HAPPY TO BE HOME.


The sound of music off in the distance was a gentle reminder of where I was waking up. I was back in my childhood bedroom and the day had started. The heavy drum line of the music was just what I needed to rouse me from a great night. The cool Sunday morning did not disappoint. I looked out the window and saw in the distance the rising sun just above the Caribbean Sea. The sounds of sound birds flavored the air with joy and anticipation. I opened the window and my ears were treated to the full cacophony of morning time in the countryside. My nose was filled with the smell of Sunday morning in rural Jamaica. I filled my lungs and remembered. I was transported back decades to my childhood. I could almost smell the wood fire and the roasted breadfruit. The scent of sauteed salt-fish and boiled ackee. The slight sharpness of the scotch bonnet pepper just above the scent of salt-fish.

The sun rose more quickly than I wanted it to and I could feel the heat. The birds started to disperse and the smell of food grew stronger. The aroma of cocoa tea made me smile and reminded me of all the advantages of growing up in a rural farming community. The music off in the distance diminished and the chatter of farmers taking out life stock became the background. The bleat of goats and the moo of cows off in the distance. I was happy to be home. Missing some of the conveniences of the big city was worth it. I loved my rural up-bringing and would not trade it for anything in the world.

WAKE THE FUCK UP AMERICA!


As a parent I want the best for my children. I want them to achieve more than I have. I want them to be fully equipped to take on the challenges ahead. The only lasting thing I can give them is an opportunity to get an education. The education they get will determine their ability to make a living and be productive citizens. Their education will help them avoid the pervasive scams in our society. The education I fight for them to attain will improve their ability to survive. I will continue to fight for their right to be given a competitive education. As such, I am proud to support the goals of common core. It seems I am among the minority of persons who believe that common core is a good thing for the American K-12 system.

The continued attempts to disparage the goals set reflects a fundamental misunderstanding of what education means. It is a reflection of how urgent the need for better education is. The problem is that most Americans know enough to complaint but not enough to assist in the fix. We are a very poorly educated society in spite of the graduated masses. We are a society that prefers quick answers rather than long processes. The truth is that getting the correct answer is less important that understanding how you arrive at it. Every time I see a story decrying the ills of common core I see another example of a parent or teacher who lacks the fundamental understanding of what education means. Our education is lacking and we cannot compete, but we want to go back to the old ways. The old ways have not worked. The old ways have created people who oppose change not because the change is bad, but because they are so poorly educated they do not understand the change.

 
Someone suggested to me a novel solution. The parents who do not want their children learning in the common core “way” should be allowed to go to their own schools and the rest of us learn a common core based education. That sounds great to me, but the truth is that the educated will continue to suffer at the hands of the stupid. Do not be stupid and destroy your kids ability to compete. If you want to disadvantage your child let me thank you now. Thanks for removing my childs competition.

Can we please wake the fuck up America.

WE ARE WITHOUT SANCTUARY.


I am happy to be living in a country that affords me the opportunity to succeed. As a parent I am happy that my children will have more opportunities open to them than I did. My job is to guide them into success. As I look around America I am worried for my children in spite of all the opportunity that exists. The recent string of killings of men and women of color has helped to refocus my attention on the details. I, like many people of color in this great country have been lolled into a false sense of achievement. Worst is that we have allowed the wider society to accept the fallacy that racial justice as arrived. We have failed in teaching our children the important details.

As a parent of girls of color I have focused on making sure they are confident and well-educated, that is not enough. Over the last few months I have had to re-evaluate everything I have come to believe about equity in America. The history of people of color in this country is one of brutality and subjugation. There has not been enough change in our situation. In the last several month several studies have shown the depth and pervasiveness of our disenfranchisement. Our girls are 6 times more likely to be harshly punished in school compared to white girls. Americans of African heritage with master degrees are paid the same as whites with bachelors degrees and even doctors of African heritage are paid about 10 % less than similarly educated white doctors. Why is this so? I have come a conclusion, that question is not relevant. It is not relevant because those in power do not care to fix the problem. I have given up on the idea of equity in my country. The continued inequity makes me angry and concerns me for the future of my girls. I am angry but I will not be deceived into violence. Protesting does no good. Voting does almost as little.

So, in my quest to find a better answer I have looked around and think I have found the only viable route in the Jewish experience of World War 2. No one is allowed to forget the Jewish Holocaust and so too no one should be allowed to forget American Slavery and Jim Crow. The end of the Jewish Holocaust is celebrated but the brutality of it is what is referenced most often. This is what we all are reminded of daily. As people of color we need to teach our children about the brutality of the American enslavement of out ancestors and the continued brutality of Jim Crow America and the current discrimination. We need to have them understand that the current celebration of Martin Luther King Jr is fake and serves only to assuage the guilty. It is not a sign of contrition, it is hollow and designed to distract from the ever-present and pervasive discrimination against people of color. Our children need to know about the Martin Luther King Jr struggle before they can appreciated his success. They need to know and see the pictures of America brutality to their ancestors. They need to know the name Emmet Louis TIll along with Martin Luther King Jr. The goal is not anger, it is empowerment. Our children need to understand that things have changed and that we have many opportunities, but they also need to understand that they need to succeed in spite of the many race based road blocks. They need to succeed to honor their ancestors.

Violence is not the answer, it is only a way to continue to enslave us in the prison complex which is designed to strip us of the rights our ancestor died to attain. Our children need to understand the context of their lives in this land of opportunity. We need them to take the opportunities and make progress while making sure no one forgets the brutal treatment of our ancestors. We should honor our ancestors for their willingness to stand up for their rights and we should build on their success by taking the opportunities available and making the most of them. We know that we will not be treated fairly nor paid equitably because this is the current state of America. There is no real hope of progress beyond the eventual death of the merchants of death. As parents of children of color we need to prepare them to survive and thrive until that day of Martin Luther King Jr’s dream arrives. Don’t get violent, get angry and achieve.

AMERICAN SWEAT SHOP.


There is a curse that inhabits the American work place. We have become slaves to profitability and not to best outcomes. The primacy of profits has led us to misunderstand the nature of work and the importance of worker satisfaction. Making ever-increasing profits is the goal but how we get there makes a difference. Some employers have lost their focus. Sustained profitability is about worker satisfaction. In many fields lip service is paid to the worker, while they are trapped under inhumane work conditions. Fortunately work conditions in the developed world are better than they were. However, we still have a way to go before we can claim victory over poor working conditions. The severity of the impact of poor conditions is dependent on your industry. In health care the impact can be life threatening.

Our culture for too long as valued hard work over smart work. We seem to believe that the worker that workers longer hours is more noble and deserving of praise. This misplaced praise has led to continued poor choices and has led to the misery and burn out of the American middle class. The depth of the problem continues to go unnoticed and unacknowledged. Poor outcomes continue to be placed at the feet of poor training and individuals are blamed. I too have a tendency to blame the individual. The truth is that sometimes the individual is to be blamed, but we too often neglect to evaluated the conditions under which mistakes are made. The systems under which most of us work are archaic, inefficient and are undermining our ability to be the best we can be.

I will be attacked for my stand but the truth needs be told. I love my work because it gives me the opportunity to help my fellow humans at a time when they are most in need. From my limited experience that help is best delivered when I am well rested. Some may consider me weak for insisting that adequate rest is required for best productivity and patient safety. I, however, would rather follow the evidence that suggests that efficiency and safety are best attained with a well rested and optimally trained work force. The conditions of many operating rooms where staff can work full daytime shift and take overnight call then work a full day shift is putting our patients at risk.

The unfortunate problem is that when a staff member makes a mistake that harms a patient she alone is blamed. The idea that she needs to take personal responsibility for her mistake is commendable , but essentially is a cop-out. Her bosses are just as culpable, because they have put in place a system that does not allow her to work at her best. The continued scapegoating of individuals is a sickness in our system that needs to be driven into the grave. Our success is dependent on the balance and efficiency of the systems we construct. Spending money on technology is commendable and necessary but alone will not improve patient outcomes.

Better pay is a great place to start, but is a poor quality band-aid when one works under mentally oppressive conditions. Improving the system starts by focusing on the best assets of the system. Our human capital is our best asset and must be treated as such. We are not robots, we are better. We may not be able to work as long hours and we get bored easily; but until robots can think intuitively and problem solve on the fly we will continue to be the best part of the workflow equation. Functioning at maximum efficiency must be out foremost goal. For humans to be focused and efficient we must have adequate rest and distraction. If we would focus on those areas many of our problems would be resolved without the need for expensive investments in equipment.

Let us invest in our best and most productive assets, our people.

LOVE ALL EQUALLY


There is a continuing fight all over the world today. It is mental, intellectual and physical. I’m not talking about terrorism in its State and Non-State forms. I’m talking about the continuing fight for equality and civil rights. This fight is getting simultaneously easier and harder. The right to embrace our individual sexual orientation is to me a basic human right that is worth defending. Although homosexuality has gained much wider acknowledgment and in many countries is no longer a sentence to death or deprivation, there is still much to do. The improved prospects have been won by hard intelligent work. As with any progress, only vigilance will maintain the momentum and keep our society honest. Many will disagree but I will continue to wholeheartedly support the equal rights of all in our society.

The deprivation of rights from any member of our Society makes us all less free. Fortunately the fight for the future is already won because a much maligned generation, generation Y, has fully embraced equality. The continuing battle is to define a clear and open future for those who are unfortunately living under less equitable systems. Many in our culture still have not gotten the “memo” but the momentum is not with them, this movement is irreversible. As irreversible as the general direction of progress is, there will be setbacks. These setbacks will be reminders of how far society as traveled.  I am proud to be living in an age where we are having the discussion about living up to the ideals of equality expressed in our constitutions. The march of progress is evident in the many same-sex couples that are out and open. I am proud and happy to take care of the same-sex couples in the hospital. Many are older and the acknowledgment of their decades old relationships is something that many wanted to see but never expected. They have all lived extraordinary lives because their love survived the ugliness of an intolerant society. Other groups can claim similar experiences and we should celebrate together the maturing of global culture.

As a young person growing up in a proudly homophobic society I saw many around that were different but never judged nor did I defend. I was confused by the incongruity that was religious society. On one hand extolling the love of Christ while also calling for the death and persecution of others. It was obvious to me that the love of Christ should extend to all his creatures, but that was not the a prevalent opinion. This divergence is still a puzzle to me. Older and not necessarily wiser I would not change the culture of my up bringing, but I say now with much confidence that we had it wrong. I never spoke openly about my opinion, but treated all around me equally. The truth is that there are people of varying orientations in the Church and our Father has directed us to love all equally.

BETTER WILL COME


The epidemic of morbid obesity engulfing the world is a testament to mankind’s greed and lack of insight. We continue to devour the planets resources without any close examination of the consequences. Some are so greedy that we think we should have a right to plunder without regard for the other creatures that share the planet with us. This gross lack of understanding of the ecosystem that we are apart is expressed as our expanding waist lines.

As we continue to grow later in number and individual size we complain about over crowding and stress. We complain about obesity associated diseases but still have giant food parties at work and home. We want what we want and will not change. This lack of insight to connect our greed with our continuing illness is continuing to kill us. We continue to teach our kids to eat empty calories and expect that they will grow into healthy adults. This gross lack of insight is a reflection of a society devoid of competent leaders.

The good news is that the upcoming generation will in fact have better insight because of the wasteland of a planet that our generation will leave them. I see the seeds already. They will not be burdened with the excess earns that leads to purchasing for purchasing sake. They will make better use of their resources and in doing so will rescue our sick planet from the brink of our self-imposed destruction.
I hope to live long enough to see concrete evidence, but I have seem enough to be hopeful.

One day the greedy self-centered industries that feed the obesity beast will be found out and regulated into oblivion. That day cannot come soon enough, but I will be patient because the patient shall inherit the earth.

WHAT IS YOUR AMERICAN DREAM?


Every July 4th I remind myself of the courage of the founders of my country. The beauty of the declaration of independence is in the broad inclusiveness of the sentiments expressed. The global equality of mankind as expressed is at the root of the American dream. However, the history of our country is littered with the carcasses of failed policies and leaders who have not lived up to the lofty expectations of that celebrated document. The 4th should be used as a time to refocus on the sentiments expressed. This land of immigrants is not about where you were born, but about what you believe in. It is about fairness, equity and the continuous match toward a more perfect union.

The dream of America is alive and prospering despite all the attempts to distract. Some have lost hope in the self-evident greatest of the American experiment. I am not one. For people of color the American experience is that of continued heart-break, but there runs a determined strain of hope that as continued to improve our lot in this union. I read the declaration of independence on the 4th to be reminded of the promise and the progress. This is a marathon not a sprint, and we dream of true equality as we march toward that goal. This is my American dream.

I have hope because I have to be hopeful. I have young children and I know that the world has changed for the better and that change will continue. Most importantly I know that the growth in American society is irreversible because my generation and the following have made it so. As the country ages those who express the old prejudices have been out numbered and embarrassed into submission. There will always be a few stubborn ones. There will always be some expressions of darkness, but the light of equity is here to say. Progress has been slow and inconsistent but it is here to stay.

The continuous expression of hope and growth is why I continue to love my America. American greatness is derived from the philosophy of her people. If you were born in this land or emigrated the dream is the same. We are a people buoyed by hope and the understanding that we can be the best and always expect to be.

What is your American dream?

MEASLES, REALLY?


The current rise in measles cases is a direct result of poor vaccination coverage. The current and pass trend in not vaccinating children is dishearten and threatens public health. How did we get from measles being almost completely eradicated to the highest numbers in decades? I want to suggest that this is emblematic of the poor scientific education of American society. We have allowed the principles and fundamental laws of nature to be undermined in the public discussion of societal problems.

The pervasive acceptance of the creation myth and the almost complete rejection of the pursuit of scientific knowledge is  at the root of the resurgence. The lack of understanding and rejection of the scientific method has led to a population that questions everything without the requisite background information.  Questions are healthy only when the questioner has a grasp of the context of the questions. We have lost our ability to objectively analyse the facts. The is not because the population is less intelligent that prior generations, but because we have had a 30 year campaign to undermine the foundations of scientific thinking. Scientific facts and precepts are attacked for economic reasons. The concerted and coordinated attacks have led to a wide-spread loss of societal scientific identity. We have lost our understanding of our place in the earth’s ecology. Instead of seeing our species as apart of the larger ecological system we have deluded ourselves into the belief that we are superior.

Many are under the miss-guided idea that creationism is an equal theory to evolution. This as lead to loss of understanding of the biology of life. Without a grasp of the facts of evolution an understanding of biologic life is not to be expected. The current concepts of biologic life are based on evolution and its essential component natural selection. Without a working understanding the general population is susceptible to the quacks that propagate the anti-science garbage that masquerade as alternative “scientific” theories. These vessels of idiocy need to be marginalized. They are the most dangerous threat to our society. Humanity will not be killed by global war or a rock from space. Humanity will be destroyed if we do not accept scientific facts and methods in our approach to the ecological system.  Science is the only route to understanding the physical world. We are a small part of a larger ecosystem. We are not essential to this system. If we do not understand that fact we will join the many other dead ends of evolution on our home planet.

Our ability to educate our people will determine over survival as a species. Let us drive the anti-science crowd from the places of power and consign them to the waste-bin of history.

HAPPY MOTHER’S DAY.


I am not big on holiday celebrations. Most holidays have degenerated into a shopping experience. However, like many others I have a special place in my heart for mother’s day. This year more than others I feel the pull of the celebrations. Being a mother is a tough job and the challenges are many. After 9 months physically attach to another human I am not sure how one can ever let go. The challenge of letting go is a skill that nature has had many opportunities to refine. I am glad that the tires that bind are stretched not broken.

I am very thankful for all the mothers in my life. All the mothers that took me in and made me the person I am. Looking back over my very short life I realize that the mother that carried me for 9 months was just the principal of a my “moms” committee. I had an exceptional committee and will continue to shout their praise from the mountain top.

Mothers are special people. Mothers are special woman. Mothers are those special woman who have and continue to lookout for your best interest in spite of yourself. They are the women in your life that have kept you going. They have kept you on the difficult path because they know that the fire of life creates strength for the ages. Mothers do not see genetics, they give love because we deserve it.

Mother’s day is an anti-climax. It is a let down. It is not sufficient to celebrate the depth of love I have for my mothers. In spite of the inadequacy of the day, I want to express a sentiment not said often enough. Mother I love you. Mother I love you because you have been and continue to be my safe resting place. Thanks for the love and the pain. Thanks for the joy and let down. Thanks for the commitment to a better me. Thanks, because you have been my champion and I will continue to be yours.

Happy mothers day.

ENJOY YOUR EASTER.


Often life gets in the way of living and we get carried away with the emotional. The beauty is in the living not in the life. Our experiences are the sum total and the after life is irrelevant. That view of life is much disputed, but it is my view. The constant attempt of the religious to guilt us into prescribed behaviors is admirable only in that it has so thoroughly succeeded.

The complaints that will spring from my expression of this opinion is so perfectly conjured, by the religious, as to make even the most noncommittal give credit to those views. The oddity is that the same people who believe in the absolute power of scientific evidence in the care of patients ignore the validity of those rules to justify their beliefs.

As I tell the story I lost my religion in the sixth grade when a teacher seeing I was bored gave me a book about the solar system. Not far into reading about our tiny part of the universe the story of creation as proclaimed by Genesis lost all meaning. As a 9-year-old I was not sure about what I was reading, but the seeds were planted.

Those seeds grew into my love of science and evidence. I will allow you your belief structure as long as you do not attempt to guilt  me into compliance with your view of the universe. I will acknowledge the evidence and your freedom to do otherwise. I am comfortable with the knowledge that I am not in control of the universe. I am comfortable that your religious convictions do not give you any more understanding of the universe.

Religion is about ignoring the uncertainty and providing platitudes to explain the unexplained. I will stand with the evidence and follow it where it leads. I can live with the uncertainty and strive to find the evidence to answer the important questions.  Because I am looking for evidence does not make me any less of a person than you are. It makes me less ideological.

Enjoy your Easter, while I continue to look for the evidence.