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June 12, 2010

Doctors to Deal with Distracted Drivers

Doctors are expected not just to diagnose and treat diseases but to prevent disease by counseling patients about behaviors that expose them to risk.  We are expected to ask patients about smoking, alcohol use, high-risk sexual behavior, failure to use seatbelts and dancing on windowsills.  We are expected to counsel our patients to refrain from behaviors that may lead to injury or disease.

“Mrs. Jones, I’m very worried about the fact that you grease your stairs with motor oil.  I advise that you stop.”

To the list of dangerous behaviors we should be asking our patients about, we now must add distracted driving.  A perspective article in this week’s New England Journal of Medicine argues eloquently that distracted driving due to cell phone use is a major cause of preventable injury and death, and that physicians have a duty to warn and educate patients about it.

It’s important to note that this is a perspective article, similar to an op-ed piece, and not a scientific paper.  The science here is quite thin, but no ethical randomized trial can be imagined in which drivers are assigned to an attentive or a distracted group and then broken bones are tallied.  The few observational studies available suggest that distracted driving impairs drivers about as much as alcohol intoxication.

Though texting while driving is obviously dangerous, the author argues that even talking on the phone hands-free is distracting and keeps drivers from focusing all their attention on the task at hand.  She argues that talking on a cell phone is much more impairing than listening to the radio or talking with a passenger.

The data, though, is fuzzier.  A study from Virginia Tech (see link below) used video cameras in actual cars and trucks and observed drivers over more than 6 million miles.  They correlated driver behavior with the risk of a crash or a near crash.  They conclude that

Driving is a visual task and non-driving activities that draw the driver’s eyes away from the roadway, such as texting and dialing, should always be avoided.  “Headset” cell phone use is not substantially safer than “hand-held” use, because the primary risk associated with both tasks is answering, dialing, and other tasks that require your eyes to be off the road.  In contrast, “true hands-free” phone use, such as voice activated systems, are less risky if they are designed well enough so the driver does not have to take their eyes off the road often or for long periods.

So just don’t text while driving, and don’t read that text that you just received.  And if you have to dial to make a call, consider waiting until you arrive at your destination.  And remind me to ask you about this at your next annual exam.

Fortunately, I ride my bike to work.  But maybe I should find a different time to do Sudoku.

Learn more:

Reuters article:  ” target=”_blank”>www.distraction.gov

New England Journal of Medicine perspective article:  ” target=”_blank”>New Data from VTTI Provides Insight into Cell Phone Use and driving Distraction

Tangential miscellany:

In the interests of full disclosure, this is a shameless plug for my esteemed colleague, friend and neighbor, Dr. Jonathan Corren, who is also a terrific allergist.  His new book Doctors to Deal with Distracted Drivers Read More »

The LA Pride DJ

Happy Pride!

I just came back from my most-awesome Taglit-Israel Birthright trip with the LA Way kids by way of Israel Experts! Hooray!  Before leaving I pondered hard, then harder, about extending my stay for 90 days.  Then the answer came as to what day and why I would have to be back before 90 days: Behold! I am opening on the main stage at CSW Pride for the one-and-only Milkshake and Acapella queen herself, KELIS! Don’t get me wrong, I made sure to extend a little bit, with a lovely 6-day schlep over to London afterward to bring the miracle of Shabbat to my French Jew gay friend in London (yes, that will be blogged about later). But Hashem was loud and clear: “You, my little woman Jew, will sing in bedouins; party in Tel Aviv and listen to Rihanna rehearse outside your hotel balcony; you will hike Masada before the sun rises with the moon in the distance, and ride donkeys that you’ll name Unicorn… you will Dead Sea play and bring the miracle of Shabbat to London. But then, you must get no more than 48 hours downtime before you make the gays dance like it’s 5769! You are the chosen one.  I have spoken.”

So, if you missed me at pride last year or the WEHO Dyke Marches last year and the year before, here’s your chance to see me, and then Kelis in 2010/5770!

Here’s my Pride schedule:

DJ Nova Jade* spins at Dyke Day LA 2010 – Saturday, June 12, 2010 – 12 to 2 pm – Barnsdall Art Park 4800 Hollywood Boulevard, Los Angeles * FREE event! ” title=”http://www.lapride.org/” target=”_blank”>http://www.lapride.org/ for ticket info!

Sunday, June 13, 2010, I am marching in the parade again this year with film festival The LA Pride DJ Read More »

Let Korach be a reminder

Korach is a reminder of what happens when division, animosity and fear grab hold of a people.  Korach is a reminder of how even the greatest of leaders, Moshe, can be pushed to the limit and almost overthrown, taken down by his own relative, with the very people he saved from slavery now coming to attack him.  There are many midrashim about Korach and why he and his followers were swallowed up by the Earth, one of the big supernatural miracles sent by God in the Torah.  We know that our tradition understands Korach and his followers to be illustrators of “an argument not for the sake of heaven,” as Pirke Avot teaches, namely that while his feelings may have been genuine, his tactics, tone and manner were completely uncivil, rude and used to shame Moses in public, one of the highest forms of insults one can inflict.  In fact, the Talmud understands that shaming a person in public is “akin to death.”  Korach comes to remind us that we all have the capacity to be overtaken by fear, by a sense that we have the only truth, by a sense that tearing down a person in public is the best way to handle a situation.

With this teaching on my heart, I am feeling that the spirit of Korach has taken over many in the American Jewish community, as the divisions, disagreements, public insults and hate-filled rhetoric that is our public discourse on Israel has soured relations, driven young people away and pitted Jew against Jew at a time when we need to be together.  And I am not talking about the false unity of standing as one no matter what Israel does; that is false unity with no backbone.  I am talking about a unity that allows us to debate at the highest level, the level of Hillel and Shammai, as we try to figure out how best to support and strengthen Israel’s hope for peace.  We ought to be taking a look at the Israelis and see how vigorous their debate is, how open and honest their press is, how passionate they are, even in their disagreements.  Is there hate and shaming in Israel too?  Certainly.  But, what is happening here in America has gone too far.  There is no room for the variety of opinions that exist on a page of Talmud, there is no respect for divergent views, no caring about the heart and soul of our fellow Jewish brothers and sisters with whom we may disagree.  This deep-seated lack of respect and tolerance is the spirit of Korach and we must stand against it.

The spirit of Korach was alive and well, from first-hand accounts and press reports, during parts of the Israel rally this past Sunday sponsored by the LA Jewish Federation, Board of Rabbis and Israeli Consulate.  For full disclosure, I was not able to attend the rally.  But within minutes of him finishing, I was deeply disturbed to learn that my friend and colleague, David Pine, West Coast Regional Director of Americans for Peace Now, an invited guest to speak from the dais, was booed, jeered, heckled and verbally attacked during the entire length of his speech.  It was not that they were booing his message, but his very presence and the point of view he represents.  The spirit of Korach took over the crowd, and they were only interested in drowning out a fellow Jew.  Were they booing peace?  Were they booing and jeering hope?  Were they booing what a majority of Israelis understand: without a two-state solution, the State of Israel is in grave danger?  I don’t know.  I do know, from experience, that zealotry and single-mindedness sometimes prohibit us from honest evaluation, introspection and communication.  Love of Israel takes many forms, many shapes, but if it is led by the spirit of Korach, then we should be watching out for the splitting Earth that may be coming underneath us. 

There is midrash about why Korach’s lineage stops at Levi and doesn’t trace itself all the way back to Abraham, Isaac and Jacob.  Because Jacob, the God wrestler, the one who understood nuance and transformation, is said to have prayed on his deathbed, “If any of my descendants turns out wicked, may my name not be associated with them.  Such a person is not worthy of being called an Israelite.” (Num. R. 18:5)  May we all find the strength, courage, love and compassion to listen to one another, respect one another, and especially, disagree with one another, without the derisiveness of Korach.  May we be like his cousin, Aaron the Cohen, loving peace, pursuing peace and drawing each other near to Torah.

Shabbat shalom. 

Rabbi Joshua Levine Grater is the spiritual leader of Pasadena Jewish Temple and Center in Pasadena, CA.  He serves on the National Advisory Board of J-Street. 

Let Korach be a reminder Read More »

A Weekend of Oneness

Every Friday night, as I sit amongst the congregation in Shabbat services, I feel blessed and filled with gratitude to work for such an amazing temple. I welcome in Shabbat each week at Beit T’Shuvah, a 120-bed Jewish residential treatment center for addiction as well as a full congregation here in Los Angeles.

I always look forward to the moment when our Rabbi, Mark Borovitz, tells us that it is time to chant our traditional Shema together. No matter what mental state I’m in at that moment, how chaotic my day has been, or if my head is tied up in knots, I’m able to allow myself to be absolutely present and connect to my highest self and ultimately to God. 

Amazingly, when I allow myself that moment to look around, I can see myself mirrored in those around me, as they too feel their inner oneness, a sense of peace, and that absolute wholeness that the sacred space of the Shema can bring. As we chant those sacred words, I can physically feel all the things that have instigated inner turmoil throughout my week just melt away.

Last night, as I reflected in Shabbat services, I began to think about how our annual Pride celebration relates to that sacred moment I feel as I chant the Shema. I found that they correlate because of the sense of peace that they both bring. In the past, as I have experienced the Pride celebration, I have allowed my defenses to drop, knowing that I’m in a safe space and can allow myself the freedom to experience my whole being.

For me, there is that same sense of oneness amongst the LGBT community as we proudly come together to celebrate a part of ourselves that is not often encouraged or fully accepted by society.  This weekend will be like one big Shema for me, as I integrate all the parts of myself and strive to become more authentic.

http://www.beittshuvah.org/

A Weekend of Oneness Read More »