Surgeon’s suit over criticism posted online by patient’s husband is part of wave of such claims - Metro - The Boston Globe

<base href="data:"><div style="font-family: Helvetica; font-size: 14px; color: black; text-align: left; "><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">During Lyn Votour's struggle against bone cancer and a cascade of complications, her husband slept with her in the intensive care unit for nine weeks. Back home in Central Massachusetts, he changed her bandages, replaced her feeding tube, and shielded her from debt collectors.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">And as she lay dying on the hospital bed in their living room, he snuggled beside her, holding her hand.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">They had been married 26 years, and his wife's death at age 46 overpowered Gary Votour with doubt and rage. He was furious at himself for allowing her to have surgery, during which she had a stroke, at friends who didn't visit, and at his wife's neurosurgeon.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">Believing that airing his concerns would help him heal, Votour requested a meeting with the surgeon at Brigham and Women's Hospital. When the surgeon turned him down, Votour's psychiatrist urged him to write her an "open letter'' online, detailing his concerns about his wife's medical care.</p><p id="skip-target" style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">He got a response, just not the one he had hoped for.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">Last month, the surgeon, Dr. Sagun Tuli, sued Votour and the owner of the website for defamation in Middlesex Superior Court, demanding $100,000 for the damage she said the blog post had done to her career. Her lawyer, David Rich of Boston, said Votour's blog popped up on the first page of Google search results for Tuli, who now works at MetroWest Medical Center in Framingham. Votour has since removed the blog post.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">"It's difficult to believe we have a legal system that allows people to be sued for expressing their grief,'' Votour said in an interview.</p><div class="figure" style="margin: 0.5em -79px 2em 23px; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; clear: right; float: right; width: 352px; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; "><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhkYchnHOSaSsT4y_BHY1Pu0dKXaeGLqEuJuLL6a3eiHEamN9Kw7A5W1600KH-M4EDneC2x49GCWZq3aA83U1apctU5HhUXcmc0CkhJwVagJiNOYYr6CfCVePWl_AhuIqr0U7_O0kSRGYo/s1600/handout_Votour_hs-711269.jpg"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5867975065463750674" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhkYchnHOSaSsT4y_BHY1Pu0dKXaeGLqEuJuLL6a3eiHEamN9Kw7A5W1600KH-M4EDneC2x49GCWZq3aA83U1apctU5HhUXcmc0CkhJwVagJiNOYYr6CfCVePWl_AhuIqr0U7_O0kSRGYo/s320/handout_Votour_hs-711269.jpg" /></a><div class="figcaption" style="margin: 0px 0px 0.2em; padding: 0px; border: 0px; outline: 0px; font-size: 0.75em; vertical-align: baseline; background-color: transparent; list-style: none; line-height: 1.58333333; font-weight: bold; background-position: initial initial; background-repeat: initial initial; "><p class="credit" style="margin: 0.5em 0px; padding: 0px; border: 0px; outline: 0px; font-size: 10px; vertical-align: baseline; background-color: transparent; list-style: none; color: rgb(153, 153, 153); font-weight: normal; letter-spacing: 0.05em; text-align: right; text-transform: uppercase; background-position: initial initial; background-repeat: initial initial; "></p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 12px; vertical-align: baseline; background-color: transparent; list-style: none; background-position: initial initial; background-repeat: initial initial; ">Lyn Votour was diagnosed with a rare bone cancer after an accident in 2005.</p></div></div><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">Tuli's lawsuit is part of a gathering wave of claims brought by doctors against former patients, and sometimes their relatives, over negative ratings and reviews they have posted on the Internet, lawyers say.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">Not only have personal blogs proliferated, but consumer sites such as Yelp and Angie's List allow patients to rate and comment on their physicians. These sites are viewed by thousands of people who increasingly rely on them to choose doctors.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">David Ardia, codirector of the Center for Media Law and Policy at the University of North Carolina, said the Internet "has realigned the power structure that existed between doctors and patients,'' giving patients far more influence than they have ever had. "The Web is just chock-full of people commenting on their experiences. Doctors have reacted with a great deal of hostility toward this.''</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">A quick perusal of Yelp reveals the kind of comments that are riling doctors. "Fast, Central, Misguided," said one comment about a Copley Square practice. "Decent for your quickfixmedtricks but leaves a bit to be desired in taking the time to truly understand the ailment."</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">Wrote another commenter about a Fenway office: "I feel much more like a number than a human being there."</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">The Digital Media Project at Harvard University tracks lawsuits filed against patients and others for online comments. Its website includes seven such cases filed over the past five years or so, though it's not a comprehensive list. In some, patients took down their negative comments. In others, judges dismissed the suit, ruling that patients' comments were protected under the First Amendment guarantee of free speech.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">In one 2011 case, Dr. Aaron Filler, a neurosurgeon, sued a former patient in a Los Angeles court for posting negative comments about him on rating sites such as <a href="http://RateMDs.com">RateMDs.com</a>, including that he posed an unusually high risk of death to patients. A judge dismissed Filler's suit, deciding that the patient was exercising free speech on a public issue, and ordered the doctor to pay $50,000 in legal fees.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">Doctors feel they are at a disadvantage in responding to negative reviews because medical privacy laws forbid them from discussing a patient's care in public — a limitation that hotels, restaurants, and other often-rated businesses and professionals don't face. They also worry that their explanations could be used against them in a malpractice suit — although a new Massachusetts law protects doctors' apologies.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">Dr. Richard Aghababian, president of the Massachusetts Medical Society, believes rating websites present a skewed picture of doctors because patients are more likely to post about negative experiences — even though they may be rare. "For surgeons, their reputation is very important," he said. "We don't want to discourage them from taking on really tough cases because they don't want to ruin their ratings.''</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">Companies have cropped up to help doctors fight back. <a href="http://PhysiciansReputationDefender.com">PhysiciansReputationDefender.com</a> specializes in disputing negative online ratings. <a href="http://MedicalJustice.com">MedicalJustice.com</a> gathers reviews from a doctor's patients and posts them on the Internet.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">Ultimately, some doctors file lawsuits to try to protect their names, despite what Ardia calls "the reputational cost'' of going to court, a step that often brings even more attention to the negative review.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">While the rating sites are generally immune from libel claims, said Sandra Baron, executive director of the Media Law Resource Center in New York, individuals who post comments are not. In general for a doctor to win such a suit, she said, the statements made by the patient have to be shown to be false and to have hurt the doctor's reputation.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">Most lawsuits filed by doctors against patients or their families arise from a soured relationship, and that certainly seems true for the Votours and Tuli.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">In March 2005, Lyn Votour was driving to her job counseling troubled youth when her car skidded on black ice and crashed. An ambulance rushed her to a local hospital, and tests on her neck eventually discovered a rare bone cancer unrelated to the accident.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">An oncologist at Brigham referred her to Tuli to have some of her vertebrae removed, a complicated and rare operation. During a second surgery, Votour suffered a stroke that paralyzed the left side of her body.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">The Votours and Tuli seemed to work well together at first. Tuli, for example, supported allowing Gary Votour to sleep in the ICU for an extended period, an unusual practice.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">But after Lyn Votour was discharged to Spaulding Rehabilitation Hospital, the couple's relationship with Tuli deteriorated, according to Gary Votour. His wife was eventually discharged to the couple's home in Barre in July 2006 with a feeding tube and a breathing tube.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">More than two years later, depressed and in pain, she asked her husband to remove her feeding tube, he said. Soon she stopped talking, he wrote on the blog, except for "one brief lucid moment when she thanked me for letting her go and made me promise to move on with my life and try to find happiness again.'' She died days later, in October 2008.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">"I was not doing well with grief,'' he said in an interview. "I wanted to go back and talk to Dr. Tuli about some questions that were bothering me. I really wanted to ask her why don't doctors follow up after discharge. I wanted to understand why doctors just wash their hands after discharge.''</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">Votour contacted a patient advocate at the Brigham, who said she would arrange a meeting. But the advocate called back and said Tuli had declined to meet, Votour said.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">Rich, her attorney, said a Brigham lawyer told Tuli not to meet with Votour.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">A hospital spokeswoman, Erin McDonough, said in a written statement that a log kept by the patient advocate "documents that Dr. Tuli indicated that she was not comfortable meeting with Mr. Votour. . . . The hospital's records clearly indicate it was her decision.'' The hospital lawyer said she never spoke to Tuli about Votour's request, McDonough said.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">Frustrated, Votour put up his blog in March 2010 and e-mailed a link to Tuli and other Brigham staff who had cared for his wife.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">In his post, Votour criticized Tuli for not visiting his wife at Spaulding, according to a copy of the blog included in the lawsuit. He wrote that the surgeon called their home once after her discharge but did not offer to help coordinate her care, and that Spaulding doctors and others urged him to file a lawsuit against Tuli. At another point, he said he lost his wife "not to cancer but to indifference and egotism.''</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">In the lawsuit, Tuli said these statements are false and defamatory. In written comments, Rich said that patient privacy laws prevent Tuli from discussing the reasons for the stroke, but according to the blog, she told the Votours it was caused by a preexisting tear in the heart.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">Rich wrote that Votour completely misunderstood how discharge planning works at large hospitals. Tuli, Rich said, did not have privileges to treat his wife at another hospital and they lived too far away for her to provide follow-up care.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">Rich said Tuli was surprised by the blog, because Votour had previously written e-mails complimenting her care of his wife. After Lyn Votour's stroke, Tuli "spent 12 hours with Votour and was completely responsive and sympathetic,'' Rich said.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">Tuli, who won a $1.6 million jury award against the Brigham and the chief of neurosurgery in 2009 for gender discrimination, left the hospital in 2011.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">Rich called the lawsuit a last resort — lawyers for Tuli initially asked Gary Votour to take down his blog in 2010. Votour took down the blog in February. He said his client hopes to "work out some amicable solution.'' But she wants Votour to sign an agreement not to write about her again — something he has refused to do.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">People have expressed concern to Tuli about what they read on Votour's blog, Rich said, and some have certainly been dissuaded from seeking her out as a surgeon. "If you are thinking of hiring someone or working with someone, the first thing you do is Google her name,'' he said.</p><p style="margin: 0px 0px 1.125em; padding: 0px; border: 0px; outline: 0px; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style: none; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: initial initial; ">In the end, Ardia said, doctors will not find satisfaction through the courts, but by using the Internet to their advantage — encouraging happy patients to write online reviews and trying to address the concerns of those who are not. "The ultimate solution is engagement and realizing that not every patient is going to be happy.''</p><p style="margin-top: 0px; margin-right: 0px; margin-bottom: 1.125em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 16px; vertical-align: baseline; background-color: rgb(255, 255, 255); list-style-type: none; list-style-position: initial; list-style-image: initial; color: rgb(0, 0, 0); font-family: Georgia, 'Times New Roman', Times, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 26px; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; position: static; z-index: auto; ">Votour, who still owes $25,000 to credit card companies for expenses related to his wife's care, has moved to Columbia, S.C., where he earned a master's degree in hospital administration. He now works as a patient advocacy consultant. He named his company Fierce Advocacy.</p></div><a href="http://www.bostonglobe.com/lifestyle/health-wellness/2013/03/30/surgeon-suit-over-criticism-posted-online-patient-husband-part-wave-such-claims/TLAp5DOMpZISPevfLL6B1I/story.html">http://www.bostonglobe.com/lifestyle/health-wellness/2013/03/30/surgeon-suit-over-criticism-posted-online-patient-husband-part-wave-such-claims/TLAp5DOMpZISPevfLL6B1I/story.html</a><div style="font-family: Helvetica; font-size: 14px; color: black; text-align: left; "><br class="webkit-block-placeholder"></div>

Surgeon’s suit over criticism posted online by patient’s husband is part of wave of such claims - Metro - The Boston Globe

During Lyn Votour's struggle against bone cancer and a cascade of complications, her husband slept with her in the intensive care unit f...

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X-ray Senior Systems Engineer ( X-ray metrology platforms | optics | subsystems |integration)(# 109309)

<div dir="ltr" style="text-align: left;" trbidi="on"><div class="WordSection1"><div class="MsoNormal"><span style="font-size: small;"><b><span style="font-family: "Arial","sans-serif";">Job Title:</span></b><span style="font-family: "Arial","sans-serif";"> X-ray Senior Systems Engineer<o:p></o:p></span></span></div><div class="MsoNormal"><span style="font-size: small;"><b><span style="font-family: "Arial","sans-serif";">Location:</span></b><span style="font-family: "Arial","sans-serif";"> Milpitas, CA<o:p></o:p></span></span></div><div class="MsoNormal"><span style="font-size: small;"><b><span style="font-family: "Arial","sans-serif";">Duration:</span></b><span style="font-family: "Arial","sans-serif";"> Fulltime<o:p></o:p></span></span></div><div class="MsoNormal"><br /></div><div class="MsoNormal"><span style="font-size: small;"><b><span style="font-family: "Arial","sans-serif";">Job Description:<o:p></o:p></span></b></span></div><div class="MsoNormal"><span style="font-size: small;"><b><span style="font-family: "Arial","sans-serif";">Responsibilities:</span></b><span style="font-family: "Arial","sans-serif";"><o:p></o:p></span></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">The mission of Advanced Development group is to propose and demonstrate next-generation differentiated technologies for semiconductor device and thin film metrology. The X-ray Sr Systems Engineer will be responsible for investigating X-ray metrology platforms, designing and analyzing hardware architectures, working on development and tests of prototype tools, and leading other scientists and engineers. This is a senior technical position that would provide an opportunity to define the system architecture and combine an individual contributor and a technical leader roles.<o:p></o:p></span></div><div class="MsoNormal"><br /></div><div class="MsoNormal"><span style="font-size: small;"><b><span style="font-family: "Arial","sans-serif";">Preferred Experience, Skills and Education:<o:p></o:p></span></b></span></div><div class="MsoNormal"><span style="font-size: small;"><b><span style="font-family: "Arial","sans-serif";">Required skills:<o:p></o:p></span></b></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">1.Expert-level systems knowledge of X-ray analytical technologies such as X-ray diffraction (XRD), X-ray fluorescence (XRF), small-angle and wide-angle X-ray scattering (SAXS and WAXS), X-ray reflectivity (XRR), X-ray photo-electron spectroscopy (XPS)<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">2.Expert-level knowledge of key components and subsystems: sources, optics, detectors, and integration<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">3.Working knowledge of data analysis in X-ray metrology<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">4.Ability to manage external vendors, identify and retire technical risks, and define and communicate schedules.<o:p></o:p></span></div><div class="MsoNormal"><br /></div><div class="MsoNormal"><span style="font-size: small;"><b><span style="font-family: "Arial","sans-serif";">Desired skills:<o:p></o:p></span></b></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">1.Knowledge of optical metrology techniques for critical dimensions, film thickness, and composition<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">2.Understanding of challenges in semiconductor metrology<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">3.Knowledge of IP development<o:p></o:p></span></div><div class="MsoNormal"><br /></div><div class="MsoNormal"><span style="font-size: small;"><b><span style="font-family: "Arial","sans-serif";">Minimum Qualifications:<o:p></o:p></span></b></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">Doctorate (Academic) with at least 5 years of experience. <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">OR <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">Master's Level Degree with at least 6 years of experience. <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">OR <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">Bachelor's Level Degree with at least 7 years of experience.<o:p></o:p></span></div><div class="MsoNormal"><br /></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;"><b><span style="font-family: "Arial","sans-serif";">Please send in your resumes to vinod.sanker@kla-tencor.com</span></b><o:p><br /></o:p></span></div></div></div>

X-ray Senior Systems Engineer ( X-ray metrology platforms | optics | subsystems |integration)(# 109309)

Job Title: X-ray Senior Systems Engineer Location: Milpitas, CA Duration: Fulltime Job Description: Responsibilities: The mission of Adva...

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Webinar recording: how do I add a free license to my digital writing? (17/04/2013)

<div dir="ltr" style="text-align: left;" trbidi="on"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiHGTjcHQMDtkRrD_3MyxU0iGDHxmzBK8sCrOc0ZOzmBinL1JkOYE0zxgVCgLQLxat7wfxEpV54S45HVqfnsiLu1anbUqT3B9Cw0hF-rfLFgOFThMm37HQxRTCZOOf9APVBMOmvkENwo_4/s1600/webinar+recording.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="53" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiHGTjcHQMDtkRrD_3MyxU0iGDHxmzBK8sCrOc0ZOzmBinL1JkOYE0zxgVCgLQLxat7wfxEpV54S45HVqfnsiLu1anbUqT3B9Cw0hF-rfLFgOFThMm37HQxRTCZOOf9APVBMOmvkENwo_4/s400/webinar+recording.JPG" width="400" /></a></div><br /><div dir="ltr" style="text-align: left;" trbidi="on"><b><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">The webinar summary:</span></b><br /><span style="font-family: Arial, Helvetica, sans-serif;">This webinar supports our current course on digital storytelling. What is the deal when we post information online? Can anybody use it? This webinar looks at free licensing supplied by Creative Commons and shows how to apply it. It will also show the free licensing we will use for our digital stories.</span><br /><span style="font-family: Arial, Helvetica, sans-serif;"><br /></span><b><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">Webinar recording</span></b><br /><span style="font-family: Arial, Helvetica, sans-serif;">It will be useful to listen to the webinar to get the full gist of what is being said about licensing. Thank you to those who attended. I am adding the 6pm webinar:<br /><a href="http://meet78641452.adobeconnect.com/p7woivx7ca8/">http://meet78641452.adobeconnect.com/p7woivx7ca8/</a> </span><br /><br /><strong><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">The presentation used for the webinar</span></strong> <br /><span style="font-family: Arial, Helvetica, sans-serif;">SlideShare is a useful free tool for sharing PowerPoints, Keynotes or PDFs on the web. I use it constantly. I have put my presentation into Slideshare, and please notice that I have pasted the same license that we will use on to the title page! That’s how easy it is to license something! </span><br /><br /><iframe allowfullscreen="" frameborder="0" height="356" marginheight="0" marginwidth="0" mozallowfullscreen="" scrolling="no" src="http://www.slideshare.net/slideshow/embed_code/19137772" style="border-bottom: #ccc 0px solid; border-left: #ccc 1px solid; border-right: #ccc 1px solid; border-top: #ccc 1px solid; margin-bottom: 5px;" webkitallowfullscreen="" width="427"> </iframe> <br /><div style="margin-bottom: 5px;"><strong><a href="http://www.slideshare.net/fionabeal/how-can-i-add-a-digital-license-to-my-digital-creations" target="_blank" title="How can I add a digital license to my digital creations?">How can I add a digital license to my digital creations?</a> </strong>from <strong><a href="http://www.slideshare.net/fionabeal" target="_blank">Fiona Beal</a></strong> </div><span style="font-family: Arial, Helvetica, sans-serif;"><b><br /></b></span><b><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">What if this is all too complicated for me?</span></b> <br /><span style="font-family: Arial, Helvetica, sans-serif;">That's how I used to think! But don't worry - all you need to get from the whole licensing issue is that we will send you a little tiny, block to paste on your story or your learners' stories (like I have done on the presentation in the webinar recording above). </span></div></div>

webinars Webinar recording: how do I add a free license to my digital writing? (17/04/2013)

The webinar summary: This webinar supports our current course on digital storytelling. What is the deal when we post information online? Can...

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Teach This! Teaching with lesson plans and ideas that rock 04/17/2013

<ul class="diigo-linkroll"> <li> <p class="diigo-link"> <a href="http://www.mentormob.com/learn/i/interactive-whiteboard-resources/sheppard-software-fun-free-online-learning-games-and-activities-for-kids">Sheppard Software: Fun Free Online Learning Games And Activities For Kids. - MentorMob</a> </p> <p class="diigo-description">Use the buttons on the left to play this interactive whiteboard set of tools for some of the best things you can find for interactive whiteboards. This list was made by Theresa Allen and you should share it with all your teachers who use IWB's. GREAT games and tools. Thanks, Theresa.</p> <p class="diigo-tags"> <span>tags:</span> <a href="https://www.diigo.com/user/coolcatteacher/education">education</a> <a href="https://www.diigo.com/user/coolcatteacher/teaching">teaching</a> <a href="https://www.diigo.com/user/coolcatteacher/iwb">iwb</a> <a href="https://www.diigo.com/user/coolcatteacher/games">games</a> <a href="https://www.diigo.com/user/coolcatteacher/edapps">edapps</a> <a href="https://www.diigo.com/user/coolcatteacher/bestpractices">bestpractices</a> <a href="https://www.diigo.com/user/coolcatteacher/techintegrator">techintegrator</a> <a href="https://www.diigo.com/user/coolcatteacher/professionaldevelopment">professionaldevelopment</a></p> </li> <li> <p class="diigo-link"> <a href="http://www.wikispaces.com">Wikispaces - Classroom</a> </p> <p class="diigo-description">This is an incredible announcement - Wikispcaces classroom with so many tools you can use. You can create projects but also measure engagement of your students from a dashboard! This is exciting. </p> <p class="diigo-tags"> <span>tags:</span> <a href="https://www.diigo.com/user/coolcatteacher/education">education</a> <a href="https://www.diigo.com/user/coolcatteacher/teaching">teaching</a> <a href="https://www.diigo.com/user/coolcatteacher/learning">learning</a></p> <ul class="diigo-comments"> </ul> </li> </ul><p class="diigo-ps">Posted from <a href='https://www.diigo.com'>Diigo</a>. The rest of my favorite links are <a href='https://www.diigo.com/user/coolcatteacher'>here</a>.</p>

Teach This! Teaching with lesson plans and ideas that rock 04/17/2013

Sheppard Software: Fun Free Online Learning Games And Activities For Kids. - MentorMob Use the butto...

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Today's archidose #668

Here are some photos of the new "Printemps" shopping mall (2013) in Strasbourg, France, by <a href="http://www.biecher.com/">Christian Biecher Architectes</a>, photographed by <a href="http://www.shifta.fr/photographie-architecture/">shift.A</a>.<br /><br /><a href="http://www.flickr.com/photos/shift-a/8651971773/" title="Printemps #6 by shift.A, on Flickr"><img alt="Printemps #6" height="428" src="http://farm9.staticflickr.com/8252/8651971773_19479440cb_z.jpg" width="640" /></a><br /><br /><a href="http://www.flickr.com/photos/shift-a/8651969613/" title="Printemps #2 by shift.A, on Flickr"><img alt="Printemps #2" height="428" src="http://farm9.staticflickr.com/8101/8651969613_3b35fb3f16_z.jpg" width="640" /></a><br /><br /><a href="http://www.flickr.com/photos/shift-a/8653068572/" title="Printemps #3 by shift.A, on Flickr"><img alt="Printemps #3" height="428" src="http://farm9.staticflickr.com/8120/8653068572_a936dedaa9_z.jpg" width="640" /></a><br /><br /><a href="http://www.flickr.com/photos/shift-a/8653068418/" title="Printemps #4 by shift.A, on Flickr"><img alt="Printemps #4" height="428" src="http://farm9.staticflickr.com/8243/8653068418_ea9086bc02_z.jpg" width="640" /></a><br /><br /><a href="http://www.flickr.com/photos/shift-a/8653068148/" title="Printemps #5 by shift.A, on Flickr"><img alt="Printemps #5" height="428" src="http://farm9.staticflickr.com/8384/8653068148_c541ae3d09_z.jpg" width="640" /></a><br /><br />To contribute your Flickr images for consideration, just:<br /><blockquote>:: Join and add photos to the <a href="http://www.flickr.com/groups/archi-dose/">archidose pool</a>, and/or<br />:: Tag your photos <span style="font-style: italic;"><a href="http://www.flickr.com/photos/tags/archidose/">archidose</a></span></blockquote>

Today's archidose #668

Here are some photos of the new "Printemps" shopping mall (2013) in Strasbourg, France, by Christian Biecher Architectes , photogr...

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Why We're Motivated to Exercise. Or Not. - NYTimes.com

If you give a rat a running wheel and it decides not to use it, are genes to blame? And if so, what does that tell us about why many people skip exercise?<br /><br><br /><br>To examine those questions, scientists at the University of Missouri in Columbia recently interbred rats to create two very distinct groups of animals, one of which loves to run. Those in the other group turn up their collective little noses at exercise, slouching idly in their cages instead.<br /><br><br /><br>Then the scientists closely scrutinized and compared the animals' bodies, brains and DNA.<br /><br><br /><br>For some time, exercise scientists have suspected that the motivation to exercise — or not — must have a genetic component. When researchers have compared physical activity patterns among family members, and particularly among twins, they have found that close relations tend to work out similarly, exercising about as much or as little as their parents or siblings do, even if they grew up in different environments.<br /><br><br /><br>These findings suggest that the desire to be active or indolent is, to some extent, inherited.<br /><br><br /><br>But to what extent someone's motivation to exercise is affected by genes — and what specific genes may be involved — has been hard to determine. There are only so many human twins around for study purposes, after all. And even more daunting, it's difficult to separate the role of upbringing from that of genetics in determining whether and why some people want to exercise and others don't.<br /><br><br /><br>So the University of Missouri researchers decided to create their own innately avid runners or couch potatoes, provide them with similar upbringings, and see what happened next.<br /><br><br /><br>They began with ordinary adult male and female lab rats. These rats generally embrace the opportunity to run, although individual mileage can differ substantially among rats.<br /><br><br /><br>The scientists put running wheels in the animals' cages and, for six days, tracked how much they ran. Afterward, the males and females that had logged the most miles were bred to each other, while those who'd run the least were likewise paired. Then the pups from each group were bred in a similar way, through 10 generations.<br /><br><br /><br>At that point, the running rats tended to spontaneously exercise 10 times as much as the physically lazier animals.<br /><br><br /><br>Now, the researchers set out to determine why.<br /><br><br /><br>In very broad terms, two elements are especially likely to influence whether we, as individuals, habitually exercise or not. One is physique. Animals or people that are overweight or ill, or who have poor muscle quality or tone or other physiological impediments to activity, tend to be sedentary. If moving is difficult, you don't do it.<br /><br><br /><br>So, the researchers now compared their two sets of animals' bodies. You might expect that after 10 generations of running frequently or running almost not at all, the animals' builds would be substantially different. But they weren't. The non-runners were slightly heavier, but the two groups' average body compositions, or percentage of muscle versus fat, were very similar. Both groups also had similarly healthy muscles and good appetites.<br /><br><br /><br>Differences in physique were not driving differences in exercise behavior.<br /><br><br /><br>So the researchers began to examine the other primary determinant of exercise behavior: psychology. How closely rats' emotions echo our own, if at all, is hard to know. But the runners in this experiment did seem to enjoy running, while rats in the other group appeared to want to avoid it.<br /><br><br /><br>And it was here that genetics entered. The scientists compared the activity of thousands of genes in a specific portion of the brain that controls reward behavior, or the motivation to do things because they're enjoyable.<br /><br><br /><br>They found dozens of genes that differed between the two groups.<br /><br><br /><br>The rats' decision to run or not to run, in other words, was being driven, at least in part, by the genetics of motivation.<br /><br><br /><br>What this study means for those of us with two legs and many excuses for not making it to the gym is not yet clear. "It does seem likely that there is a genetic element to the motivation to exercise," in people as well as in rats, says Frank Booth, a professor of physiology at the University of Missouri who oversaw the study.<br /><br><br /><br>But whether the same genes are involved in people as in lab rats isn't known, although part of the rationale for developing these strains of rats is to isolate genes that can be tested for in people.<br /><br><br /><br>At some point, Dr. Booth says, scientists conceivably could develop a test that would reliably inform someone whether he or she is genetically predisposed to being physically lazy, or the reverse.<br /><br><br /><br>But genetic profiles will never be destiny, Dr. Booth adds. His study's findings "are not meant to be an excuse not to exercise." Behavior, he says, remains a mix of innate tendencies and personal choice. So, even if it is in your nature to enjoy long hours on the couch, you can choose to get up and move.<br /><br><br /><br><a href="http://well.blogs.nytimes.com/2013/04/17/why-were-motivated-to-exercise-or-not/">http://well.blogs.nytimes.com/2013/04/17/why-were-motivated-to-exercise-or-not/</a>

Why We're Motivated to Exercise. Or Not. - NYTimes.com

If you give a rat a running wheel and it decides not to use it, are genes to blame? And if so, what does that tell us about why many people ...

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American Airlines Resumes Flights After a Computer Problem

<div dir="ltr" style="text-align: left;" trbidi="on"><img src="http://graphics8.nytimes.com/images/2013/04/17/business/17-AMR/17-AMR-articleLarge.jpg" /><br /><span style="background-color: white; color: #666666; font-family: arial, helvetica, sans-serif; font-size: 12px; line-height: 15.266666412353516px;">American Airlines passengers waited at O’Hare International Airport in Chicago on Tuesday because of a computer failure.</span><br /><br /><div data-key="AAwBla" data-num="0" itemprop="articleBody" style="background-color: white; font-family: georgia, 'times new roman', times, serif; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em;"><a class="meta-org" href="http://topics.nytimes.com/top/news/business/companies/amr_corporation/index.html?inline=nyt-org" style="color: #666699;" title="More articles about American Airlines.">American Airlines</a> was forced to ground all of its flights for several hours on Tuesday after a nationwide problem with its computer systems. By late afternoon, its computers were back up and its operation were slowly coming back to life.</div><div data-key="MtfSta" data-num="1" itemprop="articleBody" style="background-color: white; font-family: georgia, 'times new roman', times, serif; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em;">More than 400 flights were canceled and scores more were delayed after a systemwide problem that started around midday and lasted until around 4:30 p.m. Eastern time. Still, the airline said it expected cancellations and delays to last through the rest of Tuesday as it tried to restore a normal schedule.</div><div data-key="AstTes" data-num="2" itemprop="articleBody" style="background-color: white; font-family: georgia, 'times new roman', times, serif; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em;">American said the problem was caused by an inability to gain access to its reservations system, called Sabre. The electronic system, often described as the brains of an airline, is responsible for bookings and reservations, but also manages a wide variety of functions related to flights, including printing boarding passes, online check-ins, ticketing, and tracking bags.</div><div data-key="WtcAsp" data-num="3" itemprop="articleBody" style="background-color: white; font-family: georgia, 'times new roman', times, serif; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em;">While the cause of the problem was not immediately clear, the airline emphasized that the flaw was not related to the bomb attacks in Boston on Monday. Safety officials at airports around the country were on high alert Tuesday. A suspicious package at La Guardia Airport in Queens, for instance, caused the main terminal to be evacuated briefly, causing an hourlong delay on some flights, officials said.</div><div data-key="SsAOai" data-num="4" itemprop="articleBody" style="background-color: white; font-family: georgia, 'times new roman', times, serif; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em;">Sabre said American’s system problem did not come from its computer systems. Other airlines, including Southwest Airlines and JetBlue, use the reservation system and have not experienced any problems, said Nancy St. Pierre, a spokeswoman for Sabre.</div><div data-key="SnbUAe" data-num="5" itemprop="articleBody" style="background-color: white; font-family: georgia, 'times new roman', times, serif; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em;">Such nationwide breakdowns are rare but not unprecedented, particularly when airlines merge. United Airlines experienced similar problems last year when its reservation systems failed repeatedly as it merged them with those of Continental Airlines.</div><div data-key="BwABwA" data-num="6" itemprop="articleBody" style="background-color: white; font-family: georgia, 'times new roman', times, serif; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em;">But while American Airlines, which is still reorganizing in bankruptcy, has agreed to merge with US Airways, the two airlines are nowhere close to integrating their systems because the planned merger still needs to clear regulatory hurdles.</div><div data-key="AstTas" data-num="7" itemprop="articleBody" style="background-color: white; font-family: georgia, 'times new roman', times, serif; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em;">American said that its network system had experienced “intermittent problems,” which led it to ground the fleet. The airline said it would waive fees for passengers who wanted to change their reservation on Tuesday and give refunds to those people who wished to cancel their flight.</div><div data-key="ADWSpd" data-num="8" itemprop="articleBody" style="background-color: white; font-family: georgia, 'times new roman', times, serif; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em;">At Dallas-Fort Worth International Airport, thousands of passengers were stranded and waiting for flights, some of which were being canceled. Some passengers described being stuck for long stretches on planes on the runway unable to take off or, having landed, initially unable to move to a gate.</div><div data-key="GaaMbg" data-num="9" itemprop="articleBody" style="background-color: white; font-family: georgia, 'times new roman', times, serif; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em;">Gate agents at Dallas were as uninformed as the passengers were, reduced to getting information from the <a href="https://www.facebook.com/AmericanAirlines" style="color: #666699;" title="The page.">airline’s Facebook page</a>. “My best guess is y’all’s best guess,” one agent said.</div><div data-key="KBaTic" data-num="10" itemprop="articleBody" style="background-color: white; font-family: georgia, 'times new roman', times, serif; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em;">Kelly Bixler, 34, a project coordinator for an architectural firm, had flown from Texarkana, Tex., to Dallas en route to Milwaukee on business but after waiting hours for her connection decided to rent a car and drive back to Texarkana. “There are so many people so upset,” she said. “They just want to go home. This is crazy.”</div><div data-key="MWaIgt" data-num="11" itemprop="articleBody" style="background-color: white; font-family: georgia, 'times new roman', times, serif; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em;">Matt Wyglendowski, 42, a sales manager for Hitachi trying to fly to Indianapolis, was angry that the airline was not more forthcoming about the event. “It’s ridiculous when you know more about what’s going on than the ticket people,” he said as he checked his smartphone. “I got the update on Facebook 20 minutes before they notified people.”</div><div data-key="MWsGkw" data-num="12" itemprop="articleBody" style="background-color: white; font-family: georgia, 'times new roman', times, serif; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em;">Mr. Wyglendowski said he had planned to drive from Indianapolis to his business meeting in Ann Arbor, Mich., to save money. “God knows when I’m going to get to Ann Arbor now,” he said.</div><nyt_author_id style="background-color: white; color: #333333; font-family: georgia, 'times new roman', times, serif; font-size: 12px; line-height: 18px;"><div class="authorIdentification" style="margin-bottom: 2.8em;"><div data-key="PBcPBc" data-num="13" style="color: black; font-size: 1.5em; font-style: italic; line-height: 1.467em;">Peter Baker contributed reporting.</div></div></nyt_author_id></div>

American Airlines American Airlines Resumes Flights After a Computer Problem

American Airlines passengers waited at O’Hare International Airport in Chicago on Tuesday because of a computer failure. American Airlines  ...

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Pat Summerall, legendary NFL announcer, dies at 82

<div dir="ltr" style="text-align: left;" trbidi="on"><img alt="A look back at <a href='http://www.cnn.com/SPECIALS/world/obituaries-2013'>those we have lost in 2013</a>." src="http://i2.cdn.turner.com/cnn/dam/assets/130404163509-pwl-update-horizontal-gallery.jpg" /><br /><br /><div class="cnn_strylftcntnt" style="background-color: white; border: 0px; clear: left; float: left; font-family: Arial, Helvetica, Utkal, sans-serif; font-size: 12px; line-height: 18px; margin: 0px; padding: 0px 0px 0px 10px; position: relative; vertical-align: baseline;"><div class="cnn_strylctcntr" style="border: 0px; font-family: inherit; font-style: inherit; margin: 0px; padding: 0px; vertical-align: baseline; width: 166px;"><div style="border: 0px; font-family: inherit; font-style: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><strong style="margin: 0px; padding: 0px;">STORY HIGHLIGHTS</strong></div><ul class="cnn_bulletbin cnnStryHghLght" style="border: 0px; font-family: inherit; font-style: inherit; list-style: none; margin: 9px 0px 0px; padding: 0px; vertical-align: baseline;"><li style="background-color: transparent; background-image: url(http://i.cdn.turner.com/cnn/.e/img/3.0/global/red_bull.gif); background-position: 0px 5px; background-repeat: no-repeat no-repeat; border: 0px; color: #333333; font-family: arial; font-size: 11px; line-height: 14px; margin: 0px; padding: 0px 0px 9px 7px; vertical-align: baseline;">Hospital spokesman: Pat Summerall dies of cardiac arrest at age 82</li><li style="background-color: transparent; background-image: url(http://i.cdn.turner.com/cnn/.e/img/3.0/global/red_bull.gif); background-position: 0px 5px; background-repeat: no-repeat no-repeat; border: 0px; color: #333333; font-family: arial; font-size: 11px; line-height: 14px; margin: 0px; padding: 0px 0px 9px 7px; vertical-align: baseline;">Fans, friends mourn the football player turned legendary play-by-play announcer</li><li style="background-color: transparent; background-image: url(http://i.cdn.turner.com/cnn/.e/img/3.0/global/red_bull.gif); background-position: 0px 5px; background-repeat: no-repeat no-repeat; border: 0px; color: #333333; font-family: arial; font-size: 11px; line-height: 14px; margin: 0px; padding: 0px 0px 9px 7px; vertical-align: baseline;">Dallas Cowboys owner Jerry Jones says Summerall was "royalty in the broadcast booth"</li><li style="background-color: transparent; background-image: url(http://i.cdn.turner.com/cnn/.e/img/3.0/global/red_bull.gif); background-position: 0px 5px; background-repeat: no-repeat no-repeat; border: 0px; color: #333333; font-family: arial; font-size: 11px; line-height: 14px; margin: 0px; padding: 0px 0px 9px 7px; vertical-align: baseline;">John Madden: "Pat Summerall is the voice of football and always will be"</li></ul></div></div><div style="background-color: white; border: 0px; font-family: arial; font-size: 14px; line-height: 19px; padding: 0px 24px 19px 186px; vertical-align: baseline;"><strong style="margin: 0px; padding: 0px;">(CNN)</strong> -- Pat Summerall, the football player turned legendary play-by-play announcer, died Tuesday. He was 82.</div><div class="cnn_storypgraphtxt cnn_storypgraph2" style="background-color: white; border: 0px; font-family: arial; font-size: 14px; line-height: 19px; padding: 0px 24px 19px 186px; vertical-align: baseline;">He was best known as a broadcaster for teaming with former NFL coach John Madden for 22 years. Summerall also worked for years alongside former player Tom Brookshier and became the voice of the NFL in the 1970s and 1980s, calling most of the league's signature games.</div><div class="cnn_storypgraphtxt cnn_storypgraph3" style="background-color: white; border: 0px; font-family: arial; font-size: 14px; line-height: 19px; padding: 0px 24px 19px 186px; vertical-align: baseline;">Summerall called games for CBS, Fox and ESPN and worked more than 10 Super Bowls.</div><div class="cnn_storypgraphtxt cnn_storypgraph4" style="background-color: white; border: 0px; font-family: arial; font-size: 14px; line-height: 19px; padding: 0px 24px 19px 186px; vertical-align: baseline;">As a player, he was a placekicker and played 10 seasons for the Chicago Cardinals and New York Giants from 1952 to 1961. He scored more than 500 points as an NFL player.</div><a href="" name="em1" style="background-color: white; border: 0px; font-family: Arial, Helvetica, Utkal, sans-serif; font-size: 12px; line-height: 18px; margin: 0px; padding: 0px; vertical-align: baseline;"></a><span style="background-color: white; font-family: Arial, Helvetica, Utkal, sans-serif; font-size: 12px; line-height: 18px;"></span><div class="cnn_strylftcntnt cnn_strylftcexpbx" id="expand15" style="background-color: white; border: 0px; clear: left; float: left; font-family: Arial, Helvetica, Utkal, sans-serif; font-size: 12px; line-height: 18px; margin: 0px 0px 20px; padding: 0px 27px 0px 10px; position: relative; vertical-align: baseline;"><div class="clickToPlay" id="clickToPlayvideoContainerexpand15" style="background-image: url(http://i.cdn.turner.com/cnn/.e/img/3.0/video/416_player_Click_to_play_off.png); border: 0px; cursor: pointer; font-family: inherit; font-style: inherit; height: 42px; left: 45px; margin: 0px; padding: 0px; position: absolute; top: 27px; vertical-align: baseline; width: 136px; zoom: 1;"></div><img alt="" border="0" class="box-image" height="120" src="http://i2.cdn.turner.com/cnn/dam/assets/130416202108-vo-pat-summerall-larry-king-addiction-00003102-story-body.jpg" style="border: 0px; cursor: pointer; font-family: inherit; font-style: inherit; margin: 0px; padding: 0px; vertical-align: baseline;" width="214" /><cite class="expCaption" style="background-color: black; background-position: initial initial; background-repeat: initial initial; bottom: 0px; height: 20px; left: 10px; margin: 0px; opacity: 0.85; padding: 0px; position: absolute; width: 214px;"><span style="border: 0px; color: white; display: block; float: left; font-family: inherit; font-size: 11px; font-style: normal; left: 4px; margin: 0px 0px 20px; overflow: hidden; padding: 0px; position: relative; top: 2px; vertical-align: baseline;">2001: Pat Summerall on beating alcoholism</span></cite></div><div class="cnn_storypgraphtxt cnn_storypgraph5" style="background-color: white; border: 0px; font-family: arial; font-size: 14px; line-height: 19px; padding: 0px 24px 19px 186px; vertical-align: baseline;">Summerall died Tuesday of cardiac arrest, said Jeff Carlton, a spokesman for the University of Texas Southwestern Medical Center.</div><div class="cnn_storypgraphtxt cnn_storypgraph6" style="background-color: white; border: 0px; font-family: arial; font-size: 14px; line-height: 19px; padding: 0px 24px 19px 186px; vertical-align: baseline;">His powerful and eloquent voice was well-known to thousands of football fans, Dallas Cowboys owner Jerry Jones said.</div><div class="cnn_storypgraphtxt cnn_storypgraph7" style="background-color: white; border: 0px; font-family: arial; font-size: 14px; line-height: 19px; padding: 0px 24px 19px 186px; vertical-align: baseline;">"For a man who could dramatically capture a moment with very few words," Jones said, "there simply aren't enough words to adequately describe what he meant to sports and broadcasting in this country."</div><div class="cnn_storypgraphtxt cnn_storypgraph8" style="background-color: white; border: 0px; font-family: arial; font-size: 14px; line-height: 19px; padding: 0px 24px 19px 186px; vertical-align: baseline;">Jones described Summerall as "royalty in the broadcast booth."</div><div class="cnn_storypgraphtxt cnn_storypgraph9" style="background-color: white; border: 0px; font-family: arial; font-size: 14px; line-height: 19px; padding: 0px 24px 19px 186px; vertical-align: baseline;">"He was respected and admired by players, coaches, commissioners and presidents of our country -- and always a gentleman -- someone who had time for the fans in the parking lot after the game," he said in a written statement.</div><div class="cnn_storypgraphtxt cnn_storypgraph10" style="background-color: white; border: 0px; font-family: arial; font-size: 14px; line-height: 19px; padding: 0px 24px 19px 186px; vertical-align: baseline;">Fox Sports described Summerall as "an icon in his profession" and "the voice that defined the NFL on television for generations of fans."</div><div class="cnn_storypgraphtxt cnn_storypgraph11" style="background-color: white; border: 0px; font-family: arial; font-size: 14px; line-height: 19px; padding: 0px 24px 19px 186px; vertical-align: baseline;">"He and John Madden helped give FOX Sports and the NFL on FOX credibility when it launched almost 20 years ago, and for that we'll be forever grateful," the statement said.</div><div class="cnn_storypgraphtxt cnn_storypgraph12" style="background-color: white; border: 0px; font-family: arial; font-size: 14px; line-height: 19px; padding: 0px 24px 19px 186px; vertical-align: baseline;">Madden called Summerall a longtime friend.</div><div class="cnn_storypgraphtxt cnn_storypgraph13" style="background-color: white; border: 0px; font-family: arial; font-size: 14px; line-height: 19px; padding: 0px 24px 19px 186px; vertical-align: baseline;">"We never had one argument, and that was because of Pat. He was a great broadcaster and a great man. He always had a joke. Pat never complained, and we never had an unhappy moment. He was something very special," Madden said. "Pat Summerall is the voice of football and always will be."</div></div>

Pat Summerall Pat Summerall, legendary NFL announcer, dies at 82

STORY HIGHLIGHTS Hospital spokesman: Pat Summerall dies of cardiac arrest at age 82 Fans, friends mourn the football player turned legendary...

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Physical Legacy of Bomb Blasts Could Be Cruel for Boston Marathon Victims - NYTimes.com

<base href="data:"><div style="color: black; text-align: left; "><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">BOSTON — So many patients arrived at once, with variations of the same gruesome leg injuries. Shattered bones, shredded tissue, nails burrowed deep beneath the flesh. The decision had to be made, over and over, with little time to deliberate. Should this leg be amputated? What about this one?</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">"As an orthopedic surgeon, we see patients like this, with mangled extremities, but we don't see 16 of them at the same time, and we don't see patients from blast injuries," Dr. Peter Burke, the trauma surgery chief at Boston Medical Center, said.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">The toll from the bombs Monday at the <a href="http://topics.nytimes.com/top/reference/timestopics/subjects/b/boston_marathon/index.html?inline=nyt-classifier" title="More articles about the Boston Marathon." class="meta-classifier" style="color: rgb(102, 102, 153); text-decoration: none; ">Boston Marathon</a>, which killed at least three and injured more than 170, will long be felt by anyone involved with the city's iconic sporting event. For the victims, the physical legacy could be an especially cruel one for a group that was involved in the marathon: severe leg trauma and amputations.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">"What we like to do is before we take off someone's leg — it's extremely hard to make that decision — is we often get two surgeons to agree," Dr. Tracey Dechert, a trauma surgeon at Boston Medical, said. "Am I right here? This can't be saved. So that way you feel better and know that you didn't take off someone's leg that you didn't have to take. All rooms had multiple surgeons so everyone could feel like we're doing what we need to be doing."</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">The widespread leg trauma was a result of bombs that seemed to deliver their most vicious blows within two feet off the ground. In an instant, doctors at hospitals throughout the city who had been preparing for ordinary marathon troubles — <a href="http://health.nytimes.com/health/guides/disease/dehydration/overview.html?inline=nyt-classifier" title="In-depth reference and news articles about Dehydration." class="meta-classifier" style="color: rgb(102, 102, 153); text-decoration: none; ">dehydration</a> or <a href="http://health.nytimes.com/health/guides/injury/hypothermia/overview.html?inline=nyt-classifier" title="In-depth reference and news articles about Hypothermia." class="meta-classifier" style="color: rgb(102, 102, 153); text-decoration: none; ">hypothermia</a> — now faced profound, life-changing decisions for runners and spectators of all ages.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">Some victims arrived two to an ambulance, some with huge holes in their legs where skin and fat and muscle were ripped away by the bomb and with ball bearings or nails from the bombs embedded in their flesh. Others had severed arteries in their legs or multiple breaks in the bones of their legs and feet. The shock wave from the blast destroyed blood vessels, skin, muscle and fat. And at least nine patients — five at Boston Medical Center, three at Beth Israel Deaconess Hospital and one at <a href="http://topics.nytimes.com/top/reference/timestopics/organizations/b/brigham_and_womens_hospital/index.html?inline=nyt-org" title="More articles about Brigham and Women's Hospital" class="meta-org" style="color: rgb(102, 102, 153); text-decoration: none; ">Brigham and Women's Hospital</a> — had legs or feet so mangled they would need to be amputated.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">Some of the attendant medical professionals, said Julie Dunbar, a chaplain at Beth Israel, were faced with "more trauma than most ever see in a lifetime, more sadness, more loss."</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">There were only three fatalities, which doctors say was because the blast, low to the ground, mostly injured people's legs and feet instead of their abdomens, chests or heads. And tourniquets stopped what could have been fatal bleeding in many.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">Dr. Allan Panter, 57, an emergency-room physician from Gainesville, Ga., was standing 10 yards from the blast near the finish line, waiting for his wife, Theresa, to complete her 16th Boston Marathon. Assisted by others, he said he used gauze wraps to apply tourniquets to several victims, including a man who appeared to be in his late 20s who lost both of his lower legs in the blast. He said he saw another six or seven victims with belts tied around their wounded legs.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">Tourniquets, once discouraged because they were thought to cause damage to injuries, have returned to favor and have been used to treat wounds inflicted by explosive devices in the wars in Iraq and Afghanistan, Dr. Panter said.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">"With blast injuries to the lower extremities that we're getting in the Middle East, you bleed out," he said. Tourniquets "can help save lives. I don't know if they helped in this situation, but it sure couldn't hurt."</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">While there was some initial chaos in a medical tent near the finish line, and some screaming and moaning by victims, it was generally an orderly scene, Dr. Panter said. He assisted others in wheeling in a female victim who died, he said. He described 20 to 30 cots in the tent with IV bags that had been intended for dehydrated runners.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">At least eight doctors and what seemed to be 20 or more nurses were stationed in the tent. A man with a microphone stood in the center of the tent to coordinate medical care. Arriving victims were assessed and categorized as 1 for critical, 2 for intermediate, 3 for "can wait" and "black tag" for anyone who appeared to be dead, Dr. Panter said. An emergency medical technician outside the tent coordinated ambulance service to hospitals.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">"All in all, it was a pretty controlled environment," said Dr. Panter, who has been an emergency-room physician for 30 years. "I've seen a lot worse. They were without question ready — not ready for those type of injuries, but they were prepared."</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">Once victims were transported to Boston's hospitals, doctors had to carefully coordinate their response. Each has a story of where they were when the bombs went off and how they rushed to help and how, in some cases, they somehow just missed being victims themselves.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">Dr. Alok Gupta, who directed the surgical response at Beth Israel, said he often goes to the finish line of the marathon to watch the race. But this year he was so tired that he took a nap. Then he heard ambulance sirens and helicopters outside his home in Back Bay, near the marathon finish. He was just beginning to wonder why the sirens had not dissipated and why the helicopters were hovering when his cellphone rang.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">"The call was broken up," he said. "All I heard was 'mass casualty.' " And "we need you," he said.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">He was out of the house in less than a minute and at the hospital five minutes later. Then he and his colleagues set to work. They cleared the emergency room, sending home those who could leave and sending others to beds elsewhere in the building. They cleared intensive care, sending patients to other areas of the hospital. Dr. Gupta directed a central command.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">"Surgeons were notified, emergency-room physicians were notified, operating-room personnel were notified, everyone was notified," he said. Cellphone service in Boston had been limited to prevent terrorists from using cellphones to detonate any more bombs, so doctors, nurses and other medical professionals were contacted with text messages.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">About 10 minutes later, patients began to arrive. Each was put in a room and assessed. Doctors described the situation as calm and efficient.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">Seven patients at Beth Israel went directly to the operating room for emergency surgery to stabilize them, stopping bleeding for example. Five went to intensive care. At Brigham and Women's Hospital, six patients went to the operating room and nine to intensive care.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">"I think a lot of these injuries are so devastating, it was pretty straightforward — they weren't going to be able to salvage these things," said Dr. Burke of Boston Medical Center. "We all would like to salvage whatever extremities we can, but one thing we've learned in trauma is when you get too much damage, you can create too much hassle, so you may get the amputation but it may be a year down the line. Ten operations, failed operations, addictions to narcotics for the chronic pains, all these kinds of things." An early amputation, Dr. Burke added, can mean a quicker return to a normal life.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">Borrowing a tactic used by the military in Iraq, doctors at Beth Israel used felt markers to write patients' vital signs and injuries on their chests — safely away from the leg wounds — so that if a patient's chart was misplaced during a transfer to surgery or intensive care, for example, there would be no question about what was found in the emergency room.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">Those who needed surgery would often need more than one operation on subsequent days. Those with huge blast wounds that ripped out skin and muscle would need <a href="http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/plasticsurgery/index.html?inline=nyt-classifier" title="Recent and archival health news about plastic surgery." class="meta-classifier" style="color: rgb(102, 102, 153); text-decoration: none; ">plastic surgery</a>. Those with severed arteries would need surgery, too.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">Most of the injured taken to Beth Israel were no older than 50, said Dr. Michael Yaffe, a trauma surgeon at the hospital. A few were runners, but most were spectators who had prime viewing positions near the finish line.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">At about 2 a.m. on Tuesday, the Beth Israel medical team left for home, to return again at 6. They examined each patient before they left and again when they returned. Often, in trauma, the doctors said, patients will not notice some of their injuries until the major injury is taken care of.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">The Boston Marathon is so special, a day to celebrate athleticism and the thrill of the sport. For those runners who trained for months and now can be facing months or years or rehabilitation, and the end of their running days, the bombs took away "the thing they loved," Dr. Yaffe said.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><font class="Apple-style-span" face="'Helvetica Neue'">In the moments after the explosions, some patients recalled that they "thought they would die as they saw the blood spilling out," said Dr. George Velmahos, chief of trauma services at <a href="http://topics.nytimes.com/top/reference/timestopics/organizations/m/massachusetts_general_hospital/index.html?inline=nyt-org" title="More articles about Massachusetts General Hospital" class="meta-org" style="color: rgb(102, 102, 153); text-decoration: none; ">Massachusetts General Hospital</a>. When they awoke Tuesday and realized they were still alive, they said they felt extremely thankful, some even considering themselves lucky, Dr. Velmahos said.</font></p><p itemprop="articleBody" style="color: black; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; line-height: 24px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); position: static; z-index: auto; "><font class="Apple-style-span" face="'Helvetica Neue'"> "It's almost a paradox," he said, "to see these patients without an extremity to wake up and feel lucky."</font></p></div><a href="http://www.nytimes.com/2013/04/17/us/physical-legacy-of-bomb-blasts-could-be-cruel-for-boston-marathon-victims.html?&pagewanted=print"><font class="Apple-style-span" face="'Helvetica Neue'">http://www.nytimes.com/2013/04/17/us/physical-legacy-of-bomb-blasts-could-be-cruel-for-boston-marathon-victims.html?&pagewanted=print</font></a><div style="font-family: Helvetica; font-size: 14px; color: black; text-align: left; "><br class="webkit-block-placeholder"></div>

Physical Legacy of Bomb Blasts Could Be Cruel for Boston Marathon Victims - NYTimes.com

BOSTON — So many patients arrived at once, with variations of the same gruesome leg injuries. Shattered bones, shredded tissue, nails burrow...

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