Saturday, August 28, 2010

Protecting Public Health with a Clean Power Supply

September 12th is the start of a 5 day meeting in Montreal, Canada for the World Energy Congress.  It's expected that 3,500 global leader in the energy field will meet to discuss trends and growth on forms of renewable energy.  Currently, the US if far behind the game with only 4% of our energy coming from "alternative sources" as a percentage of total power capacity.  Countries such as the UK (8.4%), Brazil (9.8%), and Spain (30.1%!) trounce the US in their ability to adopt and encourage forms of renewable energy throughout their countries.  


There is hope, however!  The Sierra Club is making big strides across the nation and rallying many universities student groups into becoming a changing force called "Coal Crushers."  Cornell University's student group helped bring about a $80 million project to switch from coal fired energy to using bio-fuels, natural gas, and recycled steam energy for their campus' electricity.

A similar push to transition off of coal to renewable and less polluting sources of energy is mounting here in the state of Washington.  Interestingly, while Washington generates only a measly 6.3% of it's potential 56,000 gigawatt-hours from wind, it ranks at the top of the Forbes list! With this growing movement there will be big changes ahead for how we power our lives.


You've Got a Friend in Pennsylvania


The Pacific Northwest likes to think of itself as clean, green, and progressive with its hard stance on recycling, composting, and encouraging bicycling to work.  Being from Pennsylvania, which one of the commonwealth's nicknames is the “the coal state,” I was a little skeptical about the blanket idea of "evergreen" all across Washington state.  Here in Washington, it's true that you can freely bathed in the beauty of the mountain vistas, but Washington still has strong roots to an old and becoming outdated industry of coal fired plants for electricity.
The Sierra Club calls its movement to eliminate coal fired plants here in Washington, the Beyond Coal champaign.   But what is it exactly about coal that makes it so dirty?



Washington’s only coal plant, located in Centralia is owned by a Canadian corporation named Trans Alta, and is Washington state’s largest point source of carbon dioxide, nitrogen oxide, and mercury pollutants.


The global warming pollution emitted annually by TransAlta is equivalent to the annual emissions of 1.8 million cars. Shutting down the TransAlta plant, "would be like taking every car and truck off the road in King County, plus every car and truck in Yakima County, Lincoln County, Columbia County, and Garfield County."


Climate change affects the fundamental requirements for health, clean air, safe drinking water, and sufficient food. Transitioning Washington off coal would significantly reduce the state’s carbon footprint.

The family of nitrogen oxide compounds are known to decrease lung functionality and worsen respiratory diseases in children, such as in children with asthma. The NOx compounds released from TransAlta also contribute to the haze that destroys the clear and beautiful views of Mount Rainer, the Olympics and the North Cascades.



TransAlta emits more than 350 pounds of mercury a year. That's enough mercury to contaminate 3.1 million acres of lake, the equivalent of 145 Lake Washingtons!  Exposure to high levels of mercury can permanently damage the brain, kidneys, and developing fetus. Mercury is a devastating neurotoxicant that may result in depression, developmental delays, and mental retardation.



If these facts weren’t mobilizing enough, the toxicity of TransAlta continues. Annually, TransAlta releases 2.3 million tons of toxics coal ash. This post combustion waste contains a significant array of toxic chemicals, including arsenic, chromium, and lead. Arsenic and chromium are known human carcinogens. Children exposed to lead at a young age are more likely to suffer from learning disabilities and behavioral problems.  Lead exposure has also been linked to kidney damage and miscarriage.

The good news is Washington often leads the nation on the environment changes and provides a model for the rest of the nation to follow suit. The state's outdated use of coal should be no exception. Washington can become the first coal free state - showing the rest of the nation that that it is possible to accept and prosper with cleaner and healthier sources of energy.

Now is the time to take action!  Governor Chris Gregoire is currently negotiating the future of the TransAlta coal plant. October 1 will be a statewide day of action, urging Governor Gregoire to take a stand against dirty and dangerous coal burning techniques and to spreading awareness of the hazards of coal here in Washington.

Fired up? Want to take action? Contact Cara Dolan, the public health organizer for the Coal-Free Washington campaign, and she’ll tell you how you can get involved and help build a coal-free future.

Thanks for reading,

Dr. Alex

Saturday, July 31, 2010

Lessons From the Front Line

My June 21st - June 29th, 2010 trip to Petionville Country Club - Tent City, Haiti

The groups who sponsored me to work in Haiti

The International Medical Assistance Team (IMAT) was started by a Snohomish County Fire District 1 paramedic and has continued to send teams down to Haiti. IMAT is continuing to build and grow its network of doctors, nurses and paramedics.


J/P HRO was "founded by actor and humanitarian Sean Penn and philanthropist Diana Jenkins, who has since moved on to other philanthropic efforts, J/P HRO began its work just hours after the earthquake hit."  To date, J/P HRO took over the management of over 50,000 refugees. There have been more than 100,000 pounds of medical supplies given out since January 12th 2010.

More importantly to me, the camp has a DMAT Category 3 Hospital that is designed to treat all medical illnesses and injuries in the camp.  Those cases that are dimmed critical are transported to local area hospitals. On average, during out week long trip, our team treated more than 120 people each day. We also had delivery of newborn babies!

CDC map of malaria in South America
Remember your anti-malaria medicines! I prefer Malarone for my international trips.

Our medical team for the week!
The J/P HRO Hospital where we worked our magic.

We're open for business.

Triage is up and running ~ 120 people per day are seen.

Abscesses to be drained.
The week I was in Haiti, we had a dentist!


His work station.

Here come the babies!
Thanks Mike and Jason!

Yes, we could do x-rays!

Just have the patient lay down on the cot and off we go...

.... to reset that arm and cast it up.

Yes, we had UN protection around the camp. Colorful too!

Triage is all cleared by the end of the day!

And here's what the rest of Tent City looked like:

Goats are every where and forage where they can.
Selling dinner from their homes.
Stop in at the Cyber Cafe!



















Or stop in at the Beauty Studio.

If you want to get rich quick, then go ahead and play the lottery.

School is in session.

This is how we lived:

Out kitchen with three bucket cleaning system.

One HUGE tent with several small tents. We still had water leakage problems.

My "home" for the week.

All the extra space I had!

We had showers, b/c water runs down hill.

Filtered water system that the CDC encourages through a complicated mechanism

Yes, we were at a county club and we had a pool.  Sadly, no water.  Actually, this was our pharmacy.

Eating well, by eating MREs!

Thanks to our translators for French and Creole.

Relaxing after one very long week!

Both J/P HRO and IMAT are looking for: 
•Volunteers – medical and non medial positions
•Funds for care of specific patients
•Funds for on going community projects

Thanks for reading,

Dr. Alex

Things I've Cooked!


Oatmeal Chocolate Chip Cookies!


Oatmeal Chocolate Chip Cookies are a variation of Quaker Oat's classic Oatmeal Raisin Cookies, but subbing out the raisins for chocolate chips.  It's really just that simple!  

Next, I'll try making Oatmeal Butterscotch Chip Cookies!  My cooking bag of flour and sugar is ready to go. Is yous? 

This is me "making" tasso.

Which was added to veggies, bacon, and crayfish:

  To eventually make a Crayfish Chowder!

Sadly, I forgot to take a picture of Whiskey Bread Pudding that we had for dinner.... :-(


This has been a quick and easy recipe that I found from 5 Dollar Dinners.com!



Go ahead and give it a try!

Thanks for reading,

Dr. Alex


Friday, July 2, 2010

What's the Medicine Man Reading?


So... one day I got the bright idea of collecting all the magazines, journals, and newspapers that I received over the course of an entire month.  Surprisingly, I  found that I read over 3 inches of paper every 4 weeks!

3 inches tall!

Granted, some of those sheets are pure advertisements, or sweet, sweet smelling colognes or perfumes, which I may or may not tear out and rub on myself before hitting the streets of Seattle.  No, not really!!!  However, I did find that most of those 3 inches are actually material that I care about and glance through on a regular basis.

Come, let's take a journey and explore what I read:


1. LocumLife focuses on the trends of being a locum tenens physician - short term stints or being a "substitute doctor" for clinics and practices all over the US.
2. Infectious Diseases in Children is one of two publications from the Pediatric Super Site.  This over-sized news paper focuses on infectious diseases that are common and uncommon in children.
3. American Medical News is the AMA's news publication, which covers general topics and political topics in all fields and aspects of medicine.



4. I'm not even sure how I stumbled across Unique Opportunities, or why I even continue to receive copies of it... Actually, this may have been my only issues I ever received.  :-)
5. Pediatric Annals is the other publication from the Pediatric Super Site.  It's not a great journal, but it still comes in my mailbox!
6. Contemporary Pediatrics for some reason always has a great editorial on different stamps from around the world, that are somehow loosely tied to the world of pediatrics.  I know it's not really a reason to read a journal, but it helps. :-)
7. JAMA or the Journal of the American Medical Association is a great journal, but it often focuses on literature and research from the "adult world" side of medicine, rather then from the  "pediatric world."
8. Vindico Medical Education is a small publication that offers free CME (continuing medical education) credits on a variety of topics.  Often these articles are longer and the questions really make you think, and make sure you've actually read those articles!


9. Barron's, for the investor hiding inside of me.
10. BusinessWeek, which has recently changed names to Bloomberg Businessweek, has also changed it's spread layout and has taken a turn for the worse. :-(
11. Ok, so I thought, maybe one day I'll have my own business, and I was hoping that Inc. would be marginally helpful. So far it has not.
12. Money is actually a really good personal finance magazine.  It's no Kiplinger, but it's close.
13. Fortune is my fantasy magazine, for maybe one day I'll have the time and free funds to invests in stocks and mutual funds again.


14. I to like to stay up to date on the development of the world and the Economist helps me to do so. Plus, yearly, they put out the Big Mac Index!
15. Some people call TIME "liberal," while others call it "conservative."  Who really knows?  I call it fun to read.  TIME covers wide variety of subjects on US and world events - all of which I find interesting. 
16. An interesting look at modern live and business is found within the pages of Fast Company.  Where else can you take the Declaration of Independence and turn it into a Declaration of INTERdependence


17. Philanthropy and volunteerism are both an important aspects of my belief, faith, and life. Kiwanis has touched my life since high school and I have continued to volunteer with Kiwanis when living in Cincinnati and Seattle.
18. Phi Beta Kappa is one of those honor societies that I joined in college and I continue to get their quarterly magazine. 



19. Town & Country turns out isn't the type of magazine I thought it would be.  I was hoping for good recommendations about living on the West Coast and how to adopt to a new climate and living environment. 
20. Shape on the other hand, is exactly the type of magazine I thought it would be. :-)  New monthly exercises and plenty of good eats ideas to fill my stomach and to feast on the eye candy.
21. This Old House, pretty much follows its name sake. Growing up, my dad and I would watch Bob and Norm work on old houses and give great tips. Such a great father/son experience with my dad.
22. Seattle Met is that zine for giving great updates for local cultural events, hikes around the area, and new restaurant openings.


23. I just read Play for the pictures.... video game picture. :-) It's probably been over 6 years since I've really been serious about playing console games.  While the Final Fantasy series will always have a place in my heart, when I became an adult, it was time to put away childish things. 
24. Psychology Today is just interesting! 
25.  Lastly, I used to read Maxim for the articles.... I mean who are these girls anyway?  Actually I canceled my membership to Maxim several months back (as this is January's issue) after a heart to heart talk with a young women, whom I was interested in pursuing a relationship with.  Do I miss Maxim's artilces?  Maybe, but it was worth losing the magazine to keep her.

Thanks for reading,

Dr. Alex