health

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Lorenia posted a funny video about the United States health care system being ranked #37. I briefly looked at The world health report 2000 – Health systems: improving performance. It is a 1.73MB PDF.

I’d like to better understand both the claims that the United States has the best or 37th best health care system in the world. Unfortunately the WHO report is 200 pages and has more about car crash deaths in the United States than what they mean by responsiveness level (25% of the overall level of health). Responsiveness appears to be dependent upon expectation, so we could all just stop complaining about wait times, autonomy, and not want our own hospital rooms to improve our ranking.

Except the WHO might not produce any more reports after this first one because it was too complex compiling the first one. Charts compare  1990 through 1999, so really the United States was ranked 37th in the 90s. The age of this number bothers me. How have reforms in the United States and worldwide changed the number? Let’s assume no change, do proponents of United States health care reform really expect their favorite bills to get us a better ranking than 33rd in 2015 once this is fully implemented?

There is also the Commonwealth Fund 2006 report placing the United States dead last among 5 industrial nations regarding health care. Their donor page shows millions invested in the CF to improve health care in the United States and New York. Seems a little myopic for an organization funded to improve health care to say health care needs improving.

Does the United States have health care issues? Sure. In my opinion the real problems is all this talking without something like Baha’i consultation (everyone participates, objectivity, detachment, unity). Similar to research indicating workers without the ability to make decisions experience more stress, patients and doctors without autonomy get stressed. Instead we have explicit policies creating a incomprehensible environment where people are hurt inadvertently because systems are cold and uncaring.

In the Q&A, Stuart Brown, co-author of Play: How It Shapes the Brain, Opens the
Imagination, and Invigorates the Soul
, rejects the idea play is a rehersal for adulthood. Stopping an animal from playing doesn’t prevent the animal from being a successful predator. REM sleep provides the rehearsal needed for learning. Play is the next evolutionary step. The video is a little too heavy on repeating the same generic idea over an over with different examples. However, they are amusing examples.

The types of play Brown references usually involves multiple individuals in a social interaction. This play teaches survival skills like socialization, adaptation, flexibility (our selfish genes at work).

The origin of this play research was in identifying the next Charles Whitmore, the University of Texas Tower sniper. In studying mass murderers, he found Charles and others like him consistently grew up in environments where play was not allowed. By not playing these children developed into dysfunctional adults.

I found a particular claim quite interesting. “The opposite of play is not work… It is depression.” That is almost word for word out of his book on page 126, which Google Books has a copy. Later he better explains the part about play and work are not in opposition:

The quality that work and play have in common is creativity. In both we are building our world, creating new relationships, neural connections, objects…. At their best, play and work, when integrated, make sense of our workd and ourselves. (Play, p.127)

This agrees with Adam and Jamie from the Mythbusters to Moira Gunn for the Commonwealth Cluf of California about their work. Just look at Adam’s face before triggering a test on any episode. The complete and total joy is a testament to the power of dopamine.

I think the opposition to depression involves movement which is exercise. Exercise produces serotonin which is crucial to fighting off depression. So my work, sitting in a cube all day long problem solving is good for dopamine but not a producer of serotonin. However, a good game of tag would produce both dopamine in anticipating tagging a playmate and serotonin from the movement. (Why can’t work be more like tag?)

If Dr. Brown is right, then suppressing the rough and tumble playing children enjoy is the best way to place in society malfunctioning adults who are more likely to be violent. Things like recess (just half an hour) during the day will keep our prisons less full 20 years later. <sarcasm>Maybe the No Child Left Behind meant all the children will end up in prison?</sarcasm> More likely children will fit their play in less supervised situations and get their fill.

Booing at Beckham

Sports are entertainment. Some watch it for the feats. Some like discussing tactics. Some just want to see scores. Some love the bloopers (aka mistakes).

The second you feel a sports player seen on television wronged you by a decision on or off the field (or court), it is time to turn off said TV. Even at the stadium when you feel the need to yell something at a player, stop. Just stop.

  1. When you get angry you are the one who lost.
  2. Deciding which team to play had nothing to do with pleasing or angering the audience. Getting angry over being irrelevant is not good for health.

Entertainment is about enjoyment. When it makes you angry, try another form of entertainment.

CPR/AED training requires time on the floor rescuing dummies. Objects in pockets, like my Digital Elph, interfere with rescuing dummies. Digital cameras on desks without supervision have a tendency to disappear. (Not so much from coworkers kleptomania but from my distractions.) So I put it in my work backpack. 

Today is the First Day of Ridvan. So earlyish this morning I went down to the Botanical Garden since I wasn’t going to be at work and didn’t go this past weekend. I spent ten minutes looking for the Elph in the work backpack. So I went and just shot with the Rebel. I chalked it up to having left the camera at work. After all, the last place I recalled seeing the thing was at work.

I decided to look at what I took. So I looked for the card reader in the main part of the camera backpack. To my surprise, the Elph was right there in the wrong backpack. The only thing that makes sense is I moved the camera but forgot I did so. 

Perhaps better brain food could help? Fish providing omega-3 fatty acids is already a healthy part of my diet. Maybe more eggs with choline with the vitamin B precursor could help?

  1. Read 10,000 pages of science, economics, health, history, or policy books. For 2008, it was read 25 books. This year, I thought to change it page-based as the previous one shied me away from larger books. Two 350 page books vs one 700 page book shouldn’t be a concern. See Reading for last and this years’ progress.
  2. Be more social. A lot of will power is required to force myself to attend social events. Over the years it has only gotten worse. Before it reaches the point of requiring professional help, I probably ought to change my habits.

Useful resolutions to me are things I realistically can and will accomplish applying moderate effort. Making too hard of a challenge will result in giving up too quickly. Making too easy of a challenge will result in doing something I would do anyway. Last year was the first time in a really long time I even bothered other than using 43things to make some goals I rarely have met more by accident than any real intent.

Some resolutions I would pick I already do to the extent I realistically would….

  • Take the stairs and walk more. I already do these as far down the exercise more resolution as I realistically will go.
  • Eat better. I already mostly avoid red meat and eat lots of green vegetables.
  • Spend more time with family.

There are resolutions I would never actually keep without support from family and friends I don’t really have to keep me honest and stick to the narrow path….

  • Less fat, less sugar, no soda, no sweet tea.
  • Exercise more.
  • Finances.
  • Organization.
  • Less time spent in front of the TV or computer.
  • More blogging.
  • I already do not smoke or drink alcohol.
  • Get a Master’s Degree.

Hmmmmmm… Resolutions are bad for your health?

I haven’t checked my blog in a long while.

Last night I read Uncle Bill’s Christmas letter. He mailed it, but he apparently doesn’t have my postal address so I got the electronic version. Woohoo! His letter recaps the year for his family. Do any of you have such a tradition? Or a family member who does? Oddly my blog doesn’t provide much basis as it is devoid of personal information.

So here goes….

Family

Mom went off to Houston in January to consult with one of the best doctors in the country about a health issue. How things fell into place to allow her to get better amazed me daily. I got to grandparent sit for a week where I made Nannie tell stories so I could post them on Youtube. :D

William married Nicole, his high school sweetheart. I finally have a sister. It rained on us briefly, so if you are into superstitions, that means either: 1) kids, 2) money, or 3) good luck.

I met Dad’s girlfriend, Sally, this year. She is definitely very nice. I’m happy with the match.

Friends

My only New Year’s Resolution for 2008 was to read 25 books this year. I completed that goal back in October. I’m thinking for 2008 to do a similar resolution. This time I’ll count up the number of pages and set a goal to read 20% more pages.

Some fellow Flickr users started an Athens Flickr Meetup. I’m hoping this is something to continue in 2009 as the weather improves. (Though who knew Georgia would be 20 degrees Farenheit above normal in December?)

RingsAdrianne and Britt asked me to be the photographer for their wedding. I spent hours looking at professional photographer portfolios for ideas about what I should capture. You see, while I do have a camera, I had never really taken photos at a wedding. Heck, few people invite me to weddings, so I was a little unclear what happens. In the end, I think it all turned out pretty well. Adrianne is happy. So I am happy. Working in computers became a profession because it was a hobby. Maybe photography will end up the same in the end? Posted 840 photos to Flickr this year. Started freelovephotography.com to show off my photography.

Las Vegas in July? Dumb. Star Trek: The Experience made my geeky heart soar.
NCC-1701-DNCC-1701-D @ ST: TXP

  1. Family, especially gaining a new member in a few weeks
  2. My dart team members and their significant others
  3. Friends
  4. Having a job, especially my team at work
  5. No health issues this year
  6. My cameras and accessories
  7. Car
  8. Google Reader
  9. Flickr video

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Apparently singing to females makes male birds happy by triggering certain parts of their brains. Video games, chocolate, and some drugs like cocaine are associated with similarly creating happiness.

How are you stimulating your VTA?

Single

People who are single are diseased, unhealthy. People with spouses or in relationships are all experts who know how to heal the disease.

At least, that is the impression I get.

I just finished How Doctors Think yesterday.

First impression was doctors don’t spend very much time thinking and gathering information to make a diagnosis. That impress struck a very negative chord with me as it sounds like in my profession of database and computer administration we spend hours picking apart the data we have to diagnose even minor sounding issues.

The better impression ought to be doctors spend very little time with a seemingly routine diagnosis. When confounded they spend more time doing analysis. They also have to deal with the patient’s lack of patience.

In tier 3 support, we spend even less time with routine issues. “Try another web browser and call me in the morning.” anyone? When we don’t know this gives the “patient” something to do while we go investigate the real cause (looking at logs or stats). Unfortunately, our computer “patients” want resolutions in minutes or maybe hours. Few find taking a few years to heal a computer problem acceptable.
:(

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