The Lack of Effect of Influenza Vaccination on the Elderly
The Annals of Internal Medicine recently published online a study of the effectiveness of influenza vaccination on the likelihood of subjects 65 and older being hospitalized or dying. The study’s objective was: “To determine the effectiveness of the influenza vaccine in reducing hospitalizations and mortality among elderly persons by using an observational research design that…
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Drinking Songs
Opera and alcohol are frequently paired. Accordingly, here are some drinking songs. I’m using the term loosely. Most would fit under this appellation, but some do not and not all the selections are from operas. They are presented in no particular order. If randomness works for quantum mechanics, it’s OK here. First is likely the…
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Mad Scenes Not By Donizetti
Donizetti’s Lucia Di Lammermoor is the poster girl for operatic lunacy. She’s been going mad for close to two centuries with no letup in sight. She should be an honorary member of the American Psychiatric Association; she’d fit right in. She’s probably got her own ICD 10 code. But opera has many other examples of…
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World War 2 Photos
The photos below were found in a box after my mother died. They detail part of her brother Nat’s service in the US Army during World War 2. I know nothing more than what was written on the back of some of these pictures. They were about 60 years old by the time I saw…
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Operatic Laughter
There’s a lot to laugh about in opera, some of it intentional. My subject is not situations that are funny, rather it’s situations in which the characters laugh. Here are a few; doubtless, you can think of others. I’ll start with Adele’s Laughing Song from the younger Strauss’s Die Fledermaus. Adele, the Eisenstein’s maid, has…
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On Persistence
This article is the 1000th published here since the site went live in December of 2007. I don’t keep track of this sort of thing, but the computer does and I couldn’t help noticing that the previous one had number 999 attached to it. So, big deal! All this proves is that if you’re persistent…
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New (2019) Cholesterol Treatment Guidelines
The American Heart Association and the American College of Cardiology have released new guidelines for the management of elevated blood cholesterol levels. These guidelines focus on LDL-cholesterol. They are summarized in the figure below which can be enlarged by clicking on it. They were published in a short article in the JAMA which is appended…
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The Met’s House Tenors
The definition I’m using here is this: A Met house tenor is one who has sung at least 500 performances in leading tenor roles with the company. Thus, comprimario singers are not included. Using this rule there are only six tenors who qualify. They are listed below in the order of their birth followed by…
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Dr. Donald W. Seldin, ‘intellectual father’ of UT Southwestern, dies at 97
Dr Seldin died April 25, 2018 at the age of 97. I was one of thousands of physicians whose life and career was shaped by this great man. The article below is the tribute to him that was published by Southwestern Medical Center, the institution that he devoted his life to and which was shaped…
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New Blood Pressure Guidelines – Think First
The press with an assist from the American College of Cardiology is trying to drive the American public crazier than it usually is. Here’s a quotation typical of those floating around the media: “Nearly half of Americans have high blood pressure under the new guidelines issued Monday by heart organizations and the medical community. The…
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How Go Completely Crazy in 25 Easy Steps
The first thing to accept is that you don’t have to do anything crazy to go completely crazy – a series of rational small steps will get you there. A to B seems at least OK. The same with B to C, all the way to Z. Twenty five rational, or semi-rational, steps and you’re…
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Gene Therapy for Sickle Cell Disease
Sickle Cell Disease is a disorder of hemoglobin production secondary to an alteration in the hemoglobin gene on chromosome 11. Specifically, there is a single amino acid substitution in “adult” β A -globin (Glu6Val) stemming from a single base substitution (A→T) in the first exon of the human β A -globin gene. The abnormal nucleotide…
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Ostracism and “high Crimes and Misdemeanors”
Ostracism was an interesting feature of the Athenian democracy, if you can call a city-state which granted the suffrage only to adult male land owners a democracy. About 30 to 50 thousand of about 300 thousand Athenians were eligible to vote. Unsurprisingly, democracy in Athens lasted little more than a century. Ostracism derives its name from ostraka,…
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Salt Intake in Chronic Kidney Diease
How much salt people should eat continues to be a murky issue. A paper in the February 2017 issue of the American Journal of Kidney Diseases examines the issue of salt (actually sodium) intake on the prevention of cardiovascular disease in patients with chronic kidney diseases (CKD) stages 2-4. It is a commentary on an…
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The Vulture Has Landed
I’ve been out of the country for a few weeks, but am now back (see below for the gruesome details). Thus regular posting will resume. First the important stuff. If you take a cruise bring your own salt and a shaker. No cruise line I know of has decent salt shakers. They tend to use…
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Life Expectancy in the Elderly
Americans have a lower life expectancy than people in other developed countries. This lower longevity has been often used to disparage medical care in this country as being inferior to that of other similarly advanced nations. Such an accusation is made acute by the high cost of American medical care – the highest in the world….
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Statins For the Primary Prevention of Cardiovascular Disease
The use of statins (drugs which lower blood cholesterol) for the primary prevention of CV disease has been controversial since the drugs became available almost 30 years ago. Primary prevention is the prevention of a disease which the patient does not have, eg a stroke or a heart attack. Secondary prevention is the prevention of…
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Daisy For President
Can a dog run for President of the United States? The answer is an unequivocal yes! Let me quote the Constitution: No person except a natural born citizen , or a citizen of the United States, at the time of the Adaption of this Constitution shall be eligible to the Office of President; neither shall…
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The Genetically Modified Organism in Your House
Vermont in a spasm of enlightenment has mandated that all genetically modified foods sold in the Green Mountain State be so labeled. According to numerous polls 90% of the population of the USA thinks this a good idea. This is the same concerned and informed group that by an 80% margin supports labeling food that…
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Cosmosapiens – Book Review
Cosmosapiens by John Hands Subtitled Human Evolution from the Origin of the Universe, John Hands’ book attempts to explain the origin of the universe and our place in it; and he does so in less than 600 pages (about a quarter of a million words) including many tables and figures. Amazingly, except for a stumble towards…
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Verdi Chords
One of the most distinctive characteristics of Giuseppe Verdi’s operas is his use of chords to resolve or punctuate the moments of greatest emotional and dramatic tension as his story reaches a crisis point. This simple device would seem within the grasp of almost any composer, but Verdi’s use of it is unique. Below are five…
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What Can You Do to Maintain Good Health?
The FDA just banned trans fat. The American Heart Association issued a statement that the move would prevent 20,000 heart attacks a year mirroring that made by the CDC. Where this number came from is a mystery. I suspect they made it up after a series of extrapolations from metabolic data to epidemiological conclusions based…
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If You Are a Homicidal Maniac Press 1
Earlier today I called USAA. They’re my insurance company. I’ve been with them since before the big bang. Back then you could pick up the phone and a familiar voice would answer, “This is Phyllis at USAA.” And I would reply, “Hi, Phyllis, this is Neil. I got a new car; please change my coverage.” And…
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Air and Romance
This site has been silent for the last month. I was on a trip on the Amazon River. I got as far as Manaus, Brazil and then came back out. A little later I’ll post some photos of the region, but my theme today is American Eagle. To get to most places east, north, or…
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A Serious Bird
BOISE, Idaho — Albertson’s LLC said Monday that it has agreed to acquire The United Family, a privately owned chain of 50 supermarkets based in Lubbock, Texas, operating under three banners. Supermarket News Sept 9, 2013 This is really very simple, but I’ll do my best to make it complex. Groucho is a Yellow-Naped Amazon…
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No Second Acts in American Confectionary?
OK so the world has been going steadily downhill for last 5774 years. The trouble began with food which will eventually be my focus. But first a few disjointed musings. Most of our problems result from misdirected attempts to make things better. There are few Iagos in the world. This (the desire to do good…
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Doing Nothing – New Revised Edition
A new Edition of Doing Nothing has been released. It can be purchased at Amazon as either a paperback book or in a Kindle edition. Go here for more details. Below is a new review of the novel: Kurtzman, Neil DOING NOTHING CreateSpace (708 pp.) $23.35 Paperback $9.99 e-book January 6, 2012 ISBN: 978-1461096535 Kurtzman’s debut…
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Second Law of Thermodynamics Held Unconstitutional
A deeply divided Supreme Court, in a 5-4 decision, held the Second Law of Thermodynamics to be unconstitutional. In a decision released Monday the 4th of July, the first time the court has ever met on the nation’s birthday, the court ruled that the law violated the due process section of the 5th amendment. The case (ACLU v. Cal…
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Una partita a poker
Talk to any theater person and he’ll tell you that the second act curtain should descend on the show’s strongest scene. Nobody was better at ending the second act than Giacomo Puccini. With the premiere of the Met’s revival La Fanciulla del West less than a month away, I thought I’d present a few versions of the opera’s second act finale. This the scene where the…
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Livin’ the Dream – Governments, Polls, and Other Blunders
The current state of societal and economic collapse is completely the governments fault. Yet what’s seen as the solution? More Government action. Since the viral epidemic was recognized, we warned here that locking down the economy would make things a lot worse, which sure enough it did. We’ve had worse viral outbreaks, some within living…
Lethal Tenors
Serious operas typically end with one or more of the principals dead. The tenor is more often victim than perp. The following excerpts are from operas where the tenor is the killer, an unusual occurrence in an art form where tenors are usually the good guys. First Verdi’s Luisa Miller. The following description is adapted…
COVID-19: Back to Square 1
The country is gradually starting to reopen, but not before 33 million Americans are out of work. Millions more have or soon will lose their businesses. But if you stop and think about the difference between reopening and staying open from the start you’ll realize that except for the carnage there is no difference. Of…
Doing Nothing: "Doing Nothing by Dr. Neil Kurtzman takes us through the education of Richard Grollman, from his first day of medical school through his last day as chief resident on the medical service of a busy city hospital. Through his experiences, the reader is taken through a wonderful journey as we see the highs and lows of his life during his “education.” One is taken through the trials of medical school and the challenges faced during residency. This story examines the human side and art of medicine. This is a wonderful book that would be appreciated by most people, but would be greatly enjoyed by physicians who can certainly relate to Richard. It is reasonably priced and very well written. It is very difficult to put down. I would recommend this book without hesitation." - JASON LIFSHUTZ, M.D. › More ...
About Neil Kurtzman
Neil A Kurtzman MD is the Grover E Murray Professor Emeritus and University Distinguished Professor Emeritus, Department of Internal Medicine at Texas Tech University Health Sciences Center in Lubbock. He has combined careers in clinical medicine, education, basic research, and administration for more than 30 years.› Read the biography
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