Monkey Business
July 23, 2013
During the summer weeks, "From the Director" will bring to you some of our favorite entries from previous years. Today's blog first appeared Aug. 24, 2012.
I hesitate to assert that my wife and I are hikers, but we certainly are avid walkers. Walking is a routine of our daily life; and it’s a highlight when we travel. Walking is the means by which we absorb the sights, sounds and smells of each locale, while faster modes of tourism pass us by.
One of my wife’s delights as we travel is to discover monkeys in the wild; so sometimes monkey sighting has been the goal of walks, for example, in Costa Rica and Panama. This has made us familiar with howler monkeys; and I’m sorry to say, it’s caused me to see parallels between howler monkeys and modern media.
The growls of the howler monkeys send messages through the treetops. One howler begins, and others forward the message for miles. I’ve been told by locals (I’m no expert) that the monkey culture doesn’t reward creativity and that there’s an expectation that the message at the end of the line is the same as it began.
Sort of like forwarding an email, photo or video; or sharing a posting on Facebook. Or like the wire services’ distribution of news through traditional media. It’s rare that anyone vets the information; and retractions or corrections are even rarer.
I read in Barbara Kingsolver’s novel The Lacuna that the most important thing about a story, and about a person, is what you don’t know, which gets to the heart of the weakness of much of modern media. Yes, because of the volume of information in today’s 24/7/365 “news” cycle with thousands of channels and the universal access to reporting news through social media, we’re likely to get most of the facts, eventually; but the salient and true facts are likely to be lost in the rush and the clutter.
Set at a time before television, Kingsolver’s protagonist in The Lacuna writes in 1946: “The newsmen leap on anything . . . The radio is the root of the evil, their rule is: No silence, ever. When anything happens, the commentator has to speak without a moment’s pause for gathering wisdom. Falsehood and inanity are preferable to silence. You can’t imagine the effect of this. The talkers are rising above the thinkers.”
However real that observation would have been then, it’s clear today that cable television, talk radio and the Internet have raised the talking-without-thinking effect to heights that would have been unimaginable in the 1940s.
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.”