The Long View
May 8, 2012
“. . . when you start fretting the day-to-day, you lose track of the long view,” says the protagonist in Charles Frazier’s latest novel Nightwoods.
It’s easy to do. Easy to get tied up in daily concerns and controversies that cloud our ability to concentrate on long-term goals and objectives and the big themes that should be apparent in our daily activities.
Day-to-day fretting causes heartburn for investors who ignore their long-term investment strategies and goals. It sidetracks businesses which lose track of long-term goals for the sake of boosting a quarterly earnings report. It affects politicians who, while keeping an eye on polls, take their eye off their principles. It’s probably taking a toll on school administrators who feel compelled to improve students’ test scores more than to infuse students with a passion to be lifelong learners.
I’m aware of some in our work who are able to refocus on the long view by getting away from the daily grind; but I know others who find the best way to refocus on the meaning and purpose of our work is to go to an event. Just be a spectator where you’re not on duty, not responsible for anything. To observe the action and emotion and school/community spirit. To see a coach counsel a dejected player. To watch an official make a tough call with perfect mechanics and people skills.
The day-to-day fretting may not disappear, but it gets placed in a much better perspective. The long view.
Cardiac Screening
October 31, 2014
Sudden death among 12 to 25-year-olds is “a low event rate occurrence.”
“There is insufficient information to support the view that ECGs in asymptomatic young people for cardiac disease is appropriate or possible on a national basis for the United States, in competitive athletics or in the general population.”
“At present, there is no mechanism available in the United States to effectively create national programs of such magnitude, whether limited to athletics or including the wider population of all young people.”
“There is insufficient evidence that particularly large-scale/mass screening initiatives are feasible or cost effective within the current US healthcare infrastructure . . .”
“The ECG . . . cannot be regarded as an ideal or effective test when applied to large healthy populations.”
“An additional, but unresolved, ethical issue concerns whether students who voluntarily engage in competitive athletic programs should have advantage of cardiovascular screening, while others who choose not to be involved in such activities (but may be at the same or similar risk) are in effect excluded from the same opportunity.”
The AHA’s Sept. 14 AHA writing group “does not believe the available data support significant public health benefit from using the 12-lead ECG as a universal screening tool. The writing group, however, does endorse the widespread dissemination of automated external defibrillators which are effective in saving young lives on the athletic field and elsewhere.”