October 03, 2003

Where's Johnny?

It's Friday but where's Johnny with my Cheese? I'm just going to go ahead and answer the questions that were posted to the board - they're most likely the ones that would be in the Cheddar X this week.

Where would you be if you were in a band?
Some dive bar where we'd be lucky to make $20 plus booze for each set. I have no musical ability whatsoever and I have to assume that any band that would have me in it would be so desperately bad that a great set for them would be one where they didn't get thrown off the stage.

Who do you support in Mapwar I, the Mappist Coalition (Snooze Button Dreams) or the Fairy Defamation League (Everyday Stranger)?
Hmmm...this is a tough one. After due consideration I must throw my support behind me. There's just no way I could give that support to a fairy killer.

There has recently been quite a bit of exposure regarding biased reporting from Iraq. Is it the responsibility of the news agencies to report good news as well as bad news?
No, it isn't. News agencies are either state run or they are corporations. If it's state run then its only responsibility is to spew the correct propaganda. If it is a corporation then its duty is to provide the consumer with the product that they wish to purchase. Generally speaking, death, misery and freakishness sell and that's what I expect from broadcast and print news sources. It's also why I don't watch broadcast news or subscribe to a newspaper. I get my news online where I can select varied sources that I believe represent a full spectrum of what's happening out there. That being said, I believe that the major news organizations will begin putting more human interest and success in Iraq stories out because the public has let them know that they want to hear these things. Demand and supply, that's all there is to it.

What should the age of consent be and why?
In an ideal world there shouldn't be any defined age of consent. People mature at different ages and different stages. There shouldn't be an automatic ability to drive at 16, vote and screw at 18, and drink at 21. Some people are ready earlier and some are ready later. Let people qualify for restricted activities through testing and proof of maturity.

Are you a Stealth Blogger? That is, do you let the people in your life know you blog? If so, why? If not, why not?
The only people in my life that know I'm a blogger are G and Lil Bro. G actually reads the blog; I don't know if Lil Bro does. I'm not hiding my blog - I use my real name, real location, etc - but I'm not promoting it to friends and family either.

NJ has just passed a law banning people from driving while drowsy. Do you think that this will be effective in preventing accidents, or just another law that will fall by the wayside after a few years?
It won't have any affect whatsoever, just like laws about cellphone use, eating, whatever. It is already illegal to drive under diminished capacity and if you get into an accident because of your diminished capacity then you will be judged at fault. This is just another redundant law that will further clutter up the books.

What is the best book that you have ever read? What made it such an excellent book?
A Game of Thrones by George R.R. Martin. This is beyond any shadow of a doubt the more detailed and entrancing tale I've ever read. Martin makes it come alive to such an extent that there were certain times that I had to put it down and walk away from it to process everything and settle down from the story.

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September 17, 2003

Kids Say the Darndest Things

Lovely Wife and I aren't very religious. Depending on the state of the world I wax from agnostic to part-time believer. She's much the same but trends toward the believer side. As a result we're not the most regular churchgoers. You might say that we're not churchgoers at all but then people might look at you funny and wonder why you were talking to your monitor so I advise against it.

As far as religion goes we'd like our kids to make up their own minds. That requires a bit of exposure to religion that, as previously noted, we're not the best at providing. To get them that exposure the two older ones go to a religious preschool. This has a couple of side benefits as this particular preschool is both eminently affordable as well as being the best school, hands down, in our area. In addition to the normal preschool stuff learning letters and numbers, playing, learning to get along with other kids and celebrating September 8 birthdays on September 11 (I'm not bitter, why do you ask?) they also attend a mini service once a week and do other little religious things. One of those little things is a "prayer angel". A prayer angel is a little white stuffed bear and a prayer journal that the little guys take home on a rotating weekly basis. The kid gets to pray with the angel and after a week the kid and parent can write down how they pray, what they pray, etc in the journal to share with the class.

We don't pray. I shouldn't say we never pray. We just don't pray in the traditional sense. We pray in the profane sense that is a no-no according to one of the big 10 rules. We don't do it often, generally only at especially painful mishaps or unusually offensive drivers, and never around the kids. This prayer angel was a problem for us. Bear brought it home yesterday and we were at a loss what to do with it. Fortunately for us Bear is a bit better at this than we are.

We had the prayer angel on the desk all night and since that's in our bedroom we forgot about it when we put the kids to bed. Bear woke up and remembered it and hollered until we brought it to him and he slept with it all night. That's not really what it's for but we figured "what the hell, might as well get some use out of it". (That's one of those not-quite-a-traditional-prayer-things I was trying to explain above.)

This morning he greeted Lovely Wife with a hug and instructions. "Mama, write in the book that I prayed for the soldiers. I like soldiers, they are heroes."

Do I have great kids or what?

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September 16, 2003

Test Your Mouse For Accuracy

In order to do this, left click over the Z (below) and hold the button down as you drag it over to the J. This will test the click/drag coefficient of your mouse.


ZStop farting around and get back to work!J

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September 12, 2003

Ensgilh 101

Acocdrnig to an elgnsih unviesitry sutdy the oredr of letetrs in a wrod dosen't mttaer, the olny thnig thta's iopmrantt is that the frsit and lsat Ltteer of eevry word is in the crcreot ptoision. The rset can be jmbueld and one is stlil able to raed the txet wiohtut dclftfuiiy.

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1.8181818181818181818181818181818

That's 9/11+1 by the way. That's actually only part of it as the number goes on forever. I'd love to turn that into a fitting allegory but it's quarter to 12:00 and I'm starving, over caffeinated and under nicotteinated so the brain juices aren't flowing too well.

It's the day after 9/11 and I'm feeling much better, thank you very much. A tour around the blogosphere shows that I wasn't the only one who was a bit out of sorts yesterday either. As things return to a more normal atmosphere (mostly my mood) I remembered something else very important that I discovered on 9/11/01. You don't have to be a citizen of the USA in order to be a patriot. My wife is a German citizen (Don't bother calling the INS on us, she's here legally). On 9/11/01 and the following days my Lovely Wife showed a love and passion for the States that I have seen on very few Americans (and I served with Marines for 4 years). She was just like a mother whos child was attacked. She was fierce and outraged and unbelievably frustrated that she couldn't help.

I guess the mother/child allegory is fitting as this is her adopted country. She does not wish to become a citizen - Germany is her homeland and always will be. At one time this bothered me. After all, if you're going to be living in a country for the rest of your life shouldn't you, at a minimum, embrace that country as your own? Well she has embraced it and far more intimately than a great many people who take the tests, pay the money and say the official words. She embraced the United States in her heart and the events of September 2001 allowed me to finally see that.

That's my Lovely Wife. German. American. Patriot.

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Articlizing my own comments - How's that for hubris?

My 9/11 post received a very lovely response from H over at Everyday Stranger that caused me to reread that very same post. Yikes! Don't worry, y'all. I'm not in that bad shape. I wrote and posted angry yesterday so it was a lot more fierce than it probably should have been.

Anyway, my reply to her ended up on the longish side and both include some valuable stuff so I'm putting 'em out here in the open instead of just commenting or mailing back.

Hiya Jim,

Ususally I tend to align with how you think, but on this one I think you are a wee bit angry and it is tempering what I have suspected is, deep down, an extremely giving nature.

The thing of it is, punishing an entire race for the wild, horrible fuck ups of a twisted brainwashing sociopath who is more in desperate need of decaf than anyone I have ever known is not something I would have said you were about.

I was just in Turkey, and the musical call to the mosue drifting in the evening air was absolutely beautiful. I talked to a number of Muslims there (it is predominantly Muslim) and they told me one thing that I take with me-the Koran is a list for the following to live by, but is a matter of interpretation. I was told, a few times, that they are Allah's suggestions.

I'm going to be ripped apart for this now, but is this really different than the insanely Christian nutball who felt it was ok to gun down a doctor and his driver as they worked at an abortion clinic? He interpreted the Bible in one way. Bin Ladan has interpreted the Koran in one way.

But to punish a whole race, a whole faith, for the ignorance of a sect, makes us no better than them. After all, they think ALL Americans are bad. If we think ALL Muslims/Arabs are bad, then we have fallen down the slippery slope.

Fight the hate, man.

//H

Thanks for the kind words and concern, H.

I was writing angry yesterday so that post came off a bit stronger than it should have. But not by too much, unfortunately. I don't want to be a bigot, racist or hatefilled person. I never was before 9/11 and the fact that it is so difficult to fight down these base impulses, and the way it makes me feel when I recognize my own attitudes, makes me hate them even more for what they've stolen from me. It's a nasty and vicious circle that feeds on itself.

But it is getting better. Educating myself has helped enormously. Time helps. Afghanistan and Iraq are helping - seeing that progress can be made in that region and that the psychos really do seem to be a minority. Ironically, France is helping. The way they are totally screwing themselves over their own fundamentalist problems has gone a long way towards showing how much stronger we Americans are as a country and a collective culture.

I don't blame all arabs anymore. Yes, I am initially leary when I run into someone of obvious arabic heritage, but I'm at least ashamed of my emotional reaction and can conciously master it now.

I do still believe that fundamentalism is a problem that will never go away so long as there are fundamentalists. Fanatics of any stripe, whether islamic terrorists or anti-abortion snipers are dangerous by their nature. Fundamentalism, especially when tied to the arabic culture, breeds fanatics faster than free range bunnies. To actually defeat terrorism we must educate the arabs and bring them into this century. A change in their culture is absolutely required in order to end the worldwide terrorism problem but if that change is suffrage, education and franchisement then is it really such a bad thing?

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September 11, 2003

My Voice

Warning: 9/11 post ahead. It isn't a sad post but it is an angry one.

This isn't really going to be about 9/11, per se. Not really about the terrorists, the horror, the many hours spent glued to frightening images being played over and over again. It's not going to be about the dread anticipation as we waited to find out what was happening with that missing plane. Not about the mental inventory of family and friends to determine if anybody we knew was in the towers or the City. It's also not about the frustration of being at work and not being able to get any news or the partial relief when Lovely Wife started sending simulcast emails as she watched everything on CNN. It's not about the tremulous "Did you hear"s as people arrived in the office or the silence when their look told you that yes, they most certainly did already hear. It's not about the many phone calls with Lovely Wife that day as we took turns calming each other down. It's most certainly not about the shattering of my illusions.

No, wait. That's exactly what it's about. The shattering of my illusions. Not the illusion of safety that many people lost that day but the illusion of my own lack of bias. This is about how I became racist for the first time in my life.

I've lived and worked all over the States. As a kid my best friends were Suman and Parul (who were from India) and Mark Mittlemark (who was Jewish). In High School I was in with the Jocks, Brains and Stoners. I was in the Navy for 8 years, serving with every minority you can imagine. I've lived in suburbia, urbia and borderline slums. I've lived in a house of women and roomed with a homosexual man. The personal trait I am most proud of is my lack of racism and bias and I've spent a lifetime minus two years enjoying the benefits of it.

Before September 11, 2001 I was a borderline apologist. Oh I didn't go so far as to voice support for the PLO or anything like that but I was always the one person who would say that we couldn't paint all Palestinians with that brush. Similarly, I was the one who said we needed to respect the culture of the Arab nations. What's normal for one people is not normal for another but that does not give one the right to criticize the other. When talk turned to Islamic terrorists I very quickly spoke up that the vast majority of muslims were just as peaceful as anybody else. When fundamental Islam came up I made sure that everybody knew that most of them were simply firm believers and we shouldn't let some bad apples spoil the bushel.

Boy was I an idiot. And it only took 3000 deaths and one day of emotional hell to educate me. There can be no respect for things that are, by their very nature, abhorrent. If your culture says it's okay to target civilians to achieve your ends then your culture as a whole is wrong. It is not just this person or that person, it is every single participant of that culture. If your culture says that it is okay to mutilate your daughter and cut off her clitoris then your culture is wrong. Every member of that culture is just as guilty as the person who wields the razor. If your culture says it's okay to kill your daughter or sister to protect or avenge your family honor then every member of that culture is a murderer. If you drive an airplane into a skyscraper and your people dance in the streets with joy at the mass murder of your civilian targets then those people need to be dancing at the ends of ropes.

9/11 taught me how to hate an entire people. It opened my eyes to the fact that some cultures are simply wrong at their very cores. It educated me to the fact that some people are evil and dangerous and wrong simply because they are part of something that is evil and dangerous and wrong.

I know now that there is no such thing as a good or peaceful radical fundamentalist. I know without a doubt that anybody from the Middle East really should be viewed with distrust and suspicion until they can prove they are trustworthy. I know that arabs don't want peace and they will never, ever leave us alone. And I know that there is only one realistic way for us to be safe and it does not include autonomous muslim states.

That was then, this is now.

Pretty scary stuff, eh? It scared the hell out of me, that's for sure. I felt that way for a decent portion of 2001 and right into 2002. Gradually I came out of that cloud of hatred and bias. I no longer think that our best bet would be to give Kansas to Israel and then create the Great Glass Plains out of the former Middle East. I'm not quite back to where I was though, and I doubt that I ever will be. I still think that fundamental Islam is wrong by its very nature. I'm still a bit leary of arabic people. I'm still quick to think any act of violence was muslim terrorists until proven otherwise. I still think that any permanent solution to the terrorist problem must involve a wholesale change of arabic culture and the elimination of fundamentalist dogma. I am still more than ready to blame every single supporter of the cultures that breed this evil for the actions of that evil.

That's my legacy of 9/11. I doubt that's what they wanted - to galvanize the people of America against themselves and their kind - but that's what they got. As you sow, so shall ye reap. Reap it, you bastards.

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September 09, 2003

On Rape and Writers

Apologies in advance for the people who will be offended by this post. No insult is intended. I could be totally wrong in my suppositions or simply lacking enough exposure to get the full picture. Then again, I could be completely right. Either way I welcome discussion and comments on the topic and hope that bashing, slamming and/or verbal dismemberment will be kept to a minimum.

I read quite a bit. Generally 2 to 3 books a week or more. Reading has been a part of my life since I was 3 or 4 years old and is my one obsession that will probably never fail. My book reading is mainly fiction - fantasy, sci-fi, or real-world.

The book I'm currently reading is Rules of Engagement by Elizabeth Moon. Moon has made the rape and abuse of her heroine a central focus of this book. I've been reading this book and I've been getting more and more uncomfortable with it but I'm continuing because the it is well written and the story, apart from those elements, is pretty good. But those elements are totally and completely unnecessary. I have a tendency to edit a book as I read it, rewriting or replaying it in my head with changes that would have made it simpler or better. With this book I can completely remove the raping and abuse with absolutely no deleterious effect on the story. Nada. None. The story works perfectly well without it. So why is it in there? It adds nothing and is actually making this book less enjoyable than it should be.

This thought got me thinking along another tangent. Many of my favorite female big name SF & Fantasy writers (McCaffery, LeGuin, Roberson, Rawn) have written rapes in their stories. Rape and rape fantasy is a staple of Harlequin style books, which are written for a female audience generally by female authors. Anne Rice, one of the biggest names in fantasy/horror literature, has made a franchise of sexual conquest, rape, abuse and sexual acts with children in her writing.

As I explored this in my head it became more and more apparent that rape content is not generally used by my favorite male authors. I can't think of a Martin, Roberts, Henlein, Brooks or Asprin book that had a rape in them. Weber used rape in one book of the Honor Harrington series but he handled it en post facto. He didn't describe it or dwell on it. He concentrated on how enraged it made his characters.

So what's up here? Why do female writers tend to write about rape, abuse, etceteras more often and more graphically? And why? My basic thought would be just the opposite - wouldn't women writers tend to avoid a subject like rape? I'm at the wild conjecture stage but here are some of my thoughts. Try to overlook the generalizations and see the intended points:

  • Women are closer to, and more affected by, rape and abuse. As it is a subject that they think of more often they naturally fit it in their writing more often than males.
  • Rape is frightening for women. Men have a different basic fear set. A female writer might tend to use rape as a scare tactic when a male writer will use something that generally frightens males.
  • Similar to the above, a female writer might use rape to paint her bad guy as bad where a male writer might tend to use murder or some other nasty deed instead.
  • Also similar to the above, a female writer might use rape survival to show how "tough" her heroine is while a male writer would go elsewhere.
  • (I'm going to get slapped for this one.) The "Harlequin" mentality indicates a fascination with rape fantasy that ties into the fear of rape itself. The brutish man forces himself on (and in) the heroine but midway through the act she surrenders to his inexorable charms and falls in love. This is reflected in the writing of female authors.
  • Because females are the general victims of rape (there just aren't a whole lot of male rape victims outside the penal system) they "own" it. Female writers can write about rape simply because they are female. Male writers are uncomfortable writing about it because they fear being tarred with the rapist brush. This would be similar to how a minority comedian can make jokes about his minority but a white male comedian better not.

That's all I've got. I'll put on my helmet and cup and prepare for the worst while hoping for the best.

Update: One more I thought of in the shower today:

  • What's the market slice for fantasy/sci-fi? If it is significantly male, could female writers be putting in rape and abuse of women because they think it tittilates their male readers?

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My 9/11 conundrum

9/8 is Bacon's birthday. That was yesterday. He's three now and he had a blast at the little party we threw for him. It was just the family - Lovely Wife, me, Bear, Burger, G and G's wife. He hasn't been in school long enough to have made any friends yet and all of his little friends from last year fell out for one reason or another. He still had a lot of fun.

9/11 is not his birthday. If it was, we would celebrate it on that date. 9/9 isn't his birthday either. 9/11 is when his preschool teacher wants to celebrate it. You see, he only goes to school on Tuesdays and Thursdays. Today (Tuesday, 9/9) is a birthday party for another kid who's birthday is also not today so the closest day available for Bacon would be 9/11.

We told his teacher (Ms. Nancy) that we did not want to have his birthday celebrated on 9/11. We explained that if his birthday was actually on 9/11 that would be totally different but that we have a serious problem with moving a party to that date. We feel it is disrespectful and just...wrong...to have an anniversary party on that day when the actual anniversary isn't actually on that day.

She said that she understood but that if the birthday wasn't celebrated on 9/11 then they would not be able to do it at all this year. The calendar was drawn up before the school year started and there is not another day that could serve. This strikes me as bullshit. These littles have a school year of around 36 weeks. Two classes a week makes over 70 days of school. For the next 8 months there is not a single day that is not scheduled so heavily that there's no time between now and the end of the year for her to lead the kids in a round of "Happy Birthday"? Bullshit, Ms Nancy. Bullshit.

So what do we do? Forbid the in-school celebration? It's just the above-mentioned singing during snack time and an activity or two. No huge loss. He doesn't care about the attention at all - a birthday to him means that he gets money. Since he won't get money there he's not going to care either way. It could actually make him sad when he gets the lead-up and then there's no cash reward. But all of the other students will have their birthday day, will he wonder why they all do but he doesn't?

We don't want to rob him of his due but we also want all of our kids to understand the solemnity and importance of 9/11. Oh, don't worry - I'm not going to push it down their throats. Just as much as they are ready to understand, same as Easter and Memorial Day and the rest of the days of import. But is there a way out of our rock and hard place dilemma?

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August 25, 2003

Built like a brick shithouse

Where the hell did that phrase come from? This is a complement on a girl's figure. A compliment. Comparing a supposedly lucious bod to a an outhouse in the most vulgar manner imaginable is an apparently logical function in the English language? No wonder the migrant workers here stick to Spanish. Damn. Double damn. Now I've got that awful Commodore's song running through my head.

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I had wings again for dinner last night

Lil Bro is a cultured enthusiast of the spiced delight and has not been able to get a decent wing for years (They do not exist in the North Left - there's some trade agreement between Starbucks and Microsoft that precludes them). Coming home late from Stone Mountain we decided to partake of dinner at a local eatery. This particular place is called Buffalos and they claim to have been made famous by their exceptional Buffalo Wings. They are foul and cretious liars. They do not love the wing. Lil Bro and I both ordered "Scorchin" wings. This is the level beyond "Hot". In a decent wing house in Buffalo an order of suicidal wings ("Suicidal" is the correct term. Their use of "Scorchin" should have clued me in right away that they were impostors.) would be remarkably close to my own handcrafted beauties. These were not suicidal. They were not scorchin. They were not hot or even medium-hot. They were barely medium. They were not crispy on the outside and delicately juicy on the inside. They were served with a profanity of vegetable matter assaulting them. They were served with "Bleu Cheese Dippin Sauce" that most closely resembled ranch dressing with black spotules in it. This uncouth offensive against my palate shall not go unrevenged. The karmic backlash alone should, at a minimum, result in the near destruction of their foul establishment.

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I'm not hung over today

This is perplexing and worrying. Perplexing because I consumed better than a six pack last night in a span of only two hours. Perplexing because I was messed up enough to jump out of bed late for work and dive in the shower only to have Lovely Wife yell out an interrogation of my efforts as it was only 12:30 in the morning. Worrying because I'm not a drinker any more. Oh, I used to be. Back when I lived at E's place there was a keg fridge in the basement and we rotated those on a very regular basis. But since marriage and children happened, my semiregular bouts of debauchery have ceased. My once legendary tolerance for the amber potion has evaporated. In the past 4 days I've consumed more than I probably have in the past 4 years. By all rights I should have an explosive cranium today but all I have is an unquenchable thirst and drooping eyes from lack of sleep. Am I exceptionally lucky or is the bod returning to its party form? Hopefully its luck. I can't keep up with Jim of 5 years ago.

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August 19, 2003

My Political Compass Points Due Nowhere

Found a link to The Political Compass Quiz over at Ilyka's place. The idea behind the compass is to show another dimension of political ideography beyond Left/Right. Specifically it separates the traditional social metric from the traditional economical metric. As the site says:

On the standard left-right scale, how do you distinguish leftists like Stalin and Gandhi? It's not sufficient to say that Stalin was simply more left than Gandhi. There are fundamental political differences between them that the old categories on their own can't explain. Similarly, we generally describe social reactionaries as 'right-wingers', yet that leaves left-wing reactionaries like Robert Mugabe and Pol Pot off the hook.

My initial impression of the quiz that plots you on the compass was favorable. Don't get me wrong, there are some obvious and very large problems with it. It is, however, an excellent step forward towards a very good idea. The most obvious problems are insufficient number of questions and several very convoluted questions. The first is a problem because a small sample field cannot be used reliably in statistical measurement. The larger the sample, the more accurate the result. The smaller the sample, the greater the chance of statistical anomaly. Confusing, poorly worded or misleading questions throw monkey wrenches into the works. This is exacerbated by the small size of the original sample.

A larger but less obvious problem with the quiz is that the questions lack weight. You may agree or disagree with a quiz statement or you may strongly agree or disagree. The quiz does not ask you how much that statement matters to you. Let me show you why. The four items in the following table are scored in the same manner as the ones on this political compass test.

I take this test and my answers are A,D,A,D. The results of my test indicate that I am dead center on both the social and economic scales. My agreements cancel out my disagreements leaving me at 0,0. But wait. I don't give a fig about the issue on question #1, I just strongly disagree with the statement. Now question #2 I am both strongly in agreement as well as passionate about the topic. If we can record this "weight" for each question we can reduce the effect of topics that don't matter (question #1) and increase the effect for topics that do matter (question #2). With the points weighted I'm suddenly a good distance to the right on the social metric.

Weighted polls like I describe have been going on for a long, long time. They have never really caught on because they are generally not needed - most polls are simply constructed to assign beans. "Will you vote for Bush? Yes/No". It doesn't matter how much you care about voting for Bush because you have one vote and it will either be cast for him or it won't. You can't half vote or 2/3 vote. They care only about the absolute values.

The poll/quiz they are using for this compass cannot work without weighting the questions as it is trying to determine relative values. As I illustrated in the example above it is far too possible for the results to skew without weights. So overall I don't put much stock in the results I got for my Political Compass but I like what they are trying to do here; the inclusion of a second major metric in political placement is absolutely necessary in my book. I'll wait impatiently for a proper quiz. In the meantime, go to the site, take the one that's there to see what it's all about and then place yourself on the graph where you feel you should be. It'll probably be more accurate than where the quiz places you.

By the way (in case you haven't guessed already from the post title) my results were Economic (Left/Right): 0.12 and Social (Libertarian/Authoritarian): -0.10. Those are on a scale of -10 to 10 so I'm about as dead stick stuck at the center as it's likely anybody could get.

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August 18, 2003

Sub adults

My Lovely Wife was born and raised in Germany and also spend a decade living in The Netherlands. This gives her a unique viewpoint on many of our staid American traditions and mores. One we discussed recently was underage drinking and I have to say that the Hollandaise solution seems quite superior to our own. Let's take a quick look at typical teen drinking in the USA:

1) Teens sneak into parents' liquor cabinet, steal booze, get blasted, get caught, get punished.
2) Teens are now cut off from parents'booze so the oldest looking one in their clique is now Mr. Beer and they buy illegally, get blasted, generally don't get caught so generally don't get punished.
3) Teens get blasted away from home in some "secret" location and have to get back. Maybe there's a designated driver, probably not.
4) Teens either die, get caught by cops and have their life screwed up or make it home safely , thereby reinforcing their belief in their natural immunity from all evils and encouraging them to do it again.

Not a pretty sight. Now let's look at your average late teen, twenty year old:

1) Drink illegally at a bar that doesn't care about their age. Sometimes they'll need to alter their license just enough so the bouncer can pretend he thinks they're 21.
2) Alternately, go drink at a friend's house.
3) Get blasted away from home and have to get back. Maybe there's a designated driver, probably not.
4) Either die, get caught by cops and have their life screwed up or make it home safely reinforcing their belief in their natural immunity from all evils and encouraging them to do it again.

The basic problem is that in the USA you are either a youth or you are an adult. There's no middle ground. If you are 20 years old plus 364 days you pretty much can't drink legally anywhere. This despite the fact that you've been old enough to elect the leadership of the country for 2 years and 364 days. O'er in the nordic lands they acknowledge that there is a middle ground when a maturing person is not an adult but wants to be one. They have a special classification for these tweeners that allows them some of the rights and privileges of an adult under greater supervision. Here's how Nederlander teens go partying:

1) Bus to the tweener club.
2) If you're 15 you can have some beer. If you're 17 you can have some actual alcohol.
3) You don't actually need to get drunk. You're at a club legally. No sneaking. No special thrill for breaking the rules. No need to drink everything you bought because there's nowhere to stash it until the next time your crew has a chance to get blasted. You actually learn to use alcohol responsibly and in moderation. Plus, the club is highly monitored. Mess up and you could get banned. You do NOT want to get banned from the club 'cause you can be damned sure that this would be the figurative end of your social life.
4) Bus back home at a reasonable hour because the club closes at a reasonable time. Maybe you caught a buzz, maybe not. You had a good time though so will likely do it again instead of trying to go the illegal route for a bender.

In the USA we cultivate an atmosphere that encourages teen drunkenness and violation of arbitrary laws. On the other side of the pond there is openness. No brick wall saying "Keep Out" that makes burdgeoning adults want more than anything to get in.

I put together a hypothetical situation and Lovely Wife has presented it to some of our friends with kids:

Your kid has been invited to a party. The parents there are buying beer for the kids. Both parents will be there the entire night supervising the festivities. Every effort will be made to prevent drunkenness and maintain a casual atmosphere. Keys are going to be collected at the door. Kids are welcome to spend the night. Those who do not spend the night may taxi home or may be brought home by one of the parents when the party is over.

Poll question:
Would you let your kids go to this party?

Results:
Yes: 42 (76%)
No: 12 (21%)
Maybe: 1 (1%)

So far three out of three that Lovely Wife spoke with would let their kid go. All three put in the proviso that we were the host parents. I can understand this as you can't really ask this question fairly, even hypothetically, without a bit of information on the hosts. What thinkest thou? Would you let your kids go? Comment and vote your opinion.

UPDATE:
Poll closed and results recorded above. This is excellent support. It should mean that there's a decent chance I won't get arrested when I throw one of these parties for Bear in a dozen years or so.

Posted by: Jim at 08:05 AM | No Comments | Add Comment
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August 17, 2003

Unbefreakinglievable

Wasn't even going to post today as I'm in still recovering from my illness but I took a minute to peruse my favorite blogs and came across something that absolutely demands that I do so.

As you can tell by my archive depth I haven't been doing this very long. To tell the absolute truth I'm fairly new to the blogosphere even as an observer. In the relatively short time I've been here, and in the shallow corner that I've actually visited, I've encountered two of the most despicable actions of my life. In the first, the "Moxie" war, an inane online feud resulted in a woman losing her real life job. Now, a vindictive bastard has done it again. Some fucknut has taken an online disagreement and made it a real, human, personal attack. Some psychoanal addict has tried to screw with Kate in her real life. Not just with Kate, oh no. This scumball has tried to have her kids taken away from her.

HER KIDS!

They called Child Protective Services on her, claiming she is an abusive alcoholic. Exactly how evil does somebody have to be to do something like this? How fucked up do your thought processes have to be for this to seem like a rational thing to do? Can't people even think? Can't this fuck tell the difference between verbal argument or misunderstanding and what it means to totally fuck someone over? To try to strip kids from their family in order to "punish" somebody? I am totally fucking over the top pissed.

And I am unbelievably impressed by Kate. She is showing ungodly restraint. If somebody, anybody, ever tried to pull something like this on me - try to take my kids - I would be calling down the lighting on their soon to be sorrier than ever before in their lives ass. You attack me, fine. I've made myself a public target. But attacking my kids? Nothing this short of hell would protect you from me. Kate hasn't even stated who the argument is with. Kate's definitely a better person than me because at this point I would be slamming that name at every opportunity.

Whoever did this, I hope you understand how karma works and I wish to hell I could see you when this comes back at you. You suck and the world would be a better place without you.

Posted by: Jim at 06:36 PM | No Comments | Add Comment
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August 14, 2003

The Infection Spreads

So we're at The Crick (see My Life Kicks Ass for the background) and Burger keeps running off. The candlemaker is across the way and he really, really wants to go in there. And Miss Katie's sideboard restaurant is right next to us. He wants to go in there even worse. And there's the long path down Crossroads that he can't resist running down. He'll be happily splashing in the water one second and then slyly look to see if Lovely Wife or I are watching. If at least one of us is occupied he trundles out of the crick and ambles toward his objective.

He gives a look over his shoulder every couple of steps to see if we're coming after him. When we do he giggles and takes off at top toddler speed, his 18 month old legs competing to keep him upright against the off kilter swinging of his little arms. Incredibly cute and just fast enough to make a parent jog to catch him. And he has a blast with the "Catch me if you can" routine.

But it started getting old. Lovely Wife has gone to the car for drinks and there were a couple other kids in the crick now. I had to actually watch the boys now. It's one thing if my own get crazy and whack each other, it's quite another when Bear plays Godzilla and scares the bejeezus out of some two year old little girl or Bacon starts Hulk jumping and lands on some tot.

Burger took off for the third time since Lovely Wife went on her errand, that's three times in under 5 minutes. Bacon and Bear were arguing about something and the spat was threatening to end in a push. My rational male mind was overloaded by the simultaneous need to handle two crises. I yelled at Bear and Bacon "Y'all knock that off!"

That's not so bad. I'm a willing user of "y'all" and its many derivatives. English has lost the plural posessive and as a lover of the language I was happy to adopt this elegant southern solution. No, my above statement is not the cause of my current self dismay. It's the one that followed.

With the Bear/Bacon problem solved I turned in Burger's direction and yelled out "Burger, git on ovah heah!"

Git on ovah heah? Unbelievable. Git on ovah heah! What the hell was that? It just came out, all natural like. I was floored. I couldn't believe I had just said that. An erudite yankee sunk into the contusive flow of southern jargon. I couldn't move. Couldn't think. I dimly recall Burger turning back and looking at me like I was some sort of alien. Fortunately Lovely Wife appeared at that point and gathered the errant child. She looked at me funny, probably because I was sitting there with my mouth open, self stunned by my own verbal bombshell. Though she hadn't heard my statement herself she sensed my distress and let me alone in my befuddled state to work out whatever my problem was.

What would be next? Maybe "How y'all doin'"? Possibly "Ain't nuthin' wrong witcher motor"? God forbid "Y'all come back now, y'heah".

Two and a half years in Atlanta and I've already been corrupted. Do I fight back? Do I make a concentrated effort to reclaim my fading grasp of scholarly diction? A concerted assault on this intrusive provincial vernacular?

Nah. T'ain't wurth th'effort.

Posted by: Jim at 09:20 AM | No Comments | Add Comment
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My Life Kicks Ass

Note: This post got a bit long and rambly. So sue me, I was having fun writing. Anyway, you've been warned.

So I took Lovely Wife and the kids to Stone Mountain yesterday. We love this park. From the top of the mountain you can see clear to the Appalachian Mountains and you have a stunning view of the Georgia countryside. You get a very nice view of Atlanta too, especially on low smog days. The kids have a blast at the petting zoo and we never get tired of walking through the antebellum plantation. But I digress...

Lovely Wife has been feeling steadily better since her surgery so we decided on a trip to Stone Mountain since it would be my last day home (yes, I'm back at work today). It's close enough so we could return home quickly if she started ailing and we figured the fresh air and sun would be a nice change after being mostly cooped up in the house for a week.

We went on a nice trip around the mountain on the Stone Mountain Railroad. Our first time this year and Burger's first time ever (since evacuating the Momma belly anyway). Best part about going to the attractions on a weekday after school starts is no lines. Worst part is a lot of the actors and special stuff isn't there. Usually the train stops about a third of the way around for a comedy sketch of a train robbery. When we reached the spot where the stuff is usually set up for the robbery the train slowed down. Bear started getting excited - he remembered it from the last time we went on the ride. The train chugged past the spot and we saw all of the familiar props were gone. No cart full of TNT and nitro. No outhouse. No water tank. I was bummed. Bear got quiet and looked confused. The train continued to creep on and we saw a whole new area set up. There was the cart! The water tower! And a whole new little ghost town! Awesome! It got bigger and better! Bear got excited again. Bacon started to catch the fever too. Burger started wiggling on my lap and pointed at the Old Tyme buildings. But the train didn't stop. It just slowly chugged past and then picked up speed again. Double bummer.

After that dissapointment the rest of the ride was a bit subdued. It's always a nice ride, y'all, don't get me wrong. Beautiful scenery and very peaceful (once you filter out the train engine, anyway). There were hardly any people on the train and that was nice too. We were just a bit put out by the missing show.

After the train ride we figured we would walk over to the plantation so the kids could say hi to the animals at the petting zoo. We've been regulars for years and they know most of the animals. We started walking through Crossroads. This is supposedly a recreation of an 1870's southern town. I suppose it is, in the same manner as a mega mall is a recreation of a village green. There are lots of places to buy things and several of the things look like somebody could feasibly delude themselves into believing they resemble items from America's past. I'm sure Hello Kitty purses and Coca Cola trains were popular gifts in 1873. They do have a blacksmith, glass blower and candlemaker though and I get a kick out of watching them.

It's usually way crowded in Crossroads but seeing as it was a weekday with school in session there were only a handful of people walking around. We stopped at the fountain (it spits water at you - quite fun to watch tourists get nailed) so Bacon could throw in a penny he found. Burger bought a blast of agua right in the kisser. His expression was priceless. Where the hell did that come from? He looked around for the perpetrator. Lovely Wife got an accusing glare, as did Bacon. Bear and I apparently weren't considered criminal material 'cause we both got a pattented Burger smile.

So we continued our jaunt through Crossroads and came to...The Crick. The crick is a 25 foot or so span of running water designed for kids to get wet in relative safety. It's in the shade, smooth bottom, pool safe refiltered water. Normally you can't get near it but today it was completely empty. What to do? We have no swimsuits with us and only have a change of clothes for Burger. But this is not an opportunity to be missed. We give the orders of necessity: Shoes off. Wading only. No splashing. No jumping. Attack!

Bear walks in with his shoes on. Bacon rips his shoes off and jumps in. Burger waddles in, sits in the middle of the stream and starts splashing happily. Ah, well. The best intentions don't matter a hill of beans when you add kids to water. If you can't beat 'em, join 'em. Lovely Wife goes to the car to get her sandals. I deshoe myself and start splashing kids while she's gone. What a great time.

After the kids exhaust themselves in the crick we head for home. It's a miss on the petting zoo but there isn't too much complaint. The boys are tired and hungry so they just mutter some half hearted whines about the animals. On the ride home the shorter two fall asleep and Bear gazes out the window with a dreamy glaze to his eyes. I look over at Lovely Wife and see her eyes half closed and a smile of contentment on her face. I take her hand and kiss it. She turns to me and mouths "I love you".

It just doesn't get any better than this.

Posted by: Jim at 09:15 AM | No Comments | Add Comment
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August 13, 2003

Here's a story about Marc and Kelli

Ryan has a problem with his buddy Marc. Rather, Marc has a problem and Ryan is concerned. You see, Marc is in an unhealthy relationship with a psychobitch and can't end it. This story is especially poignant to me because I used to be Marc. I was the nice guy with a codependency issue with a slut. My slut wasn't the bitch that Kelli is. There was never any physical abuse. There wasn't really any verbal abuse either. Just a manipulation that I was totally unfamiliar with and completely unable to recognize. I willingly jumped through hoops for her and played idiot doormat.

My term of exile was much shorter than Marc's - only about a year for me. After our breakup I did the same thing Marc is doing. Trying to hold on to the tattered remnants of the relationship because I still couldn't let go. She'd cheated on me, stolen from me, lied to me constantly. All of that was excusable to me so long as I could maintain my fantasy of a relationship.

I helped her pay her rent. I loaned her my car when hers broke down. I let her borrow my TV. I let her come to my apartment to use my computer when I was at work (hers sucked and she no longer had internet access). I adopted a puppy "with her". Whatever it took to keep her in my life.

It was a sick, sick time in my life. I knew what my family and friends thought of my continued contact with her and didn't really care about that either. It took time and the constant support of the people close to me to finally shake her off.

So here's my advice to Ryan. Make it clear that you don't like Kelli because of how she treats him. Make it very clear that you do not want to be lied to. If he is going to break a date with you to see her he should either tell the truth or say no comment. This is actually more important that you might think. He knows he is in an unhealthy relationship. He knows he is being foolish. Reminding him of that will not help at all. Even after the breakup I was still avoiding friends and family because it was a constant barrage of "why are you still talking to her", "why are you still seeing her", "when are you going to cut her off". When I could see the people who were important in my life without the misery of defending my undefendable position I started seeing more and more of them. That was the turning point. As I came out of my shell I started feeling better about me. I got back into my life and enjoyed myself away from her. I was then able to compare my life without her favorably to my life with her and that's when I cut the strings.

So tell Marc that you're his friend no matter what. Don't hound him about Kelli. If he brings her up (and he will eventually) you should either politely agree and offer support if he's in anti-Kelli mode or politely remind him that you are respecting his position by not ragging on her so he should respect yours by not forcing you to sit through a Kelli excuse session. He'll come around in time, just be patient.

Posted by: Jim at 08:04 AM | No Comments | Add Comment
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August 12, 2003

Analyze This!

I don't have excellent dream recollection but I woke up last night with this one bright and steady in the ol' noggin. I jotted down the principle stuff and have been able to remember a good part of it.

The basic theme of the dream was fixing up a house. Not my house and not me fixing it up, I was just an observer. The guy fixing up the house was big and very mean. The house was already looking good because it was brand new but the components were all cheap and kept breaking so they had to be replaced or repaired. The overall condition of the house was getting worse and worse because this brand new stuff kept breaking faster than it could be fixed. The dream had a very strong feeling of inevitability and being overwhelmed.

So then there's a helper. A sexy brunette dressed up like a porn star trying to look like a French maid. Really long high heels. She's trying her best to clean but she's just as inevitably overwhelmed as the guy. He's angry that she can't clean fast enough so he smashes her with an axe and tosses out her body. Then he opens up his aluminum brief case and takes out a new, uninflated girl. She self inflates and is exactly the same as the first helper. She's more motivated but still can't keep up with the increasing mess.

She starts to get frantic 'cause she knows that if she can't clean everything up she's going to get the axe so she rushes and gets careless. She vacuums up the M&M Guys!! For some reason this was about the worst thing she could have done. The dream follows them through the tube system of the central vac system. They're making their dry, deadpan comments to each other through the entire trip. They make it to the collection bag at the end (it's a fine mesh bag instead of a vacuum canister).

Now they're in trouble. The M&M Guys are suffocating in the mesh bag. I'm now in the dream. It's just so urgent to save the M&M Guys that I have to be there. I start yelling and screaming for the guy. I can't actually touch anything so I'm powerless to do more to solve the plight of our candy heroes. He arrives and starts trying to rip open the bag. I'm telling him that it was an accident but he has to hurry. He gets more and more angry as he can't save the M&M Guys.

Here's where it gets wierd. I'm everybody now, in turn. One second I'm the red M&M, yelling that I'm suffocating and somebody better save me. The next I'm the chick, apologizing to the M&M guys for killing them. Then I'm the guy, absolutely furious and ready to kill, still unable to actually do anything constructive including saving the M&M Guys. Then I'm back as me, no longer a party to the dream but in my observer roll.

I'm the chick. The guy abandons his attempt to save the M&M Guys and turns toward me. He picks up his axe. I'm the yellow M&M. I can breath after all. I see the guy about to chop up the gal. I know that he's making a mistake since I'm okay after all but I don't yell for him to stop or anything. I'm the guy, swinging the axe. Time jump a couple seconds (I don't actually see the axe hit). I'm me as observer watching the guy take another deflated chick out of his aluminum briefcase. I know that he is very foolish. How long does he think he can get away with killing these girls? They're not just going to take it forever. I don't warn him though - I don't like him and I want the girl to win.

The girl self inflates (and is exactly the same as her departed sisters) and is terrified. She knows everything that happened to the other two. She picks up the axe and starts swinging at the guy. She's crying and not too effective. He's a big guy and he almost catches the axe. She does get him though and stands there crying and panting, covered in gross bits. She's probably hurt too cause I think he managed to land a few punches. The M&M Guys make one of their sarcastic deadpan comments.

I wake up.

How's that for vivid and freaky? Maybe I should send this one to The Dream Doctor.

Posted by: Jim at 08:05 AM | No Comments | Add Comment
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August 11, 2003

The medical industry sucks: A case study

The following includes examples from Lovely Wife's recent surgery. Although this serves only as anecdotal evidence the theories espoused are well corroborated through other experiences of myself, Lovely Wife and Burger. In addition I have second hand knowledge from many colleagues, family members and aquaintances. If you, the reader, have had experience as a patient in a hospital setting there is a damn fine chance that you have experienced much of the same as it appears to be endemic to the industry.

In this article I'll give you a bit of background on me so you will know my perspective. I'll give you a brief explanation of Lovely Wife's condition and her diagnosis and prognosis. I'll then take you through each main portion of Lovely Wife's surgical procedure telling you what was supposed to happen and what actually happened. I'll occasionally expound on how poor performance affected us in an especially bad manner.

Background:

Although I am a software analyst by profession my scholastic training was in medicine. I spent eight years in the US Navy as a corpsman, operating room tech and fleet hospital corpsman. I have worked in Naval Hospital Balboa, Naval Hospital Portsmouth, Naval Hospital Oakland, Fleet Hospital San Diego in Camp Pendleton and Veterans Administration Hospital in Buffalo. I have had personal experience working in patient care, pre-operative care, surgical procedures, recovery and post-op. I know how the entire proces can and should work from front to back.

The Condition:

For several years Lovely Wife has had an acute recurring hyperthyroid condition. This means she would quite suddenly have a thyroid that suddenly and unpredictably put out way too much thyroid hormone. This causes nervousness, weight loss, heart arythmia, raised pulse, blood pressure problems, restlessness and exhaustion. The first couple times when it was noticeable enough to require medical attention were immediately or shortly post-partum. She has been diagnosed with Hashimoto's Thyroiditis, hashitoxicosis, hypothyroidism and post-partum hyperthyroidism. The reason for the many different (and sometimes contradictory) diagnoses was due to her returning each time after a few months to normal or borderline normal thyroid function.

She was problem free for over two years until about 5 months ago when it came back with a vengeance. She went from a thin but healthy weight of 135 pounds to just over 110. Her condition was finally pegged as Grave's Disease. The necessary treatment for this is destruction of the thyroid. This can be done with radiation that kills the thyroid tissue or with surgery to remove the thyroid. There is also a drug treatment that counteracts the overactive thyroid but there are possibly dangerous side effects to this drug therapy so it was eliminated as a course of treatment very quickly. The method we ended up with was surgical removal of the thyroid.

As a side note that won't be expounded upon here, the decision for surgery over the more common and generally safer radiation treatment was made necessary due to monetary considerations. Our insurance coverage made the cheaper radiation treatment too expensive for us to afford right now and her condition made waiting impossible. Yes, that's right. Our insurance pays almost everything for inpatient surgery but almost nothing for outpatient procedures. Sucks, doesn't it?

Pre-op:

Expected - Lovely Wife's surgery was scheduled for 9:30 AM. She was told to be at pre-op by 8:00 AM where she would be put in a pre-op room, an IV started and she would be given a shot to calm her down. The anesthesiologist and surgeon would both see her there to go over procedures again and answer any questions she had before she went in for the operation. Children under 12 would not be allowed. A maximum of 2 people would be allowed with her.

Actual - We arrived at 8:00 AM on the nose. We were told they were not ready for her. They would be ready at 8:30 AM. She was supposed to be there one hour before her surgery, not an hour and a half. We showed them her pre-op instruction sheet that told her to be there at 8:00 AM. Sorry, whoever filled that out made a mistake. We waited in the hallway until 8:30 AM when they took her into pre-op and I booked to the babysitter's to drop off the boys. She was nervous as hell but was not given the shot to calm her down as she had to see the anesthesiologist and surgeon before they could drug her. When she had finally seen them it was only 5 minutes before her surgery so it was way too late for it to be any benefit.

Special Problem - Our plan was to drop her off and I would take the boys to the sitter's. I would then be back in time to be with her for the last 45 minutes or so before she was taken to surgery. As she was not allowed into pre-op until 8:30 AM I barely had time to get them dropped off and get back in time. As there was a decent chance I would not be able to return before she was taken into surgery I had to take all of her personal effects with me. That meant that she spent almost her entire pre-op time with nobody with her and nothing to distract her except her own thoughts and worries.

Surgery:

Expected - The surgery would take approximately 4 hours. When the surgery was done the surgeon would come to me in the surgical waiting room and give me a report on how it went.

Actual - Exactly as expected. Lovely Wife's surgeon is very, very good and has an excellent rapport with his patients and their families. He explained everything clearly and concisely without using med-speak or talking down to me (and no, he was not aware that my background was medical/surgical).

Recovery:

Expected - Lovely Wife would spend about an hour in recovery and then would be taken to her room. One family member would be allowed to stay with her in recovery. Patients in recovery are in semi-private areas provided by rolling curtain partitions. The purpose of recovery is to monitor the patient for post surgical trauma and help them comfortably recover from the effects of anesthesia. Blood samples would be taken to start verification of her calcium baseline (this is a concern in a thryoidectomy as the glands that control calcium absorption in the body are directly behind the thyroid).

Actual - No family members, no visitors period, were permitted in recovery. There are privacy concerns with the other patients. Actual length of stay in recovery was three and a half hours. This was because there were no rooms ready for occupation. No rooms in the Short Stay Ward where they know precisely how long people are staying and exactly who will be coming to the ward days in advance. Lovely Wife witnessed a patient being wrestled down in order to remove his throat tube. She was denied a pillow after having her neck hyperextended for two hours during surgery. A volunteer found me in the waiting room and asked if I could go get her pillow because they didn't have any in recovery. She was ignored and then put off when she first came around and asked to go to the bathroom. They told her she could wait until she got to her room. Remember that she had been on constant IV fluids for almost 4 hours at this point. When you are on an IV you pee constantly and furiously. She was finally given a bed pan. She had never used a bed pan before and was still groggy from drugs and in pain from surgery with a neck that hurt furiously from 2 hours of hyperextension. She struggled into a sitting position by herslef and successfully used the bed pan. She then noticed that the privacy curtain hadn't been closed and she had just given a free show to the throat tube guy across the room. A lab tech came to take the blood sample. She asked him to take it from her right arm as the left was very sore from previous samples and a missed IV insertion. He said it had to be the left because her IV was in the right but he would take it from her hand to avoid the sore area. He took it from the sore area anyway, apparently forgetting in just a few seconds where his target was.

The Ward:

Expected - Lovely Wife would be in a private room with minimal disturbances. She would have the IV removed. Sleep was the most important factor for her getting over the surgery. A sample would be taken the next morning to check the calcium again. Me and the boys could visit.

Actual - She was in a private room but it was very far from disturbance free. For the first 4 hours she was woken hourly for vitals checks. She fell asleep shortly after getting to the room so I told the nurse that I was going to pick up our kids and to make sure that she knew that when she woke up. When she was woken up for vitals check the nurse said she didn't know where I was. She called me on my cell, crying because she thought I just up and left her. Shortly after she hung up with me the nurse gave her the message that I had left to get the boys. I arrived back with the boys and was informed that a maximum of 2 visitors were allowed at a time. I reminded them that the hospital policy said 4 visitors and walked by. We stayed for about an hour until the boys couldn't stay still anymore and Lovely Wife couldn't stay awake any more. The IV was not removed because she had not started drinking again. Remember that she was totally and completely infused with fluids from being on an IV for seven hours by this time. It also was very painful to drink as she had just had her throat operated on. They finally removed it when she told them to bring bandages because she was taking it out herself. She was woken up just before midnight for vitals. She was woken up at 4:00 AM by an incredible ass of a lab tech who was shouting her last name at her to wake her up. This was for the calcium test.

Special Problem - Lovely Wife has a slight curvature in her cervical spine (neck) and easily aggravated neck pain. In surgery the neck is hyperexted (head pulled back to expose the throat). She was in agony from this, far worse than the pains from the actual surgical procedure. No pillows in recovery? No ability to go get a damn pillow for someone who had neck surgery and is stuck on a gurney for hours? Since the surgery the main problem has been the neck pain. In fact, Lovely Wife is at her physician's office right now because of this incredible neck pain.

Post-op/Release:

Expected - The morning after the surgery Lovely Wife would be released from hospital so long as her calcium levels were sufficient. Her thyroid doc and surgeon would both see her before she left to give instructions.

Actual - As expected, with a twist. She was given verbal and printed instructions from 3 sources - her thyroid doc, her surgeon and the hospital itself (nurses). In each case the verbal instructions contradicted the written ones. The instructions from the hospital/nurses contradicted both the thryoid doc and the surgeon on several points.

Special Problem - The day after a surgery when the patient was under general anesthesia is not a good day for verbal instructions. How sharp are you after a night of frequently broken sleep? Add in the mother of all hangovers from the massive drugs that you were pumped up with. Add in that you are not familiar with the field being discussed. Also put out contradictory information from three separate primary sources. Fortunately I was there for the bulk of it and I am familiar with the field and didn't have an anesthesiology hangover.

Summary:

At each step of this surgical procedure we were given incorrect information. There was no evidence of efficient process and communication between the different groups involved. There was little to no consideration of Lovely Wife as a patient and customer, only as a job or commodity. (Exception to the last - both the surgeon and the thryroid doc had excellent bedside manner and both listened when we asked questions and answered clearly and concisely.)

Interpretation:

The advent of the health maintenance system and conglomeration of hospitals has completely changed the way patients are viewed. The patient is no longer the customer, the HMO is. Patient satisfaction doesn't matter because when the bill is sent out the hospital's client is still going to pay. Hospital administration has no incentive to make their hospital the best for patient care because no matter which one you go to in the area you are going to one of their hospitals. Taking care of patients in a manner that the patient wants costs money. More nurses, better training, more collaboration and communication. Our current system makes it less profitable for a hospital to take care of its patients in an acceptable and expectable fashion.

Epilogue:

How do we fix this? I honestly don't know and don't even have any major insights except to go look at the Naval Hospital system. We didn't have any of those problems in the Navy. Systems were worked out and implemented. Departments knew what was happening in other departments - they talked to each other. Scheduling was done on a macro scale with implementation on a micro scale. A Short Stay ward would never be overbooked causing a backup of scheduled surgery patients in the recovery room. The largest apparent difference is that the sole objective of a Naval Hospital command is to make sick people better. They have no concerns over cash flow or accounts receivable. So is socialized health care the answer? There is worldwide evidence that it not only doesn't work but is one of the first steps to a broken economy. So look one level deeper and you see other important differences. Organization, cooperation and the enforced belief that taking care of the patient is the primary goal make the real difference between my Naval experiences and what I've encountered in civilian medicine.

Tell me more:

I'd love to hear anecdotes from y'all. I'm not inviting a bitch session - good or bad, it's the experience that matters. Did you or a loved one have similar encounters with the medicinal kind? Tell me about it. Did you have a good experience with surgery or a hospital stay? Lemme know.

Posted by: Jim at 02:46 PM | Comments (2) | Add Comment
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