The Spoken Word
May 18, 2012
It’s that time of year again, when school and college graduation speakers and their speeches make news. That time of year when I think most about public speaking.
I enjoy a great speech. I don’t have to agree with the content: if a speech is well constructed and both articulately and passionately conveyed, I’ll listen intently and get pleasure from hearing it.
Sadly, in much the same way that written communication is being castrated by the likes of texting and tweeting, full-bodied speeches are being reduced to a series of soundbites to fit television newscasts and even briefer “reporting.” Because politicians or comedians (if there’s a difference) tend to pounce on and poke fun at one line of a speech, today’s most articulate public speakers seem reluctant to chance a creative metaphor or to stretch an argument beyond conventional thought and expression.
I do recognize that it is important to not confuse rhetoric with results, or worse, to miss the follies that have often flowed from fine words and flowery phrases.
But still, l like the spoken word. Where the speaker has spent time thinking about how the words sound, alone and in combination. A speaker who uses stories to tell a story. A speech that draws from other places and times to help us understand here and now, and to help us consider where we’re headed next. And of course, a speech that’s brief – one when the speaker finishes just before the listener, who still has something to ponder when the speaker leaves the podium.
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.”