15 August 2010

other voices - Martin Luther King


"I believe that unarmed truth and unconditional love
will have the final word in reality.
This is why right, temporarily defeated,
is stronger than evil triumphant."

Martin Luther King

history - Hiroshima


     I read John Hersey's Hiroshima in junior high school, as an assignment for my world history class.
     It was during the height of the Cold War, and before Vietnam and it was still common practice to conduct air-raid drills during the school day.
     The drills were where virtually everyone was herded into the inner hallways, and instructed where the civil defense supplies were kept. Before reading the book, the drills were kind of a joke; a way of getting out of class for an hour. But the reading had a sobering influence.
     Although I was well aware that the Rocky and Bullwinkle Show was blatant political propaganda, I lacked any strong awareness of peace activism, nor much of a political sense at all. Reading Hiroshima began to change that.
     After reading the book, my sense was that no windowless hallway could save anyone from an atomic blast. If anything, we'd either be vaporized or crushed to death under the rubble of a collapsing building. It also set the stage for how fearsome the Cuban Missle Crisis seemed to me.
     Afterwards, it seemed that Popular Culture became obsessed with knowing that the Kremlin and the White House would be in contact with one another ~ using the eponymous "red phone" ~ to avoid a nuclear war. The decades continued tense, but by the 1990s ~ even with other nations acquiring nuclear bomb making technology ~ we were lulled into imagining that a nuclear annihilation could be remote.
     Now, 65 years later, the possibility of a nuclear attack is no less real, though the potential perpetrators are less likely to be heads of States, and more likely they'd be disaffected dissidents, power crazed megalomaniacs ...or even some idiot thinking he'd make a profit (somehow). This possibility remains, whether the perpetrator is some middle-eastern religious fanatic [e.g. someone akin to Osama Bin Laden] or some middle-western political zealot [e.g. Timothy McVeigh]. Let's hold no doctrinaire fantasies about which "side" the perp might come from.
     So where do we go from here? How does the risk become less severe?
     I don't have an answer.

IMAGE CREDITS: 1- Hiroshima LIFE; 2- Wikipedia; 3- BuzzFlash Blog. COMMENT: First published in the New Yorker, the editors recognized the impact that the article would have by providing a human face to the victims. Although four chapters were intended for serialization they decided to devote one entire issue only to it. There were no other articles and none of the magazine's signature cartoons.
     Readers, who had never before been exposed to nuclear war from the perspective of the actual people who lived through it, were quick to pick up copies, and the edition sold out within just a few hours. Shortly after it appeared, the Book-of-the-Month Club printed it and distributed it free of charge to all of its members. LINK: U S Department of Energy The Atomic Bombing of HIroshima

Big Pharma: financial fraud and false claims

"Pharmaceutical fraud is considered one of the top threats in financial fraud"
QUOTE: Sharon Ormsby, FBI Financial Fraud Unit


People & Power investigates fraud and corruption running through the veins of the US pharmaceutical industry.
THANKS TO: Beta Sheep for bringing this to my attention. Too bad we have to look to off-shore news sources for this kind of reportage.

13 August 2010

health care - contrasts

I work at a large inpatient psychiatric facility. As readers may surmise, of late, I've also been spending a lot of time at a large medical hospital. I can't help but find myself intrigued with the contrasts.

Attentiveness to care is one of the most glaring, as it were. At the medical facility, staff conducting routine checks on patients take time to speak with patients, they ask after their well-being, and respond to concerns about some fresh malady.

In contrast, where I work, there are many staff [not all] who seem to take umbrage about "being forced" to conduct a census, where all they do is fill in a check mark or an "X" on a pre-printed list to account for a patient on the unit. Forget about the niceties of taking a second to acknowledge the patient's presence.

I wonder how different my workplace might be if those who behave as if speaking to a patient is a demeaning imposition, actually took the time to show concern for the folks they are charged with taking care of.

Another contrast is the presence of numerous clinical specialists walking about and on the units ~ and on different work shifts ~ and speaking directly with patients about their current medical condition. In less than a week, I have been present on four separate occasions when different doctors actually came and spoke with my friend - at some length - about steps being taken in his care. One of the docs was a management level administrator in her discipline. I have observed this happening with other patients as well.

In contrast, unless the clinician is assigned to the unit, it is uncommon for specialists to speak with patients about their care or treatment. Even rarer for managerial personnel to show up on the patient wards at all.

Again, if they took they time, how might it affect the quality of care provided to the patients were I work? Just wondering.

12 August 2010

friendships


Like lichens to rocks
friendships grow

slow and steady
deliberative and thoughtful

and at a certain point
they produce a beauty
that all can see

10 August 2010

birthdays

A number of my friends are Leos. So here's a happy birthday tune for Nick, Dean, Bruce and Lorraine

09 August 2010

fitful wanderings from the web

From Make magazine: How to design and create things without a computer. It is wonderful that we have the technology we do today, but it is a shame that the cost is losing the true craftsman.

Some advantages to having your own water source. Exposure to fluoride can be hazardous to your health. One health researcher refers to fluoride into public water supplies as "...forced medication for the masses."

Borderline Families. "Stories from Families Affected by Loved Ones with BPD." A site developed by a mother to "...share the story of how we struggled with [my daughter's] illness while searching for help. I found that borderline is not only treatment-resistant but often misdiagnosed. I was frustrated by the unreliable treatments offered and the lack of discussion." The objective is to share useful knowledge and information with others.
     My question: how many mental disorders discovered in the late 20th century are really a result of our race's tendency to spread toxins into ourselves and our environment?

Biodegradable gel being studied as treatment for esophageal cancer. The investigational drug, called OncoGel, is made of two major components, the ReGel drug delivery system, which is a gel made up of ingredients used in biodegradable stitches, and paxclitaxel, a well established, FDA-approved anti-cancer chemotherapy agent. Patients receive a one-time injection of OncoGel during an endoscopy.

From Addicting Info: Bills Republicans have blocked from passing into law:
 • Anti-Rape Amendment - Makes it so that women raped overseas while working for foreign contractors have the right to have their case heard in an American court instead of having their case mediated by the company they work for. Only Republican men voted against this.
 • Benefits for Homeless Veterans - Would have expanded benefits to homeless veterans and homeless veterans with children.
 • Health Care - Prevents insurance companies from discriminating against you on the basis of "pre-existing conditions".
 • Small business lending bill - would give LOCAL, community banks access to billions of dollars to loan to small businesses.
 • The Jobs Bill - Offsets the payroll tax for 1 year for companies that higher new employees, or people receiving unemployment insurance. Also gives other tax incentives to companies hiring new employees.
 • Financial reform - Puts stricter regulations on the banks, preventing them from becoming "too big to fail". Curbs reckless spending practices that caused the banking crisis.
 • Political Ad disclosure bill - Would have required all donors to political campaigns to reveal themselves.
...Wait! There's more!

Insightful reportage from a FOX News affiliate: Disturbing discovery of crabs filled with black substance.
     ACTUAL QUOTES:
     "A pair of fishermen in Mississippi made an alarming discovery that has many wondering what's happening below the surface in the Gulf of Mexico. They found several full-sized crabs filled with some sort of black substance."
     FOX 8 News reporter, Shelley Brown asked: "This is where the crabs live, on the bottom?" "Correct," answered Ladner and Mayne."
     Ladner said he couldn't sell shrimp even if they wanted too. He said some of the largest processing facilities in the country say they just can't buy from him right now because they say the sentiment around the country is that this oil and dispersant mix is at the bottom and in our seafood.
     "We've seen a lot of large fish since this has happened that are dead on the beach. We're seeing large bones like on days that are low tides like tonight.. mammals, turtle bones," Hancock County Hazardous Material lead liaison Jesse Fineran said.
     Emergency managers want to know what's causing this
"
IMAGE SOURCES: 1- Cancer cell being attacked by the immune system Alternative Cancer.net; 2- FOX Affiliate Newscaster Shelly Brown FOX 8 LIVE, New Orleans, LA.

living with cancer - Road less travelled

The directional signs remain unclear, though it is possible to guess their instruction.

The stress of a cancer diagnosis clearly rests on those close to the victim as well.

Not knowing what the next step might be, nor how to steer the vehicle to get to the desired site, makes one tired and unsure.

One man at the hospital, on the recovery end of surgery, soberly noted that he'd rather be in active combat than go through treatment again ~ the experience indescribable.

Nevertheless, he remained upbeat. Don't lose sight of the end goal, even if you cannot see it in the scope.

08 August 2010

living with cancer - Going Haiku

""The price of freedom is visible here"

After four days into the admission with still no real communication from clinicians, Bill yelled out at the nurses. A diminutive, yet authoritative-acting foreign doctor gathers the troops around his bed to tell him he caused a freight by yelling [a behavioral anomaly readily addressed with anti-anxiety meds].

This group's "show of concern" at least provides him the chance to express his frustration's source. It seems the diminutive doctor, rather than having the courage to acknowledge she doesn't know the answers to his questions, instead responds to them by evasive language and seeming coy.

The man just learned he has cancer! Going haiku doesn't help.

When the doctor cannot answer a question ~ and instead avoids it ~ it is normal to assume the worst. On the other hand, a frank admission that you just don't know, while not providing satisfaction, is at least a lot more clear.

What is it about some doctors, so frail they interpret loudly stated verbal expressions of anguish, anger, frustration and loss as potential indicators of lack of control ...of mental illness !?!?!

The irony here is that the West Haven VA Hospital is riddled with posters offering help and assistance for combat veterans with PTSD. And while being diagnosed with cancer is not the same as combat stress, hearing you have cancer can be traumatic, it can be stressful. Is it too much to ask that all clinicians working there at least know this? I think not.

The coy doctor vaguely admitted she did not know what to tell him, and introduces the oncologist, who can, and who provides a clearer description of what the past two weeks of lab tests, procedures, poking and prodding have found. The answers aren't great, but the news is encouraging: that the state of esophageal cancer Bill has is treatable.
UPDATE: In fairness, aside from the one glitch of a clinician being unclear about details, the care and attention Bill has been getting has been exemplary. Each of the people under Step Down's care have unique and difficult medical problems, yet the staff remain on top of their mission while remaining thoughtful to what the folks they are working with go through. I'm glad they are there.

05 August 2010

natural phenomena - solar flares, aurora borealis


A bit late on reporting, but I'm not Ira Flatow. See the movie version.
The NASA website says this about the image above:
On August 1st, almost the entire Earth-facing side of the sun erupted in a tumult of activity. There was a C3-class solar flare, a solar tsunami, multiple filaments of magnetism lifting off the stellar surface, large-scale shaking of the solar corona, radio bursts, a coronal mass ejection and more. This extreme ultraviolet snapshot from the Solar Dynamics Observatory shows the sun's northern hemisphere in mid-eruption. Different colors in the image represent different gas temperatures ranging from ~1 to 2 million degrees K. Credit: NASA/SDO
Just for the chance to see the aurora borealis [I've had the honor and pleasure twice] I wish I were living in a higher latitude.
For more info on the solar flare, the aurora phenomena or stellar events in general, check out the following:
   • Paul Heckert, Astronomy Examiner
   • NASA
   • University of Alaska [Fairbanks] Aurora Forecast Predictor
   • NOAA Tips on viewing the Aurora
   • Poker Flats Research Range Aurora Info over Alaska
   • Space Weather
   • Universe Today
   • Science Friday shows how to Build your own Observatory [assuming you have a couple hundred million unused dollars floating around and a remote site to build upon]
Here is one example of what the solar flare's effects looked like upon reaching Planet Earth. Photo by Shawn Malone, Marquette, Michigan and posted on the Space Weather Aurora Photo Gallery.

living with cancer - Pray for BillP

My camera shy friend is suffering after a recent discovery of cancer cells within his body. His less than camera shy pals [Big Boy and Little Guy/Tiger, both shown here] anxiously await his return home.

Right now Bill is at the VA Hospital in West Haven under the scrutiny of oncologists and surgeons.

Uncertainty is arduous.

Right now I don't know what to think ~ or do.

I pray that his difficult ordeal eventually finds him tumor and cancer cell free so that he and I can ride along Chamberlain Highway [plus do a slew of other things ~ some that require a passport] a whole lot more times.


As I write this I'm hit with a double whammy; for my brother Ken, who lives out in San Diego, has also been diagnosed with cancer the very same week. With Ken I'd like to be able to ride about the Sequoia National Forest on his hog. Mindful of the fact that I could find all sorts of spurious information about cancers on the internet, I do find a trio of articles ~ A Layman's Guide to Esophageal Cancer ~ written by Roger Tunsley, to have been encouraging and helpful. Another article, on gastrointestinal cancers, on the American College of Gastroenterology website, is also quite informative. Two other websites I found helpful include Wikipeada's Esophageal Cancer entry and a link to the Esophageal Cancer Action Network.

04 August 2010

original work - Water Spirit

Rights of the Disabled

It's been a little more than a week since the 20th Anniversary of the passage of the [US] Americans with Disabilities Act.

My friend Patrica and I went to a celebration, sponsored by the Americans with Disabilities Act Coalition of Connecticut, and held at the state capitol in recognition of this milestone's passing.

About 80 people were given named recognition for being active in the efforts to promote social justice, among them former Governor Lowell Weicker, who was one of the main proponents of the ADA under the GHW Bush Administration.

One of the principal authors of the bill, Justin Dart, [and one of my personal heroes] was also given posthumous recognition by the speakers.

It was heartening to hear of progress made regarding inclusion in society, but more sobering is to recognize how slow that progress continues to be.

Americans, by and large, have become accustomed to seeing people in walkers and wheelchairs in public, but opportunities for people with disabilities continue to be disproportionately fewer; the corporate world - through the courts - continue to try to subvert Congressional intent, and dismantle provisions of the ADA's protections. And no one in Congress [to my knowledge] has even put forward a motion to have the US ratify the recommendations of the Convention on the Rights of Persons with Disabilities now recognized by 89 member nations of the UN.

But my interest is in what little progress has been made to recognize the rights of people with so-called invisible disabilities.

Only recently, after over a 15 year legal battle, residents of Southbury Training School will now be given the option of living in the larger community rather than be warehoused on a campus isolated and remote.

In the putative "mental health system", the manner in which people are treated remains abysmal. Using the current nationwide budget crises as excuse, states are shutting down inpatient hospital beds, cutting back funding of community based services in exchange for foisting potent psychiatric drugs on people, which numb their reactions and often have severe and unwanted "side-effects". And forced treatment ~ justifiably recognized as torture in any other venue ~ is still not even questioned by those who pay the bills [both politicians and insurance company bureaucrats], clinical care providers, family members ...hell, sometimes even by those so victimized themselves.

Making matters worse, little or no effort is made, nationally [with a scant few exceptions] to develop integrated housing, or supportive work re-entry programs, nor making any effort to help provide people with coping skills and techniques, which exist, and ~ frequently ~ are not difficult or expensive to impart.

I write this while glum. But the picture I see isn't promising anyway. Others who see positive changes happening are welcome to enlighten me.
IMAGE CREDIT: Justin Dart, The Caring Institute

22 July 2010

formatting html

What ideas come to mind when confronted with a table in the middle of text?
     Generally, design concepts are not given much thought by most viewers... they just look at "stuff" and if it makes sense visually nothing gets said or thought about.
     Making tables can be handy to present specific information to the reader in a way that helps clarify how data is relevant to the subject matter in the article.
 WIDGETSSPROCKETSTotal
 181129
 350944
     Of course, what you have here isn't connected to anything. It's just trying to see if I can add tables within the blogger posting format.
IMAGE CREDIT: From a now defunct Russian clip art site

18 July 2010

original work - Tribute to Hockney

propaganda - screeds

 • Ethan Persoff's Collections. "Political ephemera, drug hysteria, vintage sex & health items ...other miscellany; Delivered to you in a timely, inappropriate manner since 2001"
     Where else can you find Paul Krassner's Realist Archives, M. Philip Copp's 1957 classic The Atomic Revolution, Sarah Palin's Lipstick Collection, The U.S. Army Training Guide on the Don't Ask Don't Tell homosexual policy, and How to Treat your M-16 Like a Lady all in one place? That's right! Nowhere else.

     Mr. Persoff's collecting efforts have been entertaining me for almost a decade; though I often neglect paying proper attention. I think it has as much to do with how much time I spend once on his site. My loss, and a far more productive use of time than messing about with Facebook's FarmVille.

 • Chick Cartoon Tracts "Publishing cartoon gospel tracts and equipping Christians for evangelism for over 40 years."
     When I was a teenager, I became enthralled with the likes of Jack Chick's Comics. Mind you, I was never converted to the somewhat rabid anti-Catholic evangelicism promoted by Mr. Chicks' bible tracts, I was more intrigued by his style, and, in part, by some [though not all] of the content.
     And when I combined Chick's fire-and-brimstone moralism with the lessons learned from an odd assortment of conventional horror comic books, the thing I learned was that greed and vanity never really pays off.
     It is from these lessons lessons that I sometimes receive vicarious consolation when confronted with the dark cabal that runs the world these days.
     The lesson learned was that if you sell your soul for fame, riches and power in this life, eventually, the payoff is that old sulfur-breath comes back to claim what is his.
     And the sign-in-blood contractee gets whisked abruptly to a sentence of eternal damnation and horror.
     But while Dante, when viewing the Inferno, may have been able to peek at the outcomes, the rest of us just have these comic books to prove it.

 • As if Jack Chick's pamphleteering was not enough, Pleated-Jeans has posted 15 awful examples of Christian propaganda. That is one of them to your left. My favorites on the list include "environmentalists", "sophisticated swine" and "loud-mouth women". Wonder where each of these are mentioned in the Bible.

 • Stefan Landsberger's Chinese Propaganda Poster Pages, which is moving to: Chinese Poster [dot] net

 • Propaganda Poster Collections Online

mental health - Toronto "community" to replace old Asylum

 • A Canadian architect, Frank Lewinberg, and a psychiatrist, Paul Garfinkel, have teamed up and planned for a nice new neighborhood for "the mentally ill".
     They acknowledge the limits of their vision, writing that “the history of urban planning is littered with idealistic projects that withered in the harsh light of everyday living.”
     A recent article in Canadian Architect quotes Garfinkel:
"People need to be treated in a respectful, dignified, holistic manner that sometimes requires them to be confined in a hospital voluntarily or involuntarily. The more we normalize the hospital stay, in keeping with safety and security, the better it is for the person's recovery, and ultimate reintegration. Normalizing starts with an urban village, like the rest of the city, but it gets into the nature of public space, treatment space, what our hospital rooms look like. We want to make [the hospital] a more homelike setting, just as you would want in a normal community."
     Dr. Garfinkel claims to be especially critical of the "biological reductivism" fashionable in psychiatry for the last 30 years, a theory that lays great emphasis on medication--often, he believes, at the expense of the patient as a whole person, and at the expense of the settings of his treatment.

     I have worked with, and on behalf of, people with psychiatric disabilities for over 20 years. I remain skeptical about the plan. This isn't a plan for a new neighborhood, it is adding more office rental space while tossing a few bones to the clients and community.
     Not only because the rationale behind building the great Victorian-Era behemoths that housed "the Insane" was based on providing mad people with sylvan settings; but also due to the fact that the plans ~ as extensively described ~ show more effort going into office space for clinicians than to actual housing. That housing seems to be limited to three ""alternative milieu" dwellings: 72 motel-like rooms, with private washrooms and lockable doors, for patients who still need hospital care, but who have progressed beyond the acute stage of their illnesses."
  •  "Housing" people in "motel style" accommodations does little to restore a sense of normalcy to one's life, yet that seems to be the only client housing being given serious consideration in the multi-blocked endeavor.
     Moreover, if are planning a community, why is there only circumstantial mention of cultural amenities? Instead "...the exact nature and placement of the non-hospital uses have yet to be determined, a grocery store and health club, scientific institutes and laboratories, cafés and private residences have been mentioned."
     During the reconstruction phase, The Workman Theatre, a popular visual and performing arts gathering place, "...a space much loved by local residents and others throughout the city...," operated and managed by people with psychiatric disabilities, [and funded, in part by the Centre for Addiction and Mental Health, Canada's largest mental health and addiction teaching hospital and the agency that stands to benefit from reconstruction] will be demolished.
  •  To destroy the Workman Theatre without having prioritized a replacement structure ~ is patently absurd! It is a popular gathering place, run by clients and former clients of mental health services. Across the continent theatre groups run by ex-patients have shown themselves to helps bolster self-esteem, foster independence and self-determination. Toronto's Centre for Addiction and Mental Health (CAMH) partially funds the theatre group; it is a bafflement that CAMH management would even consider razing a structure so integral to helping mental health service clients in recovering.
  •  That single action alone speaks volumes about the arrogance of clinicians towards the clients the agency supposedly serves, and makes a lie of any claims that CAMH may make about "...advocating for public policies [and practices] that are responsive to the needs of people with addiction and mental health problems." Why eliminate the Workman Theatre, a truly integrated service, that actually provides supportive services that CAMH claims they want to offer?
     If Lewinberg and Garfinkel really wanted to help developing a community that helps "normalize" life for people with psychiatric diagnoses, and help folks integrate into the larger society, why then act like just a real estate developer hawking densely packed office buildings? How about affordable housing and street level spaces for small businesses. So much for an clinical commitment to the Recovery Model. And practically nothing to promoting "Community."
IMAGE CREDIT: Rendering of one of the new buildings by Montgomery Sisam Architects

fitful wanderings from the web

 •  A Founding Father [the one that the Texas Republican Party has eliminated] on the Banking System and on Religious Demagoguery Quote:
“If Americans ever allow banks to control the issue of their currency, first by inflation and then by deflation, the banks will deprive the people of all property until their children will wake up homeless..”
~ Thomas Jefferson
 • Political news junkies should save this bookmark. The "Truth-O-Meter" hits politicians. Politifact looks at the accuracy of all; whether from pundits Sarah Palin and Keith Olbermann or politicians from President Obama to Arizona Governor Jan Brewer. Question: Is fact-checking FOX NEWS next?

 • The Regressive Antidote talks of shoe-horning 21st Century governance into 17th Century ideas. Surprise! It doesn't work. From David Michael Green's essay:
"The world in our time faces a series of enormous global problems that demand global solutions. Unfortunately, we’re a lot more skilled at producing the former than the latter. And even more unfortunately, no one is better at creating these problems and blocking their solutions than the good ol’ US of A. Just such behavior was vividly on display last month, when the US went to a conference of the International Criminal Court (which we are not only not a member of, but have actively tried to undermine) and there attempted to block a resolution making aggression a crime under the ICC’s jurisdiction. But that’s only the latest example of a much broader and very dangerous 21st century tendency to avoid changing political institutions designed to work well for the world of the 17th century." Read the rest
 • Another example of discontinuities with laws across the planet comes from Marie Claire, a hair care and fashion mag, with nary a mention in the media a dishonorable "Honor Killing" takes place in Arizona. a gruesome tale of a father's failure to assimilate and of the "punishment" meted out on his daughter for doing just that. Abigail Pesta, author of the article, is the editor-at-large of Marie Claire. I'm impressed at Marie Claire for their effort!
     At school, she was known as a fun-loving student who made friends easily.
     But at home, Noor inhabited a darker world. She lived a life of subservience, often left to care for her six younger siblings. Noor's father, 49-year-old Faleh Almaleki, was strict and domineering, deeming it inappropriate for her to socialize with guys, wear jeans, or post snapshots of herself on MySpace. Her responsibility was to follow orders, or to risk a beating.
     When she finally decided she had to move out on her own Dad thought the only acceptable thing to do was to repeatedly drive over her with his Jeep. Read the rest of the story!

IMAGE CREDIT: Thomas Jefferson - image widely available on the internet. I happened to find it at America First Books; 2- A photo of Noor Almaleki taken by a friend

music - Tina Turner

music - Robert Palmer