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...in a hospital pre-op unit doing what he has done every week for more than three decades: administering an anesthetic to a patient headed for surgery. Miller served as an anesthesiologist in the Vietnam War and now chairs the department of anesthesia at the University of California, San Francisco, School of Medicine; it's hard to imagine someone with more experience or better credentials. Even so, he was taken by surprise when he gave a low dose of a moderate sedative called midazolam, designed to put the patient into a semiconscious state, somewhere between sleep and wakefulness...
Since each patient's response to anesthesia can be different, as San Francisco's Miller was reminded last summer, the guidelines are intended to ensure that whoever administers the drugs should be able to rescue a patient from one level of sedation deeper than the level intended (see chart). "Our job is flying in bad weather," says Zapol. "A fair number of hearts stop in operating rooms, or people stop breathing. The key thing in training is to make people confident at resuscitation...
...schools provide exposure to different subjects as well as preparation for jobs that are not easily "off-shored," such as auto repair, cosmetology and building inspection. They're one of higher education's best-kept secrets--and a bargain compared with four-year colleges. GEORGIA R. GRANT COLLEGE OF SAN MATEO San Mateo, Calif...
...need to do is suggest a few potential Democratic contenders who embody that ideal. Kerry? Gore? Hillary? Howard Dean?! Having gored Joe Lieberman, the Democrats have demonstrated they don't tolerate "bipartisan patriotism" and will destroy any card carrier who evinces such an admirable trait. VINCE ZICCARDI San Antonio, Texas...
...stable funding opportunities. In addition, our institute recently established a training program at 16 state institutions that will train 169 young researchers, including predoctoral, postdoctoral and clinical fellows, many of whom have come from out of state or from overseas. ZACH W. HALL, PRESIDENT CALIFORNIA INSTITUTE FOR REGENERATIVE MEDICINE San Francisco...