Hospital Emergency Quotes

A library in the middle of a community is a cross between an emergency exit, a life-raft and a festival. They are cathedrals of the mind; hospitals of the soul; theme parks of the imagination. On a cold rainy island, they are the only sheltered public spaces where you are not a consumer, but a citizen instead

A library in the middle of a community is a cross between an emergency exit, a life raft and a festival. They are cathedrals of the mind; hospitals of the soul; theme parks of the imagination.

Marie, let’s suppose that two firemen go into a forest to put out a small fire. Afterwards, when they emerge and go over to a stream, the face of one is all smeared with black, while the other man’s face is completely clean. My question is this: which of the two will wash his face? That’s a silly question. The one with the dirty face of course.’ No, the one with the dirty face will look at the other man and assume that he looks like him. And, vice versa, the man with the clean face will see his colleague covered in grime and say to himself: I must be dirty too. I’d better have a wash.’ What are you trying to say?’ I’m saying that, during the time I spent in the hospital, I came to realize that I was always looking for myself in the women I loved. I looked at their lovely, clean faces and saw myself reflected in them. They, on the other hand, looked at me and saw the dirt on my face and, however intelligent or self-confident they were, they ended up seeing themselves reflected in me thinking that they were worse than they were. Please, don’t let that happen to you.

I slowly climbed back to my feet, walked back into the emergency department through the silently swishing glass doors, and, covered in my girlfriend's blood, lied perfectly for the first time in my life. "I tried to stop her.

Why do I take a blade and slash my arms? Why do I drink myself into a stupor? Why do I swallow bottles of pills and end up in A&E having my stomach pumped? Am I seeking attention? Showing off? The pain of the cuts releases the mental pain of the memories, but the pain of healing lasts weeks. After every self-harming or overdosing incident I run the risk of being sectioned and returned to a psychiatric institution, a harrowing prospect I would not recommend to anyone. So, why do I do it? I don't. If I had power over the alters, I'd stop them. I don't have that power. When they are out, they're out. I experience blank spells and lose time, consciousness, dignity. If I, Alice Jamieson, wanted attention, I would have completed my PhD and started to climb the academic career ladder. Flaunting the label 'doctor' is more attention-grabbing that lying drained of hope in hospital with steri-strips up your arms and the vile taste of liquid charcoal absorbing the chemicals in your stomach. In most things we do, we anticipate some reward or payment. We study for status and to get better jobs; we work for money; our children are little mirrors of our social standing; the charity donation and trip to Oxfam make us feel good. Every kindness carries the potential gift of a responding kindness: you reap what you sow. There is no advantage in my harming myself; no reason for me to invent delusional memories of incest and ritual abuse. There is nothing to be gained in an A&E department.

A high-speed collision gave a new sense of sight To me And now my vision can render the scene A blurry image of wreckage and roadside debris Happiness returned to me Through a grave emergency

اس وقت تو یوں لگتا ہے اب کچھ بھی نہیں ہے مہتاب نہ سورج، نہ اندھیرا نہ سویرا آنکھوں کے دریچوں پہ کسی حسن کی چلمن اور دل کی پناہوں میں کسی درد کا ڈیرا ممکن ہے کوئی وہم تھا، ممکن ہے سنا ہو گلیوں میں کسی چاپ کا اک آخری پھیرا شاخوں میں خیالوں کے گھنے پیڑ کی شاید اب آ کے کرے گا نہ کوئی خواب بسیرا اک بَیر، نہ اک مہر، نہ اک ربط نہ رشتہ تیرا کوئی اپنا، نہ پرایا کوئی میرا مانا کہ یہ سنسان گھڑی سخت کڑی ہے لیکن مرے دل یہ تو فقط اک ہی گھڑی ہے ہمت کرو جینے کو تو اک عمر پڑی ہے "فیض احمد فیض" میو ہسپتال، لاہور 4، مارچ 82ء

Emergency Rooms ... were the nightmares your nightmares had while they slept.

There were people dying everywhere getting massacred in every town and village, there were people being picked up and thrown into dark jails in unknown parts, there were dungeons in the city where hundreds of young men were kept in heavy chains and from where many never emerged alive, there were thousands who had disappeared leaving behind women with photographs and perennial waiting, there were multitudes of dead bodies on the roads, in hospital beds, in fresh martyrs' graveyards and scattered casually on the snow of mindless borders.

You keep the lights on in a library the same way you keep the lights on in the emergency of a hospital.

Emergencies are crucibles that contain and reveal the daily, slower-burning problems of medicine and beyond—our vulnerabilities; our trouble grappling with uncertainty, how we die, how we prioritize and divide what is most precious and vital and limited; even our biases and blindnesses.

I wonder if I should get one of those baby-on-board signs. That way the assholes behind me can learn a little patience instead of laying on the horn like we’re all in some motherfucking emergency,” Tucker grumbles as he helps me out. “What’s going to happen when one of those fuckers comes to your door wanting to take Jamie out on a date?” Tucker stops abruptly, causing me to collide with his stiff back. “She’s going to an all-girls school.” “Okay, so what happens if one of those fuckers is a female wanting to take Jamie out on a date?” “None of this would be a problem,” he accuses, “if we stayed in the hospital like I suggested.

When a worker is injured at an IBP plant in Texas, he or she is immediately presented with a waiver. Signing the waiver means forever surrendering the right to sue IBP on any grounds. Workers who sign the waiver may receive medical care under IBP's Workplace Injury Settlement Program. Or they may not. Once workers sign, IBP and its company-approved doctors have control over the job-related medical treatment - for life. Under the program's terms, seeking treatment from an independent physician can be grounds for losing all medical benefits. Workers who refuse to sign the IBP waiver not only risk getting no medical care from the company, but also risk being fired on the spot...Injured workers almost always sign the waiver. The pressure to do so is immense. An IBP medical case manager will literally bring the waiver to a hospital emergency room in order to obtain an injured worker's signature. When Lonita Leal's right hand was mangled by a hamburger grinder at the IBP plant in Amarillo, a case manager talked her into signing the waiver with her left hand as she waited in the hospital for surgery. When Duane Mullin had both hands crushed in a hammer mill at the same plant, an IBP representative persuaded him to sign the waiver with a pen held in his mouth.

You keep the lights on in a library the same way you keep the lights on in the emergency room of a hospital.

I will be conveyed to an Emergency Room of some kind, where I will be detained as long as I do not respond to questions, and then, when I do respond to questions, I will be sedated; so it will be an inversion of standard travel, the ambulance and ER: I'll make the journey first, then depart.

I'm not convinced that it's worth it. How many Cambodians ever asked for a $2 billion election? Nighty percent of them are rice farmers. I lived with them, watched them die at the hospital, and never was the word "election" mentioned. That money would repair hundreds of roads and bridges and pay for tons of seed and fertilizer. And clear a lot of landmines.

THE EMERGENCY ROOM at any hospital in the middle of the night is mainly made up of the consequences of love.

I was taught that the most hardworking nurse is found at the dirtiest part of the clinical ward.

that on any given night, an average of five hundred teenagers are taken to hospital emergency rooms for alcohol poisoning or other effects of binge drinking.

Everybody knows that it makes no sense that you send a kid to the emergency room for a treatable illness like asthma. They end up taking up a hospital bed. It costs when, if you, they just gave, you gave, treatment early, and they got some treatment, and uhhh a breathalyzer, or uhh, an inhalator, not a breathalyzer...

Occupation prevents you from managing your affairs in your own way. It interferes in every aspect of life and death; it interferes with longing and anger and desire and walking in the street. It interferes with going anywhere and coming back, with going to market, the emergency hospital, the beach, the bedroom, or a distant capital.

With every step her carriage seemed to become a little straighter and her movements more assured: it was as though the mere proximity of the building had caused a brisk professional to emerge from the chrysalis of a careworn wife and mother.

Despite the request, and the fact that executives from some Tenet hospitals, like Atlanta, had already expressed a willingness to provide evacuation support, Tenet officials continued to rely on governmental resources to respond to the emergency.

The holes in her heart had been repaired. When she came home from the hospital, she began to emerge as the heart of our family, and the holes in our hearts were also repaired. Her little personality began to captivate us, and all the boys fell deeply in love with their little sister.

Now, this is my little public service announcement: If you get invited to something, it's incumbent upon you to RSVP as soon as possible. A quick “no” is better than a long “maybe.” People go to a lot of trouble to plan a party, and it's a big deal to open up your home. What's more, it's essential to show up if you say you will. I have a busy life, but I still don't cancel unless it's a superduper emergency – I'm talking hospital-visit, in-the-newspapers-the-next-day emergency. Being tired just isn't a good enough excuse. C'mon! Make an effort! One trick I use to determine whether or not to say yes to an invite is: Would I want to go right then and there? If the party were that second, would I get dressed and rush out of the house to go to the party? If the answer is yes, I probably do want to go, but if the answer is no, I don't accept the invitation.

The last scene of Michael’s life was played out in a hospital emergency room, waiting for the operation which this time, he thought, would probably take his leg. He was lying on a stretcher when he suddenly raised himself up on an elbow, said, “I’m going outside to have a smoke,” and fell back dead.

The second reason caregivers may be silent about the dark side of epidurals is that they generate big bucks for anesthesiologists and hospitals. Epidural charges range from $500 to $2500. A hospital consultant explained to me that hospitals have to maintain staff anesthesiologists around the clock to handle obstetric emergencies. In order for these doctors to make what they consider an adequate income, the hospital has to maintain something like an 80 percent epidural rate. Given this, how strongly do you think medical staff would resist the notion that epidurals are not always a good thing and most women can cope without them?

Nita, stop...Stop justifying me. Henry didn't make me who I am. My mother didn't make me who I am. I made me who I am. i can see the justifications going through your brain. If Henry hadn't praised me, I wouldn't have done awful things. If Henry hadn't brought me people and enabled me, if henry hadn't taken away consequence for crime...if if if. If everything were different, who would I be? But the plain fact is, no matter how many ifs had changed, I'd still be me. Maybe not this me, here with you. But I'd always be a zannie, Nita. I like what I am. I like hurting people. I know so many people...make excuses for everything I do. They blame it on a tragic past. On what I am. As though who you are is defined by what you are. You once told me I could get my food from hospital emergency rooms. Or maybe palliative care wards. You're right, I could. And it's a choice not to...I am not a good person. But I am a person. I make my own choices. - Kovit

They were also the person who kept the ox-sector Emergency Department of the largest hospital in the galaxy purring like an only slightly dyspeptic cat.

A library in the middle of a community is a cross between an emergency exit, a life raft and a festival. They are cathedrals of the mind; hospitals of the soul; theme parks of the imagination.

God knows that parents love to take any opportunity to strut around with their unbearable, intrusive spawns, every public place available. Parks, museums, theaters, hospital, cemeteries, unemployment offices, by pushing in front of them with a puffed chest those characatures of a sarcophagus that are their strollers or even by dangling under the noses of innocent bystanders, their shopping basket from which an ugly squealing head emerges, much to the delight of the makers, who benefit at little cost from their little siren who captures our attention and stimulates our repressed instinct for murder.

Things I Used to Get Hit For: Talking back. Being smart. Acting stupid. Not listening. Not answering the first time. Not doing what I’m told. Not doing it the second time I’m told. Running, jumping, yelling, laughing, falling down, skipping stairs, lying in the snow, rolling in the grass, playing in the dirt, walking in mud, not wiping my feet, not taking my shoes off. Sliding down the banister, acting like a wild Indian in the hallway. Making a mess and leaving it. Pissing my pants, just a little. Peeing the bed, hardly at all. Sleeping with a butter knife under my pillow. Shitting the bed because I was sick and it just ran out of me, but still my fault because I’m old enough to know better. Saying shit instead of crap or poop or number two. Not knowing better. Knowing something and doing it wrong anyway. Lying. Not confessing the truth even when I don’t know it. Telling white lies, even little ones, because fibbing isn’t fooling and not the least bit funny. Laughing at anything that’s not funny, especially cripples and retards. Covering up my white lies with more lies, black lies. Not coming the exact second I’m called. Getting out of bed too early, sometimes before the birds, and turning on the TV, which is one reason the picture tube died. Wearing out the cheap plastic hole on the channel selector by turning it so fast it sounds like a machine gun. Playing flip-and-catch with the TV’s volume button then losing it down the hole next to the radiator pipe. Vomiting. Gagging like I’m going to vomit. Saying puke instead of vomit. Throwing up anyplace but in the toilet or in a designated throw-up bucket. Using scissors on my hair. Cutting Kelly’s doll’s hair really short. Pinching Kelly. Punching Kelly even though she kicked me first. Tickling her too hard. Taking food without asking. Eating sugar from the sugar bowl. Not sharing. Not remembering to say please and thank you. Mumbling like an idiot. Using the emergency flashlight to read a comic book in bed because batteries don’t grow on trees. Splashing in puddles, even the puddles I don’t see until it’s too late. Giving my mother’s good rhinestone earrings to the teacher for Valentine’s Day. Splashing in the bathtub and getting the floor wet. Using the good towels. Leaving the good towels on the floor, though sometimes they fall all by themselves. Eating crackers in bed. Staining my shirt, tearing the knee in my pants, ruining my good clothes. Not changing into old clothes that don’t fit the minute I get home. Wasting food. Not eating everything on my plate. Hiding lumpy mashed potatoes and butternut squash and rubbery string beans or any food I don’t like under the vinyl seat cushions Mom bought for the wooden kitchen chairs. Leaving the butter dish out in summer and ruining the tablecloth. Making bubbles in my milk. Using a straw like a pee shooter. Throwing tooth picks at my sister. Wasting toothpicks and glue making junky little things that no one wants. School papers. Notes from the teacher. Report cards. Whispering in church. Sleeping in church. Notes from the assistant principal. Being late for anything. Walking out of Woolworth’s eating a candy bar I didn’t pay for. Riding my bike in the street. Leaving my bike out in the rain. Getting my bike stolen while visiting Grandpa Rudy at the hospital because I didn’t put a lock on it. Not washing my feet. Spitting. Getting a nosebleed in church. Embarrassing my mother in any way, anywhere, anytime, especially in public. Being a jerk. Acting shy. Being impolite. Forgetting what good manners are for. Being alive in all the wrong places with all the wrong people at all the wrong times.

Nobody seemed to mind that Luke was skipping the line. Even in his haste, it wasn’t lost on Luke that people were much more understanding about an emergency in a vet’s office than they would be if it were a hospital.

I held a brain for the cameras at St Paul’s teaching hospital in Addis. It is the most complex single object in the known universe, a most intricate example of emergent complexity assembled over 4 billion years by natural selection operating within the constraints placed upon it by the laws of physics and the particular biochemistry of life on Earth. It contains around 85 billion individual neurons, which is of the same order as the number of stars in an average galaxy. But that doesn’t begin to describe its complexity. Each neuron is thought to make between 10,000 and 100,000 connections to other neurons, making the brain a computer way beyond anything our current technology can simulate. When we do manage to simulate one, I have no doubt that sentience will emerge; consciousness is not magic, it is an emergent property consistent with the known laws of nature.

Over the years Jim had heard, and more often overheard, objections to the Program’s expanding practice: Many people who worked and paid taxes struggled to pay for health insurance. Why should their money go to providing what some would consider concierge medicine for these people who lived at public expense? For people who produced nothing except indecent public spectacles, and didn’t even try to take care of themselves? Heard from inside a shelter clinic or McInnis House or out on the van, such protests seemed irrelevant. What was the alternative? Ignore chronically homeless people, as the city used to do, or imitate draconian regimes and imprison all rough sleepers in a stadium? In fact, the Program lightened the burdens that homeless people placed on other medical organizations, and did so while providing good care at lower cost than in hospital emergency departments.

Scarlett doesn’t want to go to the hospital. Not surprising, really, since we have to come up with an elaborate story about how we all got so severely wounded. “Dogfight. We broke one up,” my sister answers for us as a horrified emergency room receptionist looks at Scarlett’s raw, bleeding shoulders. “Dogs dislike us.” Silas shrugs, clutching the wound on his chest. He glances down at the burn wounds on my legs. I think they might scar, but it’s hard to say. The receptionist speaks into a walkie-talkie, then lets her eyes travel from the fresh wounds to the ancient scars on Scarlett’s body. “Dogs pretty much hate me,” Scarlett says testily. The poor receptionist looks relieved when the ER doctors appear and usher us down the hall.

As I feel less overwhelmed, my fear softens and begins to subside. I feel a flicker of hope, then a rolling wave of fiery rage. My body continues to shake and tremble. It is alternately icy cold and feverishly hot. A burning red fury erupts from deep within my belly: How could that stupid kid hit me in a crosswalk? Wasn’t she paying attention? Damn her! A blast of shrill sirens and flashing red lights block out everything. My belly tightens, and my eyes again reach to find the woman’s kind gaze. We squeeze hands, and the knot in my gut loosens. I hear my shirt ripping. I am startled and again jump to the vantage of an observer hovering above my sprawling body. I watch uniformed strangers methodically attach electrodes to my chest. The Good Samaritan paramedic reports to someone that my pulse was 170. I hear my shirt ripping even more. I see the emergency team slip a collar onto my neck and then cautiously slide me onto a board. While they strap me down, I hear some garbled radio communication. The paramedics are requesting a full trauma team. Alarm jolts me. I ask to be taken to the nearest hospital only a mile away, but they tell me that my injuries may require the major trauma center in La Jolla, some thirty miles farther. My heart sinks.

Everything I am is based on this ugly building on its lonely lawn—lit up during winter darkness; open in the slashing rain—which allowed a girl so poor she didn’t even own a purse to come in twice a day and experience actual magic: traveling through time, making contact with the dead—Dorothy Parker, Stella Gibbons, Charlotte Brontë, Spike Milligan. A library in the middle of a community is a cross be-tween an emergency exit, a life raft and a festival. They are cathedrals of the mind; hospitals of the soul; theme parks of the imagination. On a cold, rainy island, they are the only sheltered public spaces where you are not a consumer, but a citizen, instead. A human with a brain and a heart and a desire to be uplifted, rather than a customer with a credit card and an inchoate “need” for “stuff.” A mall—the shops—are places where your money makes the wealthy wealthier. But a library is where the wealthy’s taxes pay for you to become a little more extraordinary, instead. A satisfying reversal. A balancing of the power.

Downtown Village was one of the oldest apartment buildings in Albuquerque, rising five stories above the street below. The first four floors housed six small apartments, each just like the one next to it. On the lower levels, the paint was still the hollow green of a hospital emergency room. It remained that way in part because all the elderly people who had settled there since the 1960s detested change--each existing in their small apartments, watching the walls of their rooms outlive their husbands and wives.

Every single emergency room in every single hospital adjoining or near a college campus stocks extra supplies on Thursday nights — rape kits for the sexual assault victims, IV fluids for those who are dehydrated from alcohol-induced vomiting, and blood for drunk driving accidents.”11

gravity didn’t even exist. As if the thought of slipping off that narrow seat and plummeting to the ground never entered any of their minds. Growing up, she’d had a hard enough time riding the chair lift during her family’s annual Christmas vacations to Colorado, but after doing her residency in a hospital emergency room, she had an all-too-vivid image in her head of exactly what the result of such a fall would look like. How had she let Maddy and Amy talk her into this? Of course, sitting in a bookstore coffee shop with her friends last spring, the thought of facing her fear of heights

A question has to be asked: If a Level 4 emerging virus spread to a million people in North America, or in any continent, would hospitals be able to handle the patients and give them care? Would epidemiologists be able to trace and break the chains of transmission if a million people were infected?

he’s not real I can take his space. As I get into bed beside him, the strongman vanishes. I pick up my diary and record him: was there, isn’t any more. This happened in early July, 2010. I had surgery on the first of the month, and was scheduled to stay in hospital for about nine days. The last thing the surgeon said to me, on the afternoon of the procedure: ‘For you, this is a big thing, but remember, to us it is routine.’ The operation was to relieve a stricture in my bowel, before it closed completely and created an emergency. But though we had used the latest scans in preparation, neither

The symmetry of it all, or was it the emptied, seemingly ransacked neatness of his room, tied a knot in my throat. It reminded me less of a hotel room when you wait for the porter to help you take your things downstairs after a glorious stay that was ending too soon, than of a hospital room after all your belongings have been packed away, while the next patient, who hasn't been admitted yet, still waits in the emergency room exactly as you waited there yourself a week earlier. This was a test run for our final separation. Like looking at someone on a respirator before it's finally turned off days later.

Let's sort the injury from the injured, Asking: What field? What battle? Is this the site of your disaster? An emergency room full of old friends. Someone asking: Recollect, if you will, A poem of Pindar's: That which above all Shines through everything. Shines through Each thing present all around. Everything quietly unconcealing in the golden hospital Light. Here's the chart, the anamnesis, of how and when We want to kill each other, let each other die. We, the living, breathe Although we have lost old friends. We have left them behind like dirty bandages. We have left them ripped open, wide. We've left rooms saying: Fuck you And you and you.

There is a vast difference between being a Christian and being a disciple. The difference is commitment. Motivation and discipline will not ultimately occur through listening to sermons, sitting in a class, participating in a fellowship group, attending a study group in the workplace or being a member of a small group, but rather in the context of highly accountable, relationally transparent, truth-centered, small discipleship units. There are twin prerequisites for following Christ - cost and commitment, neither of which can occur in the anonymity of the masses. Disciples cannot be mass produced. We cannot drop people into a program and see disciples emerge at the end of the production line. It takes time to make disciples. It takes individual personal attention. Discipleship training is not about information transfer, from head to head, but imitation, life to life. You can ultimately learn and develop only by doing. The effectiveness of one's ministry is to be measured by how well it flourishes after one's departure. Discipling is an intentional relationship in which we walk alongside other disciples in order to encourage, equip, and challenge one another in love to grow toward maturity in Christ. This includes equipping the disciple to teach others as well. If there are no explicit, mutually agreed upon commitments, then the group leader is left without any basis to hold people accountable. Without a covenant, all leaders possess is their subjective understanding of what is entailed in the relationship. Every believer or inquirer must be given the opportunity to be invited into a relationship of intimate trust that provides the opportunity to explore and apply God's Word within a setting of relational motivation, and finally, make a sober commitment to a covenant of accountability. Reviewing the covenant is part of the initial invitation to the journey together. It is a sobering moment to examine whether one has the time, the energy and the commitment to do what is necessary to engage in a discipleship relationship. Invest in a relationship with two others for give or take a year. Then multiply. Each person invites two others for the next leg of the journey and does it all again. Same content, different relationships. The invitation to discipleship should be preceded by a period of prayerful discernment. It is vital to have a settled conviction that the Lord is drawing us to those to whom we are issuing this invitation. . If you are going to invest a year or more of your time with two others with the intent of multiplying, whom you invite is of paramount importance. You want to raise the question implicitly: Are you ready to consider serious change in any area of your life? From the outset you are raising the bar and calling a person to step up to it. Do not seek or allow an immediate response to the invitation to join a triad. You want the person to consider the time commitment in light of the larger configuration of life's responsibilities and to make the adjustments in schedule, if necessary, to make this relationship work. Intentionally growing people takes time. Do you want to measure your ministry by the number of sermons preached, worship services designed, homes visited, hospital calls made, counseling sessions held, or the number of self-initiating, reproducing, fully devoted followers of Jesus? When we get to the shore's edge and know that there is a boat there waiting to take us to the other side to be with Jesus, all that will truly matter is the names of family, friends and others who are self initiating, reproducing, fully devoted followers of Jesus because we made it the priority of our lives to walk with them toward maturity in Christ. There is no better eternal investment or legacy to leave behind.

What did I know of the ways of the world? There was a full-scale armed movement under way somewhere, everywhere, and things like this must be happening everywhere. There were people dying everywhere, getting massacred in every town and village, there were people being picked up and thrown into dark jails in unknown parts, there were dungeons in the city where hundreds of young men were kept in heavy chains and from where many never emerged alive, there were thousands who had disappeared, leaving behind women with photographs and perennial waiting, there were multitudes of dead bodies on the roads, in hospital beds, in fresh martyrs’ graveyards and scattered casually on the snow of mindless borders. So what was a little village exodus in comparison to all that?

Johann Hari’s 2018 book Lost Connections argues that our culture has come to medicate depression first and ask questions later, without recognizing that some discomforts are not medical emergencies. He tells the story of how when he begged for antinausea medication in a jungle hospital in Vietnam, the doctors said, “You need your nausea. It is a message, and we must listen to the message. It will tell us what is wrong with you.

All during those days, the Federal Emergency Management Agency was turning away volunteer rescuers, buses, truckloads of supplies, offers of help from powerful entities ranging from a huge military ship with a floating hospital, drinking water, and other crucial supplies to Amtrak (whose trains could have at any moment, and eventually did, move masses more effectively than buses). Often the excuse was that it was not safe to enter New Orleans.

We start off in childhood believing parents might have access to a superior kind of knowledge and experience. They look, for a while, astonishingly competent. Our exaggerated esteem is touching, but also intensely problematic, for it sets them up as the ultimate objects of blame when we gradually discover that they are flawed, sometimes unkind, in areas ignorant and utterly unable to save us from certain troubles. It can take a while, until the fourth decade or the final hospital scenes, for a more forgiving stance to emerge. Their new condition, frail and frightened, reveals in a compellingly physical way something which has always been true psychologically: that they are uncertain vulnerable creatures motivated more by anxiety, fear, a clumsy love and unconscious compulsions than by godlike wisdom and moral clarity -- and cannot, therefore, forever be held responsible for either their own shortcomings or our many disappointments.

Perhaps you’ve heard this feminist riddle: “A young boy was rushed to the hospital from the scene of an accident, where his father was killed, and prepped for emergency surgery. The surgeon walked in, took one look, and said, ‘I can’t operate on him – he’s my son.’ How is this possible?” This scenario trips people up because if the boy’s father is dead, how could he be operating on him? Few come to the conclusion that surgeon was in fact his mother. The rare and exotic lady surgeon.

Of all the students in Desplein’s hospital, Horace Bianchon was one of those to whom he most warmly attached himself. Before being a house surgeon at the Hotel-Dieu, Horace Bianchon had been a medical student lodging in a squalid boarding house in the Quartier Latin, known as the Maison Vauquer. This poor young man had felt there the gnawing of that burning poverty which is a sort of crucible from which great talents are to emerge as pure and incorruptible as diamonds, which may be subjected to any shock without being crushed.

The great majority of those who, like Frankl, were liberated from Nazi concentration camps chose to leave for other countries rather than return to their former homes, where far too many neighbors had turned murderous. But Viktor Frankl chose to stay in his native Vienna after being freed and became head of neurology at a main hospital in Vienna. The Austrians he lived among often perplexed Frankl by saying they did not know a thing about the horrors of the camps he had barely survived. For Frankl, though, this alibi seemed flimsy. These people, he felt, had chosen not to know. Another survivor of the Nazis, the social psychologist Ervin Staub, was saved from a certain death by Raoul Wallenberg, the diplomat who made Swedish passports for thousands of desperate Hungarians, keeping them safe from the Nazis. Staub studied cruelty and hatred, and he found one of the roots of such evil to be the turning away, choosing not to see or know, of bystanders. That not-knowing was read by perpetrators as a tacit approval. But if instead witnesses spoke up in protest of evil, Staub saw, it made such acts more difficult for the evildoers. For Frankl, the “not-knowing” he encountered in postwar Vienna was regarding the Nazi death camps scattered throughout that short-lived empire, and the obliviousness of Viennese citizens to the fate of their own neighbors who were imprisoned and died in those camps. The underlying motive for not-knowing, he points out, is to escape any sense of responsibility or guilt for those crimes. People in general, he saw, had been encouraged by their authoritarian rulers not to know—a fact of life today as well. That same plea of innocence, I had no idea, has contemporary resonance in the emergence of an intergenerational tension. Young people around the world are angry at older generations for leaving as a legacy to them a ruined planet, one where the momentum of environmental destruction will go on for decades, if not centuries. This environmental not-knowing has gone on for centuries, since the Industrial Revolution. Since then we have seen the invention of countless manufacturing platforms and processes, most all of which came to be in an era when we had no idea of their ecological impacts. Advances in science and technology are making ecological impacts more transparent, and so creating options that address the climate crisis and, hopefully, will be pursued across the globe and over generations. Such disruptive, truly “green” alternatives are one way to lessen the bleakness of Earth 2.0—the planet in future decades—a compelling fact of life for today’s young. Were Frankl with us today (he died in 1997), he would no doubt be pleased that so many of today’s younger people are choosing to know and are finding purpose and meaning in surfacing environmental facts and acting on them.

I remained silent, scarcely daring to breathe. I felt as if I was present at an intimate moment, watching a wild animal give birth. Although Alicia was aware of my presence, she didn’t seem to mind. She occasionally looked up, while painting, and glanced at me. Almost as if she was studying me. Over the next few days the painting slowly took shape, roughly at first, sketchily, but with increasing clarity—then it emerged from the canvas with a burst of pristine photo-realistic brilliance. Alicia had painted a redbrick building, a hospital—unmistakably the Grove. It was on fire, burning to the ground. Two figures were discernible on the fire escape. A man and a woman escaping the fire. The woman was unmistakably Alicia, her red hair the same color as the flames. I recognized the man as myself. I was carrying Alicia in my arms, holding her aloft while the fire licked at my ankles. I couldn’t tell if I was depicted as rescuing Alicia—or about to throw her in the flames. CHAPTER TWENTY-NINE “THIS IS RIDICULOUS. I’ve been coming here for years and nobody ever told me to call ahead before. I can’t stand around waiting all day. I’m an extremely busy person.

At a mile in circumference, the Pentagon was the largest building in the world at the time. With office space for forty thousand people it had been built in a little over a year, albeit with an accident rate four times the average for US building sites.19 The size of the edifice gave rise to jokes about how easy it was to get lost, such as the one about the pregnant lady who asked a Marine guard to help her get to a maternity hospital, saying it was an emergency as she was in labour. When he said that she shouldn’t have gone there in that condition, she replied: ‘When I came in here, I wasn’t.

I want to take care of people, not be taken care of. Being there in an emergency is my love language. If we’re friends, I will be there in the middle of the night. I will invite you to move into my house while you’re in the depths of this breakup. I will take you to the hospital and/or visit you when you’re there because the thought of you being alone, scared, and in pain is unbearable to me. But I really, really, really, really don’t want to have to ask you to do the same because what happens if I say, “I am truly hurting and need your help,” and you’re not there? It’s the worst thing I can imagine

Very few people are aware that infections from resistant bacteria, often picked up in hospitals during routine procedures, are the third leading cause of death in the U.S. (In 1999 they were fourth.) Very few people know, as well, that the world’s leading pharmaceutical companies have stopped research and development on new antibiotics—there are virtually no new ones in the pipeline. Within the next few decades, we face, as many bacterial researchers have pointed out, the emergence of untreatable epidemic diseases more deadly than any known in history. Or as David Livermore, one of Britain’s primary bacterial resistance researchers, puts it . . . It is naive to think we can win.

It must be stressed that we are still in a primitive stage of evolution and conditions on this planet are quite brutal. Radical pediatricians insist, with good evidence, that childbirth by conventional means in a conventional hospital is almost always traumatic for the newborn — creates a bad imprint, in our language. Our child-rearing methods are far from ideal also, adding bad conditioning on top of bad imprinting. And the general violence of our societies to date — including wars, revolutions, civil wars and the “undeclared civil war” of the predatory criminal class in every “civilized” nation — keeps the first circuit of most people in an emergency state far too much of the time.

And the night unwound as those days and nights do--those days and nights that hijack time. Those days and nights that hold up the car on its way home and gun down the driver and the passengers and leave the wreckage in the rain. You were moving through your days and nights and then the call came. You were thinking about supper or going to bed. You weren't thinking about death and loss. And now there's a flood and it's dark and you're trying to get there before it's too late but it's already too late because the time where there was enough time is over. You don't know how long it is until morning and in the hospital the hands on the clock crawl round like an insect walking the same pane of glass till it dies.

Consider this sobering statistic: Shortly before the 2009 H1N1 pandemic, CIDRAP undertook a national survey of hospital pharmacists and intensive care and emergency department doctors, as we detailed in chapter 18. The update of that survey identified more than 150 critical lifesaving drugs for all types of diseases frequently used in the United States, without which many patients would die within hours. All of them are generic and many, or their active pharmaceutical ingredients, are manufactured primarily in China or India. At the beginning of the COVID-19 outbreak, sixty-three were already unavailable to pharmacies on short notice or on shortage status under normal conditions—just one example of how vulnerable we are.

Even a woman in labor will not be admitted into a hospital without her guardian or at least a mahram. Police cannot enter a home during a robbery, and firefighters are forbidden from entering a home during a fire or medical emergency if a woman is inside but does not have a mahram present. In 2014, Amna Bawazeer died on the campus of King Saud University when school officials refused to allow male paramedics to enter the female-only school after Amna collapsed from a heart ailment. The same story repeated itself in 2016 at Qaseem University when male paramedics were not allowed on campus to treat a female student, Dhuha Almane, who subsequently died. It is not a stretch to say that death is preferable to violating the strict code of guardianship and mahrams.

A Safety Travel with Sinclair James International Traveling to somewhere completely foreign to you may be challenging but that is what travelers always look for. It can be a good opportunity to find something new and discover new places, meet new people and try a different culture. However, it can involve a lot of risk as well. You may be surprised to find yourself naked and penniless on the side of the road trying to figure out what you did wrong. These kinds of situations come rarely when you are careful and cautious enough but it is not impossible. Sinclair James International Travel and Tours, your Australian based traveling guide can help you travel safely through the following tips: 1. Pack all Security Items In case of emergencies, you should have all the safety tools and security items with you. Carry a card with your name and number with you and don’t forget to scribble down the numbers of local police station, fire department, list of hospitals and other necessary numbers that you may need. Place them in each compartment and on your pockets. If ever you find yourself being a victim of pick pocketing in Manila, Philippines or being driven around in circles in the streets of Bangkok, Thailand, you will definitely find these numbers very helpful. It is also advisable to put your name and an emergency number in case you are in trouble and may need someone else to call. 2. Protect your Passport Passports nowadays have RFID which can be scanned from a distance. We have heard some complaints from fellow travelers of being victims of scams which involves stealing of information through passports. An RFID blocking case in a wallet may come in handy to prevent hackers from stealing your information. 3. Beware of Taxis When you exit the airport, taxis may all look the same but some of them can be hiding a defective scam to rob tourists during their drive. It is better to ask an official before taking a taxi as many unmarked ones claim that they are legitimate. Also, if the fare isn’t flat rate, be sure you know the possible routes. Some drivers will know better and will take good care of you, but others will take longer routes to increase the fare. If you know your options, you can suggest a different route to avoid paying too much. 4. Be aware of your Rights Laws change from state to state, and certainly from country to country, but ignorance to them will get you nowhere. In fact, in many cases you can get yourself out of trouble by knowing the laws that will affect you. When traveling to other countries, make sure to review the laws and policies that can affect your activities. There are a lot of misconceptions and knowing these could save you a headache. Sinclair James International

I’d like you to come to Kauai with me,” I say. “And Scottie. I think it would be good to get her away from the hospital for a day. We can leave in the morning, find him, and be home tomorrow night. If it takes us a day longer, that’s fine, but we won’t stay more than two nights. That’s our deadline. If we don’t find him, then at least we know we tried.” “And this will make you feel better somehow?” “It’s for her,” I say. “Not for him or me.” “What if he’s a wreck? What if he loses his shit?” “Then I’ll take care of him.” I imagine Brian Speer wailing on my shoulder. I imagine him and my daughters by Joanie’s bed, her lover and his loud sobs shaming us. “Just so you know, I am angry. I’m not this pure and noble guy. I want to do this for her, but I also want to see who he is. I want to ask him a few things.” “Just call him. Tell his office it’s an emergency. They’ll have him call you.” “I want to tell him in person. I haven’t told anyone over the phone, and I don’t want to start now.” “You told Troy.” “Troy doesn’t count. I just need to do this. On the phone he can escape. If I see him in person, he’ll have nowhere to go.” We both look away when our eyes meet. She hasn’t crossed the border into my room. She never does during her nighttime doorway chats. “Were you guys having trouble?” Alex asks. “Is that why she cheated?” “I didn’t think we were having trouble,” I say. “I mean, it was the same as always.” This was the problem, that our marriage was the same as always. Joanie needed bumps. She needed rough terrain. It’s funny that I can get lost in thoughts about her, but when she was right in front of me, I didn’t think much about her at all. “I wasn’t the best husband,” I say. Alex looks out the window to avoid my confession. “If we go on this trip, what will we tell Scottie?” “She’ll think we’re going on a trip of some sort. I want to get her away from here.

Officers approached the 43-year-old Garner on July 17 in a high-crime area near the Staten Island Ferry Terminal and accused him of illegally selling untaxed cigarettes—the kind of misdemeanor that Broken Windows policing aims to curb. Garner had already been arrested more than 30 times, mostly for selling loose cigarettes but also for marijuana possession and other offenses. As captured in a cell-phone video, the 350-pound man loudly objected to the charge and broke free when an officer tried to handcuff him. The officer then put his arm around Garner’s neck and pulled him to the ground. Garner repeatedly stated that he couldn’t breathe, and then went eerily stiff and quiet. After a seemingly interminable time on the ground without assistance, Garner was finally put on a stretcher to be taken to an emergency room. He died of cardiac arrest before arriving at the hospital. Garner suffered from severe asthma and diabetes, among other ailments, which contributed to his heart attack.

Because nobody brought that up to you?” “No, we had no idea that there were any problems that would suggest that.” Besides, as she pointed out later in her testimony, she was not an expert on poison. Dr. Henry testified that Peru was not mentioned in papers on tropical sprue, and that even where the disease was common, those who contracted it had lived in the area for a long time, at least a year. Typhoid fever didn’t fit either. “Even though it’s an acute infection, [it] does not cause a tremendous elevation of the white blood cell count.” Dr. Henry believed that Mike had been septic more than once during his three hospitalizations. Dr. Pam McCoy, the ER physician at the UK Medical Center, testified next. “I work with residents and medical students. I teach them how to work in an emergency department. And usually . . . I go see patients, they go see patients with me; we talk about how you see a patient in the emergency department, how you take care of people, how you put in stitches, that sort of thing.

Abbott’s one big idea in Health was for the Commonwealth to take control of all the nation’s hospitals. This required a shift in his thinking. In the Keating years he had declared that Australia had “a perfectly good system of government provided each tier minds its own business.” He didn’t think so any longer. “As a new backbencher, I had not anticipated how hard this was, given that voters don’t care who solves their problems, they just want them solved.” As Minister for Health he lit on a new guiding conservative principle: “Power divided is power controlled.” He had in mind an enormous reform that would reshape Canberra’s relations with the states. He was roundly mocked in cabinet. His senior bureaucrats put a lot of work into talking him down. Did he really want to be responsible for every asthma patient who had to wait too long in an emergency department? Eventually he was persuaded that Commonwealth public servants could not run hospitals any better than state public servants. This was the argument that got him, but he found it frustrating.

Karzac and many of the hospital's employees were glued to the video screen, watching in horror as people were running away, some of them not getting far before being torn apart by priests in their red robes. "They're eating them!" One of the nurses wept as they all watched. Karzac schooled his face; he'd seen this before, just not to this degree or on his home planet. The cameras, some of them, now focused on the vampires who were fighting the priests, allowing the people to run away as best they could. "Those are the vampires," another physician said, the awe in his voice unconcealed. "Those monsters are exploding when they're killed," someone else observed. "Come, I think we're needed there more than here," Karzac said. "Leave half behind. Those who are willing, come with me." He gathered up as much in the way of supplies as he could and headed toward the door. Several followed his lead. "Look, there's a female vampire," someone said as Karzac made his way through the sliding glass doors of the emergency room. Karzac smiled grimly at the comment.

Christianity has been the means of reducing more languages to writing than have all other factors combined. It has created more schools, more theories of education, and more systems than has any other one force. More than any other power in history it has impelled men to fight suffering, whether that suffering has come from disease, war or natural disasters. It has built thousands of hospitals, inspired the emergence of the nursing and medical professions, and furthered movement for public health and the relief and prevention of famine. Although explorations and conquests which were in part its outgrowth led to the enslavement of Africans for the plantations of the Americas, men and women whose consciences were awakened by Christianity and whose wills it nerved brought about the abolition of slavery (in England and America). Men and women similarly moved and sustained wrote into the laws of Spain and Portugal provisions to alleviate the ruthless exploitation of the Indians of the New World. Wars have often been waged in the name of Christianity. They have attained their most colossal dimensions through weapons and large–scale organization initiated in (nominal) Christendom. Yet from no other source have there come as many and as strong movements to eliminate or regulate war and to ease the suffering brought by war. From its first centuries, the Christian faith has caused many of its adherents to be uneasy about war. It has led minorities to refuse to have any part in it. It has impelled others to seek to limit war by defining what, in their judgment, from the Christian standpoint is a "just war." In the turbulent Middle Ages of Europe it gave rise to the Truce of God and the Peace of God. In a later era it was the main impulse in the formulation of international law. But for it, the League of Nations and the United Nations would not have been. By its name and symbol, the most extensive organization ever created for the relief of the suffering caused by war, the Red Cross, bears witness to its Christian origin. The list might go on indefinitely. It includes many another humanitarian projects and movements, ideals in government, the reform of prisons and the emergence of criminology, great art and architecture, and outstanding literature.

I believe the quotation below will be sufficient to show how brilliant Coelho is: ‘Marie, let’s suppose that two firemen go into a forest to put out a small fire. Afterward, when they emerge and go over to a stream, the face of one is all smeared with black, while the other man’s face is completely clean. My question is this: which of the two will wash his face? ‘That’s a silly question. The one with the dirty face of course.’ ‘No, the one with the dirty face will look at the other man and assume that he looks like him. And, vice versa, the man with the clean face will see his colleague covered in grime and say to himself: I must be dirty too. I’d better have a wash.’ ‘What are you trying to say?’ ‘I’m saying that, during the time I spent in the hospital, I came to realize that I was always looking for myself in the women I loved. I looked at their lovely, clean faces and saw myself reflected in them. They, on the other hand, looked at me and saw the dirt on my face and, however intelligent or self-confident they were, they ended up seeing themselves reflected in me thinking that they were worse than they were. Please, don’t let that happen to you.

On the playground, “cooties” seems harmless and innocuous (unless you’ve been on the other end of that game). But sociomoral disgust can quickly scale up in intensity and become the engine behind the very worst of human atrocities. During times of social stress or chaos, those persons or populations already associated with disgust properties will provide the community a location of blame, fear, and paranoia. In short, sociomoral disgust is implicated in the creation of monsters and scapegoats, where outgroup members are demonized and selected for exclusion or elimination. As David Gilmore writes in his book Monsters, a monster is “the demonization of the ‘Other’ in the image of the monster as a political device for scapegoating those whom the rules of society deem impure or unworthy - the transgressors and deviants.” These deviants are considered to be “deformed, amoral, [and] unsocialized to the point of inhumanness.” Take, for an example, the Nazi propaganda film The Eternal Jew, where an early shot in the film showed rats emerging from a sewer juxtaposed with a crowd of Jewish persons in a Polish city. In America, as another example, proponents of anti-gay legislation have circulated pamphlets claiming that gay men eat human feces and drink human blood. In each of these instances, sociomoral disgust is used to demonize and scapegoat populations, creating “monsters” who are threatening to society.

Pull approaches differ significantly from push approaches in terms of how they organize and manage resources. Push approaches are typified by "programs" - tightly scripted specifications of activities designed to be invoked by known parties in pre-determined contexts. Of course, we don't mean that all push approaches are software programs - we are using this as a broader metaphor to describe one way of organizing activities and resources. Think of thick process manuals in most enterprises or standardized curricula in most primary and secondary educational institutions, not to mention the programming of network television, and you will see that institutions heavily rely on programs of many types to deliver resources in pre-determined contexts. Pull approaches, in contrast, tend to be implemented on "platforms" designed to flexibly accommodate diverse providers and consumers of resources. These platforms are much more open-ended and designed to evolve based on the learning and changing needs of the participants. Once again, we do not mean to use platforms in the literal sense of a tangible foundation, but in a broader, metaphorical sense to describe frameworks for orchestrating a set of resources that can be configured quickly and easily to serve a broad range of needs. Think of Expedia's travel service or the emergency ward of a hospital and you will see the contrast with the hard-wired push programs.

Back when I was in the emergency room, the attending had said, “I don’t know what exactly will happen next, but you know that metastases put you at stage four. This is clearly an aggressive cancer. It recurred before we even finished treating it. It’s probably time to put your affairs in order and make a bucket list, as hard as that is to hear.” I had been stumped by the bucket list. It depressed me: “Oh my God I am so lame I can’t even come up with an interesting bucket list,” I whined in the hospital. “How about a ‘fuck-it’ list?” John suggested at some point. “Sort of the opposite. What can we just say ‘fuck it’ to and send splashing off into some sewer and not bother ourselves with anymore?” The catch is: it turns out not many things. I want all of it—all the things to do with living—and I want them to keep feeling messy and confusing and even sometimes boring. The carpool line and the backpacks and light that fills the room in the building where I wait while the kids take piano lessons. Dr. Cavanaugh sitting on my bedside looking me in the eyes and admitting she’s scared. The sound of my extended family laughing downstairs. My chemo hair growing in suddenly in thick, wild chunks. Light sabers cracking Christmas ornaments. A science fair project taking shape in some distant room. The drenched backyard full of runoff, and tiny, slimy, uncertain yard critters who had expected to remain buried in months of hard mud, peeking their heads out into the balmy New Year’s air, asking, Wait, what?

Emergency food has become very useful indeed, and to a very large assortment of people and institutions. The United States Department of Agriculture uses it to reduce the accumulation of embarrassing agricultural surpluses. Business uses it to dispose of nonstandard or unwanted product, to protect employee morale and avoid dump fees, and, of course, to accrue tax savings. Celebrities use it for exposure. Universities and hospitals, as well as caterers and restaurants, use it to absorb leftovers. Private schools use it to teach ethics, and public schools use it to instill a sense of civic responsibility. Churches use it to express their concern for the least of their brethren, and synagogues use it to be faithful to the tradition of including the poor at the table. Courts use it to avoid incarcerating people arrested for Driving While Intoxicated and a host of other offense. Environmentalists use it to reduce the solid waste stream. Penal institutions use it to create constructive outlets for the energies of their inmates, and youth-serving agencies of all sorts use it to provide service opportunities for young people. Both profit-making and nonprofit organizations use it to absorb unneeded kitchen and office equipment. A wide array of groups, organizations, and institutions benefits from the halo effect of 'feeding the hungry,' and this list does not even include the many functions for ordinary individuals--companionship, exercise, meaning, and purpose. . .If we didn't have hunger, we'd have to invent it.

In that place there were no train stations, crowded ferries, or boulevards where everyone bumped into each other as they walked. There were no lampposts, bridges, or towers either. Everything consisted of a great meaning. One part of that meaning was haste, the other part was agitation. Every tiny thing was a reflection of that greater meaning. Drawn curtains, leaving the workplace at the end of the working day, and the squares where lovers arranged to meet, were all reflections of it. If it rained, and washed and cleansed the city’s dirt for days, it would still be that meaning that emerged with the first ray of sunshine. Time that ticked on in maternity hospitals, in back streets and in late night bars, toyed with the city’s pace. People forgot the sun, the moon, and the stars and lived only with times. Time for work, time for school, time for an appointment, time to eat, time to go out. When it was finally time to sleep, people had no more strength or desire left to think about the world. They let themselves go in the darkness. They were dragged along by a single meaning, a meaning that was hidden in every single thing. What was that meaning and where was it taking us? People created small pleasures for themselves to stop their minds from clouding over with such questions, and chased after them relentlessly. They ran away from life’s hardships, slept peacefully, and thus lightened their minds’ burden. And their hearts’. They believed that. Until a wall inside them came crashing down and their hearts were crushed.

In March, at HHS’s request, several large pharmaceutical companies—Novartis, Bayer, Sanofi, and others—donated their inventory, a total of 63 million doses of hydroxychloroquine and 2 million of chloroquine, to the Strategic National Stockpile, managed by BARDA, an agency under the DHHS Assistant Secretary for Preparedness and Response.56 BARDA’s Director, Dr. Rick Bright, later claimed the chloroquine drugs were deadly, and he needed to protect the American public from them.57 Bright colluded with FDA to restrict use of the donated pills to hospitalized patients. FDA publicized the authorization using language that led most physicians to believe that prescribing the drug for any purpose was off-limits. But at the beginning of June, based on clinical trials that intentionally gave unreasonably high doses to hospitalized patients and failed to start the drug until too late, FDA took the unprecedented step of revoking HCQ’s emergency authorization,58 rendering that enormous stockpile of valuable pills off limits to Americans while conveniently indemnifying the pharmaceutical companies for their inventory losses by allowing them a tax break for the donations. After widespread use of the drug for 65 years, without warning, FDA somehow felt the need to send out an alert on June 15, 2020 that HCQ is dangerous, and that it required a level of monitoring only available at hospitals.59 In a bit of twisted logic, Federal officials continued to encourage doctors to use the suddenly-dangerous drug without restriction for lupus, rheumatoid arthritis, Lyme and malaria. Just not for COVID. With the encouragement of Dr. Fauci and other HHS officials, many states simultaneously imposed restrictions on HCQ’s use.

Dr. Lydia Ciarallo in the Department of Pediatrics, Brown University School of Medicine, treated thirty-one asthma patients ages six to eighteen who were deteriorating on conventional treatments. One group was given magnesium sulfate and another group was given saline solution, both intravenously. At fifty minutes the magnesium group had a significantly greater percentage of improvement in lung function, and more magnesium patients than placebo patients were discharged from the emergency department and did not need hospitalization.4 Another study showed a correlation between intracellular magnesium levels and airway spasm. The investigators found that patients who had low cellular magnesium levels had increased bronchial spasm. This finding confirmed not only that magnesium was useful in the treatment of asthma by dilating the bronchial tubes but that lack of magnesium was probably a cause of this condition.5 A team of researchers identified magnesium deficiency as surprisingly common, finding it in 65 percent of an intensive-care population of asthmatics and in 11 percent of an outpatient asthma population. They supported the use of magnesium to help prevent asthma attacks. Magnesium has several antiasthmatic actions. As a calcium antagonist, it relaxes airways and smooth muscles and dilates the lungs. It also reduces airway inflammation, inhibits chemicals that cause spasm, and increases anti-inflammatory substances such as nitric oxide.6 The same study established that a lower dietary magnesium intake was associated with impaired lung function, bronchial hyperreactivity, and an increased risk of wheezing. The study included 2,633 randomly selected adults ages eighteen to seventy. Dietary magnesium intake was calculated by a food frequency questionnaire, and lung function and allergic tendency were evaluated. The investigators concluded that low magnesium intake may be involved in the development of both asthma and chronic obstructive airway disease.

In the fall of 1990 Iraq invaded Kuwait, and in the run-up to the Gulf War, Americans were sickened by a story that emerged. On October 10, 1990, a fifteen-year-old refugee from Kuwait appeared before a congressional Human Rights Caucus.23 The girl—she would give only her first name, Nayirah—had volunteered in a hospital in Kuwait City. She tearfully testified that Iraqi soldiers had stolen incubators to ship home as plunder, leaving over three hundred premature infants to die. Our collective breath was taken away—“These people leave babies to die on the cold floor; they are hardly human.” The testimony was seen on the news by approximately 45 million Americans, was cited by seven senators when justifying their support of war (a resolution that passed by five votes), and was cited more than ten times by George H. W. Bush in arguing for U.S. military involvement. And we went to war with a 92 percent approval rating of the president’s decision. In the words of Representative John Porter (R-Illinois), who chaired the committee, after Nayirah’s testimony, “we have never heard, in all this time, in all circumstances, a record of inhumanity, and brutality, and sadism, as the ones that [Nayirah had] given us today.” Much later it emerged that the incubator story was a pseudospeciating lie. The refugee was no refugee. She was Nayirah al-Sabah, the fifteen-year-old daughter of the Kuwaiti ambassador to the United States. The incubator story was fabricated by the public relations firm Hill + Knowlton, hired by the Kuwaiti government with the help of Porter and cochair Representative Tom Lantos (D-California). Research by the firm indicated that people would be particularly responsive to stories about atrocities against babies (ya think?), so the incubator tale was concocted, the witness coached. The story was disavowed by human rights groups (Amnesty International, Human Rights Watch) and the media, and the testimony was withdrawn from the Congressional Record—long after the war.

Prologue In 1980, a year after my wife leapt to her death from the Silas Pearlman Bridge in Charleston, South Carolina, I moved to Italy to begin life anew, taking our small daughter with me. Our sweet Leah was not quite two when my wife, Shyla, stopped her car on the highest point of the bridge and looked over, for the last time, the city she loved so well. She had put on the emergency brake and opened the door of our car, then lifted herself up to the rail of the bridge with the delicacy and enigmatic grace that was always Shyla’s catlike gift. She was also quick-witted and funny, but she carried within her a dark side that she hid with bright allusions and an irony as finely wrought as lace. She had so mastered the strategies of camouflage that her own history had seemed a series of well-placed mirrors that kept her hidden from herself. It was nearly sunset and a tape of the Drifters’ Greatest Hits poured out of the car’s stereo. She had recently had our car serviced and the gasoline tank was full. She had paid all the bills and set up an appointment with Dr. Joseph for my teeth to be cleaned. Even in her final moments, her instincts tended toward the orderly and the functional. She had always prided herself in keeping her madness invisible and at bay; and when she could no longer fend off the voices that grew inside her, their evil set to chaos in a minor key, her breakdown enfolded upon her, like a tarpaulin pulled across that part of her brain where once there had been light. Having served her time in mental hospitals, exhausted the wide range of pharmaceuticals, and submitted herself to the priestly rites of therapists of every theoretic persuasion, she was defenseless when the black music of her subconscious sounded its elegy for her time on earth. On the rail, all eyewitnesses agreed, Shyla hesitated and looked out toward the sea and shipping lanes that cut past Fort Sumter, trying to compose herself for the last action of her life. Her beauty had always been a disquieting thing about her and as the wind from the sea caught her black hair, lifting it like streamers behind her,

The first phase of the war was led by the IAF. It targeted Hamas rocket launchers, commanders and command posts that Hamas deliberately embedded in Gaza’s densely populated civilian neighborhoods. It placed its main headquarters in a hospital and its stockpiles of rockets and missiles in hospitals, schools and mosques, often using children as human shields. Before bombing these Hamas targets, in an effort to minimize civilian casualties the IDF issued warning to civilians to evacuate the premises. Hamas continued to rocket Israeli cities. I instructed the army to prepare for a ground operation to take out the tunnels. Our soldiers would be susceptible to Palestinian ground fire, booby traps, land mines and antitank missiles, some fired by terrorists emerging from underground. As casualties would inevitably mount on both sides in this door-to-door warfare, I realized that Israel would face growing international criticism. But there was no other choice. I called Obama, the first of many phone conversations we had during the operation. He said he supported Israel’s right of self-defense but was very clear on its limits. “Bibi,” he said, “we won’t support a ground action.” “Barack, I don’t want a ground action,” I said. “But if our intelligence shows that the terror tunnels are about to penetrate our territory, I won’t have a choice.” I repeated this conversation with the many foreign leaders whom I called and who called me, thus setting the international stage for a ground action. Most accepted what I said. The same could not be said for the international media. It hammered Israel on the growing number of Palestinian casualties from our air attacks, conveniently absolving Hamas of targeting Israeli civilians while hiding behind Palestinian civilians. The media also bought Hamas’s inflated numbers of Palestinian civilian casualties, and even its staging of fake funerals. We unmasked many of those being claimed as civilians as Hamas terrorists by providing their names, unit affiliation and other identifying data. I visited the IDF’s Southern Command to meet the brigade commanders who would lead the ground action. They were feverishly working on the means to locate and destroy the tunnels. They were brave, resolute and smart. They knew very well the dangers they and their men would face. So did their soldiers, many of whom did not return.

The most alarming rhetoric comes out of the dispute between liberals and conservatives, and it’s a dangerous waste of time because they’re both right. The perennial conservative concern about high taxes supporting a nonworking “underclass” has entirely legitimate roots in our evolutionary past and shouldn’t be dismissed out of hand. Early hominids lived a precarious existence where freeloaders were a direct threat to survival, and so they developed an exceedingly acute sense of whether they were being taken advantage of by members of their own group. But by the same token, one of the hallmarks of early human society was the emergence of a culture of compassion that cared for the ill, the elderly, the wounded, and the unlucky. In today’s terms, that is a common liberal concern that also has to be taken into account. Those two driving forces have coexisted for hundreds of thousands of years in human society and have been duly codified in this country as a two-party political system. The eternal argument over so-called entitlement programs—and, more broadly, over liberal and conservative thought—will never be resolved because each side represents an ancient and absolutely essential component of our evolutionary past. So how do you unify a secure, wealthy country that has sunk into a zero-sum political game with itself? How do you make veterans feel that they are returning to a cohesive society that was worth fighting for in the first place? I put that question to Rachel Yehuda of Mount Sinai Hospital in New York City. Yehuda has seen, up close, the effect of such antisocial divisions on traumatized vets. “If you want to make a society work, then you don’t keep underscoring the places where you’re different—you underscore your shared humanity,” she told me. “I’m appalled by how much people focus on differences. Why are you focusing on how different you are from one another, and not on the things that unite us?” The United States is so powerful that the only country capable of destroying her might be the United States herself, which means that the ultimate terrorist strategy would be to just leave the country alone. That way, America’s ugliest partisan tendencies could emerge unimpeded by the unifying effects of war. The ultimate betrayal of tribe isn’t acting competitively—that should be encouraged—but predicating your power on the excommunication of others from the group. That is exactly what politicians of both parties try to do when they spew venomous rhetoric about their rivals. That is exactly what media figures do when they go beyond criticism of their fellow citizens and openly revile them. Reviling people you share a combat outpost with is an incredibly stupid thing to do, and public figures who imagine their nation isn’t, potentially, one huge combat outpost are deluding themselves.

He ran long at the White House, and arrived late to his next meeting with Hillary Clinton, Jake Sullivan and Frank Ruggiero—their first major strategy session on Taliban talks after the secret meeting with A-Rod. She was waiting in her outer office, a spacious room paneled in white and gilt wood, with tasseled blue and pink curtains and an array of colorfully upholstered chairs and couches. In my time reporting to her later, I only ever saw Clinton take the couch, with guests of honor in the large chair kitty-corner to her. She’d left it open for him that day. “He came rushing in. . . . ” Clinton later said. “And, you know, he was saying ‘oh I’m so sorry, I’m so sorry.’ ” He sat down heavily and shrugged off his coat, rattling off a litany of his latest meetings, including his stop-in at the White House. “That was typical Richard. It was, like, ‘I’m doing a million things and I’m trying to keep all the balls in the air,’ ” she remembered. As he was talking, a “scarlet red” flush went up his face, according to Clinton. He pressed his hands over his eyes, his chest heaving. “Richard, what’s the matter?” Clinton asked. “Something horrible is happening,” he said. A few minutes later, Holbrooke was in an ambulance, strapped to a gurney, headed to nearby George Washington University Hospital, where Clinton had told her own internist to prepare the emergency room. In his typically brash style, he’d demanded that the ambulance take him to the more distant Sibley Memorial Hospital. Clinton overruled him. One of our deputies on the SRAP team, Dan Feldman, rode with him and held his hand. Feldman didn’t have his BlackBerry, so he scrawled notes on a State Department expense form for a dinner at Meiwah Restaurant as Holbrooke dictated messages and a doctor assessed him. The notes are a nonlinear stream of Holbrooke’s indomitable personality, slashed through with medical realities. “Call Eric in Axelrod’s office,” the first read. Nearby: “aortic dissection—type A . . . operation risk @ > 50 percent”—that would be chance of death. A series of messages for people in his life, again interrupted by his deteriorating condition: “S”—Secretary Clinton—“why always together for medical crises?” (The year before, he’d been with Clinton when she fell to the concrete floor of the State Department garage, fracturing her elbow.) “Kids—how much love them + stepkids” . . . “best staff ever” . . . “don’t let him die here” . . . “vascular surgery” . . . “no flow, no feeling legs” . . . “clot” . . . and then, again: “don’t let him die here want to die at home w/ his fam.” The seriousness of the situation fully dawning on him, Holbrooke turned to job succession: “Tell Frank”—Ruggiero—“he’s acting.” And finally: “I love so many people . . . I have a lot left to do . . . my career in public service is over.” Holbrooke cracked wise until they put him under for surgery. “Get me anything you need,” he demanded. “A pig’s heart. Dan’s heart.

One evening in April a thirty-two-year-old woman, unconscious and severely injured, was admitted to the hospital in a provincial town south of Copenhagen. She had a concussion and internal bleeding, her legs and arms were broken in several places, and she had deep lesions in her face. A gas station attendant in a neighboring village, beside the bridge over the highway to Copenhagen, had seen her go the wrong way up the exit and drive at high speed into the oncoming traffic. The first three approaching cars managed to maneuver around her, but about 200 meters after the junction she collided head-on with a truck. The Dutch driver was admitted for observation but released the next day. According to his statement he started to brake a good 100 meters before the crash, while the car seemed to actually increase its speed over the last stretch. The front of the vehicle was totally crushed, part of the radiator was stuck between the road and the truck's bumper, and the woman had to be cut free. The spokesman for emergency services said it was a miracle she had survived. On arrival at the hospital the woman was in very critical condition, and it was twenty-four hours before she was out of serious danger. Her eyes were so badly damaged that she lost her sight. Her name was Lucca. Lucca Montale. Despite the name there was nothing particularly Italian about her appearance. She had auburn hair and green eyes in a narrow face with high cheek-bones. She was slim and fairly tall. It turned out she was Danish, born in Copenhagen. Her husband, Andreas Bark, arrived with their small son while she was still on the operating table. The couple's home was an isolated old farmhouse in the woods seven kilometers from the site of the accident. Andreas Bark told the police he had tried to stop his wife from driving. He thought she had just gone out for a breath of air when he heard the car start. By the time he got outside he saw it disappearing along the road. She had been drinking a lot. They had had a marital disagreement. Those were the words he used; he was not questioned further on that point. Early in the morning, when Lucca Montale was moved from the operating room into intensive care, her husband was still in the waiting room with the sleeping boy's head on his lap. He was looking out at the sky and the dark trees when Robert sat down next to him. Andreas Bark went on staring into the gray morning light with an exhausted, absent gaze. He seemed slightly younger than Robert, in his late thirties. He had dark, wavy hair and a prominent chin, his eyes were narrow and deep-set, and he was wearing a shabby leather jacket. Robert rested his hands on his knees in the green cotton trousers and looked down at the perforations in the leather uppers of his white clogs. He realized he had forgotten to take off his plastic cap after the operation. The thin plastic crackled between his hands. Andreas looked at him and Robert straightened up to meet his gaze. The boy woke.

What I have been doing lately from my WIP "In Hiding" is available on my website. *Strong language warning* Wayne sat in the hygienic emergency room trying to ignore the bitch of a headache that began radiating at the back of his skull. His worn jeans, a blood-stained t-shirt, and his makeshift bandage sat on a nearby chair. The hysteria created by his appearance in the small hospital ward had died down. A local cop greeted him as soon as he was escorted to the examination room. The conversation was brief, once he revealed he was a bail enforcer the topic changed from investigation to shooting the bull. The experienced officer shook his hand before leaving then joked he hoped this would be their only encounter. The ER doc was a woman about his age. Already the years of long hours, rotating shifts and the rarity of a personal life showed on her face. Her eyelids were pink-rimmed, her complexion sallow; all were earmarks of the effect of long-term exhaustion. Wayne knew it all too well as he rubbed his knuckle against his own grainy eyes. Despite this, she attended to him with an upbeat demeanor and even slid in some ribbing at his expense. He was defenseless, once the adrenaline dropped off Wayne felt drained. He accepted her volleys without a response. All he mustered was a smile and occasional nod as she stitched him up. Across the room, his cell toned, after the brief display of the number a woman’s image filled the screen. Under his breath, he mumbled, “Shit.” He intends for his exclamation to remain ignored, having caught it the doctor glanced his direction with a smile. Without invitation, she retrieved his phone handing it to him without comment. Wayne noted the raised eyebrow she failed to hide. The phone toned again as he glanced at the flat image on the device. The woman’s likeness was smiling brightly, her blue eyes dancing. Just looking at her eased the pain in his head. He swiped the screen and connected the call as the doctor finished taping his injury. Using his free uninjured arm, he held the phone away from him slightly, utilizing the speaker option. “Hey Baby.” “What the hell, Wayne!” Her voice filled the small area, in his peripheral vision he saw the doc smirk. Turning his head, he addressed the caller. “Babe, I was getting ready to call.” The excuse sounded lame, even to him. “Why the hell do I have to hear about this secondhand?” Wayne placed the phone to his chest, loudly he exclaimed; “F***!” The ER doc touched his arm, “I will give you privacy.” Wayne gave her a grateful nod. With a snatch, she grabbed the corner of the thin curtain suspended from the ceiling and pulled it close. Alone again, he refocused on the call. The woman on the other end had continued in her tirade without him. When he rejoined the call mid-rant, she was issuing him a heartfelt ass-chewing. “...bullshit Wayne that I have to hear about this from my cousin. We’ve talked about this!” “Honey...” She interrupts him before he can explain himself. “So what the hell happened?” Wisely he waited for silence to indicate it was his turn to speak. “Lou, Honey first I am sorry. You know I never meant to upset you. I am alright; it is just a flesh wound.” As he speaks, a sharp pain radiates across his side. Gritting his teeth, Wayne vows to continue without having the radiating pain affect his voice. “I didn’t want you to worry Honey; you know calling Cooper first is just business.” Silence. The woman miles away grits her teeth as she angrily brushes away her tears. Seated at the simple dining table, she takes a napkin from the center and dabs at her eyes. Mentally she reminds herself of her promise that she was done crying over this man. She takes an unsteady breath as she returns her attention to the call. “Lou, you still there?” There is something in his voice, the tender desperation he allows only her to see. Furrowing her brow she closes her eyes, an errant tear coursed down her cheek.

You bet,” said Eddie. “In Derm, you only need to know three things: ‘If it’s dry, you wet it; if it’s wet, you dry it; and if you don’t know, you use steroids.’ No emergencies. Millions. Most popular choice of med students now—that and emergency care. These young docs go for the NOPR: ‘No Ongoing Patient Relationship.’ Just screens and money.

When something in society goes so wrong, that something is often a product of one very large agreement instead of the various small disagreements that consume the political sphere. Looming over the fights about which administration is to blame for housing becoming so unstable and what percentage increase this or that program is entitled to sits the inconsistency of America spending about $70 billion a year subsidizing homeownership through tax breaks like deferred taxes on capital gains and the mortgage interest deduction (MID), which allows homeowners to deduct the interest on their home loan from their federal income taxes. Together these tax breaks amount to a vast upper-middle-class welfare program that encourages people to buy bigger and more expensive houses, but because their biggest beneficiaries are residents of high-cost cities in deep blue redoubts like New York and California, even otherwise liberal politicians fight any attempt to reduce them. These programs are also entitlements that live on budgetary autopilot, meaning people get the tax breaks no matter how much they cost the government. Contrast that with programs like Section 8 rental vouchers, which cost about $20 billion a year, have been shown to be highly effective at reducing homelessness, and cost far less than the morally repugnant alternative of letting people live in tents and rot on sidewalks, consuming police resources and using the emergency room as a public hospital. That program has to be continually re-upped by Congress, and unlike middle-class homeowner programs, when the money runs out, it’s gone. This is why many big cities either have decades-long lines for rental vouchers or have closed those lines indefinitely on account of excess demand. The message of this dichotomy, which has persisted for decades regardless of which party is in charge and despite the mountains of evidence showing just how well these vouchers work, is that America is willing to subsidize as much debt as homeowners can gorge themselves on but that poor renters, the majority of whom live in market-rate apartments, are a penny-ante side issue unworthy of being prioritized.

In Edmondson’s hospital studies, the teams with the highest levels of psychological safety were also the ones with leaders most likely to model listening and social sensitivity. They invited people to speak up. They talked about their own emotions. They didn’t interrupt other people. When someone was concerned or upset, they showed the group that it was okay to intervene. They tried to anticipate how people would react and then worked to accommodate those reactions. This is how teams encourage people to disagree while still being honest with one another and occasionally clashing. This is how psychological safety emerges: by giving everyone an equal voice and encouraging social sensitivity among teammates.

Occupation prevents you from managing your affairs in your own way. It interferes in every aspect of life and of death; it interferes with longing and anger and desire and walking in the street. It interferes with going anywhere and coming back, with going to market, the emergency hospital, the beach, the bedroom, or a distant capital. Everybody I spoke with here told me about their new favorite pastime of staying out late, an exaggerated staying-up in the houses of relatives and friends. But things here are temporary. The sense of security is temporary.” Excerpt From: Mourid Barghouti. “I Saw Ramallah”.

First, I am thrilled that paramedics are finally getting the respect they deserve for being the professionals they can be. The scope of practice is expanding, and patient care modalities are improving, seemingly by the minute. Patient outcomes are also improving as a result, and EMS is passing through puberty and forging into adulthood. On the other hand, autonomy in the hands of the “lesser-motivated,” can be a very dangerous thing. You know as well as I do that there are still plenty of providers who operate from a subjective, complacent, and downright lazy place. Combined with the ever-expanding autonomy, that provider just became more dangerous than he or she ever has been – to the patients and to you. Autonomy in patient care places more pressure for excellence on the provider charged with delivering it, and also on the partner and crew members on scene. Since the base hospital is not involved like it once was, they are likewise less responsible for the errors and omissions of the medics on the scene. Now more than ever, crew members are being held to answer for the mistakes and follies of their coworkers; now more than ever, EMS providers are working without a net. What’s next? I predict (and hope) emergency medical Darwinism is going to force some painful and necessary changes. First, increasing autonomy is going to result in the better and best providing superior patient care. More personal ownership of the results is going to manifest in outcomes such as increased cardiac arrest survival rates, faster and more complete stroke recovery, and significantly better outcomes for STEMI patients, all leading to the brass ring: EMS as a profession, not just a job. On the flip side of that coin, you will see consequences for the not-so-good and completely awful providers. There will be higher instances of licensure action, internal discipline, and wash-out. Unfortunately, all those things will stem from generally preventable negative patient outcomes. The danger for the better provider will be in the penumbra; the murky, gray area of time when providers are self-categorizing. Specifically, the better provider who is aware of the dangerously poor provider but does nothing to fix or flush him or her, is almost certain to be caught up in a bad situation caused by sloppy, complacent, or ultimately negligent patient care that should have been corrected or stopped. The answer is as simple as it is difficult. If you are reading this, it is more likely because you are one of the better, more committed, more professional providers. This transition is up to you. You must dig deep and find the strength necessary to face the issue and force the change; you have to demand more from yourself and from those around you. You must have the willingness to help those providers who want it – and respond to those who need it, but don’t want it – with tough love by showing them the door. In the end, EMS will only ever be as good as you make it. If you lay silent through its evolution, you forfeit the right to complain when it crumbles around you.

Fortunately, I have neither coronavirus nor asthma and lung photos are Ok. Today my family doctor again checked but didn't see the medical issue, whereas a few days ago, night doctors sent an emergency ambulance for a checkup but also found nothing. I do not trust the doctors since they made a grave mistake and failed to diagnose metastatic prostate cancer early, and now I am suffering from it. I am taking four Xtandi tablets of 40 mg per day. As a result, I have short breathing and difficulty breathing; I called several times the hospital assistant of the oncologist, who didn't take it seriously while I searched Google for the reasons and truth; I found the Xtandi link with its side effects that states the breathing difficulties and to contact doctors; it creates anxiety, indeed. Whatever any suggestions in this regard: Additional input; however, as a history of black magic by Qadiyyanis followers of fake Jesus that Europe is still unaware of their deeds; I don't exclude the new attacks by them; it is my belief they will face consequences of their crimes accordingly the worldly law and penalty of the Divine.

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In the harbor beyond Kimmel’s window, a flotilla of motor launches and small boats spread out across the water like frenzied water spiders. They carried the wounded first to the hospital ship Solace and then, after its hastily enlarged trauma space overflowed, to the main medical facilities on Hospital Point and a triage area set up on 1010 Dock adjacent to the Argonne. Some of the wounded were carried aboard the Argonne, where the warrant officers’ mess was converted into an emergency operating room. By midmorning, personnel from the Argonne and other ships had also set up a field hospital at the nearby Officers’ Club. On Hospital Point, Naval Hospital Pearl Harbor was a state-of-the-art facility with about 250 beds, but the carnage quickly taxed it well beyond anything its staff had ever imagined. The first casualties arrived even as the second wave of attackers still pounded the harbor. As more poured in, ambulatory patients on the wards with far less critical conditions were discharged or evacuated to vacant outbuildings and hastily erected tents behind the hospital. Within three hours, the hospital received 546 casualties and 313 dead.

The Italian medical landscape features crumbling hospitals, doctors trained on books rather than patients, pervasive corruption, and per capita spending one third that of the US. But, by any criteria, Italians are healthier. Because of their top-flight health care system? Hmmm. That stellar World Health Organization ranking was based entirely on two criteria, system fairness (access and cost distribution) and population health, ignoring quality-of-care measures such as medical competence or emergency room efficiency. This credited the system for outcomes far beyond its control.

In Cambodia I treated children who stepped on landmines, villagers stabbed in their sleep, shoppers shelled in the marketplace, drivers shot up at roadside checkpoints. The victims all made a beeline for our hospital and I was usually able to help. We didn’t care who they were or how they got there; everyone knew that the killing stopped at the red cross on the front gate. Once you made it past there, you were safe, a custom of war so accepted that I never even heard it discussed. Check your weapons in at reception, get a receipt. Do whatever you must to your enemies out in the killing fields, but do not ever bring that shit inside my hospital. Maybe there are no rules here.

In early April 2020, many hospitals around the country were preparing policies related to triage that were based in part on age. Reports had emerged of the necessity of such triage in Italy in the previous month.42 Should circumstances require, the very old were to be denied ventilators or taken off them so that the ventilators might be reassigned to younger people more likely to survive.

And so I can always find this, here is the best thing I have read about the experience of being a parent: "And then you arrive on the scene... A Family. They bring you home from the hospital, at which point everything speeds up. It's a montage of first moments, all of the major and minor milestones: first step, first word, first time sleeping through the night. There are a few years in a family when, if everything goes right, the parents aren't alone anymore, they've been raising their own companion, the kid who's going to make them less alone in the world and for those years they are less alone. It's a blur - dense, raucous, exhausting - feelings and thoughts all jumbled together into days and semesters, routines and first times, rolling along, rambling along, summer nights with all the windows open, lying on top of the covers, and darkening autumn mornings when no one wants to get out of bed, getting ready, getting better at things, wins and losses and days when it doesn't go anyone's way at all, and then, just as chaos begins to take some kind of shape, present itself not as a random series of emergencies and things you could have done better, the calendar, the months and years and year after year, stacked up in a messy pile starts to make sense, the sweetness of it all, right at that moment, the first times start turning into last times, as in, last first day of school, last time he crawls into bed with us, last time you'll all sleep together like this, the three of you. There are a few years when you make almost all of your important memories. And then you spend the next few decades reliving them.

And then you arrive on the scene... A Family. They bring you home from the hospital, at which point everything speeds up. It's a montage of first moments, all of the major and minor milestones: first step, first word, first time sleeping through the night. There are a few years in a family when, if everything goes right, the parents aren't alone anymore, they've been raising their own companion, the kid who's going to make them less alone in the world and for those years they are less alone. It's a blur - dense, raucous, exhausting - feelings and thoughts all jumbled together into days and semesters, routines and first times, rolling along, rambling along, summer nights with all the windows open, lying on top of the covers, and darkening autumn mornings when no one wants to get out of bed, getting ready, getting better at things, wins and losses and days when it doesn't go anyone's way at all, and then, just as chaos begins to take some kind of shape, present itself not as a random series of emergencies and things you could have done better, the calendar, the months and years and year after year, stacked up in a messy pile starts to make sense, the sweetness of it all, right at that moment, the first times start turning into last times, as in, last first day of school, last time he crawls into bed with us, last time you'll all sleep together like this, the three of you. There are a few years when you make almost all of your important memories. And then you spend the next few decades reliving them.

And then you arrive on the scene, Baby Willis. A little tiny Kung Fu Boy. And for a moment the backstories and fragments and scenes filled with background players and nonspeaking parts, it all makes a kind of sense, all of it leading to this. A family. They bring you home from the hospital, at which point everything speeds up. It’s a montage of first moments, all of the major and minor milestones: first step, first word, first time sleeping through the night. There are a few years in a family when, if everything goes right, the parents aren’t alone anymore, they’ve been raising their own companion, the kid who’s going to make them less alone in the world and for those years they are less alone. It’s a blur—dense, raucous, exhausting—feelings and thoughts all jumbled together into days and semesters, routines and first times, rolling along, rambling along, summer nights with all the windows open, lying on top of the covers, and darkening autumn mornings when no one wants to get out of bed, getting ready, getting better at things, wins and losses and days when it doesn’t go anyone’s way at all, and then, just as chaos begins to take some kind of shape, present itself not as a random series of emergencies and things you could have done better, the calendar, the months and years and year after year, stacked up in a messy pile starts to make sense, the sweetness of it all, right at that moment, the first times start turning into last times, as in, last first day of school, last time he crawls into bed with us, last time you’ll all sleep together like this, the three of you. There are a few years when you make almost all of your important memories. And then you spend the next few decades reliving them.

We start off in childhood believing parents might have access to a superior kind of knowledge and experience. They look, for a while, astonishingly competent. Our exaggerated esteem is touching but also intensely problematic, for it sets them up as the ultimate objects of blame when we gradually discover that they are flawed, sometimes unkind, in areas ignorant and utterly unable to save us from certain troubles. It can take a while, until the fourth decade or the final hospital scenes, for a more forgiving stance to emerge. Their new condition, frail and frightened, reveals in a compellingly physical way something which has always been true psychologically: that they are uncertain vulnerable creatures motivated more by anxiety, fear, a clumsy love, and unconscious compulsions than by godlike wisdom and moral clarity—and cannot, therefore, forever be held responsible for either their own shortcomings or our many disappointments.

Our health care system squanders money because it is designed to react to emergencies without infrastructure.

Lisa possessed the greatest single resilience factor humans can have: She was an appealing person—engaging, curious, and obviously intelligent. She made great eye contact, and she was eager to share what she had learned about herself. Best of all, like so many survivors I’ve known, she had a wry sense of humor and a delicious take on human folly. Based on what I knew about her background, it was a miracle that she was so calm and self-possessed. She had spent years in group homes and mental hospitals, and she was a familiar presence in the emergency rooms of western Massachusetts—the girl who regularly arrived by ambulance, half dead from prescription drug overdoses or bloody from self-inflicted wounds.