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Archive for September, 2006

Arthur L Kellermann is a role-model to many of us who have earned or aspire to MD-MPH degrees. Having met him, he speaks with uncommon insight and wisdom. He has written a valuable editorial in the New England Journal of Medicine this week regarding the rising problem of crowding in the Emergency Department, particularly regarding disaster capacity. The Journal has been good enough to offer the editorial for free on their website.

When crowding reaches dangerous levels, hospitals often divert inbound ambulances to other facilities. In 2003, diversions occurred more than half a million times — an average of once per minute.3 Diversion may provide a brief respite for a beleaguered staff, but it prolongs ambulance transport times and disrupts established patterns of care. It also creates ripple effects that can compromise access to care throughout a city. Because crowding is rarely limited to a single hospital, one facility’s decision to divert ambulances can prompt others to follow suit. When that happens, a city may experience the health care equivalent of a “rolling blackout.” Everyone’s access to care is affected — the insured and uninsured alike.4

The complete article can be found here.

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Some of you may be familiar with Tim Keller, the head pastor at Redeemer Presbytarian Church here in New York.

Linked below is the transcript of a speech made by Tim Keller in an anniversary service to the families of victims of 9/11, made on September 10th, 2006.  The transcript is originally found on the blog of his son here.

For those of you who haven’t heard Tim Keller speak, I have to also recommend listening to his words shortly after the event, available at the Redeemer Sermon Store (I get no proceeds… )  You can download many free samples there as well.

As a minister, of course, I’ve spent countless hours with people who are struggling and wrestling with the biggest question – the WHY question in the face of relentless tragedies and injustices. And like all ministers or any spiritual guides of any sort, I scramble to try to say something to respond and I always come away feeling inadequate and that’s not going to be any different today. But we can’t shrink from the task of responding to that question. Because the very best way to honor the memories of the ones we’ve lost and love is to live confident, productive lives. And the only way to do that is to actually be able to face that question. We have to have the strength to face a world filled with constant devastation and loss. So where do we get that strength? How do we deal with that question? I would like to propose that, though we won’t get all of what we need, we may get some of what we need 3 ways: by recognizing the problem for what it is, and then by grasping both an empowering hint from the past and an empowering hope from the future.

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(I used the subtitle to avoid some censorship. 🙂 )

Slate explainer has come up with a great article today…. definitely deserves a listen or read.  An extensive discussion on anal foreign bodies as well as body packing….

It’s worth mentioning that body packing for the purpose of smuggling drugs is entirely different from inserting rectal foreign bodies directly for recreational or other purposes from a medical point of view.

Cellular telephones were discovered inside the anal cavities of four prison inmates in El Salvador on Tuesday. The director of the prison says the convicts had attempted to conceal four plastic-wrapped cell phones, nine cell-phone chips, and one cell-phone charger. Hang on—how much stuff can one person fit up there?

Click More for Complete Article

Update:  I’m sorry, but I’m turning off comments for this post.  Just too much spam when you talk about “rear ends”… if you get my drift.

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NYT: Housing Bubble

Not sure how many of you saw this article in the NY Times, but I just thought it was notable the chart they posted regarding the steep increase in prices.NYT homeprices

This is a significant problem for people of our age, and I wonder if I should plan on renting for the next ten years….

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