Saturday, July 28, 2007

Sierra Leone


I jreceived a call this morning from my friend, Sam Pieh, in Freetown, Sierra Leone.
He is a great man with a heartfelt commitment to improving his homeland.
In fact it is my hope that he will one day become president of Sierra Leone.
Anyway he tells me that they could use thermometers, blood pressure cuffs, and other assorted medical equipment for the clinic in Tiama.
In addition, due to recent heavy rain, ponchos would be useful.

If you are so moved please feel free to contact me with any potential donations and I will see that Sam gets them.

Thanks...

Friday, July 27, 2007

Legal Hurdles Stall Rape Cases on Native Lands


I had one of those proverbial NPR driveway moments when I heard the first in this series of reports on sexual assault of Native American Woman. (Where you turn your car off in the driveway and remain seated to hear the end of the story).

It is astonishing to me that one of every three Native American women will be raped in their lifetime.


Native American women and Alaska Native women suffer disproportionately high levels of sexual assault compared with other women in the United States. They're also the least likely to receive justice, according to a report from Amnesty International. Aid workers say most of the crimes are not perpetrated by Native American men. The report says that the perpetrators are most often outsiders, who know that little will be done to stop them.

'Kill Them All'

One thing that has always amazed me is how people who have suffered so much cruelty and evil retain their faith in God. I found the same phenomenon over and over in Sierra Leone on my last trip there in the Fall of 2006. One of the most interesting quotes was from a friend I made there named Mohammed. He and his 5 year old son was forced to watch the repeated raping of his wife by a rebel leader. The rebel leader kept his sonand wife, and told him to "run for his life."To make a long story short, he ended up with a compound femur fracture and withered away in the bush down to about 50 pounds over the course of about a month. His quote was "God seemed to answer my prayers quickly in those days. Now I am not sure when my prayers will be answered...


A victim of a recent militia attack in eastern Congo describes her horrific days in captivity.

In June, the Hot Zone reported the details of a recent massacre reportedly committed by Rwandan Hutu militia in eastern Congo in which 18 civilians, including six children, were killed.

One of the surviving victims, a 23-year-old woman we called Kahumba, provided a harrowing eyewitness account of the incident in which her brother was murdered in front of her and both she and her twin sister were sexually assaulted. The twin, who we'll call Mirenge, was kidnapped by the attackers and taken back to their camp. After weeks in the jungle, she escaped and returned to her village, but her suffering is far from over. This is her story, as told to reliable humanitarian sources on the ground in eastern Congo.
(..)

"I was suffering so much. One day I told them I was feeling ill and they tied me to a tree and three of them raped me. I felt like there was no more reason to live.
(..)
"We went to the river and decided we had to escape and return to our homes. We all slipped away into the jungle. It's only because of God that I am alive today.
(..)
"Now I am feeling very tired all over my body, I am urinating with much pain. I have constant headaches and backaches. When I stand up I am dizzy. When I remember what they did to me I wish I were dead.

"It is not important for me to get treatment because there is no difference between me and people who are dead.

Wednesday, July 25, 2007

Rodney Jones Soup Bone

Presenting one of the coolest jazz cats around...Rodney Jones.
This is the kind of amazing culture that makes me wnat to move to "The City"


Eight Americans graduate from free Cuban medical school

I am curious where they will get a residency...
HAVANA (AP) — Eight Americans who graduated from a Cuban medical school say they will put the education paid for by Fidel Castro's communist government to use in hospitals back home.
(..)

"I will be heading back to the United States with a great advantage over the American students who have stayed there," said Wing Wu, from Minneapolis, Minnesota. (uh...okay)

The Antiwar, Anti-Abortion, Anti-Drug-Enforcement-Administration, Anti-Medicare Candidacy of Ron Paul

What an interesting, principled presidential candidate--Ron Paul. I didn't know much about him before this article...Worth a read

Real Life Sea Monsters - 24 Bizarre Creatures of the Deep


The sea contains untold numbers of strange and bizarre creatures. It is said that we know more about our own solar system than we know about our oceans.

Monday, July 23, 2007

Why Bungee jumping is bad for the retina


From the latest New England Journal of Medicine:

A 25-year-old woman with no clinically significant medical history and with normal coagulation and hematologic studies went bungee jumping from a vertical height of 150 ft (45.7 m). Immediately afterward, she noticed a substantial decrease in vision in her left eye

Abraham Laboriel

A taste of the great Mexican Bassist, Abraham Laboriel

Sunday, July 22, 2007

New Leaders Say Pensive French Think Too Much

Still, the French seem to be divided about the best way to get rich. On Thursday, a widely reported TNS-Sofres poll of more than 1,000 people concluded that 39 percent of the French think that it is possible to get rich by winning the lottery; only 40 percent believe that getting rich can happen through work. Certainly, the veneration of money more than ideas is new to French politics.

RICARDO COBO IN CONCERT



I recently learned of an organization entitled the sierra guitar society, headed by Larry Aynesmith of Incline Village. They aim to bring classical guitarists to Reno. We were fortunate to see the beautiful Paraguayan guitarist Berta Rojas last month. Her musicality blew me away. There are only two guitarists I have seen who have opened my "ears and eyes" to new ways of approaching the guitar--Jeff Beck and Berta. (Also Berta signed my CD: "To Deep with Love..Berta)." :)

Next week the Columbian guitarist, Ricardo Cobo, will be coming to Reno. I think we will try and see him at the Trinity Church--a fantastic venue for music. Hope to see you there.

TWO CONCERTS
JULY 22
Concert: 7:00pm Sunday July 22, 2007
Location: Cal Neva Resort, Frank Sinatra Celebrity Showroom,
2 Stateline Road, Crystal Bay, NV

JULY 24
Concert: 7:30pm Tuesday July 24, 2007
Location: Trinity Episcopal Church, 200 Island Avenue, Reno, NV

Tickets for each concert at door, $10 to $25
Tel.: 775-338-1671
Email: sierraguitar@yahoo.com
Web: www.sierraguitar.org

Saturday, July 21, 2007

Los Lobos

"The wolves" put on a great concert last night at Barley Ranch. Originally from East LA, Los Lobos put together a great night of Latin flavored Rock and Roll last night. They thankfully asked the fans to supercede the "Rules" from security and to get up and dance. The crowd willingly obliged!
It was a festive night. We were fortunate to share the evening with our good friends who are very Latin oriented as well!


Here is a video of Chuco's Cumbia.
BTW, if you are local to Reno, do make an effort to check out some concerts at Bartley Ranch this summer it is a great venue. The concert listing can be found at 1moe.com.

Ciao's


For all local Reno-ites, if you haven't checked out "Ciao's" lately, I would highly recommend it. In fact, this is the first time I have been inspired to write a restaurant review on this blog! We had a fantastic dinner with great friends their last night.

The dining area is elegant and subdued-the tables spaced out far enough to allow initimate conversation with our friends. We all agreed that from the mojitos on, the entire meal was delectable.

Items we tried included a mushroom and cream soup topped with fontina cheese, after which one of our companions remarked "I am balanced and in harmony with the world." Every bite was to be savored... The most interesting of the salads we ordererd was one with succulent heirloom tomatoes, festooned with caramelized watermelon slices, and fresh mozarella-- drizzled with a balsalmic reduction. For the entrees, we had eroasted escalade with a basil chiffonade and ricotta stuffed pascilla pepper, halibut with zucchini flowerettes, and filet mignon with olive oil shipped potatoes and calabria chile demi glace--all elegantly presented and perfectly prepared. The desserts were a flourless chocolate torte (which my wife orders every time we dine here) and a savory dessert consisting of heirloom tomatoes and some minimally sweet cherries in a pie crust accompanied by a basil and mint sorbet.

Overall it was a wonderful time shared with our friends in a charming and intimate setting, whilst enjoying exquisitely prepared cuisine. Not only was great detail evident in the preparation of each component of the meal, but our waiter was attentive and actually quite entertaining in an "English or perhaps it was "Welsh" sort of way...

Give it a try. There is also a quaint outdoor patio to enjoy our pleasant summer evenings and an extensive Italian wine list!

Friday, July 20, 2007

A Partnership of Minds

Here is a fantastic oped by David Brooks of the NY Times (subsription required)--perhaps one of the finest he has ever written--
which beautifully highlights the interconnectedness of lives, experience, life and death...


Douglas Hofstadter was a happily married man. After dinner parties, his wife Carol and he would wash the dishes together and relive the highlights of the conversation they’d just enjoyed. But then, when Carol was 42 and their children were 5 and 2, Carol died of a brain tumor.

A few months later, Hofstadter was looking at a picture of Carol. He describes what he felt in his recent book, “I Am A Strange Loop”:

“I looked at her face and looked so deeply that I felt I was behind her eyes and all at once I found myself saying, as tears flowed, ‘That’s me. That’s me!’

“And those simple words brought back many thoughts that I had had before, about the fusion of our souls into one higher-level entity, about the fact that at the core of both our souls lay our identical hopes and dreams for our children, about the notion that those hopes were not separate or distinct hopes but were just one hope, one clear thing that defined us both, that wielded us into a unit, the kind of unit I had but dimly imagined before being married and having children. I realized that though Carol had died, that core piece of her had not died at all, but that it had lived on very determinedly in my brain.”
(..)


Carol’s death brought home that when people communicate, they send out little flares into each other’s brains. Friends and lovers create feedback loops of ideas and habits and ways of seeing the world. Even though Carol was dead, her habits and perceptions were still active in the minds of those who knew her.

Carol’s self was still present, Hofstadter sensed, even though it was fading with time. A self, he believes, is a point of view, a way of seeing the world. It emerges from the conglomeration of all the flares, loops and perceptions that have been shared and developed with others. Douglas’s and Carol’s selves overlapped, and that did not stop with her passing.

I bring all this up in an Op-Ed column because most political and social disputes grow out of differing theories about the self, and I find Hofstadter’s social, dynamic, overlapping theory of self very congenial.


It emphasizes how profoundly we are shaped by relationships with others, but it’s not one of those stifling, collectivist theories that puts the community above the individual.

It exposes the errors of those Ayn Rand individualists who think that success is something they achieve through their own genius and willpower.

It exposes the fallacy of the New Age narcissists who believe they can find their true, authentic self by burrowing down into their inner being. There is no self that exists before society.

It explains why it’s so hard to tackle concentrated poverty. Human beings are permeable. The habits that are common in underclass areas get inside the brains of those who grow up there and undermine long-range thinking and social trust.

It illuminates the dangers of believing that there is a universal hunger for liberty...

(..)
What’s being described is a vast web of information — some contained in genes, some in brain structure, some in the flow of dinner conversation — that joins us to our ancestors and reminds the living of the presence of the dead.

Saudi Wife Shows us into her Home (part 1)

A very nice video from a female reporter from the Saudi Gazette Journal that focuses on what it is like for a woman living in Saudi Arabia. She is a very pleasant woman--reminds me of many of my friends in Saudi. There are some nice shots of Riyadh as well. At the end of the video she notes that many Saudis are just as if not more knowledegeable about fashion trends and haut coutre as their Western counterparts. I had a friend in Riyadh, originally from London, who was a buyer from major Fashion houses. Saudi Arabia was one of his best markets...

Overall, this is a very nice video that puts a "human face" on the side of Saudi culture that is not often nor well-depicted in the Western media.

Killing Us Softly 3: Advertising's Image of Women

There are some amazing statistics regarding how many advertisements Americans are exposed to over the course of our lifetimes. My big concern is how these ads may eventually impact my 6 year old daughter, who now is just so innocently living life in the moment...

Thursday, July 19, 2007

Hope Found Beneath War-Torn Darfur

But it could apply to one of the root causes of the ethnic conflict: drought, at least according to observers including scientists, Britain’s foreign secretary and retired American military officials.

If only we had known … about an underground lake the size of Lake Erie in Darfur.

A team of geologists from Boston University discovered the imprint of a “megalake” using radar. Farouk el-Baz, director of the study, urged the digging of 1,000 wells to start tapping into it.


“If you find water for the farmers, in addition to that for the nomads, for agricultural production, to feed them, to give them grain, then you resolve the problem completely,” he said.

Wednesday, July 18, 2007

A Pale Blue Dot


"We succeeded in taking that picture [from deep space], and, if you look at it, you see a dot. That's here. That's home. That's us. On it, everyone you ever heard of, every human being who ever lived, lived out their lives. The aggregate of all our joys and sufferings, thousands of confident religions, ideologies and economic doctrines, every hunter and forager, every hero and coward, every creator and destroyer of civilizations, every king and peasant, every young couple in love, every hopeful child, every mother and father, every inventor and explorer, every teacher of morals, every corrupt politician, every superstar, every supreme leader, every saint and sinner in the history of our species, lived there on a mote of dust, suspended in a sunbeam.

Global Fishing Trade Depletes African Waters

Poor Nations Get Cash, The Rich Send Trawlers; A Dearth of Octopus
(..)

Wealthy countries subsidize their commercial fishermen to the tune of about $30 billion a year. Their goal is to keep their fishermen on the water. China, for example, provides $2 billion a year in fuel subsidies; the European Union and its member nations provide more than $7 billion of subsidies a year. Such policies boost the number of working boats, increase the global catch and drive down fish prices. That makes it more difficult for fishermen in poor nations like Mauritania, who get no subsidies, to compete.

The end result: African waters are losing fish stock rapidly, with ramifications both to the economies of Africa's coastal nations and to the world's ocean ecology. Over the past three decades, the amount of fish in West African waters has declined by up to 50%, according to Daniel Pauly, a researcher at the University of British Columbia.

Stop Trying to Save Africa


This author makes some very compelling points about the West's relationship to Africa. It is a must read. One of the most difficult things when talking about any group of other people is to convey their humanity and "sameness" to the audience to which one is speaking...while at the same time recognizing and appreciating the unique attributes of the other. It seems ithere is a tendency to either dehumanize or exoticize the other. The only way to supercede this simplification is to be engaged, to spend time with "the other."

Last fall, shortly after I returned from Nigeria, I was accosted by a perky blond college student whose blue eyes seemed to match the "African" beads around her wrists.

"Save Darfur!" she shouted from behind a table covered with pamphlets urging students to TAKE ACTION NOW! STOP GENOCIDE IN DARFUR!

My aversion to college kids jumping onto fashionable social causes nearly caused me to walk on, but her next shout stopped me.

"Don't you want to help us save Africa?" she yelled.

t seems that these days, wracked by guilt at the humanitarian crisis it has created in the Middle East, the West has turned to Africa for redemption. Idealistic college students, celebrities such as Bob Geldof and politicians such as Tony Blair have all made bringing light to the dark continent their mission.
(..)

This is the West's new image of itself: a sexy, politically active generation whose preferred means of spreading the word are magazine spreads with celebrities pictured in the foreground, forlorn Africans in the back. Never mind that the stars sent to bring succor to the natives often are, willingly, as emaciated as those they want to help.

Perhaps most interesting is the language used to describe the Africa being saved. For example, the Keep a Child Alive/" I am African" ad campaign features portraits of primarily white, Western celebrities with painted "tribal markings" on their faces above "I AM AFRICAN" in bold letters. Below, smaller print says, "help us stop the dying."

(..)

There is no African, myself included, who does not appreciate the help of the wider world, but we do question whether aid is genuine or given in the spirit of affirming one's cultural superiority. My mood is dampened every time I attend a benefit whose host runs through a litany of African disasters before presenting a (usually) wealthy, white person, who often proceeds to list the things he or she has done for the poor, starving Africans. Every time a well-meaning college student speaks of villagers dancing because they were so grateful for her help, I cringe. Every time a Hollywood director shoots a film about Africa that features a Western protagonist, I shake my head -- because Africans, real people though we may be, are used as props in the West's fantasy of itself. And not only do such depictions tend to ignore the West's prominent role in creating many of the unfortunate situations on the continent, they also ignore the incredible work Africans have done and continue to do to fix those problems.

Saturday, July 14, 2007

The Keys to Happiness, and Why We Don't Use Them

The road toward a more satisfying and meaningful life involves a recipe repeated in schools, churches and synagogues. Make lists of things for which you're grateful in your life, practice random acts of kindness, forgive your enemies, notice life's small pleasures, take care of your health, practice positive thinking, and invest time and energy into friendships and family.

The happiest people have strong friendships, says Ed Diener, a psychologist University of Illinois. Interestingly his research finds that most people are slightly to moderately happy, not unhappy.

(..)

"Research shows that people who are grateful, optimistic and forgiving have better experiences with their lives, more happiness, fewer strokes, and higher incomes," according to Easterbrook. "If it makes world a better place at same time, this is a real bonus."

(..)

Lethargy holds many people back from doing the things that lead to happiness.

Easterbrook, also a Visiting Fellow at the Brookings Institute, goes back to Freud, who theorized that unhappiness is a default condition because it takes less effort to be unhappy than to be happy.

"If you are looking for something to complain about, you are absolutely certain to find it," Easterbrook told LiveScience. "It requires some effort to achieve a happy outlook on life, and most people don't make it. Most people take the path of least resistance. Far too many people today don't make the steps to make their life more fulfilling one."

GW Micro's VoiceSense: PDA for the blind

Fort Wayne, Indiana based company GW Micro has developed a new type of PDA designed specifically for the blind and sight-impaired, called the VoiceSense.

Tuck Andress - Europa (live)

Presenting the incredible guitar fingerstyle master: Tuck Andress:

The Karate Chimp



(via NPR)

Wednesday, July 11, 2007

Libya Backs H.I.V. Case Death Penalty

I cannot believe this case has not been resolved yet!

The Libyan Supreme Court today once again upheld the death sentances imposed on five Bulgarian nurses and a Palestinian doctor who were accused of intentionally infecting more than 400 Libyan children with the AIDS virus in 1998.

The court rejected the results of a 2003 investigation by two of the world’s leading AIDS experts, which found that unsanitary medical conditions at Benghazi Children’s Hospital were to blame for the children becoming infected with HIV. The nurses and doctor have now been in jail for nearly a decade.

Still, their fate remained uncertain today, despite the court’s ruling on the one hand, and months of recent negotiations to secure their release on the other. The European Union and the United States have repeatedly pressed the Libyan government to free the six, and groups of Nobel laureates have visited Tripoli to plead their case with the Libyan leader, Moammar Ghaddafi.

(..)
In the past year, the European Union has given substantial financial aid to Libya in hopes of resolving the case. One high-level union diplomat, who spoke on condition of anonymity because of the sensitivity of the case, said the total amount was equivalent to more than 10 million euros ($14 million) for each infected child. The union has set up treatment programs in Libya for the children, built medical facilities and purchased equipment.
(..)

Dr. Zdravko Georgiev, the husband of one of the jailed nurses, said in a telephone interview from Libya today that the families of the nurses were dismayed by the ruling. “After spending more than eight monstrous years in Libyan dungeons, we are exhausted to death,” he said. Dr. Georgiev was himself initially charged and jailed in the case; he was released after four years, but has not been allowed to leave Libya.

(..)

The six were arrested in 1999. In the initial indictment, which reads like a spy novel, Libyan prosecutors claimed that the nurses intentionally infected the children as part of a plot by Mossad, the Israeli secret service, to undermine the Libyan state. Prosecutors claimed that the nurses confessed to the crime, and that investigators had found vials of tainted blood in one of the nurses’ rooms. For their part, the nurses said they were tortured and raped while in custody, in order to extract confessions from them.

Tuesday, July 10, 2007

Ten Politically Incorrect Truths About Human Nature

Why most suicide bombers are Muslim, beautiful people have more daughters, humans are naturally polygamous, sexual harassment isn't sexist, and blonds are more attractive.

AIDS in Africa: Rising Above the Partisan Babble

It is hard to remember when AIDS was just a simple epidemic disease. Long ago it exploded into a global rallying cry for ideologues of every stripe, politicizing the science and the social science alike. A small army of academics and consultants now stake careers — and millions of international aid dollars — on specific and often conflicting theories of how to reduce behavioral risks for acquiring and transmitting H.I.V.

Amid the partisan babble, Helen Epstein has for years generated some of the most sensible commentary around, posting dispatches from AIDS-afflicted countries in Africa to The New York Review of Books and other publications. As a scientist morphed into a journalist, Dr. Epstein combines an understanding of the biology of AIDS with a coolly impartial view of the political and social landscape of Africa. She has now assembled more than a decade’s worth of reporting into an enlightening and troubling book.

(..)

That said, however, Dr. Epstein’s basic point is quite true: the drugs alone will never save Africa. Prevalence and transmission rates are too high, the health care infrastructure is too weak, there are too many other threatening diseases, and the costs are impossible. Instead, experts agree that hope lies in a still-distant vaccine, and in the “invisible cure” of Epstein’s title: dramatic behavioral changes to prevent new infections.

(..)

Interrupting this perfect storm requires a clear understanding of its origins, and we still cannot fully explain why heterosexually transmitted H.I.V. exploded in Africa while remaining confined to very specific communities in the West. Theories abound, and Dr. Epstein does a nice job of reviewing them.

The fiction that Africans are more “promiscuous” than Westerners has been disproved; studies have found that Africans often have fewer sexual partners during their lifetime than Westerners do.

But accepted patterns of sexual activity seem to have ignited the tinderbox in Africa. Sex there crosses social boundaries more often than in the West, and the habit of having concurrent partners — simultaneous long-term relationships in which friendship and trust may thwart routine condom use — means a single person’s infection may spread rapidly through a group.

Monday, July 09, 2007

Spineless on Sudan

The latest from Kristof on Sudan...

In May 2006, President Bush declared: “The vulnerable people of Darfur deserve more than sympathy. ... America will not turn away from this tragedy.”

Since then, Mr. Bush has turned away — and 450,000 more people have been displaced in Darfur. “Things are getting worse,” noted Mudawi Ibrahim Adam, a human rights campaigner in Sudan.

One of the most troubling signs is that Sudan has been encouraging Arabs from Chad, Niger and other countries to settle in Darfur. More than 30,000 of them have moved into areas depopulated after African tribes were driven out.

In the last few months, Sudan’s government has given these new arrivals citizenship papers and weapons, cementing in place the demographic consequences of its genocide. And if Sudan thinks it has gotten away with mass murder in Darfur, it is more likely to resume its war against southern Sudan — which seems increasingly likely.

Within Darfur, aid groups have increasingly become targets, and in April alone three aid workers were shot and 20 were kidnapped, while hijackers tried to seize aid workers’ vehicles at a rate of almost one a day. As for African Union peacekeepers, seven of them were shot dead the same month — so they’re in no position to rescue aid workers.

The cancer has also been spreading into Chad and the Central African Republic, compounding each country’s intrinsic instability. Last month a 27-year-old French woman, Elsa Serfass, on her first assignment with Doctors Without Borders, was shot dead in C.A.R. as she drove through an area where militias had been burning villages. So Doctors Without Borders has had to suspend much of its work in the area.
(..)

Much of the news on Darfur has been a bit optimistic lately, because it has focused on recent flurries of international diplomacy. While it’s true that China is belatedly putting some pressure on Sudan to admit international peacekeepers, at the same time China continues to supply Sudan with the guns used to slaughter Darfuri children. China also just signed a 20-year agreement to develop offshore oil for Sudan, and in April China pledged “to boost military exchanges and cooperation” with Sudan.

Let’s hope that athletes who go to Beijing for the Olympics next year will wear T-shirts honoring the victims of the genocide that China is underwriting.

Americans Give Record 295 billion dollars to Charities Last Year

Americans gave nearly $300 billion to charitable causes last year, setting a new record and besting the 2005 total that had been boosted by a surge in aid to victims of hurricanes Katrina, Rita and Wilma and the Asian tsunami

Giving historically tracks the health of the overall economy, with the rise amounting to about one-third the rise in the stock market, according to Giving USA. Last year was right on target, with a 3.2 percent rise as stocks rose more than 10 percent on an inflation-adjusted basis.
(..)

The biggest chunk of the donations, $96.82 billion or 32.8 percent, went to religious organizations. The second largest slice, $40.98 billion or 13.9 percent, went to education, including gifts to colleges, universities and libraries.


About 65 percent of households with incomes less than $100,000 give to charity, the report showed.



"It tells you something about American culture that is unlike any other country," said Claire Gaudiani, a professor at NYU's Heyman Center for Philanthropy and author of "The Greater Good: How Philanthropy Drives the American Economy and Can Save Capitalism."
(..)
He said Americans give twice as much as the next most charitable country, according to a November 2006 comparison done by the Charities Aid Foundation. In philanthropic giving as a percentage of gross domestic product, the US ranked first at 1.7 percent. No 2 Britain gave 0.73 percent, while France, with a 0.14 percent rate, trailed such countries as South Africa, Singapore, Turkey and Germany.
(Tip of the hat to DocFreeze for the link)

Saturday, July 07, 2007

Playing Doctor



This humurous article brought back fond memories of similar experiences I had as a third year medical student, learning how to do physical exams on volunteer patients...



(..)

Sometimes it was hard for me not to laugh. Dr. A was so sweetly flustered that in a perfect Chaplinesque slapstick, he would drop his reflex hammer on the floor, bend to pick it up, and then discover that his pen had fallen out of his white coat. Dr. N wasted the first eight minutes of the exam trying repeatedly to get a blood pressure reading. The panic in his eyes seemed to say, "She appears to be alive, yet she has no vital signs." He finally solved the dilemma when he realized he was listening to my arm with the wrong side of the stethoscope. (My blood pressure readings, which require technical skills on the part of the doctor, varied from 87/60 to 125/90.) Sometimes it was hard for the student not to laugh. Shy and mousy Dr. B, after peering into my eyes and ears, said, "Now I have to look up your nose!" and let out an embarrassed snort.

From the moment petite, blond Dr. C came in the room, she took command. Before she started, she briefly told me what the exam consisted of, then explained each procedure before she did it. Her touch was confident, and she did all 45 parts of the exam without hesitation. She asked me to tell her if anything hurt or made me uncomfortable. After she listened to my abdomen and proclaimed, "Good bowel sounds," I felt gratified I was able to please her....

In France, Jogging Is a Running Joke

The sight of the new French president, Nicolas Sarkozy, jogging -- often wearing his favorite NYPD T-shirt -- has fired up a tempest in a Reebok in France and Britain this summer. Sarkozy's running is an un-French, right-wing conspiracy, suggests Paris' left-wing newspaper Libération. In response, British commentators gleefully conclude: The French have lost their mind again.

On the primary state television channel, France 2, Alain Finkielkraut, a leading French intellectual, recently demanded that Sarkozy give up his "undignified" exercise. Not only did he imply that exposing the boss's naked knees is something that never would have occurred in the time of Mitterrand, much less Louis XIV, Finkielkraut claimed strolling is the proper activity of the thinking person, from Socrates to the poet Arthur Rimbaud."Western civilization, in its best sense, was born with the promenade," said Finkielkraut. "Walking is a sensitive, spiritual act. Jogging is management of the body. The jogger says I am in control. It has nothing to do with meditation."

Sarkozy has fueled a French suspicion that running is for self-centered individualists like Americans, reports Charles Bremner, Paris correspondent for the Times of London.

"Patrick Mignon, a sports sociologist, noted that French intellectuals had always held sport in contempt, while totalitarian regimes cultivated physical fitness," Bremner writes.

"Jogging is of course about performance and individualism, values that are traditionally ascribed to the right," Odile Baudrier, editor of V02 magazine, a sports publication, told Libération.

"The Sarkozy jog, say his critics, is a sad imitation of the habits of American presidents, and a capitulation to 'le défi Américain' (a phrase that was the title of a book published here as 'The American Challenge') as bad as the influx of Hollywood movies," writes Boris Johnson, a British member of Parliament and confirmed jogger, in the Telegraph.

"I am not deterred . . . by the accusation that jogging is right-wing," he says. "Of course it is right-wing, in the sense that the facts of life are generally right-wing. The very act of forcing yourself to go for a run, every morning, is a highly conservative business. There is the mental effort needed to overcome your laziness.

"Charles de Gaulle . . . moved with the stately undulation of a giraffe, and never broke into so much as a trot..."

Friday, July 06, 2007

Giving Till It Hurts

But nonprofits say they are receiving an increasing number of "stretch" gifts, donations seemingly out of proportion to the givers' resources. To the shock or chagrin of friends and family, these gifts often require donors to make sacrifices or at least live more modestly than their income would allow.

(..)

People who follow philanthropy say donors like Ms. Hergenhan and Ms. Kajitani set examples that extend far beyond the gifts they make, simply by causing those around them, including children, family members and friends, to at least reconsider how much they give and how they might feel if they gave more.

(..)

Academics who study wealth say more aging Baby Boomers are choosing charity to add meaning to their lives -- and to get a buzz that lasts longer than the kick that comes from splurging on a designer watch or expensive car.

(..)

Not all family members are thrilled by these stretch gifts, however. Neurosurgeon James Doty recently gave stock currently valued at about $28 million to charity -- a gift that represents about 99% of his net worth. As a result, instead of retiring early Dr. Doty will have to save money to put his 3-year-old son, Sebastian, through college, and to fund retirement.

"I would have kept at least some of it for us," says Dr. Doty's wife, Masha Zhdanovich Doty. Though she sends money every month to relatives in the former Soviet Union -- "I believe in charity, especially in helping people directly" -- she wasn't completely supportive of her husband's giving. At ages 39 and 51 respectively, she and Dr. Doty need to plan carefully for the future of their young family, she says.

Africa: Land of Hope

President Kigame of Rwanda
In the early 1990s, Rwanda reinforced all the worst stereotypes of Africa: wretchedly poor, torn apart by war and seemingly destined to be an international basket case forever.

Yet now it has become the little nation that could. It is clean, safe and enjoying economic growth more than twice as fast as the U.S. or Europe. And Rwanda underscores something that is easy to forget: There are signs of a turnaround in Africa, and plenty of reason for optimism.

This is the last column from my win-a-trip journey in Africa with a student, Leana Wen, and a teacher, Will Okun, and the stories have been long on gloom and suffering. But there is also a cheerier side to Africa, and Rwanda reflects the continent’s potential when there is both stability and good governance.

(..)

In the early 1960s, most of Africa was richer than Asia and many economists expected Africa to zoom far ahead of Asia. Back then, the World Bank named a group of African countries that it projected to grow at 7 percent annually.

Instead, Africa drove over a cliff. Of those countries with good data, one-third now have lower per capita incomes than they did at independence (typically about 1960), and the five worst-performing economies in the world from 1960 to 2001 were all in Africa.

What went wrong? The two most important reasons were that Africa was terribly governed and that it was torn apart by wars.

The problem of conflict is as bad as ever (Darfur sums it up), but governance is getting far better.

(..)

And when African countries have enjoyed stability and sound policies, they have often thrived. Indeed, the fastest-growing country in the world from 1960 to 2001 was Botswana (South Korea was second, and Singapore and China tied for third).

More and more African countries are now following the Botswana model of welcoming investors and obeying markets. Aside from Rwanda, countries like Mozambique, Benin, Tanzania, Liberia and Mauritius are among those trying to build a future on trade more than aid.

“We’re not going to say ‘We don’t need aid,’ ” Mr. Kagame said. “But there’s no question about trade being more important than aid. There’s no question about that.”

Blame It on Mr. Rogers: Why

Signs of narcissism among college students have been rising for 25 years, according to a recent study led by a San Diego State University psychologist. Obviously, Mr. Rogers alone can't be blamed for this. But as Prof. Chance sees it, "he's representative of a culture of excessive doting."

Prof. Chance teaches many Asian-born students, and says they accept whatever grade they're given; they see B's and C's as an indication that they must work harder, and that their elders assessed them accurately. They didn't grow up with Mr. Rogers or anyone else telling them they were born special.

By contrast, American students often view lower grades as a reason to "hit you up for an A because they came to class and feel they worked hard," says Prof. Chance. He wishes more parents would offer kids this perspective: "The world owes you nothing. You have to work and compete. If you wanjavascript:void(0)t to be special, you'll have to prove it."

I will take some Pachabel with my coffee this morning...

Ten Questions with Scott Berkun, Author of "The Myths of Innovation"

Guy Kawasaki interviews former microsoft developer, who has just written a new book: "The Myths of Innovation"

n epiphany is the tip of the creative iceberg, and all epiphanies are grounded in work. If you take any magic moment of discovery from history and wander backwards in time you’ll find dozens of smaller observations, inquiries, mistakes, and comedies that occured to make the epiphany possible.

Wednesday, July 04, 2007

The Musical Genius - Derek Paravicin

The stone-age whale hunters who kill with their bare hands


Their way of life hasn't changed for hundreds of years - a group of skilled fishermen using only their bodies and extraordinary bravery to catch 75ft-long sperm whales to provide enough food and materials for their whole village.

t is like a scene from Moby Dick, except the odds are stacked even higher against the captains of each tiny wooden boat.

These amazing images were taken during a whale hunt in one of the last places on Earth where people still use traditional methods to fish for one of the largest creatures in the seas.

Drought Forces Desert Nomads to Settle Down

These same forces of climate change are intertwined in the Sudanese conflict between Arabic nomads and native African farmers as Lake Chad continues to dry up...
BTW, there is a very nice, narrated slide show if you go to the link below...

Climate change threatens ice sheets and ecosystems, but it also threatens human cultures.

For centuries, the Tuareg people have lived as nomads, herding their animals from field to field just south of the Sahara Desert in Mali, near Timbuktu.

"Our life is basically the animals we have, so we protect them and we feed them," says Mohamed Ag Mustafa, a herder living the traditional nomadic lifestyle. "Whenever we need tea or grain or clothes, we take an animal to the market and sell it and buy something."

But this way of life has become impossible due to a change in the climate.

Over the past 40 years, persistent drought has forced the Tuareg to give up their wandering way of life. To survive they have had to start settling in villages and cultivating land to secure a food supply which is less susceptible to drought.

Tuesday, July 03, 2007

Monday, July 02, 2007

The HIPPA mess

Keeping Patients’ Details Private, Even From Kin

Sick Joke

More from slate.com on "Sicko.."

In one of the movie's best segments, insurance-industry insiders frankly admit that their profession is rapacious

A former medical director for an HMO, testifying before Congress, delivers a scathing rebuke both of the insurance industry and of her own role in denying patients care. Another whistle-blower describes the industry's tactics with stark clarity: "You're not slipping through the cracks. Somebody made that crack and swept you toward it." A woman who does customer service for a major insurer weeps as she recalls denying sick customers coverage, then adds, "That's why I'm such a bitch on the phone to people. … I just can't take the stress."

Michael Moore and the Beige Bomber

He's got the indictment of health care right, but not the fix.
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