In My Hands Today…

The People’s Hospital: Hope and Peril in American Medicine – Ricardo Nuila

Where does one go without health insurance, when turned away by hospitals, clinics, and doctors? In The People’s Hospital, physician Ricardo Nuila’s stunning debut, we follow the lives of five uninsured Houstonians as their struggle for survival leads them to a hospital where insurance comes second to genuine care.

First, we meet Stephen, the restaurant franchise manager who signed up for his company’s lowest priced plan, only to find himself facing insurmountable costs after a cancer diagnosis. Then Christian—a young college student and retail worker who can’t seem to get an accurate diagnosis, let alone treatment, for his debilitating knee pain. Geronimo, thirty-six years old, has liver failure, but his meager disability check disqualifies him for Medicaid—and puts a life-saving transplant just out of reach. Roxana, who’s lived in the community without a visa for more than two decades, suffers from complications related to her cancer treatment. And finally, there’s Ebonie, a young mother whose high-risk pregnancy endangers her life. Whether due to immigration status, income, or the vagaries of state Medicaid law, all five are denied access to care. For all five, this exclusion could prove life-threatening.

Each patient eventually lands at Ben Taub, the county hospital where Dr. Nuila has worked for over a decade. Nuila delves with empathy into the experiences of his patients, braiding their dramas into a singular narrative that contradicts the established idea that the only way to receive good healthcare is with good insurance. As readers follow the movingly rendered twists and turns in each patient’s story, it’s impossible to deny that our system is broken—and that Ben Taub’s innovative model, which emphasizes people over payments, could help light the path forward.

Common Everyday Superstitions

The other day, when I was getting ready for a meeting, I found myself wearing a dress in the colour green. This is my superstition: I wear something in green when I have something important to do, be it an exam, an interview or a client meeting. This is probably irrational, but something that gives me that little burst of confidence. Other superstitions we follow in my family include not going to take a bath immediately after someone leaves the house, touching a book or any paper with your hands and bringing your hands to your eyes if you accidentally touch it with your feet, and not wearing or using anything new on a Saturday.

Superstitions are an intriguing aspect of human culture, reflecting our desire to find meaning and control in an unpredictable world. They often arise from historical beliefs, cultural traditions, and psychological needs, manifesting in various forms across different societies. 

Superstitions are beliefs or practices that stem from a fear of the unknown or a desire to influence future events. They often involve rituals, charms, or specific behaviors intended to bring good luck or ward off misfortune. While some superstitions may seem irrational, they provide comfort and a sense of control in uncertain situations. 

Psychologically, superstitions can serve as coping mechanisms. During times of stress or anxiety, individuals may turn to superstitious practices to alleviate their fears. Studies have shown that engaging in superstitious behaviour can enhance performance and reduce anxiety, as belief in the efficacy of these rituals can lead to a more positive mindset.

Superstitions vary significantly from one culture to another, yet many share common themes. 

In many Western cultures, Friday the 13th is considered an unlucky day. This superstition is rooted in the belief that both Friday and the number 13 are associated with bad luck. The fear of this day is so widespread that it has its own term: “paraskevidekatriaphobia.” Breaking a mirror is believed to bring seven years of bad luck. This superstition originates from the idea that mirrors reflect not only physical appearances but also the soul. Thus, breaking a mirror is seen as damaging one’s soul. In some cultures, particularly in the United States and parts of Europe, a black cat crossing one’s path is considered a bad omen. This belief likely stems from historical associations between black cats and witchcraft. Walking under a ladder is thought to be rooted in Christian symbolism, where a ladder leaning against a wall forms a triangle, representing the Holy Trinity. Walking under it is believed to break this sacred symbol, leading to misfortune. The saying “Find a penny, pick it up, and all day long you’ll have good luck” reflects the belief that finding money, no matter how small, is a sign of good fortune.

Over in Asia, in China and Japan, sticking chopsticks upright in a bowl of rice is a taboo practice, as it resembles incense sticks used at funerals. This act is believed to invite death and is considered disrespectful. In many East Asian cultures, burning ghost money is a common practice during festivals to honour deceased ancestors. This act is believed to provide comfort and support to the spirits in the afterlife. In countries like Japan and the Philippines, whistling at night is thought to attract evil spirits. This superstition reflects a broader cultural belief in the supernatural and the need to protect oneself from malevolent forces. In Chinese culture, the number four is associated with death, as the word for “four” sounds similar to the word for “death,” or sǐ. As a result, many buildings skip the fourth floor, and people avoid using the number in various contexts. In Vietnam, it is believed that during a thunderstorm, one should hide their belly button to prevent it from being struck by lightning. This superstition showcases the unique ways cultures interpret natural phenomena.

In India, similar to beliefs in many Western cultures, a black cat crossing one’s path is considered an omen of bad luck. This superstition is linked to the association of black cats with Lord Shani, the deity representing misfortune. To counteract this bad luck, people often wait for another person to pass before continuing on their way. It is common to see a string of lemons and seven green chillies hung at the entrances of homes and businesses. This practice is believed to ward off the evil eye, specifically the goddess Alakshmi, who embodies misfortune. The sourness of the lemon and the heat of the chillies are thought to appease her, preventing her from entering the premises. Many Indians believe that sweeping the house after sunset will drive away Goddess Lakshmi, the deity of wealth and prosperity. This superstition is rooted in the idea that cleaning at night could lead to the accidental disposal of valuables, as visibility is limited. Eye twitching is interpreted differently across cultures. In India, the twitching of the right eye is often considered a good omen, while the left eye twitching is viewed as inauspicious. This belief varies by gender; for example, it is considered good luck for men but bad for women. The practice of putting a dot of kohl on a child’s forehead is common in India to protect them from the evil eye. This superstition is based on the belief that the evil eye can cause harm or misfortune, and the dot serves as a protective charm. It is customary to add one rupee to monetary gifts, especially during weddings. This practice is believed to bring good luck and symbolises that the gift will not return to the giver. The number one is considered auspicious, and making the total an odd number is thought to ensure prosperity for the recipients. Many people refrain from cutting their nails or hair on Saturdays, as it is believed to bring bad luck. This superstition may stem from cultural associations with certain days being more auspicious than others.

The concept of the evil eye is prevalent in many Middle Eastern cultures. It is believed that envy or malice from others can cause harm, and various talismans, such as the Nazar, are used to ward off this negative energy. In some cultures, spitting three times after mentioning something bad is a way to ward off misfortune. This act is believed to protect against the evil eye and negative energies. In certain Middle Eastern traditions, breaking bread with someone is seen as a sign of friendship and trust. However, if the bread falls, it is considered a bad omen, indicating that the friendship may be in jeopardy. 

While many superstitions are shared across cultures, some are unique to specific regions or communities. These unique beliefs often reflect the historical, environmental, and social contexts of the cultures they originate from. In Iceland, it is believed that knitting outside can prolong winter. This superstition highlights the connection between cultural practices and the environment, as Icelandic culture is deeply intertwined with its harsh climate. In Afghanistan, if a broom touches someone’s feet while sweeping, it is believed that one of their parents will die. This superstition underscores the cultural significance of family and the fear of losing loved ones. In Germany, toasting with water is seen as wishing death upon the people you are drinking with. This superstition reflects the cultural importance of toasting and the associated rituals of camaraderie and celebration. After attending a wake, many Filipinos make a pitstop at a restaurant or café to “shake off” bad spirits before returning home. This practice illustrates the cultural belief in the influence of spirits and the importance of rituals in daily life.

Certain superstitions have transcended geographical boundaries, becoming widely recognised across cultures. These shared beliefs often reflect universal human concerns about luck, fate, and the unknown. The use of lucky charms is a common practice worldwide. Whether it’s a rabbit’s foot in the United States, a four-leaf clover in Ireland, or a horseshoe in various cultures, these objects are believed to bring good fortune and protect against misfortune. The belief that bad luck occurs in threes is prevalent in many cultures. This superstition highlights the human tendency to seek patterns and meaning in random events. The notion of “beginner’s luck,” where novices experience unexpected success, is a common belief across cultures. This superstition reflects the psychological phenomenon of confirmation bias, where individuals remember instances that support their beliefs. The practice of knocking on wood to ward off bad luck is widespread. This superstition is thought to have originated from ancient beliefs in tree spirits, and it serves as a way to invoke protection against misfortune. 

Several studies have explored the impact of superstitions on human behaviour, revealing that certain superstitions can indeed have a positive effect on performance and mental well-being. Research published in *Psychological Science* indicates that engaging in good-luck-related superstitions can significantly improve performance across various tasks. For instance, participants who activated superstitions—through familiar sayings or actions, such as crossing fingers or using lucky charms—demonstrated better outcomes in tasks involving motor dexterity, memory, and problem-solving. This improvement is attributed to increased self-efficacy and confidence, which are essential for tackling challenging tasks.

Superstitions often serve as coping mechanisms, providing individuals with a sense of control in unpredictable situations. For example, athletes frequently rely on personal superstitions or rituals to manage anxiety and enhance focus before competitions. These rituals can help ground them in the moment and alleviate pressure, ultimately leading to improved performance. Belief in superstitions can foster a positive mental attitude. Studies have shown that individuals who hold superstitious beliefs often exhibit higher levels of optimism and motivation. This positive mindset can lead to goal-oriented behaviour and increased persistence in the face of challenges.

Some research suggests that the effects of superstitions may vary by gender. For instance, a study indicated that inducing beliefs in good luck helped improve self-efficacy among female participants, leading to better performance in cognitive tasks. However, the same induction did not yield the same benefits for male participants, suggesting that the impact of superstitions may be context-dependent. The placebo effect is another mechanism through which superstitions can yield positive outcomes. The belief that a particular charm or ritual will bring good luck can enhance an individual’s performance simply because they believe it will. This psychological boost can be powerful, reinforcing the idea that superstitions, while not scientifically grounded, can have real-world effects on behaviour and outcomes. In summary, while superstitions may seem irrational on the surface, they can have beneficial effects on performance and mental health by enhancing confidence, providing comfort, and serving as effective coping mechanisms in uncertain situations.

Despite advances in science and rational thought, superstitions continue to play a significant role in many people’s lives. They often serve as coping mechanisms, providing comfort and a sense of control in uncertain situations. In contemporary society, superstitions can be seen in various contexts, from sports rituals to personal habits. Moreover, superstitions can be found in everyday decision-making. People may avoid certain actions or make specific choices based on their superstitious beliefs, such as avoiding the number 13 in hotel rooms or refraining from making significant decisions on Friday the 13th.

Superstitions are a fascinating aspect of human culture, reflecting our desire for control and meaning in an unpredictable world. From common beliefs like avoiding black cats and walking under ladders to unique practices found in specific cultures, superstitions offer insight into the values and fears of societies worldwide.

While some may view superstitions as irrational, they serve important psychological and cultural functions, providing comfort and a sense of security in uncertain times. As we navigate the complexities of modern life, these everyday superstitions remind us of our shared humanity and the enduring power of belief. Whether consciously or unconsciously, we all engage with these rituals, illustrating the intricate tapestry of human experience that transcends geographical boundaries.

I’d love to hear from you all. Do you have any superstition you consciously or unconsciously do? Let me know in the comments below.

2024 Week 40 Update

And we are in the last few months of 2024. It’s true as we have all heard our parents say, that as you grow older, the days begin to pass faster. It just felt like the beginning of the year, and here we are looking at another year waiting to take its place centrestage.

Today’s quote is from one of the most influential spiritual thinkers of our time, Eckhart Toile, widely known for his works on mindfulness and living in the present moment. Tolle’s quote emphasises the importance of inner calm and mental quiet in discovering new ideas and resolving challenges. The quote suggests that by quieting the mind and finding stillness, we can access deeper creativity and clearer thinking. In moments of stillness, without the distractions of constant activity, we allow space for insights and solutions to emerge. He highlights the idea that creativity and problem-solving are not always achieved through intense effort or thinking but often through mindfulness and letting go of mental noise. The quote implies that inner calm can lead to breakthroughs in creativity and life’s challenges, making stillness a powerful tool for finding clarity and perspective.

After a few months, I finally managed to update my steps for 2024 and as of the end of September, I walked more than 10,000 km in the past 3 years and 9 months. I started this journey in the beginning of 2021 trying to walk to my home in Mumbai. Along the way, my parents moved to Bengaluru, so I moved my end journey to that place. After reaching Bengaluru, I started walking my way back to Singapore and at the end of September, I stand almost at India’s border with Myanmar. I am currently just inside Nagaland’s border with Assam and the India-Myanmar border at Moreh is still about 300 km away. After Myanmar, I have to cross Thailand and Malaysia, before I reach Singapore and home. This is still about 3600 km away.

As far as my reading is concerned, I am about 70% into my annual reading goal. There is still three months left and I am sure I will be able to hit my goals and hopefully, exceed them. Some books, I devour, and some take me ages to finish. 

That’s all from me this week. Stay positive and keep smiling!

In My Hands Today…

The Third Pole: Mystery, Obsession, and Death on Mount Everest – Mark Synnott

Shivering, exhausted, gasping for oxygen, beyond doubt . . .

A hundred-year mystery lured veteran climber Mark Synnott into an unlikely expedition up Mount Everest during the spring 2019 season that came to be known as “the Year Everest Broke.” What he found was a gripping human story of impassioned characters from around the globe and a mountain that will consume your soul—and your life—if you let it.

The mystery? On June 8, 1924, George Mallory and Sandy Irvine set out to stand on the roof of the world, where no one had stood before. They were last seen eight hundred feet shy of Everest’s summit, still “going strong” for the top. Could they have succeeded decades before Sir Edmund Hillary and Tenzing Norgay? Irvine is believed to have carried a Kodak camera with him to record their attempt, but it, along with his body, has never been found. Did the frozen film in that camera have a photograph of Mallory and Irvine on the summit before they disappeared into the clouds, never to be seen again? Kodak says the film might still be viable. . . .

Mark Synnott made his own ascent up the infamous North Face along with his friend Renan Ozturk, a filmmaker using drones higher than any had previously flown. Readers witness first-hand how Synnott’s quest led him from oxygen-deprivation training to archives and museums in England, to Kathmandu, the Tibetan high plateau, and up the North Face into a massive storm. The infamous traffic jams of climbers at the very summit immediately resulted in tragic deaths. Sherpas revolted. Chinese officials turned on Synnott’s team. An Indian woman miraculously crawled her way to frostbitten survival. Synnott himself went off the safety rope—one slip and no one would have been able to save him—committed to solving the mystery.

Eleven climbers died on Everest that season, all of them mesmerized by an irresistible magic. The Third Pole is a rapidly accelerating ride to the limitless joy and horror of human obsession.

World Teachers Day

World Teachers’ Day, celebrated annually on October 5th, is a global observance that honours the teaching profession and recognises educator’s crucial role in shaping our world. This day serves as an opportunity to appreciate teachers’ dedication, reflect on their challenges, and advocate for their rights and working conditions. 

The roots of World Teachers’ Day can be traced back to 1966 when the United Nations Educational, Scientific and Cultural Organization (UNESCO) and the International Labour Organization (ILO) adopted the “Recommendation Concerning the Status of Teachers.” This landmark document set international standards for the teaching profession, addressing issues such as teachers’ rights, responsibilities, initial preparation, further education, recruitment, employment, and working conditions.

It wasn’t until 1994, however, World Teachers’ Day was officially established. On October 5, 1994, UNESCO proclaimed the first World Teachers’ Day to commemorate the signing of the 1966 recommendation. The date was chosen to honour this significant educational milestone and raise awareness about teachers’ contributions to society.

Since its inception, World Teachers’ Day has grown into a global celebration, observed in over 100 countries. It serves as a focal point for governments, organisations, and communities to reflect on the state of education and the teaching profession.

World Teachers’ Day holds immense significance for several reasons. The day acknowledges the pivotal role teachers play in providing quality education and shaping future generations. It provides a platform to advocate for teachers’ rights, better working conditions, and professional development opportunities. The day draws attention to the challenges faced by educators worldwide, including resource shortages, overcrowded classrooms, and inadequate support. World Teachers’ Day helps attract and retain talented individuals to the teaching profession by highlighting its importance and value. It fosters a sense of unity among educators worldwide, encouraging the sharing of best practices and experiences across borders. The day stimulates discussions among policymakers, teachers, and other stakeholders about improving education systems and supporting teachers. And lastly, it raises public awareness about the crucial role of teachers in achieving global education goals and sustainable development.

Each year, UNESCO and its partners select a theme for World Teachers’ Day that reflects current priorities and challenges in global education. These themes serve to focus discussions and actions around specific aspects of the teaching profession and education at large. The focus this year is on “Empowering Educators: Strengthening Resilience, Building Sustainability.” This theme highlights the crucial need to support and empower teachers in an ever-changing educational landscape. In these challenging times, teachers have emerged as beacons of resilience, adapting and innovating for their students.This theme recognises the challenges educators face and emphasizes the importance of building their resilience to adapt to new circumstances, technologies, and teaching methodologies. It acknowledges the need to equip educators with the tools, skills, and support necessary to navigate the complexities of modern teaching.

By focusing on strengthening resilience, the theme recognises the importance of helping teachers develop the mental, emotional, and professional fortitude to overcome challenges and adapt to change. This resilience is crucial in maintaining high-quality education in the face of global uncertainties, technological advancements, and evolving societal needs. The emphasis on building sustainability in this theme extends beyond environmental concerns to encompass the sustainability of the teaching profession itself. It calls for creating supportive environments, providing ongoing professional development, and ensuring that teaching remains an attractive and viable long-term career choice.

This theme also aligns with broader global goals, such as the UN Sustainable Development Goals, particularly SDG 4 on Quality Education. It recognises that empowered and resilient teachers are key to providing inclusive, equitable, and quality education for all. After all, sustainable development starts with quality education. 

The day is marked by a variety of activities and events around the globe, aimed at honouring teachers and promoting the teaching profession. These activities ensure that World Teachers’ Day resonates with people from all walks of life, fostering a culture of respect and appreciation for educators.

While World Teachers’ Day is a celebration, it also serves as a platform to address the challenges facing educators worldwide. Many countries face severe teacher shortages, particularly in rural and underprivileged areas. Teachers in many parts of the world are underpaid, leading to low morale and difficulty in attracting talented individuals to the profession. Increasing administrative tasks and large class sizes often lead to teacher burnout. Many teachers lack access to quality, ongoing professional development opportunities. The rapid pace of technological change requires constant upskilling, which can be challenging for many educators. In some regions, teachers face physical dangers, including violence and threats from extremist groups. Many schools, especially in developing countries, lack basic teaching materials and infrastructure. Frequent changes in educational policies can create instability and uncertainty for teachers. In some societies, teaching is not accorded the respect and status it deserves, affecting teacher morale and recruitment. The emotional demands of teaching can take a toll on educators’ mental health and well-being. Addressing these challenges is crucial for improving the quality of education globally and ensuring that teaching remains an attractive and respected profession.

The COVID-19 pandemic has had a profound impact on education systems worldwide, bringing unprecedented challenges to teachers and students alike. Teachers had to quickly adapt to remote teaching, often with limited training and resources. The pandemic highlighted and exacerbated existing inequalities in access to technology and internet connectivity. Both teachers and students faced increased stress, anxiety, and isolation during lockdowns and school closures. Many students experienced significant learning losses, particularly those from disadvantaged backgrounds. Teachers often found themselves working longer hours to adapt curricula, support students remotely, and manage new technologies. As schools reopened, teachers had to balance educational needs with health and safety protocols. The crisis spurred innovation in teaching methods and the use of educational technology. The pandemic highlighted the essential role of teachers in society and education systems. These experiences have reshaped conversations about the future of education and the support needed for teachers to effectively navigate crises and adapt to changing educational landscapes.

Several trends and innovations are shaping the future of teaching. The integration of online and in-person instruction is likely to become more prevalent, offering flexibility and personalised learning experiences. AI tools may assist teachers in tasks like grading, personalized instruction, and identifying students who need additional support. There’s a growing emphasis on hands-on, interdisciplinary projects that develop critical thinking and problem-solving skills. Increased focus on developing students’ emotional intelligence and interpersonal skills alongside academic knowledge. Technology enables teachers and students to collaborate with peers around the world, fostering global citizenship. The use of game-design elements in non-game contexts to increase student engagement and motivation. These technologies offer immersive learning experiences, particularly beneficial in subjects like science and history. Data-driven approaches allow for more tailored educational experiences based on individual student needs and progress. Short, focused courses allow teachers to continuously update their skills and knowledge in specific areas. Integrating environmental awareness and sustainable practices across all subjects and grade levels. These trends highlight the need for ongoing professional development and support for teachers as they navigate an ever-evolving educational landscape.

World Teachers’ Day serves as a reminder of the critical role teachers play in achieving global education goals, particularly the United Nations Sustainable Development Goal 4 (SDG 4), which aims to “ensure inclusive and equitable quality education and promote lifelong learning opportunities for all” by 2030. 

Teachers are at the forefront of efforts to improve access to education, especially for marginalised and vulnerable populations. They enhance the quality of education by implementing effective teaching strategies and fostering critical thinking skills. Teachers promote gender equality through gender-sensitive teaching practices and encouraging girls’ participation in all subjects. They foster global citizenship by teaching about global issues promoting intercultural understanding and supporting lifelong learning by instilling a love for learning and providing skills for continuous self-improvement. Teachers adapt education to local contexts ensuring relevance and cultural appropriateness of curricula and implement inclusive education by catering to diverse learning needs and abilities in the classroom by integrating technology and leveraging digital tools to enhance learning experiences and outcomes. World Teachers’ Day highlights the importance of supporting and empowering teachers to fulfil these crucial roles effectively.

In a world facing complex challenges – from climate change to technological disruption – the role of teachers in shaping informed, skilled, and compassionate global citizens is more critical than ever. World Teachers’ Day serves not only as a celebration of educators’ dedication and impact but also as a call to action. 

The day reminds us of the need to invest in teacher education by ensuring that teachers are well-prepared for the evolving demands of their profession; to improve working conditions by providing teachers with the resources, support, and respect they need to excel in their roles; to elevate the teaching profession by attracting and retaining talented individuals by enhancing the status and appeal of teaching careers; to foster innovation in education by encouraging new approaches to teaching and learning that prepare students for the challenges of the 21st century; to promote equity in education by addressing disparities in educational access and quality, both within and between countries; to support teacher well-being by recognising the importance of teachers’ mental and physical health in delivering quality education; and to engage in global dialogue by facilitating the exchange of ideas and best practices among educators worldwide.

In honouring teachers, we acknowledge that they are not just transmitters of knowledge, but shapers of futures, nurturers of potential, and catalysts for positive change. World Teachers’ Day reminds us all – students, parents, policymakers, and community members – of the profound impact a good teacher can have and the collective responsibility we share in supporting the teaching profession.