Misdirection
May 22, 2012
I often arrange my days so I can see their sunrises and sunsets; so I have seen more of them, and paused longer over them, than most people I know. But in spite of the large number I’ve seen, I still have some favorites.
Without question, my most memorable sunrise was observed this past January as I stepped out on the balcony of a hotel room in Panama City, cup of coffee in hand, and watched a huge, red-golden sun rise out of the Pacific Ocean. That’s right, the Pacific!
I was in one of those relatively rare locations in the world where the Pacific Ocean is located east of the Atlantic Ocean.
Nearby, great ocean-going ships were traveling east through the Panama Canal in order to reach their western destinations more efficiently.
And beneath the ocean surface, the trim tabs of the huge ships’ rudders were being turned to the left to help the ships steer right, and to the right to help the ships steer left.
Sometimes it is quicker or more economical or just more acceptable to go in one direction for awhile in order to reach an ultimate goal that’s in the opposite direction.
Cardiac Screening
October 31, 2014
Sudden death among 12 to 25-year-olds is “a low event rate occurrence.”
“There is insufficient information to support the view that ECGs in asymptomatic young people for cardiac disease is appropriate or possible on a national basis for the United States, in competitive athletics or in the general population.”
“At present, there is no mechanism available in the United States to effectively create national programs of such magnitude, whether limited to athletics or including the wider population of all young people.”
“There is insufficient evidence that particularly large-scale/mass screening initiatives are feasible or cost effective within the current US healthcare infrastructure . . .”
“The ECG . . . cannot be regarded as an ideal or effective test when applied to large healthy populations.”
“An additional, but unresolved, ethical issue concerns whether students who voluntarily engage in competitive athletic programs should have advantage of cardiovascular screening, while others who choose not to be involved in such activities (but may be at the same or similar risk) are in effect excluded from the same opportunity.”
The AHA’s Sept. 14 AHA writing group “does not believe the available data support significant public health benefit from using the 12-lead ECG as a universal screening tool. The writing group, however, does endorse the widespread dissemination of automated external defibrillators which are effective in saving young lives on the athletic field and elsewhere.”