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30 of our most Recent Postings:

1. Legacy Journal
2. Legacy Journal: Billy and the Bike: A Memoire of Deschutes Country
3. Legacy Journal: Memory Lane
4. Legacy Journal: Water, Swimming, and going with the Tide.
5. Legacy Journal: Haying in the upper John Day River Valley
6. Legacy Journal: Mother’s Day, Tessa’s 4th BD, and the Lilacs are Blooming in Highland Pk
7. Legacy Journal:  the Professional Specialists v the Gentlemen PolyMaths: Having it All?
8. Legacy Journal: May Day Musings: Muddling through the Maize
9. Legacy Journal:  Wednesday Leanings
10. Legacy Journal: Sunday Big Sur International Marathon
11. Legacy Journal: Saturday Prep
12. Legacy Journal: Fremont in Oregon
13. Legacy Journal: Saturday West timeline, first Native American “fossil” and Tracktown.
14. Legacy Journal: Hooray of the train.
15. Legacy Journal: Steve Chu of the Lawrence Berkeley National Laboratory
16. Legacy Journal: Klamath in Triplicate-- 1846 Carson, Fremont and Gillespie
17. Legacy Journal:Ranch Memoires
18. Legacy Journal: Mustang- Myths, Mascots and Machines
19. Legacy Journal: Darwin’s Man at Harvard: Asa Grey, Botony : collectioning and writing.
20. Legacy Journal:  Saturday Science Session
21. Legacy Journal: Rochester Rites of Spring: Squash, Squash, and more Squash
22. Legacy Journal: Saturday Style and Substance
23. Legacy Journal: Friday Final Edition:  Philanthropy, mandates, and Spring in the Rockies
24. Legacy Journal: Tuesday Lessions: Maps, Tall Tales, Western Trails
25. Legacy Journal:  Mellow Monday
26. Legacy Journal:  Spring, Easter, and NCAA MBB
27. Legacy Journal: Race, Coals to Newcastte, and Wednesday Technology
28. Legacy Journal: Economic Moral Hazard
29. Legacy Journal: Happy St. Patrick’s Day and Go Green
30. Legacy Journal: Sunday Shoot Out

LogRoller® : Keyword searching our LegacyJournal postings begins here.

[ Saturday, May 10, 2008 08:22 ]

Legacy Journal: Mother’s Day, Tessa’s 4th BD, and the Lilacs are Blooming in Highland Pk

Section:

Arts and Culture

Summary:

Erika Little, daughter Tessa, live in the Lilac Festival, Highland neighborhood so this May weekend is to be a perfect Trifecta trice celebrated



Main:





* First, Tessa Little is now officially four years old.  The California Princess has made the Rochester transition in style and is preping for KG in the Brighton School District in the Fall of 2009.  Meanwhile, she is continues to play the role of Emma's younger sister, best friend and student, cat tormentor, and non-stop asker of questions about how stuff works. 

** The Lilac Festival around the corner in Highland Park is in full bloom and the weekend music is swinging.  The opening parade with Strong Drum and Bugle Corps from the upstate region, is now history.

*** Meanwhile, Erika Little has earned the title Mother of the Year.  Relocating cross country from California, finding and updating the perfect house, guiding the kids, working at the URMC, in a Clinical Research Unit, and hosting guests and visitors is only part of the Little story of the past eight months.

The truth is, Mom’s tend to be the world’s most passionate warriors and best truth tellers.

More:

Footnotes:

Posted by: webscribe2 on 05/10 at 08:22 AM
Amazing: • Basics: • Biography: • Calendar: • Saturday: • Changing Course: • Chronicles: • Features: • Graphic: • Photo: • IT3 Tech: • Internet Tech: • Google: • Calendar: • Medicine: • Profiles: • Promise Keepers: • Thank You: • Warriors: • (0) Comments: • (0) Trackbacks: • Permalink:

[ Wednesday, January 02, 2008 09:55 ]

Legacy Journal:  Resolution:  Take the Cure - Cut Consumption.

Section:

Environment

Summary:

“The broadest pattern of history - namely, the differences between human societies on different continents - seems to me to be attributable to differences among continental environments, and not to biological differences among peoples themselves.” ---- Jared Diamond

Jared Diamond, the popular non fiction author and today’s nytimes Op Ed Page Contributor, has a popular and long held view of the world, IE, Population Pressure, rising consumption expectations, and carbon fueled environmental pollution are associated with the cause and effect linked story of the rise and fall of cultures and civilizations.  The cycles of human history may be largely accidental, but also includes the adaptability and resourcefulness of preliterate “indigenous “ natives.

Currently a tenured UCLA emeritus professor of Geography and environmental health, the 70 year old Diamond has Bio-morphed from membrane cell biologist, to medical school physiologist, to amateur exotic topical birder, to amateur anthropologist, enthusiastic world traveler, to his current position.  His titles and awards are many.

Main:

In the times, Diamond states that currently, Europeans enjoy “a higher standard of living” and less consumption than the U.S. Does Diamond really believe that the EU has better institutions of Higher Education and BioMedical Research, a more accessible system of public education K-16, more choice and variety in public access to public lands, more affordable and greater choice in quality food, clothing and housing, a better job market, a lower rate of unemployment, a lower rate of interest and inflation, a lower tax burden, a more free media, a less restrictive immigration policy , ---- etc, etc.? 



: Meanwhile, life goes on. Have a ball in 2008.


:: In the mean time, It is 19 degrees on a bright mid day in Rochester, Rt 70 between Denver and the ski slopes has been cleared of snow, and storms in Iowa are welcoming the party watchers and participants from around the world to the caucus circus.


:::  40 % of possible Iowa caucus goer are said to be nonaffilicated independents 5% will be Republics crossing over at Democratic events. Even out of state students can work on a campaign, participate in an opinion poll, and register a legal primary vote all in one day.  Welcome to Iowa. 

More:

Footnotes:

Posted by: webscribe2 on 01/02 at 09:55 AM
Bio Morph: • Biography: • Black and White: • Burden of Proof: • Calendar: • Wednesday: • Chances are ---: • Cause & Effect: • Characterize: • Climate: • Forecasting: • Conventional Wisdom: • Data: • Numbers: • Snow Pole: • Demographics: • Energy: • Environment: • Air: • Features: • Permalinks: • Q & A: • Food for Thought: • History and Heritage: • IT3 Tech: • Internet Tech: • Google: • Calendar: • Media Watch: • Print Journalism: • Medicine: • Nature: • Profiles: • Science and Technology: • Natural Sciences: • Biology: • Second Opinion: • Sustainability: • Tenure: • Punditry: • (0) Comments: • (0) Trackbacks: • Permalink:

[ Tuesday, December 18, 2007 07:22 ]

Legacy Journal: Solid Tuesday Knowledge Base

Section:

Commentary

Summary:

“ Many admire, few know.” ---- Hippocrates.

Q:  Each member of the U.S. House of Representative is given an allocation for paying the expenses of their offices. What is that amount?  What are the restrictions on how these funds are spent? 

Useful knowledge sits on a solid time_tested foundation. David Brooks of the nytimes, Robert Betts, MD of URMC, and some physical anthropologists have shed some interesting light on our past, present, and possible future.

* Brooks quotes Isaiah Berlin on politics.  That is a good thing.

** Betts quotes the medical literature on candida sepsis . That is an instructive thing.

*** Scientists examine TB lesions fossilized bones and draw conclusions about vitamin D, sunlight, melanin and patterns of human migration out of Africa.  So what does SAD have to do with it?

Main:

: According to Brooks, there may be more to this Clinton vs Obama political primary contest than appeared on the first reading.  His essential points are that personal resilience, constancy of character, and a solid world view are necessary for success in office.

:: Robert Betts notes the clinical setting defines the important distinctions between yeast colonization, contamination, and dangerous disease. Most of us carry small amounts if non invasive yeast.  Yeast frequently contaminates bladder catheters in women, particularly those on antibiotics.  Compared to bacteria, invasive yeast disease is an infrequent cause of death.  It is mostly a threat to those on chemotherapy for cancer or post organ transplant immune suppression

:::  North bound human migration out of African may have been favored by those mutants with the fewest melanin pigments in the skin. The reason, they were the most efficient vitamin D producers in the low sunlight of the northern latitudes.  Interesting, but what about diet as a source of Vitamin D ?  What about snow reflected light? For example, cod liver has long been a dietary choice among hunters, gatherers and fishermen in the north.

Meanwhile, scattered sun is forecast this afternoon for Rochester, NY. And, the Russians are doing nuclear deals in Iran. Will the race go the Isaiah Berlin’s metaphorical Hare or to the Hedgehog?  Who in congress knows or cares?  Pelosi?  Boxer?  Hunter?

A: One million dollars per year. ??.

More:

Footnotes:

Posted by: webscribe2 on 12/18 at 07:22 AM
Bright Lights: • Calendar: • Tuesday: • Chances are ---: • Cause & Effect: • Culture Clash: • Features: • Permalinks: • Quotes: • Q & A: • Knowledge Gap: • Medicine: • Nature: • News: • Pattern: • Personalities: • Political Watch: • Roots: • Science: • Lab Notes: • Clinical Trials: • Second Reading: • Snow Flakes: • Spotlight: • Weasel Words: • studies suggest ---: • Yesterday, Today and Tomorrow: • (0) Comments: • (0) Trackbacks: • Permalink:

[ Thursday, December 13, 2007 13:27 ]

Legacy Journal:  Medical Views and News You can Use.

Section:

Health and Medicine

Summary:

Question?: What is the common term researcher use to characterize the stain of mice with a predictable and inherited genetic “defect”?

* Professor Alain Einthoven of Stanford is once again in the Health Care Insurance spotlight.  In the current NEJM, he turns to the Netherlands as a mixed model for mandated coverage.

* The NEJM also covers stem cell research and the “knockout” laboratory mouse model for cellular biology research, the foundation of this year’s Nobel Prize for Medicine or Physiology.

* A NEJM Review Article by Italian authors on platlets and vascular inflammation is conprehensive with a PubMed linked bibliography.  A 12 minute instructional multmedia video from UOHSU on the proper techniquie for subclavian line placement is a valuble training aide. 

* An ABC News Roundtable of HealthPolicy experts ranks Electronic Medical Records EMRs as being in the top 5 reforms for improve the efficiency and quallity of the American system of delivering medical services.  Surprisingly, the VA’s EMR system ?MUMPS? based system is used as a model. As noted, the VA is largely a captive system with long term patients who are geographically dispersed. 

Main:

In addition,

The weekly Thursday morning OB-GYN rounds at Highland Hospital, part of the URMC complex was a WebCast with a partners from a Rochester law fire presenting steps that individual can prudently take to protect themselves from some forms of identity theft when using electronic means to make a variety financial transactions.

Answer:  “Knockout”

More:

Footnotes:

Posted by: dfisk on 12/13 at 01:27 PM
Calendar: • Friday: • Features: • Q & A: • How To: • Medicine: • News: • Good News: • Oregon: • Personalities: • Science: • Lab Notes: • Science and Technology: • Natural Sciences: • Biology: • Molecular Biology: • (0) Comments: • (0) Trackbacks: • Permalink:

[ Tuesday, December 04, 2007 08:19 ]

Legacy Journal: Tough Minded Tuesday

Section:

Health and Medicine

Summary:

Statistics may be defined as “a body of methods for making wise decisions in the face of uncertainty.” ~W.A. Wallis

Today, reading the technical and scientific peer literature requires time, experience, patience, attention to detail, some skepticism, and an analytic turn of mind. A working knowledge of statistics is an essential tool for the critical reading of studies.

Main:

Some would also cast a vote for the study of Latin as an essential tool for analysis.

Others of us would be content in the certainty that readers and writers, audiences and speakers consistently used Language for reliable and worthwhile communication of facts supported by the evidence at hand.  Frequently, headlines, summaries, conflicts of interest, unsupported assumptions, and rhetorical devices distort rather than illuminate the issue at hand.

More:

Footnotes:

Posted by: webscribe2 on 12/04 at 08:19 AM
Calendar: • Tuesday: • Essential Element: • Features: • Quotes: • Medicine: • Pattern: • Certainty: • (0) Comments: • (0) Trackbacks: • Permalink:

[ Friday, November 30, 2007 09:41 ]

Legacy Journal: Friday Final: Frameworking the Future

Section:

Environment

Summary:

Enviromentalism: The State of the Movement.

* A usatoday blog view of the fluid flow of the movement.

The State of the Environment: CT Radiation and Xrays .

** A nytimes Op Ed page writer chimes in on “Problematic” CT scans and radiation exposure.

*** The inner Environmental Stressor:  Asthma and P.T.S.D.

Main:

“Two things in life are certain, death and taxes.” --- Grandpa, Mark Twain, and others.

:  Today, the local Rochester, NY paper has a lead article in its Business Section on a local investment in a corn to ethanol envirotech boomlet.  The graphic of the process was excellent. It clearly illustrated the steps in the conversion.  What was interesting was that more than twenty energy consuming processes were necessary to convert corn in the field to alcohol in the motor.  Transporting, grinding, heating, distilling, cooling, pumping, filtering, and storing are among the examples of steps that are highly energy dependent.  Meanwhile, the same paper reports that a local Congressman part of a delegation on a six day trip to Brazil for a first hand look at how that nation has “weaned itself from a dependency..... on foreign oil” using sugar cane to produce ethanol.  It there also a rum dependency problem in Brazil where the stuff is reported to be plentiful and cheap for natives and tourists.

:: Predictably, the OP Ed folks of nytimes used a slow day on Friday to fill white space with tepid pap on what is characterized as “possibly problematic"--- unnecessary diagnostic radiation exposure.  That is a strongly voiced opinion?
The good news is that the issue is not one of peace or prosperity, and no parallels were drown using the horrible Hiroshima metaphor.
Sadly, the science, technology and history of CAT scans is lacking. Not even EMI and the Beatles are given their due.  The good news is that the research behind the 1979 Nobel Prize for Medicine helped launch the progress that powers the fifth generation machines.  Dramatically increased processing speed has reduced motion artifact, optimized contrast enhancement, and decreased study completion time.  Radiation exposure is now measured in mrem units and slice imaging time in msecs.  That is very good news.

::: 

More:

Footnotes:

Posted by: webscribe2 on 11/30 at 09:41 AM
Calendar: • Friday: • Culture Clash: • Environment: • Envirotech: • Policy: • Features: • Quotes: • Frameworks: • Gold Standard: • Hot and Cold: • Language: • Rhetoric: • Leisure: • Life Support: • Medicine: • News: • Global: • Power Play: • Science and Technology: • Side Effects: • Sooner or Later: • Sustainability: • Truth Telling: • Weasel Words: • problematic: • Punditry: • (0) Comments: • (0) Trackbacks: • Permalink:

[ Tuesday, November 27, 2007 06:53 ]

Legacy Journal: Medical Fundamentals: Patient Care, Turf Battles, and Funding

Section:

Health and Medicine

Summary:

Medicine Today: Local, National, and Global: Three Views in the News

* Outliers: A case report from the University of Rochester.

** The Texas Tornado and the Outlaw: The Feud ends between reconciled Houston heart surgeons DeBakey and Cooley.

*** The Fundamentals:  Why the United States is the object of both admiration and envy.

Main:

First, today the University of Rochester, Strong Memorial Hospital Rounds was a case report. The patient was a 83 year old woman who was transferred to the Intensive Care Unit from another hospital for care because of fever and cardiomyopathy.  Her DRG code was sepsis, probably secondary to pneumonia .  Her hospital stay was over 35 days. Consultations, tests and procedures were numerous and frequent. Hospital charges alone were $90,000; insurance reimbursement was 50 cents on the dollar.  She was discharged in stable condition at her request three days after simplifying her medicine regimen.  One lesson is that the patient did offer students and residents valuable clinical experience.  In addition, she probably was included in a NIH funded, University study on focused on some of the fundamental cellular mechanisms of sepsis.

Second, today the nytimes reports that the long standing Texas sized feud between Dr. Michael DeBakey and Dr. Denton Cooley has ended.

Third, David Brooks, writing for the nntimes and reporting from China, makes the case for sticking to the fundamentals of open, free and fair trade given the financial and economic realities of Global trade and the fluid flow of funds.

In the interest of full disclosure of possible conflicts of interest, I have been a willing reference guinea pig subject for an ongoing sepsis research study at Strong, a CME attendee of one Dr. DeBakey’s lectures, a step-brother is a guy who owns his life saving cardiovascular emergency surgery at the Texas Heart Institute by an Iraqi surgeon in Houston, and a post WW II beneficiary of world travel, trade, and the free exchange of human and financial capital.

BTW, approximately 20% of western upstate New York’s working professionals are estimated to be foreign born according to a recently reported economic and business survey.

More:

Footnotes:

Posted by: webscribe2 on 11/27 at 06:53 AM
Business and Trade: • Calendar: • Corrections and Clarifications: • Demographics: • Diversity: • Family: • Fundamentals: • Heartland: • Immigration: • Life Lines: • Medicine: • Personalities: • Science and Technology: • Social Sciences: • Demography: • Score Card: • SeniorStatesmen: • Signals: • Clear: • Spot On: • Standards: • The Price is Right: • (0) Comments: • (0) Trackbacks: • Permalink: