bookofjoe

Charles Laughton directs "Night of the Hunter" (1955)

Wrote Flautist, "Charles Laughton's off-camera voice directing Robert Mitchum and child actors Billy Chapin and Sally Jane Bruce in the famous river scene from 'The Night of the Hunter' (1955).  It's fascinating to watch Robert Mitchum, as terrifying psycho-preacher Harry Powell, utter one blood-curdling scream after another, none of which were the one used in the film. This clip shows the little girl singing the haunting 'Pretty Fly' tune in her own voice.  (In the film it was dubbed by an adult singer.)"

Below, the river scene as it appears in the movie..

BehindTheMedspeak: Why your doctor's ability to depersonalize is a good thing

On the surface, it would seem that having a doctor who treats you with distancing coolness and apparent indifference to your greatest concerns would be one you wouldn't want to have anything to do with.

Let me cut to the chase, and make what could be a 5,000-word essay brief: just the opposite is sometimes true.

Let us say, for example, that you are the second patient on a neurosurgeon's schedule, for planned excision of a meningioma (brain tumor).

You've had months of being worked up and tested — been seen by specialist after specialist, had countless blood tests, x-rays, MRIs, CT scans, angiograms, the works — and many sleepless nights, wondering if you'd wake up at all from the anesthesia and, if so, if you might be blind, deaf, paralyzed, any number of possible complications you've been informed of.

Your family is sick with worry.

You wait in the holding area, your IV in place, after having been brought over from the outpatient admission suite.

The nurse tells you it's time to go into the OR, the orderly comes to wheel you down the hall.

You're taken into the OR, the nurses and anesthesiologist flutter and fuss all around you, you're all set for anesthesia induction.

Your surgeon comes into the room, says hello, tells you things should go fine, and off you go into never-never land as the anesthesiologist pushes the propofol.

What you didn't know right then — and will never know, and had no reason to know — is that the surgeon's previous patient had bled into her brain during an attempted aneurysm repair, so much so that the surgeon had had to clamp a major artery to stop the hemorrhaging.

In doing so he'd sacrificed blood flow and oxygenation to the patient's speech center, to the extent that it was irreparably damaged such that she'll never talk again.

How did he know that?

She was mute after regaining consciousness in the recovery room.

The neurosurgeon had explained the complication to the patient's family, then gone and had a Coke before returning to the OR for your case.

Do you want him to be thinking about how what had gone wrong and what he might have done differently as he begins to open your skull?

Do you want him to be upset about his damaged patient to the extent that he can't concentrate while he enters your subdural space and prepares to delineate the boundries of your tumor under the operating microscope?

I don't think so.

I think you'd much rather he not think at all about what had happened hours ago to his previous patient.

In my country we call that depersonalization — thinking about a person as just a complication, an unfortunate statistic.

And in my neck of the woods, we like that in a neurosurgeon.

He can care all he likes and fret and ruminate on his mistake and lose sleep, however much he wants — but please, not while he's in my brain.

Or yours.

Stars Wars Death Star Silicone Ice Cube Tray

From The Green Head: 

Is it a moon or a space station? Neither. It's an ice cube! The cool new Star Wars Death Star Silicone Ice Cube Tray is a silicone ice mold that creates a giant 2.4" Death Star ice sphere that's perfect for chilling Corellian Whisky, Jawa Juice, blue milk, or any traditional Earth-based beverage. Since it's made from silicone, it's oven-safe as well, so I don't see why you couldn't attempt to make little Death Star-shaped cupcakes as well."

Sold.

$22.95.

Augmented Reality Cooking Simulator: How to cook a perfect virtual steak

[via prosthetic knowledge and Rich Oglesby]

Digital Spoon lets you literally weigh every bite

Exchangeable

bowl.

Requires 2 batteries (not included and no —

they don't specify what size).

$12.99.

[via Richard Kashdan]

BehindTheMedspeak: Common Allergens

[via The Infographics Showcase and Rabbit Air]

.....................................

FunFact: 99% of the allergies reported to me by preoperative patients — and faithfully recorded by yours truly on their preoperative H & P — are in fact not allergies but, rather, normal and predictable side effects such as nausea and vomiting following codeine, morphine, and their ilk.  

No matter: You want to believe you're allergic to those drugs, I'm not here to convince you otherwise.

I'll happily play along with your delusion and simply avoid giving you those medications.

No skin off my nose.

What is it?

Answer here this time tomorrow.

Hint: Not intended for use in the bathroom space.

Another: Ditto that for the kitchen.