Cross-word
After the craniotomy to remove the enormous
Blood clot in the brain of this octogenarian
The children remained in the waiting room,
Allowing their parents a moment of privacy.
As he remained unresponsive,
His wife approached his side and spoke to him,
“I have been doing the cross-word puzzle without you.
It’s a good thing it’s Monday.”
He awoke on Tuesday.
A blood-clot to his lungs killed him on Friday.
Sunday the cross-word puzzle was no doubt
Excruciatingly difficult
But she certainly completed it
For what else was she to do?
Ezriel Kornel
2/8/05
Sunday, August 8, 2010
Sunday, August 1, 2010
What it takes to be an excellent neurosurgeon
I proctor pre-med students during winter and summer breaks and one of the students asked me an interesting question the other day, what does it take to be a good neurosurgeon? Well, first of all, you want, not a good neurosurgeon but an excellent one. So, what does it take to be an excellent neurosurgeon?
The first thing that is crucial and without which the rest would not matter, is judgment. A neurosurgeon needs to be able to establish a diagnosis and then determine when surgery is necessary, when it is not and what other treatment options are available. Once that is established they need to decide what operation is best for each individual patient and their particular condition. It is also of great importance and a matter of judgment that a surgeon be confident in their decision and in their capability in performing a particular procedure. They should be willing to confer with colleagues to help with decision-making and should be able to turn to other colleagues to assist with surgery. Should another colleague have greater expertise in a particular operation, the excellent neurosurgeon should refer the patient to that physician.
Secondly, the neurosurgeon needs to have the surgical skills to be able to perform these operations. Generally, well-trained neurosurgeons who have completed an accredited training program and have become board-certified possess the requisite skills. But, in truth, just as some professional musicians are greater virtuosos then others, the same applies to surgeons. It is a strange gift that skilled surgeons possess, just as certain musicians, artists, mathematicians and writers are more gifted. In fact, I believe everyone has a gift, they just need to recognize where that gift lies, acknowledge it and express it.
Thirdly, an excellent neurosurgeon needs to have great confidence without manifesting a huge ego. They need to know that they can do the job. Anxiety in surgery can interfere with the best results. However, a big ego will prevent anyone from obtaining advice from others and will make them incapable of listening to constructive criticism. They are less likely to learn from their mistakes (and everyone makes mistakes at one time or other, being human after all and not divine.)
Being patient is another skill that neurosurgeons need to possess. If they make a decision too quickly they may perform unnecessary or even dangerous surgery. Sometimes patience allows a problem to manifest or resolve itself in a different manner. With prudent waiting surgery may not be necessary or a different procedure may be deemed appropriate.
Respect and compassion for their patients is another quality that an excellent neurosurgeon should possess. When this is present, a good bed-side manner is always manifest. This needs no further amplification.
Finally, an excellent neurosurgeon must have love and passion for their work. Nobody wants a neurosurgeon who is eager to get you out of the door, or rush to leave their side when lying in a hospital bed or to rush to get through the day. Though neurosurgeons have a life outside of the operating room with families, friends and other interests they should always feel a deep gratification when performing their work. When they are in the operating room all their attention and focus should be on the surgery they are performing.
When all these qualities are evident, you are most likely to experience the best results possible and the quickest and most complete resolution of your illness.
The first thing that is crucial and without which the rest would not matter, is judgment. A neurosurgeon needs to be able to establish a diagnosis and then determine when surgery is necessary, when it is not and what other treatment options are available. Once that is established they need to decide what operation is best for each individual patient and their particular condition. It is also of great importance and a matter of judgment that a surgeon be confident in their decision and in their capability in performing a particular procedure. They should be willing to confer with colleagues to help with decision-making and should be able to turn to other colleagues to assist with surgery. Should another colleague have greater expertise in a particular operation, the excellent neurosurgeon should refer the patient to that physician.
Secondly, the neurosurgeon needs to have the surgical skills to be able to perform these operations. Generally, well-trained neurosurgeons who have completed an accredited training program and have become board-certified possess the requisite skills. But, in truth, just as some professional musicians are greater virtuosos then others, the same applies to surgeons. It is a strange gift that skilled surgeons possess, just as certain musicians, artists, mathematicians and writers are more gifted. In fact, I believe everyone has a gift, they just need to recognize where that gift lies, acknowledge it and express it.
Thirdly, an excellent neurosurgeon needs to have great confidence without manifesting a huge ego. They need to know that they can do the job. Anxiety in surgery can interfere with the best results. However, a big ego will prevent anyone from obtaining advice from others and will make them incapable of listening to constructive criticism. They are less likely to learn from their mistakes (and everyone makes mistakes at one time or other, being human after all and not divine.)
Being patient is another skill that neurosurgeons need to possess. If they make a decision too quickly they may perform unnecessary or even dangerous surgery. Sometimes patience allows a problem to manifest or resolve itself in a different manner. With prudent waiting surgery may not be necessary or a different procedure may be deemed appropriate.
Respect and compassion for their patients is another quality that an excellent neurosurgeon should possess. When this is present, a good bed-side manner is always manifest. This needs no further amplification.
Finally, an excellent neurosurgeon must have love and passion for their work. Nobody wants a neurosurgeon who is eager to get you out of the door, or rush to leave their side when lying in a hospital bed or to rush to get through the day. Though neurosurgeons have a life outside of the operating room with families, friends and other interests they should always feel a deep gratification when performing their work. When they are in the operating room all their attention and focus should be on the surgery they are performing.
When all these qualities are evident, you are most likely to experience the best results possible and the quickest and most complete resolution of your illness.
Wednesday, July 28, 2010
Quiet Hero
Rita Cosby was my special guest on BackTalkLive this past Sunday. Though the show deviated a bit from its usual format, I found what Rita had to share with us about her Dad and his experiences in WWII to be profoundly significant. Of course, since my father, like hers, was from Poland and experienced the horrors of the Nazi invasion, we felt an immediate bond. However, her father and mine had very different experiences. While my father at sixteen fled his small town with his uncle towards Russia and survived in a labor camp there, Rita's father, living in Warsaw joined the underground as a resistance fighter. His story is fascinating and among other things, reveals how people can tolerate great pain when they have a higher, meaningful goal. However, the long-term effects of that pain can lead to psychological problems later in life. I found the book "Quiet Hero, Secrets of my Father's Past" hard to put down, enlightening about a very dark time in the world's history (not so long ago) and profoundly moving. It is beautifully written in a very engaging manner. I urge you to pick up a copy of this book right away. I have no doubt you will find it to be an important addition to your library.
Saturday, July 17, 2010
Back from vacation with a poem for you
I returned this week from a wonderful vacation. Away for two weeks, it has been years since I took that long a vacation and it really allows one to shed all the stress of work and life at home. My first visit to Barcelona and I found it delightful and fascinating. I was very taken by the genius of Gaudi. We visited the Costa Brava for a few days and it was a dramatic landscape with twisting mountain roads down to the Mediterranean. Off we went to London and a run from Piccadilly Circus through Green Park and into Hyde Park on a beautiful Sunday, what a delight. We were joined by our three daughters, two of their friends, my mother and my mother-in-law. Surrounded by females I felt quite the fortunate fellow (yes,even with my mother-in-law, whose company I enjoy immensely). The highlight, however, for all of us was a stay for one full week at Fairlight Hall near Hastings. Designed by the designer of Hyde Park in 1850, Fairlight Hall is a magnificent 70 acre estate with gardens, meadows, fields and forests, all sitting majestically above the sea. The home, based on Battle Abbey is a fairy-tale castle. Our hosts, the Kowskis, were generous and gracious. We ate breakfast in the courtyard with the peacocks, visited the lamas, alpacas and sheep and picked fresh vegetables, fruits and flowers from the extraordinary gardens, designed and managed by Tony, the head gardner. We were constantly guided by the dogs of Fairlight Hall, the gang leader, Storm was always by our side with ball in mouth. The flowers and dogs remind me of a poem I wrote about ten years ago. I would like to share it with you.
Does a Rose Recognizes its Roseness
Does a rose recognize its roseness?
Does it delight in its own perfume,
In the velvety softness of its petals,
In the iridescence of its coloration?
Does it recoil from the barb of its thorns?
The dog seems certainly to know itself
Content in its licking
Happy to run with abandon
After whatever draws his attention
Showing no reluctance in seeking an affectionate hand
And how am I to know if I am the rose
Thinking I had for so long been the dog
Perhaps both, perhaps neither
Perhaps all possible things
Ezriel Kornel
October 10, 1999
Does a Rose Recognizes its Roseness
Does a rose recognize its roseness?
Does it delight in its own perfume,
In the velvety softness of its petals,
In the iridescence of its coloration?
Does it recoil from the barb of its thorns?
The dog seems certainly to know itself
Content in its licking
Happy to run with abandon
After whatever draws his attention
Showing no reluctance in seeking an affectionate hand
And how am I to know if I am the rose
Thinking I had for so long been the dog
Perhaps both, perhaps neither
Perhaps all possible things
Ezriel Kornel
October 10, 1999
Saturday, June 12, 2010
More "you don't have to be a brain surgeon to know that..."
You shouldn't drive on "empty."
Even with a cell-phone, it's, at a minimum, a waste of your time sitting on the side of the highway with traffic whizzing by while you wait for your gas delivery. A few moments spent doing something seemingly trivial will prevent us from having to spend what may seem an eternity doing something we truly don't enjoy.
Even with a cell-phone, it's, at a minimum, a waste of your time sitting on the side of the highway with traffic whizzing by while you wait for your gas delivery. A few moments spent doing something seemingly trivial will prevent us from having to spend what may seem an eternity doing something we truly don't enjoy.
Wednesday, June 9, 2010
Speaking up for Israel
Rational people must read this and help spread this type of rational analysis:
Subject: Spanish Politician castigates US and Israel bashers.
Pilar Rahola
Pilar Rahola is a Spanish politician, journalist and activist and member of the far left. Her articles are published in Spain and throughout some of the most important newspapers in Latin America .
"Why don't we see demonstrations against Islamic dictatorships in London , Paris , Barcelona ?
Or demonstrations against the Burmese dictatorship?
Why aren't there demonstrations against the enslavement of millions of women who live without any legal protection?
Why aren't there demonstrations against the use of children as human bombs?
Why has there been no leadership in support of the victims of Islamic dictatorship in Sudan ?
Why is there never any outrage against the acts of terrorism committed against Israel ?
Why is there no outcry by the European left against Islamic fanaticism?
Why don't they defend Israel 's right to exist?
Why confuse support of the Palestinian cause with the defense of Palestinian terrorism?
And finally, the million dollar question: Why is the left in Europe and around the world obsessed with the two most solid democracies, the United States and Israel, and not with the worst dictatorships on the planet? The two most solid democracies, who have suffered the bloodiest attacks of terrorism, and the left doesn't care.
And then, to the concept of freedom. In every pro Palestinian European forum, I hear the left yelling with fervor: "We want freedom for the people!"
Not true. They are never concerned with freedom for the people of Syria , or Yemen , or Iran , or Sudan , or other such nations. And they are never preoccupied when Hammas destroys freedom for the Palestinians. They are only concerned with using the concept of Palestinian freedom as a weapon against Israeli freedom. The resulting consequence of these ideological pathologies is the manipulation of the press.
The international press does major damage when reporting on the question of the Israeli-Palestinian issue. On this topic they don't inform, they propagandize.
When reporting about Israel , the majority of journalists forget the reporter code of ethics. And so, any Israeli act of self-defense becomes a massacre, and any confrontation, genocide. So many stupid things have been written about Israel , that there aren't any accusations left to level against her.
At the same time, this press never discusses Syrian and Iranian interference in propagating violence against Israel ; the indoctrination of children and the corruption of the Palestinians. And when reporting about victims, every Palestinian casualty is reported as tragedy and every Israeli victim is camouflaged, hidden or reported about with disdain.
And let me add on the topic of the Spanish left. Many are the examples that illustrate the anti-Americanism and anti-Israeli sentiments that define the Spanish left. For example, one of the leftist parties in Spain has just expelled one of its members for creating a pro-Israel website. I quote from the expulsion document: "Our friends are the people of Iran , Libya and Venezuela , oppressed by imperialism, and not a Nazi state like Israel ."
In another example, the socialist mayor of Campozuelos changed Shoah Day, commemorating the victims of the Holocaust, with Palestinian Nabka Day, which mourns the establishment of the State of Israel, thus showing contempt for the six million European Jews murdered in the Holocaust.
Or in my native city of Barcelona , the city council decided to commemorate the 60th anniversary of the creation of the State of Israel, by having a week of solidarity with the Palestinian people. Thus, they invited Leila Khaled, a noted terrorist from the 70's and current leader of the Popular Front for the Liberation of Palestine, a terrorist organization so described by the European Union, which promotes the use of bombs against Israel .
This politically correct way of thinking has even polluted the speeches of president Zapatero. His foreign policy falls within the lunatic left, and on issues of the Middle East , he is unequivocally pro Arab. I can assure you that in private, Zapatero places on Israel the blame for the conflict in the Middle East , and the policies of foreign minister Moratinos reflect this. The fact that Zapatero chose to wear a kafiah in the midst of the Lebanon conflict is no coincidence; it is a symbol.
Spain has suffered the worst terrorist attack in Europe and it is in the crosshairs of every Islamic terrorist organization. As I wrote before, they kill us with cell phones hooked to satellites connected to the Middle Ages.And yet the Spanish left is the most anti Israeli in the world.
And then it says it is anti Israeli because of solidarity. This is the madness I want to denounce in this conference.
Conclusion:
I am not Jewish. Ideologically I am left and by profession a journalist. Why am I not anti- Israeli like my colleagues? Because as a non-Jew I have the historical responsibility to fight against Jewish hatred and currently against the hatred for their historic homeland, Israel . To fight against anti-Semitism is not the duty of the Jews, it is the duty of the non-Jews.
As a journalist it is my duty to search for the truth beyond prejudice, lies and manipulations. The truth about Israel is not told. As a person from the left who loves progress, I am obligated to defend liberty, culture, civic education for children, coexistence and the laws that the Tablets of the Covenant made into universal principles.
Principles that Islamic fundamentalism systematically destroys. That is to say that as a non-Jew, journalist and lefty, I have a triple moral duty with Israel , because if Israel is destroyed, liberty, modernity and culture will be destroyed too.
Subject: Spanish Politician castigates US and Israel bashers.
Pilar Rahola
Pilar Rahola is a Spanish politician, journalist and activist and member of the far left. Her articles are published in Spain and throughout some of the most important newspapers in Latin America .
"Why don't we see demonstrations against Islamic dictatorships in London , Paris , Barcelona ?
Or demonstrations against the Burmese dictatorship?
Why aren't there demonstrations against the enslavement of millions of women who live without any legal protection?
Why aren't there demonstrations against the use of children as human bombs?
Why has there been no leadership in support of the victims of Islamic dictatorship in Sudan ?
Why is there never any outrage against the acts of terrorism committed against Israel ?
Why is there no outcry by the European left against Islamic fanaticism?
Why don't they defend Israel 's right to exist?
Why confuse support of the Palestinian cause with the defense of Palestinian terrorism?
And finally, the million dollar question: Why is the left in Europe and around the world obsessed with the two most solid democracies, the United States and Israel, and not with the worst dictatorships on the planet? The two most solid democracies, who have suffered the bloodiest attacks of terrorism, and the left doesn't care.
And then, to the concept of freedom. In every pro Palestinian European forum, I hear the left yelling with fervor: "We want freedom for the people!"
Not true. They are never concerned with freedom for the people of Syria , or Yemen , or Iran , or Sudan , or other such nations. And they are never preoccupied when Hammas destroys freedom for the Palestinians. They are only concerned with using the concept of Palestinian freedom as a weapon against Israeli freedom. The resulting consequence of these ideological pathologies is the manipulation of the press.
The international press does major damage when reporting on the question of the Israeli-Palestinian issue. On this topic they don't inform, they propagandize.
When reporting about Israel , the majority of journalists forget the reporter code of ethics. And so, any Israeli act of self-defense becomes a massacre, and any confrontation, genocide. So many stupid things have been written about Israel , that there aren't any accusations left to level against her.
At the same time, this press never discusses Syrian and Iranian interference in propagating violence against Israel ; the indoctrination of children and the corruption of the Palestinians. And when reporting about victims, every Palestinian casualty is reported as tragedy and every Israeli victim is camouflaged, hidden or reported about with disdain.
And let me add on the topic of the Spanish left. Many are the examples that illustrate the anti-Americanism and anti-Israeli sentiments that define the Spanish left. For example, one of the leftist parties in Spain has just expelled one of its members for creating a pro-Israel website. I quote from the expulsion document: "Our friends are the people of Iran , Libya and Venezuela , oppressed by imperialism, and not a Nazi state like Israel ."
In another example, the socialist mayor of Campozuelos changed Shoah Day, commemorating the victims of the Holocaust, with Palestinian Nabka Day, which mourns the establishment of the State of Israel, thus showing contempt for the six million European Jews murdered in the Holocaust.
Or in my native city of Barcelona , the city council decided to commemorate the 60th anniversary of the creation of the State of Israel, by having a week of solidarity with the Palestinian people. Thus, they invited Leila Khaled, a noted terrorist from the 70's and current leader of the Popular Front for the Liberation of Palestine, a terrorist organization so described by the European Union, which promotes the use of bombs against Israel .
This politically correct way of thinking has even polluted the speeches of president Zapatero. His foreign policy falls within the lunatic left, and on issues of the Middle East , he is unequivocally pro Arab. I can assure you that in private, Zapatero places on Israel the blame for the conflict in the Middle East , and the policies of foreign minister Moratinos reflect this. The fact that Zapatero chose to wear a kafiah in the midst of the Lebanon conflict is no coincidence; it is a symbol.
Spain has suffered the worst terrorist attack in Europe and it is in the crosshairs of every Islamic terrorist organization. As I wrote before, they kill us with cell phones hooked to satellites connected to the Middle Ages.And yet the Spanish left is the most anti Israeli in the world.
And then it says it is anti Israeli because of solidarity. This is the madness I want to denounce in this conference.
Conclusion:
I am not Jewish. Ideologically I am left and by profession a journalist. Why am I not anti- Israeli like my colleagues? Because as a non-Jew I have the historical responsibility to fight against Jewish hatred and currently against the hatred for their historic homeland, Israel . To fight against anti-Semitism is not the duty of the Jews, it is the duty of the non-Jews.
As a journalist it is my duty to search for the truth beyond prejudice, lies and manipulations. The truth about Israel is not told. As a person from the left who loves progress, I am obligated to defend liberty, culture, civic education for children, coexistence and the laws that the Tablets of the Covenant made into universal principles.
Principles that Islamic fundamentalism systematically destroys. That is to say that as a non-Jew, journalist and lefty, I have a triple moral duty with Israel , because if Israel is destroyed, liberty, modernity and culture will be destroyed too.
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