NBA's "Me Too Moment"?

One of the themes of the recently ended NBA season was multiple stars opening up about their mental health issues. But some are more influenced by the people around than others (just a part of human nature).

““The NBA gave me my depression,” Robinson told Bleacher Report in a wide-ranging interview. “I’ve never been a depressed person in my life.”

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Robinson cited conflicts with coaches Tom Thibodeau and Larry Brown as being particularly burdensome. He told Bleacher Report that while with the New York Knicks, Brown called him “the little s—-“ every day. After Robinson went to Brown’s office in tears and asked him to stop, Brown again called him the name in front of the team and told his teammates that he had cried.

Brown told Bleacher Report that he didn’t have any recollection of what Robinson had recounted.

”I don’t know what I called him, to be honest with you,” Brown said. “If I did that, shame on me. I would feel terrible about that. That’s not who I am, but I don’t want to dispute Nate.””

Shame on you, Larry. I wonder if some of the Pistons players who were NBA Champions with him received such treatment as well. Sheed is probably one who'd actually perform better with such vitriol thrown at him.

George Karl on the other hand is someone who decided to expose his own rotten flesh (relatively older news): 

““My feelings for George Karl is that he is the person he is. He’s showing everybody who he is, the person I dealt with for six-and-a-half years in Denver,” Martin said on ESPN’s The Jump. “I saw it firsthand every day — him coming in the locker room and not speaking to people, him talking down to other people, him treating people in the organization like crap. I saw it year in and year out. Now the whole world is going to see it.”

Appearing on ESPN’s Mike & Mike on Thursday, the longtime NBA coach was asked whether he was surprised by the backlash to the book.

”There’s no question,” he said. “Surprised? Yeah, I guess there’s no question we all want to be liked a little bit. The backlash was interesting. A couple of things I learned from. I think the big thing is a couple of things. I probably should’ve studied — I didn’t know — I probably should’ve studied what I was writing a little more than I did.””

What a dumbass.

Addendum: The ultimate burn on Larry Brown from Jalen Rose:

Interesting Recently-Listened to Medical Podcasts (June 16 2018)

As the title implies (with a slight bias towards anesthesia-related podcasts)..

OpenAnesthesia: Concussion and Anesthesia (an interview with Monica Vavilala). We recently had a case that was planned for beach chair positioning but with a "recent" history of concussion (not so recent according to this expert if it's 3 weeks ago). According to this pediatric anesthetist, elective surgery should be delayed until resolution of concussion symptoms (which usually takes up to 10 days). However, we really don't have the complete safety data to back things up (it's all generally just expert opinion). If surgery is needed urgently, cerebral protection must be maintained as there is proof that autoregulation of cerebral blood flow is impaired following even mild traumatic brain injuries.

OpenAnesthesia Article of the Month, an interview with T.J. Gan on Enhanced Recovery After Surgery (ERAS). He is a Malaysian pushing the research in the US on ensuring that patients recover as fast as possible after major surgery, with benefits to both patients and healthcare systems.

OpenAnesthesia: The Opioid Epidemic and Pediatric Anesthesia (interview with Dr. Myron Yaster). While in Malaysia we have been pushing forward wih the “pain as 5th vital sign” initiative, in the  States the opioid epidemic has swung the pendulum to the other direction, and deservedly so. There patients are given so much opioids on their discharge home (in excess of their need) to ensure so-called good satisfaction in regards to their pain relief. Here in Malaysia, we’re just trying to ensure that healthcare workers properly identify patients in pain, and in general it appears that we are still managing it at an appropriate level (looking at how bad the opioid epidemic is in the US, it’s probably better to slightly undertreat pain rather than overtreat it).

JAMA: When Will It Stop? Clinicians Are Still Ordering Routine ECGs Despite Recommendations to the Contrary. It’s interesting how the data shows that the ECG has been shown to be a more and more useless tool for general health screening in low risk individuals. For preop assessment, there is a role for testing, but recommendations are moving towards not performing it mandatorily especially for low risk surgery (even with known disease), as most of the evidence are all level B or worse and perioperative management is not altered. But for sports screening, I would still advocate it, since stopping them from strenuous physical activity (as part of their sports training and play) could be life saving (could Zeke's life be saved by not playing?). Or they could also end up like Jeff Green, who had open heart surgery and was later able to continue playing safely (a miracle of modern medicine), in the NBA Finals no less.

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Anthony Bourdain on the Culinary Underworld (1999)

Interesting insights, published in The New Yorker:

“Professional cooks belong to a secret society whose ancient rituals derive from the principles of stoicism in the face of humiliation, injury, fatigue, and the threat of illness. The members of a tight, well-greased kitchen staff are a lot like a submarine crew. Confined for most of their waking hours in hot, airless spaces, and ruled by despotic leaders, they often acquire the characteristics of the poor saps who were press-ganged into the royal navies of Napoleonic times—superstition, a contempt for outsiders, and a loyalty to no flag but their own.

A good deal has changed since Orwell’s memoir of the months he spent as a dishwasher in “Down and Out in Paris and London.” Gas ranges and exhaust fans have gone a long way toward increasing the life span of the working culinarian. Nowadays, most aspiring cooks come into the business because they want to: they have chosen this life, studied for it. Today’s top chefs are like star athletes. They bounce from kitchen to kitchen—free agents in search of more money, more acclaim.”

Further on:

“A few years ago, I wasn’t surprised to hear rumors of a study of the nation’s prison population which reportedly found that the leading civilian occupation among inmates before they were put behind bars was “cook.” As most of us in the restaurant business know, there is a powerful strain of criminality in the industry, ranging from the dope-dealing busboy with beeper and cell phone to the restaurant owner who has two sets of accounting books. In fact, it was the unsavory side of professional cooking that attracted me to it in the first place. In the early seventies, I dropped out of college and transferred to the Culinary Institute of America. I wanted it all: the cuts and burns on hands and wrists, the ghoulish kitchen humor, the free food, the pilfered booze, the camaraderie that flourished within rigid order and nerve-shattering chaos. I would climb the chain of command from mal carne (meaning “bad meat,” or “new guy”) to chefdom—doing whatever it took until I ran my own kitchen and had my own crew of cutthroats, the culinary equivalent of “The Wild Bunch.””

My number 1 ambition was to become a military weapons engineer as I am fascinated by the art of killing, but in the end I became a doctor. So I guess anyone can be anything.

“The chef orders his seafood for the weekend on Thursday night. It arrives on Friday morning. He’s hoping to sell the bulk of it on Friday and Saturday nights, when he knows that the restaurant will be busy, and he’d like to run out of the last few orders by Sunday evening. Many fish purveyors don’t deliver on Saturday, so the chances are that the Monday-night tuna you want has been kicking around in the kitchen since Friday morning, under God knows what conditions. When a kitchen is in full swing, proper refrigeration is almost nonexistent, what with the many openings of the refrigerator door as the cooks rummage frantically during the rush, mingling your tuna with the chicken, the lamb, or the beef. Even if the chef has ordered just the right amount of tuna for the weekend, and has had to reorder it for a Monday delivery, the only safeguard against the seafood supplier’s off-loading junk is the presence of a vigilant chef who can make sure that the delivery is fresh from Sunday night’s market.”

Do not come on Mondays.

“Weekends are considered amateur nights—for tourists, rubes, and the well-done-ordering pretheatre hordes. The fish may be just as fresh on Friday, but it’s on Tuesday that you’ve got the good will of the kitchen on your side.

People who order their meat well-done perform a valuable service for those of us in the business who are cost-conscious: they pay for the privilege of eating our garbage. In many kitchens, there’s a time-honored practice called “save for well-done.” When one of the cooks finds a particularly unlovely piece of steak—tough, riddled with nerve and connective tissue, off the hip end of the loin, and maybe a little stinky from age—he’ll dangle it in the air and say, “Hey, Chef, whaddya want me to do with this?” Now, the chef has three options. He can tell the cook to throw the offending item into the trash, but that means a total loss, and in the restaurant business every item of cut, fabricated, or prepared food should earn at least three times the amount it originally cost if the chef is to make his correct food-cost percentage. Or he can decide to serve that steak to “the family”—that is, the floor staff—though that, economically, is the same as throwing it out. But no. What he’s going to do is repeat the mantra of cost-conscious chefs everywhere: “Save for well-done.” The way he figures it, the philistine who orders his food well-done is not likely to notice the difference between food and flotsam.”

I you insist on eating your food well done, well, thank you. You are doing public service.

“In the world of chefs, however, butter is in everything. Even non-French restaurants—the Northern Italian; the new American, the ones where the chef brags about how he’s “getting away from butter and cream”—throw butter around like crazy. In almost every restaurant worth patronizing, sauces are enriched with mellowing, emulsifying butter. Pastas are tightened with it. Meat and fish are seared with a mixture of butter and oil. Shallots and chicken are caramelized with butter. It’s the first and last thing in almost every pan: the final hit is called “monter au beurre.” In a good restaurant, what this all adds up to is that you could be putting away almost a stick of butter with every meal.”

Sounds similar with Malaysians' infatuation with sugar.

“I love the sheer weirdness of the kitchen life: the dreamers, the crackpots, the refugees, and the sociopaths with whom I continue to work; the ever-present smells of roasting bones, searing fish, and simmering liquids; the noise and clatter, the hiss and spray, the flames, the smoke, and the steam. Admittedly, it’s a life that grinds you down. Most of us who live and operate in the culinary underworld are in some fundamental way dysfunctional. We’ve all chosen to turn our backs on the nine-to-five, on ever having a Friday or Saturday night off, on ever having a normal relationship with a non-cook.

Being a chef is a lot like being an air-traffic controller: you are constantly dealing with the threat of disaster. You’ve got to be Mom and Dad, drill sergeant, detective, psychiatrist, and priest to a crew of opportunistic, mercenary hooligans, whom you must protect from the nefarious and often foolish strategies of owners.”

In a way, that sounds like the life of an anesthetist and other misfits of the operating theater that specialize in highly specialized surgeries (and not just popping off zits; watch this at your own risk).

“In America, the professional kitchen is the last refuge of the misfit. It’s a place for people with bad pasts to find a new family. It’s a haven for foreigners—Ecuadorians, Mexicans, Chinese, Senegalese, Egyptians, Poles. In New York, the main linguistic spice is Spanish. “Hey, maricón! chupa mis huevos” means, roughly, “How are you, valued comrade? I hope all is well.” And you hear “Hey, baboso! Put some more brown jiz on the fire and check your meez before the sous comes back there and fucks you in the culo!,” which means “Please reduce some additional demi-glace, brother, and reëxamine your mise en place, because the sous-chef is concerned about your state of readiness.”

Since we work in close quarters, and so many blunt and sharp objects are at hand, you’d think that cooks would kill one another with regularity. I’ve seen guys duking it out in the waiter station over who gets a table for six. I’ve seen a chef clamp his teeth on a waiter’s nose. And I’ve seen plates thrown—I’ve even thrown a few myself—but I’ve never heard of one cook jamming a boning knife into another cook’s rib cage or braining him with a meat mallet. Line cooking, done well, is a dance—a highspeed, Balanchine collaboration.”

An amalgam of cultures eventually getting their stuff together for the common goal of getting that perfect plate of food out of that hell and into your stomach.

Kinda like patients leaving the OR into the recovery area. People don't appreciate what happens in that room after undergoing major surgery. All past surgical and anesthesia history is "uneventful" until proven otherwise. But at least we have air conditioning.

And before I forget, Selamat Hari Raya.

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