Relationships and Going Places

"Foreign doctors have all kinds of different forms of training. But many are united by one common factor that seems to be operative especially in the Commonwealth countries — a great emphasis on the bedside exam and on clinical skills. In part, [this approach] was driven by the lack of ready access to all the kinds of sophisticated testing that we have now. But I think that kind of clinical training still serves me very well. It’s almost embarrassing to see how little emphasis we put on that here where the most glaring finding, one that could have been discovered by either a good history or by a discerning exam, instead requires this $2,000 MRI and interpretation to discover something that was really there for everyone to see and recognize had they only learned how to do that." more »

Brain scientists and pharmacologists don’t know how to measure if and to what extent marijuana causes impairment. Existing blood and urine tests can detect marijuana use, but, because traces of the drug stay in the human body for a long time, those tests can’t specify whether the use occurred earlier that day or that month. They also don’t indicate the level at which a driver would be considered “under the influence.” “It’s a really hard problem,” said Keith Humphreys, a psychiatry professor and drug policy expert at Stanford University. “We don’t really have good evidence — even if we know someone has been using — [to gauge] what their level of impairment is.” more »

Sonya Zalubowski writes: One of the most thrilling moments was our visit to the Alcazar in Segovia, the castle with foundations that date to Roman times, where Isabella and Ferdinand reigned in the 15th century. We stood in the very throne room where Christopher Columbus once knelt before her. The people are surrounded by remnants of a succession of cultures ranging all the way back to prehistoric to Roman, Visigoth and Moorish, to the kings and queens whose rule dominated Europe as they sent out Portuguese and Spanish explorers, to 20th-century despots and finally present day governments more »

Julia Sneden wrote: It's embarrassing to think back over the sheer volume of presents I've received over the years. A few stand out: a beautiful, winter-white skirt of soft wool embroidered with pale blue and silver snowflakes that I longed for but knew we couldn't afford, that turned up miraculously anyway ... an opal ring that my great aunt had promised me when I was sixteen ... from my husband, a pair of books by Carmen Bernos de Gasthold, the first Christmas we were married ... a present my eldest son selected all by himself for me when he was about eight, blue ornament earrings paid for from his allowance ... the Double Crostic books another son gives me yearly ... a copy of Babar the King brought me by my adult middle son ... photos of my grandchildren taken and compiled into a little book by my clever daughter-in-law. more »