Category Archives: Uncategorized

A Great First Poem

Here is the first poetry I received, and it is great.  So far 8 poems entered, more to come soon.

A reminder that all poems will be posted on the contest website with permission, with selections featured here as well.

 

two poems
by meghan o’donnell

one:
i watched you sleep,
tirelessly,
and almost forgot your voice,
even though its underwater color-tones hid under each automated breath (quartz movement) and when
you spoke new words, i didn’t understand them at first because they weren’t
the same few syllables that I clung to.

you drew for me, once, two arrows facing each other
like this
this is like that, or what i’ve understood it to be. I keep looking
at my hands and the space between the words; the space that’s between everything
so that nothing’s really ever touching at all.

two:
you noticed that i bit my nails
i could eat nothing but peas, one at a time,
and even then
the salt made me choke
(i choked, jagged)
moon slivers, dead bone, scarred wood,
the work of hundreds of pairs of tap shoes
and nervous habits.

the man in the brown suit arrived (
new orleans)
at your bedside
you looked outside and noticed
that there aren’t even windows anymore,
just gray panes where nothing happens.
he saw it in your eyes and he told you
‘you’re dirty,
and we’ll need to clean you up from the walls.’

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A Calling for Entries in the 2011 Charles Prize for Poetry Contest

Announcing the second annual Poetry Contest!

An award will be given to the writer who submits for consideration the most outstanding poem within the realm of health, science, or medicine.

The contest starts today and ends September 30th, 2011. The winners will be chosen shortly thereafter by an elite group of 8 judges (other doctors, friends with literary training, and select bloggers).

The contest is open to everyone.

1st prize – the prestigious, and still pretentiously named, 2011 Charles Prize for Poetry, $500.00, and a homegrown cherry tomato from my garden.

Runner Up – $100.00, and lots of admiration.

Honorable Mention – a commemorative t-shirt, which will probably be funkier than you can imagine.

Poems should be related to experiencing, practicing, or reflecting upon a medical, scientific, or health-related matter.

Last year’s contest was a great success, with over 125 poems submitted for consideration. I received requests from readers to “publish” all the poems as we went along, and so as an improvement this year I’ve established a separate blog (charlesprize.blogspot.com) to share all these great poems. Some highlights will also be posted here on theexaminingroom.com.

So have fun, find inspiration, and send your entry to:
drcharles.examining *at* gmail.com

Rules:
Your poem must have a theme of medicine, science, or health.
You may submit up to 2 poems.
You can submit poems that have been published elsewhere, if you’ve retained the rights.
You can write under your own name, a pen name, or anonymous.
After you enter a poem I will ask your permission to repost it on the blog. You can say yes or no, and this will not affect your chances in any way. You can also ask me to take down a poem at any time and I will. I assert no exclusive rights to the poem whatsoever.

I know there are some extraordinary words waiting to be written, so best of luck, and let the contest begin 🙂

Coupon or coupon code?

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Harassing Obama, Decision Fatigue, and the Necessity of Vacation

Our president’s 10-day vacation with his family in Martha’s Vineyard has been derided by his enemies as unacceptable with so much business left unfinished in Washington. There’s the budget, Libya, and a killer earthquake to contend with.  Opponents have called for him to cancel his vacation and hurry back to work. While such demands are an obvious political harassment intended to make Obama look lazy and self-indulgent, they send a dangerous message to the public: work, work, work, and keep working even if it makes you less productive, healthy, and imaginative.

As the writer Stephen King wrote in The Shining: “All work and no play makes Jack a dull boy.” Jack, as you may recall, ended up trying to butcher his family. All work and no play makes presidents short-tempered, unable to think clearly, indecisive, unsuccessful, and irresponsible. Not taking vacation is detrimental to the mind, body, and spirit, and can lead to depression, cardiovascular disease, and immune system dysfunction, not to mention bad decisions.

A recent study reported in The New York Times discussed the phenomenon of “decision fatigue” and how the burden of constant decision-making leads to unreliable results. Specifically the study analyzed the decisions of a parole board with shocking results:

Judges, who would hear the prisoners’ appeals and then get advice from the other members of the board, approved parole in about a third of the cases, but the probability of being paroled fluctuated wildly throughout the day. Prisoners who appeared early in the morning received parole about 70 percent of the time, while those who appeared late in the day were paroled less than 10 percent of the time…

There was nothing malicious or even unusual about the judges’ behavior… (it) was due to the occupational hazard of being, as George W. Bush once put it, “the decider.” The mental work of ruling on case after case, whatever the individual merits, wore them down.

The decision to grant parole leaves a human life hanging in the balance, and such wild variation in deciding if someone is granted freedom or returns to a prison cell is horrifying to me. It is one more bit of evidence that our judicial/penal system is still as primitive as we are. People are fallible, and fatigable, and the two conditions are very related. (Add a dash of theatrics, manipulative arguments, and the impossible expectation that doctors should be right all the time and you’ve got our medical malpractice system, but I digress…)

Creativity has been shown to improve with distancing oneself from the immediacy of day-to-day life as occurs on vacation.

Chronic stress causes dendrites, the communicating projections between nerve cells in the brain, to shrink in rats.

So how much rest has Obama actually taken?

Obama has spent just 61 days on vacation during 31 months in office. For the sake of comparison, George W. Bush had racked up 180 days at his Crawford, Texas, ranch at the same point in his presidency, and Ronald Reagan had logged 112 days at his ranch in California. (At the other end of the spectrum, Bill Clinton had taken only 28 vacation days 31 months into his first term.)

So after public brinkmanship over the budget deficit, and showing an unwillingness to compromise over several months, do those who demand Obama return to Washington now for more of the same bludgeoning realize their folly? Of course they do.  Not only are they badgering a man trying to reconnect with his family, but they are also placing his health, mental acumen, and by extension our country’s well-being in jeopardy.

And this does not just apply to Obama, Boehner, and the like. Would you rather negotiate with Kim Jong Il right after he gets back from a week partying in Phuket, or after he’s pulled another frustrating all-nighter trying to solve Rubik’s cube?

Let Obama have his vacation.

Let us all have our vacations.

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A Beating

Weary
the mind
that takes
care of
a child.

Howling,
naked,
cloaking
the god
within.

I hum
to her,
my breath
once sung
is gone.

Now she
crashes
into
thorny
sleep.

I seal
my eyes
as I
hold her
closely.

Comets,
star stuff,
endless
blackness
ignite.

Resting
my ear
against
her chest,
warm like
a bath
that wells,
flooding
joyful
weakness
with the
voice of
Divinity:
a child’s
heart beat.

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Quote

In life we sit at the table and refuse to eat, and in death we are eternally hungry.

~a quote from Great House, a novel by Nicole Krauss

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How to Improve Your Blood Pressure Check

A recent study confirmed that the doctor’s office may be one of the worst places to determine if your blood pressure is under control. The automatic rise in tension many people experience when they are being scrutinized contributes to artificially high blood pressure readings. Although many times the only way improve one’s blood pressure is through treatment (such as medication, a low salt diet, and weight loss), other times I’ve seen a simple 10 second relaxation routine drop a patient’s blood pressure reading by up to 20 systolic points. The following may help you obtain a better, more accurate reading the next time you have your pressure checked in the harried office.

1) Insist on being seated for at least 3 minutes before your pressure is taken. Even walking from the waiting room back into an examining room will briefly increase your blood pressure.

2) Take several deep, relaxed breaths in and out before the doctor begins to check your blood pressure.

3) Relax all your muscles, particularly focusing on the tightness in your neck and shoulders.

These three easy steps can make a huge difference. Anecdotally as I mentioned before I’ve seen 20 point differences before and after. Evidence supports this, including the most recent study which found:

The proportion of patients whose systolic BP was identified as controlled in the first 30 days varied by measurement type: 28% for clinic readings, 47% for home readings, and 68% for research-based readings

Research-based readings in this study were difficult to define, but it seems they used a more standard, resting technique than the typical fast paced office visit.

Go ahead and try this at home with a BP monitor, and discuss with your doctor. And then relax throughout the day regardless 🙂

CITATION(S):
Powers BJ et al. Measuring blood pressure for decision making and quality reporting: Where and how many measures? Ann Intern Med 2011 Jun 21; 154:781. (http://www.annals.org/content/154/12/781.long)

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