Category Archives: Blog

I’ve Been Busy—Not Ignoring You

Over the past few weeks, I’ve been preparing the materials for an emergency communications course. It’s amazing that when someone else has prepared over 600 PowerPoint slides (with notes) that it would take so much time to update. Why? Because what we know today about dealing with disasters is more than what we knew before Hurricanes Harvey, Irma, and Maria. Personally, I believe that being better prepared for the future is a good thing.

On the other hand, I’m working on my short story—which has become at least a novelette (a short version of a short book? Huh?)—continues to develop. The more I learn about the characters (and more characters keep popping up), the more complex—but interesting—the story becomes. However, if a new character appears, a whole lot of the backstory changes. As a writer, I have a certain duty to the characters. Without me, they are doomed to shrivel away to nothingness, through no fault of their own. They deserve better, so I try to tell their stories. So far, the characters include a not-quite-dead aged business multi-multi-billionaire, several lawyers, most of whom are self-serving, but one of whom has a national security background, a distant relative who can see how the pieces fit, and someone (thing?) who seems to have many of the answers, but who is known as Zaznoz (sounds like a new drug or a new exercise routine to me).

Then I do need to devote time to the day job.

Not to mention that we celebrated Christmas with close friends, followed by my daughter-in-law and the grandchildren, who drove ten hours (I think she was being nice and understated the journey length) to visit us and to make for a wonderful time.

Oh, and my older son used his 3D printer to make my Christmas gift—a full size, accurate replica of Han Solo’s blaster. (Is that cool or what?)

Han Solo’s Blaster (Let’s me shoot first).

 

So, as you see, it’s not lack of interest in blogging, just lack of time.

XMAS, Improved

My friend, Rick Martinez, with whom I’ve shared wonderful intellectual and philosophical conversations—as well as my writing efforts throughout the years—comments on some of my blogs. This is in response to my last blog, and is a beautiful thought for the season. I formatted it as a blog, but the thoughts and words are Rick’s, unchanged.

Thank you, Steve, for writing about Christmas—the Birth of Christ. No matter of all the “scientific” facts surrounding when Jesus was born and who believes what–there’s at least two general things we all acknowledge and accept as true. At the time and in the area of Christ’s birth, what was true 2000 years ago continues to be true today–some 2000 years later: There were believers and non-believers and warring factions back then as there are now. And–for Christians all over the world, the most tragic words ever written of our Lord are those set down by the Apostle John in the beginning of his Gospel:

He came unto his own, and his own received him not.

Bethlehem had no room for Him when He was born;

Nazareth, no room for Him when He lived; and

Jerusalem, no room for Him when He died.

A Topic! A Topic! My Kingdom for a Topic!

I try to focus on the upbeat or at least the intellectual. Lately, that has been difficult. I have a wonderful blog written about my failure to get my Lowe’s extended warranty Whirlpool dishwasher working on a more than occasional basis, but who wants to read about that?

Then there’s politics—enough said . . . .

Don Quixote–Pablo Picasso 1955

So, it’s not that I’ve been ignoring everyone, it’s that I, like Don Quixote have been seeking something; he sought dragons in the windmills. I seek humor in today’s world. Cervantes gave Don Quixote Sancho Panza and the Golden Helmet of Mambrino, but alas, I have neither plucky comic relief nor magical accoutrements to find the humor in today’s world.

But, then again, Don Quixote saw Dulcinea—the perfect woman within Aldonza. Maybe, as we approach Hanukah, Christmas, and the Winter Solstice, we are being called to find, if not perfection, at least that glitter of gold in one another.

Now THAT would give me something great to write about.

Good Old Virginia Politics

Greetings from post-election Virginia, the state commonwealth where gerrymandering isn’t merely a despicable political ploy, but a lifestyle. But then, when you’re home to the longest continuously running political fiasco legislative body, what do you expect?

Some of us wonder if the English who disappeared from the lost colony of Roanoke did so on purpose. They likely moved in with the Croatoan nation when they found out that these Native Americans did not engage in political campaigns. It can’t be proven, but no one has ever seen a Croatoan political poster, billboard, or campaign button.

I’ve enjoyed several days of not having to listen to negative campaign ads–Alleluia! The weird part is that all of these ads seem to be recorded using the same female announcer. Is she just so angry at the world that her voice is perfect for negative ads? Maybe she’s pissed off because negative political ads are the only type of gigs her agent can get for her? Maybe she’s angry at the world because she wanted to be an actress, but instead, the best she can do is to record negative campaign ads.

I think her friends ought to take her out for a few drinks and help her sort through her feelings; of course, that presumes she has friends, which, given her demeanor, may not be true. Now that I think of it, it may not be a good idea to take her drinking, anyway. She might be even more obnoxious after a couple of skinny margaritas.

In any case, the negative ads are over until the campaigns for the 2018 elections start cranking up.

In a week or two.

In the meantime, the worst I’ll have to listen to are those ads that run every three minutes for the personal injury lawyers as they promise to get the victim every dollar possible from the insurance companies. Less their cut, of course, and after tax, title, fees, and the dealer preparation charge.

Maybe that’s why I listen to so little radio and watch even less television. Give me a book; if I don’t like it, I can take it right back to the library—neither the book nor I any the worse for wear.

(Yes, I know the picture is of Huey Long from Louisiana–but he just so perfectly embodies the spirit of politics, yesterday and today.)

Fixing Healthcare – Part Three

Physician’s Assistants (PAs) and Advanced Registered Nurse  (ARNPs) are helping lower costs and increase access. While some nurse practitioners, can operate relatively independently; other nurse practitioners and most physicians’ assistants, cannot. Why?

Physicians are adamant that they maintain a high degree of control over these and other healthcare workers. This is a throwback to the nineteenth century—which is kind of interesting in a weird sort of way. The story, and I cannot vouch for its accuracy, although all my research seems to support it, is that the country was besotted with traveling medicine shows hawking patent medicines (You’ve seen it in the movies—“One for a man, two for a horse”). The physician industry supposedly promised to get things under control if they were put in charge of medical practitioners, i.e., physicians and surgeons (MD). It, at best, minimized, if not blackballed, osteopathic physicians (DO), chiropractors (DC) and chiropodists, now known as podiatrists (DPM).

A physician, at the time, could authorize any hireling under his license to perform any duty under the concept that the doctor was “the captain of the ship” and was responsible for everything. Therefore, he had authority to authorize any employee to do anything—hopefully, but not necessarily, after some training.

Today, many non-physician healthcare workers are licensed in their own right; in most states this includes nurses (of all levels), therapists (of all varieties), and technologists (ditto). These people are trained and possess technical skills that physicians do not. Generally speaking, only television doctors leave their practice in order to operating high technology devices. It’s good theater but bad economics.

Many of the other healthcare careers such as nurse practitioners, physicians’ assistants, etc., have made significant advances Unfortunately, old attitudes die hard, and there are too many physicians who try to maintain an inordinate control over everything, including these other professionals. Nurse anesthetists and physicians’ assistance must be “supervised” by a physician, although such supervision does not require actual observation or even the presence of the supervising physician.

Efforts to keep others under control have led to some bizarre arrangements. In radiology, for example I’m told that the technologists are now required to periodically retake the examination that initially proved their competence even though there has been continuing education requirements for 40 years. If true, I believe this is a unique requirement, but a warning to all others. Of all the physicians’ assistants, only those specializing in radiology are not permitted to interpret x-ray or other diagnostic images.

Why?

Some blame the American Medical Association, a very powerful organization with effective lobbyists. However, it apparently speaks for a self-selected group of physicians. Out of 923,308 practicing physicians, the most recent numbers available indicates that only 228,000 belonged to the AMA. If you don’t round, that’s just less than 25 percent.

Nobel Laureate Milton Friedman and his wife, who wrote the book Free to Choose, asserted that the AMA functions more like a guild with the goal of increasing physicians’ wages and fees by limiting both the supply of physicians and the competition from non-physician groups.

This is yet another issue that must be addressed if we are truly interested in fixing healthcare.

To Err Is Human—To Really F*** Up, You Really Need a Computer

I admit that life demands a place over blogging. I admit that faith, family, friends, work, and keeping up with laundry, mowing, etc. get in the way, too. However, over the past few weeks, I have actually written a few blogs, but my computer would not let me post them, and then they disappeared.

Eventually, I realized the truth.

Whenever I arrive home—early, late, whatever—Louis (our dog) expects to eat. Whenever Adam, my son is gone, his cat demands attention from me—lots of attention—just so long as I don’t try to actually pick her up and hold her.

OMG*, my computers have developed similar traits. If I don’t pay them adequate attention, they act out—obvious passive aggressive actions.

First, it’s a slowing of all functions followed by lost files. Something like:

Me: “Open blog May 2, 2017”

Computer: “                                                                                        Huh?

Okay.”

Then the computer moves to:

“I can’t locate the file.

What application do you want to use to open the file?

The file is corrupted and cannot be opened.

Ooops! The dog ate my files—I mean file not located.”

I’ve been busy looking at new computers online—using the offending computer—but it has such an inflated opinion of itself, it doesn’t seem to care. It just might be in for a big surprise. Feel free to castigate my offensive hardware.

 

 

*Others May Question (my sanity)

 

Complain, Complain, Complain!

I haven’t written much lately, or at least not much for the blog. (I have been working on a story, though. For some reason, writing fiction has become more satisfying than writing about reality).  I try, when I write, to focus on the silver lining rather than the cloud. Lately, this has become most difficult.

We’ve already discussed how the news media obsesses on all things negative—or meaningless (What’s wrong with Richard Simmons? Will Johnny Depp survive the breakup? Will Caitlin decide to become Bruce once again?). Every trend dies sooner or later, except, apparently for this one. I suppose it’s because they pick the stories that sell the most erectile dysfunction prescriptions, thereby financially benefiting the media, your physician, Big Pharma, venture capitalists, and investment firms.

I propose that we start anew. First, let’s hold a memorial service for journalism. It had a short and tragic life. The first American newspapers were all opinion pieces, but there was one brief shining moment—a century or so—when factual reporting became the gold standard. Many were thrilled at its demise.

My favorite magazines—National Geographic, Wired, and Smithsonian, and National Public Radio have begun to beat me over the head with more doom and gloom. I don’t care who just wrote a book to announce that they’ve come out as gay; I’m sorry that peasants hack down the rain forests because they need to plant food; I regret that there’s a controversy in reintroducing wild wolves into areas where cattle are raised; and I find it unfortunate that while developed countries used coal in the nineteenth century, we balk at twenty-first century countries using such antiquated (but economically viable) methods.  The difference is that rising sea levels today threaten ninety percent of the world’s population because they live near the coast.

In the 1960s we had a saying, “If you’re not part of the solution, you’re part of the problem.” Complaining, even if you’re a well-known television newsperson, accomplishes nothing. How do you plan to solve the problem? Like the ghost of Freddie Prinz the response seems to be, “Not my problem, man!”

So?