Addressing the antibiotics crisis

Antibiotics are overused in many countries, including the U.S., in part because patients insist on them even when they have an illness, such as a viral illness, that can’t be helped by antibiotics. Doctors sometimes justify this to themselves as a “prophylactic,” a way to prevent an opportunistic bacterial infection, but infectious disease experts suggest that’s often questionable.

Another problem is the widespread routine use of antibiotics in animal feed. This isn’t being done to treat or even to prevent disease but rather as a way to speed animal growth an reduce time to market, which for obvious reasons increases profits. It does appear to work, though it’s not clear how. Farmers also usually pay far less for antibiotics than human patients do.

This is a problem because the more antibiotics are used, the more antibiotic bacteria develop, which means that if you contract a bacterial infection, it’s more and more likely antibiotics won’t help you.

Three things people can do to help are

Ask doctors if they really need an antibiotic prescription. I’m glad to say that public health officials here in North Carolina have been running public service announcements on television to encourage people to do this. (Away from our governor’s office and legislature, our state government still has pockets of relative sanity.)

If you do take an antibiotic, be sure to take the full prescription even after you start feeling better. That’s both to ensure you don’t have a relapse and to reduce the likelihood that you’ll develop resistant strains of the bacteria in question.

When you buy meat or dairy products, do your best to avoid any treated with antibiotics. More and more often meat that hasn’t been treated is so labeled.

Here’s the latest episode of Health Care Triage on the same subject:


Link: https://youtu.be/uDxQT1MRwhk



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Tap dancing for everybody

An 85-year-old man going to get his taxes done happened to see a dance studio in the same building. He had for decades dreamed of taking tap dancing lessons, and despite the fact that he was a bit unsteady on his feet, he decided to ask about it.

One of the instructors came up with a safe way to teach him, and he’s been enjoying it. Now the dance studio has branched out to offer classes at an assisted living center.



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Dog territory

Alvaro Saumet and Lya Battle are a married couple who operate a large no-kill shelter for hundreds of stray dogs in Costa Rica. It’s called Territorio de Zaguates (roughly “Land of Mongrels”) where the dogs are spayed or neutered, given names, food, and shelter, and in most cases allowed to run around outside across a large area. It’s funded by donations and run by volunteers.

My favorite thing about the place is that every dog there belongs to a named breed, even if it’s the only known member of that breed. The idea is that some people have the mistaken notion that “pure bred” dogs are somehow superior to dogs of mixed breed. In fact, the the opposite is more likely to be true.

That’s especially the case with dogs bred to an arbitrary “breed standard” or in order to achieve a particular trait. For example, dogs bred to have very short snouts, such as bulldogs, pugs, Pekingese, and Boston terriers, often have serious respiratory problems. Racing greyhounds, routinely inbred for speed, frequently suffer from osteosarcoma in middle age. (I’ve known several adopted greyhounds who died from it.) This isn’t to say name-brand dogs are all sickly, only that there’s no reason to think they’re necessarily “better.”

Territorio de Zaguates has identified such rare breeds as Alaskan Collie Fluffyterrier or Fire-tailed Border Cocker. After they adopted the policy in 2013 with attendant publicity, the number of adoptions shot up 1400 percent.

Speaking of adoptions, they prefer to allow prospective adopting humans to come to the place and hike around the property to see what dogs seem to like them. That is, the dogs pick the humans rather than the other way around. Or, I suppose, it’s mutual, as with finding potential mates by attending balls in a Jane Austen novel.

Caso: Territorio de Zaguates from GARNIER BBDO on Vimeo.

You can donate to Territorio de Zaguates via this Treeseed page. For more information, see these links:



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Review: Wild Target (2010 movie)

Emily Blunt’s character is amoral and manipulative but also rather naïve, so much so that when she sells bad guy Rupert Everett a fake Rembrandt for £900,000, she doesn’t anticipate his getting upset with her.

Billy Nighy is an elite professional killer, possibly the best in the world, who leads a solitary life and is unknown, except by reputation, even to those who hire him. That includes Everett, who contracts with him to kill Blunt.

Nighy fully intends to carry out the contract, but as he stalks her he observes her casual, cheerful, almost non-stop thievery, not to mention her attractiveness, and he becomes fascinated. When someone else tries to kill her, Nighy impulsively becomes her protector.

He acquires an apprentice as well, innocent bystander Rupert Grint (Ron Weasley in the Harry Potter films), who comes to his aid by accident. The three of them end up hiding out together from the vengeance-seeking Everett, who now wants them all dead and has hired Britain’s second-best hit man, Martin Freeman (Bilbo in The Hobbit, Watson in Sherlock).

This is a very, very dark comedy about people who are, excepting Grint, varying degrees of evil, but it’s also frequently quite funny.


Link: https://youtu.be/PmS3ePcA6VU



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Why is U.S. healthcare so expensive?

Here in the U.S. we spend about the same percentage of the gross domestic product on Medicare alone as other advanced countries spend on all healthcare put together, from all sources — government, private insurance, and out-of-pocket spending by patients. Why do we spend so much to get outcomes that are pretty much average?

People on the political right tend to blame the government, lack of market competition, or more recently “Obamacare” (or just plain Obama), even though costs have actually risen more slowly since the Affordable Care Act was passed. Meanwhile, people on the left blame high profits for insurance companies and high salaries for their executives, plus high administrative costs, but in reality that’s at most a fraction of the problem. It’s in fact a complicated combination of things.

The following ten-minute episode of Crash Course Economics talks about this, and while you can certainly quibble about it (and what’s up with those stupid flashing borders around the stock photos?), on the whole it’s pretty informative.


Link: https://youtu.be/cbBKoyjFLUY



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John Oliver on new abortion laws

Here’s yet another piece from John Oliver, this one from February but with content that’s very much still relevant. As usual, Oliver somehow manages to be entertaining while offering up a lot of valuable information on a very serious subject.

Obviously, very obviously, there’s a spectrum of opinion about abortion. Most people are somewhere in the middle, but a lot have very strong views, and it’s unlikely we’ll achieve agreement anytime soon.

But whatever you or I or our neighbors might think, it’s worth understanding that a lot of new state laws have been passed in recent years to regulate abortion clinics, and despite claims that those laws are needed to protect women’s health, the fact is that they often do nothing of the sort and in some cases clearly harm women. The vast majority of pregnancies are ended in the first trimester (a high percentage, it might be noted, occurring naturally without any medical intervention), and a woman getting one faces very little risk of harm, even less than in many other routine medical procedures, in fact.

The piece runs 16 minutes, long than most clips I embed here, but it’s worth the time:


Link: https://youtu.be/DRauXXz6t0Y

For other John Oliver clips, see the YouTube channel for HBO’s Last Week Tonight.



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Most people get no benefit from vitamin D supplements

The latest from pediatrician and researcher Aaron Carroll:


Link: https://youtu.be/OISl9NvrSuo

In brief, numerous controlled trials have been done to test whether taking vitamin D supplements makes people healthier, and that research suggests it doesn’t, not for osteoporosis or osteoarthritis or cancer prevention or much of anything else except for individuals who actually have a vitamin D deficiency, which is actually pretty rare.

For more details and links to the research, see Dr Carroll’s article on the website for The Journal of the American Medical Association (JAMA).



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There’s nothing wrong with saying “half moon”

Once in while I hear someone insist that the expression “half moon” is incorrect, that one should say either “first quarter” or “third quarter.” But “half moon” is established usage and very descriptive, and the terms “first quarter” and “third quarter” refer not to the appearance of the moon in the sky but to how far along the moon is in its cycle of phases, a cycle that averages a bit over 29 1/2 days.

The first quarter is the moment halfway between a new moon and a full moon, when we see a half-illuminated moon in the sky. The third quarter is halfway between a full moon and the next new moon, when we see the opposite half lit.

It strikes me a perverse to insist that a half-illuminated moon not be called a “half moon.” The expression is obvious, commonplace, and very descriptive. Besides, no one insists on calling a fully illuminated moon anything but a “full moon.”

Out of curiosity, do you happen to know the current phase of the moon? I have to admit I don’t. For most of us city dwellers it’s not something we need to keep up with unless we happen to be astronomers or werewolves. For our ancestors it was of considerably more practical importance, and they not only knew the phase of the moon, they could tell you whether it was waxing or waning and that moonrise and moonset happened about 50 minutes earlier each night.

The reasons for this are surprisingly simple to understand. In an earlier draft of this post I rambled on rather too long about it until I realized that it would be a lot easier to explain with pictures, preferably animated ones. Maybe I’ll even get around to doing a YouTube video about it, though you should probably not hold your breath while waiting.

But in the meantime, if you’re interested, you can figure out a remarkable amount in just a few minutes. The key is to keep it simple, at least as a first pass. Don’t worry about orbital inclination or eccentricity or axial tilt or any of that stuff. You don’t even need to think about the fact that the Earth orbits the Sun, since all you really care about is the Moon’s position in its orbit relative to the direction of the Sun. You can pretend that a window or floor lamp on the other side of the room is the Sun, and you can represent the Earth by any convenient object sitting on a table. The Moon can then be a coffee cup or a tennis ball or whatever else is handy, and the Moon is the only piece you actually need to move in your model.

It helps to know that the Moon orbits the Earth in the same direction that the Earth rotates on its axis, and that the Earth rotates on its axis a little less than 30 times while the Moon completes one orbit of the Earth relative to the Sun. From that knowledge and playing around with that little table-top model of the Earth-Moon system you should be able to answer these questions:

  • What does the Moon look like for someone standing on the Earth when the Moon is at the point in its orbit closest to the Sun — how much of it do we see illuminated, for example?
  • What does the Moon look like a day or two later? Where is it in the sky just past sunset (i.e, from the viewpoint of someone who has just been carried by the Earth’s rotation from sunlight into shadow)?
  • How does it look a week or so later at the time of the first quarter — that is, when the Moon is 1/4 of the way through its orbit of the Earth? What about halfway through its orbit, when it’s on the opposite side of the Earth from the Sun? What about at the third quarter?
  • Does moonrise and moonset happen earlier or later each night? By how many minutes? (That last question is easier to answer than you’d probably expect.)
  • Often when we see a narrow crescent Moon we can see the rest of the lunar surface weakly illuminated. Where does that light come from. (Hint: It’s light reflected from something.)
  • Some paintings show a crescent moon with its “horns” (the pointy bits) angled more or less downward, toward some point on the horizon. Is that actually possible?


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Another “Uptown Funk” dance-scene mashup

A very popular YouTube video (included in this previous post) matched 66 clips of dance scenes from classic films to the song “Uptown Funk” by Mark Ronson featuring Bruno Mars. Someone in France has created a similar mashup, this time using 100 clips, most of them more recent (but going back as far as Chaplin’s The Gold Rush, 1925).


Link: https://youtu.be/EmnSm_d2ll4

You may not recognize all 100 films, in part because some of them are French and had limited release in the English-speaking world. (Coincidentally, two of those I’ve reviewed on this blog: OSS 117: Cairo, Nest of Spies and Astérix et Obélix: Mission Cléopâtre.) A list can be found at the link above.

(Thanks to my brother Mark for pointing this out.)



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Chicago Bulls mascot rescues woman from inattentive Celtics-fan boyfriend

OK, in some respects this is pretty obnoxious, but it’s still funny.

The Chicago Bulls “Kiss Cam” catches a Celtics fan who’s so engrossed in a phone call that he ignores his girlfriend’s or wife’s frustrated request to be kissed. The camera keeps returning to the couple, and he keeps ignoring her until finally the Chicago Bulls mascot, Benny the Bull, comes to her rescue. The video clip runs under two minutes:


Link: https://youtu.be/SSSBXPda50w

To save you the trouble of pointing this out, this could very well be a setup to make Celtics fans look bad. Then again, maybe that wasn’t necessary.



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