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Yes, it is totally FDA…

Yes, it is totally FDA approved.  It is not an extension of emergency use authorization. 

It has been more than a few…

It has been more than a few years but we    looked at Purdue, Illinois,Case, PSU, and UM for my son .  He wanted to be a space aerospace guy.  He liked all of them but UM the most, although Purdue offered $10000/yr to attend.  He also got a masters there in satellites and works in Silicon Valley.  My daughter later looked for a somewhat smaller college. She felt Miami was a pretty campus but too preppy, with everyone dressed up for classes.  She ended up at BGSU.  BTW a partner of mine started at Miami and felt very uncomfortable there, claimed many women there were Bulimic, and transferred out after a year. 

I recently joined a very…

I recently joined a very large medical entity and performs both research and clinical activities. If I were to discover a drug to treat some disease that made Bank while employed for this organization I would get 40% of the profits.  Another 40% would go towards funding research outside my scope and control, and 20% towards the bottom line.  And this 40% personal profit is considered quite generous now days;  In my graduate school years the investigator would make coffee money.  If I go on a lecture circuit I need approval from them company, and I cannot use the organization’s identity to promote me.

This idea that any sharing of any money is dangerous Left-wing socialism ignores reality.  In corporate America there is little reward for money-generating ideas. Profits from an idea or hard work go to the top of the company where they are distributed very unevenly, with the largest shares going to the top officers.  Maybe the money generating employee would get table scraps, or if he/she is lucky a promotion with a raise that is. Still dwarfed by the money made. Now if I had a great idea and left the company to start my own company those profits would stay with me as Capitalism dictates.  If you are a great college quarterback then leave your current team to start your own team and see what money you can bring in.

How the state or university distributes those funds is another issue altogether.

 

I am a radiologist and have…

I am a radiologist and have seen thousands of renal masses on MRI, ultrasound, and CT, and have to second what you have written. 

Matt Campbell played for him…

Matt Campbell played for him at Mount Union; was a grad assistant at BGSU, returned to MU  as an assistant, went back to BGSU, then to Toledo as an assistant, then coordinator, then assistant coach, then coach, before head coach at Iowa State.  

Colleges and universities…

Colleges and universities are not corporations. They should not be run as such. Some corporations and schools ( here is looking at you for profit schools) are terrible. I would like to go further in saying that corporations have a reputation of being efficient that is not entirely earned. Many corporations receive large federal and state subsidies, paid usually by taxpayers,  direct and indirect, that make their bottom lines look rosier than deserved. The US government often protect domestic corporations from overseas competition. Corporations pay much less of our federal budget that is picked up by US taxpayers than 40 years ago, and just got another set of tax breaks under the current administration. Corporations hide behind limited liability entities, often hiding taxable income that the average taxpayer can’t. Corporations write off equipment over years), such as jets, while we must pay taxes on a car purchase before we get the keys.

Schools get much less state support as their state corporate tax rate goes down, with tuition rising as a result. I suggest reading Empires Apart by Brian Landers for example after example how unbridled corporations, supported by our government, have screwed the pooch.

putting money into a money-losing university department or sports team is not communism. Trotsky, Lenin, and their ilk could not care less. Communism seeks to transfer  property and money generating entities to the state. Universities are not governmental states. 

 

Another 5-6 minute drive.

Another 5-6 minute drive.

His locker room pep talks…

His locker room pep talks are coach word salad and not likely effective.

Stripes, released 1981.

Stripes, released 1981.

The growth plates of boys…

The growth plates of boys don’t close until around 17-18, so he could easily grow 2-3 more inches.

With all that extra  time he…

With all that extra  time he was working out I wonder where he found time to study?

I Had an interesting…

I Had an interesting conversation with a member of the 1968 OSU team.  He told me Woody used switches against his players in practice.

Got it.  Cry Havoc and let…

Got it.  Cry Havoc and let slip  the dogs of war!

Not to be too dumb, but…

Not to be too dumb, but where is the map for us to carry out our orders?  I can scroll down the reddit CFBrisk page seemingly forever and not find an actionable map.

Done.

Done.

Still go yo work 5 days a…

Still go yo work 5 days a week, but to the back of a Statcare rather than the main hospital. I am essentially quarantined here as I rarely see anybody, the staffing here having been cut with furloughs.

And ESPN skips to a…

And ESPN skips to a commercial and never mentions him getting inked.

I found out this past week…

I found out this past week that my cholangiocarcinoma has spread to my lymph nodes and liver. Tomorrow I get a port placed and start 12 weeks of chemo next week. Need some football this year to have something to cheer about!

I got strep pneumonia almost…

I got strep pneumonia almost 20 years from today. Ended up getting a spinal bacterial meningitis and spent a 5 days in a coma and 4 months in the hospital. Left me with profound leg weakness and wheelchair bound , and I needed about 6-7 operations to fix the fallout.

Me. Work in a hospital. We…

Me. Work in a hospital. We had the first case of coronavirus in our county 10 days ago. We are short docs so in I go, unfortunately I have a higher risk of complications if I catch it due to my health issues. At least  I will be fairly isolated though, and the administration is investigating moving me to a Statcare type place when equipment can be moved and set up.

No one remembers paying for…

No one remembers paying for long distance service when calling someone 20 miles away.

Great news.  Thanks for the…

Great news.  Thanks for the updates!

 

I like SF running game,…

I like SF running game, almost kind of retro.

Will drive to my daughter’s tomorrow and bring her furniture for the small house she is renting, She avoided a complex scam this week so she has lots to talk about.  My son in Silicon Valley skied Lake Tahoe over the weekend and he was pretty pumped on the phone tonight.

My drinking never goes past Diet Coke, yet my innards are those of an alcoholic. Go figure. Heading up to the Clinic next week to see about more surgery.  For now I am like the Timex  watch my kids gave me years ago, not flashy, But it just keeps ticking.

The Making of the Atomic…

The Making of the Atomic Bomb by Richard Rhodes.  The book covers the discoveries that led up to the Manhattan Project and the men and women who fought to complete it by war’s end. 

The problem is there is no…

The problem is there is no one disease called cancer, it is a blanket diagnosis.  There are over 200 forms of cancer and they all have different tendencies, causes, treatments, and prognosis.  Even curable cancers can grow in certain patients despite therapy. Patients may not be able to tolerate chemotherapy while the guy across the hall does fine. Certain mutations on the cancer cells may help select treatment plans, or allow immunotherapy, but most mutations do not. 

Yea, not fun.  I spent 8…

Yea, not fun.  I spent 8 days in the ICU following chemo, and 30 days total in the hospital. BTW, when I was about 13 I developed back pain diagnosed as a posture problem. After a month of worsening pain I had a myelogram (pre-MRI and CT era) and i was diagnosed with a  ependymoma of the cauda equine and had major back surgery with 6 weeks of post-op radiation. Missed 3 months of school.  Only 690 cases are recorded in the US per year out of 330000000 citizens. Recovered from that only to to get Group A strep meningitis through the operative site that has left me wheelchair bound when i turned 40. I was given a 10% chance of recovering from that.  My body has not been kind to me, but you just have to roll with the punches.

Woke up a year ago and had…

Woke up a year ago and had brown urine. My skin started to itch all over.  Within a week I got an ERCP.  Went to the Wisky night game, woke up Sunday feeling terrible, drove 265 miles back home to my hospital, who sent me to CCF for sepsis.  While there I got news that the brushing from the ERCP indicated cholangiocarinoma, a very rare tumor.  I came back in November and had a 10.5 hr surgery to remove it, as well as my gallbladder, half of my pancreas, 23 lymph nodes, and my duodenum.  A week later I went back for a second surgery due to a perforated viscus. I got discharged Christmas Eve, got chemo a few weeks later, made it through 2/8 rounds before I got a rip roaring colitis and small bowel obstruction and aspiration pneumonia. The skin of both hands peeled away.  I just had my 1 year CT scans and they were negative, although biochemical markers are uncertain.  I did manage to lose about 70 pounds, so there is that side benefit.

When the receiver turns back…

When the receiver turns back to catch a pass short of the first down it is because he didn’t run a deep enough pattern, not because the quarterback threw the ball 3 yards short of the first down line.

We started late due to…

We started late due to professional schedules and lazy sperm.  Had a boy, a late miscarriage,   then a girl.  I got offered a job in Ohio, better that any other opportunity, and as my wife and I were discussing relocation I mentioned that our kids could end up as Buckeyes.  We both looked at each other in a panic.  We still moved to Ohio, and later our son got his engineering degrees from Michigan.  My daughter had no interest in OSU, thank God, and is finishing up a masters at BGSU.  My wife in respect would have liked a third spawn but we were getting old and had birthing issues for both children so two it was.

Very fast.  The years feel…

Very fast.  The years feel shorter.

A Jones fracture would not…

A Jones fracture would not necessarily be good news, as they have a risk of non-union. Avulsion fractures off the proximal tip of the 5 th MT or more distal shaft stress fractures would be more straight forward.

1a: Hayden Christensen

1b:…

1a: Hayden Christensen

1b: Hayden Christensen

2: Adam Sandler

3: Kristin Stewart

 

All three have impressive bodies of work, or at least one has an impressive body,  but all are misunderstood in Hollywood for their refusal to take the easy path to stardom.  Craft before commercial is the common theme for these thespians.

Russian Government

often helped subsidize these goons through their oligarchs, Young guys would show their fight skills and aggression in fields and old men off to the side would evaluate their actions and offer them employment as enforcers for teams. A lot a fascists and racists in their ranks. Now that FIFA is coming they are trying to reel them in. Unfortunately that is easier said then done.

Need to have kickoffs so we

Need to have kickoffs so we can have another commercial break 8 seconds after the previous commercial break.

Open vs. Laproscopic

Opens are reserved for when there are other associated problems (abscess, perforation, retrocecal position, etc.) and take much longer to heal.  Drains may have to left in for days. Think weeks if all goes well. Laproscopic is reserved for non-complicated appendectomies and likely would cause a normal person 1-2 weeks to recover fully.  Football shape maybe longer. These estimates are if there are no subsequent complications. Fortunately CT and US permit earlier and more accurate diagnosis and laps are most common.

As explained to me this

As explained to me this weekend by a Spartan fan the video on the hard drive of Dean William Strampel of Nassar abusing a young woman was merely evidence he was reviewing to determine Nassar's culpability.  Sounds as logical as some of the other comments floating out of East lansing.

Hmmm...

Morgan Freeman?

Not a first down. Third

Not a first down. Third down.

Was that a block in the back

Was that a block in the back on the sideline on the return?

Smart guy

My son is a recent aerospace engineer grad at Michigan (with a MS in space systems) and he gave up Fencing to maintain his grades.  Can't imagine playing football, with all the additional time requirements and injuries, and passing your tests and research papers. Engineering is difficult, and aerospace one of the more difficult specialties.

CT Scan

You can tell quite a bit with a CT scan but you cannot tell if there is a concussion or not. You are mostly looking for intracerebral hemorrhage/ mass effect. Concussion is largely a clinical diagnosis.

Time to rebalance

I have been a fan for 40 yrs, have 2 UM degrees, have 7 more in my family, and travel from out of state for at least one game per year. I used to get very upset at losses. After watching a rivalry game in my basement that we lost with no time left I got so pissed I started yelling at the stupid players and refs that lost us the game. By the time I arrived upstairs I could not locate my young children- they were hiding behind the couch, scared of what I had turned into. That is when i decided I needed to put the games in perspective- I still am annoyed by ugly loses, but do not take things quite as seriously, even while living is Ohio.

Soft skills?

I didn't know that my wife and I, both UMF grads, both with grad degrees (she from Purdue, I from UMAA and YTM), were so deficient  in soft skills.  I guess we had to make up for that absence with our pure ambition- nope, can't have that unless I am UMAA or Ivy pedegree (but apparently not Cornell or Brown.)  Some day, when I am lying on me death bed and my mind revisits my life, I will finally comprehend why there was such a huge empty chasm in my soul.

I will have to tell my daughter at BGSU that she is destined for mediocracy.  Say, if she married someone of ultimate grooming like you  would she still be accepted in society?  

CROB

I took nearly all my classes at the MMB but  I did work-study from the Plant Dept building next to I-475 4x a week as a groundskeeper.  I would first walk to the old now non-existent Halos next to CROB before heading to work.  If you used to see a guy covered with dirt and grass and drenched with sweat while mowing the grass or shoveling snow it was likely me.

I went to UM-Flint back when

I went to UM-Flint back when it was still split into two campuses: the science/math building and the CROB campus.  I enrolled because my father told me I could go there and he would pay tuition, or go somehwhere else and I would.  It was a no-brainer, as I had no money whatsoever.

I don't know if I could have enrolled at Ann Arbor, for I had major surgery in my freshman year in HS and my grades suffered.  I likely could have transfered into AA after two years at Flint, but I met my future wife there and my path was set, as she is much more important than the prestige of AA.  I got my degree and went to UM AA for grad school, and later med school at the UM way down south (YTM.)

I do tell people that I graduated from UM-Flint;  that is on my CV.  I donate money to UM-Flint, not Ann Arbor. I love Ann Arbor, my son is finishing off his Masters there following his BSE last year, and I consider both schools my collegiate home (but not YTM.)  I am not ashamed to any extent of my degrees.  Are the schools different?  Of course, as UM-Flint still has a large commuter and older student population, and a goal of servicing these students in a cost-effective manner.  I would bet that the students generally come from poorer backgrounds, often blue-collar, and often working their way through school as I did.  The drop out rate is much higher as a result.  I found my professors much better teachers at the expense of not having much ability to mentor research.  UM AA is a much more research-intense environment, with more higher-level high school applicants, with a lot of classes taught by TAs of varying ability and interest.  The best students at Flint are equal with the best at AA, (and I have/do know many extremely smart and talented individuals), but as others have pointed out there are greater number of the best  in AA overall.

I now live and work in Ohio.  For 99.9% of Ohio I am merely the Michigan fan from up north.  I consider myself a Michigan grad. They don't care from which campus I got my degree, or even know of the existance of satellite campuses, just like most Michiganders don't know all the OSU campuses.  As far as work goes the name on your undergrad parchment does not have a lot of advantage for many, perhaps most,  jobs.  As soon as you get into college your HS diploma is nearly forgotten, and when you get into grad/professional school your undergrad degree soon loses value, and when you get a job only your effort , drive, and results have long-lasting meaning  (unless you are named Jeb). I could not tell you where 95% of my residents did their undergrad, but I know where they finished Med School. 

Rambling over.

 

 

 

 

 

You have to scramble and try

You have to scramble and try to find a program in the field you wish to study that did not fill all of it's residency slots.  Depending on the specialty you are interested in it may be fairly easy (but you have to be flexible where you are going to live for a number of years, and it may not be the best program) or impossible for the upcoming year (in the very popular specialties.)  

Occasionally a slot opens up because of unforeseen events and you may be able to wiggle your way into the slot if you are at the right place at the right time;  more often you either start training in a less popular field and try to transfer after a year, or do a research year somewhere to burnish your resume' and try again the following year.

If you did not get into a less popular field to begin with you likely had a bad academic record, did not interview at enough instititions, are bad at interviewing, or went to school off-shore or a DO school ( and I have had residents  fom both, one of whom later became my partner, but  the success rate from these schools is lower, particularly is you apply for residencies on the coastlines or heavy academic/research universities.)

It's all about the base...

It's all about the base...

But how to change it?

I did the match 25 years ago and fortunately managed to get my first choice.  I now sit on a residency committee and interview and rank med student applicants every year.  I agree that the match feels arbitrary and can be a very vexing, often expensive, and nerve-racking experience that can result in great highs or utter disappointment.  I remember some med school classmates being devistated that they matched a thousand miles away from where they wanted to settle down, or not match into the field they wanted.  

Now being on the other side of the ranking system my colleagues and I are often amused by the number of interviewing applicants that are clearly using us as practice for later more coveted programs, cancel an hour before the interview session, or tell us how much they want to join our program only for us to find out that the matched in a completely different field of study.  The interview system for us also lasts months and takes a lot of our time we could be doing patient-care or teaching.

At least the match is supposed to be more slanted to the applicants than the programs' ranking compared to decades ago.  I know that not every resident who joins our program had us listed in their top couple choices. We work hard to make their time with us productive, happy, and resulting in successful board accrediation and acreers.

I am not at all perturbed that neither of my kids did not choose medicine as a career.  Many of my residents have 200-400K in debt after 6 years of post-grad training.  I remember being elated that after med school I could finally read a novel instead of a textbook.  You really have a have a passion for your area of study, a thick hide, and acceptance of greatly delayed gratification.

Game.

OSU just is firing on all 12 cylinders. The Ducks resemble a Smart car.

OSU

Is just an wry good team. Jones may not play school but he does play football very well. If OSU could hang to e ball this game would not be close.