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President Obama Reads Mean Tweets

bobknight33 says...

Who bailed out the banks - Obama

To make things worse Obama increased the debt 10 Trillion more than ALL fucking presidents combined. Talk about ruining the economy Its a noose on the necks of Americans for generations

The root cause was Democrats wanting home ownership for more people, which happen to be those who could not afford a house. Dodd/Frank led the way . Republicans tried a few time to curb/ change it but failed. Banks complied and wrote bad loans and sold them to larger banks and they packaged these bad loans to look attractive and the house of cards tumbled.

Katrina -- You seriously want to go there--- New Orleans and the storm that hit Jersey shore and Long Island ... Fucking disaster years later --- Yep your boy really hit it out of the park with the help didn't he?

9/11 waning completely ignored. Bullshit.. Clinton had Bin Laden had full intelligence to get him and did nothing.

I don't know if you have you head in the sand or up your ass.

newtboy said:

Stupid?....well, that's the pot calling the clear glass pitcher black.
Far better leader?!? If only I thought you might be joking, but I know you aren't.
Show me something Obama suggested that's worse than a single one of these Bush/republican plans
Free Bailouts-a Bush/republican idea, repeatedly, getting nothing for it.
9/11- warned about but completely ignored by Bush.
Katrina-do I need to say a word?
The second great depression- (according to republicans)-caused by republicans removing the safeguards put on the stock market and banks, allowing them to play fast and loose, totally screwing our economy.
Iraq-again, do I need to say a word?
Putting the Iraq war 'off the books' to try to blame Obama for the cost that was ignored during Bush-uh...yeah, keep trying that.
Cutting taxes while raising spending outrageously-that was Bush
Raising the national debt more than any president before him-I know fox told you that was Obama, but it was really Bush. Even the first years when federal income was severely depressed (thanks to the economy Bush left us with) he didn't spend like Bush, if you look at the REAL numbers, not the white washed, no war, no homeland security, no bailout numbers the republicans pretend are real.

Because the republicans decided that their plan was to obstruct ANY idea from Obama (clearly stated BEFORE he took office, and followed through), it didn't matter a whit how he led, they refused to follow. It's not about his leadership, it's about the republican leadership thinking that beating Obama is more important than governing. Refusing a 10-1 deal where for every $1 in raised taxes they get $10 in spending cuts....and they said NO! Get real for once, it's not Obama's leadership or lack thereof that's screwing us, it's partisan politics being more important than the nation...and we all know which side plays that game more often and harder. (EDIT: I do admit that both 'sides' play that game, however.)
10 votes total? What the F*&K are you talking about. You mean 10 REPUBLICAN votes in the house? You are simply wrong he only got 10 votes total.
"The House has never failed to pass an annual budget resolution since the current budget rules were put into place in 1974. However this spring noted that the GOP-led Congress didn’t pass a final resolution in 1998, 2004 and 2006."
..."And the politics of the moment are a far cry from last year, when the House and Senate easily passed Obama’s first budget on the president’s 100th day in office. The budget measure last year did not attract any GOP support."
Well...enough said. I know you won't really take any of this to heart, you drank the fox news koolaid long ago and facts no longer matter.

Open Letter to Ellen Degeneres: Don't Promote A Psychic

Shepppard says...

Definitely would.. if only she hadn't turned down the offer to take the Randi test.

From Wiki:

"In 2012, the James Randi Educational Foundation awarded Caputo a Pigasus Award for being, in its view, the "psychic" performer who fooled the greatest number of people with the least effort in the preceding year. A Pigasus award was also given to TLC for continuing to air the show.[59] In an article published by Wired Magazine the organization's founder James Randi explained why he believed shows like Long Island Medium were deceptive and potentially harmful to its participants:

Why do these pseudo-psychic spectacles bother those of us at the James Randi Educational Foundation? First, and foremost: They are not true. [...] But much more importantly to us, such performances seem to prey on people at their most vulnerable moments — those who have suffered the loss of loved ones — and these mediums use such grief to make a buck. Psychologists tell us this keeps the grieving stuck in their grief, rather than going through the natural stages of acceptance that are healthy.
—James Randi[1]

In June of that year, Caputo appeared in a commercial for Priceline.com in which she portrayed herself "connecting" with the late Priceline Negotiator character previously played by William Shatner.[60] However, this commercial has sparked controversy, since the commercial appears to make light of the Native American belief of smudging.[61] JREF President DJ Grothe issued a statement decrying Priceline.com: "It is difficult to watch the show and not feel heartbroken for those who are desperate to hear from the departed... and even more so if they are being manipulated by a charlatan." Grothe urged the organization to have their new spokeswoman take the James Randi Million Dollar Challenge and prove her paranormal claims."

lurgee said:

James Randi would have fun with her.

The Scarecrow

Grimm says...

Almost all of the GMO's on the list are when "Soybean Oil" is an ingredient. They mention that "Our restaurants in the New York Metropolitan area (including New York City, Long Island, Westchester, Northern New Jersey, and Southwestern Connecticut) use Rice Bran Oil, while in other restaurants we use Soybean Oil. We are currently in the process of transitioning all of our restaurants to cooking with Rice Bran Oil."

Trancecoach said:

McDonald's was an early investor in Chipotle. Here's a current list of all the GMO's in Chipotle's meals (i.e., everything marked with a G).

Too bad it's the marketing campaign that matters, not its veracity.

This Young Food Reviewer Takes Pizza Seriously

Trancecoach says...

As far as Domino's Pizza is concerned, the box tastes almost as good as the pizza.

(Kid sounds like he's from Long Island, or maybe Queens. Definitely from the boroughs.)

Oklahoma Doctors vs. Obamacare

MrFisk says...

http://www.nytimes.com/2010/06/20/magazine/20pacemaker-t.html?pagewanted=all

One October afternoon three years ago while I was visiting my parents, my mother made a request I dreaded and longed to fulfill. She had just poured me a cup of Earl Grey from her Japanese iron teapot, shaped like a little pumpkin; outside, two cardinals splashed in the birdbath in the weak Connecticut sunlight. Her white hair was gathered at the nape of her neck, and her voice was low. “Please help me get Jeff’s pacemaker turned off,” she said, using my father’s first name. I nodded, and my heart knocked.
Related

Upstairs, my 85-year-old father, Jeffrey, a retired Wesleyan University professor who suffered from dementia, lay napping in what was once their shared bedroom. Sewn into a hump of skin and muscle below his right clavicle was the pacemaker that helped his heart outlive his brain. The size of a pocket watch, it had kept his heart beating rhythmically for nearly five years. Its battery was expected to last five more.

After tea, I knew, my mother would help him from his narrow bed with its mattress encased in waterproof plastic. She would take him to the toilet, change his diaper and lead him tottering to the couch, where he would sit mutely for hours, pretending to read Joyce Carol Oates, the book falling in his lap as he stared out the window.

I don’t like describing what dementia did to my father — and indirectly to my mother — without telling you first that my parents loved each other, and I loved them. That my mother, Valerie, could stain a deck and sew an evening dress from a photo in Vogue and thought of my father as her best friend. That my father had never given up easily on anything.

Born in South Africa, he lost his left arm in World War II, but built floor-to-ceiling bookcases for our living room; earned a Ph.D. from Oxford; coached rugby; and with my two brothers as crew, sailed his beloved Rhodes 19 on Long Island Sound. When I was a child, he woke me, chortling, with his gloss on a verse from “The Rubaiyat of Omar Khayyam”: “Awake, my little one! Before life’s liquor in its cup be dry!” At bedtime he tucked me in, quoting “Hamlet” : “May flights of angels sing thee to thy rest!”

Now I would look at him and think of Anton Chekhov, who died of tuberculosis in 1904. “Whenever there is someone in a family who has long been ill, and hopelessly ill,” he wrote, “there come painful moments when all timidly, secretly, at the bottom of their hearts long for his death.” A century later, my mother and I had come to long for the machine in my father’s chest to fail.

Until 2001, my two brothers and I — all living in California — assumed that our parents would enjoy long, robust old ages capped by some brief, undefined final illness. Thanks to their own healthful habits and a panoply of medical advances — vaccines, antibiotics, airport defibrillators, 911 networks and the like — they weren’t likely to die prematurely of the pneumonias, influenzas and heart attacks that decimated previous generations. They walked every day. My mother practiced yoga. My father was writing a history of his birthplace, a small South African town.

In short, they were seemingly among the lucky ones for whom the American medical system, despite its fragmentation, inequity and waste, works quite well. Medicare and supplemental insurance paid for their specialists and their trusted Middletown internist, the lean, bespectacled Robert Fales, who, like them, was skeptical of medical overdoing. “I bonded with your parents, and you don’t bond with everybody,” he once told me. “It’s easier to understand someone if they just tell it like it is from their heart and their soul.”

They were also stoics and religious agnostics. They signed living wills and durable power-of-attorney documents for health care. My mother, who watched friends die slowly of cancer, had an underlined copy of the Hemlock Society’s “Final Exit” in her bookcase. Even so, I watched them lose control of their lives to a set of perverse financial incentives — for cardiologists, hospitals and especially the manufacturers of advanced medical devices — skewed to promote maximum treatment. At a point hard to precisely define, they stopped being beneficiaries of the war on sudden death and became its victims.

Things took their first unexpected turn on Nov. 13, 2001, when my father — then 79, pacemakerless and seemingly healthy — collapsed on my parents’ kitchen floor in Middletown, making burbling sounds. He had suffered a stroke.

He came home six weeks later permanently incapable of completing a sentence. But as I’ve said, he didn’t give up easily, and he doggedly learned again how to fasten his belt; to peck out sentences on his computer; to walk alone, one foot dragging, to the university pool for water aerobics. He never again put on a shirt without help or looked at the book he had been writing. One day he haltingly told my mother, “I don’t know who I am anymore.”

His stroke devastated two lives. The day before, my mother was an upper-middle-class housewife who practiced calligraphy in her spare time. Afterward, she was one of tens of millions of people in America, most of them women, who help care for an older family member.

Their numbers grow each day. Thanks to advanced medical technologies, elderly people now survive repeated health crises that once killed them, and so the “oldest old” have become the nation’s most rapidly growing age group. Nearly a third of Americans over 85 have dementia (a condition whose prevalence rises in direct relationship to longevity). Half need help with at least one practical, life-sustaining activity, like getting dressed or making breakfast. Even though a capable woman was hired to give my dad showers, my 77-year-old mother found herself on duty more than 80 hours a week. Her blood pressure rose and her weight fell. On a routine visit to Dr. Fales, she burst into tears. She was put on sleeping pills and antidepressants.

My father said he came to believe that she would have been better off if he had died. “She’d have weeped the weep of a widow,” he told me in his garbled, poststroke speech, on a walk we took together in the fall of 2002. “And then she would have been all right.” It was hard to tell which of them was suffering more.

As we shuffled through the fallen leaves that day, I thought of my father’s father, Ernest Butler. He was 79 when he died in 1965, before pacemakers, implanted cardiac defibrillators, stents and replacement heart valves routinely staved off death among the very old. After completing some long-unfinished chairs, he cleaned his woodshop, had a heart attack and died two days later in a plain hospital bed. As I held my dad’s soft, mottled hand, I vainly wished him a similar merciful death.

A few days before Christmas that year, after a vigorous session of water exercises, my father developed a painful inguinal (intestinal) hernia. My mother took him to Fales, who sent them to a local surgeon, who sent them to a cardiologist for a preoperative clearance. After an electrocardiogram recorded my father’s slow heartbeat — a longstanding and symptomless condition not uncommon in the very old — the cardiologist, John Rogan, refused to clear my dad for surgery unless he received a pacemaker.

Without the device, Dr. Rogan told me later, my father could have died from cardiac arrest during surgery or perhaps within a few months. It was the second time Rogan had seen my father. The first time, about a year before, he recommended the device for the same slow heartbeat. That time, my then-competent and prestroke father expressed extreme reluctance, on the advice of Fales, who considered it overtreatment.

My father’s medical conservatism, I have since learned, is not unusual. According to an analysis by the Dartmouth Atlas medical-research group, patients are far more likely than their doctors to reject aggressive treatments when fully informed of pros, cons and alternatives — information, one study suggests, that nearly half of patients say they don’t get. And although many doctors assume that people want to extend their lives, many do not. In a 1997 study in The Journal of the American Geriatrics Society, 30 percent of seriously ill people surveyed in a hospital said they would “rather die” than live permanently in a nursing home. In a 2008 study in The Journal of the American College of Cardiology, 28 percent of patients with advanced heart failure said they would trade one day of excellent health for another two years in their current state.

When Rogan suggested the pacemaker for the second time, my father was too stroke-damaged to discuss, and perhaps even to weigh, his trade­offs. The decision fell to my mother — anxious to relieve my father’s pain, exhausted with caregiving, deferential to doctors and no expert on high-tech medicine. She said yes. One of the most important medical decisions of my father’s life was over in minutes. Dr. Fales was notified by fax.

Fales loved my parents, knew their suffering close at hand, continued to oppose a pacemaker and wasn’t alarmed by death. If he had had the chance to sit down with my parents, he could have explained that the pacemaker’s battery would last 10 years and asked whether my father wanted to live to be 89 in his nearly mute and dependent state. He could have discussed the option of using a temporary external pacemaker that, I later learned, could have seen my dad safely through surgery. But my mother never consulted Fales. And the system would have effectively penalized him if she had. Medicare would have paid him a standard office-visit rate of $54 for what would undoubtedly have been a long meeting — and nothing for phone calls to work out a plan with Rogan and the surgeon.

Medicare has made minor improvements since then, and in the House version of the health care reform bill debated last year, much better payments for such conversations were included. But after the provision was distorted as reimbursement for “death panels,” it was dropped. In my father’s case, there was only a brief informed-consent process, covering the boilerplate risks of minor surgery, handled by the general surgeon.

I believe that my father’s doctors did their best within a compartmentalized and time-pressured medical system. But in the absence of any other guiding hand, there is no doubt that economics helped shape the wider context in which doctors made decisions. Had we been at the Mayo Clinic — where doctors are salaried, medical records are electronically organized and care is coordinated by a single doctor — things might have turned out differently. But Middletown is part of the fee-for-service medical economy. Doctors peddle their wares on a piecework basis; communication among them is haphazard; thinking is often short term; nobody makes money when medical interventions are declined; and nobody is in charge except the marketplace.

And so on Jan. 2, 2003, at Middlesex Hospital, the surgeon implanted my father’s pacemaker using local anesthetic. Medicare paid him $461 and the hospital a flat fee of about $12,000, of which an estimated $7,500 went to St. Jude Medical, the maker of the device. The hernia was fixed a few days later.

It was a case study in what primary-care doctors have long bemoaned: that Medicare rewards doctors far better for doing procedures than for assessing whether they should be done at all. The incentives for overtreatment continue, said Dr. Ted Epperly, the board chairman of the American Academy of Family Physicians, because those who profit from them — specialists, hospitals, drug companies and the medical-device manufacturers — spend money lobbying Congress and the public to keep it that way.

Last year, doctors, hospitals, drug companies, medical-equipment manufacturers and other medical professionals spent $545 million on lobbying, according to the Center for Responsive Politics. This may help explain why researchers estimate that 20 to 30 percent of Medicare’s $510 billion budget goes for unnecessary tests and treatment. Why cost-containment received short shrift in health care reform. Why physicians like Fales net an average of $173,000 a year, while noninvasive cardiologists like Rogan net about $419,000.

The system rewarded nobody for saying “no” or even “wait” — not even my frugal, intelligent, Consumer-Reports-reading mother. Medicare and supplemental insurance covered almost every penny of my father’s pacemaker. My mother was given more government-mandated consumer information when she bought a new Camry a year later.

And so my father’s electronically managed heart — now requiring frequent monitoring, paid by Medicare — became part of the $24 billion worldwide cardiac-device industry and an indirect subsidizer of the fiscal health of American hospitals. The profit margins that manufacturers earn on cardiac devices is close to 30 percent. Cardiac procedures and diagnostics generate about 20 percent of hospital revenues and 30 percent of profits.

Shortly after New Year’s 2003, my mother belatedly called and told me about the operations, which went off without a hitch. She didn’t call earlier, she said, because she didn’t want to worry me. My heart sank, but I said nothing. It is one thing to silently hope that your beloved father’s heart might fail. It is another to actively abet his death.

The pacemaker bought my parents two years of limbo, two of purgatory and two of hell. At first they soldiered on, with my father no better and no worse. My mother reread Jon Kabat-Zinn’s “Full Catastrophe Living,” bought a self-help book on patience and rose each morning to meditate.

In 2005, the age-related degeneration that had slowed my father’s heart attacked his eyes, lungs, bladder and bowels. Clots as narrow as a single human hair lodged in tiny blood vessels in his brain, killing clusters of neurons by depriving them of oxygen. Long partly deaf, he began losing his sight to wet macular degeneration, requiring ocular injections that cost nearly $2,000 each. A few months later, he forgot his way home from the university pool. He grew incontinent. He was collapsing physically, like an ancient, shored-up house.

In the summer of 2006, he fell in the driveway and suffered a brain hemorrhage. Not long afterward, he spent a full weekend compulsively brushing and rebrushing his teeth. “The Jeff I married . . . is no longer the same person,” my mother wrote in the journal a social worker had suggested she keep. “My life is in ruins. This is horrible, and I have lasted for five years.” His pacemaker kept on ticking.

When bioethicists debate life-extending technologies, the effects on people like my mother rarely enter the calculus. But a 2007 Ohio State University study of the DNA of family caregivers of people with Alzheimer’s disease showed that the ends of their chromosomes, called telomeres, had degraded enough to reflect a four-to-eight-year shortening of lifespan. By that reckoning, every year that the pacemaker gave my irreparably damaged father took from my then-vigorous mother an equal year.

When my mother was upset, she meditated or cleaned house. When I was upset, I Googled. In 2006, I discovered that pacemakers could be deactivated without surgery. Nurses, doctors and even device salesmen had done so, usually at deathbeds. A white ceramic device, like a TV remote and shaped like the wands that children use to blow bubbles, could be placed around the hump on my father’s chest. Press a few buttons and the electrical pulses that ran down the leads to his heart would slow until they were no longer effective. My father’s heart, I learned, would probably not stop. It would just return to its old, slow rhythm. If he was lucky, he might suffer cardiac arrest and die within weeks, perhaps in his sleep. If he was unlucky, he might linger painfully for months while his lagging heart failed to suffuse his vital organs with sufficient oxygenated blood.

If we did nothing, his pacemaker would not stop for years. Like the tireless charmed brooms in Disney’s “Fantasia,” it would prompt my father’s heart to beat after he became too demented to speak, sit up or eat. It would keep his heart pulsing after he drew his last breath. If he was buried, it would send signals to his dead heart in the coffin. If he was cremated, it would have to be cut from his chest first, to prevent it from exploding and damaging the walls or hurting an attendant.

On the Internet, I discovered that the pacemaker — somewhat like the ventilator, defibrillator and feeding tube — was first an exotic, stopgap device, used to carry a handful of patients through a brief medical crisis. Then it morphed into a battery-powered, implantable and routine treatment. When Medicare approved the pacemaker for reimbursement in 1966, the market exploded. Today pacemakers are implanted annually in more than 400,000 Americans, about 80 percent of whom are over 65. According to calculations by the Dartmouth Atlas research group using Medicare data, nearly a fifth of new recipients who receive pacemakers annually — 76,000 — are over 80. The typical patient with a cardiac device today is an elderly person suffering from at least one other severe chronic illness.

Over the years, as technology has improved, the battery life of these devices lengthened. The list of heart conditions for which they are recommended has grown. In 1984, the treatment guidelines from the American College of Cardiology declared that pacemakers were strongly recommended as “indicated” or mildly approved as “reasonable” for 56 heart conditions and “not indicated” for 31 more. By 2008, the list for which they were strongly or mildly recommended expanded to 88, with most of the increase in the lukewarm “reasonable” category.

The research backing the expansion of diagnoses was weak. Over all, only 5 percent of the positive recommendations were supported by research from multiple double-blind randomized studies, the gold standard of evidence-based medicine. And 58 percent were based on no studies at all, only a “consensus of expert opinion.” Of the 17 cardiologists who wrote the 2008 guidelines, 11 received financing from cardiac-device makers or worked at institutions receiving it. Seven, due to the extent of their financial connections, were recused from voting on the guidelines they helped write.

This pattern — a paucity of scientific support and a plethora of industry connections — holds across almost all cardiac treatments, according to the cardiologist Pierluigi Tricoci of Duke University’s Clinical Research Institute. Last year in The Journal of the American Medical Association, Tricoci and his co-authors wrote that only 11 percent of 2,700 widely used cardiac-treatment guidelines were based on that gold standard. Most were based only on expert opinion.

Experts are as vulnerable to conflicts of interest as researchers are, the authors warned, because “expert clinicians are also those who are likely to receive honoraria, speakers bureau [fees], consulting fees or research support from industry.” They called the current cardiac-research agenda “strongly influenced by industry’s natural desire to introduce new products.”

Perhaps it’s no surprise that I also discovered others puzzling over cardiologists who recommended pacemakers for relatives with advanced dementia. “78-year-old mother-in-law has dementia; severe short-term memory issues,” read an Internet post by “soninlaw” on Elderhope.com, a caregivers’ site, in 2007. “On a routine trip to her cardiologist, doctor decides she needs a pacemaker. . . . Anyone have a similar encounter?”

By the summer of 2007, my dad had forgotten the purpose of a dinner napkin and had to be coached to remove his slippers before he tried to put on his shoes. After a lifetime of promoting my father’s health, my mother reversed course. On a routine visit, she asked Rogan to deactivate the pacemaker. “It was hard,” she later told me. “I was doing for Jeff what I would have wanted Jeff to do for me.” Rogan soon made it clear he was morally opposed. “It would have been like putting a pillow over your father’s head,” he later told me.

Not long afterward, my mother declined additional medical tests and refused to put my father on a new anti-dementia drug and a blood thinner with troublesome side effects. “I take responsibility for whatever,” she wrote in her journal that summer. “Enough of all this overkill! It’s killing me! Talk about quality of life — what about mine?”

Then came the autumn day when she asked for my help, and I said yes. I told myself that we were simply trying to undo a terrible medical mistake. I reminded myself that my dad had rejected a pacemaker when his faculties were intact. I imagined, as a bioethicist had suggested, having a 15-minute conversation with my independent, predementia father in which I saw him shaking his head in horror over any further extension of what was not a “life,” but a prolonged and attenuated dying. None of it helped. I knew that once he died, I would dream of him and miss his mute, loving smiles. I wanted to melt into the arms of the father I once had and ask him to handle this. Instead, I felt as if I were signing on as his executioner and that I had no choice.

Over the next five months, my mother and I learned many things. We were told, by the Hemlock Society’s successor, Compassion and Choices, that as my father’s medical proxy, my mother had the legal right to ask for the withdrawal of any treatment and that the pacemaker was, in theory at least, a form of medical treatment. We learned that although my father’s living will requested no life support if he were comatose or dying, it said nothing about dementia and did not define a pacemaker as life support. We learned that if we called 911, emergency medical technicians would not honor my father’s do-not-resuscitate order unless he wore a state-issued orange hospital bracelet. We also learned that no cardiology association had given its members clear guidance on when, or whether, deactivating pacemakers was ethical.

(Last month that changed. The Heart Rhythm Society and the American Heart Association issued guidelines declaring that patients or their legal surrogates have the moral and legal right to request the withdrawal of any medical treatment, including an implanted cardiac device. It said that deactivating a pacemaker was neither euthanasia nor assisted suicide, and that a doctor could not be compelled to do so in violation of his moral values. In such cases, it continued, doctors “cannot abandon the patient but should involve a colleague who is willing to carry out the procedure.” This came, of course, too late for us.)

In the spring of 2008, things got even worse. My father took to roaring like a lion at his caregivers. At home in California, I searched the Internet for a sympathetic cardiologist and a caregiver to put my Dad to bed at night. My frayed mother began to shout at him, and their nighttime scenes were heartbreaking and frightening. An Alzheimer’s Association support-group leader suggested that my brothers and I fly out together and institutionalize my father. This leader did not know my mother’s formidable will and had never heard her speak about her wedding vows or her love.

Meanwhile my father drifted into what nurses call “the dwindles”: not sick enough to qualify for hospice care, but sick enough to never get better. He fell repeatedly at night and my mother could not pick him up. Finally, he was weak enough to qualify for palliative care, and a team of nurses and social workers visited the house. His chest grew wheezy. My mother did not request antibiotics. In mid-April 2008, he was taken by ambulance to Middlesex Hospital’s hospice wing, suffering from pneumonia.

Pneumonia was once called “the old man’s friend” for its promise of an easy death. That’s not what I saw when I flew in. On morphine, unreachable, his eyes shut, my beloved father was breathing as hard and regularly as a machine.

My mother sat holding his hand, weeping and begging for forgiveness for her impatience. She sat by him in agony. She beseeched his doctors and nurses to increase his morphine dose and to turn off the pacemaker. It was a weekend, and the doctor on call at Rogan’s cardiology practice refused authorization, saying that my father “might die immediately.” And so came five days of hard labor. My mother and I stayed by him in shifts, while his breathing became increasingly ragged and his feet slowly started to turn blue. I began drafting an appeal to the hospital ethics committee. My brothers flew in.

On a Tuesday afternoon, with my mother at his side, my father stopped breathing. A hospice nurse hung a blue light on the outside of his hospital door. Inside his chest, his pacemaker was still quietly pulsing.

After his memorial service in the Wesleyan University chapel, I carried a box from the crematory into the woods of an old convent where he and I often walked. It was late April, overcast and cold. By the side of a stream, I opened the box, scooped out a handful of ashes and threw them into the swirling water. There were some curious spiraled metal wires, perhaps the leads of his pacemaker, mixed with the white dust and pieces of bone.

A year later, I took my mother to meet a heart surgeon in a windowless treatment room at Brigham and Women’s Hospital in Boston. She was 84, with two leaking heart valves. Her cardiologist had recommended open-heart surgery, and I was hoping to find a less invasive approach. When the surgeon asked us why we were there, my mother said, “To ask questions.” She was no longer a trusting and deferential patient. Like me, she no longer saw doctors — perhaps with the exception of Fales — as healers or her fiduciaries. They were now skilled technicians with their own agendas. But I couldn’t help feeling that something precious — our old faith in a doctor’s calling, perhaps, or in a healing that is more than a financial transaction or a reflexive fixing of broken parts — had been lost.

The surgeon was forthright: without open-heart surgery, there was a 50-50 chance my mother would die within two years. If she survived the operation, she would probably live to be 90. And the risks? He shrugged. Months of recovery. A 5 percent chance of stroke. Some possibility, he acknowledged at my prompting, of postoperative cognitive decline. (More than half of heart-bypass patients suffer at least a 20 percent reduction in mental function.) My mother lifted her trouser leg to reveal an anklet of orange plastic: her do-not-resuscitate bracelet. The doctor recoiled. No, he would not operate with that bracelet in place. It would not be fair to his team. She would be revived if she collapsed. “If I have a stroke,” my mother said, nearly in tears, “I want you to let me go.” What about a minor stroke, he said — a little weakness on one side?

I kept my mouth shut. I was there to get her the information she needed and to support whatever decision she made. If she emerged from surgery intellectually damaged, I would bring her to a nursing home in California and try to care for her the way she had cared for my father at such cost to her own health. The thought terrified me.

The doctor sent her up a floor for an echocardiogram. A half-hour later, my mother came back to the waiting room and put on her black coat. “No,” she said brightly, with the clarity of purpose she had shown when she asked me to have the pacemaker deactivated. “I will not do it.”

She spent the spring and summer arranging house repairs, thinning out my father’s bookcases and throwing out the files he collected so lovingly for the book he never finished writing. She told someone that she didn’t want to leave a mess for her kids. Her chest pain worsened, and her breathlessness grew severe. “I’m aching to garden,” she wrote in her journal. “But so it goes. ACCEPT ACCEPT ACCEPT.”

Last August, she had a heart attack and returned home under hospice care. One evening a month later, another heart attack. One of my brothers followed her ambulance to the hospice wing where we had sat for days by my father’s bed. The next morning, she took off her silver earrings and told the nurses she wanted to stop eating and drinking, that she wanted to die and never go home. Death came to her an hour later, while my brother was on the phone to me in California — almost as mercifully as it had come to my paternal grandfather. She was continent and lucid to her end.

A week later, at the same crematory near Long Island Sound, my brothers and I watched through a plate-glass window as a cardboard box containing her body, dressed in a scarlet silk ao dai she had sewn herself, slid into the flames. The next day, the undertaker delivered a plastic box to the house where, for 45 of their 61 years together, my parents had loved and looked after each other, humanly and imperfectly. There were no bits of metal mixed with the fine white powder and the small pieces of her bones.

Katy Butler lives in Mill Valley, Calif., and teaches memoir writing at the Esalen Institute in Big Sur.

Why the Electoral College is Terrible

Hastur says...

Also, some of his numbers are way off. According to the US Census (see #29), 79% of the population was urban in 2000, not ~20% as he claims.

For a breakdown of metro areas by population, look at #21 at the US Census link, "Metropolitan Statistical Areas--Population by Age". There were 131 million votes cast for president in 2008. If you want to arbitrarily define urban as 1 million people or more, there are 126.4 million voting-age people living in metropolitan areas.

Sliced a different way, according to the US Census, a presidential candidate can get to 50% of that if they take the voting age populations of just the top 12 metropolitan areas:

New York-Northern New Jersey-Long Island, NY-NJ-PA
Los Angeles-Long Beach-Santa Ana, CA
Chicago-Joliet-Naperville, IL-IN-WI
Dallas-Fort Worth-Arlington, TX
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD
Houston-Sugar Land-Baytown, TX
Washington-Arlington-Alexandria, DC-VA-MD-WV
Miami-Fort Lauderdale-Pompano Beach, FL
Atlanta-Sandy Springs-Marietta, GA
Boston-Cambridge-Quincy, MA-NH
San Francisco-Oakland-Fremont, CA
Detroit-Warren-Livonia, MI

I don't know where he gets his numbers--maybe by using strict city limits?--but they're not even close to reality. According to the facts, in a pure popularity vote, a presidential candidate can safely ignore the rural areas and still win an election.

The electoral college is imperfect, but whatever you want to replace it with should do a better job of representing a diversity of interests--geographic, demographic, and politic--than a direct popular vote.

Cameraman Arrested by Police

CaptainObvious says...

“The department is conducting an internal review of the incident between a Suffolk County Police Department supervisor and a photographer that resulted in the photographer’s arrest. I am working with the Suffolk County District Attorney to have the arrest nullified.

“The police department believes in keeping an open line of communication with the media and we will be reviewing the department’s policy concerning involvement with the news media. The department will also provide refresher training to all officers regarding the interaction between the news media and department personnel.”

–Suffolk County Police Commissioner Richard Dormer


"The commissioner’s statement came after the Press Club of Long Island called on police and prosecutors to drop all charges against the freelance journalist, Phil Datz, 34, a Valley Stream resident." - http://carlcorry.com/2011/08/suffolk-police-issue-mea-culpa-on-cameraman-arrest/

Love Your Enemies

sme4r says...

Yeah but I was half expecting the article to be about some redneck racists seeking belated vengeance for 9/11 or something, after they this guy on the news or something. If he had to go, i'm glad it was a more natural cause. It does suck though, I hope they met again before he died.>> ^hpqp:


>> ^sme4r:
Unfortunately THIS


Love Your Enemies

Love Your Enemies

Scorched Earth: Eminent Domain Abuse

USA admits adding fluoride to water is damaging teeth

Sagemind says...

Biography
Dr. Gerald Curatola graduated from Colgate University in 1979 and received his dental education from New York University College of Dentistry. After graduating in 1983, Dr. Curatola returned to join the teaching faculty in both the Division of Prosthodontic Science and Post-Graduate Department of Continuing Education from 1984-1995. Dr. Curatola also served on the hospital staffs of both New York University and Cabrini Medical Centers in New York City. As a researcher in dental materials and national lecturing clinician in the field of Restorative and Cosmetic Dentistry, Dr. Curatola has worked with many dental manufacturers including the Den-Mat, Kerr, Siemens, Brasseler, Colgate, and Oral-B Companies.

In a joint effort with the Jamaican Government and the Peace Corps, Dr. Curatola performed voluntary dentistry on the island of Jamaica, West Indies in 1982. He continued to volunteer his services to the Bowery Mission in New York City from 1985-1995. Since 1996, Dr. Curatola currently serves on the Board of Directors for the Pediatric Dental Fund of the Hamptons (PDF) whose mission is to provide voluntary dental services to indigent children on the East End of Long Island.

Dr. Curatola has maintained private dental practices in both Manhattan and East Hampton. In 1986, he established the Curatola Dental Group, a restorative and cosmetic dental practice in New York City. After settling his permanent residence in East Hampton, he founded East Hampton Dental Associates, a multi-specialty practice in 1999. Dr. Curatola continues to consult for several major dental corporations in the United States and Europe and lectures internationally on the techniques and benefits of new treatment modalities especially natural, therapeutic approaches to building dental health. He is Cofounder and Chairman of C.S.Bioscience, Inc., a dental biotech company which has developed and patented a nutritional- homeopathic oral care formula (NuPath TM Complexes).

Dr. Curatola has authored numerous articles on dentistry and health including a recent chapter on dental health for the book entitled, "Live Long, Look Young" by Lisa Trivell. Dr. Curatola is currently writing a book entitled "Smile for a Lifetime- An Integrative Look at the Role Your Dental Health Plays in Wellness and Longevity."

http://www.easthamptondental.com/curatola.htm

Pi Is (still) Wrong.

Sagemind says...

The Tau Manifesto
Michael Hartl
http://tauday.com


Vi Hart — Blog
http://vihart.com/

I am a recreational mathemusician currently living on Long Island, NY.

I like most creative activities that involve making a lot of noise, mess, or both. Aside from composing, I love improvising on various instruments, drawing, sculpting, and other methods of making things. My main hobby is mathematics, with special interests in symmetry, polyhedra, and surreal complexity. This usually manifests as collaborative research in computational geometry and other areas of theoretical computer science, or as mathematical art. I think the human brain is incredible and strange, so I have developed a great interest in dreaming and consciousness. As a result, I am a trained hypnotist and a lucid dreamer. The human body is pretty neat as well, so I enjoy dancing and judo. I always love to learn new things—variety is the food of creativity!
You can email me at vi (at) vihart.com.
If you'd like to leave me voicemail or send me an SMS, call or text (+1) 530‑7VI‑HART [530‑784‑4278].

"God's Warriors" Take Government Appointed Attorneys

ponceleon says...

Its a funny headline, but I question whether it is accurate. In my experience with people who try to represent themselves as their own attorneys, the judges often force them to have legal backup from court-appointed attorneys because it reduces the chance of a mistrial due to the lack of procedural knowledge.

Even the nutjobs like that Salvo guy and the other guy who shot up all those people on the commuter rail in Long Island had court appointed legal counsel while they acted as their own attorneys.


They often try to fire them but the courts tend to almost insist that you have an attorney if you represent yourself because otherwise it is really easy to claim that you didn't get a fair trial since you didn't have "good representation."

Yes yes, I know that is really stupid, but it is absolutely why they always try to have a legal adviser.

Frank Zappa - Greatest Drum Solo

ulysses1904 says...

Good stuff. Usually drum solos are the very definition of boring but some of them stand out. The best one I ever heard was David Bowie's drummer Dennis Davis, on his 1976 Station to Station tour. They played at the Nassau Coliseum on Long Island and the show was broadcast on the King Biscuit Flour Hour. Dennis has a drum solo during "Panic in Detroit" and I have never heard any musician so connected with his instrument as Dennis is on that solo.



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