How (in the first account) did people like Picasso and Joyce change the game? They did it by shifting interest from the what to the how of art, from the things represented in a painting or a novel to the business of representation itself. Modern art didn’t abandon the world, but it made art-making part of the subject matter of art. When (in the second account) did a break occur? It happened when artists and intellectuals stopped respecting a bright-line distinction between high art and commercial culture. Modernist art and literature, in this version of the story, depended on that distinction to give its products critical authority. Modernism was formally difficult and intellectually challenging. Its thrills were not cheap. But there were cheap thrills out there, a vast and growing mass of products manufactured to stroke the senses and flatter the self-images of their consumers. This bubble-gum culture wasn’t just averse to the spirit of high art. It was high art’s reason for being.
After six hours, her core temperature reached 98.6 degrees. The team tried to put her on a breathing machine, but the pond water had damaged her lungs too severely for oxygen to reach her blood. So they switched her to an artificial-lung system known as ECMO—extracorporeal membrane oxygenation. The surgeons opened her chest down the middle with a power saw and sewed lines to and from the ECMO unit into her aorta and her beating heart. The team moved the girl into intensive care, with her chest still open and covered with plastic foil. A day later, her lungs had recovered sufficiently for the team to switch her from ECMO to a mechanical ventilator and close her chest. Over the next two days, all her organs recovered except her brain. A CT scan showed global brain swelling, which is a sign of diffuse damage, but no actual dead zones. So the team drilled a hole into the girl’s skull, threaded in a probe to monitor her cerebral pressure, and kept that pressure tightly controlled by constantly adjusting her fluids and medications. For more than a week, she lay comatose. Then, slowly, she came back to life.
Honey was the 2006 Dog of the Year, an award she earned by saving her owner from a violent car accident. When she and Michael Bosch found their SUV rolled over and stuck upside down in a deep ravine, Bosch was trapped and knew that Honey was his only hope. With all his strength, he managed to release the dog and hope that she would somehow find help. Sure enough, the then 5 month old got the attention of a man about a half-mile away and brought him to the scene of the accident. Rescuers concluded that had it not been for this, Bosch would have died.
Recently, I spoke to Markus Thalmann, the cardiac surgeon on the team that saved the little Austrian girl who had drowned, and learned that a checklist had been crucial to her survival. Thalmann had worked for six years at the city hospital in Klagenfurt, the small provincial capital in south Austria where the girl was resuscitated. She was not the first person whom he and his colleagues had tried to revive from cardiac arrest after hypothermia and suffocation. They received between three and five such patients a year, he estimated, mostly avalanche victims (Klagenfurt is surrounded by the Alps), some of them drowning victims, and a few of them people attempting suicide by taking a drug overdose and then wandering out into the snowy forests to fall unconscious.
Saving Fish From Drowning Book Review, Essay price ...
This past summer, I visited Sinai-Grace Hospital, in inner-city Detroit, and saw what Pronovost was up against. Occupying a campus of red brick buildings amid abandoned houses, check-cashing stores, and wig shops on the city’s West Side, just south of 8 Mile Road, Sinai-Grace is a classic urban hospital. It has eight hundred physicians, seven hundred nurses, and two thousand other medical personnel to care for a population with the lowest median income of any city in the country. More than a quarter of a million residents are uninsured; three hundred thousand are on state assistance. That has meant chronic financial problems. Sinai-Grace is not the most cash-strapped hospital in the city—that would be Detroit Receiving Hospital, where a fifth of the patients have no means of payment. But between 2000 and 2003 Sinai-Grace and eight other Detroit hospitals were forced to cut a third of their staff, and the state had to come forward with a fifty-million-dollar bailout to avert their bankruptcy.
A man takes fish out of the water to save them from drowning, ...
As with many occasions organized to celebrate accomplishment, the mood was valedictory. In the nineteen-sixties, most of those writers had been turning the world of American fiction on its head; in the nineteen-eighties, they were the subjects of doctoral dissertations. They had become aldermen of the towns they once set out to burn down. They had also fallen out of step. The action in American fiction after 1975 no longer involved experimentalism and mixed media; it involved minimalism and a kind of straightforward realism that many of the people in the room probably thought they had left for dead long before. Barthelme himself, though he was only fifty-two, had already begun to withdraw from the literary scene. No one has a richer appreciation of the way the big wheel keeps on turning than a postmodernist, but some of the writers may have wondered, while the glasses were being refilled, what it had all been about.
we are not "saving" them from "drowning." Rather, ...
The difficulties of life support are considerable. Reviving a drowning victim, for example, is rarely as easy as it looks on television, where a few chest compressions and some mouth-to-mouth resuscitation always seem to bring someone with waterlogged lungs and a stilled heart coughing and sputtering back to life. Consider a case report in The Annals of Thoracic Surgery of a three-year-old girl who fell into an icy fishpond in a small Austrian town in the Alps. She was lost beneath the surface for thirty minutes before her parents found her on the pond bottom and pulled her up. Following instructions from an emergency physician on the phone, they began cardiopulmonary resuscitation. A rescue team arrived eight minutes later. The girl had a body temperature of sixty-six degrees, and no pulse. Her pupils were dilated and did not react to light, indicating that her brain was no longer working.