Cancer Risk and Computed Tomography Imaging
Projected Lifetime Cancer Risks From Current Computed Tomography Imaging is a study just published in JAMA Internal Medicine. The study concludes: “That at current utilization and radiation dose levels, CT examinations in 2023 were projected to result in approximately 103,000 future cancers over the course of the lifetime of exposed patients. If current practices persist,…
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Night and Day – Mario Lanza
Night and Day Mario Lanza is the title of the latest CD release of Lanza’s singing using Digitally Extracted Stereo to enhance the original mono recordings. The technique is a revelation. Lanza’s great voice sounds like it was recorded yesterday. The two-disc set contains 49 selections ranging from opera to popular songs and a lot…
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Why the Covid Epidemic Ended and How Best to Combat the Next One
The late and unlamented epidemic was an exercise in misapprehension. My subject is to explain its brief course as a preparative against the next respiratory virus that achieves epidemic proportions. COVID-19 lasted about three years, just as did the flu pandemic of a century earlier. However, it was far less lethal than its predecessor, killing…
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Religion and Politics
Religion, regardless of form or complexity, has been a constant in all human societies for as long as we can recall. Politics is likely just as ancient. I’ll define religion as the belief in and worship of a superhuman power or powers, especially a God or gods. The reader can extend the definition if so…
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Great American Composers – Irving Berlin
Irving Berlin (1888-1989) was the greatest songwriter in American history. Born in Imperial Russia his father, an itinerant cantor, brought his family to America after their house was burned to the ground during a pogrom. Irving was 5 years old when he arrived in New York. Raised in Dickensian poverty he was out on the…
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Polybius and Government
Edward Gibbon wrote, “History is indeed little more than the register of the crimes, follies, and misfortunes of mankind.” His great predecessor the Greek historian Polybius (c. 200 – c.118 BC) seems on close analysis by the reader to have believed that history was little more than the register of different people doing the same things over…
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The Ride of the Valkyries
With the possible exception of the Bridal March from Lohengrin, the music that opens Act 3 of Die Walküre – The Ride of the Valkyries – is the most familiar written by Richard Wagner. The Ride takes around eight minutes, and begins in the prelude to the third act, building up successive layers of accompaniment…
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Mimì è Tanto Malata!
The title translates to “Mimì is very sick.” It’s from Act 3 of Puccini’s La Bohème. The outline of the episode is below. Mimì is dying from tuberculosis and her lover Rodolfo is too poor to help and wants her to leave him for another man who will better care for her. The scene represents…
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Mutations and Ageing
That all living things age and then die has been of interest ever since the dawn of abstract thought. With the advent of molecular biology the prospect of studying the ageing process has become a scientific reality that casts aside random speculation. A multi institutional study from the UK just published in Nature, Somatic mutation…
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The Gordon Riots – 1780
Andrew Roberts in his biography of George III, (The Last King of America) which I’ll get to in a subsequent post, describes the Gordon Riots of 1780 as the worst catastrophe to befall London during the interval between the Great Fire in 1666 and the Blitz which began in 1940. Those who saw the disorder…
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Madness is a Feature, Not a Bug
“He was born with a gift of laughter and a sense that the world was mad.” The sentence opens Rafael Sabatini’s novel Scaramouche. It’s also engraved on his tombstone. And it’s also true. Humans as the price for their exalted state of consciousness have been condemned by providence to eternal madness. The two are unalterably…
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Too Much
Winston Churchill remarked that a dominant characteristic of Germany and its people was a tendency to too much. I don’t think the great man was being fair to his Teutonic cousins as the trait seems universal, even more so with every change of the calendar. The descriptor seems to best apply to those parts of…
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Smaller Brains
The human brain is the most complex structure known. As human-like species evolved over several million years into homo sapiens, hominid brain size tripled. Today the average human brain weighs about three pounds. Our nearest primate relative, the chimpanzee, has a brain that weighs less than a pound. Our brains constitute about 2% of body…
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Met Opera Cancels Next 100 Seasons
Metropolitan Opera general Manager Peter Gelb announced that following this season the venerable company will take a century long sabbatical. The not unexpected action followed Anthony Tommasini’s likening of the current run of Franco Zeffirelli’s production of Puccini’s final opera Turandot to “anti-asian” hostility. Mr Tommasini, music critic for the New York Times, has pointed…
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Pericles’ Funeral Oration
Pericles’ Funeral Oration was recorded, in an edited version, by Thucydides in book two of his History of the Peloponnesian War. The speech was delivered at the end of the first year of the war with Sparta – around 430 BC. It was an Athenian custom of the time to hold an annual commemorative event to…
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On Musical Performance
For a long time I thought that the role of the performer was simply to play (or sing) the notes exactly as they were written in the score. It gradually dawned on me that this literal approach to musical performance was rather simple minded. During my come scritto period I thought Toscanini the prince of…
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Henri Legay
Henri Legay (1920-92) was a French tenor whose career was mostly based in Paris. For a while he supported himself singing while accompanying himself with a guitar at Parisian cabarets. He composed some of the songs he sang. He also played for Edith Piaf and Ives Montand. in 1947 he received a first prize from…
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One Flu Over the Cuckoo’s Nest
There are books abut white fragility which get a lot of attention, both pro and con. Someone needs to write a tome entitled Fragility without any modifier. The pandemic now stalking the world is not the one caused by a newish virus, it’s the one due to a fervid worldwide outbreak of the woollies and…
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On Corruption
Lord Acton’s famous line about the relationship of power and corruption needs no more than its first phrase. The two are conjoined twins. Under the right circumstances all of us are likely to succumb to the corrosive effect of authority. Some occupations have it as part of their job descriptions. While corruption is ineluctably part…
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The Greatest Musical Composition Ever – 1
Obviously there’s a contradiction in my title. There can’t be more than one greatest musical composition ever written. My purpose is to list music so good that while you’re listening to it, it seems to be without peer – at least until you happen on the next greatest work. My plan for this series is…
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Why Nothing is Hardest
Nothing is harder than doing nothing, especially when it’s the best alternative among a pack of difficult choices. Medicine’s prime commandment – Primum non nocere – often requires that the physician refrain from treatment when the remedy is worse than the malady. While the maxim is endlessly preached, it is rarely observed. The urge to…
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CRISPR and Human Characteristics
On September 9th PBS series NOVA presented a two hour program devoted to the genetic technique CRISPR (clustered regularly interspaced short palindromic repeats). It’s a technique that allows for gene editing. You can read about by clicking the link above. The PBS program does a pretty good job of explaining how the technique works and…
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On Equality
We hold these truths to be self-evident, that all men are created equal… This self evident truth is obviously not self evident. Thomas Jefferson undoubtedly knew such to be the case. He meant that we all should be equal before the law and that the laws should be designed without bias or special benefit not thought…
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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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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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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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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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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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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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Renato Capecchi
Renato Capecchi (1923–1998) was a distinguished Italian baritone, actor, and opera director celebrated for his vast repertoire and exceptional dramatic versatility. While he performed many major dramatic roles, he was particularly renowned for his mastery of “buffo” (comic) characters. He made his operatic debut in 1949 as Amonasro in Aida at Reggio Emilia. By 1951,…
Tristan und Isolde in HD – 2026
Wagner’s Tristan und Isolde holds a unique position in the annals of opera. To some, it is the peak of the art form; its supreme achievement. To others, it is an interesting work full of declamatory singing, occasional bombast, and much inspired music. I fall into the second camp. Regardless of where you’re positioned, it…
New Blood Pressure Guidelines for Older Americans
In the 2025 American Heart Association/American College of Cardiology hypertension guideline, management of hypertension in adults ≥65 years has shifted from an age-based to a risk-based approach. Unlike prior guidance, age alone no longer mandates pharmacologic therapy for stage 1 hypertension (130–139/80–89 mm Hg). Instead, treatment is recommended if the patient has ≥7.5% 10-year cardiovascular…
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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