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Archive for November, 2006

Thursday, November 30th 2006

From Medskool Mobile

How cool is this? You can now access From Medskool from mobile phones at http://winksite.com/txmed/medskool. As well I’ve syndicated the feeds of my favorite blogs to be read on a mobile phone.

Granted, no pictures, and the formatting leaves a little to be desired but now that I’ve found this I may actually look into a paid mobile syndicator. I don’t know why I’d do that as a poor medical student…except for the fact it is pretty cool.

In any case, I encourage you to grab your mobile phone and check out the new From Medskool Mobile.

Thursday, November 30th 2006

Funny, Enraging Stuff

Despite the fact it involves a blogger prone to ridiculous drama queen comments such as:

I’m almost to the point of suggesting that Texas’ decline its bowl invitation. Honestly, there’s just nothing left to gain.

A hilarious conversation between EDSBS’ Orson Swindle and Peter/HornsFan from Burnt Orange Nation on the USC-UCLA game is up at Bruins Nation.

In all seriousness, Orson proves once again he is the funniest/cleverest sports blogger on the web. Complete sincerity in that statement. Every Day Should Be Saturday should be on any football fan’s reading list.

Warning: There’s language in the excrepts from the conversation below.
Part 1:

Peter: And Pete Carroll is more of a humanitarian

OS: Pete Carroll–wearing a boonie cap handing out antibiotics in the Sudan.

Peter: I heard he bribed the Hutus to lay off the Tutsis.

OS: …saying “Fuck you, fuck you, fuck you” to guinea worm in Gabon…

Peter: He may be shady. But his intentions, man…

OS: Crystal clear. Even if he’s using Reggie Bush’s house to shelter blood diamond money.

OS: It’s all going to the kids.

Part 2

OS: Okay, final factor.

OS: The ‘X’ factor. The ‘X” stands for “Xactly anything you care to bring into the debate.”

Peter: ok, X factor – non-OJ category

Peter: Trojans are 0-1 in the Rose Bowl in 2006.

OS: Correctly guessed you’d bring that up. To what team?

Peter: They lost to Vince Young’s tree trunk. Also known as his penis.

OS: That game should have just been credited to him.

OS: VINCE: 1, USC Humanitarians, 0

Peter: Seriously – Vince Young cuts Pete’s illicit diamonds with his cock. True story.

OS: Don’t doubt it. He loves the orphans, too.

I’ll admit, hard to get my blood boiling at USC mocking when it is actually funny. It’ll be funnier still once USC wins by 25 on Saturday. In case you missed it, here’s the proof that Pete is a humanitarian straight from the horses mouth.

Thursday, November 30th 2006

Africa Gets Fat

Finally, signs that Africa is catching up with the rest of the world! (H/T Drudge)

“Here, if you lose a lot of weight, people automatically think you have TB or AIDS. It’s not like in America and Europe where you go on a diet to lose weight,” Njobo said.

Although the figures are lower than in affluent countries, many experts fear that health systems already stretched by the AIDS virus, malaria and poverty-related diseases may snap under the additional burden of heart disease, strokes, cancer and diabetes, conditions linked to obesity.

Worldwide, an estimated 1 billion people are overweight, compared to 800 million who are undernourished.

Some 56 percent of South African women are now either obese or overweight, compared to fewer than 10 percent who are underweight. More than 17 percent of adolescents here are overweight _ for teenage girls, it’s 25 percent, according to the Medical Research Council.

Thursday, November 30th 2006

An Unbalanced View

I was a Longhorn fan my entire life. A Baylor Bear fan as well, which is sadder. But, I was surrounded by friends and family who were Texas alum. I was part of a Longhorn social network; not a lot of Aggies at the Christmas parties I attended growing up. I go to a University of Texas medical school. I’m a Texas fan when they’re not playing USC. But, with crazy ass views like this, I hope that USC wins its next two games, puts last year’s Rose Bowl in perspective, and sends UT fans like those posting on BON over the edge.

A little vengeful, for sure. But you have to admit, the comment below is just ridiculous.

This post is following news that University of Texas backup QB Jevan Snead is transferring…

[I]f [starting QB] McCoy’s not good to go (or if the staff wisely decides to play it safe), who can Texas turn to? You can forget burning Sherrod Harris’ redshirt – that won’t happen. Who does that leave? Texas either plays walk-on third stringer Matt McCoy or goes with Quan Cosby. Yes – flanker Quan Cosby.

Going with Cosby would make for great entertainment, but of course if I’m advocating shutting down McCoy out of a desire to see the 2007 team protected, it hardly makes sense to advocate starting Cosby behind center. I’m almost to the point of suggesting that Texas’ decline its bowl invitation. Honestly, there’s just nothing left to gain.

The message: if you can’t play for it all, take your ball and go home. Great reaction. And USC is the University of Spoiled Children.

Thursday, November 30th 2006

Tranny Phone Sex Operator Roots For UCLA

See For Yourself

My goal is to do a series on the growing hatred for USC (you win, you make enemies) before the UCLA game. A look at all the hate in the blogosphere: here, here (move on already!), and more broken down by team.

Of course there are always completely reasonable bloggers (like here and here), who will no doubt be cheering for the Bruins on Saturday, but have a much more balanced view of the situation. So this little series on those that hate the Trojans is by no means an accurate reflection of all of college football-dom.

Wednesday, November 29th 2006

Going To Class Pays Off

Funny thing heard in class (what?! I was in class?!):

“Contraindications to a rectal exam: no rectum, no finger, no glove.”

We’re doing GI Path…obviously.

Wednesday, November 29th 2006

P4P Won't Work This Way Here

Unlike many physicians (or future physicians) I’m not going out of my head trying to oppose pay-for-performance. This is even after I personaly heard HHS Secretary Leavitt admit that the only reason pay for performance was coming was to reduce physician reimbursement and control costs. I posted on that previously. Now, that may sound like a “no, duh” statement but it is one thing to know it, and another entirely to get it straight from the horse’s mouth.

My reasons, unsorted but mentioned throughout the blog, are for another posts.

I bring it up only so I can point out, that I think after hearing the Secretary speak we can dispense with any notion that P4P will work like this in the United States.

GPs earned an average £106,000 during the first year of their new contract, figures show.

Figures from the Information Centre for health and social care show average earnings rose by 30% during 2004-05.

Ministers and NHS bosses expressed concern that so much of the new money had apparently gone on pay, rather than on investment in services.

The new contract, which ushered in radical changes to the delivery of primary care services, was designed to give general practices additional funds to invest in improving and developing services to patients.

It included incentives to reward GPs and their practice teams for driving up the quality of patient care.

A large proportion of GPs’ earnings are now linked to the quality of care they provide, with payments made for the provision of extra services, such as contraception, child health and chronic disease clinics.

Basically the NHS’ pay for performance protocol, which I’ve commented on previously, has led to an increase in PCP earnings. One of my pet issues has been a desire to close the reimbursement, and thus the recruitment, gap between specialties and primary care. Apparently such a gap exists in the UK as well,

He said: “Prior to the introduction of the new contract, there were serious recruitment problems and GPs pay had fallen behind.

“This was officially recognised during negotiations and is reflected in pay increases under the new contract.

H/T Kevin, MD


This really is my last post. I must go back to studying.

Wednesday, November 29th 2006

Grand Rounds

I haven’t gotten a chance to look at them, but as of yesterday the new volume of Grand Rounds is up. It is at a blog I actually read with some regularity (well, as much as I read any blog) Notes From Dr. RW.

Wednesday, November 29th 2006

Than A Llama At A Spitting Contest

Busier, That Is

There’s so much I want to post on. I missed my ‘Quick Hits‘ from the last week in college football, I wanted to talk about…

Even failing to get to those topic I do have a couple of quick posts.

This Is Staying At The Top Until I Get Back Into The Full Swing Of Posting. Check Below For The Two Most Recent Posts.

Monday, November 27th 2006

Why A +1 System Could Work

If Florida is diddled out of the national championship game that will be the second time in three years that a team from the nation’s “toughest conference” has been screwed.

This is important because the SEC commissioner is currently serving as the BCS commish (it is a rotating position). Could some changes be coming in the next couple years? Even with the television contract looked in, maybe actually.

Any hope for a playoff system must be a compromise. D1 will never look like 1-AA. And despite the hypocrisy of it, a Division 1 playoff must do at the minimum two things:

  • Not extend the season
  • Not destroy the bowl system

The only hope? A plus one system. Even this faces significant difficulty but perhaps after this year it will be a real possibility.

A plus one system would be, for all intents and purposes, a four team playoff. Sure there’d still be whining by that fifth team in some years and it holds significant other hurdles, many of which I’m sure I don’t even perceive although I’ll discuss some of them below.

But the point is, of all the playoff systems proposed, the plus one system achieves the two major goals I listed above.

  • It does not extend the season
  • It preserves the bowl system

All that would happen is that the BCS games would be required to match up #1 versus #4 and #2 versus #3 on a rotating basis. Let’s imagine how such a rotation would work, it isn’t difficult.

2007 (This Year)
Rose Bowl – PAC 10 v. Big 10
Fiesta Bowl – Big 12 v. Open
Orange Bowl – #2 versus #3
Sugar Bowl – #1 versus #4

Sugar Bowl – SEC v. Open
Rose Bowl – PAC 10 v. Big 10
Fiesta Bowl – #2 versus #3
Orange Bowl – #1 versus #4

Orange Bowl – ACC v. Open
Sugar Bowl – SEC v. Open
Rose Bowl – #2 versus #3
Orange Bowl – #1 versus #4

You get the idea.

Then, the next week, in the already existing national championship game, you get the winner of the #2/#3 game and the winner of the #1/#4 game facing off.

So, what’s the problem with this? Well the major one is that it removes two BCS teams. However, that is the way it was before this past year! We’re just going back to the way it was. The major losers in such a situation are the non-BCS conferences.

As well, some people will try to tell you that it doesn’t truly remove the controversy as the teams vying for that fourth spot will all be whining (imagine three two loss teams filing the fourth, fifth, and sixth BCS rankings). True, but in reality I promise you fewer people would care about the complaints.

At the least, it would significantly reduce the number of years where there would be large scale, media covered temper tantrums by teams left out of the BCS.

You might imagine you have to change the automatic qualifying rules. But actually not very much. You would have to bump the non-BCS conference qualifiers up (maybe from Top 12 to Top 8 ). You might have to bump Notre Dame up (Top 6 finish?)

Or, unwilling to do that, you could simply add a fifth BCS bowl. That would cause the already BCS bowls to whine a bit, no doubt, but the Cotton or Peach Bowl have more than enough tradition and strong enough infrastructure and organization to handle the role.

Like I said, any playoff system will require compromise. This is just the one with the least muddy road to implementation.

How would it have looked in the past if this system was implemented:

#1 Tennessee (SEC) v. #4 Ohio St. (At Large)
#2 Florida State (ACC) v. #3 Kansas State (At Large)
Wisconsin (Big 10) v. UCLA (PAC 10)
Syracuse (Big East) v. Texas A&M (Big 12)

#1 Florida State (ACC) v. #4 ‘Bama (SEC)
#2 Va Tech (Big East) v. #3 Nebraska (Big 12)
Wisconsin (Big 10) v. Stanford (PAC 10)
Tennessee (At Large) v. Michigan (At Large)

#1 Oklahoma (Big 12) v. #4 Washington (PAC 10)
#2 Florida State (ACC) v. #3 Miami (Big East)
Purdue (Big 10) v. Florida (SEC)
Oregon State (At Large) v. Va Tech (At Large)