Saturday, March 28, 2009

The Doctor-Patient Relationship

DOCTOR AND PATIENT
How Connected Are You to Your Doctor?
By PAULINE W. CHEN, M.D.
Published: March 26, 2009
Patients with the strongest relationships to specific primary care physicians are more likely to receive recommended tests and preventive care, a new study found.


http://www.nytimes.com/2009/03/26/health/26chen.html

Sunday, March 22, 2009

Lazy Sunday

After a day of gut-wrenching basketball, and a fruitless coffee pot carafe odyssey I have holed my self up in the cozy confines of 811 for a nice little Sunday. I woke up to find myself devoid of any coffee brewing mechanism, but as soon as the caffeine free sad haze cleared from my cortex, the wheels began to turn in old Duder's head.
I quickly mixed up some banana bread and set it in the oven to bake and brewed a pot of Mate. I nearly forgot about the delicious stimulant I had received upon my cousin's return from Argentina. It's strong odor and efficient stimulatory properties rapidly transported me back to walking through the colorful calles of BA and through the tombs of Recoleta, and the travel bug flared up in my system.
That brought me to take a gander at the various travel blogs linked to the NY Times website. Oh how I yearn for my next global journey, and luckily it's in the not too distant future....to Europe with John in late June. We are researching our Eurrail pass and plan to start in London before tackling a few of the cultural meccas of the mainland- Brussels, Amsterdam, Berlin, Prague, and Budapest. It should be great, we have no firm reservations save for our initial plans in London, and a return flight some three weeks later.
Well, then I think I am going to spend a few more minutes reading the blogs and looking at travel photo essays before I swoop over to take the banana bread out of the oven and pour myself another cup of mate. I think by that time my pulse should be sufficiently elevated to enjoy day 3 of march madness! Yeah, I am winning my bracket...it's great!

Sunday, March 15, 2009

"Inaction is a weapon of mass destruction." -Faithless

Wednesday, March 11, 2009

Documenting Reality

I recently watched two amazing documentaries. First was Man on Wire which recounts the life and events surrounding Philppe Petit's daring walk across a wire strung from the top of one of the World Trade Center towers to the other in 1974. My parents had recommended the movie and I heard about it again as it won Best Documentary at this year's Academy Awards. At that point, I knew viewing it was a priority and I quickly nabbed it into my Netflix queue. When I realized I could play it instantly on my computer, I was set.
The documentary recaps the inspiration for Petit's stunning feat, the planning that went into the actual act and the repercussions following his illegal jaunt. What struck me most about the movie was not his seemingly fearless acts, he previously wire-walked across the towers of Notre Dame in Paris and a suspension bridge in Sydney, Australia; but for me it was the man himself, Philippe Petit that really captivated me. He seems to be unique, no, not crazy for doing it. He was inspired from a young age, having seen an ad in a magazine for the construction of the WTC. Having always been into magic and such acts, he knew at that moment that he saw the picture in print that he would make it his life goal to walk across thin air from one tower to the next. His sure perseverance, in the face of the legality of the act, training, finding dependable and competent friends and accomplices to aid his feat, and even carrying out the plan when both he and his helpers in the other tower were nearly discovered by guards on patrol as they set up, showed Petit's drive, even when it looked like the hinderances would foil his plot. When asked why he walked on the wire, Petit replied that he had no answer, just because. At first I thought this was somewhat of a cop-out; no, it is not. He did it because he could. Although yes, technically it was a trangression, as one of his accomplices mused, his act hurt no one in the process, and any failure would only end badly for Petit. He walked across the wire because he could, for the simple joy it brought him for accomplishing that feat and for the spectators that viewed this once-in-a-lifetime occurrence. For me, Phelippe Petit is a man who embodies fortitude, conviction, and perseverance. Although his wire walking occurred more than 30 years ago, in a time when so many people that receive the public eye do so for their lack or character, Petit assures me that there are truly unique, and special people, and that although they may appear very different from the cookie cutter model, he too is someone that should be revered.

The second documentary that was recently played in #811 was A Walk to Beautiful, also a documentary. This film focuses on the plight of Ethiopian women who have lost their child during birth and are left with a stigmatizing physical disability and are subsequently ostracized from their villages. These country women are forced to begin work at a very young age, 4 or 5 years, and therefore are not able to undergo a normal physical development and their growth is stunted. The women are married off at a disgustingly young age as early as 9 or 10 and when they have a child they often undergo a very traumatic and long period of labor during childbirth. Often the baby does not survive, and in the process do to the stress the baby has caused during labor, a fistula develops between the women's vagina and one of the excretory tracts. This leaves the woman incontinent. These fistulas can be easily cured with easy access to a hospital. Yet in rural Ethopia, hospital are can be a 24 walk/bus ride away. Many women are left to suffer their plight while simultaneously being shunned by their husbands and everyone else in their village. This situation is horrendous and tragic. However, there is a hospital in Addis Ababa The Fistula hospital that admits and cares for only women with this problem, who are usually denied care at regular institutions if they make it to the city at all. So the movie follows a few of the young patients on their journey from the village, to the capital, during their stay at the hospital and their reintegration following surgery.
Needless to say, the movie was super sad, but at the same time, it was a beacon of hope. It was uplifting to know that medical personnel and humanitarians are passionate enough about humanity and completely non-discriminatory in their quest to provide services to these women. Although I am not sure I want to move to Ethiopia and start performing gynecological surgery, it certainly conceptualized my desire to become a doctor. As one of the physicians that was interviewed stated, "My prize is curing this women, I don't think there is a better job or a bigger satisfaction." He is right, helping people to improve their lives and teaching them successful health practices is paramount.

Well, the queue doesn't get any brighter, my next two movies that are being shipped are Memoirs of a Geisha and Schindler's List.
Look out for more reviews soon!

Monday, March 9, 2009

Hello Again!

So I have been AWOL the last week or two. Sorry to all you loyal readers (that's a joke!). Well, here I am eating my red snapper and waiting for the incorrigible Dr. House and I got to thinking. I really don't have anything inspiring to say at the moment, save for the fact that I really enjoy Mon./Wed./Fri's at work since I am able to interview patients/families at Burn Clinic. It gives me the opportunity to leave my desk, and see the real faces of CNMC, and pediatric care. Gotta love those cute kiddies, soo sad they have had hot liquids spilled on them by the time I get to see their cute/crying faces. Anywwwho!
I have watched a few movies lately, and thanks to a brilliant idea from my wonderful girlfriend, I am going to start reviewing the movies I watch on my blog. Yesterday I watched Man On Wire, a wonderful documentary about Philippe Petit, who walked on a wire across the World Trade Center towers. The film won Best Documentary at this year's Academy Awards. So look out for my first movie review coming soon!!

I hope everyone is happy, healthy, and having at least a little fun!!