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Warren Audio's broken hd800 cables - Page 3

post #31 of 62
Really, try to come if you can.

My gut is telling me that you're a well-educated professional. At a meet, you'll find lots of people just like you, who also love music and the gear. You'll be smiling the entire time and odds are you'll run into someone who likes, say, the same kind of furniture you do and loves a few musical artists you follow. It's uncanny. Then you'll end up in a great conversation. No one will give you a hard time about a medical condition, either.
post #32 of 62
Thank you again for your encouragement and support. I will keep an eye on your meets and Can Jams. If I'm up to attending, I'll be there and probably find myself enjoying the experience just as you suggest. I noted a meet in Arlington, VA, next month. I don't live too far from that meet but there's much talk in the thread of a main meet attraction being a beer hall across the street. While I used to enjoy a good beer, that's no longer in the picture for me. I'd never interfere with someone else's enjoyment simply because I can't participate but if it appears the main activity at that particular meet will be drinking, I'll have to take a pass. Regardless, I'll be keeping my eyes open for meets that look right for me and the one in Arlington in June might turn out just fine despite a few posters salivating about a 300 beer brand bar nearby.
post #33 of 62
Quote:
Originally Posted by ricmiclaw View Post

When I was diagnosed 10 years ago by colonoscopy with multiple biopsies, the doctors at Georgetown in Washington, DC, said "severe pan-ulcerative colitis". This was after a 45-minute screaming session in the men's room at work. When I emerged, I staggered the 20 or so feet to my office and collapsed in a pool of blood assembling around my slacks. Over the years, the doctors were unable to do much for me and, on several occasion, I was advised to have a total colectomy (bag). Each time, at the very verge of surrender to the doctors' advice, I recovered from the flare up and put off surgery. About 5 years ago, I had a flare up start that only quieted down about 1 year ago. This last flare up was different than all the ones before. Rectal tears developed that caused me to, and I don't exaggerate, howl like a dog whenever I went to the bathroom. During these flares that was about 10-12 times daily. The pain was excruciating beyond description for anyone who has never had what I have, advanced cancer or something like it. Also, the pain would last at least half a day. It was like dying of cancer, something I watched my father do 28 years ago. The pain was really that bad. Something else happened this time, though. I developed a peri-anal fissure, which is normally seen with Crohn's not ulcerative colitis. I have a whole team of doctors now at Johns Hopkins in Baltimore. Following multiple colonoscopies, sigmoidoscopies, biopsies, etc., they now say I have components of both diseases so they call it "Crohn's versus Colitis". They injected Botox rectally to control the spasms. Pain management with powerful narcotics was employed (morphine, fentanyl, dilaudid, oxycontin, methadone - am I missing anything?). After so many years of rectal tears, it turned out that the loss of bowel control from all that damage (and a failed surgical effort to fix things - not at Hopkins - I won't mention the hospital) was the event that forced me to work exclusively from home. Next colonoscopy in a year. I'm just waiting for them to tell me they found displasia (pre-cancer) and it's on with the bag. Bags are no fun but I don't think I can manage another 4 year flare up at my age. I'm sorry but I can't really think of how to relate this to headphones, etc. but, perhaps, a mind more clever than my own might find a way to relate my experiences with bowel disease to the underlying subject matter of this thread.


Welcome to Head-Fi.  I hope we can gain as much knowledge and insight from you as we are able to from other experienced members of this website.  I'd apologize for your wallet, but it seems you're way beyond that as it stands.

 

On a side note, have you been tried on biologics, like Remicade?  I've seen some damn excellent remission in patients refractory to Asacol and steroids.

post #34 of 62
I had about 4 dozen injections of Remicade, which produced horrendous spasmodic abdominal pain for about eight hours starting about 15 minutes into each injection. At about injection 35 or so, I experienced severe hypotension and nearly expired in the doctor's office. At about injection 45 or so, I experienced a rapidly progressing rash. The doctor said the rash had fully reached stage 2 and was progressing into stage 3, well along the way to Stevens-Johnson. I received injections of solu-cortef and benedryl, without effect. The 2/3 of the Remicade dose remaining in the bag (worth many thousands) was disconnected from the IV and thrown away. Everyone held their breaths as we waited for the rash to peak and the associated 104-105 fever to break. Obviously, as I'm here to relate this story, I survived this frightening experience. That was back in 2003-4 and I believe I started Remicade when it was considered investigational for ulcerative colitis. I have not used biologics since and they are now considered, for me, absolutely last resort before a colectomy. Asacol was not useful and I am currently taking Colazal and tacrolimus ointment rectally to help with the fissures. I have also used prednisone, but also without a good response. At the moment, other than control issues, which have persisted for years and were made worse by the failed surgery (so it's probably permanent) the disease is quiescent for the first time in years. I thank you sincerely for sharing your knowledge and experience in this area with me.
post #35 of 62

Hi Ricmiclaw,

 

Welcome to Head-Fi!  I'm sorry to hear about your conditions.  My brother also had Steven-Johnsons Syndrome when he was younger and it almost killed him; a very rare condition brought about by interactions between certain medicines such as NSAIDs and Sulfa antibiotics in certain people.  IBS and UC seem to also be pretty common in our family.

 

I wish you the best and hopefully this forum will provide you with fun and educate you.  It sounds like you already have some very good headphones and are well on your way to spending more money than you probably should. :)

post #36 of 62

Quote:

Originally Posted by ricmiclaw View Post

I had about 4 dozen injections of Remicade, which produced horrendous spasmodic abdominal pain for about eight hours starting about 15 minutes into each injection. At about injection 35 or so, I experienced severe hypotension and nearly expired in the doctor's office. At about injection 45 or so, I experienced a rapidly progressing rash. The doctor said the rash had fully reached stage 2 and was progressing into stage 3, well along the way to Stevens-Johnson. I received injections of solu-cortef and benedryl, without effect. The 2/3 of the Remicade dose remaining in the bag (worth many thousands) was disconnected from the IV and thrown away. Everyone held their breaths as we waited for the rash to peak and the associated 104-105 fever to break. Obviously, as I'm here to relate this story, I survived this frightening experience. That was back in 2003-4 and I believe I started Remicade when it was considered investigational for ulcerative colitis. I have not used biologics since and they are now considered, for me, absolutely last resort before a colectomy. Asacol was not useful and I am currently taking Colazal and tacrolimus ointment rectally to help with the fissures. I have also used prednisone, but also without a good response. At the moment, other than control issues, which have persisted for years and were made worse by the failed surgery (so it's probably permanent) the disease is quiescent for the first time in years. I thank you sincerely for sharing your knowledge and experience in this area with me.


I'm glad to hear the disease is quiescent right now.  I haven't heard of Enbrel used for UC/Crohn's, but to my knowledge IBD is an on-label indication for starting Humira.  All three drugs work by the same mechanism, but they don't necessarily share cross-reactivity, meaning though Remicade caused you to have SJS, Humira may not.

 

With severe pancolitis, though having a proctocolectomy and Brook ileostomy sounds awful, quality of life in patients with an ostomy is actually very much improved, as you don't have to deal with acute symptomatology.  The most common problem you'll face with an ostomy, in this case, would be diarrhea for several months, as the colon's function is reabsorption of water.  As the body gets accustomed, however, this problem tends to resolve spontaneously.  Additionally, you should be able to discontinue your medications if surgery is pursued as an option, which is an important point considering steroids and immunomodulators have many side effects, which you already know.  Prolonged high-dose steroid use can lead to Cushing's Syndrome, as well as discontinuation syndrome secondary to adrenal insufficiency.

 

If there is reason for concern that you have both Crohn's and UC, upper GI studies might be indicated, although it's possible that the problem here is colitis with Crohn's features.

 

That aside, I do hope you are able to attend some meets.  It's a good chance to meet Head-Fiers, and I think others would benefit from your impressions, given the amount and diversity of gear that you've acquired.

post #37 of 62

Once again, thanks to all for your concerned and humane comments.  I'm going to express of couple of thoughts related to these medical issues but it wasn't my intention to become the resident expert on chronic medical problems.  However, I brought it up in response to suggestions about meets and Can Jams, etc., so receiving responses along these lines isn't surprising and is actually rather uplifting.  Your responses speak very well of the type of people represented at Head-Fi.org.  I think I made the right choice signing up here.

 

Anyway, I've been through the surgical analysis process several times and have been "rescued" from making a decision by sudden remissinons at the exact points at which I was about to choose surgury.  Some of the remissions have lasted quite a while, others lasted only a few weeks.  The current one is going on about 1 year now, with control being the residuary issue.  I've been told that symptoms, especially pain, are resolved by surgury.  This I understand very clearly.  But there are other issues such as inflammation at the stoma, irritation of the surruonding skin, escape of odor, undesirable noises, etc.  I know these things because I know and knew people with ostomies.  But the rectal and abdominal pain would certainly resolve and the colonic malignancy risk would be largely eliminated (not completely bacause not absolutely all tissue is removed).  Obviously, control, once the absorption issue settled down, would also resolve as there wouldn't be any further passing of material rectally.  Some form of modified J-pouch is what has been recommended and that's what I would choose if the next flare became unbearable  or displasia is found on subsequent biopsy.  

 

Regarding a couple of other points, my current gastroenterology team is headed by the chiefs of inflammatory bowel disease at Hopkins and U.Penn. in Philly.  Both have advised that Enbrel is not effective for my indications.  Humira is a definite choice but carries the same malignancy and TB risks as Remicade and is also less effective, particularly in severe disease.  Nervertheless, prior to choosing surgery at the next severe flare-up, the plan is to employ Humira.  Past the rectum, the colon has not been severely inflammed for about two years.  The sigmoid was the last part to heal and showed moderate inflammation during the last year of the last severe flare-up, the one that lasted 4 years.  But the peri-anal fistula and the severity of disease in the rectum is what convinced these physicians that it's "Crohn's vs. Colitis" rather than uniquely either disease.  

 

Finally, I didn't actually have Stevens-Johnson.  I was well along the path to it, but never got there.  If I remember, there are 4 stages to rash and SJS is stage 4.  SJS is like burning up in your own skin.  I have seen photos of victims whose eyes seemed to have melted out of their sockets and skin burned off most of their bodies, as if in a fire.  These people also commonly suffer brain and multi-organ damage.  The survival rate for genuine SJS is low.  Once a rash starts to enter stage 3, which is where I was, the chances that the underlying medication reaction will uncontrollably lead to SJS are vastly increased and that's why the episode was so scary.  It's an amazing thing to see or experience.  The rash starts innocently as a few pink/red dots.  Then the dots start extending lines out to connect each other.  Then the lines and dots fill out to become blotches.  Then the blotches start connecting to each other.  Then it spreads to both sides of the diaphram. and so on.  The rash finally stopped when my skin was beet red over more than 95% of my entire body, from scalp to toes, accompanied by high fever.  As I understand it, what was happening to me outside was also happening on the inside, to my organs and connective tissues.  Just extend this scenario to inflammation that virtually incinerates skin and tissue, add a fever something like 106-8 or maybe more and that's SJS.  Perhaps some of the "myths" of so-called "spontaneous combustion" of people were really stories of SJS.  Most of the low number of survivors are permanently brain damaged and disfigured.  No.  I never got that far.  To the commenter who mentioned a brother with SJS, I can only say that surviving true SJS without brain damage or disfigurement is a blessing from heaven.  I hope that describes your brother's outcome.  You and he are truly fortunate to still be in each other's company.  BTW - As I also understand it, SJS is not limited to reactions from NSAIDS and sulfa drugs though I have read about SJS with these drugs and perhaps is more common with them than some others.

 

In conclusion, I've been looking around this site to find information and to see where I might usefully contribute.  There are one or two places where I might have a useful thought or two to contribute and I hope to be able to do so.  Mostly, though, the wealth of knowledge and experience possessed by others here is far greater than mine.  So I'm not going to be presumptuous and simply cough up the first things that enter my head.  As far a meets and Can Jams are concerned, I think it would be interesting and fun to try these out from time to time and I also hope to be up to doing that.  I would very much enjoy meeting some of the thoughful and considerate people who've commented here.  So, if a bad situation like my experience with Warren Audio and Rick Warren ultimately brings me these benefits, then that's a pretty good outcome (and I don't even know what PayPal is going to do with my claim).

 

I've been thinking about maybe adding a balanced tube amp to my set up sometime during the coming year or so.  For balanced use, I've only found the WA22 at Woo Audio.  Also, I'm just starting to research what kind of DAC to use with a tube amp.  Where do you folks think are the best places to look here for useful information on these issues?  There are literally thousands of threads/posts about tube amps, etc., but as I started reading, many seemed off the points in which I was interested and some just seemed to wander off into never-never land.  This isn't the right thread for such a discussion.  But I'd appreciate some guidance on starting my search elsewhere in this forum.   

post #38 of 62

I should hasten to remind that I'm currently using HeadRoom BUDA, UDAC and upgraded DPS, all solid state.  From what I've read, a tube set-up would be a very nice addition.

post #39 of 62
Quote:
Originally Posted by ricmiclaw View Post

Once again, thanks to all for your concerned and humane comments.  I'm going to express of couple of thoughts related to these medical issues but it wasn't my intention to become the resident expert on chronic medical problems.  However, I brought it up in response to suggestions about meets and Can Jams, etc., so receiving responses along these lines isn't surprising and is actually rather uplifting.  Your responses speak very well of the type of people represented at Head-Fi.org.  I think I made the right choice signing up here.

 

Anyway, I've been through the surgical analysis process several times and have been "rescued" from making a decision by sudden remissinons at the exact points at which I was about to choose surgury.  Some of the remissions have lasted quite a while, others lasted only a few weeks.  The current one is going on about 1 year now, with control being the residuary issue.  I've been told that symptoms, especially pain, are resolved by surgury.  This I understand very clearly.  But there are other issues such as inflammation at the stoma, irritation of the surruonding skin, escape of odor, undesirable noises, etc.  I know these things because I know and knew people with ostomies.  But the rectal and abdominal pain would certainly resolve and the colonic malignancy risk would be largely eliminated (not completely bacause not absolutely all tissue is removed).  Obviously, control, once the absorption issue settled down, would also resolve as there wouldn't be any further passing of material rectally.  Some form of modified J-pouch is what has been recommended and that's what I would choose if the next flare became unbearable  or displasia is found on subsequent biopsy.  

 

Regarding a couple of other points, my current gastroenterology team is headed by the chiefs of inflammatory bowel disease at Hopkins and U.Penn. in Philly.  Both have advised that Enbrel is not effective for my indications.  Humira is a definite choice but carries the same malignancy and TB risks as Remicade and is also less effective, particularly in severe disease.  Nervertheless, prior to choosing surgery at the next severe flare-up, the plan is to employ Humira.  Past the rectum, the colon has not been severely inflammed for about two years.  The sigmoid was the last part to heal and showed moderate inflammation during the last year of the last severe flare-up, the one that lasted 4 years.  But the peri-anal fistula and the severity of disease in the rectum is what convinced these physicians that it's "Crohn's vs. Colitis" rather than uniquely either disease.  

 

Finally, I didn't actually have Stevens-Johnson.  I was well along the path to it, but never got there.  If I remember, there are 4 stages to rash and SJS is stage 4.  SJS is like burning up in your own skin.  I have seen photos of victims whose eyes seemed to have melted out of their sockets and skin burned off most of their bodies, as if in a fire.  These people also commonly suffer brain and multi-organ damage.  The survival rate for genuine SJS is low.  Once a rash starts to enter stage 3, which is where I was, the chances that the underlying medication reaction will uncontrollably lead to SJS are vastly increased and that's why the episode was so scary.  It's an amazing thing to see or experience.  The rash starts innocently as a few pink/red dots.  Then the dots start extending lines out to connect each other.  Then the lines and dots fill out to become blotches.  Then the blotches start connecting to each other.  Then it spreads to both sides of the diaphram. and so on.  The rash finally stopped when my skin was beet red over more than 95% of my entire body, from scalp to toes, accompanied by high fever.  As I understand it, what was happening to me outside was also happening on the inside, to my organs and connective tissues.  Just extend this scenario to inflammation that virtually incinerates skin and tissue, add a fever something like 106-8 or maybe more and that's SJS.  Perhaps some of the "myths" of so-called "spontaneous combustion" of people were really stories of SJS.  Most of the low number of survivors are permanently brain damaged and disfigured.  No.  I never got that far.  To the commenter who mentioned a brother with SJS, I can only say that surviving true SJS without brain damage or disfigurement is a blessing from heaven.  I hope that describes your brother's outcome.  You and he are truly fortunate to still be in each other's company.  BTW - As I also understand it, SJS is not limited to reactions from NSAIDS and sulfa drugs though I have read about SJS with these drugs and perhaps is more common with them than some others.

 

In conclusion, I've been looking around this site to find information and to see where I might usefully contribute.  There are one or two places where I might have a useful thought or two to contribute and I hope to be able to do so.  Mostly, though, the wealth of knowledge and experience possessed by others here is far greater than mine.  So I'm not going to be presumptuous and simply cough up the first things that enter my head.  As far a meets and Can Jams are concerned, I think it would be interesting and fun to try these out from time to time and I also hope to be up to doing that.  I would very much enjoy meeting some of the thoughful and considerate people who've commented here.  So, if a bad situation like my experience with Warren Audio and Rick Warren ultimately brings me these benefits, then that's a pretty good outcome (and I don't even know what PayPal is going to do with my claim).

 

I've been thinking about maybe adding a balanced tube amp to my set up sometime during the coming year or so.  For balanced use, I've only found the WA22 at Woo Audio.  Also, I'm just starting to research what kind of DAC to use with a tube amp.  Where do you folks think are the best places to look here for useful information on these issues?  There are literally thousands of threads/posts about tube amps, etc., but as I started reading, many seemed off the points in which I was interested and some just seemed to wander off into never-never land.  This isn't the right thread for such a discussion.  But I'd appreciate some guidance on starting my search elsewhere in this forum.   


The skin irritation surrounding the ostomy site is a well-documented problem.  It's caused by the highly acidic contents of the ileum (which is interesting in and of itself, as the ileum is far distal to the stomach and pancreas, making you wonder how strong stomach acid, with a pH of 1-2, is).  This is why surgeons perform what is called a Brooke ileostomy, in which a portion of the mucosa is duplicated, or folded, and sutured over the skin surrounding the ostomy site, to prevent the acid from causing chronic skin inflammation.  The ileostomy is the first step in making the ileo-anal pouch, or the J-pouch that you mentioned.  If sphincter tone is preserved, this is an option.  However, if there's extensive damage to the anus, an ostomy or a continent ileostomy might be required.  As far as odor escape goes, to my knowledge the bags are airtight, but do need to be vented if they start getting too inflated.  Undesirable noises will certainly be an issue though.

 

It's good that you didn't end up with SJS.  The more severe form you mention is Toxic Epidermal Necrolysis, or Lyell's Syndrome.  It's the most severe form of a spectrum of diseases known as Erythema Multiforme.  It's pretty rare and definitely debilitating.  It's been well-documented with NSAIDs and Sulfas, but it's recognized to be some sort of allergic/inflammatory spectrum disorder, so it's thought that it can happen with any drug.

 

I understand you've already gone ahead and started the claims process with PayPal.  One of the major purposes of PayPal is for consumer protection, so hopefully they're able to retrieve your funds.  I hope this works out for you, as you were clearly conned with regards to your purchase from Warren.  For future cable purchasers, caveat emptor.

 

As far as balanced tube amps, I've been hearing a lot about the merits of the Eddie Current Balancing Act.  I haven't had the opportunity to listen to one, and I hope I do, but it's definitely something to look into.

Links:

http://www.eddiecurrent.com/Balancing_Act.html

http://www.head-fi.org/forum/thread/407413/eddie-current-balancing-act
http://www.head-fi.org/forum/thread/539462/balancing-act-2a3-45-impressions

http://www.head-fi.org/forum/thread/546102/eddie-current-balancing-act-receives-6moons-blue-moon-award

 

Hope this helps.


Edited by sridhar3 - 5/8/11 at 2:08pm
post #40 of 62

Fabulous.  I'll look into your suggestions concerning tube amps.  The medical points you explained are known to me.  I'm not a physician, but can tell from your posts that you are.  For the benefit of others, I'm glad that you took the time to explain in proper medical English the issues I've raised.  I noted your profile listing as (1) a surgeon, (2) fat, (3) ugly, (4) annoying, (5) boring, and (6) likely to die alone.  I compared these to your cute girl avatar.  Well, you either are (1) or are a great physician impersonator.  You are not (4) or (5).  No matter who's in the room with us, we all do (6); and it's a certainty, not a probability.  (2) and (3) are irrelevant if you are as nice a fellow as your posts suggest.  I hope to meet you someday and, meanwhile, to have additional exchanges with you.  Caveat Emptor?  You bet; don't know where my mind was that day.  

post #41 of 62

Quote:

Originally Posted by ricmiclaw View Post

Fabulous.  I'll look into your suggestions concerning tube amps.  The medical points you explained are known to me.  I'm not a physician, but can tell from your posts that you are.  For the benefit of others, I'm glad that you took the time to explain in proper medical English the issues I've raised.  I noted your profile listing as (1) a surgeon, (2) fat, (3) ugly, (4) annoying, (5) boring, and (6) likely to die alone.  I compared these to your cute girl avatar.  Well, you either are (1) or are a great physician impersonator.  You are not (4) or (5).  No matter who's in the room with us, we all do (6); and it's a certainty, not a probability.  (2) and (3) are irrelevant if you are as nice a fellow as your posts suggest.  I hope to meet you someday and, meanwhile, to have additional exchanges with you.  Caveat Emptor?  You bet; don't know where my mind was that day.  

 

I appreciate the compliments.  I'm not too great at impersonations, so I stick to the real thing.  Your writing and candor suggest you're no slouch in the brains department either.  If you end up at the next CanJam, I'll see you there.  You can count on it.

 

I'm glad you're not a medical malpractice attorney, though I can see the allure to being one.  As long as doctors exist, they'll be in business.

 

The girl in my avatar would be on my Amazon wishlist, were that possible.

 

And your gear list is uber alles awesome beyond belief.

 

beerchug.gif

post #42 of 62
Quote:
Originally Posted by sridhar3 View Post

Quote:

 

If you end up at the next CanJam, I'll see you there.  You can count on it.

 

I'm glad you're not a medical malpractice attorney, . . . 

beerchug.gif


My review of the threads on this site suggest that there are likely no Can Jams for 2011 but maybe in New York City in 2012. Do you know anything about that?

The Eddie Current balanced amp looks very interesting and I'm going to see if I can find any comparisons to the WA22. The Eddie Current is about twice the price as the Woo Audio. I wonder if it's that good.

Regarding medmal, I never had an interest in it. After nearly a quarter century in practice, I've come to believe that litigation is just about the world's worst method of resolving disputes. It's a needed alternative to dueling in civilized societies. Also, commercial disputes and disputes involving abuse of governmental power are other good uses for litigation. For medical cases, I think an administrative court presided over by judges/magistrates expert in medicine (whether or not actually physicians) would produce substantively better decisions more quickly than our current near lottery medmal litigation system produces. I think Germany uses such administrative procedures for scientific and technically complex cases so their general courts can focus on the more general types of dispute resolution at which such generalists excel.
Edited by ricmiclaw - 5/8/11 at 4:18pm
post #43 of 62

Quote:

Originally Posted by ricmiclaw View Post

My review of the threads on this site suggest that there are likely no Can Jams for 2011 but maybe in New York City in 2012. Do you know anything about that?

The Eddie Current balanced amp looks very interesting and I'm going to see if I can find any comparisons to the WA22. The Eddie Current is about twice the price as the Woo Audio. I wonder if it's that good.

Regarding medmal, I never had an interest in it. After nearly a quarter century in practice, I've come to believe that litigation is just about the world's worst method of resolving disputes. It's a needed alternative to dueling in civilized societies. Also, commercial disputes and disputes involving abuse of governmental power are other good uses for litigation. For medical cases, I think an administrative court presided over by judges/magistrates expert in medicine (whether or not actually physicians) would produce substantively better decisions more quickly than our current near lottery medmal litigation system produces. I think Germany uses such administrative procedures for scientific and technically complex cases so their general courts can focus on the more general types of dispute resolution at which such generalists excel.


Regarding the CanJam, basically what you said.  They didn't get around to planning anything, and it's too late to start now, so nothing until 2012.  I didn't hear where they were going to have it, but I sure hope it's NY.  People set up local meets though, so that might be something to keep an eye out for.

 

I wish I could comment on the Eddie Current Balancing Act, but I haven't heard it.  Hopefully at some meet I'll get the chance to.

 

And as far as medical policy goes, it's fair to say that all the wrong people are dictating how medical care is apportioned.  Medical decisions are made by insurance companies, judges, juries, lawyers, lobbies, administrators and businessmen.  Vis-a-vis, people who are far-removed from medicine dictate medical policy.  Not to mention, the general public seems to think that doctors are rich.  They seem to forget that people graduate medical school with $250,000-400,000 in debt, having to do a residency that pays a pittance for a minimum of three years (five for surgeons).  Doctors are overworked, and the numbers of residency positions, medical school seats and attending positions don't increase despite the AAMC putting out documentation specifically pointing out a doctor shortage in the US.  Lack of tort reform and society's desire to make a quick buck at the expense of others, paired with misconceptions that doctors are rich, lead to frivolous lawsuits, which in turn lead to mounting malpractice insurance costs.  It's all a vicious cycle, and that's just the tip of the iceberg.  Don't even get me started.

 

Putting in a few people who actually know a thing or two about medicine, who can then preside over medical litigation, might not be a bad idea at all.  For whatever reason, in our system doctors are guilty until proven innocent.

 

Edit: If you're bored: https://www.aamc.org/initiatives/workforce/


Edited by sridhar3 - 5/8/11 at 8:44pm
post #44 of 62
Well, I just sent an e-mail to Craig at Eddie Current asking him all about the BA and it's options. His response should be interesting. What I don't quite understand is why 6moons compared the BA to the W5, which I don't think is a balanced amp (with the exception that it will run the no longer made K1000 through a single 4 pin output). Woo's balanced amp is the WA22, unless I'm misreading things. I'm just learning about tubes but if the amp doesn't have the XLR outputs, you don't have to have a P.E. to know it won't run your standard XLR 3 pin balanced headphones.

Update 5/15/11:

I have since learned that there's more to balanced outputs than 3 pin XLRs. Craig was very good responding to my queries and helped educate me in these regards. I don't know which products I'm ultimately going to purchase to fill out my system. I just wanted others to know about the good communications from Craig with an obvious beginner.
Edited by ricmiclaw - 5/15/11 at 3:20pm
post #45 of 62
BTW - So-called "health care reform" increases the demand for services without increasing the supply of doctors (actually discourages doctors by cutting reimbursements). Except for partisan politics, I don't understand how anyone who's objective about this would expect anything other than physician shortages.
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