Quotulatiousness

November 24, 2013

A life reconstructed

Filed under: Health, Science — Tags: , , , — Nicholas @ 12:28

In the New York Times, Mary Lou Jepson talks about the near-total loss and recovery of her life:

In my early 30s, for a few months, I altered my body chemistry and hormones so that I was closer to a man in his early 20s. I was blown away by how dramatically my thoughts changed. I was angry almost all the time, thought about sex constantly, and assumed I was the smartest person in the entire world. Over the years I had met guys rather like this.

I was not experimenting with hormone levels out of idle curiosity or in some kind of quirky science experiment. I was on hormone treatments because I’d had a tumor removed along with part of my pituitary gland, which makes key hormones the body needs to function.

[…]

In my experience it can be difficult to find a doctor to help a patient do this. I believe it is only partly because of the shortage of endocrinologists, doctors who specialize in the hormonal systems. Some doctors seemed not to believe that every hormone mattered. How many other patients like me have failed to find their ideal balance of medications?

There is evidence that careful tuning of these hormones can lead to dramatic personal and professional outcomes. Doctors and patients should consider replacement of every known hormone that is missing. New neurochemicals are identified by researchers every few years and should be studied as possible additions to the mix.

And access to these medications should not be hindered. As it stands today, some of the hormones I need daily to stay alive and to thrive can be, and frequently have been, blocked at the whim or neglect of a doctor’s office, insurance company or pharmacy. And still, 18 years after my surgery and despite great advances in endocrinal science, I need to fight to get them.

Disputes between organizations on whether prescriptions, test results or proper forms were transmitted or not. Communication breakdowns. A Kafka-esque nightmare of constantly needing another approval. It can take weeks to be notified of a rejection.

H/T to Tim O’Reilly for the link:

QotD: Failure is always an option

Filed under: Quotations, Technology — Tags: , , — Nicholas @ 11:59

The idea that “failure is not an option” is a fantasy version of how non-engineers should motivate engineers. That sentiment was invented by a screenwriter, riffing on an after-the-fact observation about Apollo 13; no one said it at the time. (If you ever say it, wash your mouth out with soap. If anyone ever says it to you, run.) Even NASA’s vaunted moonshot, so often referred to as the best of government innovation, tested with dozens of unmanned missions first, several of which failed outright.

Failure is always an option. Engineers work as hard as they do because they understand the risk of failure. And for anything it might have meant in its screenplay version, here that sentiment means the opposite; the unnamed executives were saying “Addressing the possibility of failure is not an option.”

Clay Shirky, Healthcare.gov and the Gulf Between Planning and Reality”, Shirky.com, 2013-11-19

Jim Souhan welcomes Packer Nation back to reality

Filed under: Football — Tags: , , — Nicholas @ 11:05

One of the most remarkable things about the Green Bay Packers is how long in their recent team history they’ve had a top-flight quarterback to depend on. Unlike more mortal teams like the Vikings (or Bears, or Lions, or …), Packer fans aren’t used to the notion of uncertainty at the most important position in the game of football. After Aaron Rodgers was injured, Packer fans suddenly had to discover what it’s like being a fan of a team without a superstar under centre:

Not all Packers starting quarterbacks were named Starr, Favre or Rodgers. You could look it up.

There was a time, children, when Packer Nation not only wasn’t called Packer Nation, because nobody back then conferred statehood on people because they wore the same-colored hoodies, but also because it was embarrassing to admit you followed a team that called Randy Wright its starting quarterback for an entire season.

Bart Starr started at least one game at quarterback every season for the Packers from 1956 through 1971. Favre became the NFL’s most admirable iron man from 1992 through 2007 before beginning his Sojourn of Revenge. Aaron Rodgers pried Favre’s cold, live digits off the baton in 2008 and, until suffering an injury on Nov. 4, didn’t require a backup, much like Starr and Favre.

In the three weeks since Rodgers’ injury, the Packers have been reminded what it’s like to hold open tryouts at the most important position in sports. They have learned what it’s like to be the modern Vikings — and the Packers of 1971-1992.

This is how shoddy the Packers’ quarterback play was in their Dark Years: In 1989, Packer Province believed a mullet-headed unknown named Don Majkowski was a savior.

The Pack won the Super Bowl following the 1967 season. They would not win another postseason game until Favre took them to the conference title game in 1995. Between the tenures of Starr and Favre, the Packers would win 10 games in a season only twice.

Scott Hunter quarterbacked them to a 10-4 record in 1972. Majkowski led them to a 10-6 record in 1989.

Before Majkowski arrived, the Packers existed only as a vehicle through which to celebrate the ghost of Vince Lombardi. Lambeau Field, now a manicured shrine, was nothing but a dump. The team actually played some of its regular-season games at decrepit Milwaukee County Stadium.

Update: 1500ESPN‘s Andrew Krammer illustrates the difference at quarterback between the Packers and the Vikings:

The next chapter in the Minnesota Vikings-Green Bay Packers rivalry will be the first since 1992 that doesn’t feature either quarterbacks Brett Favre or Aaron Rodgers in green and gold.

Quarterback Christian Ponder will start his sixth consecutive regular season Vikings-Packers contest since being drafted in 2011, but is the 14th Vikings’ quarterback since 1992 to do so.

What appeared to be another uphill battle at Lambeau Field suddenly became a winnable game with Rodgers on the sideline. Running back Adrian Peterson vows he will play again through an injured groin, much like he did to the tune of 65 rushing yards last week at Seattle.

Peterson racked up more than 500 rushing yards against the Packers in three games last year and will need some of the same magic to overcome Ponder’s deficiencies. The Vikings gave Ponder his fifth consecutive start this week over Matt Cassel and Josh Freeman despite his 1-6 record this season. Ponder’s also accounted for 13 of the team’s 22 turnovers and threw back-to-back fourth-quarter interceptions before his benching last week.

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