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30 of our most Recent Postings:
- Legacy Journal
- Legacy Journal: Saturday Samplings
- Legacy Journal: Friday Fifth: Change, Cultural Divide, B&B, Google Chrome, and Arctic Drilling
- Legacy Journal: Wicked Wednesday
- Legacy Journal:Trifecta: Olympic Games, Democratic Convention, Quad State visit
- Legacy Journal: Olympic Swimming Prep
- Legacy Journal:080808: The China Olympic Games
- Legacy Journal:080808: The China Olympic Games
- Legacy Journal: B&B on the Erie Canal
- Legacy Journal: Summer Swing
- Legacy Journal: Thursday Thoughts: Twitter, Triathlons for Horses, and Obama One on Tour
- Legacy Journal: High Finance, Bad Loans, and Banking Reform
- Legacy Journal: Sunday Chatter x 3: ABC, NBC, and CBS
- Legacy Journal: Monroe County: Politics, the Carousel, and the Onterio Beach
- Legacy Journal: 50th Malin High School Reunion
- Legacy Journal: 2008 mid-point
- Legacy Journal: Walking with Religion---Walking with Nature
- Legacy Journal: Sunday Supplement
- Legacy Journal: Would you believe that ----?
- Legacy Journal: Tiger Woods: Mental Toughness, Physical Fitness, and Winner with Warriors.
- Legacy Journal: Defending the First Amendment
- Legacy Journal: Food for Thought and Summer Snow
- Legacy Journal: Toxic Planet or Better Living thru Chemistry?
- Legacy Journal: The Toughest Job in America
- Legacy Journal: Controlling Carbon: You Go First
- Legacy Journal: The U.S. Senate: Paying Attention to the Details with Dianne Feinstein.
- Legacy Journal: More Music from Rochester and the Village of Fairport
- Legacy Journal: Water: the Wilds of Wyoming and Beijing, China---A western perspective.
- Legacy Journal: Neurosurgery-- A Short Memoire
- Legacy Journal: Pops Music at the Eastman in Rochester
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[ Saturday, April 26, 2008 07:02 ]
Legacy Journal: Saturday Prep
Section:
None
Summary:
* RITMemoire3: Billy_and_the_Bike.pdf
** Three point standardization and check list lessons: Communicating was you sense , Analysis of what you sense, & Action plan. Document what you know, not what you feel.
*** Big Sur to Carmel Marathon Race.
Main:
: Redmond, Deschutes, Three Sisters, John Charles Fremont, and more.
:: Better your communication and your outcomes by building a World Class High Reliability Organization. Start with Standards
::: For weekend warriors.
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[ Monday, December 10, 2007 12:37 ]
Legacy Journal: Monday Outlook
Section:
Commentary
Summary:
By all accounts, on this Monday the World seems to getting on with the business of get on.
* Al Gore and Rajendra K. Pachauri accepted the Nobel Peace Prize today in cold and snowy Oslo, Norway. Both will be departing by jet to attend the two week long Climate Crisis IPPC conclave on the beaches of balmy Bali, Indonesia.
** The Boston Patriots continue to shine for the NFL and their New England fans in the night chill of their home field. Average NFL attendance was over 65,000 per contest. It could have been worse as ice and snow continue to make headlines. The Sunday NYtimes travel section was filled with ads for trips west to the ski reports in Aspen, Colorado, Taos, New Mexico, and Park City, Utah.
*** Today’s stock market opening was Strong, jobs are available in Rochester, NY and elsewhere, U.S troop casualties in Iraq continue to decline, credit for consumers and home buyers is available, charitable giving and donations remains robust, and many a kid seems to be infected with the spirit of the Holiday Season.
Main:
Meanwhile, we note that:
: Maureen Dowd’s, Mitt’s No J.F.K. Friday nytimes Op-Ed article is on Popular list, ranking just ahead of an article on Squash for Kids Who says nytimes readers do not have their priorities straight?.
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Footnotes:
Calendar: • Monday: • Frameworks: • Fundamentals: • News: • Global: • Previews: • Snow Flakes: • Surge: • Travel & Vacations: • Weather Watch: • Winter Watch: • (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.
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