Slightly Behind and to the Left (Conversation Pieces Book 26)

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Review "Die-hard Trekkers who should add a star will enjoy identifying scenes, characters and quotes. Chronicle Books March 27, Language: Related Video Shorts 0 Upload your video. They're back, and they didn't come all this way for nothing Share your thoughts with other customers. Write a customer review. There was a problem filtering reviews right now. Please try again later. This is hilarious, ingenious, funny, and the artwork is spot on for the characters. We also have the original Star Trek cat book.

Jenny Parks, if you ever read these reviews, my daughter and I plead with you to please, please please make a Star Trek "Voyager" cat book. Just in having these two we thought of ideas for a Voyager one. The Borg queen would have to be in it, along with the Vidians and the Hirogens, and maybe Naomi Wildman???? Not sure what cat breed, though. Voyager fans would understand. Anyway, if you love cats and Star Trek, you'll get a kick out of this. Great job and great idea! One person found this helpful. I don't write reviews very often, but this might be one of the best things I have ever bought in my life.

This book is absolutely adorable. Jenny Park's illustrations are amazing works of art. Its great fun thumbing through this book and seeing the episodes each panel is lifted from. If you are a cat and Star Trek lover, then this book is truly the "best of both worlds. If you love funny cats and Star Trek, this will make you really happy. It's a unique and creative idea with well drawn illustrations by a cat owner. I also recommend the TOS edition by this author even if you didn't watch that show. Your life, as it has been From this time forward Crazy for Star Trek and crazy for cats, so this was the perfect companion volume to the first one.

Artwork is first-rate and adaptations of famous story lines is a blast from the past!

Slightly Behind And To The Left: Four Stories And Three Drabbles

This book is a great read for cat lovers and Science Fiction fans in one. The illustrations are great and reference several Star Trek: The Next Generation episodes with feline humor. I would highly recommend it to cat-loving Star Trek fans.

See all 26 reviews. See all customer images. Most recent customer reviews. Published 20 days ago. Bob Hovorka rated it it was ok Jan 26, Kyle marked it as to-read Mar 09, Calamity marked it as to-read Mar 09, Mohamed marked it as to-read Mar 09, Ching-In marked it as to-read Apr 02, Ryan marked it as to-read Jun 04, Kristina added it Jan 07, Jennifer marked it as to-read Jan 07, Misty marked it as to-read Jan 07, Cascata Nerina added it Jan 07, Yuan marked it as to-read Jan 07, Rhiannon Floyd marked it as to-read Jan 07, Sarah marked it as to-read Jan 07, Sam Sobelman marked it as to-read Jan 07, Darcy Goshorn marked it as to-read Jan 07, Jerome Tapier marked it as to-read Jan 08, Tyler Lutz marked it as to-read Jan 09, Gregory marked it as to-read Jan 09, Kj marked it as to-read Jan 09, Sian Jones marked it as to-read Jan 10, Dvesha marked it as to-read Jan 11, Mitchell marked it as to-read Jan 11, Richard marked it as to-read Jan 16, Kogiopsis marked it as to-read Jan 22, Cori marked it as to-read Feb 15, Rob marked it as to-read Feb 18, Leslie Working for the Mandroid marked it as to-read Mar 01, Joshua Alvarez added it Mar 12, Veronica marked it as to-read Mar 30, That is a tremendous power.

And the ways in which we see that just the payment incentives alone dramatically affect whether my tendency is to give you overtreatment in certain situations and undertreatment in others, is a reflection of our failure to follow through on being able to deal with the variability in that, and how we use that asymmetry of information. A lot of critics have charged that to get a new drug through the FDA, it takes too many years and too much money, and that somehow the process should be liberalized. Do you agree or disagree? In the s, we had no real FDA, and you had the opportunity to put out, to innovate in all kinds of ways, and that innovation capability gave us modern cardiac surgery and gave us steroids and antibiotics, but it also gave us frontal lobotomies , and it gave us the Tuskegee experiment and a variety of other things.

I think a lot of lessons about when the HIV community became involved in the FDA process to drive approaches that smoothed and sped up the decision-making process, and also got the public enough involved to be able to say. People are trying to treat the FDA process as a technical issue. But the bigger risks seem pretty invisible. The way to think about it, though, is that we have a certain speed with which we have accelerated passage through the FDA.

We are doing surveillance afterwards, and then finding that the approval process leads to drugs being withdrawn from the market. On the whole though, I think we have decided to trade. The worst of all worlds is, speed drugs through and then close our eyes to what harm is being done after the drug has hit the market. And that, of course, is where all of the incentives are from the drug-maker point of view. New surgical procedures, should the FDA have a greater ability to regulate them than it has right now?

One of the really interesting things is that basically surgical procedures are not easily protocolized. So I, as a surgeon, can kind of do whatever operation I deem appropriate. The challenge is that, in a certain sense, operations are crafted for each person, and so the devices you use and the drugs you use are highly regulated, but the procedures you use are not.

Star Trek: The Next Generation Cats: Jenny Parks: leondumoulin.nl: Books

However, I do think it makes sense for the organization to be held accountable for tracking what kinds of outcomes people have for procedures. So the part that gets to me is that, for a given procedure, proven procedures, we have at least percent variability in the outcomes, depending on the institution you go to. It is primarily a function of the institution, not the individual surgeon. And we have no tracking, virtually no tracking, certainly no transparency, about what those outcomes are and what the factors are going into them. He might have been overrated at one point, but now he is significantly underrated.

Songs in the Key of Life? What I might go to is going back to that era. So Songs in the Key of Life , I would say, bring that back.


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What do you think? Where is he now? I would say he might be. I say this as someone who was totally inspired by Michael Crichton. The fact that he graduated from medical school, and then a year into his residency, left to do everything from directing movies like Coma to writing The Great Train Robbery , and then onward to Jurassic Park.

But as a kind of influence on medical writing and on writing writ large, I think that his power is waning. His power is now. Sphere is my favorite book of his. He was also a brilliant art collector. He bought a lot of Jasper Johns before other people. And that was a brainchild of Michael Crichton.

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The idea of nudge. You could not get to massive reductions in deaths in surgery or childbirth or massive improvements in end-of-life outcomes based on just those behavioral science insights alone. What we see right now are wearables that might, say, track your heart rate and catch variations in your EKG and so on. What the problem is, is that the wearables have not been able to be integrated into the practice of medicine in a really critical way.

Our team here is actually deploying a version of a wearable, which is turning on the sensors in your phone to track patients after surgery, to see whether we can define how long their recovery pathway is, how long before they are back in their normal sleep habits, or back mobilized and moving around much more. I think that ability to have knowledge of the well-being of people that goes beyond whether you had a complication or a death.

Success of what we do for people can be enormously improved followed by wearables. And then that creates these incredible learning loops, where we can maximize those right-now-invisible indications of the outcomes of care. But I feel like Elena Ferrante is an example of someone who was doing much the same—deeply mining the territory of somebody over a history of time—but managed to do it by fixing them in a place and a time and a history, and a dramatic change in social conditions, and everything else that took it to this whole another level in my mind.

What makes you weep? What makes me weep? What invariably makes me weep is when. The movie Bliss , this Australian film based on Peter. Did Oscar and Lucinda.


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Has this moment where the man is in love with a woman and plants the seeds of a forest. And it takes the next decade or more before she realized this thing he built out of love, and it grew. And that was just extraordinary, and of course made me bawl like a baby. Then this coming week will be our surgery graduation.

And they will tell the story. They each get 15, 20 minutes of time to tell their story of what they have gone through. And it always makes me cry because that ability we have to commit ourselves to something larger than ourselves over a long period of time, not knowing whether it will turn out the way you think it will—that is, I think, the most incredible thing that human beings do.

Is there any way in which you feel this—what you describe as your weakness—is actually your strength? I chose surgery, and I wrote in the passage you might be reflecting on that I chose surgery, in part, because I was drawn to the character of people who had that kind of decisiveness, took action when inaction was the worst thing, and then lived with the consequences. Took responsibility for whatever happened, learned from it, and then brought it to the next time.

So are you a good healthcare patient? What do you do wrong? I think the interesting thing about doctors is that they do tend to not micromanage their doctors very much. How has it gone? And that that number has skyrocketed, that is unconscionable and a fundamental error and failure. There were a variety of things that we sought not to punish people for being married, that we sought to not punish people for working, the shift to the earned income tax credit.

So the welfare failure that is my great concern is the number of people that are subsisting on horrendously little. But the value of taking away the things that were punishing people for moving in the right direction still feels like an important agenda. There are many smart people in medicine, in surgery, in writing books—for that matter, in writing medical books.

What would you say is the Atul Gawande production function? I asked Raj Chetty this. I get enough sleep. Like saying yes to this podcast? Yeah, sometimes, I guess. We will have to test that question over time. We want people two years from now to still consider the content fresh.

Could you tell us just very briefly what is Ariadne? Well, it stems out of the recognition that we. It is a center for health system innovation. How does it fit into the universe? We have people come here from all of the different hospitals in the area, from the business school, from the School of Public Health, from economics department, and then really built it as a place to enable capabilities to do large experiments. Like the experiment we just finished with the state of South Carolina: And we got a program that successfully got 40 percent of the population through adoption, lowered the death rate 22 percent.