• People Talk and My Ear Bleeds


    from Twitter


    Saturday, November 29, 2014

    from Triet Le

    Hi! Did you see it? http://ecoferma-bv.ru/go.php
    Oprah says it works!

    В писмото няма вируси или малуер, защото avast! Антивирус защитата е активна.

    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.

    Tuesday, September 02, 2014

    2014 TBE Play For A Cause Winner: Baton Rouge Children's Advocacy Center!!

    I'm incredibly sorry for the long delayed post. Congratulations to all who played in the TBE March Madness pool this year. It was a great tournament that hinged on an Elite Eight game. If Arizona had beaten Wisconsin, many possibilities would have remained alive. However, Wisconsin won, and that sealed the deal for Dr. Z and the BRCAC. Congrats!!

    Below is the press release.

    ***Dated: May 9, 2014***

    Congratulations to Dr. Zeretzke and the Baton Rouge Children’s Adovocacy Center!

    The Bleeding Ear’s Play For a Cause March Madness charity pool (“TBE Play For a Cause”) was started in 2008 as a way to funnel a good time into good deeds. Two years earlier, while volunteering at an orphanage in Vietnam, I saw how much $100 – a relatively small amount in America – could do for needy children.

    That first year we raised $100 for Heifer International. Every year we’ve had an increase in players, money, fun, and watched some excellent tournaments. This year we have raised $260 for the Baton Rouge Children’s Advocacy Center. Congratulations to all involved.

    The Baton Rouge Children’s Advocacy Center (BRCAC) is a non-profit organization whose mission is to “lessen the trauma experienced by child victims when abuse allegations are investigated, and to provide support during any subsequent proceedings within the criminal justice system.”

    The BRCAC:

    •Protects children who have been sexually and/ or physically abused and helps prevent further abuse.
    •Provides therapeutic counseling during the time of disclosure and thereafter.
    •Maintains and reconstitutes a healthy family by healing the scars of abuse
    •Enhances community safety by preventing the perpetration of sexual/physical abuse.
    •Coordinates the prosecution of the criminal cases

    In 2013, BRCAC served 312 children who were sexually abused, physically abused, or had witnessed a severe crime.

    We cannot be more proud to help support the Baton Rouge Children’s Advocacy Center.

    The Bleeding Ear
    Largest donation in the history of TBE Play For A Cause

    Wednesday, May 15, 2013

    Winner! 2013 TBE Play For A Cause!

    Well, March Madness is far over, and the payments have finally come, so let's give credit where credit is due: congratulations to Julie and her charity, the Ovarian Cancer National Alliance!

    Unlike last year, the battle royale lasted until the championship game. Julie and James, long hovering in the middle of the pack, rose slowly and steadily as people's championship picks were eliminated. In the Final Four, James' wife was eliminated when Syracuse bit the bullet. The championship game featured Marc for Michigan and Julie/James for Louisville.
    The game was exciting, as Louisville mounted a fierce comeback at the end of the first half to make a game of it, and pulled away just enough in the second half to seal the deal. BUT, that only eliminated Marc. We had to go to the tiebreaker - absolute value of game score guessed vs actual game score - to find out if James or Julie would be the winner. With an absolute value of 12 vs 18, the Ovarian Cancer National Alliance won the day.

     The best part about everything is the $200 raised for ovarian cancer research and awareness. Together we all had fun and pooled resources to give a gift that can truly make a difference.

    Sunday, October 07, 2012

    DIY: Idle Air Control Valve

    Someone once said, "when you're poor, your save money and pay for it in time. When you're rich, you'll save time and pay for it in money."

    Well I'm poor.

    Lately my 1994 Honda Accord (4 door LX 4 cylinder) has been idling low - I mean really low - somewhere around 300-400 RPM. Besides the incredible shakes that make you think it will die at any minute, it has started dying as I back out of parking spaces. This problem happened when the engine is warm - starting in the morning with a cold engine got a decent response until the radiator fan came on.

    Unable to pay for someone to diagnose and fix this for me, I scoured the internet. I found this post on Honda-Tech.com. People smarter than I had ran into the same problem.

    **Now, sometimes all you need to do is turn the idle control screw on top of the throttle body and adjust the idle speed, but I figured my problem was deeper than that given my car's 260K + miles.

    This post described how to clean your Idle Air Control Valve (IACV) which adjusts the amount of air let into the engine (if I understand it correctly). A clean IACV gives you better idling RPM and more fuel efficiency.
    I'm not going to recreate the excellent "How-To" on Honda-Tech.com, but I will give you some thoughts.

    There it is waaayyy in the back
    A closer view
    On opening the hood, I spotted the IACV well in the back. This made it incredibly difficult to get to - especially from someone like myself who's passably good with tools but not even remotely experienced with cars.

    Yes, that's a battery

    First, I disconnected the battery because 1. electricity runs through the IACV and you need to reset it after cleaning it, and 2. I don't want to die.

    Darn black tube in my way
    Ah! Much better!
     Second, I had to take the top off the air filter and disconnect the intake manifold.  I tried for too long to disconnect the IACV without doing that, and I couldn't reach it. It's WAY too crowded and small back there. Taking that big black tube out of the way made it MUCH easier.

    Soiled shut

    Once I got it off, I easily saw how right I was about the etiology of my problem.

     I bought IACV cleaner from Autozone (although I've read that Carburetor cleaner would work fine .. don't know if there's even a difference) and this is what it looked like afterward (O-ring removed during cleaning so it wouldn't get damaged. Don't forget to put it back in!).

    After putting it back in, I almost didn't check the radiator fluid. The resevoir was almost dry, because of the lost fluid from the tubes that run through the IACV. Topped it off after another trip to Autozone, and it's idling at 750 RPM like a champ!

    The whole experience was awesome, because I realized I can fix a car without breaking it more, I saved tons of money, and it reminded me again how similar car repair is to surgery - without the malignant residency to go through...