#4 The Arctic Ice Shelf and the Polar Bear
The massive, and I mean MASSIVE, hydro-electric power-generating dam on the Yangtze River is China's single largest feat of building since a certain wall and the biggest dam in the world. Having been started in 1997, it should be finished in five years. Behind the dam a new lake will be formed. Four hundred miles long - we're talking Great Lakes size. The gorgeous Three Gorges valley will be flooded, as will 13 cities, 140 towns and 1,300 villages. Some ancient archaeological sites, the river dolphins, sturgeon and over 6000 species of plant (57 are endangered) will also be sadly lost.
WITH floods in the south east and a train crash killing over 200, the three bombs in Delhi this afternoon topped off a truly depressing day for India.Yet another possible motive would be to coincide with the verdict of the Red Fort attack case, which was due on Saturday but has now been postponed to Monday. Two jawans and a civilian were killed by Lashkar militants on December 22nd, 2000. Mohammad Ashfaq, a Pakistani, along with his Indian conspirators Nazir Ahmed Qasid, Farooq Ahmad Qasid, Rehmana Yousuf Farooqi (Ashfaq's wife), Babar Mohsin Baghwala, Sadaqat Ali and Matloob Alam are standing trial, with some calling for Ashfaq to face the death sentence.
Chief suspects, at this stage, would seem to be the Pakistan-based Lashkar-e-Taiyaba group, responsible for not only the Red Fort attack, but also the 2001 Parliament attack and the Ram Temple assault in Ayodhya, when they used Delhi as a base. Indian officials are probing a Kashmir connection - yet another coincidence of note is the recent resignation of the chief minister of Jammu & Kashmir, Mufti Mohammad Sayeed. Large amounts of RDX have been found in Delhi in recent months, so it almost seems as though it was simply a matter of time before some was used - although the exact nature of the explosives has not been confirmed.
We should not lose sight of the fact that, at this stage, natural disasters have killed more than all three of these bombs, on both sides of the border. I not only hope this does not adversely affect the border discussions (I don't believe it will) and just as importantly, I hope that attention is not diverted from where it is needed most.
Update: A previously unknown group calling itself Islami Inquilabi Mahaz (revolution) has claimed responsibility in calls to reporters in Srinagar, Kashmir.
"Such attacks will continue until India pulls out all its troops from the state [of Kashmir]"
JUST a quickie. The DR looks forward to the London Film Festival, but this year not that many of the films leapt out screaming "watch me you bastard!" The DR has picked a few choice American, Indian, Japanese, Chinese and Korean films to watch.
An obvious starting point, the one-horned Javan rhino is a beast desperately close to the DR’s heart. Rhinoceros sondaicus is now the rarest large mammal on the planet and most estimate its numbers at only 60. We’re so used to hearing about minute numbers of a species left on earth I think we’ve become numb to it. Sixty. One rhino for every second in a minute. And that’s all there is. One minute’s worth of Javan rhino.
Millions of hearts broke as the Taliban inflicted their primitive fundamentalist beliefs upon some of Buddhism’s greatest statues. The colossal Buddha statues at Bamiyan were blasted by dynamite, but in truth were already in a poor state of repair before the nutballs were helped into power by America. Decades of neglect had preceded the Taliban’s vitriolic onslaught. Hamid Karzai has vowed to restore the Buddhas, which is a noble but laughable objective. In a country which ranks amongst the poorest in the world, expenditure on alien archaeology could never be justified. Like all of Afghanistan’s Buddhist heritage, the Buddhas of Bamiyan are unwanted and unloved. They will simply continue to decay.
LIKE most old men in their early 20s, I’m spending an increasing amount of time listening to Radio 4. Now I don’t really want to go over old ground about the religious hatred bill, as it has been covered in length elsewhere – Sunny has done an especially good job on Asians in the Media. To briefly state my position, I believe it to be a fig-leafed token gesture to appease the MCB after Blair pissed off a lot of Muslims. I simply want to bring a few fascinating comments from this evening’s Any Questions to your attention.
Ziauddin Sardar was a panellist on the show and started by explaining how any extension to blasphemy laws would be bad news. He cited Pakistan, which had no blasphemy laws until about 15 years ago. “The emergence of blasphemy laws has actually led to an incredible number of injustices against minorities and women.”“In the Muslim community, anti-Semitism has run riot and it’s becoming a very major problem. So I would like the [bill to come in] so that we can lock all those anti-Semitic Muslims away.”
“no understanding of the modern world, very little understanding of the problems of the young and they have a very archaic and obscurantist view and interpretation of Islam. But right underneath them we have a very dynamic group of young people who understand what modernity is all about and who have a very reformist outlook and what we need to do is promote, promote, promote this generation change. We don’t need a religious hatred bill, we need to go out there and change the leadership of the Muslim community.”

IN just a few weeks, Hu Jintao, the Chinese President, will be arriving on our fair shores for a five day jaunt. Over the last few months, vast amounts of column yards have been dedicated to ‘Chindia’ in the press all over the world. China and India have been identified as massive emerging economies. But as the world becomes somewhat more knowledgeable about these two Asian giants, so too are the differences emerging, such as Shankar Acharya’s forceful assertion that these neighbours are far from equal. This weekend saw an unfortunate event which may have repercussions when the Chinese party comes to the UK in November.
One might dismiss the case of Peng Ming as an internal affair. I would not argue that we should be policing other country’s domestic politics. After all, the world’s been quite happy letting a Noble Peace Prize winner like Aung San Suu Kyi suffer, why bother about someone like Peng Ming? Peng had U.N. Refugee status. He was entitled to be protected from return to China from another nation. And yet he now faces life in a Chinese jail.“It is not power that corrupts but fear. Fear of losing power corrupts those who wield it and fear of the scourge of power corrupts those who are subject to it.”
“Please use your liberty to promote ours.”
- Aung San Suu Kyi.
This is cross-post on Pickled Politics.

Grey’s Anatomy, on the other hand, is a different strain altogether. It is a sudsy, soppy, girlie soap of a drama (tagline: Operations. Relations. Complications.) The patients and stethoscopes are incidental props in between chats about dreamy surgeons and “oh-migod, being an intern is like, SO hard, you know?” But because I love you people, my reader(s), I put my Y-chromosome away, wondered which top I should wear to catch my consultant’s eye and watched it with some Haagen Dazs.

House really is a one-man show. That is not to belittle Hugh Laurie’s supporting cast (Dr House does enough of that himself), they’re easy on the eye but bland. Neighbours stalwarts (i.e. all British students) will recognise Jesse Spencer (Billy Kennedy) who insists he is Australian despite House telling him “you put the Queen on your money. You’re British.” He makes up the team with Omar Epps and Jennifer Morrison. But House is the star. He’s a git and you love him for it, because for every foot he steps on, he saves a patient’s life. The fictional Princeton-Plainsboro Teaching Hospital seems to attract the most weird and wonderful medical conundrums, which can only be solved by the man who played Bertie Wooster. Naphthalene poisoning, acute intermittent porphyria, EBV-phenytoin-epilepsy or tic-tac induced stroke (only 2 calories). Now I don’t know about you, but these things come into my hospital all the time. The team toss up the possibilities, write some stuff on a see-through markerboard, run some tests and House eventually gets it right. What makes it so eminently watchable are House’s glib one-liners. A bright orange patient comes in, but only complains of back pain.
“Unfortunately, you have a deeper problem. Your wife is having an affair.” “What?” replies the patient. “You're orange, you moron. It's one thing for you not to notice, but if your wife hasn't picked up on the fact that her husband has changed colours, she's just not paying attention.”
A pretty medical student is trying to present a history to House, who seems less than interested. “You’re reading a comic book.” House: “And you’re drawing attention to your bosom by wearing a low-cut top…oh I’m sorry, I thought we were having a state-the-obvious contest. I’m competitive by nature.”
House’s first season stayed fresh by introducing new cast members and not falling into the trend of diagnosis-of-the-month, but thankfully the total absence of House’s personal life has meant the relationship-tripe that mars many a British show is avoided, similar to the way Grissom’s geek has made CSI so fascinating.
Grey’s Anatomy has, like House, been doing extremely well across the Pond, consistently getting higher ratings than Lost. Much of its success can be attributed to savvy producers who recognised a gap in the market, women. Grey’s Anatomy revolves around Meredith Grey, a first year surgical intern played by Ellen Pompeo. In the opening episode, Meredith shags some sexy dude and like, he totally turns out to be her boss. I like horny hospitals and ridiculous romances but it is the dialogue that makes Grey’s Anatomy unbearable. The plotlines are mindless fun, interns are humiliated by tyrannical attendings, syphilis epidemics are caused by surgical interns, doctors do nurses, surgeons shag physicians and interns enjoy residents. Hell Meredith even snogs a patient. All this makes Grey’s Anatomy sound like the grown-up O.C., but try sitting through dialogue like this:
“8 of you will switch to an easier specialty. 5 of you will crack. 2 of you will be asked to leave. This is your arena. How well you play - that's up to you.”
“Your first shift starts now and lasts 48 hours. You're interns, grunts, nobodies, bottom of the surgical food chain. Run labs, write orders, work every second of your life until you drop and don't complain.”
“If I hadn't taken the Hippocratic Oath I'd Kevorkian her with my bare hands” (talking about a patient)
“I can’t think of any one reason why I want to be a surgeon. But I can think of a thousand reasons why I should quit. There are lives in our hands. I could quit. But here’s the thing. I love the playing field.” (so you just thought of one reason then, you silly moo)
“Did you let me scrub in for this operation because I slept with you?” (well all right, I did say the same thing to my consultant the other day)
“This is a good day to save lives.”
“We're women! We have vaginas! Get used to it!”
“You try eating after performing 17 rectal exams”
“The bad news is that we gave your penis to the cops.” (okay, that one’s funny)
But what medics really want to know is the answer to the ultimate question – can they be justified as studying? Strangely enough, I just sat written finals after having watched a helluva lotta medical TV and can honestly say one show has helped me more than any other. I ought to add that I’m probably not the best person to ask as in my head I justified watching the entire Ashes series before finals by the fact that they talked about Simon Jones’ injury. For about a minute.
Both shows have their howlers. A common theme in medical dramas is that one doctor does EVERYTHING. House’s team even visit dying patient’s houses to look for clues. Grey’s Anatomy spends so much time throwing clichés and romance around, there is little medicine to speak of. But House has some interesting, if very rare, medicine. One sometimes wonders how non-medics can fully enjoy the show, as it has long exchanges about therapy, investigations and diagnoses, with little explanation. The science is generally sound, but occasionally they stray from the bizarre to the inane, like tattoos erupting in MRI machines due to metal in the ink.
Both shows seem set to return for at least a few more seasons and whatever one’s thoughts about them, they are good stuff for one important reason – programmes about doctors make doctors look cool. We all want to look cool, right?
So what was that show I mentioned that helped me through finals more than any other? It’s not ER and not House. To dismiss it is as simply a comedy is to sell it short. As long as the writers don’t get too saccharine, it is an inspiring, thought-provoking, funny and thoroughly realistically-observed series. It is one of the best American TV shows to invade our fair shores and one you all know about already, the sublime Scrubs.
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This was published as my column the October issue of the greatest medical newspaper in the world, Medical Student.



My heart is filled with sorrow when I think about the inevitable evil that will be unleashed on little Bali. Tourism is how it earns its keep and 3 years on from the 2002 attacks, the trade had just returned to normal, until today. It hasn’t invaded Iraq or given aid to Israel, yet as long as Bali is a peaceful island, populated by Hindus and enjoyed by white tourists, the diamond on Indonesia’s necklace is under constant threat from the new Islamist fascists.
This was first a post on Pickled Politics, take a look at the comments here.










