Category Archives: EVS Journal

Karma Comes for Mikie Sherrill

Posted on by under Big Data, character based voting, EVS Journal, Health Care Series, moralism, Neutrality and Complicity, Notes on the Anti-War Movement, Palestine

A controversy has recently broken out in the New Jersey gubernatorial campaign. Mikie Sherrill, who has long touted her experience as a helicopter pilot for the Navy, is now facing the somewhat exaggerated charge that she “cheated her way” through the Naval Academy (to quote hearsay from the Internet).

The backstory is this: Nicholas DeGregorio, a supporter of Sherrill’s opponent in the race, made a records request re Sherrill, including her Naval Academy record, to the National Personnel Center of the National Archives. Continue reading →

We Won’t Stop

Posted on by under activism, EVS Journal, Fatwas, Health Care Series, Notes on the Anti-War Movement, Palestine

The New York Times has yet another article on the Trump Administration’s attacks on higher education. As a former academic, I feel bad for higher education, but as an activist right now, I feel fine. Here’s my unapologetic comment in the comments section of the article:

When campus activists called for divestment, we were mocked. Now, as Defense Dept contracts are being canceled at those very universities, invoking our activism as a pretext, it’s our turn to mock. Don’t expect sympathy. It’s not forthcoming. You wanted us in jail. We want you broke. May the antagonist with the greatest moral endurance win.

My comment elicited a rejoinder from someone named Al Orin from New York City: Continue reading →

Provider, Heal Thyself

Posted on by under EVS Journal, Health Care Series

Every now and then, in debates about the political economy of health care, you’ll run into the physician who declares that he’s had it with being called a “provider,” and won’t put up with it a minute longer. He went to med school, he got an MD, he walked uphill-barefoot-in-the-snow-both-ways, from anatomy and physiology to endocrinology and immunology–and back. He did an internship. He did his residency. He spent his nights on call, sleeping in the hospital. He’s a physician, goddammit, not a “provider,” and he refuses to be called by the latter name. That’s the problem with health care today, by gum. The insurers and administrators have taken over, using new-fangled “provider” jargon, and lost touch with the good old days, when MDs were MDs, and reimbursement was fee for service. Continue reading →

The Evil Demon in the OR

Posted on by under EVS Journal, Health Care Series, slices of life

EVS Journal 8: More Scenes from Life on Call in the OR

Up to this point, what I have accepted as very true I have derived either from the senses or through the senses. However, sometimes I have discovered that these are mistaken, and it is prudent never to place one’s entire trust in things which have deceived us even once.

Descartes, Meditations on First Philosophy, Meditation 1

I’m on call in the OR for New Year’s Day, 8 am to midnight–an irritation after a long sleep-deprived week of work, including all of New Year’s Eve spent in the OR. I wake up on New Year’s Day, and decide, on a mere hunch or whim, to drive to the hospital mid-morning, pre-empting the phone call that calls me in to the hospital, operating instead (so to speak) on the premonition that if I go to the OR unbidden, there’ll inevitably be a case waiting for me to do, which I’ll then be in a position to “head off at the pass,” whatever that’s supposed to mean in this non-cowboy context. Continue reading →

Call Me

Posted on by under EVS Journal, Health Care Series

Scenes from Life On Call in the OR
EVS Journal 7

Every member of the OR EVS team takes emergency call on assigned weekends. The call shift starts at 8 am, ends at midnight, and takes place on two consecutive days. It’s an exercise in underpaid exhaustion. You get $5/hr every hour that you’re on call but not actively on a call. Once you get a call, you suit up (in scrubs) and punch in.  Once you suit up and punch in for a case, you get paid time and a half: $21/hr. When you’re done with the case, you punch out–you’re supposed to punch out–and go back to $5 an hour. Overtime past midnight is penalized, regardless of when the call comes in. Continue reading →

The Crooked Timbre of Humanity

Posted on by under EVS Journal, Health Care Series, slices of life

EVS Journal 6
December 16, 2020

“Out of the crooked timber of humanity, nothing straight was ever made.”
–Rabbi Immanuel Kant, Idea for a Universal History with a Cosmopolitan Purpose

Another Hava Nagila incident in the OR today. Was playing it pretty loud on repeat, twirling my rag as they used to do back in my shtetl. Nineteen year old co-worker Ron goes, “Oh man, turn that Arabic shit off!” Arabic! 😂

Ron keeps ordering Alexa to stop, but she won’t listen. Once it starts,  there’s no stopping Hava Nagila. And if Alexa is on shuffle-repeat? We’re talking eternal musical recurrence. Either you love your fate, or you don’t. I do. Ron doesn’t. 

I’m celebrating the vicissitudes of fate when the Director of the OR walks in unannounced. She seems flustered, startled, even annoyed. I don’t know what she expected out of a cystoscopy turnaround in OR 1 by her crack EVS unit, but Employee #1027742 twirling a rag to Hava Nagila and pretending to be Tevye the Fiddler was perhaps not it. Continue reading →

Fiddlers in the OR

Posted on by under EVS Journal, Health Care Series, slices of life

I started an “EVS Journal” back in 2020, when I worked in environmental services in the operating room of a small community hospital in west-central New Jersey. I’ve decided to start posting edited versions of them here, for whatever interest they might still have. 

EVS Journal #5
December 15, 2020

Seth, Bilal, and I are doing a late turnover in OR 2. Alexa is playing Christmas carols. I get annoyed.

“Two Muslims and a Jew in here, and we’re listening to Christmas carols. Why?”

Without a word or reaction, Seth commands Alexa to play “Hava Nagila.”

“That’s better,” I say.

“I hate this fucking song,” Seth rejoins. Hava Nagila continues. Continue reading →

UHC, Denials, and Wrongful Death Revisited

Posted on by under EVS Journal, Health Care Series, moralism

The questions you ask determine the answers you get. If you ask the right questions, you have some hope of reaching the right answers. If you ask the wrong ones, you’ll likely reach the wrong answers. If you give up on asking, you get nothing but what you started with, so that if you begin in ignorance, you end there.

The debate about the killing of Brian Thompson threatens to begin and end either in misdirection or reinforced ignorance or both. Stuck between two competing brands of outrage–one exulting in Thompson’s death, the other outraged at the exultation–we’re in danger of losing the denials/reimbursement plot altogether. I know I’ve posted on this issue already, but think I’ve found a better way of saying what I was trying to say in that post, one that does a better job of asking the right questions than my last post did.* So here is UHC, Denials, and Death, Take 2. Continue reading →

A Dispiriting Day in the OR

Posted on by under EVS Journal, Health Care Series, slices of life

I started an “EVS Journal” back in 2020, when I worked in environmental services in the operating room of a small community hospital in west-central New Jersey. I ended up posting the first three entries of the Journal here at Policy of Truth (1, 2, 3), but posted the majority on Facebook under a private setting, largely to avoid repercussions at work. I’ve decided to start posting edited versions of them here, for whatever interest they might still have.

EVS Journal #4
December 4, 2020

A dispiriting day in the OR. It had nothing to do with the case load, which was moderately heavy in a normal way, but arose from something I’ve so far avoided mentioning in my daily missives here: the War Between the Shifts. I trained on the day shift (8:30-5) but now work on the night shift (technically, 3-11:30, but more like 3 to midnight). Each shift has a different supervisor, but the de jure supervisor of the day shift outranks the de facto supervisor at night. Continue reading →

Fajr Scientific Banned from Gaza

Posted on by under EVS Journal, Health Care Series, Palestine

Two weeks ago, I posted here on Fajr Scientific’s Gaza Medical Evacuation Initiative. I’ve just learned that the initiative has been canceled, as the Israeli government has now banned Fajr from operating in Gaza. This decision comes a few weeks after the release, by 99 physicians associated with Fajr and similar medical organizations, of an Open Letter to President Biden and Vice President Harris, providing medical testimony and forensic evidence that the Israeli military had, among other things, been executing Gazan children by shooting them directly in the head and chest.

From the letter (bold type in original): 

Children are universally considered innocents in armed conflict. However, every single signatory to this letter saw children in Gaza who suffered violence that must have been deliberately directed at them. Specifically, every one of us who worked in an emergency, intensive care, or surgical setting treated pre-teen children who were shot in the head or chest on a regular or even a daily basis. It is impossible that such widespread shooting of young children throughout Gaza, sustained over the course of an entire year is accidental or unknown to the highest Israeli civilian and military authorities.

Here is the appendix to the letter. This article contains images of X-rays showing bullets lodged in children’s heads and throat (the trajectory in the latter case being through the forehead). Here’s a link to The New York Times essay discussing the evidence (may be paywalled). Continue reading →