounded entirely by projects and public housing. It is a bit odd to see these huge houses right next to public housing developments, and kind of makes you wonder if it contributes to class/ethnic tensions?But perhaps, like the parading Russian retirees, the midwinter swimmers, and the smoking sanitation worker, it's just life in Brooklyn.