Wednesday, February 28, 2018

Stranger in a Strange Land

The opening scene of "The Wire" has a policeman sitting on a stoop with a street kid, contemplating the body of a teenager called "Snotbogey" lying in a pool of blood, shot dead because he grabbed up the pile of money in a game of dice and tried to run off with it. He had done this dozens of times before and had been beaten for this transgression, but this time, for some reason, somebody shot him, which struck the street kid on the stoop as unwarranted. 

When the policeman asks the street kid why the others allowed Snotbogey to play in the first place, given his history of snatching up the cash, the street kid shrugs and looks at the policeman as if the question is impertinent: "Got to," the street kid says, "This America man."

And if that scene does not capture the essence of the bizarre nature of this nation, then the scene from a prayer service for the slain school children of Florida must win the prize, as people in religious costumes, garments, and head bands invoking the crown of thorns, but made of bullets, prayed holding automatic rifles.


NEWFOUNDLAND, Pa. (Reuters) - Hundreds of couples toting AR-15 rifles packed a Unification church in Pennsylvania on Wednesday to have their marriages blessed and their weapons celebrated as "rods of iron" that could have saved lives in a recent Florida school shooting.

Women dressed in white and men in dark suits gripped the guns, which they had been urged to bring unloaded to the church in the rural Pocono Mountains, about 100 miles (160 km) north of Philadelphia. Many celebrants wore crowns - some made of bullets - while church officials dressed in flowing bright pink and white garments to go with their armaments.



The Church, in Newfoundland, Pennsylvania thinks of AR 15's as religious rods of iron, accouterments and the description of the ceremony would have captivated Mark Twain.
These are the people who voted for Trump. Who swung the state of Pennsylvania to the red.
How do you run an election when the electorate looks like this?
These citizens each have a vote which counts as much as yours.
These are the folks who will give Donald Trump a second term.

God bless the United States of America.


Saturday, February 10, 2018

What It Is Homemakers Do

Did you know that the president of the charitable organization, "Alzheimer's Association" makes $800,000 a year whereas the president of the "Alzheimer's Foundation" makes just a little over $200,000?
Homemaker at Work 21st century

Ask your wife. She might just know that.
How did I discover this? 
I recently demanded a session with my wife, who spends hours in front of her computer, doing things I had not even imagined.
New Age Homemaker. Not mine. 

I thought she was just emailing old boyfriends, setting up lunch dates with members of her chorus, looking for new Viking cruises to places I've never heard of.

But what I needed to do was to learn how to pay the bills, just in case she decides to stay in the Galapagos or South Africa.  In the old days, I'd just wait for the bills to arrive in the mail, get out my check book and write the checks.

But now the bills come into her gmail, or wherever, on her computer and then there is a whole process involving usernames, passwords, answers to security questions like, "What was your mother's father's firs name?" 

Do not know that answer. So now the VISA bill cannot be paid.

And then there is the income tax stuff--collecting the charitable deductions, the town tax bills, for what may be the last time. Not sure if local taxes will be deductible ever again. All this is on spreadsheets, in EXCEL on her computer, somewhere, guarded by passwords and questions about the first names of distant relatives. I do have a family tree stashed away, so I can crack the codes, eventually. 

But as we were working our way down the spreadsheet we came to charity and that meant reaching into a big bag with envelops soliciting contributions. Some are no brainers we give to every year: NPR, Planned Parenthood. But then there are our new would be friends and that's when the Alzheimer's Association came up. 
I would have said, yeah, well, I'm for curing Alzheimer's: write a check. But no, you have to go on line and look up through a web site called "Charity Navigator" and it shows you how much of your check goes to Alzheimer's research and how much lines the pocket of the CEO.  



Obadiah Youngblood, Exeter Bridge

If my wife walked out the door tomorrow, I'd have to put an ad on Monster.com and interview people to replace her and they'd have to have demonstrated computer skills including Excel spreadsheets, on line banking, charity vetting, Trip Advisor etc. 
My new homemaker might need an associates degree from Great Bay Community College in on line home management with a minor in computer technology. 
So 20th Century! The Ideal Wife then.

If she needed to drive the car, shed need to master hands free cell phone, Blue Tooth and crash avoidance technology, not to mention lane drift stuff.


21st Century Wife

Being a "homemaker" is high tech now. 

Friday, February 9, 2018

What Happened to the American Medical Profession



From the comments section in the New York Times responding to an article "The Manly Jobs Problem" by Susan Chira, in which she described the problem women have doing work which had traditionally been the work of men. The article was pretty predictable in its "feminist studies" way, but the comments section got more interesting, as readers explored not just the effect of putting women in these jobs but the effect on the jobs themselves as women arrived.

Near Lincoln Center

Claudia

Oddly, there is little mention of the sea change in medicine and surgery. There was a riddle presented to medical students in the 1970's about a car crash in which a boy and his father were killed and the surgeon who received them at the Emergency Room says, "My, God! This is my son!"
So how could that be if the father was killed in the crash?
Most students guessed the answer turned on biological vs step father. But the answer was: the surgeon was a woman.
Few thought of that. Because there were almost no American women surgeons, or physicians in those days.
Now slightly more than half of medical students and doctors are female.
In formerly male dominated specialties like gynecology, men have been driven out or simply opted out.
There was plenty of misogyny in medical schools and housestaff training programs along the way, but all that is history now.
The sheer weight of numbers in the workplace changed behavior, ethics, sensitivities.
Not all the changes as women came to dominate medical practice redounded to the benefit of the patient, as many physicians and some surgeons said, "I'm a mother first, a doctor second." But overall, the sea change as been a positive force.
Whether that will ever happen on construction sites or coal mines is another question, but it will likely be settled, as it was in medicine, by demographics, the force of numbers, not by studies, commissions, academics or editorials.





Sza-Sza





Alexandria Va
Oh Claudia. If only it were really so. I got out of med school in the 1970s in a class of 6 women and 200 men. Truly there was great prejudice from doctors - and nurses - but medicine at that point was one of the highest paying professions around.
Now medicine is a salaried job, most practices taken over by hospitals or large national conglomerates. You get a salary, do shift work and - importantly - adhere to money producing guidelines or risk being fired.
So of course as it is devalued you see the void left filled by women as men go off to the real high paying fields like finance, where the payoff and prestige are greater. Only few women are found there.

Avarren
Oakland, CA
Not every female physician or surgeon is a mother, just as not every male physician or surgeon is a father. Prioritizing work-life balance is not at all to the detriment of the patient. Happier, more grounded doctors provide better care and result in healthier patients.

Wednesday, February 7, 2018

Why Trump Doesn't Matter

It was 1968, and I was listening to several speakers talking about my choices: 
1. I could allow myself to get drafted and go to Vietnam.
2. I could go to jail.
3. I could cross the border into Canada and hope to be allowed to stay and become a Canadian citizen and renounce my American citizenship.

Fortunately, I found option #4: Get into medical school and hope the war ended in the next 4 years while I was deferred.

But, before I knew about option #4, as I talked about these options with my friends, we all realized, individually and collectively, no matter how disgusted we were with our country, which was incinerating babies in Vietnam with Napalm, no matter how we loathed Johnson, Nixon all those government leaders who kept us in that quagmire rather than risk their own political futures, we could not simply walk away from being Americans. 

I had never been outside the country at that point, but nearly four years later I went to England for two months, and there I discovered just how American I really was.

As alienated as I felt from my own country, it was part of me. 
It was threaded through the fabric of my personality and soul: the music, the shared memories of sporting events, the unconscious assumptions that I wanted life to be more prosperous, that I wanted to rise from the social standing my parents enjoyed to something just a little better, the desire to own things, a house, a car.  
General Cump--Obadiah Youngblood

As I talked about American movies, about the Super Bowl, about suburban life, about an American Graffiti sort of high school experience with my American friends in London, one a Black kid from the Bronx, another a kid from Texas who was attending medical school at Pittsburgh, we thought of ourselves as very different, but we shared something--being American.

None of us had thought much about what being American meant. But we knew, somehow, we were and we could never really shake that.





So it doesn't matter who is in the White House today. He'll be gone in eight years, and we'll still be, like it or not, American. 

Sunday, February 4, 2018

The Peregrine, the Octopus and The Hidden Life of Trees

A gift of "The Peregrine" captivated me and, as is so often the case in my own combustible personality, once it got me going, there was no stopping the conflagration: So I am now reading "The Peregrine," and "The Soul of an Octopus" and "The Hidden Life of Trees."

"The Peregrine" is a work not just of intensely fascinating natural writing, but real high grade literature. J.A. Baker wandered the English flatlands, communing with peregrine falcons in a way which would dazzle Thoreau. These birds  have eyes which are far larger, proportionately, and heavier than human eyes. If human beings had eyes this size they would be 3 inches across and weigh four pounds. 

But the peregrine is only 2 1/2 pounds, and fast.  It can fly up 1,000 feet in the air, and come out of the sun, so even other birds cannot see or sense it coming. Falling 100 feet it can attain enough speed to snap the neck of large birds, gulls, ducks, pigeons. Then, snatching up its kill from the ground, it soars off with it.

"Evanescent as flame, peregrines sear across the cold sky and are gone, leaving no sign in the blue haze above. But in the lower air a wake of bird trails back, and rises upward through the white helix of the gulls."

This is a thrilling book about a thrilling creature.
But it is a creature one can see and understand. It is a vertebrate and obeys vertebrate rules.


Not so with the octopus, a creature so alien we cannot even imagine what its consciousness might be like. It both tastes and feels through the suckers on its gelatinous legs. It has an eye with a slit pupil and its mouth is under an arm. Its beak  is hidden. It has "three hearts, a brain the wraps around its throat and a covering of slime instead of hair. Even their blood is a different color from ours; it's blue, because copper, not iron, carries its oxygen."
It can slither through the smallest hole because it has no bones or joints, and its brain is malleable as silly putty and octopuses often escape their containers because there was a crack nobody saw, or they simply unlock the locks with their arms and suckers. 

They turn colors with different "emotions" from white to red to brown and their skin changes texture and tone. 
They live only three years.


For trees, on the other hand, three years--even twenty years-- are the blink of an eye. There's a tree in Sweden thought to be 9,000 years old. There are redwoods and sequoias in California who were alive at the time of Jesus Christ. 

But the most amazing thing about trees is not their longevity; it's their connectivity. Trees put communists to shame. They are connected but underground fungal strands which allow them to shunt sugar from one tree which is doing well to another which needs help. Mother trees grow crowns which deny light to their children for decades, centuries, until they are ready to retire, but the children are not injured by this--the delay forces them to develop tightly packed innards which resist insects.

Tree leaves can "taste" insect saliva so they can emit just the right toxin for the particular insect and when giraffes graze on acacia trees, the trees not only produce toxins but aerosolize scents so other acacia threes down wind do the same to ward off the giraffes, who leave the scene or simply walk up wind. 

Some years ago, I criticized Dr. Nadine Unger,  a Yale professor of forestry because she suggested that  northeastern deciduous forests being dark green, may absorb heat and actually not ameliorate temperatures on the planet, but contribute to global warming. I did not want to hear that forests were anything other than "good guys" in protecting the planet from global warming and lambasted her. I was not alone:  dozens of  outraged readers posted insulting comments on that blog.


Professor Unger calculated that the clear cutting of northeastern forests in the 18th century reduced global climate temperature by 0.1 degree, or something like that. Forest emit volalitile compounds which may contribute in some way to global warming. That was incendiary stuff, because it suggested that global warming and climate change may not be entirely owing to works of man, and in fact man, before he started erecting smoke stacks, man may have benefited the climate by clearing fields and growing crops.
Liberals, who are not immune to bias, did not want to hear that.


Only Maud stepped forward as the voice of dispassionate reason.
I am now chagrined at my own spasm of irrational speak. 
Professor Nadine Unger


Forests have their own logic, trees their own ways.

Truth is truth, no matter how it may undermine your most cherished beliefs.