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    Saturday, March 28, 2015

    NRG Stadium Sucks the Energy out of Basketball

    VERY interesting given that the Final Four will be at NRG stadium next year.

    Watching the Elite Eight there a few years back, I can attest, it's a horrible venue to watch basketball, and, putting myself in players' shoes, I would hate to play there.

    The backdrop is all black, but it's shades of black based on shadows and curtains, which makes it hard to tell how far away is the basket. There is also a ledge around the raised court that just screams accident to someone sliding off the sides.

    See Ken Pomeroy's data on three pointers.

    Friday, March 27, 2015

    Never Bet Against Michigan State

    If the tournament this year has taught me anything, it's reminded me to NEVER bet against Michigan State, and that truly anything can happen.

    Yet again, Tom Izzo has taken a Michigan State team with a middling record, and had them peak at the right time - "overperforming" in the tournament and making the Sweet 16 for something like 7 out of 8 years.
    This will be Michigan State's fourth straight appearance in the Sweet 16 and its 11th since 2000.
     To see the second point, one needs look no further than #5 Utah. If Utah makes the finals (granted, that's a long shot), and Michigan State defeats Oklahoma, then my son, currently DEAD LAST in our 16-bracket pool, will win the whole thing - even if Kentucky wins the tournament (whom over half of pools picked to do so). Crazy.

    So, watch the games tonight. A loss by Gonzaga or Duke weeds a lot of brackets out. Fun times.

    Saturday, March 21, 2015

    March Madness Underway

    Congrats to all who joined the pool this year. Looks like we will be down from last year - some attrition due to babies born recently, etc., but well over $100 will be raised regardless. And that's wonderful.

    The first round (I don't count the First Four as a separate round) has proven NOT to disappoint. Gone our the "traditional" 5-12 upsets and now we have 4-13 upsets! Hopefully, that killed my bracket just as much as anyone else. And the ONE guy who actually got the entire first round correct.... crazy! (not in our pool)

    Here is the current leaderboard:

    As always, your's truly is NOT on the list. But, most of the 16 brackets in the pool are very close together - anything can happen over the next few days - especially if the officials keep blowing calls at the end of games or giving technicals to coaches for no reason.

    I also enjoy seeing the variety of charities chosen this year. Every year I learn about wonderful groups doing good work that's woefully unrecognized. Polaris and Camp Spike and Wave are only two examples this year.

    If you haven't chosen a charity, pick one now and change the name of your bracket (or tell me). Watch the games. May the best bracket win!

    Thursday, March 12, 2015

    March Madness Charity Pool 2015 is Here!!

    Play. Win. Give.

    It's that time again!! Come join the annual March Madness charity pool where people choose a charity to play for and the winning charity gets the pot. Some of you remember playing last year (Congratulations, Baton Rouge Child Advocacy Center).

    No knowledge necessary. You can donate online or come visit me in Houston. I'd love to have y'all join, have some fun, and help out a worthy cause.

    If you'd like to join, this is what to do:1. Go to http://games.espn.go.com/tournament-challenge-bracket/2015/en/ and join/login

    2. Create a bracket (named for your charity).
    3. Join the group "TBE Play For A Cause 2015"
    4. Donate $10 per bracket via the paypal link at http://thebleedingear.blogspot.com/p/tbe-play-for-cause.html or somehow send it to me.
    5. Selection Sunday is March 15, 2015
    6. Fill out the bracket between March 16-18, 2015.
    6. Watch the games starting March 19, 2015 and root for your teams!

    The winner's charity gets all the cash, and you are entered into ESPN's $10,000 prize pool also!!

    Let's have some fun, and help others in the process. 

    Tuesday, September 16, 2014

    Abuse, the NFL, and Due Process

    Recently, you can't go anywhere, read or watch anything, and not hear about the National Football League and its abuse scandal. Ray Rice knocking out his then-fiancé. Greg Hardy beating up a woman. Adrian Peterson accused of child abuse by disciplining with a switch.

    Somehow, this has turned into a societal referendum on discipline - spanking, specifically - and safety nets for abused partners.

    This has made the American people into experts on abuse lately. The cynic in me says "This is wonderful," because, in my four years of taking care of abused children that came to the hospital, we were ALWAYS woefully understaffed with people that could properly tell abuse from non-abuse, and do a good forensic exam, or forensic interview.

    The civic organizations we worked with for psychiatric care for patients and parents, the police and state who prosecuted perpetrators, were always horribly underfunded.

    I see roughly one patient per week in the ICU with serious injury (or death) from physical abuse. But now, we have almost an entire nation who can accurately perform a forensic interview and examination via the internet. No more CPS write-ups, forensic exams, brain death exams, worrying about serum sodiums or intracranial pressures, getting ophthalmology to come in late at night, etc., etc.

    The reality is, we have no increase in experts, on another example of America's penchant for self-righteous indignation without education. I am all for the discussion, when people take the time to educate on the situation, American Academy of Pediatrics recommendations, etc.

    But most people don't.

    And as a doctor who sees this at least once a week, we must do our job to prove that what we see came from actions alleged. If we jump to conclusions, we do the child a disservice. I've seen more than one child come in with bruises consistent with abuse only to find underlying bleeding issues no readily apparent on a routine CBC.

    So if people in positions to report or make decisions are going to highlight this, let them truly become educated too. It's better for the child and future children.

    Secondly, I have serious concerns about our society over the last 1-2 weeks. "Innocent until proven guilty," must apply in ALL scenarios in this country, or we end up in the same situation the NFL is currently in - creating arbitrary punishments for crimes not properly vetted.

    How many people have been exonerated from death row sentences by DNA evidence? Or new evidence? Or findings of police misconduct?

    As much as we may feel certain that Ray Rice knocked out his wife, or Adrian Peterson abused his child, we must let the system play like it's supposed to.

    Holding second grand juries is scary - because it's almost double jeopardy that our constitution forbids. If you are a strict constitutionalist, you should definitely oppose Adrian Peterson being tried again. Can we suspend or fire everyone in America when a crime is alleged? There are many spurious allegations out there, or ones done in good faith that still end up being wrong.

    No, as much as it might hurt us to be patient, in a case like this we MUST be patient and not crucify the alleged perpetrator until the system runs its course so that the system is infallible, and justice without caveat can be served for the child and safeguarded for the next child. Otherwise, we're all just a modern mob with torches storming to Frankenstein's castle.

    Finally, as an organization, the NFL has made a huge mistake with Ray Rice. In his case, the system has played out, he was convicted and given a sentence for a first time offender. Then, the NFL made it's suspension. Yes, it was woefully too lenient (IMHO), but when the video came out, you can't, as an organization, go back and produce arbitrary punishment again. That's where Goodell has major problems. he's just made his justice system COMPLETELY arbitrary. No, the NFL must stick with the punishment it doled, take egg on the face for doing it wrong, and set something correct up for the future.

    My concern is not the child defended - yes! let's do that. CPS can take Peterson's child out of the home. We have a court system. Heck, it's here in Houston that it's happening. BUT, if America "educates" itself without true knowledge, then we are worse off than before. I'm glad people are talking, but the media needs to talk correctly. And due process must be observed or the next child isn't protected.

    Friday, September 05, 2014

    Apprenticeship in America

    Recently, Cathay Pacific instituted a program titled "I Can Fly," which hopes to give juniors and seniors in high school 8 weeks of direct experience to aviation. Not flying, but aviation - learning about everything from passenger sales to airports, cargo to catering. This is a Canadian program, partnering Toronto with Cathay Pacific.

    America lost it's apprenticeship culture years ago. Sure, we all read of our Founding Fathers learning watchmaking, or silver smithing, or printing at the hands of someone else. But by the end of World War II, America's government-subsidized public high school network was robust enough to provide basic education. People graduated, applied, and got jobs. Then they received on-the-job training.

    As the economy developed and higher education became more important, that model persisted. Now, some companies are going back to Europe to study their apprenticeship systems. The hope is that large companies, like Siemens in Germany, can help counterparts in the USA close a gap where 4 million jobs sit unfilled although 10 million people are unemployed.

    The problem is, this hasn't extended to one sector of the economy gravely hit by this labor shortage - health care. Physician training, specifically, is woefully inefficient - a byproduct of this stage-by-stage top-down, myopic, it's-always-been-done-this-way approach. Since the Flexner report in 1910 (see pdf), American medical education time has been seen as an empty cardboard box to be filled with whatever is possible until the timer dings. As medical knowledge advances, we try to shove more and more into the box faster and faster, without stepping back and reimagining the box itself, or the method of pouring.

    "Then I wised up and got out while I still could."

    It is time for a serious look at the ACGME, AAMC, and LCME - the accreditation bodies of American medical education. They are bloated dinosaurs that do not move fast enough to deal with the times. With expected shortages of up to 52K physicians by 2025, it's past time to look at other ways of educating future medical professionals.

    We need to shorten medical education by at least 2 years. We need to decrease debt incurred by physicians in training. We need to change the culture to make medicine more family friendly. We need to increase responsibility given trainees to help them progress to self-sufficiency faster.

    Perhaps we could learn something from Cathay Pacific. We should at least look.