Dawn of the Dead -is all about us.

I recently watched the remake of Dawn of the Dead on Hulu while on call. In general, I find the horror genre either to be a thinly veiled subcategory of Chick Lit or generally too scary to watch. The first category, the horror Chick Lit or Chick Flick, are all the romantic vampire stories and beauty with beast fables. They are dreck even when an auteur like Joss Whedon labors to make them watchable. Something dark lies in the feminine psyche for fantasies about blood sucking, pasty faced, pretty boy immortals sells. The latter, the truly scary horror, deals in the supernatural. In the heart of all rational people, there is a primitive spot that wonders if there is good and evil and not just cause and effect. When a film taps this, and reveals the frightening voids and yawning chasms presented by contemplation and imagining of evil, even this fairly rational and educated surgeon can get a twee scared watching The Grudge in the dark (she looks like an ex-girlfriend).

But zombie movies? Not so! For some reason, I love them because I’m a doctor. The slow zombie era of Cesar Romero came to an end with the fast zombies of 28 Days Later (and its sequel, 28 Weeks Later). Zombie movies appeal to my inner infectious disease expert. In some way, I deal with the necrosis and suppuration every week, and seeing hordes of diseased people doesn’t seem too scary. It then boils down to how the undiseased people react in these circumstances which entertains me: by denying, by panicking, by getting armed, by having sex (more denial), and by getting oddly rational. When HIV began killing people in the late 80’s, the response was not unlike the plot of a zombie movie. There was fatal ignorance and denial, followed by panic, then calls for concentration camps, followed a neurotic mix of hedonism, consumerism, prudishness, and rampant heterosexualism. The collective sigh of relief was the announcement by Dr. Ho of multidrug therapy, as conceptualized by the not-gay and not down-low Magic Johnson just staying alive.

The most recent remake of Dawn of the Dead makes great fun with these concepts. The survivors of the plague hole up in a shopping mall, and all the zombies congregate there and mill about outside the locked entrances. And its the same now in the time of the economic plague that I see hordes milling about at our local mall. Despite the recession, the place is always full. I think people go there because going to the mall and shopping is a talisman of normalcy. After the horrible events of 9/11, President Bush told everyone to go shopping. Shopping! And that is what I see going on, the continued shopping for a little slice of happiness, is not unlike the zombies congregating at the mall in Dawn of the Dead. “I think its some retained memory they have that brings them here,” says one of the characters.

As a medical student, I was assigned patients and was their intern, responsible for their health. Never mind that most of them had HIV and were crack abusers, making them somewhat unstable. I learned to have a conversation with them, those who in another era would have been called possessed and unclean. I took the lessons of the plaque dedicated to the twenty medical students who died in the influenza pandemic of 1918, and understood implicitly the bargain I had to make. To be a good physician, I would have to take good care of all people. I performed central lines and spinal taps in poorly lit rooms on patients whose viral titres made them frankly toxic to be around with a needle, a scalpel, or broken glass (from lidocaine vials). I learned equanimity in the face of really horrible things like the gal who hid a roll of dollar bills in her abscess (pocket of pus) cavity on her lower abdomen. She’d pay for crack with those filthy bills and earned them by doing who knows what. If that trumps zombies, I don’t know what. I always wash my hands after touching money.

Eddie Murphy had a claymation animation sit-com in the 90’s called the PJ’s. It featured a crack addict who was spot on and completely true. Ironically, he was the straight man, and dished wisdom while eying the pigeons for a possible meal. The great tragedy in the AIDs/Crack epidemic of the 90’s was its victims who made to the hospital after living on the streets for years were incredible specimens. They had to be to survive for as long as they did. They were all tall, lean, and if you looked past the insanity, wear, tear, and grime, were usually good looking with good bone structure -think Na’Vi, twenty years after the aliens from Earth returns to Pandora, colonize them, and put them on reservations with their sensory pony tails cut and cauterized at the stump.

We forget that the heroes of the Zombie movies are in fact, the Zombies. Once infected and left to wander around for fresh brain, they are the perfect citizenry. Their behavior is predictable, and their intentions are true. They offer no political resistance by asking no questions, and their happiness lies in fresh brains. Substitute fresh brains for fresh fruit out of season, perfectly-red meat packed in styrofoam and plastic, and giant homes in the suburbs, and you have it. The real monsters in Zombie movies are the protagonists, they with their guns and fire, keeping the thronging mobs from their happiness and fulfillment.

So stop being a wet noodle! Go, run out and buy yourself some Zombie pickle and get happy! A good place to start: On January 27th, Apple will present their next great thing, by the way, you happy Zombie.

The Personality Disorder -Which One Do You Have?

Girl Interrupted, or Bucket O' Borderlines

When I went to P&S, one of the great features of its curriculum was its Psychiatry requirement which spanned a full two and a half years of our time there. It was among my favorite experiences from medical school. In that first year, among other things, we discovered how really crazy we all were, each of us, in our own special way. It was then I discovered the DSM Personality Disorders, which is kind of an “interesting personalities” index. Rather like a Zodiac sign, my pals and I immediately set about viewing those around us through the lens of their particular personality disorder. People rubbing shoulders in large cities brings out these personality disorders like rubbing oregano brings out its spicy aroma.
According to the DSM-IV-TR Axis II (the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders), the person with the personality disorder has to meet first the general criteria of having “an enduring pattern of inner experience and behavior deviating markedly from the expectations of the individual’s culture.” This is a very interesting criteria because it implies the existence of whole cultures that are crazy and where that flavor of crazy is normative (think Klingons before the Khitomer Accords). It also implies that whole families may be crazy, but within the confines of that family, one’s crazy behavior may seem “normal,” and children from such families only realize how abnormal their families are once they leave for college. This is not a personality disorder if the individual realizes that yelling their frustrations is not normative and corrects that behavior. This is an important feature of the general diagnostic criteria -that  two out of four deviations go unrecognized in terms of cognition (self perception and interpretation of others and events), affect (range, intensity, lability and appropriateness of emotional response), interpersonal functioning, and impulse control.
Also in this definition, this personality pattern is inflexible and persists along a broad range of personal and social situations, leading to distress or impairment in personal, social, and occupational functioning. This pattern is persistent and present for a long period of time, and not secondary to another primary mental disorder, substance abuse or medical condition. It means the person affected by a personality disorder may or may not be aware of their “deviation from the norm.”
The personality disorder list is then grouped into three clusters with subcategories.
Cluster A (odd or eccentric disorders)
-Paranoid personality disorder
-Schizoid personality disorder
-Schizotypal personality disorder
Cluster B (dramatic, emotional, or erratic disorders)
-Antisocial personality disorder
-Borderline personality disorder
-Histrionic personality disorder
-Narcissistic personality disorder
Cluster C (anxious or fearful disorder)
-Avoidant personality disorder
-Dependent personality disorder
-Obsessive-compulsive personality disorder
Appendix B -for further study
-Depressive personality disorder
-Passive-aggressive personality disorder
Deleted from DSM IV but present in DSM III-R
-Sadistic personality disorder
-Self-defeating (masochistic) personality disorder
The key point in personality disorders is that their conditions are considered out of the norm but not completely incapacitating. Most people have some degree of the above characteristics, and the differences in the ingredients results in the person. The PD-afflicted individual has one of the above characteristics in superabundance, resulting in flawed social interaction. Through this year, we’ll go through the personality disorders and figure out why some people behave the way they do.

I.D.D. -Irony Deficit Disorder, Unwanted Connectedness, and the Importance of Defending the Modern

The Greatest American

As a middle school student, we were assigned Jonathan Swift’s A Modest Proposal. I laughed my guts out, but soon realized that many were appalled by the idea that Irish babies should be used to feed the poor. As I grew up, I read Vonnegut with the avidity that presaged the kind of fandom that we see kids have nowadays for video games, and for it, I was a bit of an outsider. The word I learned in medical school was concrete -most of the world is concrete. They can process black and white, but are blind to shades of gray. A pie in the face is funny, but a pie made of Irish babies, not so much.

You can see this in the audience for comedy -in the 90’s, it was fans of Leno versus Letterman (and now  O’Brien), Jeff Foxworthy versus Jerry Seinfeld, and Britney Spears versus Lady Gaga. It’s the divide that separates America into Walmart and Target. There are people who take Sarah Palin seriously and those who see a cosmic joke. It is with utmost seriousness that I propose a new DSM personality disorder -the Irony Deficit Disorder or IDD.

IDD is marked by a lack of curiosity of the world beyond the experience offered by life within earshot and immediate view. People with IDD have limited affect and rarely express themselves with their hands. They hew to orthodoxy and are great believers of world views constructed by dead people. They are suspicious of the new and generally feel uncomfortable around people who don’t share their background. IDD is found across the political and socioeconomic spectrum. People with IDD are easily offended. They will likely be offended by this piece. These people find change distressful and uncomfortable. At first, new things are regarded with disdain and suspicion, and the ethical and moral dimensions are weighed from the viewpoint of their particular flavor of orthodoxy. When change threatens to intrude, they usually have been able to withdraw from it and the world, but not anymore. The internet, which back in the halcyon days of the nineties offered a utopian view of world connectedness -a New World Order, functions as both the irritant and the balm to those with IDD.

Every country now has its native Taliban fighting the bare-legged, ochre-skinned, breast implanted, spangly-pole dancing march to progress. It is the loss of tribe, social norms, and social status to barbarian invaders talking, looking, and thinking differently and dictating change while secretly sneering at the rubes, or so it seems to the bitter IDD person. They look at their internet in shock and awe – How can it be not wrong for a man to kiss a man and marry a man? How can it be not wrong for a white girl to kiss a black man? Why are they trying to get me to eat that horrible looking food? Why do I have to look at that person dressed that way? Why are those signs not in my native language? Why do I have to pronounce that name the way they want to? How can it be not wrong to assert that America is a country whose only mention of God in the Constitution is in the separation of church and state? Their fears are straightforward –They are trying to change my core values and by extension, denigrate them.

Now, having IDD in no way handicaps that individual. These people buy Toyotas and GM cars, use Windows, and wear red Christmas sweaters embroidered with reindeer. They pay taxes and abide the law. In fact, they are the majority, and their concerns have to be respected up to the point where someone else’s rights are infringed. Those of us endowed with the third eye of irony and rationalism have a difficult position because we will always be in the minority and vulnerable (see Qin Dynasty -burying of the scholars and burning of the books, Spanish Inquisition, Nazi Gleichshaltung, McCarthy Hearings, the Cultural Revolution, the Gulag, Taliban Kabul Soccer Stadium activities, the Iranian Election of 2009, The Glen Beck Show). A candle is mostly wax with a fine evanescent flame, easily blown out.

The bright lights of our world have to make a stand. Rather than retreat to Starbucks to grope out discontented tweets for a limited audience, we have to reach out and actively defend ourselves and our civilization which is the Modern Civilization. Rather than sneer behind our Kindle’s, we have to speak clearly for our Constitution and rule of law. We have to make our votes count and work with our like minded brethren in the opposing camp to come to rationale, workable solutions rather than digging trenches festooned with figures hung in effigy. The rational center must hold true to the convictions of Franklin, Washington, Jefferson, Hamilton, and Adams.

You now have the tee box.

The Return Customer

The return customer is earned with every interaction. Amazon has earned my business every year with amazing responsiveness and promptness. I have shifted most of my shopping to Amazon purely for the convenience of not having to drive around town looking for things. The Kindle 2, shown above, was purchased with an extended warranty. Normally, wear an tear is not covered, but I felt that it should have weathered a fall from the bed to a carpeted floor. This crack was not only unpleasant to look at, but created instability in the cover and would eventually fall apart in jagged, carotid artery scything shards.

The kind fellow at Amazon has a replacement in the mail! I am now fully Amazoned.

This contrasts with the terribly shabby way I was treated at Dell a few months ago when they lost my on-line order but took my money. It took three days of calling to eventually get them to cough up my netbook.  Their awful customer service and delays in delivery brought them to the attention of the NY Times.

Escape from the Uncanny Valley -why Avatar is groundbreaking

The uncanny valley is the revulsion caused by robots and computer generated images that try to mimic human faces. It was coined in the 1970’s by Masahiro Mori (link) and is the reason why watching Polar Express makes me jump up and down like a rabid chimpanzee. CGI movies that maintain their cartoony-ness avoid this problem.

So it was with a bit of suspicion that I went to see Avatar, expecting to jump up and down like a rabid chimp as soon as those blue goat people got on screen. I was wrong. James Cameron understood this implicitly and created an image capture system that follows actors facial movements and maps it directly to the blue Navi’s. The actors are really acting and the computer generated animatronics are imbued with emotion that greatly exceeds that of the actual human actors.

Avatar is great in the way that Titanic was great. The main character in Titanic was the ship, and in Avatar, it’s the escape from uncanny valley. The script is a Disney princess movie on steroids, but the real reason you should see Avatar is this entirely new way of experiencing the world.

I have to add, I have always felt virtual reality won’t work until all five senses are involved and Cameron seems to understand it as well -to access the avatars, the characters lay down in an MRI machine -it is through electromagnetic manipulation of nerves that true telepresence will be achieved.

Elvis, by Wowee, straight from the Uncanny Valley

The Automaton, a simulacron of a great golfer

I have changed my mind about Tiger because I thought the man and the player (of golf) could be separated. I have decided that Tiger is no longer the greatest to have played the game. Through his actions, he has shown himself unworthy of the game which values moral and ethical behavior. The Rules of Golf are not just a list of crimes and punishment, but assume an internal moral compass that guides player. Players who abide by these Rules elevate themselves in the process. This includes players who call penalties on themselves on trangressions witnessed only by them. This valuing of honesty and ethical behavior is unique to golf where players have famously penalized themselves out of championships or, tragically, tour cards.

If Tiger behaved this way off the course, who knows what guided his behavior on the course in relation to golf. You can obey the law out of fear of punishment or out of internal ethics and morality. Tiger is no golfist, but revealed to be the golfing equivalent of Deep Blue, the chess playing supercomputer, a soul-less automaton. The events of the past several weeks shows that Tiger has no moral compass, and excels at this great game for entirely banal reasons of conditioning and training from childhood. By this measure, the average golfer who takes stroke and distance for going out of bounds even when playing by himself is a greater custodion of the sport than Tiger.

Top 12 features not yet found on any one netbook

fujitsu-u810

1. Instant on/off

2. 8-12 hours battery life

3. Touch typable keyboard yet pocketable (in coat pocket of doctor’s labcoat)

4. Wifi 802.11n and 3G, GPS, bluetooth

5. SSD storage 64-128GB

6. Touchscreen, high resolution

7. Stable, multitasking, multithreading OS -some Linux flavor with OpenOffice and Mozilla with Flash

8. Convertible from tablet to clamshell

9. Multimedia capability

10. 1.3mP videoconferencing camera, runs various chat programs, Skype

11. Can boot into alternative OS’s (including Windows, MAC OS)

12. Memory expansion through SD, CF (for cameras)

As I have been saying in prior posts, when you load Windows XP onto a netbook, it is just a small, cheaply outfitted laptop. When you load Vista on a device like the Fujitsu 810 pictured above, you take a beautiful design concept and turn it into a paperweight. The beauty of the Psion series of proto-netbooks (the Series 5, 5mx, 7, the netbook, and the Revo (pictured right), psionrevois that they were rock stable and had instant on/off capabilities. By rock stable, I mean you could open as many programs as the RAM would allow, and they would all run without crashing the whole thing. Psion is currently in a lawsuit defending the netbook trademark.

The convertibility to tablet is a useful concept for people who walk and compute at the same time -like doctors. The Sony Clie UX50 was a palm based PDA with wireless capabilities and showed the bleeding edge of useful design, but was again hampered by the OS, this time Palm.

Clie UX50

Clie UX50

The gadget designers are limited by the OS they can offer on their kit. Psion was the last hardware maker aside from Apple to completely write an operating system from scratch, creating the inimitable EPOC OS which has since morphed into Symbian. Apple understands that a device’s soul is its OS and its user interface, and has created the near perfect iPhone/iPod Touch, but it won’t go beyond the multimedia player/game/phone space because of SJ’s distate for buttons and desire not to split the OS (but it has) and not draw market share from the crown jewels, the Macbooks.

Nokia, who still is part of the Symbian alliance, and makes Symbian smartphones and the direct descendant of the Series 5mx, the Nokia communicator line (below). nokiacommunicator2

It is pocketable, and typable, but limited in that Symbian evolved into a phone centric OS and not necessarily a work centric one. The keyboard is for thumbs, not actual touch typing, though people report doing so. I used to be able to touch type on the Revo without a problem. nokia8101The same goes for their internet appliance the Nokia 810, which I came close to buying, but held off because of the lack of built in touch typability. Make it a clamshell, and I’ll take it.

There are those who would recommend I get an NEC Mobilepro 790 or 800, which I used to own. These are completely handicapped by having Windows CE. The same with the netbook pro, made by Psion. It is wonderfully up to date, and quite a nice piece of hardware, but again having Windows CE.net handicaps it to the point it is undesirable to use. Believe me, you can hold your nose only so long before the thing crashes and you lose your file! The netbook Pro initially sold for over 1500 -now you can get one for cheaper than the older netbook which runs EPOC. Windows CE killed the clamshell portable notebook.

Why not EPOC running netbook -I used to own this, but running 802.11b with no multimedia addons to the browser, inability to run net 2.0, is a huge drag.

No, we’re all waiting for the next great thing, and unfortunately, even running Windows 7, the so-called netbooks are just small laptops, and not an internet appliance that facilitates your work.

addendum: A thought came to me as I ranted over on CNET. Psion is busy suing people for using netbook, but fact is,psion-netbook-pro-i1 if they merely updated their netbook pro (which they completely ruined after the successful first EPOC OS based netbook by using Windows CE), with a built in wireless card, and had it boot Linux, use a more modern but affordable processor, and use standard memory -and if they priced this 500-700 bucks, they would sell these hand over fist. The netbook form factor was beautiful, very nice to carry, the keyboard was the best I have ever typed on, and it was all covered in leather! The netbook Pro to the right can still be found used on the internet, and it always sells for about a hundred bucks less than the older but far more capable original netbook that ran EPOC

addenum #2: Like all things in this age, you think about it, and someone has already got there. Gizmodo reports on the Touchbook, a convertible netbook/tablet which uses Linux and runs 10-15 hours. Looks fabulous, and all for 300 bucks see link.

always_innovating_touch_book_0005

Addendum 12-14-2009

It looks like someone is thinking the same way I am: link

Snow Day! also flashback to Snowblowing Song

Snowday The rare winter storm hits tropical Iowa, and caught unprepared, the state shuts down. I am granted a rare treat -the Snow Day. 24 hours in the middle of the work week all to myself! Of course, I have to dust off the Snowblowing Song which asks the question, “I love to blow the snow, but when will the snow blow me?”

The Lover

The Lover

Stress tests are used to determine the quality of things. In medicine, we have a stress test that gives us an idea how strong a heart is. In auto manufacturing, there is the crash test. In professional golf, we now have the sex scandal.

The sex scandal is a stress test most often seen in the realm of politics. But the peccadilloes of a politician became passe after ten solid years going with the tapping of shoes in airport bathrooms sandwiched between Clinton and Berlusconi. This is a stress test that reveals dimensions to Tiger that we’ve never seen before.

Tiger married Elin, a beautiful woman, but his aloofness and occasional public displays -hugging wife/children after win, revealed little. The more cynical among us could only wonder -was this all scripted? There are plenty of wealthy men with exquisite trophy wives who are revealed to have predilections across the sexual spectrum -at least in movies and novels.

So what did the past week reveal. If we are to believe the rumors, Tiger likes women with a certain body type -athletic, muscular legs, size B cups, and serious lips. We also find that Tiger has a misunderstanding about the call history function and contacts program on his cell phone. The US Magazine’s voice mail audio reveals that the purported Tiger is worried that his wife is checking his phone call history and requests the woman that he is calling remove her name from her phone number. The problem is that names are not tagged with phone numbers, but do show up in call histories with names when said names are in the contacts directory. Meaning Tiger kept only one cell phone.

What does this reveal? It confirms Tiger’s legendary miserliness or naivete. Billionaires with mistresses usually keep separate cell phones for booty calls and keep it in the golf bag or with a trusted assistant like Stevie. They keep contacts for Ginger, Misty, and Nicki, under Frank, Otto, and Rocco.

If the rumors that he was assaulted with a golf club are true, that means that he took his punishment like a golfer who hits the ball out of bounds. I frankly think he was running for his life after being hit on the head with Elin slamming the club into the back window as he drove out of the garage. Passing out, he hits tree and hydrant.

But what does all of this say about us? Why all the schadenfreude? Why all the venom? First, there is the issue that if there was an assault, there was a felony, and to hide behind gates and walls of privilege stinks to a public that is economically stressed. Refusing the request of the FHP for an interview and all the second hand communication through blogs and lawyers is a poor substitute for a visit to our society’s confessor, Larry King. The second is our need to destroy heroes, crucify them, worship them when they’re dead but kick them when alive. And finally, the third is the need for men to vocally disown this and for women to narrow their eyes and purse their lips. I for one completely do not condone any of this. The cell phone stuff was given for informational purposes only.

As I have written previously on this blog, the half life of human desire is about 6 months. That romantic love, that dopamine rush of courtship which is pretty much the same reaction people get on crack, dissipates and we bond, replacing dopamine with oxytocin. Children help this bond. Ultimately, the strength of the bond is related to the strength of character of the parties involved. We should not be rubbernecking this terrible crash site, but rather focus on our own game. Keep your head still and your feet on the ground.

It goes without saying, I love my wife very, very much. Bad Tiger, Baaaad Tiger.