Cross-posted from Dafydd's Random Music.
Child Ballad 10: The Cruel Sisters, also known as The Twa Sisters. Evidently in addition to strange knights, you can't trust your sister either. Then there's the minstrel. If I find a dead body on the seashore, I'm not making a harp out of the bones. I guess I'll never be in a ballad. Sung by Pentangle.
Thursday, June 17, 2010
Monday, April 19, 2010
15 years
Cross posted from The Weekend Scrub
Today I'm going to eat at Sonic.
Fifteen years ago was lying in bed reading when there was a loud noise and the house shook. I initially thought that a car had hit the house. I lived in Oklahoma City and I was three and half miles away from the Murrah Federal Building.
Within a couple of hours I was scrubbed in surgery at St. Anthony's. I was no longer an employee, having parted ways with the hospital almost a year earlier. I was part of three separate teams working at the same time on the most seriously wounded patient. I've been scrubbing for almost twenty years. I remember two patient names. This woman is one of them. (The other was named David Stapleton.)
At one point I went to see if I could help in instrument processing. St Anthony's was the nearest hospital to the federal building. (Close enough that the hospital building itself had minor damage.) Hundreds of walking wounded had found their way to the St. Anthony ER. Almost all of them had severe lacerations. The average hospital stocks maybe thirty suture trays. Luanna, the scrub in charge of processing, had her staff opening every tray we wouldn't being using that day, the GYN instrument and the like, and reassembling them into suture trays: Two hemostats, a needle holder, a pair of scissors and some forceps.
When I came out of surgery, I was surprised to find bags full of Sonic hamburgers. Someone at Sonic had figured that there would be a lot of people working a lot of hours at the hospitals who would not have much chance to eat. They made and sent thousands of burgers to every hospital in town without being asked.
Today I will say a prayer for the souls of the departed and a prayer for the continued health of the survivors and families. And I'll eat at Sonic.
Today I'm going to eat at Sonic.
Fifteen years ago was lying in bed reading when there was a loud noise and the house shook. I initially thought that a car had hit the house. I lived in Oklahoma City and I was three and half miles away from the Murrah Federal Building.
Within a couple of hours I was scrubbed in surgery at St. Anthony's. I was no longer an employee, having parted ways with the hospital almost a year earlier. I was part of three separate teams working at the same time on the most seriously wounded patient. I've been scrubbing for almost twenty years. I remember two patient names. This woman is one of them. (The other was named David Stapleton.)
At one point I went to see if I could help in instrument processing. St Anthony's was the nearest hospital to the federal building. (Close enough that the hospital building itself had minor damage.) Hundreds of walking wounded had found their way to the St. Anthony ER. Almost all of them had severe lacerations. The average hospital stocks maybe thirty suture trays. Luanna, the scrub in charge of processing, had her staff opening every tray we wouldn't being using that day, the GYN instrument and the like, and reassembling them into suture trays: Two hemostats, a needle holder, a pair of scissors and some forceps.
When I came out of surgery, I was surprised to find bags full of Sonic hamburgers. Someone at Sonic had figured that there would be a lot of people working a lot of hours at the hospitals who would not have much chance to eat. They made and sent thousands of burgers to every hospital in town without being asked.
Today I will say a prayer for the souls of the departed and a prayer for the continued health of the survivors and families. And I'll eat at Sonic.
Labels:
Oklahoma City,
scrubbing,
terrorism,
The Weekend Scrub
Wednesday, April 7, 2010
The Sound of Surgery
Cross-posted from The Weekend Scrub.
I've mentioned elsewhere that the smell can be the grossest thing about surgery. Smell is not the most nerve wracking thing, though. Sound is. Not the sound of surgeons bellowing, but rather what is normally a quite normal sound, the pulse oximeter. For those not familiar with it, the pulse oximeter is a machine that measures the amount of oxygen carried by the blood. It does this by shining a specific wavelength of red light through a relatively thin body part, usually a finger. It then measures how much of that light is absorbed. From this it is able to calculate what percentage of the red blood cells are oxygenated. The best possible "score" is 100 (unless you are a member of Spinal Tap). Numbers above 96 are considered normal. Numbers below 90 are worrisome. The machine is also able to measure the pulse by measuring the time between each wave of freshly oxygenated blood. It has become one of the basic tools of anesthesia.
It has also has the best designed sound I have ever heard. It is the modern version of Monty Python's "machine that goes ping". Every time the curve peaks the machine makes an electronic "ping". Its the background noise of every OR. Most of the time it doesn't register on our consciousness. The genius in this sound is one feature: as the oxygen saturation decreases, the the tone of the "ping" lowers. A drop of 10 points will drop the tone over an octave. Since a decrease in saturation is often accompanied by a slowing of the pulse, the machine begins to sound like its battery is dying, which is the perfect metaphor, because that's what the patient is doing.
Believe me, a serious drop in the tone of a pulse ox will get everyone in the rooms attention.
This video shows the tone change in minor way. These tone changes wouldn't grab anyone's attention but they give an idea of what I am talking about. (Tone changes about 0:27 and 1:25)
I've mentioned elsewhere that the smell can be the grossest thing about surgery. Smell is not the most nerve wracking thing, though. Sound is. Not the sound of surgeons bellowing, but rather what is normally a quite normal sound, the pulse oximeter. For those not familiar with it, the pulse oximeter is a machine that measures the amount of oxygen carried by the blood. It does this by shining a specific wavelength of red light through a relatively thin body part, usually a finger. It then measures how much of that light is absorbed. From this it is able to calculate what percentage of the red blood cells are oxygenated. The best possible "score" is 100 (unless you are a member of Spinal Tap). Numbers above 96 are considered normal. Numbers below 90 are worrisome. The machine is also able to measure the pulse by measuring the time between each wave of freshly oxygenated blood. It has become one of the basic tools of anesthesia.
It has also has the best designed sound I have ever heard. It is the modern version of Monty Python's "machine that goes ping". Every time the curve peaks the machine makes an electronic "ping". Its the background noise of every OR. Most of the time it doesn't register on our consciousness. The genius in this sound is one feature: as the oxygen saturation decreases, the the tone of the "ping" lowers. A drop of 10 points will drop the tone over an octave. Since a decrease in saturation is often accompanied by a slowing of the pulse, the machine begins to sound like its battery is dying, which is the perfect metaphor, because that's what the patient is doing.
Believe me, a serious drop in the tone of a pulse ox will get everyone in the rooms attention.
This video shows the tone change in minor way. These tone changes wouldn't grab anyone's attention but they give an idea of what I am talking about. (Tone changes about 0:27 and 1:25)
Child Ballads, #2 The Elfin Knight
Cross posted from Dafydd's Random Music.
Child Ballad 2: The Elfin Knight. The core of this ballad includes demands by a woman that her suiter perform impossible tasks including making of a garment with no seams. One varient is widely known as Scarbourough Fair. This is not that variant. Sung by Kate Rushby.
Child Ballad 2: The Elfin Knight. The core of this ballad includes demands by a woman that her suiter perform impossible tasks including making of a garment with no seams. One varient is widely known as Scarbourough Fair. This is not that variant. Sung by Kate Rushby.
Labels:
Child Ballads,
Folk Music,
Kate Rusby,
Random Music
Tuesday, April 6, 2010
Child Ballads
Cross posted from Dafydd's Random Music.
I've decided to see how many Child Ballads I can find.
Child Ballad 1: "Riddles Wisely Expounded" sung by The Askew Sisters. I never heard of them before I found this, but they are quite good.
I've decided to see how many Child Ballads I can find.
Child Ballad 1: "Riddles Wisely Expounded" sung by The Askew Sisters. I never heard of them before I found this, but they are quite good.
Labels:
Askew Sisters,
Child Ballads,
Folk Music,
Random Music
Monday, April 5, 2010
Children
We, for some reason, have a lot a hard-boiled eggs in the house right now. Which means deviled eggs. The Younger Daughter was helping mash the yolks for The Wife when The Wife noticed that with each yolk the Younger Daughter was stabbing the yolk and then mashing it all while saying "First I pierce its heart, then I crush it." Sometimes my children frighten me.
Wednesday, March 31, 2010
Chi Rho monograms.
Cross posted from Monstrous Beauty
Last night I talked a bit about the Chi Rho monogram in the Stockholm Codex Aureus. It got me thinking about how often these monograms show up in insular gospel books. So I decided to see how may I could find and spent a couple of hours poking around looking for images of them. This is by no means a comprehensive list, but here are the ones I found, in roughly chronological order.
First up is the Book of Durrow, dating to the middle of the 7th century. The Chi is enlarged, the Rho slightly smaller, the whole line is enlarged and set off and colored yellow. It is n0t really known where the manuscript was made, although it was probably made somewhere in Ireland.
Durrow is followed by the Lindisfarne Gospels of about 7o0. This is a quantum leap with the Chi Rho dominating the page. The Chi and the Rho are extensively decorated. All of the text on the page is turned into one large decorative pattern. One of my favorite things about the Lindisfarne Gospels is how the artist would "draw" with the decorative red dots found in so many insular manuscripts. Here he has "written" with them to form the letters of the line following the Chi Rho monogram completely out of the red dots. The Lindisfarne Gospels are known to have been produced on the Island of Lindisfarne off the east coast of Northumberland.
Next up is an unnamed manuscript in the British Library (Royal MS 1 B VII). This is a smaller scale effort, as this is not as sumptuous of a manuscript. The zoomorphic Chi Rho Initial is as about as large as the initials which begins each of the gospels. The scribe started a new column at the Chi Rho initial, as if he were starting a new work, leaving the bottom of the left column blank. (The text in the obviously different script at the bottom of the left hand column is a later addition, a manumission of a slave in Old English.) This manuscript was produced in the first half of the 8th century in Northumbria.
Next is the St. Gall Gospels, now housed in the monastery at St. Gall in Switzerland. This manuscript was produced by monks in Ireland about 750 and brought with them when St. Gall was founded. By this point, Chi is taken over the page, leaving room for only a few words of additional text, which is so stylized and decorated as to be unreadable. (This and Lindisfarne are my two favorites.)
Next up is our friend from last night, the Stockholm Codex Aureus. This is somewhat more restrained, although the text is seen as a decorated pattern with legibility allowed to be lost to aesthetics. This manuscript was produced somewhere in Southumbria, probably Canterbury. The influence of the Roman Church mission at Canterbury probably exerted a restraining influence on the wilder "Celtic" traditions seen in more northern insular manuscripts. This manuscript dates to about 750.
This one needs no introduction. It is, of course, the Chi Rho page from the Book of Kells and easily one of the most famous manuscript images of the middle ages. Exuberance abounds and there is no restraint. (Despite its fame, I still like Lindisfarne better. Does that make me a heretic?)

This is from another unnamed manuscript in the British Library, (Royal MS 1 B VII). In a sense Kells was at once the culmination and last gasp of the Insular tradition. After Kells the Carolingian Renaissance got underway, and the insular style fell out of favor. The truly deluxe manuscripts of the era looked to classical models. Still some manuscripts were made in the Insular style. This manuscript is from about a century after Kells. Although the Chi Rho monogram is present it is more closely related to the zoomorphic initial of the other unnamed British Library manuscript than to the Durrow, Lindisfarne, St. Gall, and Kells.

This is from the the Bodmin Gospels which was made in the 9th or 10th century. This is not a deluxe manuscript, so, although the Chi is emphasized it is not a major piece of illumination.
This is from the Book of Deer, which was made in Scotland in the 10th century. One day I will have to talk more about this manuscript in detail. It is a relatively small scale, somewhat odd manuscript, but is clearly still following the Insular tradition.
This is the Corpus Irish Gospels, now owned by Corpus Christi College, Oxford. It was produced in the twelfth century, almost 500 years after the Book of Durrow. It, along with the next manuscript show the extreme tenacity with which this style had in Ireland. This monogram with its interlace decoration on spiral motifs would be at home in manuscripts centuries older.

My final manuscript is the Gospels of Mael Brigte, which are firmly dated by a colophon to 1138. Although simpler in decoration than the the Corpus Gospels, this manuscript is also done in the insular style, centuries after the style's high point and shows the enduring popularity of the style in Ireland.
Last night I talked a bit about the Chi Rho monogram in the Stockholm Codex Aureus. It got me thinking about how often these monograms show up in insular gospel books. So I decided to see how may I could find and spent a couple of hours poking around looking for images of them. This is by no means a comprehensive list, but here are the ones I found, in roughly chronological order.
First up is the Book of Durrow, dating to the middle of the 7th century. The Chi is enlarged, the Rho slightly smaller, the whole line is enlarged and set off and colored yellow. It is n0t really known where the manuscript was made, although it was probably made somewhere in Ireland.
Durrow is followed by the Lindisfarne Gospels of about 7o0. This is a quantum leap with the Chi Rho dominating the page. The Chi and the Rho are extensively decorated. All of the text on the page is turned into one large decorative pattern. One of my favorite things about the Lindisfarne Gospels is how the artist would "draw" with the decorative red dots found in so many insular manuscripts. Here he has "written" with them to form the letters of the line following the Chi Rho monogram completely out of the red dots. The Lindisfarne Gospels are known to have been produced on the Island of Lindisfarne off the east coast of Northumberland.
Next up is an unnamed manuscript in the British Library (Royal MS 1 B VII). This is a smaller scale effort, as this is not as sumptuous of a manuscript. The zoomorphic Chi Rho Initial is as about as large as the initials which begins each of the gospels. The scribe started a new column at the Chi Rho initial, as if he were starting a new work, leaving the bottom of the left column blank. (The text in the obviously different script at the bottom of the left hand column is a later addition, a manumission of a slave in Old English.) This manuscript was produced in the first half of the 8th century in Northumbria.
Next is the St. Gall Gospels, now housed in the monastery at St. Gall in Switzerland. This manuscript was produced by monks in Ireland about 750 and brought with them when St. Gall was founded. By this point, Chi is taken over the page, leaving room for only a few words of additional text, which is so stylized and decorated as to be unreadable. (This and Lindisfarne are my two favorites.)
Next up is our friend from last night, the Stockholm Codex Aureus. This is somewhat more restrained, although the text is seen as a decorated pattern with legibility allowed to be lost to aesthetics. This manuscript was produced somewhere in Southumbria, probably Canterbury. The influence of the Roman Church mission at Canterbury probably exerted a restraining influence on the wilder "Celtic" traditions seen in more northern insular manuscripts. This manuscript dates to about 750.
This one needs no introduction. It is, of course, the Chi Rho page from the Book of Kells and easily one of the most famous manuscript images of the middle ages. Exuberance abounds and there is no restraint. (Despite its fame, I still like Lindisfarne better. Does that make me a heretic?)
This is from another unnamed manuscript in the British Library, (Royal MS 1 B VII). In a sense Kells was at once the culmination and last gasp of the Insular tradition. After Kells the Carolingian Renaissance got underway, and the insular style fell out of favor. The truly deluxe manuscripts of the era looked to classical models. Still some manuscripts were made in the Insular style. This manuscript is from about a century after Kells. Although the Chi Rho monogram is present it is more closely related to the zoomorphic initial of the other unnamed British Library manuscript than to the Durrow, Lindisfarne, St. Gall, and Kells.

This is from the the Bodmin Gospels which was made in the 9th or 10th century. This is not a deluxe manuscript, so, although the Chi is emphasized it is not a major piece of illumination.
This is from the Book of Deer, which was made in Scotland in the 10th century. One day I will have to talk more about this manuscript in detail. It is a relatively small scale, somewhat odd manuscript, but is clearly still following the Insular tradition.
This is the Corpus Irish Gospels, now owned by Corpus Christi College, Oxford. It was produced in the twelfth century, almost 500 years after the Book of Durrow. It, along with the next manuscript show the extreme tenacity with which this style had in Ireland. This monogram with its interlace decoration on spiral motifs would be at home in manuscripts centuries older.
My final manuscript is the Gospels of Mael Brigte, which are firmly dated by a colophon to 1138. Although simpler in decoration than the the Corpus Gospels, this manuscript is also done in the insular style, centuries after the style's high point and shows the enduring popularity of the style in Ireland.
Tuesday, March 30, 2010
Stockholm Codex Aureus
It's been a long while since I posted anything here, but I'm back, at least for the moment. Cross posted from Monstrous Beauty
This is the Stockholm Codex Aureus (Stockholm, Royal Library, MS A. 135), also known as the Codex Aureus of Canterbury. "Codex Aureus" can be translated as "Golden Book" and refers to the liberal use gold leaf used in the decoration of this manuscript. There are several other manuscripts known as the Codex Aureus as well, so you have to specify which one you are dealing with. Stockholm refers to its current location, while Canterbury refers to where it was probably made.
This is a Gospel Book and contains the Latin text of the four gospels. (I'm not sure what version, but I would bet that it is the mix of Vulgate and Vetus Latina found in other insular gospels). I also don't know what texts, other than the Gospels it contains, although I do know that it has Canon Tables. I would assume that some of the prefatory matter found in other Insular Gospels is present. There are 193 extant folios. Alternating folios have been dyed purple. The text is written in an uncial script in black, white, red, gold and silver inks. There are two surviving evangelist portraits, six decorated canon tables and seven decorated initials.
The portrait of Matthew shown here, is quite different from the highly stylized and abstracted portraits in other Insular manuscripts. Matthew is seated on throne within an arcade with pillars. Curtains hanging from above are wrapped around the pillars. In the tympanum above is his symbol, the winged man. There is little in the way decoration and the composition lacks the elaborate decorated borders found in some of the other insular manuscripts. Although the elements, including Matthew himself, are stylized and flattened the entire composition has a serene monumental quality. In many ways, this can be seen as a precursor to later Anglo-Saxon and Carolingian styles.
The facing text page, however, would be comfortably at home in any of the great Insular manuscripts like Kells or Durrow. The text block and each line of text is contained within a frame. The text lines alternate between a gilded background and golden letters, creating a dazzling effect. The opening initial is an elaborate monogram decorated with interlaced patterns and laid on a background of spiral motifs. As can be seen by the detail below, the draftsmanship is quite high.
That the evangelist portrait faces this page is quite interesting. The initial monogram is of the Greek letters Chi and Rho (XP). This monogram was often used as in place of the word for "Christ". The interesting thing is that, although evangelist portraits were usually placed at the beginning of a gospel, this is not the beginning of the Gospel of Matthew. This is the text which begins at Matthew 1:18. The preceding 17 verses contain a genealogy of Christ, and the actual narrative of Christ's life starts here. In insular manuscripts, the genealogy was often treated almost as a separate work and this "second beginning" was often given its own frontispiece, although this is the only manuscript that I am aware of that moves the evangelist portrait here. The enlarged, decorated Chi Rho monogram at this point in the text is a motif that is limited to insular gospel books.
This manuscript was at Christ Church, Oxford in the 9th century. It was looted by the Vikings, ransomed by Earl Alfred (later King Alfred). At some time in the middle ages it was lost again. It was found by a Swede in 1690 in Spain and purchased for the Swedish Royal Library
This is the Stockholm Codex Aureus (Stockholm, Royal Library, MS A. 135), also known as the Codex Aureus of Canterbury. "Codex Aureus" can be translated as "Golden Book" and refers to the liberal use gold leaf used in the decoration of this manuscript. There are several other manuscripts known as the Codex Aureus as well, so you have to specify which one you are dealing with. Stockholm refers to its current location, while Canterbury refers to where it was probably made.This is a Gospel Book and contains the Latin text of the four gospels. (I'm not sure what version, but I would bet that it is the mix of Vulgate and Vetus Latina found in other insular gospels). I also don't know what texts, other than the Gospels it contains, although I do know that it has Canon Tables. I would assume that some of the prefatory matter found in other Insular Gospels is present. There are 193 extant folios. Alternating folios have been dyed purple. The text is written in an uncial script in black, white, red, gold and silver inks. There are two surviving evangelist portraits, six decorated canon tables and seven decorated initials.
The portrait of Matthew shown here, is quite different from the highly stylized and abstracted portraits in other Insular manuscripts. Matthew is seated on throne within an arcade with pillars. Curtains hanging from above are wrapped around the pillars. In the tympanum above is his symbol, the winged man. There is little in the way decoration and the composition lacks the elaborate decorated borders found in some of the other insular manuscripts. Although the elements, including Matthew himself, are stylized and flattened the entire composition has a serene monumental quality. In many ways, this can be seen as a precursor to later Anglo-Saxon and Carolingian styles.
The facing text page, however, would be comfortably at home in any of the great Insular manuscripts like Kells or Durrow. The text block and each line of text is contained within a frame. The text lines alternate between a gilded background and golden letters, creating a dazzling effect. The opening initial is an elaborate monogram decorated with interlaced patterns and laid on a background of spiral motifs. As can be seen by the detail below, the draftsmanship is quite high.
That the evangelist portrait faces this page is quite interesting. The initial monogram is of the Greek letters Chi and Rho (XP). This monogram was often used as in place of the word for "Christ". The interesting thing is that, although evangelist portraits were usually placed at the beginning of a gospel, this is not the beginning of the Gospel of Matthew. This is the text which begins at Matthew 1:18. The preceding 17 verses contain a genealogy of Christ, and the actual narrative of Christ's life starts here. In insular manuscripts, the genealogy was often treated almost as a separate work and this "second beginning" was often given its own frontispiece, although this is the only manuscript that I am aware of that moves the evangelist portrait here. The enlarged, decorated Chi Rho monogram at this point in the text is a motif that is limited to insular gospel books.
This manuscript was at Christ Church, Oxford in the 9th century. It was looted by the Vikings, ransomed by Earl Alfred (later King Alfred). At some time in the middle ages it was lost again. It was found by a Swede in 1690 in Spain and purchased for the Swedish Royal Library
Monday, December 14, 2009
Just Do It.
Cross-posted from The Weekend Scrub
This is a bit of a rant.
I work weekends. I have to be able to do just about any case that comes along. I understand that thewimps fine scrubs who work during the week are stuck in their specialties and don't have a lot of exposure to other specialties. I don't care though. There are certain cases spread through all of the specialties that every scrub working in a large hospital must be able to do. (I may make a list of these someday.) If you can't do them, go work out an outpatient surgery center, or L &D, or specialty hospital and let your position be filled by a competent scrub. Even if you don't see them every day, you gotta be able to day a crani for subdural, a thoracoscopy, an ORIF and other procedures in the "scary" specialties of ortho, CV and neuro, even if you a GYN, or Plastics or General scrub. You just have to be able to do them, or get the hell out of here.
There, I feel better.
This is a bit of a rant.
I work weekends. I have to be able to do just about any case that comes along. I understand that the
There, I feel better.
Monday, September 21, 2009
Wednesday, July 8, 2009
Bad scrub.
Cross posted from The Weekend Scrub.
So I've been following this story and giving it some thought.
Short synopsis: A hep C positive scrub in Denver was caught exchanging her dirty syringes filled with saline for fentanyl syringes, which she then shot up with. Thousands of people may have been exposed. After being fired from the Denver hospital she went to work at a one day surgery center where she worked until she was arrested. Hundreds of more potential exposures.
Some interesting tidbits: the hospital knew she was Hepatitis C positive, it showed up on her blood work when she was hired. They counseled her on a ways to avoid avoid exposing patients. A few news stories have made statements that she did not have patient contact. That can't be true, if she was in fact working as a scrub, unless reaching into a patient's abdomen and holding their intestines doesn't count as patient contact.
Also the news stories say that she was caught after being found in an OR which she was not assigned to. This is interesting, as, at every hospital I have worked at, people go into other rooms all the time to steal supplies or say hello to friends. The hospital must have had serious suspicions about her, or she was found messing with the anesthesia stuff. Some of the articles mention a previous drug test which came back negative, so the hospital was probably suspicious.
The fact that she was going into other ORs explains those high numbers of potential exposures. She only worked at the hospital for about six months, so that's about 130 working days. She would have had to have been stealing dozens of syringes a day to actually expose thousands of people. In fact the hospital is testing every one who had surgery at the hospital when she was at work. Of those "only" a hundred or so will be at serious risk of exposure. Pretty horrific, but not quite as scary as the headlines.
I'm still flabbergasted at the substitution of her dirty syringes. Why? Stealing drugs I can understand, that's what addicts do. But exposing people? Surgery departments are awash with syringes. Finding sterile syringes would be quick and easy. Sterile saline is likewise easy to find. I can think of only three reasons why she reuse her dirty syringes: She was paranoid that the extra syringes would be missed; second, she didn't have access to the proper labels for the syringes, or the original labels could not be removed from the original syringe. Not having a proper label on her replacement syringe would expose her quickly. Finally she may have been an evil bitch who wanted to infect other people.
My final thought is that, without taking away any of her responsibility, there are others who have seriously screwed up here. There is no way that she should have been able to go get Fentanyl syringes. Narcotics are suppose to be strictly controlled. Ideally, an anesthesia provider should never draw up a narcotic until he or she is ready to give it. What was obviously happening was that anesthesia was pulling up drugs, setting them down, and leaving the room. Stupid. Especially, as seems likely, there was a staff person about whom the hospital had suspicions of drug abuse.
General badness all around.
So I've been following this story and giving it some thought.
Short synopsis: A hep C positive scrub in Denver was caught exchanging her dirty syringes filled with saline for fentanyl syringes, which she then shot up with. Thousands of people may have been exposed. After being fired from the Denver hospital she went to work at a one day surgery center where she worked until she was arrested. Hundreds of more potential exposures.
Some interesting tidbits: the hospital knew she was Hepatitis C positive, it showed up on her blood work when she was hired. They counseled her on a ways to avoid avoid exposing patients. A few news stories have made statements that she did not have patient contact. That can't be true, if she was in fact working as a scrub, unless reaching into a patient's abdomen and holding their intestines doesn't count as patient contact.
Also the news stories say that she was caught after being found in an OR which she was not assigned to. This is interesting, as, at every hospital I have worked at, people go into other rooms all the time to steal supplies or say hello to friends. The hospital must have had serious suspicions about her, or she was found messing with the anesthesia stuff. Some of the articles mention a previous drug test which came back negative, so the hospital was probably suspicious.
The fact that she was going into other ORs explains those high numbers of potential exposures. She only worked at the hospital for about six months, so that's about 130 working days. She would have had to have been stealing dozens of syringes a day to actually expose thousands of people. In fact the hospital is testing every one who had surgery at the hospital when she was at work. Of those "only" a hundred or so will be at serious risk of exposure. Pretty horrific, but not quite as scary as the headlines.
I'm still flabbergasted at the substitution of her dirty syringes. Why? Stealing drugs I can understand, that's what addicts do. But exposing people? Surgery departments are awash with syringes. Finding sterile syringes would be quick and easy. Sterile saline is likewise easy to find. I can think of only three reasons why she reuse her dirty syringes: She was paranoid that the extra syringes would be missed; second, she didn't have access to the proper labels for the syringes, or the original labels could not be removed from the original syringe. Not having a proper label on her replacement syringe would expose her quickly. Finally she may have been an evil bitch who wanted to infect other people.
My final thought is that, without taking away any of her responsibility, there are others who have seriously screwed up here. There is no way that she should have been able to go get Fentanyl syringes. Narcotics are suppose to be strictly controlled. Ideally, an anesthesia provider should never draw up a narcotic until he or she is ready to give it. What was obviously happening was that anesthesia was pulling up drugs, setting them down, and leaving the room. Stupid. Especially, as seems likely, there was a staff person about whom the hospital had suspicions of drug abuse.
General badness all around.
Thursday, June 25, 2009
Farrah Fawcett, R.I.P.
I am going duplicate a thousand of blog posts across the internets today. Farrah Fawcett lost her battle with cancer today. She was 62. Although her one season stint on Charlie's Angels is what made her famous, she, of course, was most famous for the poster. As does every other male of a certain age, I have fond memories of that poster.
An interesting, to me at least, side note when I was at school in Austin, my wife worked at the Umfaulf Sculpture Garden. The Garden showcases the work of Charles Umlauf, who taught sculpture in the art school at UT. In the seventies one of his models was Farrah. He made several busts of her. Here's the most recognizable, it has the hair.

And of course the poster.
An interesting, to me at least, side note when I was at school in Austin, my wife worked at the Umfaulf Sculpture Garden. The Garden showcases the work of Charles Umlauf, who taught sculpture in the art school at UT. In the seventies one of his models was Farrah. He made several busts of her. Here's the most recognizable, it has the hair.

And of course the poster.
Wednesday, June 17, 2009
Old Books are cool.
I used to sell books a little. I'd go to estate sales and the like and buy books cheap and put them on ebay or amazon and wait. If you know what you're doing, and have a little luck, it can be fairly lucrative I had several books that I paid under $3 for that sold for over $50 and a couple that went over $100. I also had a lot of books that I paid a dollar for that will eventually be donated to goodwill. Knowledge, of course, is the key, and kmowledge is often hard won.
Sometimes luck will do though. When he was 16 Capt. Nathan Harlan of the Indiana National Guard, picked up an old leather bound copy of the Federalist Papers for $7. He bought it, in part, because he was studying the Federalist Papers in school. It tTurned out to be Volume I of the two volume first edition. Facing his second tour in Iraq, he decided to cash it in, thinking he might get $500 for it. He got $80,000. As nice final touch, the auction house, Heritage Auction Galleries is waving its 20% fee in recognition of Capt Harlan's service in Iraq.
Hat tip to Ace of Spades HQ.
Sometimes luck will do though. When he was 16 Capt. Nathan Harlan of the Indiana National Guard, picked up an old leather bound copy of the Federalist Papers for $7. He bought it, in part, because he was studying the Federalist Papers in school. It tTurned out to be Volume I of the two volume first edition. Facing his second tour in Iraq, he decided to cash it in, thinking he might get $500 for it. He got $80,000. As nice final touch, the auction house, Heritage Auction Galleries is waving its 20% fee in recognition of Capt Harlan's service in Iraq.
Hat tip to Ace of Spades HQ.
Wednesday, May 27, 2009
Random music: Philmont Hymn
Crossposted from Dafydd's Random Music.
The internet is a strange place. The elder daughter is expressing an interest in Girl Scouts. I had been holding out until she was 14, so she could join Venture Scouts, the co-ed program run by the BSA. I have an ulterior motive. Venture Scout crews can go to Philmont. I went thrice as a Boy Scout, and want to go back, badly. If she goes, I can go. To entice the elder daughter I told her, again, about Philmont. To drive the point home I searched youtube for Philmont videos. It wasn't hard to find nice videos with slide shows of the scenery. I may have hooked her. Of course I ran across some videos that use the Philmont Hymn as a soundtrack. I like the Philmont Hymn, and a spent the better part of the evening singing it. (The younger daughter now hates it.) After my evening shower I had a brain fart on the lyrics, and looked them up via Google. A little bit if searching turned up an astonishing coincidence. The Philmont Hymn was written by a 16 year old Philmont Ranger in 1947, John Westfall. Mr. Westfall died this month after a good life aged 81. It turns out that he lived in town I now live in. His funeral was at the Episcopal Church down the street from my house, the church my family occasionally attends. His obituary describes as active in scouts and in his community throughout his life. He was a past member of the board of directors for the ballet company my daughter is in. I never met him, but throughout my life his song has meant a great deal to me. I never met him, but I miss him.
So far as I know, the Philmont Hymn has only bee professionally recorded once, by the US Air Force Academy choir. I used to own this version as a single.
The internet is a strange place. The elder daughter is expressing an interest in Girl Scouts. I had been holding out until she was 14, so she could join Venture Scouts, the co-ed program run by the BSA. I have an ulterior motive. Venture Scout crews can go to Philmont. I went thrice as a Boy Scout, and want to go back, badly. If she goes, I can go. To entice the elder daughter I told her, again, about Philmont. To drive the point home I searched youtube for Philmont videos. It wasn't hard to find nice videos with slide shows of the scenery. I may have hooked her. Of course I ran across some videos that use the Philmont Hymn as a soundtrack. I like the Philmont Hymn, and a spent the better part of the evening singing it. (The younger daughter now hates it.) After my evening shower I had a brain fart on the lyrics, and looked them up via Google. A little bit if searching turned up an astonishing coincidence. The Philmont Hymn was written by a 16 year old Philmont Ranger in 1947, John Westfall. Mr. Westfall died this month after a good life aged 81. It turns out that he lived in town I now live in. His funeral was at the Episcopal Church down the street from my house, the church my family occasionally attends. His obituary describes as active in scouts and in his community throughout his life. He was a past member of the board of directors for the ballet company my daughter is in. I never met him, but throughout my life his song has meant a great deal to me. I never met him, but I miss him.
So far as I know, the Philmont Hymn has only bee professionally recorded once, by the US Air Force Academy choir. I used to own this version as a single.
Tuesday, May 12, 2009
A birding trip
Yesterday the family and I piled into the car and wet on quick birding trip. We've been doing this fairly regularly for the past several months. Usually we don't see much out of the ordinary, but yesterday was different.
We just took a run up to Lake Copan, in part to see how high the water has gotten in the lake. We took the usual route, up what I call "Buffalo Road" and then skirting Dewey to the west and finally coming out on Highway 75 a couple of miles north of Dewey.
Last week we went up Buffalo Road and found a flock of Bobolinks, which were a life bird for all of us. Yesterday, the flock was still there. They may have settled in for the season which would be cool. Buffalo road is prime flycatcher habitat, and both Scissortails and Eastern Kingbirds were out in force. No Western Kingbirds though. The Dickcissels were also out in force. Add in a couple of Meadowlarks and Grackles and you had almost everything you could want from the Prairie.
While running up the road west of Dewey I spotted a couple of Great Egrets in a field. What Egrets were doing in a field, I'll never know. Well, I do know, they were hunting, as I saw one of them catch something a couple of times, but what they were hunting I can only guess. Perhaps there was a small pond that was hidden from view by the grass, or perhaps they were hunting mice or frogs. I dunno.
A bit later on, a red bird flew across the road in front of the car and landed on the fence. My wife called, out "Cardinal!". Something about the bird pulled me up short, though. It didn't look right. I stopped and took a look. Summer Tanager. Right then, an Eastern Bluebird flew from the section of the fence where the tanager had landed. I noticed a second bird on the fence that I at first registered as another bluebird. I quickly saw a blue head and red breast, the the bird turned a bit and I saw the green back. Painted Bunting! Summer Tanagers and Painted Buntings were two of my nemesis birds. I had neither seen either one, and here I had them both in the same binocular view. We hung out admiring the birds until a passing car flushed the birds.
We didn't see anything unexpected at Copan, although I have never seen the water that high. If it keeps raining, and they don't get a chance to lower the lake levels, Bartlesville is in for another flood. I also didn't find any Orioles at Washington Cove, which is usually a dead certainty. Maybe it's too early for them.
Here's the bird list for the day:
Double-crested Cormorant
Great Egret
Canada Goose
Turkey Vulture
Mourning Dove
Rock Pigeon
Eastern Kingbird
Scissortail Flycatcher
Blue Jay
American Crow
Barn Swallow
Cliff Swallow
Carolina Chickadee (heard)
Eastern Bluebird
American Robin
Northern Mockingbird
European Starling
Summer Tanager
Dickcissel
Painted Bunting
Meadowlark
Bobolink
Red-winged Blackbird
Common Grackle
American Goldfinch
Twenty five species. Not bad for 1 1/2 hour trip.
We just took a run up to Lake Copan, in part to see how high the water has gotten in the lake. We took the usual route, up what I call "Buffalo Road" and then skirting Dewey to the west and finally coming out on Highway 75 a couple of miles north of Dewey.
Last week we went up Buffalo Road and found a flock of Bobolinks, which were a life bird for all of us. Yesterday, the flock was still there. They may have settled in for the season which would be cool. Buffalo road is prime flycatcher habitat, and both Scissortails and Eastern Kingbirds were out in force. No Western Kingbirds though. The Dickcissels were also out in force. Add in a couple of Meadowlarks and Grackles and you had almost everything you could want from the Prairie.
While running up the road west of Dewey I spotted a couple of Great Egrets in a field. What Egrets were doing in a field, I'll never know. Well, I do know, they were hunting, as I saw one of them catch something a couple of times, but what they were hunting I can only guess. Perhaps there was a small pond that was hidden from view by the grass, or perhaps they were hunting mice or frogs. I dunno.
A bit later on, a red bird flew across the road in front of the car and landed on the fence. My wife called, out "Cardinal!". Something about the bird pulled me up short, though. It didn't look right. I stopped and took a look. Summer Tanager. Right then, an Eastern Bluebird flew from the section of the fence where the tanager had landed. I noticed a second bird on the fence that I at first registered as another bluebird. I quickly saw a blue head and red breast, the the bird turned a bit and I saw the green back. Painted Bunting! Summer Tanagers and Painted Buntings were two of my nemesis birds. I had neither seen either one, and here I had them both in the same binocular view. We hung out admiring the birds until a passing car flushed the birds.
We didn't see anything unexpected at Copan, although I have never seen the water that high. If it keeps raining, and they don't get a chance to lower the lake levels, Bartlesville is in for another flood. I also didn't find any Orioles at Washington Cove, which is usually a dead certainty. Maybe it's too early for them.
Here's the bird list for the day:
Double-crested Cormorant
Great Egret
Canada Goose
Turkey Vulture
Mourning Dove
Rock Pigeon
Eastern Kingbird
Scissortail Flycatcher
Blue Jay
American Crow
Barn Swallow
Cliff Swallow
Carolina Chickadee (heard)
Eastern Bluebird
American Robin
Northern Mockingbird
European Starling
Summer Tanager
Dickcissel
Painted Bunting
Meadowlark
Bobolink
Red-winged Blackbird
Common Grackle
American Goldfinch
Twenty five species. Not bad for 1 1/2 hour trip.
Monday, April 20, 2009
Manuscripts on the web: The British Library
Cross posted from Monstrous Beauty.
So, I like to go looking around the web for pretty pictures. One type of pretty picture I look for is illuminated manuscript images. One thing that I've found is that several institutions have done a great job digitizing images and making them available. Here are some of the places I've found.
Let's start with the big one. The British Library. The British Library, of course, has one of the best collections in the world. The Bibliotheque Nationale and the Vatican Library are the only close contenders I can think of.
The British Library is fairly generous, there are three ways they make manuscripts available. The big one is their Catalogue of Illuminated manuscripts. Thousands of manuscripts are cataloged here. (Over 1500 from the Harley collection alone.) Each manuscript has a upwards to twenty or so images available. The down side is that they are going methodically through the collections, and they haven't included the Cotton or Additional Manuscript collections yet, and that is where a lot of the really good stuff is.
Equally impressive is their Online Gallery of illuminated manuscripts. This used to be part of their Collect Britain site, and focused on manuscripts made in Britain. Each page is treated as separate work, but you can search by shelfmark. There are plenty of images of little known manuscripts. There are also illuminated manuscript images scattered through some of the other galleries. The Online Galleries also has a Virtual Books section with in depth looks at several important books including a late 17th cent Ethiopian Bible, the "Golf Book, the Luttrell Psalter, the Golden Haggadah, a 15th Century Hebrew Bible from Lisbon, the Sforza Hours, the Sherborne Missal, and the Lindisfarne Gospels. I can't make this feature work due to limitations of my computer and my lack of Geek skills.
A final place to look for images is the Images Online. This is primarily intended as a site to sell high quality images, but their previews are good enough quality for casual browsing. You can find images from many manuscripts not found at the other Brirish Library sites.
Finally for the British Library if you are looking for information on manuscripts, but not images, there is the Manuscript Catalogue. The entries in the catalog range from fairly complete articles, with bibliography to a few words in Latin.
So, I like to go looking around the web for pretty pictures. One type of pretty picture I look for is illuminated manuscript images. One thing that I've found is that several institutions have done a great job digitizing images and making them available. Here are some of the places I've found.
Let's start with the big one. The British Library. The British Library, of course, has one of the best collections in the world. The Bibliotheque Nationale and the Vatican Library are the only close contenders I can think of.
The British Library is fairly generous, there are three ways they make manuscripts available. The big one is their Catalogue of Illuminated manuscripts. Thousands of manuscripts are cataloged here. (Over 1500 from the Harley collection alone.) Each manuscript has a upwards to twenty or so images available. The down side is that they are going methodically through the collections, and they haven't included the Cotton or Additional Manuscript collections yet, and that is where a lot of the really good stuff is.
Equally impressive is their Online Gallery of illuminated manuscripts. This used to be part of their Collect Britain site, and focused on manuscripts made in Britain. Each page is treated as separate work, but you can search by shelfmark. There are plenty of images of little known manuscripts. There are also illuminated manuscript images scattered through some of the other galleries. The Online Galleries also has a Virtual Books section with in depth looks at several important books including a late 17th cent Ethiopian Bible, the "Golf Book, the Luttrell Psalter, the Golden Haggadah, a 15th Century Hebrew Bible from Lisbon, the Sforza Hours, the Sherborne Missal, and the Lindisfarne Gospels. I can't make this feature work due to limitations of my computer and my lack of Geek skills.
A final place to look for images is the Images Online. This is primarily intended as a site to sell high quality images, but their previews are good enough quality for casual browsing. You can find images from many manuscripts not found at the other Brirish Library sites.
Finally for the British Library if you are looking for information on manuscripts, but not images, there is the Manuscript Catalogue. The entries in the catalog range from fairly complete articles, with bibliography to a few words in Latin.
Tuesday, April 14, 2009
Codex Manesse
Cross-posted from Monstrous Beauty
The Codex Manesse (Heidelberg, University Library, Cod. Pal. germ. 848) is a German manuscript, which was produced in Zürich between 1304 and 1340. It is an important literary manuscript, as it is the single most comprehensive source of Middle High German love songs, the songs of the minnesängers. There are 140 poets represented, who range in social status from the Emperor Henry VI to commoners. As important as the manuscript is for literary history, it is best known for its illuminations. There are 137 portraits of poets, many of them shown in full armor with heraldic devices. These illuminations have been widely reproduced, so much so that are almost the stereotype of High Medieval art. The last I was at Barnes and Noble I noticed at three books with cover art drawn from the Codex Manesse. The illustrations have also been widely used as decorative motifs. I have some wooden plaques with reproductions of some of these pages on my walls right now. Here are some of the images.

Emperor Henry VI, Fol. 6r.

Conradin, Duke of Swabia, King of Jerusalem, King of Sicily, Fol 7r.

Henry I, Count of Anhalt (The manuscript calls him Duke in error), Fol 17r.
And, since this is a manuscript of songs, here is recreation of one of the songs.
The Codex Manesse (Heidelberg, University Library, Cod. Pal. germ. 848) is a German manuscript, which was produced in Zürich between 1304 and 1340. It is an important literary manuscript, as it is the single most comprehensive source of Middle High German love songs, the songs of the minnesängers. There are 140 poets represented, who range in social status from the Emperor Henry VI to commoners. As important as the manuscript is for literary history, it is best known for its illuminations. There are 137 portraits of poets, many of them shown in full armor with heraldic devices. These illuminations have been widely reproduced, so much so that are almost the stereotype of High Medieval art. The last I was at Barnes and Noble I noticed at three books with cover art drawn from the Codex Manesse. The illustrations have also been widely used as decorative motifs. I have some wooden plaques with reproductions of some of these pages on my walls right now. Here are some of the images.



And, since this is a manuscript of songs, here is recreation of one of the songs.
Tuesday, February 3, 2009
When worlds collide.
I haven't mentioned it here before, but I have spent some time over the last couple of months doing volunteer work at the special collections department of a local university library. I have been considering a change of career and going to library school. Before I jumped off that bridge, though, I thought I should have some idea of what doing library work was actually like. I also thought that it would be a great way to find people to write letters of recommendation for me.
My first project has been to inventory the library's World War I collection. They started the collection years ago, based, in part, on the fact that almost the entire male student body enlisted en masse and became part of the Rainbow Division. The donations of several alumni of their war memorabilia made a nice start and the library has, over the years, actively collected things since. They have a lot photograph and letter collections, a German code book, various logs, and lots of ephemera and other things that old men have saved from their youthful adventures. One of the collections they acquired along the was of a army surgeon named William Jason Mixter.
One of the standard instruments used in surgery is the mixter right angle clamp, seen here. Much of the instrumentation for modern surgery was developed in the first half of the 20th century, and most instruments are named after the person who developed them. Since Mixter is an unusual name, I was intrigued. A quick Google search confirmed that William Jason Mixter was almost certainly the inventor of the mixter right angle. What's more, he was a major figure in the history of neurosurgery. He was the first head of Neurosurgery at Massachusetts General, and a pioneer in back surgery. He was the first to realize that herniated discs could pain by compressing nerve roots and the spinal cord, and along with Joseph Barr, did the first successful discectomy.
The library did not buy the Mixter collection because of Mixter's importance in the history of neurosurgery, indeed they were unaware of it. They bought it because contained some interesting items that fit well with rest of the World War I collection. Nevertheless, they did end up with some stuff that was much cooler than they realized. And I got an unexpected collision of two of the different worlds in which I live.

William Jason Mixter
My first project has been to inventory the library's World War I collection. They started the collection years ago, based, in part, on the fact that almost the entire male student body enlisted en masse and became part of the Rainbow Division. The donations of several alumni of their war memorabilia made a nice start and the library has, over the years, actively collected things since. They have a lot photograph and letter collections, a German code book, various logs, and lots of ephemera and other things that old men have saved from their youthful adventures. One of the collections they acquired along the was of a army surgeon named William Jason Mixter.
The library did not buy the Mixter collection because of Mixter's importance in the history of neurosurgery, indeed they were unaware of it. They bought it because contained some interesting items that fit well with rest of the World War I collection. Nevertheless, they did end up with some stuff that was much cooler than they realized. And I got an unexpected collision of two of the different worlds in which I live.
Monday, February 2, 2009
The day the music died
Fifty years ago today, Buddy Holly, Ritchie Valens, and J. P Richardson "The Big Bopper" boarded a small plane and flew into legend.
Monday, January 26, 2009
The intellectual rigor of ABBA
Last month I read The Dumbest Generation by Mark Bauerlein. His thesis is that today's under-thirty crowd is the least intellectually developed generation in recent history. He blames this, in part, on the nature of the digital communications that generation uses; video games, text messaging, myspace, cell phones, etc. He argues that kids burn so much time with these forms of communication, that there is no time left for anything else. Another, more important, part of his argument, is that one reason kids burn their time away is because the previous generation allowed them to, or more accurately the guardians of our cultural heritage, teachers, scholars, writers, artists and the like, never convinced the current generation that there was anything of value in the World's cultural heritage worth pursuing.
I've also read a couple of blog posts recently by academics lamenting the unprepared minds they are expected to reach. One professor discusses in length the number of students who don't seem to understand that 800 BC came before 450 BC. There has been much talk about how even the best students view coursework and classes as mere obstacles to be overcome with the least amount of work.
All of which leads me to ABBA. Yes, the 70s Swedish pop group. I was discussing these ideas with my wife, and commented on the fact that in many universities, general history courses are often no longer required. Students don't have to know who Napoleon was in order to get degrees. I dramatized by say that one can go all the way through one's high school and college career without even hearing the word "Waterloo".
Now I challenge anyone over the age of 40. Can you hear the word Waterloo without the hearing somewhere in the back of your mind ABBA singing? Even if you are or were a die hard rocker or country fan, ABBA still seeped in and stayed there, because that's watch catchy song hooks do.
The interesting thing about this is that the ABBA song is not about the battle, but about a girl falling in love. But to get the song, you have to know the phrase "to meet one's Waterloo" meaning to come to a permanent, decisive surrender. The girl has surrendered to love, she has met her Waterloo. Of course the phrase is meaningless if you know nothing about Napoleon and the Napoleonic wars. The phrase itself has slowly slid from the language over the last thirty years as fewer and fewer people understood the referent. Today it unlikely that any band would write a song that assumed that the listened would know what happened to Napoleon at Waterloo.
So this is where we are. We live in a culture in which ABBA songs are to intellectually rigorous for the mass market. God help us.
And since we are talking about music, here's a video. Don't hit play unless you want ABBA to be stuck in your head all day.
I've also read a couple of blog posts recently by academics lamenting the unprepared minds they are expected to reach. One professor discusses in length the number of students who don't seem to understand that 800 BC came before 450 BC. There has been much talk about how even the best students view coursework and classes as mere obstacles to be overcome with the least amount of work.
All of which leads me to ABBA. Yes, the 70s Swedish pop group. I was discussing these ideas with my wife, and commented on the fact that in many universities, general history courses are often no longer required. Students don't have to know who Napoleon was in order to get degrees. I dramatized by say that one can go all the way through one's high school and college career without even hearing the word "Waterloo".
Now I challenge anyone over the age of 40. Can you hear the word Waterloo without the hearing somewhere in the back of your mind ABBA singing? Even if you are or were a die hard rocker or country fan, ABBA still seeped in and stayed there, because that's watch catchy song hooks do.
The interesting thing about this is that the ABBA song is not about the battle, but about a girl falling in love. But to get the song, you have to know the phrase "to meet one's Waterloo" meaning to come to a permanent, decisive surrender. The girl has surrendered to love, she has met her Waterloo. Of course the phrase is meaningless if you know nothing about Napoleon and the Napoleonic wars. The phrase itself has slowly slid from the language over the last thirty years as fewer and fewer people understood the referent. Today it unlikely that any band would write a song that assumed that the listened would know what happened to Napoleon at Waterloo.
So this is where we are. We live in a culture in which ABBA songs are to intellectually rigorous for the mass market. God help us.
And since we are talking about music, here's a video. Don't hit play unless you want ABBA to be stuck in your head all day.
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