Word: subs
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...health to Africa's politics and economies, there are decisive moments of tangible gain or dangerous relapse. The presidential election in Nigeria on April 21 is such a breath-holding moment. Africa's scorecard is finely balanced. Its 53 countries are overwhelmingly democratic, and the economic growth rate of sub-Saharan Africa remained above 5% last year. Ghana has just celebrated 50 years of independence and is prospering. Last year's elections in Congo went better than most people dared hope. A new peace deal has been brokered in the Ivory Coast. But there are also serious negatives: conflict between...
...offer meaningful insight into Stone’s psyche. It leaves this reviewer with two main complaints: the ballads and the lyrics. “Bruised But Not Broken” is the only of the ballads that does Stone’s voice justice. The lyrics are sub-par (“Love ripped me up and tore me down / But baby that ain’t enough to break me”), but the apparent sincerity of the sentiment makes the ballad seem less trite than most of its type. The other ballads, though, are markedly worse...
...from a cancer. It's usually not that hard, though. The great bulk of patient visits are for really simple things - questions that a reasonably bright resident would get right. Most pneumonias, for example, are pretty easy to treat; the internist should have no trouble doing it himself. But sub-specialization is the trend.The reasons for this are tied up in ego, education and mostly economics...
...trend to specialize and now sub-specialize ("He only does knees") is playing havoc with emergency medicine, too. How can a neurosurgeon who "only does back surgery" be on call to treat head trauma in an emergency department? General surgeons, right now, are a dying breed; their residency programs have failed to fill for the past few years. As the specialists narrow down and lose competence in their "parent" fields, they will necessarily leave certain patients without needed, basic care. It's a serious problem that calls for a nationwide strategy...
...field is putting it all together and getting a happy human being out of one who came in disturbed by a problem. Keeping up one's interest level in treating only a narrow patient population can be a challenge. I do mostly shoulders (that's my sub-specialty), but also hands, knees, hips, various fractures, a few feet and, unavoidably, some backaches. Despite the backaches, general orthopedists are pretty lucky still to be able to have this run of the body. I couldn't imagine just putting in 10 total knees a week, 49 weeks a year, until they carried...