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Tuesday, January 25, 2011

MOST COMPLEX PROBLEMS DO HAVE A SOLUTION

MOST COMPLEX PROBLEMS DO HAVE A SOLUTION
 
Many years ago in a small Indian village; a farmer had the misfortune of owing a large sum of money to a village moneylender. The moneylender, who was old and ugly, fancied the farmer's beautiful daughter. So he proposed a bargain. He said he would forgo the farmer's debt if he could marry his daughter. Both the farmer and his daughter were horrified by the proposal. So the cunning money-lender suggested that they let providence decide the matter. He told them that he would put a black pebble and a white pebble into an empty money bag.
 
Then the girl would have to pick one pebble from the bag.
1) If she picked the black pebble, she would become his wife and her father's debt would be forgiven.
2) If she picked the white pebble she need not marry him and her father's debt would still be forgiven.
3) But if she refused to pick a pebble, her father would be thrown into jail.
 
They were standing on a pebble strewn path in the farmer's field. As they talked, the moneylender bent over to pick up two pebbles. As he picked them up, the sharp-eyed girl noticed that he had picked up two black pebbles and put them into the bag. He then asked the girl to pick a pebble from the bag. Now, imagine that you were standing in the field. What would you have done if you were the girl? If you had to advise her, what would you have told her?
 
Careful analysis would produce three possibilities:
1. The girl should refuse to take a pebble.
2. The girl should show that there were two black pebbles in the bag and expose the money-lender as a cheat.
3. The girl should pick a black pebble and sacrifice herself in order to save her father from his debt and imprisonment.
 
Take a moment to ponder over the story. The above story is used with the hope that it will make us appreciate the difference between lateral and logical thinking. The girl's dilemma cannot be solved with traditional logical thinking. Think of the consequences if she chooses the above logical answers.
 
What would you recommend to the Girl to do?
Scroll down if you give up...............
 
Well, here is what she did....
 
The girl put her hand into the moneybag and drew out a pebble. Without looking at it, she fumbled and let it fall onto the pebble-strewn path where it immediately became lost among all the other pebbles. "Oh, how clumsy of me," she said. "But never mind, if you look into the bag for the one that is left, you will be able to tell which pebble I picked." Since the remaining pebble is black, it must be assumed that she had picked the white one. And since the money-lender dared not admit his dishonesty, the girl changed what seemed an impossible situation into an extremely advantageous one.
 
MORAL OF THE STORY:
Most complex problems do have a solution. It is only that we don't attempt to think.
 

Marc Zuckerberg...Founder of Facebook.

According to reports, Face book founder Mark Zuckerberg’s private life is destined to attract people’s attention. He made a prototype for his film social network has been released on October 1st. Regardless of whether the film really belongs to his autobiography or not, 26-year-ancient Zuckerberg is destined to be pushed to the spotlight, becoming a household name. The public figures, in addition to have a worldwide website which has 500 million users, he also has many small-known anecdotes. Special editions are reproduced below for our readers.
1. Caring much about his privacy though Facebook is very “open-minded”
Zuckerberg always says that he wants to make Facebook a place where people can be open-minded and honest and everyone is willing to share their personal information with others. But, It is ironical that Zuckerberg never public some information in his Facebook page.
In the latest page of Zuckerberg, the well-known journalist Jose Antonio Vargas wrote, “The CEO of the world’s largest online social network is really a very shy and private person.” He does not like facing the media, and rarely do that. He does not seem to like the spotlight, even though Facebook’s development needs him to do.”
2. Having weird interests
His personal interests, such as the well-known Latin singer “Shakira” and “abstinence”, which listed in his Facebook page, give us a weird feeling.
The personal interests he listed include: making things, minimalism, breaking things, revolution and openness. His favorite musicians include the Linkin Park and the United States electronic music queen, Lady Gaga.
3. Fascinating with classical literature, owning imperial ambitions
Zuckerberg grew up in Dobbs Ferry, New York. He attended the best high school in the United States – Phillips Exeter Academy. He learned Latin, there and became a lover of classical literature. Zuckerberg dropped out of Harvard after studying for two years so as to pursue the career of Facebook. The Wall Street Journal reporter Jessica Vascellaro wrote, “He was well known by memorizing Iliad and other epic poems”
He also developed some games, which themed by classical literature. “His first vital program is based on classical literature,”
Zuckerberg also developed the theme in classical literature of the game. “Zuckerberg the first major development program is based on classical literature,” Risk “adaptation of a game.” The Harvard Crimson reporter, Michael Grynbaum wrote, “The center of the game is Roman Empire. It is very hard for you to beat Julius Caesar.” Zuckerberg’s friend told us that he has imperial ambitions.
4. Having a lot of nicknames
His friends and colleagues like to call him “Zach.” If you do not believe, you can check out with the article entitled “to work with Zach” on Facebook. In this article, Facebook engineer Andrew Bosworth wrote down some feelings, “Zach hopes to open the discussions. He is not emotional and he is very strict to others.
In addition, he has some other nicknames. According to the Wall Street Journal reporter, Jessica Vascellaro, his mother called him “prince” when he was young. And His schoolmate, Rebecca Davis O’Brien, told us in his book that Zuckerberg’s friendship gave him a nickname of “killer” when he attended a party, Alpha Epsilon Pi.
5. being indifferent to money
He does not seem to care about the money. It is said that someone had offered to pay 10 billion U.S. dollars to buy his Facebook site, but he rejected. That person is the former Yahoo CEO Terry Semel. He told the New Yorker that he never meet such a person who is indifferent to money before. No one would refuse his generous offer of 1 billion. But Zuckerberg said, “This is not a problem of money. The website is my child and I want to bring him up myself. ” When Semel recalls this conversation, he still can not believe his ears.
Harvard University’s newspaper has also reported the event. “That’s not what we are really interested in.” When referring to Yahoo’s desire regarding the acquisition of Facebook in 2004, he said, “What I mean is that we do make a lot of money but that is not the purpose.
Do you have an account on Facebook? I reckon that the answer may be a certainly “Yes”. I like it very much and I have made a lot of friends there. After I got a bar phone, like this: http://www.dinodirect.com/bar-phone/. I can also use my phone to login the Facebook. I really appreciate that and I do hope that we can have more fantastic developments in our society.

Murphy's Laws

Murphy's Laws

01. Everyone has a photographic memory.  Some don't have film.
02. He who laughs last, thinks slowest.

03. Change is inevitable, except from a vending machine.

04. When the chips are down, the buffalo is empty.
05. Those who live by the sword get shot by those who don't.
06. The 50-50-90 rule: Any time you have a 50-50 chance of getting something right, there's a 90% probability you'll get it wrong.

07. It is said that if you line up all the cars in the world end to end, someone would be stupid enough to try and pass them.

08. You can't have everything.  Where would you put it?

09. The things that come to those that wait may be the things left by those who got there first.

10. Give a man a fish and he will eat for a day.  Teach a man to fish and he will sit in a boat all day drinking beer.
11. Flashlight: A case for holding dead batteries.
12. The shin bone is a device for finding furniture.

13. A fine is a tax for doing wrong.  A tax is a fine for doing well.

14. It was recently discovered that research causes cancer in rats.
15. When you go into court, you are putting yourself in the hands of 12 people who weren't smart enough to get out of jury duty

Interesting Anecdotes

Interesting Anecdotes

The liquid inside young coconuts can be used as a substitute for blood plasma.
No piece of paper can be folded in half more than seven (7) times.
Donkeys kill more people annually than plane crashes.
You burn more calories sleeping than you do watching television.
Oak trees do not produce acorns until they are fifty (50) years of age or older.
The first product to have a bar code was Wrigley's gum.
The King of Hearts is the only king! WITHOUT A MOUSTACHE
American Airlines saved $40,000 in 1987 by eliminating one (1) olive from each salad served in first-class.
Venus is the only planet that rotates clockwise. (Since Venus is normally associated with women, what does this tell you!)
Apples, not caffeine, are more efficient at waking you up in the morning.
Most dust particles in your house are made from DEAD SKIN!
The first owner of the Marlboro Company died of lung cancer. So did the first "Marlboro Man."
Walt Disney was afraid OF MICE!
PEARLS MELT IN VINEGAR!
The three most valuable brand names on earth: Marlboro, Coca Cola, and Budweiser, in that order.
It is possible to lead a cow upstairs...but, not downstairs.
A duck's quack doesn't echo, and no one knows why.
Dentists have recommended that a toothbrush be kept at least six (6) feet away from a toilet to avoid airborne particles resulting from the flush. (I keep my toothbrush in the living room now!)
And the best for last.....Turtles can breathe through their butts.(I know some people like that, don't YOU?)


1902..Nobel Prize in Medicine

Ronald Ross

Ronald Ross

The Nobel Prize in Physiology or Medicine 1902 was awarded to Ronald Ross "for his work on malaria, by which he has shown how it enters the organism and thereby has laid the foundation for successful research on this disease and methods of combating it".

1901 First Nobel Prize in Medicine

Emil von Behring
Library of Congress

 


EMIL ADOLF VON BEHRING


1901 Nobel Laureate in Medicine
    for his work on serum therapy, especially its application against diphtheria, by which he has opened a new road in the domain of medical science and thereby placed in the hands of the physician a victorious weapon against illness and deaths.
Background
  • 1854-1917
  • Place of birth: Hansdorf (Germany)
  • Residence: Germany
  • Affiliation: Halle University (Professor of Hygiene, 1894-1895); Marburg University (from 1895)

The Ultimate Human Body Quiz

The Ultimate Human Body Quiz
Choose the correct answers for these challenging questions set by Year 5!
  1. How many valves are there in your heart?  
 
  2. Where in your brain is the cerebellum  
 
  3. What is the outer layer of a tooth called?  
 
  4. Where is the smallest bone in your body?  
 
  5. How many bones are there in an adult body?  
 
  6. Which bone is known as the "funny bone?"  
 
  7. How many teeth does an adult have?  
 
  8. How many ribs do you have?  
 
  9. Which of these is a "ball & socket" joint?  
 
10. How long is an adults guts?  
 

Other lands - other cards

This brief history is based on a leaflet prepared by John Berry to provide background for the Exhibition 'The World of Playing Cards' at the Guildhall Library, London, from September 1995 to March 1996.

Introduction

English playing-cards are known and used all over the world - everywhere where Bridge and Poker are played. In England, the same pack is used for other games such as Whist, Cribbage, Rummy, Nap and so on. But in other European countries games such as Skat, Jass, Mus, Scopa, and Tarock are played, using cards of totally different face-designs many of them with roots far older than English cards. The history of these national and regional patterns has only recently become the concern of students and collectors.
As many travellers to more southerly parts of Europe can tell, the familiar suits of Hearts Spades Diamonds and Clubs give way to quite different sets of symbols: Hearts Leaves Bells (round hawkbells) and Acorns in Germany; Shields 'Roses' Bells and Acorns in Switzerland; Coins Cups Swords and Clubs (cudgels) in Spain and Mediterranean Italy; Coins Cups Swords and Batons in Adriatic Italy. In the latter region, in particular, local packs of cards have a decidedly archaic look about them - which reflects the designs of some of the earliest cards made in Europe.

Enigmatic origins-from East to West

The earliest authentic references to playing-cards in Europe date from 1377, but, despite their long history, it is only in recent decades that clues about their origins have begun to be understood. Cards must have been invented in China, where paper was invented. Even today some of the packs used in China have suits of coins and strings of coins - which Mah Jong players know as circles and bamboos (i.e. sticks). Cards entered Europe from the Islamic empire, where cups and swords were added as suit-symbols, as well as (non-figurative) court cards. It was in Europe that these were replaced by representations of courtly human beings: kings and their attendants - knights (on horseback) and foot-servants. To this day, packs of Italian playing-cards do not have queens - nor do packs in Spain, Germany and Switzerland (among others). There is evidence that Islamic cards also entered Spain, but it now seems likely that the modern cards which we call Spanish originated in France, ousting the early Arab-influenced designs.

Variations on the original theme

In Germany and Switzerland, the two lower court cards are both on foot, representing an 'upper' and a 'lower' rank-as stated in the 1377 description of playing-cards. Switzerland also preserves another feature of early German cards. The tens are represented by a banner, showing just one suit-symbol-though many old German banners show ten symbols. In these countries also, the 52-card pack was shortened to 48 cards by dropping the Aces. The deuce, or Daus, was then promoted to being the top card, and nowadays often carries the letter A as if it were an ace. The pack was then shortened even further. German single-figure packs habitually carried delightful vignettes of genre scenes at the base of the numeral cards-usually lost when packs became double-ended.
How all these variations on the basic idea came about is not fully understood. One plausible theory is that some of them arose from midunderstandings due to language differences, which resulted in something like visual puns.

Alongside the evolution of these traditional designs, in most countries there have also been persistent efforts to publish more fanciful cards, either as artistic essays, or with some purpose other than simple card-playing: for example, instruction, propaganda, or even amusement. Following a French initiative, England in the late 17th and early 18th century produced a range of very idiosyncratic packs of cards of this type.

But other countries, such as Germany and Austria, became the chief 19th-century producers of packs of fanciful cards meant for use in card games in polite society.

Tarot - a diversion

The study of the development of playing-cards has further been bedevilled by overmuch attention to tarot packs. To the best of our knowledge, the first packs of cards in Europe comprised 52 cards in four Italian-type suits each with three court cards (king, knight, and foot-servant), and were used for games of skill involving trick-taking, as well as for gambling games, which were often prohibited. Very soon, the idea of adding extra cards to act as permanent trumps came into being, and the tarot pack was born. At the same time a queen was interpolated between the king and the knight, so that, with the extra 22 non-suited cards, a pack of 78 cards was created. Such packs have continued to be used for their original purpose right through to the present day.
In the course of their long life, many variations have been tried: the pack has been extended to 97 cards for Minchiate by adding more trumps; shortened to 63 cards by dropping low-value numeral cards; converted to using French suit-signs; shortened to 54 and 42 cards by dropping numerals; but always with the object of playing trick-taking games. Many of these variants are still in use for just that purpose.

Cartomancy and the occult

It is the choice of subjects for the trump cards which has been the focus for so much attention by both scholars and occultists. Though playing-card historians still do not have a satisfactory explanation of the sequence of subjects, many of the occultist theories have been discredited. For instance, the tarot pack was known in Europe in the early 15th century, before the arrival of the gypsies. This rules out the proposed connection with Egypt first put forward in 1781, which forms the foundation for much of the later occult speculation. The earliest known use of Tarot packs for fortune telling was in Bologna, around 1750, using an entirely different system of meanings, and the use of ordinary packs of playing-cards for cartomancy does not date from much earlier than this. Unfortunately, some occultists and cartomanciers continue to ignore these facts.


Tarot gets a new look


With the conversion of the tarot pack to the French suit-system, the trump cards, with their no longer understood imagery, were replaced by other sequences of pictures: animals, mythological subjects, genre scenes. The value of each trump card was now indicated by a large numeral (the forerunner of corner-indices), so that the pictures had no function other than decoration. However, a few sets of pictures found favour with card players, and gradually the range of such tarot packs narrowed down.



The playing-card picture-gallery

The use of pictures on tarot trumps was eventually copied in a modern development of the older idea of 'pictured' cards. (Indeed, a couple of tarot packs actually started life as normal packs of cards with pictures instead of pips on the numeral cards.) The success of this idea was dependent on the introduction of corner-indices-an American innovation which was surprisingly late in being introduced in view of much earlier experiments in that field. In America, around the turn of the century it was exploited in order to turn photographs of scenery into souvenir packs intended to promote the joys of rail travel. And such packs were further distinguished by colourful pictorial designs on the backs of the cards-which have lately become collected for their own sake. Many modern packs of cards use a similar format to carry 52 different pictures of all kind of subjects: animals and birds, views, works of art, cartoons, pin-ups, trains, planes, etc.

Artists transform the pack

The 19th century also saw the development of a vast industry in cards which were meant to appeal to the public simply by being attractive-or topical-with courts drawn from literary, historical or contemporary figures. The fashion may have started as an offshoot of the 19th-century phenomenon known nowadays as transformation cards. The chief idea was to take the numeral cards of an ordinary pack and to make designs in which the shapes of the pips were an essential element.
The resulting cards were, of course, totally unusable for play when they had no corner-indices, and indeed the publishers of early packs recommended that the blank backs should be used as visiting cards (a very important item in high society). Nevertheless, almost from the beginning, court cards were also provided so as to complete the pack. In Europe these were drawn from literary sources, though in England a more humorous approach prevailed. It is probable that such ideas helped to propel a tendency for playing-cards to keep up with current fashions and trends. Even the more run-of-the-mill continental cards tended to have elegantly clad and fashionably coiffured ladies instead of crowned queens.

England follows suit-reluctantly

The fashion was very slow to catch on in England. Despite a few experiments, mostly not very attractive, it was only with the use of chromolithography towards the end of the century that artistic packs became viable. But English card-players had a reputation for conservatism anyway-witness their great reluctance to change from single-figure court cards to double-ended ones-and even then the numeral cards were slow to follow suit. The usefulness of corner-indices seems to have been appreciated more quickly, however.

English card-players also clung to the traditional, but frankly ugly, designs of their court cards, which had remained virtually unchanged since before 1700. Prior to that era, we have scanty information about the designs of everyday cards, since few of them have survived. An English educational pack of 'Memory cards' of c.1605 includes copies of elegant court cards made in Rouen, where cards of a particular design were made especially for export to England. Study of these cards goes far to explain peculiar features of later English-made versions. The crudity of these copies was due to inept English block-cutters trying, with home-made products, to compensate for the effect of the 1628 ban on importation of foreign cards. In fact, the accidental stylisation has proved to be a functional factor of stabilising influence in ensuring the durability of these designs. Most modern English-style cards still betray signs of their ancestry.

The Worshipful Company

It was on 22nd October 1628 that Charles I granted the charter to the Company of the Mistery of Makers of Playing Cards of the City of London, and from 1st December that year all future importation of playing cards was forbidden. In return, a duty on playing-cards was demanded, and the subsequent history of attempts to extract that duty makes an unedifying and contradictory story, as any student of such matters knows. The Livery Company still exists, and, despite the almost total cessation of production of playing-cards in Britain, flourishes. In 1994 it achieved its highest ambition in the City of London, when a former Master of the Company, Alderman Christopher Walford, became Lord Mayor. Towards the end of his term of office, he opened an exhibition of playing-cards in the Print Room at Guildhall Library, which houses a collection of historic playing-cards belonging to the Worshipful Company of Makers of Playing Cards, the nucleus of which was donated by the 'Father of the Company' Mr Henry Druitt Phillips, in 1907.
The Guildhall Library has recently been delighted to accept on deposit a second important collection of playing-cards, owned by John Waddington PLC. This acquisition complements the previous collection in many instances in a very useful way, and considerably enhances the range of material available for study.

Oriental playing-cards

This synopsis has dealt mainly with European cards though the Chinese origins have been mentioned briefly. China was, for many decades, rejected as the origin of playing-cards because its traditional cards are so unlike Western ones. The connection with coins, and strings / bamboos / batons, however, cannot be ignored. Other Chinese playing-cards (which they themselves regard as gambling cards) use systems rooted in dominoes and Chinese chess- and Rummy-type games which were not known in Europe until relatively recently.

Indigenous Japanese games rely on principles of 'matching' (involving a highly literary version of Snap) or on games involving cards which ultimately stem from European models -heavily disguised to evade prohibitions on gambling.
In parts of India, games are played with packs of circular cards with eight, ten or more suits, whose designs reflect either the departmental structure of an Indian rajah's court or the incarnations of Vishnu (or other more complex systems), and are played something like Whist with no trumps but with extra complications. Earlier this century, it was claimed that there was a connection between the four-suited European pack and the four-handed game of chess played in India, but this theory has now been discredited in the light of the connection with the Islamic world.

TenNobel Prize Inventions still being used

Nobel Prizes are normally given for discoveries rather than inventions. A discovery has been described as an abstract theory, which may further lead to an invention. Inventions are a process, more concrete and have a utilitarian purpose. This list looks at some of the fantastic discoveries that have been made by scientists and thinkers over several decades of hard work.
Guglielmo Marconi1. Guglielmo Marconi In 1909, Marconi shared the Nobel Prize for Physics with Karl Ferdinand Braun for “development of wireless telegraphy”. However it is his invention of the equipment to transmit electrical signals – which led to the development of the radio and wireless telegraphy later.
Albert Einstein2. Albert Einstein He won the Physics Nobel Prize in 1921 for his “discovery of the law of photoelectrical effect”. The actual discovery may not have touched our lives but without it many of the modern day electronics would not have come into existence.

Luis Walter Alvarez3. Luis Walter Alvarez – He won the Nobel Prize in Physics in 1968, and had over 50 patents in his name. His most famous and useful invention was the radio distance and direction indicator. His invention of the hydrogen bubble chamber was used to detect subatomic particles and this further led to a major change in nuclear theories.

Fredrick Banting4. Frederick Banting
-  A 1923 Nobel Prize winner in medicine, he discovered insulin and the role that it played in treating diabetes. With his colleagues, he then invented means of extracting and isolating insulin, and administering it to diabetes patients.

Jack S. Kilby5. Jack S. Kilby
A scientist who won the Physics Nobel Prize in 2000, Kilby is best known as the inventor of the handheld calculator and the thermal printer. His monolithic integrated circuit is one of the most widely used applications in electronic circuitry.
Baruch S Blumberg6. Baruch S Blumberg In 1963 Blumberg discovered an antigen to detect the presence of Hepatitis B in blood samples. His invention of the test to isolate this virus, is used extensively even today, and it has led to a significant decrease in Hepatitis B infections after blood transfusions. He also jointly developed a vaccine against this virus.
Arthur Schawlow7. Arthur Schawlow Along with Charles Townes he was the co-inventor of the Laser. Today various fields such as defence and communication and medicine rely upon Laser techniques to make their jobs easier. They received a patent for the laser in 1960 and within a few years it was being commonly used by eye-surgeons for minute, precise surgery.

John Bardeen William  Shockley  Walter Brattain8. John Bardeen & William B Shockley & Walter Brattain
These three shared the Nobel Prize in Physics in 1956 for inventing the transistor – a device that could amplify electrical current. Bardeen won the Nobel Prize a second time 1972 for his work on superconductivity. Modern computer technology electronics and microchip owe a lot to these three scientists.

Nils Gustaf Dalen9. Nils Gustaf Dalen
He was awarded the Nobel Prize for his “invention of automatic regulators for use in conjunction with gas accumulators for illuminating lighthouses and bouys.” He was also the inventor of the AGA cooker and of the Dalen Light.

Irving Langmuir10. Irving LangmuirAn American physicist and chemist, Irving Langmuir is renowned for inventing the gas filled incandescent lamp and for the high-vacuum electron tube. The incandescent lamps are now being phased out, but for many years they were used for households and commercial areas and for cars and

Treat all Patients alike!

When the bottom line overrides the Hippocratic oath

As a naive pediatric resident, I couldn't believe it when the surgeon called back and said we don't treat those kinds of patients.

I don't remember many specific patients from my days as a resident. Like all doctors in training, I was overworked, underpaid and chronically fatigued. With that, details become murky.
What I do remember, though, are certain incidents that gave me pause and made me wonder what the hell I had gotten myself into. The kinds of situations that only residents -- who are the blunt business end of America's sloppy healthcare system -- can get stuck in.
Take my experiences in a Los Angeles hospital with kids who needed a surgeon. I would be on call, living in scrubs, trying to digest hospital chow. In the dead of the night, my pager would begin squealing, jarring me awake (if I was lucky to sleep in the first place). A number from an outlying hospital would flash on the screen. Stumbling out of bed to the nearest phone, I would learn that a child with, say, an open fracture of his leg needed to be transferred to our hospital since we offered "a higher level of care," which often meant an orthopedic surgeon who could treat the child.
Indeed, this is what happened one night. With the child on the way, I paged the orthopedic surgeon on call. Surgeons like information given to them concisely and directly. I ran through what I would say: "Sorry to wake you, Doc, but I have a 5-year-old male en route from a community hospital who has an open fracture of his right femur. According to the transferring physician, he will need to have a reduction in the operating room tonight. While we're waiting for you, we'll start morphine for pain relief and some Ancef (an antiobiotic) for infection prophylaxis." Then I waited for the phone to ring.
When the surgeon, a partner in a private Beverly Hills orthopedic group, returned my call, I was naive enough to expect some further questions about the child's history, requests for some laboratory work or more X-rays, and instructions on how to prep the operating room. Instead, his first question was: "What's their insurance?"
Medical students and residents are trained to anticipate and prepare for a lot of things. If we're doing rounds with a senior physician, we try to be prepared for questions about the illnesses of our patients and how to treat them. For those reasons, and for our love of learning, many of us would talk about our patients and read in advance of our rounds, even when we could have been sleeping.
But I was not prepared for this question. I told the surgeon I would call back with the insurance information, which forced me to call the transferring doctor. I can't remember if the child was underinsured, uninsured or was insured by the state, but it didn't matter. When I called the surgeon back, he refused to come in. His group didn't cover "those kinds" of patients.
So there we were -- me, my intern, a nurse -- somewhere between late at night and early in the morning, alone. A broken child and his parents were on their way in an ambulance. We had promised to provide "a higher level of care," but the only doctor who could give that care just killed it. What was my plan? I was the doctor, after all. I had no idea.
In the end, all we could do was give the child morphine (a lot of it) and antibiotics, hoping we could keep him comfortable. Still, every time he moved just a little, he howled in pain. We hoped he wouldn't lose his leg to some flesh-and-bone-eating infection. And so we waited until morning, when we would ask our teaching attendants to delicately negotiate with the surgical group to please come in and take a look.
What did I learn that night? Certainly nothing about the preoperative and postoperative management of children with femur fractures. No, I learned how even in the dead of night, in the presence of a child suffering, the bottom line can override the Hippocratic oath.
Such is our peculiar institution called American healthcare. We have gobs of money, the best technology, plenty of specialists, and spend the most money on healthcare in the world. Despite that, a child gets left out in the cold. Whom do we blame? Some would say the surgeon for refusing to play ball. But practically speaking, would you, whatever your job, work for free? In some cases, you can hold patients accountable for being careless with their health -- drinking, smoking, eating too many McNuggets -- but you can't prevent unforeseen things.
This is especially evident in pediatrics where children will suddenly develop epilepsy or leukemia, or have an accident. You can blame insurers for their reimbursement games, the American Medical Association for lobbying to maintain the status quo, lawyers for bringing frivolous lawsuits, or drug makers for blocking international imports to keep prices high. The list goes on and on. But in the end, put it all together and it's a system, a monstrous medical-pharmaceutical-legal-actuarial-industrial complex that's leaving a lot of people behind.
There are triumphs to report. But those often refer to the most fortunate. Take the celebrity mother who went into preterm labor at 35 weeks during a transcontinental flight. She was wheeled into a private hospital room (off limits, of course, to residents), where her private doctor and two neonatal ICU specialists were waiting for her. I was called in a couple of days later and found a very large, intimidating dude standing at the door, checking the IDs of everyone who went in and out. He was the celebrity mother's bodyguard. While the baby was there, his pediatrician, a 90210 doctor type whose signature wasn't his clinical acumen but his Tommy Bahama shirts, checked the mother twice a day.
But healthcare, unlike caviar and first-class airline tickets, shouldn't just be for rich patients and their doctors. So enough already. Let's fix this mess. Get people insured, get incentives aligned, use technology to be more efficient and effective. Stop relying on market forces, stop backing the status quo, give people, rich or poor, access to quality healthcare. It won't be perfect. There will be challenges, the most important one being that we will have to confront the fact that we're trying to do unlimited things with limited resources. But we need to level the playing field, not only for the next child with a broken leg, but for the overworked, underappreciated staff of doctors and nurses who commit to taking care of him in the middle of the night.

BLURB..Meaning and Usage

“Purple Cow?” Learn the weird reason blurbs are called blurbs

You read the blurb on the back of a book to figure out if you want to shell out the extra bucks for the hardcover. You glance at the blurb on a DVD before deciding if that film is the one to enjoy that evening. 
A good blurb provides a short summary or praise of a creative work, but it doesn’t give anything away. It whets the appetite. 
People have been slathering praise on each other in writing and spreading hype for longer than you might think. In ancient Egypt the concept was known as taqriz.
But the word “blurb” came about in 1907 with the publication of a book by humorist, nonsense verse writer, and San Francisco bohemian Gelett Burgess. Among his most famous work is a poem called “Purple Cow.” 
I never saw a purple cow;
I never hope to see one;
but I can tell you anyhow;
I’d rather see than be one!
At the time, it was customary to have a dust jacket that promoted a book. Featured on the dust jacket for Burgess’ “Are You a Bromide?” was a picture of a woman comically named “Miss Belinda Blurb” and the quote “YES, this is a ‘BLURB’!”
 (A bromide is a term in chemistry and pharmacology. But it also refers to a trite saying or boring or conventional person.)
Over time the publishing industry adopted the term “blurb.” And now, blurbs are found almost anywhere there’s printed text — from news sites to cereal boxes to CD covers.
We enjoy covering the eccentric corners of the English language. For example, the story of what “TASER” stands for is truly bizarre. (Read about that, here.) We’re also quite fond of the absurd term used on Wall Street, a “quadruple witching day.” (Find out what that actually means, here.)
Is there a word or phrase that we collectively take for granted, but you think is ludicrous for some reason? Let us know, below.

Be Happy without any dificulty

Hello,

 


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