Archive for the '[Etc]' category

No Permission Required

Dec 09 2014 Published by under etc

One of the most valuable things an academic can do requires no permission from your supervisor. While some departments and groups perform the activity formally, many faculty do it on their own. It should not be a solo activity, though. Strength comes from input from others.

I am talking about the CV review.

In The Ivory Tower, your CV is your life and the most important part of your promotion and tenure packet.

Hosting a CV review is pretty simple. I have a guest post up over at Tenure She Wrote detailing how you can make this happen. When you're ready to have your event, you can also download a CV review worksheet from the website for The Promotion Game.


 

You can also still score a free copy of the book by signing up for the newsletter or following the book on Twitter. 1 in 5 will win!

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What I Am Reading: Recent Airport Edition

Nov 20 2014 Published by under What I'm Reading

I spent a bunch of time in airports recently (thanks, winter), and I read several books. Instead of trying to review each one separately, I will just list them with a short synopsis of my thoughts. 

The Prince Lestat (Ann Rice)

 Ann Rice abandoned her muse, the bad-boy Lestat, and wrote about other things for several years. I am delighted that the non-sparkly vampires have come back to explore their existence. I have been waiting for her to do a history of the Talamasca since Taltos, the conclusion of the Mayfair Witch Chronicles. Waiting, waiting, waiting…and finally rewarded! If you haven’t read any other books in the vampire series, I would not start here. If you read the first 3, you can jump right into this one!

The Secret History of Wonder Woman (Jill Lepore)

Don’t let the size of this book scare you away; almost half of the text contains notes and other references. This meticulously researched history documents the life and times of William Moulton Marston, a frustrated academic who invented an early lie detector, lived with two women, and belonged to the Harvard Men for Women’s Suffrage. This read provides a fascinating history of the women’s movement in the US, as well as the rationale behind a beloved fictional character (yes, the bracelets, lasso, and invisible plane all have a reason). I was sort of sorry when this one ended; frankly, the story of the Amazons is as believable as that of the Marston clan!

The Secret Place (Tana French)

This is French’s fifth book to solve a death with a member of the Dublin murder squad. If you haven’t read her earlier works, you could start with this one without feeling lost; however, her character-driven novels are delightful, so you will want to read them all anyway. You may as well buy them all and go in order. In this one, an officer working cold cases gets a chance to work a murder. The action takes place in a swanky girls’ school over the course of a day. While I agree with the critics that this is the weakest novel yet from this author, I still found it a wonderful read and recommend it highly.

Obitchuary (Stephanie Hayes)

This came to me as an Amazon featured book that I got for almost nothing. This chick-lit features a young reporter who gains a degree of fame writing in-depth obituaries for selected people. Getting a date for her cousin’s wedding results in murder, mayhem, and the mob, along with finding true love. Good book to have in an airport if you want to forget you are delayed in O’Hare. It has no redeeming social value.

Killing Ruby Rose (Jessie Humphries)

Another Amazon feature and the first book in a series. Ruby Rose is 17, a brilliant high school senior in southern California, and grieving after the death of her ex-marine, SWAT team father. She starts tailing sex offenders who got off on technicalities, planning to get them convicted. She ends up being manipulated to kill them instead. Her family history gets very complicated along the way, and her own life comes under threat. She handles it all with poise; the major criticism with the story is that NO TEENAGER IS THIS TOGETHER, I DON’T CARE HOW SMART SHE IS!!! It’s a fun enough read that I bought the second book (came out last week), but you really have to be able to suspend your disbelief for these reads.

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Almost Home #KidneyWk14

Nov 15 2014 Published by under Travel

Kidney Week is once again winding down. Today I ran my last meeting of the Kidney News Editorial Board. I will miss putting that magazine together, but new blood often generates new invigorating ideas for a publication. The new editor is keeping me on the board, so I still have a voice.

Oklahoma expects snow tomorrow for my return home. My car sits in an open lot, so I will have to clear it off. At least only an inch or two is predicted. I just hope Denver stays clear so I do not get delayed like I did en route to Philadelphia. Reentry to regular life is just that much more difficult when you are sleep deprived.

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Progress Report: 10,000 steps at a time

Oct 29 2014 Published by under General Health, gizmos

A while back I blogged about the addition of a stair stepper to my standing desk set up. I have gotten much better at typing (keyboarding for you whippersnappers) and doing other work while stepping. Working with our electronic record systems and sending email barely slows me down.

Phone calls still require standing still or sitting; the stepper, unlike a treadmill, requires some oomph from me to move. That gets transmitted in my voice, and I don't want to have to explain why I sound weird.

To give you an example of how this changes my activity level, here is today so far:

8:30 - 10:00:  Made rounds with residents. Saw consult patients. Just over 2,000 steps by Fitbit

10:00 -  Noon:  Office work, including charting, reading manuscripts, email and other correspondence. Current steps at 9,264

Thinking it's time you added a stepper? Some things to keep in mind:

  • Keep padded shoes available; if you have been standing at your desk, you probably have something comfortable stashed under your desk anyway. Unlike standing, my ballet flats and loafers do not suffice when I'm stepping.
  • Some steppers squeak. Mine started out quiet, and then became annoying when I put my right foot down. This noise stopped a couple of days ago for no good reason that I can identify. It's best to close your door while you do this anyway, both because of noise and the weirdness factor.
  • If you are prone to feel warm in your workplace, you may want a fan. You really can get warm with this level of activity, even at an incredibly leisurely pace such as I have.

By the way, in the 8 minutes it took me to write that bullet list, another 400 steps have been added to the total.

 

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What I Am Reading: OCP

Oct 21 2014 Published by under What I'm Reading

Click to Amazon

Click to Amazon

Stop what you are doing. Right now. We all should read this book, The Birth of the Pill: How Four Crusaders Reinvented Sex and Launched a Revolution. Jonathan Eig tells us the story of the intersecting lives of Margaret Sanger, Katharine McCormick, Goody Pincus, and John Rock. Their individual motivations differed, but ultimately their efforts combined to bring about the oral contraceptive pill (OCP), Enovid.

Sanger wanted to make sex as free and pleasurable for women as for men; McCormick wanted women to have more opportunities without being a slave to their uterus. Goody Pincus wanted to be recognized as a great scientist; Rock wanted women to be able to space pregnancies. All were influenced by the health effects of uncontrolled fertility on women, particularly those who were poor.

Their discoveries collided with changing social attitudes around 1960, leading to a revolution in women's rights and attitudes toward sex. The book details the perfect storm that led to the current state of women and sex. When they first began testing the OCP, contraception was illegal in a majority of the United States. They worked around that little problem by testing an initial indication for menstrual disorders! Many previously infertile women in Rock's practice also became pregnant after a few months of regulation with Enovid, so even though it inhibited fertility, it had a possible infertility indication!

Perhaps most importantly, this work reminds us how important the OCP and control of fertility are for women. Women with fewer pregnancies experienced better health. In the years after the OCP became available, women's wages began to catch up to men's; a woman employee was not merely killing time till the stork came! Women also began entering higher education in greater numbers, including professional schools. Women continued their decades-long quest for real equality.

We have other contraceptive options today, but the OCP remains the gold standard. Read this book; you will learn something, and the stories are quite entertaining!

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Is This Right?

Sep 09 2014 Published by under Wackaloonacy

Today a new book from Dr. Seuss will hit the stores featuring stories from magazines 60 years ago.

Working in pediatrics, Dr. Seuss inspires a lot of stuff around me. Some of our junior artists based their work on his characters as shown below:

Hmmmm...

Hmmmm...

It took me a minute to realize that this is an articulated puppet; that string makes the arms and legs move when it's not mounted under glass.

I must admit my first thought was why on earth the Cat in the Hat needed a tampon...

I think I would have tucked the string behind the puppet before framing.

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Final Friday Thoughts

Aug 22 2014 Published by under etc

I just read a post about the sexual and racial politics of the latest videos from Taylor Swift and Nicki Minaj. The author saw waaaaay more in these presentations than I did, although I found both songs and videos entertaining.

  1. "Shake it Off" is pretty much what you would expect from Taylor Swift if you have ever encountered her stuff before EXCEPT it is clearly not a country song.
  2. "Anaconda" may set a record for most phallic symbols in a video.
  3. How do they do that with their butts?
  4. While both tunes are catchy, it is unfortunately the work of Ms. Minaj that has provided today's earworm.

I will be off in a bit to do whatever it takes to get the phrase "My anaconda don't" off of continual replay in my head. I think I pulled a muscle trying to emulate some twerk moves as well.

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What I Am Reading: Dystopian Future

Aug 21 2014 Published by under Uncategorized, What I'm Reading

CircleRemember reading 1984 in high school? Big Brother is watching you so you must conform to society's standards! The Circle tells the story of the genesis of an internet-age totalitarian society much like the one Orwell created.

I doubt that this one will make the jump to "literature that should be taught, but I might be wrong.

What is The Circle? Imagine that Google, Facebook, Twitter, Paypal, and every other major internet service were mashed up into one giant corporation. This company controls an online identity system that keeps people from participating anonymously or pseudonymously online. This led to complete internet civility (of course!). It also allowed more secure payment systems, even leading some to suggest that all cash be eliminated for Circle-based payments. Employees at the company propose new uses of The Circle to make life more pleasant and secure all the time. The one thing no one seems to do at The Circle is code or actually do computer stuff. Hmmmm.

The story focuses on Mae Holland, a new employee at The Circle. Through a friend who is in The Circle's inner circle, she secures an entry-level customer experience job that allows her to escape a mind-numbing position at a local utility company. The Circle resides on a California campus with all the bells and whistles we expect from an internet company: game rooms, free cafeterias, gardens, sports fields, the works. In addition, their seems to be multiple social events for employees every evening, some of which are mandatory. The campus also boasts beautiful dorms where employees can stay and give up life outside The Circle all together.

May starts out treating her employment like a job. As time goes on, she discovers that she is expected to participate in The Circle's ongoing social media (internal and external) as well as "extracurricular" activities or she will be viewed as "antisocial" and "not part of The Circle." May succeeds, and rises in her department, eventually resulting in 6 or 7 separate screens on her desk for various components of her work. Eventually, events occur that prod May to become "transparent." This means wearing a live web cam at all times so her life while awake becomes an open book. Nothing can be deleted from her video feed (even when she catches her parents having sex).

The leaders are intent on "Closing the Circle" which should make May ask some very critical questions. However, despite the obvious impending loss of freedom (and the reader screaming at her on the page), May seems disinclined to see anything but the rosy picture her supervisors paint. Even when someone brazenly spells it out for her, she fails to see the danger of the situation.

The use of tiles at the company echos parts of 1984. Instead of "Big Brother is Watching," we have "Secrets are Lies" and "Privacy is Theft."

We often look at totalitarian states and wonder how the regular people let this obviously bad government happen. This book tries to explain that, and does a reasonable job. I wish there had been a few more examples of resistance, other than an ex-boyfriend who I found generally unappealing. If anyone else has read this book, I would love to hear your thoughts in the comments.

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What I Am Reading: Blast From My Past

Aug 11 2014 Published by under What I'm Reading

First, Some Background

I come from a family of non-athletes. In high school, my interest in sports mostly involved cute boys playing them. I had to learn about basketball in gym class, but watching my tiny high school football team taught me little about the game.

I then left for Kansas City. As part of the University of Missouri system, my boyfriend, an actual athlete, took me to football games at Mizzou. I began to appreciate the strategy of the game. The Chiefs were pretty bad in the early 1980s, so tickets could be bought at reasonable prices. I loved sitting in that bowl at Arrowhead as part of the crowd in red and gold, even if victory often fell out of reach.

In 1984, that same boyfriend (now my spouse) moved to Chicago to start his residency. The Bears were coming of age that year, especially dominating with their 46 defense. I moved to the Windy City in the summer of 1985, ready to cheer on a new team.

MonstersThe Book

Monsters: The 1985 Chicago Bears and the Wild Heart of Football occupied two evenings of my vacation. I could not put this book down, although I do not know if someone without the type of background above would love it as much. The author, Rich Cohen, grew up in Chicago and during his senior year in high school managed to get SuperBowl XX tickets and make his way to New Orleans for this big game. He captures the mood of the city at that time perfectly, and provides great background for those of us (like President Obama) who were new to the way of "Da Bears."

Yes, there is a component of memoir to this text, but also of history. I knew Papa Bear Halas, thanks to his obituaries, had been instrumental in founding the National Football League, but I never realized how much the game owed him. He was the first coach to use the "eye in the sky." One game an assistant took a message to his wife in the stands. He came back to the sidelines in awe of what that view afforded him. What looked like guys grinding it out in the mud took on patterns and logic when seen on high. The next year Halas stationed an assistant at press box level and installed a phone from there to the sideline.

Even after he "retired" from coaching, he often hung around the facilities. One day in the locker room, some players recall him beginning to lecture them on varying strategies depending on where the ball was being played. He divided the field into blue, white, and - wait for it - red zones, the first time anyone can recall the term "red zone" being used.

We learn a lot more about Iron Mike Ditka (other members of the family had simplified the Polish surname to Disco, if you can imagine that) and Buddy Ryan. The latter, of course, brought us that amazing defense that never quit. At the time, I knew these men did not like each other; I never realized how much they disliked each other until reading the book. The details also seal my everlasting admiration of Samurai Mike Singletary, a guy tough enough and smart enough to run that defense.

McMahon salutes authority

McMahon salutes authority

Cohen does not shy away from the aftermath of the game, either. He discusses the difficulties with injuries many of the players continue to have, including Dave Duerson's suicide in 2011 while suffering from chronic traumatic encephalopathy and Jim McMahon's ongoing issues with mental function. As he finished his interview with the forgetful but still punky QB, he asked the money question: Was it worth it? McMahon said, "I'd do it all again in a heartbeat."

Postlude

I still remember that Sunday morning. I took call overnight in a now gone Chicago hospital that Saturday, caring for sick infants in the neonatal intensive care unit (NICU). I was anxious to get home because we had friends coming over for the game. All that stood between me and departure were handoff rounds. As we entered the NICU, we were delighted by every infant having a piece of tape (paper or adhesive, as tolerated) with "Rozelle" or a player's name or just "Bears" written across it in marker. Just remembering it brings a smile to my face and makes me want to dance the SuperBowl Shuffle.

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What I Am Reading: Free Market Edition

Jul 28 2014 Published by under MedicoLegal Concerns, What I'm Reading

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Sigrid Fry-Revere is a lawyer and a medical ethicist. She has played an advisory role to organ donation organizations in the US. Her latest work explores the kidney "exchanges" in Iran where a very different approach to organ donation has produced a surplus of living kidney donors.

The approach in most of the world has been to use deceased donors for transplantation as much as possible. Kidneys provide a unique opportunity for living donation, since most people have two and can live nicely with only a single organ. Our system requires these kidneys be donated from purely altruistic motives, usually because of relationships between the parties involved: husband - wife, parent - child, or other relations. When relatives or other close parties cannot donate, a donation "circle" can be set up. In this, one party cannot donate to their loved one, but they are a match for someone else whose relatives cannot donate. In the simplest setting, the donor exchange is paired; however, chains of up to 19 donors and recipients have now been orchestrated to give dialysis patients a better life.  While many donor expenses are covered by medical insurance, donating may have unseen expenses, including weeks out of work and the potential for complications of anesthesia and surgery.

Despite harvesting deceased organs, matching services for donor chains, and availability of dialysis, 20 to 25 people in the US die every day awaiting a kidney.

Iran has taken a different tactic to alleviate kidney shortages, namely paying organ donors. The powers that be in the US have assumed that this system is coercive and unfair. Dr. Fry-Revere decides that a program this successful is worth learning about. She spends several months on the road in Iran with an expatriate nephrologist, Dr. Bahar Bastani, a former colleague of mine at Saint Louis University. They bravely recorded video and audio interviews with doctors, nurses, donors, and recipients throughout Iran, generating the first account of this system by Western experts. The resulting book is The Kidney Sellers: A Journey of Discovery in Iran.

In Iran, the national government provides a cash payment for a kidney. Additional compensation varies by region. Most regional centers provide health coverage for a period of time for donors. The donor can then negotiate with the seller through the regional bureau for additional cash; if the recipient has no means to pay, the center can often tap donations for the funds needed.

Procedures vary from region to region. In the best situations, donors are carefully screened to make sure that their financial issues cannot be solved through other routes.  Potential donors interviewed in the book often had a debt to retire or needed capital to start a business; marriage often necessitated a cash infusion. Donors often expressed mixed emotions about the procedure. Many got their money, fixed their financial issues, and moved on with no regrets, but some felt guilt or shame that they had to sell an organ to make their lives better.

Recipients sometimes formed bonds with their paid donors, but for the most part this was a market transaction that ended when it ended. Many stated that they preferred a paid donation to an altruistic one from a relative; the latter would have left them indebted for life, while paying cash let them feel the debt was paid. They could then move on with better health and less guilt.

The book can be a bit repetitive at times, but it paints a wonderful picture of a society and system we know very little of. As I watch my own patients on dialysis, waiting months for a deceased donor kidney, I wonder if the Iranians just might have a good idea. I recommend reading this work for a thought-provoking take on our organ donation system.

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