Saturday, January 31, 2009

What Happens in Vegas...Only Happens in Vegas


For some reason, I have been intrigued by the public demonstration of psychopathology called Ex-Illinois Governor Rod Blagojevich. This guy is the poster child for the DSM IV Axis II diagnosis of narcissistic personality disorder.From the pompadour hair to the old western movie image he has of himself, it has been interesting--like watching a train wreck interesting.

Now, comes the humor...and it comes from Las Vegas. The Las Vegas Wranglers, an ECHL farm team for the Calgary Flames, has designated the January 30, 2009 hockey game against the Bakersfield Condors as "Rod Blagojevich Prison Uniform Night." The Wranglers and the Condors will wear prison garb as shown in the photo above. Also, the ECHL referees will dress like prison guards. I find this funny as hell. In these days of economic turmoil and human strife, we have to have something to laugh at. And there is nothing better to laugh at than the "ILLGOV" (the name on the Las Vegas Wranglers sweaters) who is soon set to stand trial for attempting to sell Obama's former senate seat to the highest bidder. This is funnier than Monica Lewinsky doing one of those "Got Milk?" ads with the white mustache above her upper lip.

Monday, January 26, 2009

Travolta Extortion Is a New Low


While it is OK to sit from afar and question the impact of Scientology practices and dogma on the death of John Travolta's son Jett, trying to profit from it is wrong and unethical. It appears that Bahamian "ambulance driver" Tarino Lightbourne and Bahamian Tourism Minister Obie Wilchcombe (not to be confused with Obi Wankanobe) tried to extort $20 million to keep a cell phone image of the dead teen (taken by Lightbourne) from being released to the public. Also, the co-conspirators were threatening to leak "circumstances surrounding Jett's death" to the media. What scum these two are! As an EMT (or medical professional) patient confidentiality is a prime directive. First, using the cell phone was wrong (who was doing CPR)? Second, trying to profit from it was wrong. In terms of the Tourism Minister, he was reportedly a friend of the Travolta family. It is amazing and a shame how greed ruins people. I hope the bastards get what they deserve.

Along the same lines, it may be time to ban cell phones with cameras from ambulances and hospital patient care areas. Just try and use a cell phone camera in a Las Vegas casino and you will be quickly contacted by security. We cling to our cell phones, but, like anything, they are misused.

Thursday, January 22, 2009

Clinically-Depressed Poodle Mauls Former French President Chirac


I don't care who you are, this is funny as hell!

Former French President Jacques Chirac was rushed to a hospital after being mauled by his pet dog who is being treated for depression, in a dramatic incident that rattled the ex-president's wife.

The couple's white Maltese poodle, called Sumo, has a history of frenzied fits and became increasingly prone to making "vicious, unprovoked attacks" despite receiving treatment with anti-depressants, Chirac's wife Bernadette said.

"If you only knew! I had a dramatic day yesterday," she told VSD magazine. "Sumo bit my husband!"

Mrs. Chirac, 74, did not reveal where the former president was bitten, but said, "the dog went for him for no apparent reason."

"We were aware the animal was unpredictable and is being treated with pills for depression. My husband was bitten quite badly but he is certain to make a full recovery in weeks."

Chirac was taken to a hospital in Paris where he was treated as an outpatient and later sent home.

The 76-year-old was president of France for 12 years until 2007.

Quel grand chien !

Wednesday, January 21, 2009

Microsoft Hell


I was excited. My new version of Photoshop CS4 was delivered by the UPS dude. I opened the package and popped the DVD into my desktop computer. Immediately an error code came up saying that I needed to upgrade Windows Vista with Service Pack 1. So, I ran Windows Update and, as you might think, the Service Pack 1 wouldn't load. I got a plethora of 10 digit error codes that made as much sense to me as the IRS Tax Codes. I was starting to get frustrated.

So, I Googled the error codes on the net and read several geek posts about how to fix the problem. None seemed to agree and I followed their advice to no avail. So, I checked the Microsoft web site. Much to my surprise they had a free Windows Vista Service Pack 1 upgrade assist center. I logged on and eventually somebody with the name "Sirinivasin" came on line and said his name was "Mike." OK. I answered his questions and he remained perplexed. I allowed him to log on to my computer with Microsoft Easy Assist. He checked numerous things on my computer. Finally, he downloaded a Freeware product and did something. Then, he rebooted the computer and the connection was lost. When my computer came back up, everything was in turmoil. I was now officially angry.

The phone rang and it was some fellow named "Bob" with an Indian accent so thick I couldn't understand a word he was saying. Ultimately, he spoke slowly and I caught what he was saying. We tried a few things and he finally said somebody would call back tomorrow. I hear the chatter of an Indian (dot, not feather) call center in the back ground. He suggested I reinstall Windows Vista. Thus, I did that all night long.

At 8:00 AM a fellow named "Mike" called back. He made some suggestions. Download this, try that, reboot this, uninstall that. Nothing worked. He would give me a task (which would take an hour or so) and then call back. Once I completed all the requested tasks, he quit calling. I was now entering a degree of "pissed off" heretofore unseen. I went for a walk.

Next, I logged back in to the Microsoft Vista Service Pack 1 help center. This time a helpful fellow named Poovasin answered. He said his name was "Jay." He had me run through the same procedures I did before--all to no avail. Then, as I do, I became a smart ass. I told him I was frustrated and he said, "I am extremely sorry you feel that way." I answered, "It is not your fault. It's Bill Gate's fault." He answered that he would have their best tech call tomorrow. I asked, "Should I buy a Mac?" He answered, "Wait until our best tech calls. He can fix the problem." These guys are actually nice and put up with as much shit as a female Asian blackjack dealer in Las Vegas.

I actually have a Mac Book Pro laptop. I use it some. But, I have alot of money invested in high-end Windows programs (e.g., Photoshop CS, Adobe Illustrator, Quark Express). I have VM Fusion on the Mac (which allows yu to also run Windows Vista and Windows programs). I just have not made the decision to go exclusively with Mac. I won't by a damn Dell. Then, it hit me. I am in Microsoft hell! It is like the roach hotel--you can check in, but you will never check out. This sucks and so does Microsoft.

P.S. This post was written flawlessly on a Mac Book Pro. My Sony Windows desktop is repeatedly processing an endless loop of attempting to install Window's Vista Service Pack 1.

Monday, January 19, 2009

What's With the Chiropractors?


I have never had any strong feelings about chiropractors either way. Live and let live I have always said. I have a friend who is a chiropractor. He is a nice guy and fairly conservative. I know another chiropractor that got a mail-order MD from a Caribbean medical school and puts MD on his building although the state will only license him as a DC. He has sent some patients to the ED in the past. The most recent case in memory was a supposed cervical fracture. The patient arrived by ambulance with a backboard applied. The x-rays from the chiropractic clinic were very weird views. I could not tell squat from them. So, I scanned the patients neck with the spiral CT. I found nothing other than degenerative joint disease. The patient was most relieved. She had no history of trauma and was perplexed as to how shoe has "broken her neck" as the DC stated. But, in all professions there are good and bad practitioners. Live and let live.

Interestingly, not long ago I was talking with a physician friend. His son could not get into the medical school or osteopathic school. Thus, he went to chiropractic school. Upon graduation, his father gave him office space in his medical building and he started a practice. Supposedly, the chiropractic son was also trained in chiropractic neurology (whatever that is). Later I met the son. He was a great guy--but disappointed with his choice of chiropractic as a profession. I spoke with him at length. He lamented that all he could do was crack backs (called "adjustments"). He stated that the chiropractic concept of "subluxation" is pure baloney (this differs from real subluxation--which is a serious condition). His residency training in chiropractic neurology was some weekend courses. He said that his chiropractic education was almost evangelical in nature--heavy on faith and light in science. That surprised me as some states call chiropractors "physicians".

He went on to say that more than half his class (they evidently graduate 3 classes a year) did not enter practice after graduation. Furthermore, he said the average debt of a chiropractic graduate is in excess of $100,000. Also, almost half of the defaults for the federal Health Education Assistance Loans (HEAL) are chiropractors. What gives? Why spend all your time in school and incur the debt and not practice?

My friend's son recently learned that he had been finally accepted to an osteopathic school. He is closing his practice and becoming a physician. The osteopathic school would not give him credit for any of his chiropractic training so he has four more years of school to finance. But, he appears to be fulfilling his dreams.

I truly believe there is some role for physical therapies in musculoskeletal conditions (especially low back pain). But, does it take 3 years to learn to do nothing but pop backs? At least in osteopathic school, my chiropractor friend will master medicine and manipulation (he will soon learn the significant acadmic difference between medical school and chiropractic school). Interestingly, in Australia and New Zealand, physiotherapists (physical therapists) with 3-year bachelor's degrees do manipulations. But, live and let live. If chiropractic works for you and doesn't harm you, go for it. But, I am not sure that government programs should pay for it as the scientific evidence for the practice does not exist as best I can tell.

Sunday, January 18, 2009

Just In Case You Were Wondering


Best places to see a platypus:

1. Hidden Valley Cabins (Queensland)

2. Nymboida River (New South Wales)

3. Bombala (New South Wales)

4. Lake Elizabeth (Victoria)

5. Mountain Valley Private Nature Preserve (Tasmania)

6. Latrobe (Tasmania)

Friday, January 16, 2009

Emergency Department Abuse


Overuse of the emergency department (ED) is primarily an American phenomenon. While many hospitals EDs are busy worldwide, we Americans simply use the ED for convenience. While we physicians are justifiably wary of socialized health care (a health care system run by the US government would have the efficiency of the US Postal Service and the compassion of the IRS), the current system is not working. There are several things that must change before ED overcrowding will get better:

1. There has to be a network of primary care physicians who truly act as primary care physicians. The current payment scheme in the United States favors doctors who do procedures. So, you see this slow migration of family practitioners away for standard care to procedure-based care. You get paid more to remove moles than see a sick baby. The Advanced Practice Nurses are moving into primary care and doing a good job.

2. There is no true indigent care system in the United States. Here in the land of plenty, the poor still receive inadequate health care. Sure, a few organizations like Catholic Charities and the Salvation Army help, but the only source of health care for some poor people is the ED. The government, through unfunded mandates such as EMTALA and OBRA, require hospital EDs to treat all patients. Even public hospitals are covertly shunning the indigent and trying to recruit paying patients. This is nothing but cost-shifting and it costs hospitals billions of dollars. The most expensive place in the United States to receive health care is the ED. So, why do we send primary care patients there? Even community physicians routinely dump their non-paying and complicated patients on the ED. The ED physician is usually not a great primary care physician. I am the doctor you want to see when you are seriously ill or injured. I am not the doctor you want to see to manage your chronic hypertension or diabetes—I haven’t kept up with that science.

3. Community physicians routinely send patients to the ED who can be managed in their offices or by phone. You see a trend with primary care physicians. First, when out of residency, they are hungry and eager and do a good job of covering their patients. As they get older and their practices grow, they become less interested in seeing patients outside of office hours. Also, some community physicians will dump their patients on the ED when the work-up is complicated or they are not up on the science.

4. Interestingly, several studies have shown that people with insurance are just as apt to abuse the ED as the indigent. They see insurance as something to be used. They can get care immediately and fairly quickly in the ED with a modest co-pay instead of making an appointment with their family doctor. I see both indigent patients and the insured as equal culprits in EM abuse.

5. We can’t talk about ED crowding without blaming the lawyers. Once a patient enters the magic world of the ED, the ground rules change. Because of liability concerns, we have to assume that every patient who comes to the ED has some catastrophic condition. Once we exclude that with costly diagnostic tests, we can then give them a diagnosis and provide treatment. In a family practice clinic, a physician can examine a headache patient and carefully plan treatment. In the ED, we have to scan the patients head, do a battery of tests, and sometimes a lumbar puncture to assure they don’t have a subarachnoid hemorrhage or brain tumor before we can treat their migraine headache. The State of Texas recently received the sole “A” grade from ACEP for tort reform. Tort reform has evidently made Texas a better place to practice medicine. Lawsuits are down there and malpractice premiums are down according to a recent article—and applications for medical licenses are at record numbers according to Emergency Physicians Monthly.

There are no easy solutions to complex programs. The United States emergency care system cannot be stressed anymore--for it is already breaking. Everybody needs to do their part to remedy the situation. If we wait for the government to step in, I’ll walk away and sell manure or raise shrimp.

Saturday, January 10, 2009

A Strange Allure


Yesterday evening, several friends and I were sitting in an alcove at a very expensive Los Angeles hotel swapping stories and smoking Cuban cigars. The conversation, for some reason, turned to a discussion of "Flo" the perky and helpful woman from the Progressive auto insurance commercials. We all thought she was really great to watch. We also discussed this strange allure she has--somewhat sultry, somewhat innocent, and helpful. As more people joined our cigar-filled violation of California political correctness, all loved Flo (except some of the women liked the Geico gecko).

So, I did some research. Flo is really B actress Stephanie Courtney. An article from the Austin American Statesman describes her selection and conversion to the role of Flo. Hours of make-up and hair lead to this enigmatic character. Fortunately, she has been signed to 12 more commercials. Still, there is an allure--but we could not specifically define it. In this time of political turmoil, war, a bad economy, pirates and such, perhaps Flo is exactly what we need to remind us of a gentler, kinder more innocent time. I love Flo.

I will now return you to your scheduled programming.

Wednesday, January 7, 2009

We Are Still Barbarians


A new year is here--just days after people worldwide wished for peace on earth and good will towards men. These are just a few of today's headlines:

Cross-Dressing Dermatologist Who Killed Wife Found Dead in Prison

Angry Ohio Boy, 4, Shoots Baby Sitter With Shotgun, Police Say

4 Children Left Alone for Days After Parents Die in Apparent Murder-Suicide

Text Message Led to Fatal ATV Crash That Killed Toddler

Search Launched for Missing Boy Not Reported for 10 Years

Baby's Corpse Thrown Out With Hospital Trash

Man Accused Of Selling Crack For Gift Cards

Soldier dies after bar fight over Jimmy Buffett song in Steamboat

Wife faces murder charge after igniting husband's privates

Hamas: Israel has legitimised the killing of its children


We are still barbarians...

Tuesday, January 6, 2009

Bastards


One of the things that really sets me off are telemarketer calls. Typically, I am in the middle of some project that requires concentration and the phone rings. Lately, there has been nobody on the line--probably an autodialer verifying that the number is valid. Often, it is a nondescript entity called "Credit Card Services." They start with a recorded message that somehow indicates they are offering to lower the interest rate on your credit card. They say, "Please hold for the next representative." Bastards! They call me and ask me to hold? Several times I have held and, once the telemarketer is on the line, promptly tell them I am on the federal and state "Do Not Call" lists. They hang up as soon as I say that. I have tried this several times and always get hung up on--obviously it is a policy.

For some reason, the volume of these calls is increasing. Some are offering "important information about your auto warranty" while others are offering various services. They seem to be winning. I put a gate up to keep the Kirby salesmen, Jehovah's Witnesses, Irish Traveler paving services, and similar riff-raff from my front door. It has worked except for the brazen idiot who has steadfastly determined that I need solar screens. A shotgun has been shown to the salesman on one such occasion. But, the telemarketer calls are a conundrum. They evade the "No Call Lists", call blocker, and similar tactics. Bastards!

Monday, January 5, 2009

A Preventable Death?

America is known as the “land of the free and the home of the brave.” Are we brave when we put our children at risk because of our beliefs? Certainly personal liberties are part and parcel of the American way of life. But, what is the cost? I have been somewhat following the news related to the untimely death of John Travolta’s son Jett in a Bahamian bath tub. The Travolta’s have kept their personal life fairly secret—except for their belief in Scientology. As more is learned, Jett Travolta evidently had several medical conditions including a seizure disorder and Kawasaki disease. Kawasaki disease is a somewhat enigmatic disease that affects 19 out of every 100,000 kids. It is readily treated and seizures have not been reported. But, evidently Jett was treated with a Scientology-prescribed course of "detoxification" that included a regimen of diet and saunas that the church claims is purifying. He evidently never received the prevailing therapy of gamma globulin.

As more is starting to emerge, it appears that Jett may have suffered from autism. Seizures are certainly more common in autistic children when compared to those who are not autistic. But, the “church” of Scientology does not recognize autism as a disease. Instead, Scientology doctrine states that people with disabilities, like autism, are classified as "degraded" and capable of curing themselves by working harder on the church's teachings (ask any parent of an autistic child if they have seen self-healings).

Likewise, Scientology discourages the use of medications—especially medications that act on the central nervous system (including anticonvulsants). How can one forget the rantings of Tom Cruise in regard to Brooke Shield’s confession that she was treated for post-partum depression? Thus, Jett may not have been taking medications that would have theoretically saved his life (this statement is based upon a New York Post article posted January 4, 2009). Mark Twain’s daughter Jean died of a seizure while taking a bath. Twain grieved over this until his death four months later. Jean Twain died in 1909—100 years before Jett Travolta. Yet, they were both provided the same level of care for their seizure disorder—apparently nothing.

Many “stars” have touted the “risks” of vaccinations. Jenny McCarthy has spoken out against vaccines. On the other hand, Amanda Peet has spoken out for childhood vaccinations—almost militantly. But, because of this, she has incurred the wrath of the liberal, green Hollywood community. She stated to ABC News, “"I don't think parents should be taking medical advice from actors. I take medical advice from several pediatricians, other doctors, the CDC, and the American Academy of Pediatrics." What a smart young lady!

The death of Jett Travolta is sad. What may be sadder is that it may have been totally preventable. I certainly respect cultures, traditions, and religions. But, I am more inclined to support those who have spent their life immersed in a culture. In other words, that is all they know. The Hmong act of “coining” comes to mind. Many western practitioners thought it child abuse until they understood the belief system and found it was actually an act of love. Now, for the Travolta’s, Scientology is a learned belief system. Many would call it a cult. How does a Scientologist’s practice of withholding needed medical care differ from those of Christian Scientists or Jehovah’s Witnesses? I have seen courts order treatment for children of Christian Scientists and transfusions for Jehovah’s Witnesses? Why have they not stepped in on Scientology?

In terms of vaccinations, they save lives. But, with every endeavor there are the outliers. For example the child who dies following a vaccine or the child who dies in a car seat after being strangled by the strap. These events are sad, yet unpredictable. Withholding vaccines will kill many more than giving vaccines will. The act of withholding vaccines from a child not only puts the child at risk—but also other children.—an elitist attitude at the least. I have seen children with German measles, hepatitis B, pertussis, mumps, and similar childhood diseases. They are quite sick and no child should suffer these afflictions.

In regard to Jett Travolta, I hope the family and friends find peace—and eventually wisdom.

Thursday, January 1, 2009

Things I Have Wondered About


1. Why are there Braille letters on the drive-through ATM?

2. Why do they prep the skin with alcohol before they give a lethal injection?

3. Did they give the tiger that bit Roy Horn (Siegfried and Roy) HIV prophylaxis after he bit the magician?

4. When you ask a patient to lie down on their back, why do they always lie on their stomach?

5. Why are all nail salons owned by Vietnamese immigrants?

6. Why is Richard Simmons popular?

7. How did Ray Charles beat his wife when he was blind and she was not?

8. What do dogs dream about?

9. Why don’t television faith healers stop at hospitals on the way to their revivals?

10. Why is a patient’s ability to survive major trauma inversely proportional to their value to society?

11. Why are all doughnut shops owned by Korean immigrants?

12. Why do aliens always abduct and anally-probe illiterate rednecks?

13. How can Scientology be a religion without a deity?

14. Why does a high school dropout working in a Detroit auto factory putting plastic parts together make twice as much as a paramedic?

15. Why is Paris Hilton popular?

16. Why do lesbians always own cats?

17. Why do foreign-educated internists continue cardiac resuscitation attempts until rigor mortis sets in?

18. Who gives a shit about “Celebrity Rehab”?

19. What is the attraction of body piercing?

20. Are there any black Mormons? 

Friday, December 26, 2008

Potato Salad


The middle-aged woman seated in the eye room was moving nervously in her seat. Her right eye was quite injected and teary. I went in and introduced myself and asked her what happened. She replied, “I think I got something in my eye.” I asked, “When did it happen?” She answered, “I’m not sure, but it was several days ago.” I did a general external eye exam. I noticed that the woman had very pale, white skin. As I looked further I noted a few bruises on her face and arms. I made a mental note of these as they are often an indicator of domestic abuse.

I placed the slit lamp and had the tech darken the room. Upon magnification I saw that her conjunctiva was injected and swollen. There were several denuded areas on the cornea and these readily took up fluorescein and lit up under the blue light. I moved the slit lamp aside and said, “You have several nasty abrasions on your cornea. These need to be treated.”

I looked her in the eye and said, “I’m concerned about the bruises on your face and arms as well as the eye injury. Is there something you need to tell me?” The woman looked a little perplexed and shifted her weight in the seat. She said, “I’m not sure what you mean doctor?” I answered, “Well, these injuries often occur as a result of domestic abuse. Are you in an abusive relationship?” She answered, “Oh gosh no doctor. I’m not in a relationship at all.” I confronted her more directly and said, “State law requires me to report cases of suspected domestic abuse. It is for your own protection.” She carefully considered what I had told her and replied, “Potato salad.” I said, “Pardon me?” Again, she said, “Its potato salad.” I thought to myself that this woman was in a level of denial that I have never seen before. I asked, “How can potato salad cause these bruises?” She answered, “I like potato salad.” I answered, “I like potato salad too, but I am not sure what this has to do with this.” She answered, “You don’t understand. I really like potato salad.” I said, “Yes, me too—with mayonnaise—but you have to stopt beating around the bush.”

The woman stared at me for a bit and started to move around more anxiously in her chair. She said, “I really like potato salad.” I stared at her waiting for her to elaborate. Finally, she spoke, “I know it is kind of weird, but potato salad makes me frisky.” “Frisky?” I questioned? She said, “You know…frisky…horny.” Incredulously I asked, “Potato salad makes you horny?” She said, “I know that sounds weird, but yes, it makes me horny.” I asked, “Are the nurses playing a joke on me?” She got a serious look on her face and said, “No. It’s true. I guess it is some kind of a fetish.” I sat there totally perplexed. Finally, I said, “OK. So potato salad is your fetish. That doesn’t explain the bruising and the eye injury.” She sighed deeply and said, “I like to have the potato salad thrown at me.” I looked up from the chart and said, “What?”

It seems that Ms. Papa’s last marriage was somewhat kinky. Evidently she and her ex-husband liked to have sex in the kitchen and somehow potato salad got into the picture. The patient went on to say that when she gets comfortable with a man she gets out the potato salad. She takes a large sheet of plastic and tacks it to the wall and strips down. She then gets a tub of potato salad out of the refrigerator and has her current beau “chunk the potato salad” at her while she stands in the middle of the plastic sheet. The harder the potato salad is thrown and the more it hurts, the hornier she gets. Then, once she has been adequately exposed to potato salad, it’s off to the bedroom where, evidently, the encounter with the potato salad continues. Thus, the bruises and the corneal abrasions were due to high-velocity potato salad striking her during the throes of passion. I looked her in the eye for a minute and pondered what I had just heard. I said, “OK. I don’t really need to know more (although that little devil on my shoulder wanted to know the intricate details). I’m going to give you a prescription for eye drops and some pain medicine. Be sure to follow-up with the ophthalmologist in 48 hours.” I watched her walk out. She looked so normal I thought—almost frumpy. Since then I have never looked at potato salad and not thought of her.

Wednesday, December 24, 2008

Merry Christmas




All the streets are filled with laughter and light,
And the music of the season.
And the merchants' windows are all bright,
With the faces of the children.
And the families hurrying to their homes,
As the sky darkens and freezes.
They'll be gathering around the hearths and tables,
Giving thanks for all God's graces.
And the birth of the rebel Jesus.

Well they call him by the Prince of Peace,
And they call him by the savior.
And they pray to him upon the seas,
And in every bold endeavor.
As they fill his churches with their pride and gold,
And their faith in him increases.
But they've turned the nature that I worship in.
From a temple to a robber's den.
In the words of the rebel Jesus.

We guard our world with locks and guns,
And we guard our fine possessions.
And once a year when Christmas comes,
We give to our relations.
And perhaps we give a little to the poor,
If the generosity should seize us.
But if any one of us should interfere,
In the business of why they are poor.
They get the same as the rebel Jesus.

But please forgive me if I seem,
To take the tone of judgment.
For I've no wish to come between,
This day and your enjoyment.
In this life of hardship and of earthly toil,
We have need for anything that frees us.
So I bid you pleasure,
And I bid you cheer,
From a heathen and a pagan,
On the side of the rebel Jesus. 


The Rebel Jesus by Jackson Brown

Wednesday, December 17, 2008

On the Bastardization of Language


All countries will have variations in language. We typically call proper English “the Queen’s English” or we will call proper Spanish “Castilian Spanish” (although Latin American Spanish is certainly recognized in its own right). But, no nation like the United States has butchered language like we do. The United States is quickly becoming a Tower of Babel. But, in the United States, instead of correcting the problem, we romanticize it by giving it cutesy names like “Spanglish” or “Ebonics.” Children who attempt to enter the workforce using Spanglish or Ebonics are doomed to fail (or spend a career at McDonalds).

Language bastardization is a major problem—not as bad as the economy—but still a major problem. I can’t count the number of times I have heard a young Latina mother tell me, “Well, I was going to take him a bath.” Many African American patients use so much slang that I have a hard time understanding what they are saying. Noted minority figures who have risen above the fray; such as Collin Powel, Barak Obama, Condolezza Rice, Bill Cosby, and Henry Cisneros; have done so with mastery of the language. Bill Cosby was on the money when he told the NAACP, “I can't even talk the way these people talk. 'Why you ain't, where you is.' ... I blamed the kid until I heard the mother talk. Then I heard the father talk. This is all in the house.” I have a good surgeon friend who is Nigerian by birth (although educated in the United States). He is appalled at the language skills of African Americans in the United States (especially some of the chosen names). Who would trust a doctor who said, "Well, I is going to give you a prescription”? Who would trust a doctor who said, “Here drink these pills three times a day.” (Spanish does not distinguish between “take” and “drink” so the verb tomar is used for both).

I laughed once while watching a show about the islands off the coast of Scotland. The people who were interviewed had such a Scottish accent that they were very difficult to understand. So, the editors used English subtitles to translate the “English” being spoken by the Scots (which was actually only a thick accent). I have occasionally watched a show on A&E called the “First 48 Hours” that details real life murder investigations. The show is well done and contemporaneously details two murder investigations in two cities. Recently, two things struck me. The victims and suspects are almost always black or latino (this may be because they often shoot the segments in Memphis, Dallas, Miami, Detroit, and Phoenix). Certainly, the crime rate is higher in some minority communities. The other thing that struck me is that when they have African American people on camera, they almost always have to use subtitles. The English is so bad or the accent is so thick that they are hard to understand. Why has this evolved? This is the standard “chicken or the egg” argument. Did the language contribute to the poverty or did the poverty contribute to the language.

Believe me, I am not a racist (but, I will never buy another Dell computer because I will never attempt to get service help from a call center in India from a person named “Bill” with a very thick Indian accent). But, modern society depends on language. If you don’t have the language skills, you’ll never make it. I have chosen to speak two languages (with help from my mother and family). I think speaking more than one language is desired, but an option. Romanticizing the bastardization of language helps no one. So, the schools should not allow this crap to continue. Bilingual education is fine to help the young Spanish-speaking child transition to English. But, after a year or two, all need to speak English. The same holds true for so-called “ghetto-speak” or Ebonics. I would not move to Mexico and try and speak English to the locals. Yet, millions of people mover here and try and maintain Spanish as the language of choice. We Americans are just too gracious sometimes.

Monday, December 15, 2008

A Liberal Treatise From a Staunch Conservative


I’m no tree hugger. I hunt and I fish (not as often as I would like). But, I have my limits. I will not hunt anything I won’t eat or won’t be eaten by somebody. I have found that ardent hunters and fishermen are dedicated conservationists. Ducks Unlimited has done more to protect waterfowl than any liberal environmental movement. That said, I don’t think marine mammals have any significant food value. I would never consider eating a dolphin (porpoise) or a whale. In fact, just recently I was at a meeting on the southwest coast of Maui and spent hours watching humpback whales (and their calves) frolic in the Pacific. They were spectacular. Every time one of these leviathans hit the surface, a tour boat would approach. Finally, a group of jet skiers chased them off (these jet skiers could face large fines for approaching whales under Hawai’i wildlife laws). Life and let live I have always said.

The night after watching the whales off the Maui coast I caught a show about an activist environmental group called the Sea Shepherds. This was a group that broke from the Greenpeace people because the Sea Shepherds wanted to be more aggressive in stopping whaling and other animal abuses. I always thought the Greenpeace people were a little kooky. I have encountered them in Australia and they can be fairly militant. The Sea Shepherd people operate a boat called the “Steve Irwin” named after the Australian crocodile hunter who succumbed to a massive ray after the animal plunged the tip of his serrated tail into Steve’s heart. The Sea Shepherd boat had the usually suspects—twenty-first century hippies, vegans, and remittance men. Interestingly, everybody was from a first world country (there would be something ironic about an Ethiopian or Nigerian on the boat preventing the harvesting of food. Of course, if there were Nigerians on board nobody could access the internet because of the outgoing email scams). But, I digress.

I actually thought whaling was illegal with the exception of some Canadian and Alaskan aboriginals who hunt whales specifically for sustenance and actually respect the species. Thus, I have read quite a bit about whaling over the last few days. Whaling may be restricted in most waters, but the Southern Ocean appears to be a different story. The Japanese, who will eat anything that comes from the sea, still have an active whaling program. I read where the Japanese do not see any difference between pelagic mammals and fish--they all should be on the dinner plate. They harvest about 1,000 whales a year—primarily minke and finback whales. This year they are hunting the humpbacks as well—an endangered species. There are treaties in place that prevent whaling. The Japanese take advantage of a loophole in the treaties. The loophole allows whales taken for research to be subsequently butchered and sold. Thus, the Japanese take upwards of 1,000 whales a year for “tissue samples” and to monitor calving patterns and diet (supposedly). Every Japanese sailing vessel has the word “research” on the side. In one camera snap on the Animal Planet channel show they showed several Japanese fishermen butchering a whale while an idiot in a hard hat holds up a sign (in English) that says they are “taking tissue samples.” Horse shit!

If a people are dying and whale meat will save them, I’ll be the first son-of-a-bitch on the water looking for these critters. But, Japan has plenty of food. In fact, the demand for whale meat in Japan has fallen to a point where it is almost negligible. In fact, Japan has tons of whale meat from prior hunts in frozen storage. In order to support the archaic whaling industry, the Japanese government is trying to get schools to include whale meat in their school lunches. Why not serve Nemo as Sushi?

I have been to Japan several times. It is a curious, yet beautiful country. I cannot understand their adherence to traditions that result in whaling or the harvesting of shark fins (I like to catch and eat small black tip sharks—they are great. But, the Japanese cut the dorsal fin off the shark and throw it back in the sea where it dies immediately or becomes vulnerable to predation). I just can’t understand the Japanese way of thinking. I also can’t understand why Japanese women can’t walk in high-heel shoes—their gait is a continuous near fall. I am not sure I have a point here—just a concern.

By the way—the day I was watching the whales in Maui was Sunday, December 7, 2008. Seems as though the Japanese have struck again.