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The important question isn't how to keep bad physicians from harming patient; it's how to keep good physicians from harming patients. Medical malpractice suits are a remarkably ineffective remedy. (In reference to a Harvard Medical Practice Study)... fewer than 2 percent of the patients who had received substandard care ever filed suit. Conversely, only a small minority among patients who did sue had in fact been victims of negligent care. And a patient's likelihood of winning a suit depended primarily on how poor his or her outcome was, regardless of whether that outcome was caused by disease or unavoidable risks of care. The deeper problem with medical malpractice is that by demonizing errors they prevent doctors from acknowledging & discussing them publicly. The tort system makes adversaries of patient & physician, and pushes each other to offer a heavily slanted version of events. ↗
The Himalayas are the crowning achievement of the Indo-Australian plate. India in the Oligocene crashed head on into Tibet, hit so hard that it not only folded and buckled the plate boundaries but also plowed into the newly created Tibetan plateau and drove the Himalayas five and a half miles into the sky. The mountains are in some trouble. India has not stopped pushing them, and they are still going up. Their height and volume are already so great they are beginning to melt in their own self-generated radioactive heat. When the climbers in 1953 planted their flags on the highest mountain, they set them in snow over the skeletons of creatures that had lived in a warm clear ocean that India, moving north, blanked out. Possibly as much as 20,000 feet below the sea floor, the skeletal remains had turned into rock. This one fact is a treatise in itself on the movements of the surface of the earth. If by some fiat, I had to restrict all this writing to one sentence; this is the one I would choose: the summit of Mount Everest is marine limestone. ↗
Having to amuse myself during those earlier years, I read voraciously and widely. Mythic matter and folklore made up much of that reading—retellings of the old stories (Mallory, White, Briggs), anecdotal collections and historical investigations of the stories' backgrounds—and then I stumbled upon the Tolkien books which took me back to Lord Dunsany, William Morris, James Branch Cabell, E.R. Eddison, Mervyn Peake and the like. I was in heaven when Lin Carter began the Unicorn imprint for Ballantine and scoured the other publishers for similar good finds, delighting when I discovered someone like Thomas Burnett Swann, who still remains a favourite. This was before there was such a thing as a fantasy genre, when you'd be lucky to have one fantasy book published in a month, little say the hundreds per year we have now. I also found myself reading Robert E. Howard (the Cormac and Bran mac Morn books were my favourites), Lovecraft, Clark Ashton Smith and finally started reading science fiction after coming across Andre Norton's Huon of the Horn. That book wasn't sf, but when I went to read more by her, I discovered everything else was. So I tried a few and that led me to Clifford Simak, Roger Zelazny and any number of other fine sf writers. These days my reading tastes remain eclectic, as you might know if you've been following my monthly book review column in The Magazine of Fantasy & Science Fiction. I'm as likely to read Basil Johnston as Stephen King, Jeanette Winterson as Harlan Ellison, Barbara Kingsolver as Patricia McKillip, Andrew Vachss as Parke Godwin—in short, my criteria is that the book must be good; what publisher's slot it fits into makes absolutely no difference to me. ↗
My doggy ate my homework. He chewed it up," I said. But when I offered my excuse My teacher shook her head. I saw this wasn't going well. I didn't want to fail. Before she had a chance to talk, I added to the tale: "Before he ate, he took my work And tossed it in a pot. He simmered it with succotash Till it was piping hot. "He scrambled up my science notes With eggs and bacon strips, Along with sautéed spelling words And baked potato chips. "He then took my arithmetic And had it gently fried. He broiled both my book reports With pickles on the side. "He wore a doggy apron As he cooked a notebook stew. He barked when I objected. There was nothing I could do." "Did he wear a doggy chef hat?" My teacher gave a scowl. "He did," I said. "And taking it Would only make him growl." My teacher frowned, but then I said As quickly as I could, "He covered it with ketchup, And he said it tasted good." "A talking dog who likes to cook?" My teacher had a fit. She sent me to the office, And that is where I sit. I guess I made a big mistake In telling her all that. 'Cause I don't have a doggy. It was eaten by my cat. ↗
Yeye shifted in her seat as Roma stared down at her angrily. “There are inter-realm laws I must abide by, that the soul must abide by as well when it comes to an appointed manifestation. Whoever was in the world before can not go into the new world. That identity must be forsaken. It must—” “Forsaken or forgotten?” Roma barked. “Forsaken,” Yeye answered. “Unless you’re putting this soul into a blank state like that of a child, it can not be forgotten. It has to be forsaken. That’s the rule or you get no soul.” “So you’re telling me that this soul will remember but will never be able to be that person it was?” Roma asked. “I’m telling you a new memory must be formed with absolutely no reference to the previous.” “What the freak is that?” Roma asked, visibly agitated. “You can form new memories while holding on to preexisting ones.” Yeye stood. “Yes Roma, you’re right. But you can also form new memories while you are unable to access the previous ones.” “Such it would have a drive that belongs to it but would never be able to access or be forbidden to access it?” Roma asked. Yeye’s voice was low. “I’m afraid that’s the way it is going to have to be.” Roma shook his head vehemently. “Exactly which way is that Yeye. Exactly which way is that in common terms?” Yeye spoke in her most resolute tone yet. “You will never be able to know whether or not this soul is Mara.” Roma gained silence, breathing in and out rapidly. “We’re getting out of this damned Zharfar,” he said as he stormed out. ↗
They knew where they were headed but they didn’t know where they were going. Retina shrugged the thought. Roma complained about the possibility they were walking into a trap. After all, he was one of the scientists that decided Solstice’s fate. Retina was adamant no one knew him. Lorenzo didn’t care about anything much but reaching Zharfar after Retina surgically removed his Unicell Groper. They were headed to Africa in what seemed a semi commercial private plane. Eight people including the pilots travelled. They weren’t supposed to know any more particulars. But Lorenzo’s watch placed the coordinates in both numbers and words. They were in West Africa, country Nigeria, state Osun, and township Isura. None of them had ever heard of it, the town, but they were there. And they had travelled for miles, over highly forested nonresidential areas and mountain peaks before they stopped. Wherever they were going was greatly isolated, Roma thought. ↗
Modern scientific culture has evolved from its roots in the ancient world and has become a complex web of many highly specialized disciplines. Gone are the days when one man, such as the seventeeth-century Robert Hooke, could be a groundbreaking inventor, microscopist, physicist, surveyor, astronomer, biologist and even artist. Today the sheer enormity of available information has led to highly defined specialisms, and academics are expected to keep to their field - despite the truism that science has no experts. [...] The gains from modern science are beyond counting. But the loss, arguably, is the synthesis of information generated by the many gentleman scholars that once existed, before becoming extinct somewhere around hte late nineteenth century. So few scholars now have a chance to view the bigger picture - to seek out patterns that might unexpectedly exist when apparently unrelated data is brought together. It has to be remembered that the difference between a major breakthrough and nothing at all can be just the angle of view rather than anything else. ↗
Некоторые критики ошибочно считают, что «Эгоистичный ген» проповедует эгоизм как нравственный принцип, которого мы должны придерживаться в жизни! Другие (возможно, потому, что они прочитали только заглавие книги или не пошли дальше первых двух страниц) полагают, что по моему мнению эгоизм и другие скверные черты характера составляют неотъемлемую часть человеческой природы, нравится нам это или нет. В эту ошибку легко впасть, если вы считаете, как, по-видимому, полагают непостижимым образом многие другие люди, что генетическая «детерминированность» дана нам навсегда, что она абсолютна и необратима. На самом же деле гены «детерминируют» поведение лишь в статистическом смысле (см. также с. 44–47). Хорошей аналогией этому служит широко распространенное мнение, что красный закат обещает ясную погоду на следующий день. Возможно, что по статистике красный закат действительно предвещает великолепную погоду назавтра, но никто не станет заключать об этом пари на крупную сумму. Мы прекрасно знаем, что на погоду действует множество факторов и притом очень сложными путями. Любое предсказание погоды подвержено ошибкам. Это всего лишь предсказание, опирающееся на статистику. Мы не считаем, что красные закаты бесспорно определяют хорошую погоду назавтра и точно так же мы не должны считать гены окончательными детерминантами чего бы то ни было. Нет никаких причин, чтобы влияние генов нельзя было повернуть в противоположную сторону с помощью других воздействий. ↗
The stream of Time, irresistible, ever moving, carries off and bears away all things that come to birth and plunges them into utter darkness, both deeds of no account and deeds which are mighty and worthy of commemoration; as the playwright [Sophocles] says, it 'brings to light that which was unseen and shrouds from us that which was manifest.' Nevertheless, the science of History is a great bulwark against this stream of Time; in a way it checks this irresistible flood, it holds in a tight grasp whatever it can seize floating on the surface and will not allow it to slip away into the depths of Oblivion. ...I, having realized the effects wrought by Time, desire now by means of my writings to give an account of my father's deeds, which do not deserve to be consigned to Forgetfulness nor to be swept away on the flood of Time into an ocean of Non-Remembrance; I wish to recall everything.... ↗
