Friday, October 30, 2009

The power of other people's opinions or bias

I had the opportunity to attend the Time Convention in Auckland, New Zealand today, which was a great opportunity to step out of my normal day and have time to think. I didn’t learn much, but it did remind me about things I know I should be doing, but don’t spend enough time at. I used my Blackberry to take notes which I emailed to myself, as it doesn’t have a notepad or Word application, as my trusty Windows Mobile and Palm handhelds used to.

The final presentation, that I very much enjoyed was from Kevin Billett who, while promoting a 2 day seminar for next week, came up with some thought provoking concepts about taking responsibility for attitudes and accepting experiences that you allow to have control over your life expectations and achievements. This set me to thinking about aspects of my experiences, particularly as a child, that have I have allowed to hold me back in some of my endeavours, but that’s another story.

He raised a topic that has interested me for many years, which is the effect that people’s expectations or opinions about other people, influence them in many ways.

There are countless examples. John’s Hopkins researchers recently found that many physicians had negative attitudes to patients with obesity problems, which negatively affected these patients to the extent that their problems worsened.

There have been many studies that show that a teacher’s expectations of their students, irrespective of any basis on which those expectations were founded, had a significant impact on their results. I recall being told, although I can’t site the source, of a university study that proved this point. If you know of the study, please share it with me.

A group of students of equal ability were split into two groups. The teachers were told that one group was of above average capability and the other were below average potential. The groups were taught the same lessons by the same teachers. Their results were consistent with the information the teachers had been given, those who they said were above average, performed above average and the others under performed.

The world of elite sport is often built around belief that people of the right proportions can become medal winning athletes, even if they have never participated in that sport before. Sir Steve Redgrave has selected people based on height, with a view to having them represent their country in the 2012 Olympics. For rowing, the expectation is that tall people have powerful levers suited to the sport. One would not think that this alone could not be enough, but combine that with the positive expectation that they will become medal winners and history has proven that this can work.

The same occurs in gymnastics, where girls are headhunted at an early age based on being short and enjoying sport. I’ve seen from personal experience that girls who are told they can do things, outperform girls of similar strength and flexibility who are told that they aren’t good enough. What I saw was the same thing, girls over whom coaches had high expectations performed confidently, had less injuries and ended up on elite squads.

Psychology 101 has always featured nature and nurture. In any country where people are to some degree living in communities featuring high proportions of particular minority ethnic groups, there is a tendancy for them to be poorly represented in professions and overly represented in menial work. Students’ expectations in these areas are low, often fostered by teachers who have low expectations of their wards.

I won’t go on with this topic. I would appreciate your opinions and experience. Have you seen this happen first hand?

Bending the Rules of Clinical Trials for the Patient's Sake

Newspaper ad solicits research volunteers

In the current issue of the bioethics journal IRB: Ethics & Human Research, investigators from four different institutions surveyed over 700 clinicians involved in clinical trials and found that 90 percent believed that ignoring certain entry criteria was acceptable if a patient could, in their estimation, benefit from the trial. In addition, over 60 percent of those surveyed also believed that researchers should deviate from study rules if doing so might improve a patient’s care.

While bioethicists and researchers have long suspected that doctors and other clinicians might be committing an occasional protocol infraction, few if any studies have looked at the extent to which such violations occur and how they might compromise research results.” (NYTimes)

I am not a researcher but purely a clinician. I’ve never been in a position to discover whether I would compromise a research protocol to benefit a patient, but I suspect the temptation would be strong (and would limit my ability to deliver good research findings).

Wednesday, October 28, 2009

"Hue?....Yeah there's a Hue......"

COLLEGE PUMPKINS GONE WILD!!!

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A Dallas City Councilman wants to pass a new city procedure that would require 911 Operators that receive calls for Ambulance or Paramedic assistance to get a credit card number from callers before dispatching assistance.

Yes, it’s true. I can’t make this stuff up.

A possible future call.

Operator: “911 Emergency”

Caller: “Help!! I’m on fire!! Help!!”

Operator: “What card will you be paying with tonight sir?”

Caller: “Aaarrrrgggg!! Help meeeeee!! Aaarrrggggggg”

Operator: ” Sir we take Visa, American Express, Masterc……”

Caller: “Aaaaarrrrggggg…..I’ts….a……V….IIIIII….sssssss…Aaaaaaaarrrgggggggg Help Me Please……Number…..672….aaaaarrrgggg…76…….Oooooowwwwwwwwww….4327…………expires 5/11……Aaaaaaarrrgggggg For the Love of God Please send help!! I’m burning!!!!”

Operator: “Let me repeat that sir….Visa 672764327 Expires 5 of 2011?”

Caller: ” AAAAAArrrrrrggggggggg The Pain!! The Pain!!…..Aaaaarggggggg!!”

Operator: Thank you sir…I have your confirmation code…do you have a pen handy?”

Caller” I’m coming towards the light Mama…aaaaarrrggggg…I’m comin towards the light!…..Aaaaarrrrrgggggg”
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Last night, a friend of mine posted on her FACEBOOK page that she had attended……..a QUILT GUILD Meeting!! Yes, a QUILT GUILD MEETING!!! I know I know….I was just as shocked as you probably are!!

I too thought we had rid the USA of these radical anarchists decades ago. But no, apparently…despite all the strides we have made in our great land, there is still at least one pocket of citizens who so little of the unwritten laws of human decency and respect…..that they formed another dreaded QUILT GUILD. I am so sad that my dear friend has gone to the dark side and joined this group of backwards thinking nutjobs. I shall pray that she comes to her senses quickly and can escape their evil clutches before she becomes a full-blown, gun-waving, Government hating member of THE QUILT GUILD!!
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The Quilters Guild #239 of East Omaha, Nebraska
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A tragic thing happened yesterday evening in a small nearby town. The KWIK STOP burned down. The KWIK STOP, a combination Convenience Store, Gas Station, Fine Dining establishment, and the center of all social interaction for the town, is no more. This morning, hundreds of overweight locals are standing in the street, staring at the smoldering ruins, tears streaming down their faces, wondering where in the world they will get their usual morning 96 ounce soft drink. What a sad, sad scene.
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I must be luckiest dude on the face of the planet! Every day I get about a half-dozen emails from numerous African Princes, Dukes, Counts, and Kings all explaining that I alone have been chosen to share in a great fortune of money that they have recently come into. Lucky Lucky me!!
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Speaking of FACEBOOK, the all-dominating center of the universe as we know it, my Cousin Whitney and I were having an interesting online chat (on FACEBOOK) about one of our favorite subjects, SEINFELD. As huge addicts and fans of the show, we both agreed that the characters on the show would all be having a field day with the current state of our FACEBOOK and TWITTER dominated society. George in particular would be a basket case, always worried about how many FACEBOOK friends he has, jealous that Newman has hundreds more than him, causing George to spend hours online creating fake accounts for people like “Art Vandelay” and “Buck Naked” so that these fake people could become FACEBOOK friends with him. George would, of course, use a High School photo of him with hair on his FACEBOOK page, he would list himself as an Architect, and would be advertising that he is looking for a female soul-mate who has a “pinkish hue” to her cheeks.
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College Cats gone wild!
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For years, I have been trying to convince my wife that we need to retire in Red River, New Mexico….my favorite place on Earth. The wife wants to retire in Austin, Texas….her favorite place on Earth. In her mind, she is the major bread winner of the family, therefore we are destined for old age in Austin. Me, I think that destiny has major plans for us in Red River and I see little subtle hints that lead me down that road of belief. The other day my wife’s retirement account statement from the Teachers Retirement System of Texas arrived in the mail. While the TRS is located in Austin (which my wife takes as a sign from above)…..the actual office is located on RED RIVER STREET!! Hint hint… I say that is a major hint from above that we need to live in Red River. My wife has not budged in the slightest, telling me to look real close at the name of the TRS Administrator that signed her annual statement. The woman’s name: Mya Idiotubbie.
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Today as I was preparing to step into the shower I noticed one those minuscule little “free” body wash and shampoo containers that we all love to swipe from the finer hotels in the world. This tiny little bottle had the “Sheraton” label so happily snapped it up and took it into the shower looking forward to using it instead of the usual cheapo wet-mullet smelling swill I usually use from Wal-Mart. I got in, got my trusted SpongeBob scrubbie, squeezed all the contents of the small bottle onto the scrubbie and commenced happily scrubbing. I scrubbed and scrubbed and scrubbed but for the life of me, I could not work up the slightest bit of a lather. The stuff smelled real good, alot better than wet-mullet, but not a bubble was to be seen anywhere. So, be warned if you stay at a Sheraton. The Sheraton brand Body Lotion is worthless and will not lather up worth a bean!
My wife later informed me that apparently body lotion is meant to be applied AFTER you shower….to dry skin. How the Heck was I supposed to know that? It doesn’t say that on the bottle! Where’s my trusty wet-mullet!!? Why is life so confusing?

Yet another huge car bombing in Pakistan today. Business as usual for that Country. But what can you expect from a country where QUILT GUILDS are allowed to operate without restrictions? Before you know it, that chaos will all find it’s way to our shores…..

The smack bang absolute middle of study week.

Its a bit exciting when “Anatomy & Physiology made Incredibly Easy!” is actually too easy. I wish I’d found this book in the library last semester but I’m pretty pleased with myself that I don’t need it this time. Can’t believe how far I’ve come from reading children’s anatomy books + pulling my hair out over all the big words.

That said, I still read Robbins with a dictionary.*

For a bit of a laugh here is an excerpt from the announcement made on our blackboard site regarding our Health + Community component of the exams:

“as a minimum, you should study the material from PBL tutorials, lectures and the supplied reference materials. However, we encourage students to going beyond this with a view to doing better and ultimately preparing more thoroughly better for the years ahead in the course and as doctors.”

Facebook status updates are having a field day with this. The current favourite is the use of the phrase “more thoroughly better”.

Er. Not that I’m on Facebook or anything…

That is, when I’m not using Robbins as a booster seat to sit more thoroughly better at my desk.

Monday, October 26, 2009

Luck of the Draw

“I’m not going to have to check your prostate today, but I will need to check you for a hernia.  So if you could drop your pants for me.”

“Damn it” I thought as the doctor cupped my balls.

“Alright, now turn your head and cough.”

“Huh?”

“Turn your head and cough please,” the doctor repeated.

I repeated “Huh?”

I wanted to make eye contact with him while my nuts were in his latex playground.  If he was going to make me feel awkward, I would up the ante, if for no other reason than for giggles I would enjoy later.

“This is how I check you for a hernia,” said the doc losing patience.  “Please just turn your head and cough.”

I finally obliged.

“Thank you” he said with a hint of facetiousness.

“No, thank you” I replied with a sinister smile on my face.

Without making eye contact, the doctor wrote some stuff down, told me to get dressed, and said he would be right back.  I reassembled my wardrobe, sat down, and started flipping through an issue of Field and Stream.  For some reason, I always start at the back of magazines and work my way forward.  I think it’s a disease, but nowadays what isn’t?  As I start flipping forward, I come across page 80 that has a big picture of a salmon making its way upstream.  In the background, which also happens to be further upstream, there is a large, out of focus bear hungrily waiting.

“Poor fool” I thought.  “You should have just stayed in the ocean instead of following your moron herd back to the spawning waters.  Everybody thinks you’re unique because you swim against the current, but your still an ignorant fool being led to death.”

As I completed this thought, the doctor reentered.

“Well Mr. Almand, everything looks to be O.K.  I’m going to write you a prescription for your insomnia.  It’s a little white pill you need to take just before bed.  Now, it may make you drowsy for a while, even after 8 hours of sleep.  So when you wake up, you need to take another pill to offset that.  It’s a mild stimulant.  However, this pill might give you tremors, so you will also need to take an anxiety pill to prevent this…”

As the doctor continued I thought, “Lucky, god damn salmon.”

and he makes me go awww

Im presenting my research paper to the Neurosurgical unit meeting this thursday and this is what Mr D wrote to me

“Dear Kai,
This scrubs up very nicely. When you present, do not read out the slides. have a spoken text planned which is different to the text on the slides. Otherwise, very boring. Remember : you are presenting to friends.
do not get too nervous.”

Aww. haha he considers us friends, isnt that sweet? kp53 says i have a serious case of man-crush hahahaha. But seriously, where else would you find a doctor, a neurosurgeon no less, who is as sweet and kind and lovely as he? Im really going to miss all of them when i leave. sigh sigh sigh.

Friday, October 23, 2009

Abortion Kills More Black Americans Than the Seven Leading Causes of Death Combined, Says CDC Data

Even more than hate crimes?

(CNSNews.com) – Abortion kills more black Americans than the seven leading causes of death combined, according to data collected by the Centers for Disease Control and Prevention for 2005, the latest year for which the abortion numbers are available.

Abortion killed at least 203,991 blacks in the 36 states and two cities (New York City and the District of Columbia) that reported abortions by race in 2005, according to the CDC. During that same year, according to the CDC, a total of 198,385 blacks nationwide died from heart disease, cancer, strokes, accidents, diabetes, homicide, and chronic lower respiratory diseases combined. These were the seven leading causes of death for black Americans that year.

CNSNews.com
Black Panthers Aren’t Racists