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Doctor Rob's Home Page. Distractible Musings, Llamaricks.
http://distractible.org/ - Nov 25, 2013 12:56:44 PM - Dec 5, 2004 9:22:04 AM
Musings of a Distractible Mind
SCROLL DOWNMusings of a Distractible Mind
Thoughts of an odd, but not harmful primary care physician.
My blog has been a destination of the most discerning healthcare reader since 2006. Come see my elegant assortment of topics, such as:
- Health Care Policy
- Llamas
- Personal insights from a doctor's perspective
- Bob Saget
- Patient-centered care
- Body odor
- Whether it is "Health Care" or Healthcare
Come visit and see the site that Oprah doesn't dare admit she reads.
MusingsTo what end?
Those three words have become something of a mantra, a mission, a philosophy of care.
- To what end do I prescribe a medication?
- To what end do I make a diagnosis?
- To what end do I order tests?
- To what end am I documenting?
- To what end is there a patient record?
- To what end do I send a person to a specialist?
- To what end do patients need to come to see me in the office?
- To what end do my patients have me as a doctor?
Is being in my practice something that saves money? Some anecdotes from the recent past suggest the answer, giving evidence of significant savings, both financial and life quality, that my patients and their payors get. This is an important case to be made to both the patients (who want to know if their $30-60/month is worth it) and payors (who could financially benefit from promoting this practice model). I realize that this does not constitute a proof of concept, but it is not without meaning.
Sample Blog Categories
Sometimes the best way to say something is to surprise people and make them laugh. The best humor laughs more at itself than at others' expense.
Deep Thoughts
Sometimes my thoughts go deep. Dealing with death and suffering can do that to an already introspective person.
Our Broken System
Health care is messed up. Here I give both an insider's (before I started my new practice) and outsider's view of what's wrong.
"Best" is a relative term. Perhaps it's like being a tall fetus, or like a small quasar. "Best" of Rob's posts. Yep. Either an oxymoron or a low bar to get over.
The Physical Exam
One of my most popular Series, the physical exam combines real information with total nonsense with an aim to both educate and totally confuse my readers.
Read what I've written about my new practice here. Follow the story from my days of dissatisfaction in my old practice to the whole process of figuring this new thing out.
Be Amusing, Not Averse
SCROLL DOWNLlamaricks
Be Amusing, Not Averse
: My Poetry (I use that word lightly) blog.
Is it a rhyme?
Is it a Llama?
It seems this time
you've found the drama.A play on words.
Some words at play.
The line gets blurred.
The color's gray.This blog is meant
for your own writing.
So please invent
some words exciting.They may not rhyme.
They may be terse.
But be sublime
and write in verse!I'll publish those
who meet the measure.
I'll share the prose
for all to treasure.I put this bee
into your bonnet.
Please send to me
your rhyme and sonnet.So how should you
submit in your best?
Email me here;
I'll do the rest.You likely are asking: What's up with this site?
What's up with the author? His mind is not right.And what is a Llamarick? A word that's created
From a creature that's odd, and a verse often hated?To answer those questions, to give explanation
Makes an assumption that has no foundation.Assuming a reason behind their creation
Gives credit to neurons far over their stationNo, most of this writing comes right off the cuff
Not from the cerebrum or smarty-pants stuffWhile some of the prose may get you to thinking
Most will cause people to ponder more drinkingThe gist of this poem and following pages
Is not stuff of wisdom or wit of the agesI may talk of issues that folks are discussing
I may give opinions Tho' likely no cussingSome prose may be poignant, some points may provoke
And others may raise the thought: "What did he smoke?"What you are reading's the thoughts from my brain
Distracted, demented, at times even saneAnd if you consider this poem as a test
You may have the stomach to read all the restSo if you find insights or gems in their rough
I hope that you'll join me as I write more stuffAnd if all these verses do nothing for you
Then I hope a llama will poo on your shoe.Dr Rob Lamberts, LLC
My New Direct Care Practice: Focused on Patients, Not Payers.
SCROLL DOWNDr Rob Lamberts, LLC
My New Direct Care Practice: Focused on Patients, Not Payers.
My new practice is an attempt to go back to where health care should be: between doctor* and patient. Instead of me being paid by insurance companies or government bureaucracies, I work for my patients, because you work for the person paying you. Being paid by third parties meant that they were the one I had to make happy, not the patient. This is why customer service is nonexistent in health care.
I think people should expect more from their doctors. People expect to have to wait when they shouldn't. They expect to have to come in to have questions answered, even if they are simple questions. They expect for care to be complicated when it could be simple. They expect the doctor to be the center of the health care universe, when they, the patients, should be in that position.
My practice operates on 4 main principles:
1. Focus on health instead of sickness.
People shouldn't view health care as something they need to use. Ideally, people would stay away from doctors, off of drugs, and out of hospitals. The problem is that the whole system we have is aimed at the opposite. My practice is different, taking the time to do the things necessary to keep people well.
My patients spend most of their time on the couch across from me. Not in the exam or waiting rooms!
2. Listening is more important than doing things.
I answer the phone. I communicate electronically with my patients. I take the time to get to know them. This is a whole lot better than ordering a bunch of tests, and it's quite a bit cheaper. Unfortunately, communication is penalized by the U.S. system. Fortunately for me, my patients are amazed at the difference they see from a doctor who actually listens.
3. Less medical care is often better than more
Health care has been turned into a transaction: find problems, treat them with procedures, and get paid for the number of procedures done (the bigger the better). This has yielded the expected outcome: more care than is needed; lots more. Unfortunately, the focus on treating problems gets in the way with the highest goal of medicine: preventing disease in the first place. My focus is far more on risk reduction and quality of life than on finding disease and doing a treatment (often for diseases that aren't high risk and treatments that are).
4. Patient records belong to patients
If my bank told me that the only way I could get my bank records was to pay for them, I'd fire them and get another bank. This is what doctors tell patients all the time. Why? Because records are not for care, they are for showing the problems and procedures necessary to get paid. I think records should be entirely focused on patient care, not on billing. I think patients are best served to have access to all of their records, especially in this age of mobile computing.M
If you want to see more about my practice, go to my practice website: doctorlamberts.org.
*Obviously, this includes nurses, PA's, NP's, social workers, dietitians, physical therapists, and all of the other members of the health care team. I write the orders as a physician, but care is best done with a good team.
About Me
SCROLL DOWNAbout Me
About Me
Thanks for stopping by and checking out my website.
I am a doctor
- I am a primary care physician, practicing full-time in Augusta, Georgia. I started practice here in 1994, and have recently left the practice I helped found to do something else. More on that later.
- I am board-certified in both Internal Medicine and Pediatrics. I got this training at Indiana University Hospitals in Indianapolis, IN.
- I went to medical School at Jefferson Medical College in Philadelphia, PA.
I am an expert on Electronic Medical Records (EMR)
- I led our practice in implementation of EMR in 1996.
- In 2003, our practice won the Davies Award for Primary Care from HIMSS (The Health Information Management Systems Society), which recognized us for our outstanding use of computerized records in a primary care setting.
- I was very active in our EMR vendor's user group, serving on its board from 1997-2001, and serving as president from 1999-2000.
- I served in many different ways on multiple committees (private and government) advocating for better use of EMR and wider adoption.
- I have given presentations advocating for EMR use at many different venues around the country.
- In 2011 I was a speaker at the CDC public health grand rounds on the subject of EMR, which was broadcast around the world and viewed by more than 20,000.
- My writing about implementation and use of EMR has appeared in print journals and online.
I am a writer
- In 2006 I started writing the blog, Musings of a Distractible Mind. I did this on a whim, having no idea how my writing would be received. If you want to see my really old writing, visit here. You be the judge if I've gotten better or worse.
- My writing, it turned out, was quite well received, being cited and republished my many high-profile websites.
- In 2009, I was recruited by MacMillan publishing to host the House Call Doctor podcast, which was a weekly podcast giving explanations to things medical.
- In 2010 I decided that I had too much on my plate, and gave up the podcast as well as taking a break from blogging.
- In 2012 I started blogging again on my new blog, More Musings (of a Distractible Kind). I also attempted to have a poetry blog, Llamaricks, which hasn't really gotten much content. I do hope to write some more of this...unique...poetry in the future, though.
- It turns out I liked the old name, and so in 2013 changed the blog back to Musings of a Distractible Mind , and now have consolidated it all in one happy place.
- For more information about where my writing has appeared, go here.
I am making a gigantic change
In September of this year (2012) I stopped working at my old practice so I could build a new solo practice, Dr. Rob Lamberts, LLC. This practice will use the Direct Care model. Go here if you want more information about my practice.
So there it is - if you want to know EVEN MORE about me, keep reading. I tell you about myself in other, less conventional ways....
Using a List
OK, you got here to my website. If it was on purpose, then you might just want to know a little about me. If it was not on purpose, you might want some good reasons to high-tail it out of here as quick as possible. If you are an insomniac, you might want something to help you sleep better. This post should do the job for all of you. Here's who I am:
- I say I am 5'10', but that's probably not true any more.
- I blogged for a long time at Musings of a Distractible Mind
- A lot of people read that blog and it was a lot of fun to write, but then I kind of got muddle-headed and started getting brain cramps
- Then I took some time out to clear my head and reset my priorities
- I'm not sure I cleared my head, but my priorities are a bit better than they were
- Clear heads are probably over-rated
- I now blog in two locations: I write a new blog called More Musings (of a Distractible Kind) which is pretty much volume 2 of the old blog, and I write a poetry blog called Llamaricks.
- I once had a penguin named "Bucky"
- I am one of those strange doctors who actually likes using a computer to do records. I have been successful enough to win some award thingies and get elected to some other stuff, but I really just care about making things work better.
- I am frustrated by our system and how it hurts my patients.
- I own a couple of mock-turtlenecks, but not because I admire Steve Jobs or want to be like him.
- Steve Jobs never owned a penguin named "Bucky"
- I am married and have four kids.
- My age is in the same zip code as that number which is half way to 100.
- I have a beard and it is turning gray. I will probably shave it off if people mistake me for Santa.
- Santa never had a penguin named "Bucky"
- When I write, I don't do it with a lot of planning. I just sit down and write what comes out of me. That's why it is so random.
- I sometimes correct the typos, but most of the time I see them a few months after I wrote a post.
- I was on "This American Life" for a five minute segment. I got to talk to Ira Glass for an hour, though.
- Ira Glass doesn't have a penguin named "Bucky."
- I am trapped in a house that would make a good special for HGTV: Money Vacuums: Houses that Suck
- I did a podcast for Quick and Dirty Tips for a while.
- I never gave dirty tips, and being quick has always been difficult for me.
- I was kidding about the penguins. I know, I know; penguins are nothing to kid about. My mom told me that all the time.
In Verse
A doctor, a doctor, that's just what I am!I eat yummy toast spread with butter and jam. I work down in Georgia, that hot southern state. And sometimes I finish the food on my plate.
I take care of kiddos and folks that are older. I'll drink milk that's warm, but prefer it much colder. I'm a fortunate husband and father of four. If milk is real cold I will often get more.
I alternate verses with food on occasion Mexican's great and I really like Asian I don't know quite why I am writing this way But now I am hungry and want a fillet.
So you get the gist of writer you're reading And also have insight to just what I'm eating I am who I am, a distractible fellow Now if you excuse me it's time for some Jello.
In Pictures
What I look like occasionally
When I am scared
In Disguise
My Feet
My Dog, Holly.
My Cat (who we call "kitty" or "lard butt")
My Guitar (Breedlove Northwest Classic)
My Crack Dealer
Some home brew beer I made
A picture my daughter drew of our cat
The Picture Gallery of Awesomeness
SCROLL DOWNThe Picture Gallery of Awesomeness
Pictures for the ages
There is no collection of pictures so influential and significant as this one. It redefines the whole idea of pictures and then redefines the idea of redefinition. It astounds and amazes, it draws tears and laughter. My only fear is the deluge of traffic I will see from this magnificent collection. I apologize in advance to SquareSpace for this cataclysm.
- Emergiblog on Questions and Answers
- Kate S on Questions and Answers
Things have been crazy. It's much, much more difficult to build a new practice than I expected. I opened up sign-up for my patients, getting less of a response than expected. This, along with some questions from prospective patients has made it clear that there is still confusion on the part of potential patients. So here is a Q and A I sent as a newsletter (and will use when marketing the practice).
About My New Practice
Q. When will it open?A. My office will open in January, 2013, but the exact date is still not set. I had initially hoped to be already seeing patients, but things always are harder than they seem.Q. How much will it cost?A. I will charge only a monthly payment which depends on the age of the patient:
- $40/month for children under 3
- $30/month for people ages 3 to 29
- $40/month for people ages 30-49
- $50/month for people ages 50-64
- $60/month for people 65 and up.
- There is a $50 charge for the first month for people under 40, $100 for those 40 and up.
- There is a $150/month family maximum ($200 maximum for 1st month).
Q. Are there other charges?A. As of now, there are none. All office visits and any procedures done in the office are covered by the monthly fee.Q. How can I afford to do this?A. I have greatly decreased my overhead by not accepting insurance and keeping my charges simple. My goal is to have 1000 patients paying the monthly fee, which will limit the number of staff I need to hire.Q. What will patients get for the monthly fee?A. In addition to office visits, patients will get:
- Direct access to me via phone
- Access to me through secure messaging
- A personal health record, a health summary customized for each patient giving detailed information to help with care outside of my office.
- A personal care plan summarizing scheduled care done, due now, and due in the future.
- Regular review of the personal health record and care plan to assure it is up to date.
- Enhanced coordination of care with specialists, hospital physicians.
- A health library of information for patients to answer questions when they come up.
Q. Why did I do this?A. I get to be a doctor again (perhaps for the first time). I got tired of giving patients care that wasn't as good as it could be. I got tired of working for a system that pays more for bad care than for good. I got tired of forcing patients to come in for care I could've given over the phone. I got tired of giving time that should be for my patients to following arduous regulations. I got tired of medical records not meant for actual patient care, but instead for compliance with ridiculous government rules. Making this change gives me the one thing our system doesn't want to pay for: time devoted for the good of my patients.Q. What makes this better for patients?A. The main advantage is that I am finally able to give them the care they deserve: care that is not hurried, not distracted by the ridiculous complexity of the health care system, and not driven by the need to see people in person to give care. This means:
- I don't ever have to "force" people to come to the office to answer questions. This means that I will let people stay at home (or work) for most of the care for which I would have required an office visit in the past.
- I will be able to give time people deserve to really handle their problems.
- I won't have to stay busy to pay the bills, so I can take care of problems when they happen (or when they are still small), rather than having to make people wait to get answers.
- Patients won't get the run-around. They will get answers.
- I won't wait for patients to contact me to give them care. I will regularly review their records to make sure care is up to date.
- I will help my patients get good care from the rest of the system. Avoiding hospitalizations, emergency room visits, unnecessary tests, and unnecessary drugs takes time; I will have the time to do this for my patients. This should more than make up for my monthly fee.
Q. What's the advantage of patients having their records?A. Health care is disjointed, with little communication occurring between different locations of care. Care is often done blindly, not knowing the overall picture of the patient's care done elsewhere. This means patients repeatedly answer questions about their care, care they often don't understand or remember. My patients will have an accurate summary of their care which they can print out or bring up on their computer, phone, or tablet when information is needed. I will work with them to keep this summary up to date and as useful as possible. While others may be afraid of the consequence of patients seeing their records, I am far more afraid of the uninformed care they get when those records are not available.Q. Will this mean patients will need to come in more often to "get their money's worth?"A. There certainly is a risk of this happening, but my intent is to empower my patients, not coddle them. The ideal for every patient is that they spend as little time dealing with doctors and hospitals as possible. My goal will be to use my time to give my patients tools to make good decisions and stay healthy. My old business (and the rest of the health care system) depended on people being sick or uninformed to pay the bills, but my new system has no such motivation. I can finally have the same goal as my patients: their health. I think this will ultimately save them a lot of money, and (most importantly) keep them healthy, informed, and away from doctors.Q. What are my future plans?A. If the business is successful, my hope is to add staff to offer more services. I hope to hire a dietician to educate my patientsabout their diets. I hope to hire a social worker to deal with the non-medical burden many of my patients carry. I hope to hire nurses to visit complicated patients to make sure they are taking medications properly, or to deal with small problems before they become big ones. I hope to hire a counselor to improve the emotional welfare of my patients. This will enable me to grow the size of the practice without becoming overly busy.Big stuff has been happening over the past few days: I agreed to the construction plan and will begin on the renovation of the office as soon as possible. My initial thought was that I'd be open for business in December, but that's not seeming very likely now. I am screaming on the inside, but [...]
Musings of a Distractible Mind
Thoughts of an odd, but not harmful primary care physician.
I should be encouraged. I was asked to talk on public radio last week about my new practice, then I was on a panel of "experts" in Washington DC on Monday. Everywhere I talk about what I am doing I get positive reactions. I get very positive reactions, actually. I was approached by someone wanting to work with me "when I get my practice running" to help roll it out to other physicians.
But these words don't seem to encourage me at all; in fact, they seem to have the opposite effect. The reason? I am building a practice, not a practice model. I am going to work with people, not ideas. This is reality, not theory. Real patients are going to put their real lives in my care. The closer I get to practicing once again, the more time I must spend out of the world of "good ideas" and in that of hard work.
And what I am doing is a lot harder than I thought. There are so many loose ends that must be addressed before I can even see my first patient, that it feels like I am juggling Jell-o. I have a physical office that is being renovated, an EMR system to learn, patients to sign up, staff to hire, bills to pay, licenses to get, regulations to obey, care plans to make, details, details, details.
Even with all of that work done, I have to hope I haven't missed anything. I have to hope the people I hire are right for the job. I have to hope I haven't left out important details, or missed any deadlines. I have to hope I can make disparate computer systems work together to accomplish my goals. I have to hope enough patients sign up to pay the bills. I have to hope I stay healthy, that I have no major family crisis, or that I don't make bad choices in my personal life.
The attention I've gotten through my writing, my radio appearance, and my speaking appearances have actually made this harder. It's the difference between being an underdog and an overwhelming favorite. It's the difference between being the #1 choice in the draft and a late-round choice. When expectations are for overwhelming success, even partial success is a disappointment. Peyton Manning and Ryan Leaf both had high expectations, but only Manning could translate that into success. The next few months will determine if I am a Manning or a Leaf.
This reality underlines another thing: the weakness of words. When the medium for my craft is writing or speaking, the measure of my success is my persuasiveness. The NPR segment held me up as a doctor who is dealing with our system in a radical way. The "experts" who were on the show to give their opinions about the Affordable Care Act ("Obamacare") viewed my practice with skepticism. Some of my family wondered if I was frustrated at my inability to respond to their dismissiveness toward what I am doing. It was actually what I expected. I see it all the time, as my writing is posted on my blog and the others that republish what I say. I get agreement and praise when I state my case well, but get arguments or dismissiveness when I don't. The weapons in this battle are words, and the one with the best words wins. But I have something that others don't have: the chance to prove myself right. The best argument against "it won't work" is not "oh yes it will," it is "look: it works." Success silences critics. There aren't any people who doubt Peyton Manning can be a success in the NFL.
I guess the moral of the story is this: be careful what you say. It's far easier to say than to do. Being good with words and convincing in arguments can lead to praise and even fame, but it also increases pressure. I can win the war of words, but that victory does nothing to help my patients. All my patients care about is if I can make it work. And that takes for more work than words.
This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.Big stuff has been happening over the past few days:
This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.
- I agreed to the construction plan and will begin on the renovation of the office as soon as possible. My initial thought was that I'd be open for business in December, but that's not seeming very likely now. I am screaming on the inside, but am trying to meditate those screams away since there's nothing I could've done differently. Thanksgiving and Christmas also get in the way of getting things done quickly, so I've just got to accept what is.
- I've made a brochure which will mail out next week to former patients and which I will hand out with evangelical zeal.
- I've started the process of interviewing people to work with me.
- I changed the name of this blog from "More Musings" to the old name of "Musings of a Distractible Mind." I have imported the old posts to this blog and will begin the process of redirecting traffic from "distractible.org" over to this blog. More changes will soon follow.
- I've filled out a bunch of paperwork to do such amazing things as dropping out of Medicare, getting contracts with labs, and being able to run labs in my office.
- I was contacted by the producer of the NPR radio show/podcast Science Friday about possibly being on a show about the future of health care. While I am not sure how scientific my part will be, it's a show I've listened to a lot and should be fun to be on. It's a live show, so the pressure will be on me to not screw up too badly. Perhaps you could make a drinking game based on how many times I say "you know" (which I realized I do a lot after listening to my last live appearance on a show). I will be on the show between 2 and 2:30, and it probably won't be all that long. Go here if you need to figure out how to listen (live or recorded). Ira Flatow is the host, which means I am one of the few people who's been interviewed by the holy pair of public radio Iras (having spoken with Ira Glass on This American Life a couple of years ago). Do I get some of award for that? Perhaps they'll put money in my IRA.
- Am making final preparations for my trip to Washington DC to speak at the mHIMSS mobile health summit on Monday.
- I've gotten dirty looks from my wife who is afraid I am getting a big head.
- My hats don't fit me any more, but I think that's just a coincidence.
- I wonder if Ira Flatow had a penguin named "Bucky."
The Potential Danger of Success
November 26, 2012My New Practice4"This could be big," he said after I told him about the company who wants me to cover their 100+ employees. I pay him to give me the stark reality of things, but his optimism made me uncomfortable. "You've got to go for this. I know you don't feel ready for it yet, but this [...]
Tough Decision | What to do about Medicare
November 16, 2012Health Care - How it's Broken11 commentsIt seems both ironic and inevitable: I won't be getting any more "meaningful use" checks. It's not that I didn't qualify for the money; I saw plenty of patients on Medicare and met all of the requirements. I was paid for my first year money without much hassle. The problem I am facing is this: [...]
Campaign Promises
November 12, 2012My New Practice6 commentsI had an amazing day on Friday. It started with a phone call from a local physician, one who I have never seen as an outside-the-box thinker, who was very excited about what I am doing. He feels much of the same frustrations as me, and thinks my approach to the problem is intriguing. He [...]
November 9, 2012Just Stuff Kind of Thingys4 commentsWhen I restarted blogging at the start of this year I made the decision to start a new blog instead of re-starting the old one. I did this for several reasons: I felt the old blog was something of the past and wanted a fresh start, as I had changed in the interim. The old [...]
November 8, 20126 commentsWhat is a "portal?" In it's broadest definition, a portal is a doorway from one place to another. On the internet, a portal is a site that has links to other sites. In health care IT, the term refers to a feature of an electronic medical record that gives patients the ability to see parts [...]
How I Spent My Fall Vacation
November 7, 2012My New Practice2 commentsSun went down looking like the eye of God Behind icy mist and stark bare trees Inside the dim empty cinema two guys in leather jackets Glance at each other and shiver "They never built these places with winter in mind" Out the window down the gray road You can see old walled monastery Now [...]
Learning to Fly
October 26, 2012My New Practice15 commentsThis is my new office. I signed the lease for this property yesterday – another big step in the process of getting my new practice off the ground. I should feel good about this, shouldn't I? I've had people comment that I've gotten a whole lot accomplished in the 4 weeks since I've been off, [...]
Organic Medical Homes (that are Gluten-Free)
October 22, 2012My New Practice8 commentsWhat comes to mind when you hear the term "medical home?" Perhaps you favor the definition put forth by our government (AHRQ): The medical home model holds promise as a way to improve health care in America by transforming how primary care is organized and delivered. Building on the work of a large and growing [...]
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- Llamaricks Be Amusing, not Averse
- My Old Stuff Musings of a Distractible Mind. My old blogging stomping grounds (I didn't really stomp, though).
- Who Is This Guy? Doctor-Rob.org – They Wouldn't Give me .disorg
- There Once was a Grand that was RoundMarch 6, 2012Rob
- A Submission From an Aspiring LlamarickeristFebruary 4, 2012Rob
- Lola the LlamaJanuary 29, 2012Rob
- Golden LlamaJanuary 23, 2012Rob
- Six Little PillsJanuary 12, 2012Rob
- What is a Llamarick?Rob
- Out by RequestSeptember 22, 2011Rob
- A Fresh StartAugust 18, 2011Rob
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St. John's Vincentian Mission Certificate (VMC) Program: VMC Lunch and Learn Program Offers Insight into St. Vincent's Spirituality
Following a week of events and programs celebrating the 18th annual St. John's University Founder's Week, the Vincentian Mission Certification (VMC) Lunch and Learn Series featured the program, The Spirituality of St. Vincent de Paul, on Friday, September 30, 2011. The program was presented by Rev. Robert P. Maloney, C.M., St. John's University Vincentian Chair for Social Justice, and was open to all current VMC members and VMC Alumni. The lunch program immediately followed the final daily mass of the 2011 Founder's Week, at which the VMC Cohort 5 members received a special commissioning by Rev. James J. Maher, C.M. Earlier in the week, the thirty-one members of the new cohort joined other Mission Leaders on the campus as they received a special blessing in honor of the Feast of St. Vincent de Paul (September 27).
View the Photo Gallery
During the lunchtime presentation, VMC members were treated to Fr. Maloney's insightful reflections on St. Vincent de Paul and his five main virtues: Simplicity, Humility, Meekness (Gentleness), Self-Denial, and Zeal. Current cohort members also received a copy of Fr. Maloney's book, "Turn Everything to Love: A Rule of Life for Lay Members of the Vincentian Family" as a way to continue to explore Vincentian spirituality and meaning in today's everyday world.
Video Recording of Fr. Maloney's Presentation
The Vincentian Mission Certificate (VMC) Program is a unique professional development and service opportunity that empowers St. John's University staff, faculty and administrators to live the Vincentian Mission as Mission Leaders. This compelling program strengthens participants' theoretical understanding of the University mission and its practical applications. Participants learn to better serve students, while acting as role models and inspiring others to follow the spirit of St. Vincent de Paul.
The 16-month program embraces three major components: Education, Service and Reflection. Participants demonstrate their commitment by attending training sessions on Vincentian and Catholicidentity, monthly Vincentian reflections, a capstone retreat and fifty (50) hours of community service — twothirds of which involve direct contact with the poor.
For more information on the Vincentian Mission Certificate (VMC) program or other mission-related inquiries, please contact Lucy Pesce, Executive Director for Mission, at (718) 990-3004 or firstname.lastname@example.com.

subset: commoncrawl


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1. Jerry's Deli
Location: Catskill 2 miles away
Price: $
Category: Bakeries & Cafés, Catering, Fast Food, Restaurants, Speciality
Cuisine: American, Fast Food, Sandwiches
1 review(s)
202 West Bridge Street (RT. 9 W)
Catskill, NY 12414
2. Jumpin Jack Flash
Price: $$
Category: Catering
Cuisine: American, BBQ, Coffee House, Diners, Ethnic, Italian, Mexican, Sandwiches, Steak House, Vegetarian, Other
0 review(s)
Route 32
(518) 965-2725


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How does the Death Note anime compare to the live action movies? I've only seen the movies, and not the anime.
How does the Death Note anime compare to the live action movies? I've only seen the movies, and not the anime.
Insert signature here.
There's a movie?
I have a PS3 now. Send me a friend request maybe?
PSN ID: GreatJedi7
From what I've heard, the movies are a tad... kitsch. But then fans of the manga say the same about the show.
I haven't seen the films, but it seems to me difficult to cram all of it into one film. (Also heard the ending was a tad f***ed with.)
Gamertag DackAttac
Obligatory DLC Wishlist Reel Big Fish, Fountains of Wayne, Motion City Soundtrack, Collective Soul, BNL, recent MCR
To me, Death Note was a perfect anime on its own. Well thought out plot, interesting protagonist who truly becomes warped in his views and the quirks of the rest of cast helped lighten the mood (L's sweet addiction, Mellow's chocolate, and Near with his toys.) Death Note also didn't drag on forever, 37(?) episodes and it was over. A series that can easily be finished but still holds onto you with the different plot twists and battle of wits between Kira and L.
I enjoyed it for what it was.
"Why do people with closed minds open their mouths?"
- peytonfarquar of the SAS forums
GT: TruAstralKnight (non-RB)
PSN: Bulzeeb16 (RB)
Curb Your Enthusiasm (duh!)
My thoughts so far on the new Curb season: subpar. Larry could do so much better. The situations he gets himself into are getting more and more outrageous and unbelievable (the previous season was much, much better in this regard and therefore, was much more enjoyable than this season). Leon remains as the best recurring actor on the show, you have absolutely no idea what he is going to say and how he is going to say it. His complete randomness makes you just burst out in laughter. Unfortunately, the only episode so far that Leon was in is the only episode this season I really enjoyed, but the preview for next weeks episode has Leon! So I have to remember to tune in next Sunday which is getting harder and harder to do. The show just lost it's appeal. If Larry decides to do a 9th season, I'll be very hesitant before checking it out.
Guitar Covers Channel: www.youtube.com/user/MysticGuitar77
PSN: mega-tallica
I'm currently watching season one of Community. I'm really enjoying this show. It edges on being a bit too sappy at times, but makes up for it by having a fantastic cast and a lot of clever and often very absurd jokes, which I really like. The lack of a laugh track is also highly appreciated.
game of thrones. this is some pretty good ****. i've watched 8 episodes in the last few days and am gettin closer to the finale. not something that im looking forward to as this has been better than i thought. i have not read the books but am seriously considering it.
am nearly finished with boardwalk empire as well. after a slowish start to the series it has been getting better with each episode. can't wait for the new season.
fave youtube channel of the week: http://www.youtube.com/user/animegirl199511?feature=watch
Since I still haven't found a good apartment, I'm still crashing at my aunt's. Turns out she's really into The Closer, which I'd heard a lot about but never seen until now. It's definitely well-above-average TV, some great performances (mainly Sedgwick and Simmons), but for all the praise it's gotten I was expecting more than another case-a-week cop show featuring an assertive lead who does things her/his own way but get away with it 'cause they get results.
But then, I love Burn Notice, so who am I to gripe about formula?
I like Community a good deal. But I love Donald Glover and Joel McHale, so I have to wonder what it is that leaves me slightly more lukewarm on it than I feel like I should be. The fact they use Danny Pudi's character to hang lampshades all over the damn place does wear its welcome out fairly fast.
The great episodes come from a good balancing act of the light-hearted comedy, the character drama (not too much; as you've said, it goes to saptown in a hurry) and genre deconstruction.
But the f***ing fantastic episodes come from balls outta left field. (See Modern Warfare, near the end of the first season, and the second season's Halloween episode.)
Last edited by DackAttac; 09-07-2011 at 11:44 PM.
Gamertag DackAttac
Obligatory DLC Wishlist Reel Big Fish, Fountains of Wayne, Motion City Soundtrack, Collective Soul, BNL, recent MCR
Currently watching episode 29 of Death Note. Dang, this new Shinigami is annoying.
I have a PS3 now. Send me a friend request maybe?
PSN ID: GreatJedi7


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Italy is famous for its beautiful cuisine; the Italian food and drink will definitely be an added pleasure of your holiday. Breakfast in Italy normally involves a cup of rich Italian coffee or a cappuccino and a croissant. For lunch look out for sandwich bars or the local store (alimentari) where you can get delicious toasted ciabatta sandwiches which are called 'pannini'. A full sit down Italian dinner will consist of an appetizer (anti-pasto), a pasta/shop (primo), meat/fish (secondo) which is normally accompanied by a salad and sometimes vegetables (contorno). Alternatively you can grab a pizza in one of the countries many pizzerias – a cheap and tasty option every time as Italy is the home of pizza. Finally beware as Italian food can be quiet spicy and very often dishes are tomato based.
The most popular drink in Italy is wine and it is drunk with nearly every meal. It can be purchased in restaurants in quarter, half and litre bottles, the cheaper option is to buy it from supermarkets. Most spirits and beers are served in Italy – be sure to check out local Italian beers such as Peroni and Dreher and Italian brandies like Stock.
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KYTC to pre-treat roads before Thursday | Transportation
Title (Max 100 Characters)
GRAVES COUNTY, KY (KFVS) - Kentucky Transportation Cabinet crews plan to pre-treat highways to prepare for the chance of freezing rain and sleet on Thursday morning.
The forecast is calling for a significant chance of sleet and freezing rain between about 6 a.m. and 9 a.m., CST, Thursday morning with temperatures going from mid-20's around daybreak to mid to upper 30's by noon, Thursday.
Highway crews will pre-treat roads Tuesday and Wednesday. Crews expect to be on the road spraying brine from about 8 a.m. until about dark each night.
Drivers are advised to be alert for slow moving trucks and escort vehicles as crews go about their work.
Pre-treating of roadways involves running water through salt in a brine generator. This produces a brine solution that is then sprayed on road surfaces. The water evaporates leaving a fine powder of salt that then becomes available to be activated in the early hours of a snow/ice event.
The salt improved driving conditions in the early hours of a snow and ice event and helps keep winter precipitation from bonding to the road surface making it easier to plow off after it accumulates.
Pre-treating requires a very specific set of weather conditions. Crews are unable to pre-treat if rain is expected ahead of a winter weather event because it would wash away the salt powder. Crews are also unable to pre-treat when temperatures are below about 22 degrees Fahrenheit because the brine could freeze as it is applied, creating a hazard for the driving public.
KYTC Highway District 1, headquartered in Paducah, is responsible for 2800 miles of highway in Ballard, Carlisle, Hickman, Fulton, Graves, McCracken, Livingston, Marshall, Calloway, Trigg. Lyon and Crittenden Counties.
Pre-treating all highways in the district is the equivalent of a trip from Washington, DC, to Seattle, WA, according to KYTC. Crews may travel all highways in the district multiple times during the course of one winter weather event.
Copyright 2013 KFVS. All rights reserved.


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With increasing deregulation, emissions management, technology improvements, regulatory compliances, rising fuel costs and market based optimization metrics coming into picture, generation companies today are required to operate their assets more efficiently and cost effectively to safe guard the interest of the entire power system including end consumers. The use of information technology in power generation has thus become ubiquitous in creating more accountability to the entire system by enabling a fleet-wide monitoring at the control centre level.
Kalkitech Enterprise Integration and Energy Monitoring, Billing and Optimization Solution helps Integrated Utilities or Power Generation companies to have Local and Enterprise view of their Power Generation, Power T&D and Energy Trading data in real-time, make decisions, analysis, enable their various systems to interact, exchange information and perform business functions like billing and energy audit.
Our fleet-wide optimization solutions include:
- Power Plant Performance Analysis, Diagnostics and Optimization
- Availability Based Tariff
- Merit Order Dispatch
- Energy Accounting and Billing
- Historian Solution
- EMS for BOP
- Generation Control Room Operations
Support Documents


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(Italian only ) E' possibile iscriversi a PUGLIA VOLA, il programma fedeltà di Aeroporti di Puglia S.p.A. o rinnovare la card. Visita il sito www.pugliavola.it scoprirai cos'è, tutte le opportunità ed i vantaggi esclusivi, come iscriverti o effettuare il rinnovo.
Flight timetable available on Phone address: www.aeroportidipuglia.it/mobile
We inform passengers departing on Ryanair and Easyjet flights, that is allowed only one handbaggage, for any further information please refer to the airline web site.
New EU security rules at airports
To help you with your next flights check-in operations, we would like to inform you that as of today, November 6, 2006, new security rules apply to carry liquid substances.
The airport at Taranto Grottaglie started operations in 1964, although only for regular Alitalia commercial flights to Rome. By 1965, when Ati took over, it soon became one of the Southern by-links connecting Apulia with Friuli Venezia Giulia.
PUGLIAIRBUS - Apulia sky and roads
Pugliairbus is the land transport service that connects the airports of Brindisi, Foggia, Taranto and Bari. Bari airport is also connect with the city of Matera world heritage and also UNESCO site.


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"This is what I expected," suggested Trent Senger, head coach of the SHHS senior football program following a tight 14-7 win over MCS Thursday afternoon on home field.
MCS drew to within scoring range twice in the game's last 3:06 but ended up turning the ball over on downs each time.
"They are a big, physical team. They're bigger than us," he said.
Melville had no problem advancing the football down the field. They had plenty of trouble converting on 3rd down attempts.
They moved the ball upfield with 7:15 left but ran out of space on a 3rd-and-long.
"We were fortunate today," admitted Senger.
Melville's Evan Paradis did most of the ground work for MCS, including scoring their only touchdown of the game which came in the second half.
Senger said he wasn't thrilled about the way MCS moved their defence and said that is something that is going to need some improvements as the season goes on.
"We made some mistakes defensively (but) we deserved to win (today)."
He also noted that a MCS mistake on Yorkton's 1-yard line may have saved Yorkton the game.
"Their fumble on our 1-yard line…"
Next action in Saskatchewan High School Athletics Association 9-man football action is scheduled for tomorrow (Sept. 27) when SHHS takes on Foam Lake, said Senger. Game time is 4 p.m.


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Nursing Aides and Psychiatric Aides Career Information
At School Soup we want to help you on your Nursing Aides and Psychiatric Aides Career path. Here in our Nursing Aides and Psychiatric Aides career section, we have lots of great information to help you learn all about Nursing Aides and Psychiatric Aides. If you're interested in other possible careers, please select a career from the dropdown menu below to learn more about that specific career.
Significant Points
· Job prospects for nursing and home health aides will be very good because
of fast growth and high replacement needs in these large occupations.
· Minimum education or training is generally required for entry-level jobs, but earnings are low.
Nature of the Work
and psychiatric aides help care for physically or mentally ill, injured, disabled,
or infirm individuals confined to hospitals, nursing and personal care facilities,
and mental health settings. Home health aides duties are similar, but they work
in patients' homes or residential care facilities.
Nursing aides, also known as nursing assistants, geriatric aides, unlicensed assistive personnel, or hospital attendants, perform routine tasks under the supervision of nursing and medical staff. They answer patients' call bells, deliver messages, serve meals, make beds, and help patients eat, dress, and bathe. Aides also may provide skin care to patients; take temperatures, pulse, respiration, and blood pressure; and help patients get in and out of bed and walk. They also may escort patients to operating and examining rooms, keep patients' rooms neat, set up equipment, store and move supplies, or assist with some procedures. Aides observe patients' physical, mental, and emotional conditions and report any change to the nursing or medical staff.
Nursing aides employed in nursing homes often are the principal caregivers, having far more contact with residents than other members of the staff. Because some residents may stay in a nursing home for months or even years, aides develop ongoing relationships with them and interact with them in a positive, caring way.
Psychiatric aides, also known as mental health assistants or psychiatric nursing assistants, care for mentally impaired or emotionally disturbed individuals. They work under a team that may include psychiatrists, psychologists, psychiatric nurses, social workers, and therapists. In addition to helping patients dress, bathe, groom, and eat, psychiatric aides socialize with them and lead them in educational and recreational activities. Psychiatric aides may play games such as cards with the patients, watch television with them, or participate in group activities such as sports or field trips. They observe patients and report any physical or behavioral signs that might be important for the professional staff to know. They accompany patients to and from examinations and treatments. Because they have such close contact with patients, psychiatric aides can have a great deal of influence on their outlook and treatment.
Home health aides help elderly, convalescent, or disabled persons live in their own homes instead of in a health facility. Under the direction of nursing or medical staff, they provide health-related services, such as administering oral medications. Like nursing aides, home health aides may check pulse, temperature, and respiration; help with simple prescribed exercises; keep patients' rooms neat; and help patients move from bed, bathe, dress, and groom. Occasionally, they change nonsterile dressings, give massages and alcohol rubs, or assist with braces and artificial limbs. Experienced home health aides also may assist with medical equipment such as ventilators, which help patients breathe.
Most home health aides work with elderly or disabled persons who need more extensive care than family or friends can provide. Some help discharged hospital patients who have relatively short-term needs.
In home healthcare agencies, a registered nurse, physical therapist, or social worker usually assigns specific duties and supervises home health aides. Aides keep records of services performed and patients' condition and progress. They report changes in patients' conditions to the supervisor or case manager.
Working Conditions
Most full-time aides work about 40 hours
a week, but because patients need care 24 hours a day, some aides work evenings,
nights, weekends, and holidays. Many work part time. Aides spend many hours
standing and walking, and they often face heavy workloads.
Because they may have to move patients in and out of bed or help them stand
or walk, aides must guard against back injury. Aides also may face hazards from
minor infections and major diseases, such as hepatitis, but can avoid infections
by following proper procedures.
Aides often have unpleasant duties, such as emptying bedpans and changing soiled bed linens. The patients they care for may be disoriented, irritable, or uncooperative. Psychiatric aides must be prepared to care for patients whose illness may cause violent behavior. While their work can be emotionally demanding, many aides gain satisfaction from assisting those in need.
Home health aides may go to the same patient's home for months or even years. However, most aides work with a number of different patients, each job lasting a few hours, days, or weeks. Home health aides often visit multiple patients on the same day.
Home health aides generally work alone, with periodic visits by their supervisor. They receive detailed instructions explaining when to visit patients and what services to perform. Aides are individually responsible for getting to patients' homes, and they may spend a good portion of the working day traveling from one patient to another. Because mechanical lifting devices available in institutional settings are seldom available in patients' homes, home health aides are particularly susceptible to injuries resulting from overexertion when assisting patients.
Nursing, psychiatric, and home health aides held about 2.1 million jobs in 2009. Nursing aides held the most jobs—approximately 1.5 million. Home health aides held roughly 624,000 jobs and psychiatric aides held about 59,000 jobs. Around 42 percent of nursing aides worked in nursing care facilities, and another 27 percent worked in hospitals. Most home health aides—about 34 percent—were employed by home health care services. Others were employed in nursing and residential care facilities and social assistance agencies. Around 54 percent of all psychiatric aides worked in hospitals, primarily in psychiatric and substance abuse hospitals, although some also worked in the psychiatric units of general medical and surgical hospitals. Others were employed in State government agencies; residential mental retardation, mental health, and substance abuse facilities; outpatient care centers; and nursing care facilities.
Training, Qualifications, Adv.
In many cases, neither a high school diploma
nor previous work experience is necessary for a job as a nursing, psychiatric,
or home health aide. A few employers, however, require some training or experience.
Hospitals may require experience as a nursing aide or home health aide. Nursing
homes often hire inexperienced workers who must complete a minimum of 75 hours
of mandatory training and pass a competency evaluation program within 4 months
of employment. Aides who complete the program are certified and placed on the
State registry of nursing aides. Some States require psychiatric aides to complete
a formal training program.
The Federal Government has enacted guidelines for home health aides whose employers receive reimbursement from Medicare. Federal law requires home health aides to pass a competency test covering 12 areas: Communication skills; documentation of patient status and care provided; reading and recording vital signs; basic infection control procedures; basic body functions; maintenance of a healthy environment; emergency procedures; physical, emotional, and developmental characteristics of patients; personal hygiene and grooming; safe transfer techniques; normal range of motion and positioning; and basic nutrition.
A home health aide may take training before taking the competency test. Federal law suggests at least 75 hours of classroom and practical training supervised by a registered nurse. Training and testing programs may be offered by the employing agency, but must meet the standards of the Health Care Financing Administration. Training programs vary depending upon State regulations.
The National Association for Home Care offers national certification for home health aides. The certification is a voluntary demonstration that the individual has met industry standards.
Nursing aide training is offered in high schools, vocational-technical centers, some nursing homes, and some community colleges. Courses cover body mechanics, nutrition, anatomy and physiology, infection control, communication skills, and resident rights. Personal care skills such as how to help patients bathe, eat, and groom also are taught.
Some facilities, other than nursing homes, provide classroom instruction for newly hired aides, while others rely exclusively on informal on-the-job instruction from a licensed nurse or an experienced aide. Such training may last several days to a few months. From time to time, aides may also attend lectures, workshops, and in-service training.
These occupations can offer individuals an entry into the world of work. The flexibility of night and weekend hours also provides high school and college students a chance to work during the school year.
Applicants should be tactful, patient, understanding, healthy, emotionally stable, dependable, and have a desire to help people. They should also be able to work as part of a team, have good communication skills, and be willing to perform repetitive, routine tasks. Home health aides should be honest, and discreet because they work in private homes.
Aides must be in good health. A physical examination, including State regulated tests such as those for tuberculosis, may be required.
Opportunities for advancement within these occupations are limited. To enter other health occupations, aides generally need additional formal training. Some employers and unions provide opportunities by simplifying the educational paths to advancement. Experience as an aide can also help individuals decide whether to pursue a career in the healthcare field.
Job Outlook
Overall employment of nursing, psychiatric, and home health aides is projected to through the year 2010, although individual occupational growth rates vary. Home health aides are expected to grow the fastest, as a result of growing demand for home healthcare from an aging population and efforts to contain healthcare costs by moving patients out of hospitals and nursing facilities as quickly as possible. Consumer preference for care in the home and improvements in medical technologies for in-home treatment also will contribute to much faster than average employment growth for home health aides.
Nursing aide employment will not grow as fast as home health aide employment, largely because nursing aides are concentrated in the relatively slower-growing nursing home sector. Nevertheless, employment of nursing aides is expected to for all occupations in response to increasing emphasis on rehabilitation and the long-term care needs of a rapidly growing elderly population. Financial pressure on hospitals to discharge patients as soon as possible should produce more nursing home admissions. Modern medical technology will also increase the employment of nursing aides. This technology, while saving and extending more lives, increases the need for long-term care provided by aides.
Employment of psychiatric aides--the smallest of the three occupations--is expected to . The number of jobs for psychiatric aides in hospitals, where one-half of psychiatric aides work, will decline due to attempts to contain costs by limiting inpatient psychiatric treatment. Employment in other sectors will rise in response to growth in the number of older persons—many of whom will require mental health services, increasing public acceptance of formal treatment for drug abuse and alcoholism, and a lessening of the stigma attached to those receiving mental health care.
Numerous openings for nursing and home health aides will arise from a combination of fast growth and high replacement needs for these large occupations. Turnover is high, a reflection of modest entry requirements, low pay, high physical and emotional demands, and lack of advancement opportunities. For these same reasons, many people are unwilling to perform this kind of work. Therefore, persons who are interested in this work and suited for it should have excellent job opportunities.
Median hourly earnings of nursing aides, orderlies, and attendants were $10.09 in May 2009. The middle 50 percent earned between $8.59 and $12.09 an hour. The lowest 10 percent earned less than $7.31, and the highest 10 percent earned more than $14.02 an hour. Median hourly earnings in the industries employing the largest numbers of nursing aides, orderlies, and attendants in May 2004 were as follows:
Employment services | $11.29 |
Local government | 11.10 |
General medical and surgical hospitals | 10.44 |
Nursing care facilities | 9.86 |
Community care facilities for the elderly | 9.56 |
Nursing and psychiatric aides in hospitals generally receive at least 1 week of paid vacation after 1 year of service. Paid holidays and sick leave, hospital and medical benefits, extra pay for late-shift work, and pension plans also are available to many hospital employees and to some nursing care facility employees.
Median hourly earnings of home health aides were $8.81 in May 2009. The middle 50 percent earned between $7.52and $10.38an hour. The lowest 10 percent earned less than $6.52, and the highest 10 percent earned more than $12.32an hour. Median hourly earnings in the industries employing the largest numbers of home health aides in May 2009 were as follows:
Nursing care facilities | $9.11 |
Residential mental retardation, mental health and substance abuse facilities | 8.97 |
Home health care services | 8.57 |
Community care facilities for the elderly | 8.57 |
Individual and family services | 8.47 |
Home health aides receive slight pay increases with experience and added responsibility. Usually, they are paid only for the time worked in the home, not for travel time between jobs. Most employers hire only on-call hourly workers and provide no benefits.
Median hourly earnings of psychiatric aides were $11.19 in May 2009. The middle 50 percent earned between $9.09 and $14.09 an hour. The lowest 10 percent earned less than $7.63, and the highest 10 percent earned more than $16.74an hour. Median hourly earnings in the industries employing the largest numbers of psychiatric aides in May 2009 were as follows:
General medical and surgical hospitals | $11.31 |
Psychiatric and substance abuse hospitals | 11.06 |
Residential mental retardation, mental health and substance abuse facilities | 9.37 |
Related Occupations
Nursing, psychiatric, and home health aides help people who need
routine care or treatment.
Information about employment opportunities may be obtained from local hospitals, nursing care facilities, home health care agencies, psychiatric facilities, State boards of nursing, and local offices of the State employment service. Information on licensing requirements for nursing and home health aides, and lists of State-approved nursing aide programs are available from State departments of public health, departments of occupational licensing, boards of nursing, and home care associations.Sources of Additional Information


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Cloud Atlas Review: Yellowface And Orientalism
By Guest Contributor Jennifer; originally published at Mixed Race America
This post is the second installment in a three-part review. See parts one and three.
There are many people who have written about the phenomenon of "yellowface," which is the Asian version of "blackface"–having white (although at times there have been black) actors and actresses portraying Asian and Asian American people in Hollywood films. Racebending.com has a particularly astute and thorough accounting by contributor Michelle I. I recommend reading her piece, "Yellowface: A Story in Pictures," to familiarize yourself with the looooong history of yellowface in Hollywood cinema. But I think this photo of Mickey Rooney in Breakfast at Tiffany's probably says it all:
As I wrote about in yesterday's post, there's a certain narrative logic that the filmmakers had in mind for putting their non-Asian actors in yellowface (including the African American actor Keith David in a role that reminded me of Laurence Fishburne in The Matrix, if they had taped back Fishburne's eyes). One of the themes of the narrative (film as well as book) is a repetition or eternal recurrence of experiences, of relationships, of people with a comet birthmark who show up across space and time. To connect these otherwise disparate narratives, the filmmakers chose to have actors and actresses play various roles in all six segments/stories of the film–so Halle Berry has a throwaway minor role as a woman dressed in a sari (she's supposed to be an Indian woman in London) but in two other stories she has a major role (as a Latina reporter in 1970s SF and in the future as a post-apocalyptic survivor who has access to technology). One of the stories takes place in 2144 in Neo Seoul, a dystopic "corporocracy"where "pure bloods" are consumers and "fabricants" are the cloned humans who serve them. So that brings us to the white actors playing Korean or Neo Korean men:
Asian women do not need to be distinguishable from one another, either in the film or outside the film when talking about the actresses portraying cloned Asian women. Also, while Halle Berry does have a love scene where you see her naked back in one of the vignettes (the one where she is in whiteface), the Neo Seoul segments show the female fabricants either naked or in very skimpy clothing meant to sexualize them. This is a huge problem in terms of the Orientalization going on in this film because there is a long history of Asian women depicted as sexually available and sexually evocative in Hollywood cinema. And I didn't really see the point of depicting the women naked–perhaps the scantily clad part I get, but the film only seemed to reinforce all of the pre-existing stereotypes that we have about Asian women, especially as they've been rendered in celluloid.
But don't take my word for it, see Elaine Kim's documentary, Slaying the Dragon: Reloaded for a history of the sexualization of Asian women that has taken place in the past and still takes place in the present, with Cloud Atlas as the latest entry in the Orientalizing of Asian women.
Great review! Be sure to read the last part:
http://mixedraceamerica.blogspot.com/2012/11/cloud-atlas-review-part-3-mixed-race.htmlThe author points out how the filmmakers deliberately avoided blackface but thought yellowface and brownface were ok. What were they thinking?
I still haven't seen the film, but having been a fan of the Wachowskis since The Matrix, I gave them the benefit of the doubt regarding the film's glaring racial issues. After reading this and other reviews, my opinion is beginning to sour on exactly how forward-thinking the Wachowskis actually are on race in cinema. For years, they've been silent. Now, they're promoting their own movie and have a lot to say about it. They should answer our concerns about the racial issues in Cloud Atlas.
Yikes! The last two yellow face makeovers are especially bad! And to use multiple Asian actresses to portray "clones" of each other is stupid and insulting. Great article btw and I agree with much of what you said. Also I liked the video towards the end.
Re: blackface – I thought that Tom Hanks was actually in blackface at some point during the film?
Pingback: Sunday News Round-Up, Pre/Post-Vacation Edition « Women's Health News
No, all of the characters that Tom Hanks plays in the film were white.
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Mako Wakasa: I would like to ask you about Poku (Pop + otaku) and Super Flat paintings as well as your view of the present and future Japan and the relationship between your art and Japanese culture. […] In fact, it is a new phenomenon that otaku has drawn public attention, while you started paying attention to otaku a long time ago.
Takashi Murakami: […] The primary reason that I want to represent otaku culture comes from the public ignorance of otaku; most people dislike otaku because they have no access to information on otaku. I am one of the losers who failed to become an otaku king. Only a person who has a superb memory in order to win at a debate can become a king of otaku. Since I didn't have that ability, I became an artist. There is a difference between an artist whose creativity stems from otaku-like ideas and a genuine otaku who can win at a debate to be the king. Most people do not recognize the difference. In addition, I thought I could grasp an understanding of present Japan by analyzing otaku. So, in 1993 I started to incorporate otaku into my art.
Wakasa: What are otaku like?
Murakami: OK. I begin with my latest discovery about otaku. I think otaku are discriminated against in this society. I read Chusei no Hinin to Yujyo (Pariahs and Harlots in the Middle Ages) by Yoshihiko Amino. According to Amino, the idea of "art" came from the West during the Meiji era (1868–1912). Prior to that, all kinds of art, including dance, music and paintings, were considered entertainment. People in the lowest class called hinin and kawaramono engaged in entertainment. They also worked as guardsmen for the Emperor. Under the samurai rule, a hierarchical status system of samurais, peasants, artisans, and merchants was established. The emperor was at the top of the hierarchy and hinin were rendered bottom. But, these two classes were mysterious. They are still mystified and nobody is willing to talk about them. Japanese intellectuals often comment that Japan used to have a discriminatory system, but none now. But, in my view, otaku is discriminated against in the contemporary Japanese society. […] Most of the newly developed cults consist of people like the otaku because they are so severely discriminated and alienated that they either choose to join these cults or create new cults in their desperate search for salvation. Then, when I consider what Japanese culture is like, the answer is that it all is subculture. Therefore, art is unnecessary.
Wakasa: Unnecessary?
Murakami: Yes. I am sure that's why nothing new is coming out of the Japanese art scene. Neither my art nor Mariko Mori's art are new.
Wakasa: What do you mean by "not new"?
Murakami: There is no new philosophy.
Wakasa: What about Poku culture.
Murakami: It is sophistry in order to market my work by doing presentation regarding subculture.
Wakasa: Is it OK for you to say that?
Murakami: Yes. Everyone works in order to make a living. So do I. I expected that some people would be interested in my art if I offer an expression such as Poku culture, since it is funny.
Wakasa: Even though your art expresses the reality of the present time, do you still assert that your art is not new?
Murakami: I express hopelessness.
Wakasa: Your art looks positive to me.
Murakami: If my art looks positive and cheerful, I would doubt my art was accepted in the contemporary art scene. My art is not Pop art. It is a record of the struggle of the discriminated people.
Murakami: […] otaku dislike my work. They don't want me to reveal their discriminated status. Otaku want to be left alone because they are happy by themselves, when enjoying events for otaku (underground comic fairs) like the Wonder Festival or comike (comic market), where 350,000 – 400,000 people come together. Comike attest to otaku's struggle to maintain their fantasy even though they become alienated from society. I think it is strange that neither students riots nor popular demonstrations occurred when the nuclearplant at Tokaimura exploded. Usually, when people resent injustice and inequality in societies, demonstrations take place. But, in Japan all the people who have such resentment become otaku.
Wakasa: Do they have no interest in improving our society?
Murakami: No. They know that they can't get away from the structure that maintains the discriminatory system against them.
Wakasa: They have already given up, haven't they?
Murakami: Yes.
Wakasa: Why have they given up?
Murakami: Please think about yourself. Have you also given up?
Wakasa: Well, I don't know. I went to New York. Perhaps because I also had given up.
Murakami: I guess so. Most Japanese have given up. Since I've also given up, I took a studio in New York. What I am trying to create is neither commercially acceptable nor sustainable in Japan.
Wakasa: Are there any collectors in Japan?
Murakami: The difference about art consumption between Japan and New York is that it is a hobby in Japan, while it is an ideology for creating culture in New York.
Wakasa: You never said anything like that during your interviews in the past.
Murakami: I did. But, the media didn't print it because they were not interested in it. But I don't care. It's fine with me. That's the way of consumption in Japan. On the other hand, I think I should continue to propagate against it so that the media feels guilty. Japanese media failed to inform people that the accident at Tokaimura was the fifth worst nuclear accident in the world. Farmers who lived within five hundred meters from the accident have already returned to the normal life.
Wakasa: Why was there no coverage?
Murakami: It was a kind of news blackout by telling that it was not serious. I think the Tokaimura nuclear accident is one of the worst disasters after the World War II. It was as harmful as Aum Cult's gas attack in Japan. The Japanese government suppressed the truth. I'm afraid many people will be dying because of the nuclear accident. I learned about the accident from the news in New York, although no Japanese newspapers carried it. I also read through the Internet. Most Japanese don't bother to get such information. Even if they do, they would not be galvanized into action because they don't believe that their action would affect any changes.
Wakasa: In the beginning, making art was a personal matter for you?
Murakami: I wanted to be commercially successful. I just wanted to make a living in the "entertainment" world, but since then my motivation has changed.
Wakasa: How?
Murakami: What I have done so far was to make a living. And I was highly strategic about what kind of paintings I should make for that purpose. Even this interview could be considered good for business.
Wakasa: Now, aren't you contradicting yourself? You said you expressed yourself in your art.
Murakami: Only those artists who have an ability in marketing can survive in the art world. Damien Hirst is a good example. Through his art, you can see the process of how an artist can survive in the art world. First of all, distinctively situate his/her position in art history. Second, articulate what the beauty of his/her art is. Next, sexuality. Then, death. Present what he/she finds in death. If an artist aptly rotates this cycle, he/she can survive. Damien Hirst has been repeating the cycle of birth, death, love, sex and beauty.
Wakasa: Doesn't every artist try to repeat that cycle?
Murakami: Yes. That's why Picasso has been continuously consumed as well as Warhol. This attests that artists that have a sense of the market make the best of the rotation. The reason why Matthew Barney is not doing well is that the style of his works remains similar. In addition, he couldn't make an effective presentation in the theme of death. On the other hand, Damien Hirst expressed death so successfully by slicing cows that viewers understood him. He also succeeded in expressing beauty with his dot paintings.
Wakasa: But even though artists know marketing well, they don't necessarily become successful.
Murakami: Of course, not. It depends on talent of an artist.
Wakasa: All your projects were very successful.
Murakami: Because I conducted research about the art market. There are examples of what an artist should do at a certain age. If someone wants to survive in any field, he or she should conduct research about the field he or she belongs to. But, most people don't bother.
Wakasa: But taste should also be reflected in art.
Murakami: Yes, otherwise there is no reality in it.
Wakasa: In your case, your taste happens to fit your strategy.
Murakami: The reason why my art is not popular …
Wakasa: It is popular.
Murakami: No. In my prospect, I should have been as popular as Damien Hirst and should have been put on a cover of an art magazine like Rirkrit Tiravanija. In fact, I wasn't. It was the limitation of my talent. I know how to present my work, but in order to be very successful, an artist has to break through a thin membrane. It takes another talent.
Wakasa: You said earlier that there are people who feel saved by your work. Who are they? I like your work but I don't feel saved by it.
Murakami: Yes. Recently more girls are becoming otaku. I think it is because there is hopelessness in Japan. It's a closed world with no way out. So, they have to live in a fantasy. I also escape from reality. I feel as if I were a former-samurai sculptor of Buddhist statues in Osamu Tezuka's manga Hi no Tori (Fire Bird). In the manga, the samurai kills so many people without knowing what he is or why wants to live. But when he happens to curve a wooden statue, people around him are so impressed with it. A priest finds a talent in him and encourages him to pursue the career. Then, his talent blossoms and he becomes a great artist. I think an artist is a person like him. It's a minimum resistance by a person who dares resist against his or her nihilistic perception: I cannot change anything. Therefore, people who have given up resistance find security when they look at art made by a person who is still resisting. They can have a fantasy that they might be able to resist, too. This is the role of the artist . That's why I am making art.
Murakami: For them it's truly a salvation. It's the same as the Shingon sect gave in old times. People get together at comike because they think a truth exists there. Because I have been studying otaku for a long time, I have a solid understanding by now. However, you cannot understand otaku by merely looking at the surface. Even people who come to comike themselves don't want to accept the reality that they are suffering from atopic dermatitis.
Wakasa: Although you are trying to make a positive contribution to the society through art, you seem to have given up improving the situation in Japan.
Murakami: Yes. I think there will be a revolution in Japan within fifty years.
Wakasa: Because there will be a limit of endurance?
Murakami: There will be a peak. The Japanese definitely will make a revolution. It's not a war against foreign countries but a civil war such as Meiji Restoration. Unfortunately I don't know so much about economy and politics. However, when I look at Japan from top to bottom as an "outcast," I guess the revolution will be unavoidable. This is because I am very happy now. In fact, it is quite abnormal that an outcast like me is happier than others.
Wakasa: I didn't perceive from the published materials about you that you are such a political person.
Murakami: I think there should be a strong dark emotion within an artist in order to continuously create powerful works. I am making a catalog of the exhibition entitled "Super Flat" at Parco Gallery. It will be bilingual. The exhibition will travel the world. I curated it, including sculptures and comics. In addition, for promotion, I am conducting a series of dialogues on the magazine, Kokoku Hihyo. The first series includes me, Mr. Toshimichi Otsuki, a producer of Evangelion, and Hiroki Azuma, the philosopher who is familiar with otaku. I would like you to read the journal because I am stating discrimination in Japan from the viewpoint as an otaku. Being as an otaku, I can be a catalyst.
* Otaku is an obsessive fan or collector of anime, the Japanese animations based on manga. For more information on otaku and Takashi Murakami, visit the artist's website.
Murakami Studio, Brooklyn, N.Y., February 24, 2000
Mako Wakasa and Naomi Ginoza for Journal of Contemporary Art


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SOTU an Assault on Liberty?
FBN's government experts debate whether the State of the Union address will impact personal liberties.
Feb 15, 2013
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FBN's government experts debate whether the State of the Union address will impact personal liberties.
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Murdoch's all you start drawing what's the speech mean to you as far as freedom.
I think the onslaught against liberty will continue unfortunately.
Pres Obama said that the American people don't expect government to solve every problem and it seems that he's there to solve every problem.
We've got us please when he said that it was it was this started -- -- there but we've got up we got fifteen manufacturing hubs geragos will be much cylinder cities.
We've got manufacturing doesn't happen government has to create -- a couple it and and get the Hudson to get the manufacture going.
At the -- college scorecard that delegates Obama bring in a I thought US news and world will report give us updates on which colleges -- doing good job the government's gonna do that press.
Early education are gonna have three years three year old kids going it's going to school in short federal subsidies.
So more activity more government dizziness of course is all gonna cost a lot of money.
The pre school is appealing to people.
He he just wants to give the kids -- head start.
What's wrong with it.
You know I'm I'm highly sympathetic to people wanting to shovel their kids out the door and into the government's hands but.
You know the fact is that head start which is our pilot program for universal preschool has I'm not great record we spend eight billion dollars to get.
Very very little in terms of results and it was a federal study for this that the -- -- -- study.
Showing the results a year later that day that the results near you see you little bit of -- you see if you gains in the preschool years.
Gone by first and in terms of academics and and and similarly bad results in terms of social and the president tonight said fewer than three -- four year old -- rolled.
In preschool like this is a problem while -- -- of course if it's not like.
Overall they government has done great with public schools I -- the last three decades we've doubled or tripled spending depending on how you count scores are at best flat.
We -- -- education well let.
Let's talk about spending are 'cause he says he's not gonna increase the deficit -- -- the graph up we have a spending since the beginning of American.
Quite remarkable to show how.
Most of the life -- the country government was less than 5% of the economy it's only recently that it's.
Gone up and now with sequestration there.
President Obama talked about sudden harsh arbitrary cuts.
Which sound terrible means they are.
Yeah in this that this is what does the frustration is with -- -- better economic effect right I mean what if we try to get people in the room to sit down new line item things.
We're gonna cut this it offends somebody -- constituents so it doesn't get caught I mean you noticed one thing about that ground for couple things about it.
One is that's consistent -- Republican and democratic administrations there's no dip when.
Come down and it goes up if -- Democrats.
Very consistent with both parties.
The other thing -- you don't have any specific talk tonight about entitlement reform which is something again.
That Republicans and Democrats are very bad about what we have sort of -- talk about in time we had -- -- almost everything.
There's a lot of things yeah.
This the president said.
What we have to make some adjustments to Medicare and Marco Rubio said anyone who's in favour of leaving Medicare.
The way it is is in favor of bankrupting it.
That's more honest and I've heard in the past it's an honest talk as far as that goes but when they actually when the time comes to sit down and do something about it really nothing happens -- part of the fiscal cliff.
Discussions just a few weeks ago.
Other Republicans and look we do a little something like maybe push the Medicare Social Security age up one year.
And Harry Reid can be said no no we're not gonna do that so even in that sort of dire circumstance no changes made whatsoever.
Understand -- is supposed to be a time for bold to talk and his version of bold talk on reforming entitlements is.
He used the word -- Months to sort of like let's articles gonna -- let's also keep in mind there is a big announcement 201130400.
Billion in spending that would be cut.
Bipartisan shares apiece this weekend the Washington Post said that this was a mirage there was no spending cuts through minor things here and there may tighten if there's a lot of talking good dance central have trillions been -- but that's been cut for what they wanted to increases that it's not an actual.
-- I think what to write your fond of pointing out the Republicans haven't proposed to killing thing this is very true I think that when we talk about cuts in Washington usually what it means is that you -- you reduce the rate of increase little bit.
-- -- cut -- real cut as we take a program you and it is sending workers home you sell off the building and you take the authorizing legislation put a big X through it.
Then you know -- you've actually cut a program.
The things like the rural Turkish registration was put in by FDR to -- power to appellation they now have that they're not busy putting in broadband Internet in appellation.
I think there's a great place -- started the GOP should fight about ten programs that are -- all antiquated don't work.
And shut them down those will be real cuts -- can start there the Washington Post had a great story recently.
Federal program won't diets -- Christopher Columbus fellowship program -- spent 80% of its money and yeah.
Even President Obama requested it be cut four times Republicans introduced legislation to end that.
And they can't get rid of it because senator Thad Cochran has got to contributor on the board of this group.
Reserves they can't get rid of anything but you don't even have to go to some silly example like Vatican and that what is hilarious but.
But you've also -- just talk about farm subsidies which are -- there's broad bipartisan agreement that.
Farm subsidies are broken there and the same bill as food stamps which gives all kinds of crazy incentives you know when American farmers are not.
In trouble right now and yet we cut them dozens of checks every -- including people who live in Manhattan and technically on a farm.
He's number of them clearly the night I was yeah yeah yeah and my -- evidence and yet the farms of these growing -- forever.
And will presumably continue after that Super Bowl out when we found that the farmers the back from America that's.
Percent college students in the audio this audience let's talk about what he said about college com.
He he's gonna have this score card and in fairness.
Yes he was news and world report doesn't but I think they're promising they're gonna figure out who gets jobs and.
-- be better.
Well -- you know Bill Gates gave his annual address on on.
Issues facing the world and he too said we need to rework our scorecard on education so.
We'll have -- big slug US news.
And then we'll have a government version but no one reads that's badly for mad -- that you can't find on the Internet except for -- PDF that like you have to download -- -- It's actually five million dollars fort anybody idol definitely costs.
-- a lot.
I was struck by what he set about climate change when.
We must do more to combat climate change and there is overwhelming.
Judgment of scientists that.
Hurricane sandy.
And it was caused by climate change -- and -- and sleight of hand I didn't credit for for being that sort of led devious Aventis.
The previous sentence has sent -- the next sentence has overwhelming evidence there is not overwhelming evidence.
The climate change caused her cancer and there is no evidence that because certainly there's there's evidence that may be the sea level rises had you know amid the water there's no evidence -- -- hurricane itself in the frequencies of these -- cans are the result of climate change.
It's just bunker that right that's a lot of bunk in this but what's just pick on this -- government.
That is is you know another kind of you have thrown out there hopefully get some federal program intended to solve this is nothing what there is a lot of evidence that -- climate is more -- yes absolutely.
But I think I think climate change might have been responsible for the full moon that was of a very large factor in the destruction of -- San.
You must like it that he's getting the troops out of Afghanistan.
Who goes -- starts best.
I think what -- then again we're speaking of sleight of hand let's go back to back.
The we're gonna go down to a troop level incidentally -- about the same level if not slightly more than when President Bush.
Left office why is that going to lower than when bush left -- -- Obama doesn't mention that he tried eight troop surge in Afghanistan.
They've failed miserably so I mean we're not looking for victory here which is typically what you hear in these sorts of situations.
-- are gonna get the troops out and yet we're going to have a strong presence in the world empty phrases troops come out.
Afghanistan's still a complete colossal mess cancer last one for you the president said.
Women should earn a living equal -- their efforts passed the paycheck fairness act.
I do hope to earn a living equal to my efforts I think the paycheck fairness act we'll have exactly nothing to do with that.
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Assembly Required: Yes | Product Warranty: 1 year limited warranty |
Tools Needed: Phillips screwdriver | CARB Compliant: Yes |
Frame Material: New Zealand pine wood | Hardware Material: Metal |
Solid Wood Construction: Yes | Non Toxic: Yes |
Number of Drawers: 4 | Drawer Glide Material: Metal |
Drawer Glide Extension: Full extension | Safety Stop: Yes |
Joinery Type: Support bar fasteners and hinges | Dust Proofing: Yes |
Foot Design: Block feet | Product Care: Wipe clean with damp cloth |
DaVinci Kalani 4-Drawer Dresser
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