Papa's in the swing
Friday, March 21, 2008
Papa's gotta brand new bag
Papa's in the swing
Monday, March 17, 2008
St. Patrick's Day
Instead, what I found was mostly an overwhelming show of POLICE and FIRE- what are essentially pro-authority GOVERNMENTAL groups. What happened to the traditional Irish distrust of authority, the Irish belief that power corrupts? When all the Irish moved to New York, did they become the authority that they had been unable to attain in their own country? It made me think about the original St Patrick, himself (like many Irish) a slave in his own homeland, brought to a new land, and became a saint.
Judging from today's turnout in the parade, if St Patrick were reincarnated as an Irish expatriate to New York he would have ended up as either a cop, fireman, or corrections officer.
This is all the more alarming when those claiming Irish ancestry are well represented in the police and fire and community service professions (where were all the Irish teachers in the parade?), yet most of their own countrymen in today's America are here illegally and live a hand to mouth existence. Why is it that there are so many Irish police in America, yet still Irish immigrants must live here illegally?
This was hilarious, I saw several counter-terrorism units scuttling around, with snipers on the roof of the Met where the parade ended. As if the entire parade wasn't full of law enforcement officers and their families.
Not even an illegal Irish person in New York can get a posh city job like these NY Sanitation Officers.
I wonder what Jasper Johns would have made of all these American flags passing by the Met Museum with his exhibit inside?
Friday, March 14, 2008
night shift in the mines ooops, um er.
Wednesday, March 12, 2008
Tuesday, March 11, 2008
NEXT BLOG
My personal prediction, since I suck at picking teams for tournaments like march madness, is that stuff white people like is going to win a bloggie next year.
If you are ever bored, having a hard time coming up with an exciting morning case, have writer's block, or are stuck in a hotel room in Tokyo doing a whiskey ad promotion and want to learn a random thing about the world, log into blogger, go to that link for the next blog on the upper left corner, and just randomly read other people's blogs. I ran into this great one about a banker who doesn't balance his checkbook, in his words,
"Balancing Checkbooks is or are the random thoughts of a commercial banker who has never balanced his checkbook in over thirty years. This is something I should be doing regularly but life seems to interrupt me so often. As I said, life interrupts me so don't look for a posting every day."
He also had some things to say about residents and hospitals...
"Friday was the first time that I have been seen by a male oncology resident. I think the doctor needs to tone down his vocabulary somewhat. I don’t think that using terms like “fantastic” and “great” are necessarily the best choices when commenting on patient reactions to the medication.
I also think the young residents need to get a better grip on the time – space continuum concept. The resident said he would step for five minutes while he reviewed my file with the attending physician. Most of the other residents have had a poor concept of how much time would be necessary for a consultation with their supervising physician.
The resident returned twenty five minutes later."
Thursday, March 06, 2008
Oink Oink
As reported in the NY Times, an artificial ingredient in heparin which is designed to look like heparin on drug quality tests but is not heparin. Heparin is a blood thinning drug used when someone has a heart attack, when someone has a life threatening blood clot in the lungs (pulmonary embolism) or deep venous thrombosis (DVT), in dialysis, in heart bypass surgery, and is the only powerful blood thinner that you can use in pregnancy. The benefit of heparin is that it can be reversed quickly and acts rapidly whereas coumadin (an alternative) is not as easy to reverse and takes a little longer to be effective.
The scary thing which has been revealed by the recent product recall and ban on multi-use vials of heparin is that most of the world's supply of Heparin comes from one place: Baxter Pharma, and is made in China, from a plant that was inappropriately inspected by the FDA because the name of the plant was confused for another plant.
Heparin is extracted from PIG intestines. I wonder how this news is going to go down with my devout Jewish patients when I tell them they are getting heparin, they probably didn't know this before but with this recent news I wonder how many will know now.
I have noticed a trend with the inability to use heparin boluses after the multi-dose heparin recall to use lovenox more often... Lovenox, made by Sanofi-Aventis, is going generic late this year, and it is surprising that the stock value has been more affected by that than the probably increase in sales which will come from the scare about heparin. Will be interesting to watch what happens here. Ironically, Baxter stock is not down as much as Sanofi-Aventis, although both are down.
This adds to the list of other "unusual" chemical additives which are not what they seem coming from China. In the past year we have seen melamine which is designed to fake protein content in pet food, and DEG (like antifreeze) in OTC products such as tainted toothpaste from China, tainted cough syrup in Panama, which led to the execution of the leader of the Chinese Food Safety Bureau last year, as well as many deaths due to these harmful agents.
And the scary thing is even if you are an educated consumer who reads labels and consults your doctor, you would never know, since these events made it past doctors and veterinarians, which shows the (misplaced?) trust we place in drug manufacturers and the regulatory agencies which govern them.
Tuesday, March 04, 2008
Snail Mail
Am thinking about finally sending some thank you notes to catch up with the rest of the world. Found my stamps and realized I am not entirely sure how many stamps to use, partly since I haven't kept up with the price of postage and partly am still somewhat confused trying to adjust from the An Post mail system, in which one can mail things on Sunday and mail a package from virtually any corner store.
I have various stockpiles of stamp books which I purchase every time I have this problem, last time this snail mail problem was solved by the "Forever" stamp, which is apparently good, well, forever? A large number are going on sale now, until May 12th, when the USPS is changing the price of a standard stamp to 42 cents, yet the Forever Stamp will still work. Read about it here, but not here, because this full rate table will make it clear why FEDEX is superior.
Slide Guitar
Monday, March 03, 2008
Future Generations, Parental Molding, and Online Dating
Invariably this path of thinking leads back to how one was raised, and despite my mother sending me the book which she used to raise me, something called "Whole Child, Whole Parent", by Polly Berends, I still haven't worked out all the twists and turns of my own childhood.
The role of parents in my life today intrigues me. As I thought about my generation, and the impact of generational conflict, I did some googling. I came across an interesting set of authors- Howe and Strauss, who write about generational patterns and archetypes. As I define myself and who it is and what it is that I want, I thought about what I would like my children to be like, and wondered what I would impart to them.
As a 33 year old, I consider myself part of Generation X, my parents were Baby Boomers, and my grandparents part of the Greatest Generation, neither of which dated/had families in any way based on a set of principles or ideas, but merely formed marriages and children based on either the fact that they were pregnant (Greatest Generation), or the fact that they thought it was the right thing to do (Baby Boomers).
The generation now in early adulthood, at least in NYC, is what I like to call the Hipster Generation, raised by parents who grew up in the chaos of the fully developed swinging 70's, early 80's, drugs, the economic booms and recessions of the 80's, the cold war... They adopt the clothes of the swinging 70's, the cultural trends, yet seem apathetic and seem to want to make every artistic measure into an economic success, particularly the internet. Just as their parents experimented with drugs, they experiment with the internet.
They have a sentient knowledge of time before the internet, in other words they were born sometime after 1980 and before 1995, which is the approximate time between the earliest time the "internet" became part of common knowledge, and after the earliest generation X'ers were born.
The new Modern generation succeeds the Hipsters.. and it will be interesting to see what a generation raised by Generation X will look like.
Dubbed the "Quiet Generation" by Friedman , or the "Internet Generation" by Strauss and Howe, some place all children who were alive during the rise of the internet into this group, but I would argue that for the generation to be fully called the internet generation, they cannot have a sentient existence prior to it's creation. Therefore, the Internet generation must be those whose first words and activities were recorded in the internet age, those children who as babies heard their parents use the word "download", or "I-pod", or "PDF", or "email".
You know who these children are. You have read your married friends blog posts about their development in the womb, seen their cute baby pictures in mass emails.
These modern children will be raised by parents and grandparents who were born after humans had been to the moon (1969), birth control pill (1960), commercial jet travel (Boeing 707/DC-8-1961), the Cuban Missile Crisis (1962), the idealism of JFK (ask not what your country can do for you speech-1961), the civil rights era(I Have a Dream Speech 1963), after the conclusion of Vietnam (1959-1975), the rise of HIV/AIDS(1981), MTV (1981), PCR (1983), Chernobyl (1986), the fall of Eastern Europe and the end of the Cold War(1989), mobile phones (GSM standard 1991), reality TV (1991-MTV-Real World), forensic science/OJ Simpson trial(1995), human genome sequence(2001).
Whereas previous generations feared poverty, war, or discrimination, the new Modern Generation was born into a world around the time of a cataclysmic terrorist attack(2001- World Trade Center), and the fears of the cold war/nuclear war have been replaced by rogue terrorist fears such as the Unabomber 1978-1995, Iran Hostage Crisis (1979), Oklahoma City Bombings (1995), Washington Sniper (2002), and school shootings at Cleveland Elementary- "I hate Mondays-Boomtown Rats"- (1979) Columbine (1999), and Virginia Tech (2007), others.
As a Generation X'er, I lived through these events or heard about them from my parents. I have pretty much renounced the role of any external force in my life such as religion or parental wishes to make decisions about A. whether to start a family, and B. what kind of a family life I want, leaving the only significant deciding factor to be my wishes and those of my future spouse.
As I reflect about what I want in an ideal family and how I would raise my children in this modern world, I would hope that my family would be social, enjoying a good connection to the wider community, that they act according to ethical principles and in the interests of being good people, participate in the arts, and have access to a good education and a stable home environment, with access to green outdoors spaces and a safe community. As they grow up, I would hope that my children speak at least one other language and have the opportunity to live in another country and be immersed in another culture.
What will today's children will be like in the future, particularly those children born after 1995 who are now between 0-13? These children, born during the height of the internet revolution, during the dot com boom, have never known a non-technological time, and their parents are arguably the most technology dependent parental group ever.
In fact, it is likely that their parents met using the internet, perhaps arranging a date via either online dating agencies such as match.com, e-harmony, or jdate, or using various other online enabled communities- myspace/facebook/instant messenger/speed dating.
How interesting that we have come to this point, in which the characteristics of future families, future humans, could be determined by what happens on a date set up on the internet? And say, for example, that due to the increased options available in finding a mate, that one is able to find the theoretically "PERFECT" mate for them. Does that translate into a better family life, or a better chance for a happy lasting marriage? Or is the internet only useful in initially connecting people who could potentially be good life partners?
It will be interesting to see how the next generation turns out. It will be one of the first generations whose parents met using the internet- in which parents truly made a decision about each other, and their desire to design a family to their liking, the ability to choose partners from a wide range of society, and the ability to control when and where to have children. Perhaps this more reasoned mating will lead to a correction of the apparent problems of the technology age? Or perhaps this will never solve the most important question- toilet seat up or down?