RKS 2024 Film: “The Pitch: Patient Safety’s Next Generation”

The documentary “The Pitch: Patient Safety’s Next Generation” presents a picture of the United States’ hospital network as predominately archaic from a technological perspective but reveals change is beginning to arrive hopefully improving patient safety much of the change attributable based in artificial intelligence and virtual reality.

For example, 25% of patients admitted to hospitals in the United States contract an infection that the present system has difficulty in tracking the source of which may be minimized through AI by using each patient’s medical records and DNA sequencing to track the source and cause of those infections. The cost of hospital contracted infections in the United States costs the health care system some 28 billion USD a year.

Similarly, some 300 hospitals globally have “command centres” fueled by AI technology using the patient’s full medical records enabling them to react quickly to medical issues such as sepsis. Put another way you know that expression not playing with a full deck of cards is bound to result in poor outcomes but acting on full information contained in a patient’s medical records can be equated to playing with a full deck of cards. Imagine that AI can scour 30 years of medical records in seconds. How long would that take a human being? Patient data is valuable but how much can be reviewed by medical practitioners effectively?

The point is made by several of the physicians, academics and computer scientists featured in the documentary that AI will never replace the essential patient physician relationship but improve it as both patient and doctor are better and more quickly informed about past history and how it effects future outcomes.

There has been a huge development of virtual reality in simulation and user interaction as a training tool for both practicing physicians and medical students.

So where is all the new technology emanating from? Well, being the United States the profit motive by some is thought to be a driver for the improvement of medical care. If hospitals follow the same administrative and outmoded patient treatment practices and protocols and they still receive payment for it what is the incentive to “modernize”? It may be a cost reduction through efficiency that new technologies introduce into the system. And a good part of the documentary, perhaps too much of it, is focused on 22-year-old Reetam Ganguli the founder and CEO of Elythea who has developed software that reduces the risk to pregnant women. He pitches his products in “competitions” for cash to fund his research. Yes medicine in the United States is a business which explains the overprescribing of poorly tested pharmaceuticals. OXY is but a flagrant example. Can one rely on the Shark Tank profit motive and hedge funds to improve the United State’s medical system? Do you remember that 1970’s British band “Blind Faith”?

You can watch the trailer here https://www.youtube.com/watch?v=ptXEj22HVhQ

The doc is available on VOD now.

The director, writer and editor of the doc is Mike Eisenberg.

RKS 2024 Film Rating; 73/100.

RKS Literature: The Cancer Patient in the Hospital a Grain of Sand (Aleksandr Solzhenitsyn)

“You, see, you start from a completely false position. No sooner does a patient come to you than you begin to do all his thinking for him. After that, the thinking’s done by your standing orders, your five-minute conferences, your program, your plan and the honor of your medical department. And once again I become a grain of sand just as I was in the camp. Once again nothing depends on me”.

Aleksandr Solzhenitsyn, “The Cancer Ward”, 1968.

RKS 2024 Wine: Searching for a Reasonably Priced Merlot in Italy

Ontario struggles with a reasonably priced Merlot. Good Merlots are not easy finds in Ontario. My favourite is the Merlot from Two Sisters in Niagara-on-the-Lake but at $60 a bottle few are willing to pony up at that price.

So we look to Italy for a reasonably priced Merlot. We find an Italian Merlot from Azienda Agricola Marina Danieli from Friuli at $21.

The Merlot was hand harvested and destemmed and aged in part in stainless steel and French oak for at least two years before bottling.

Aroma: Black cherry, blueberry, cassis, root beer and a hint of cloves. No suggestion here leading to a conclusion of lushness and plushness.

Palate: Chalky tannins. Raspberry, straw, cocoa and thoroughly and lightly intertwined with spice. Moderately long finish. The acid is in the background but its detectability is worrisome.

Personality: I deserve some of your attention as my quality is not readily apparent. Much of my quality is not flashing bright on your taste buds or on the nose. You’ll have to concentrate to pick up my subtleties. I am far removed from my Cali relatives and strangely my muted approach may make a comparison to Ontario Merlots somewhat possible but at this price point and quality I leave Ontario far behind and this has nothing to do with being Italian.

Food Match: Eggplant Bolognese.

Cellarbility: Drink up to 2025-year end.

Price: $21 CDN.

RKS 2024 Wine Rating: 87/100. 91 Eric Guido at vinous.com

(Marina Danieli Friuli Colli Orientali 2018 Merlot, DOC Fruili Colli Orientali, 750 mL, 13%).

RKS Literature: Physicians are of the Highest Order (Aleksandr Solzhenitsyn)

“The sternest and most solemn of all was that of the nurse Olympiada Vladislanova. For her the morning rounds were like a divine service for a deacon. She was a nurse for whom the doctors were of a higher order. She knew that doctors understood everything, never made mistakes and never gave wrong instructions. She jotted down every instruction in her notebook with a sensation almost of joy-something the young nurses no longer had.”

Aleksandr Solzhenitsyn, “The Cancer Ward”, 1968.

RKS Literature: Crossing the Threshold of Death While Still Living (Aleksandr Solzhenitsyn)

“This autumn I Iearned from experience that a man can cross the threshold of death even when his body is still not dead. Your blood still circulates and your stomach digests, while you yourself have gone through the whole psychological preparation for death-and lived through death itself. Everything around you, you see as if in the grave. And although you have never counted yourself a Christian, indeed the very opposite sometimes, all of a sudden you’ve forgiven all those that trespassed against you and bear no ill-will towards those that persecuted you.”

Aleksandr Solzhenitsyn, “The Cancer Ward”, 1968. 

RKS 2024 Film: “The Arrival”: Intense and Impeccable

In a Manhattan bar a reporter, an elementary school art teacher, a law school student, a potential victim of a date drug rape , a struggling playwright, a wealthy Cornell University dropout and a bitter and frustrated bartendress wanabee an actress on Oxy converge.

They are awaiting the arrival of River Dupont (Nikolas Elrifi). The date rape victim (Poya Mohseni) and her friend a law student believe River Dupont is the date drug rapist. The bartendress Ember Net (Vivian Helvajian) is awaiting River Dupont her drug dealing boyfriend.  The reporter senses a story and her friend having completed an ancestry test awaits River Dupont believing he is her brother. The playwright Lincoln Lane (Nick Humparyan) waits for inspiration.

Be prepared for a film somewhat along the line of a murder mystery. River Dupont could be different things to different people and perhaps even a rapist and all eyes are on him and pending his arrival interesting stories, fears and ambitions percolate from fascinating conversations of those waiting for his arrival

The film is all about dialogue and there is no room for amateurs here. In this regard the casting is impeccable.  Helvajian an actress one senses is waiting to bust out to stardom delivers a riveting performance that ranges convincingly from comedic to tragic. Humparyan also excels as a quiet but forceful and dynamic character.

Directed by Alyssa Rallo Bennett and was released on VOD 17September2024.

You can see the trailer here https://www.youtube.com/watch?v=hpn5gl39kBk

RKS 2024 Film Rating 93/100.

RKS Literature:  Party Bigwig Pavel Nikolayevich’s Neck Tumour and Forced Equality of The Cancer Ward (Aleksandr Solzhenitsyn)

“The hard lump of his tumor-unexpected, meaningless and quite without use-had dragged him like a fish on a hook and had flung him into this iron bed-a narrow, mean bed, with creaking springs and an apology for a mattress. Having once undressed under the stairs, said good-bye to this family and come up to the ward, you felt the door to all your past life had been slammed behind you, and the life here was so vile that it frightened you more than the actual tumor. He could no longer choose something pleasant or soothing to look at: he had to look at the eight abject beings who were now his “equals” in faded and worn pink pajamas, patched and torn here and there and almost all the wrong size: he had to listen to these uncultured creatures and their wearisome conversations which had nothing to do with him and were of no interest to him.”

Aleksandr Solzhenitsyn, “Cancer Ward”, 1968.

RKS 2024 Film: “The Body Politic”

The City of Baltimore has a murder rate just about over 300 a year and the cause according to newly elected (in 2021) mayor Brandon Scott is not drugs or gangs but cases of interpersonal violence. The solution espoused by Scott is not increased policing which has failed in Baltimore time and time again but a more personal intervention to reduce the number of violent incidents in Baltimore. Arrests, convictions and incarceration are not the answer. The key will be group violence reduction programmes (GVRS) which is empowered by community groups and financed by federal, state and city funds. Offer educational placement, job placement and training. Divert help to violent types i.e. deter violence.

2021 saw an overall increase in murder rates which rose to 337 but in Western Baltimore where the GVRS was piloted with adequate funding homicides and shootings decreased by 30%. Now with GVRS being rolled out other than in West Baltimore by 2023-year end Baltimore saw a 20% drop in homicides bringing the murder statistics below 300 for the first time in a decade.

It wasn’t easy reaching this statistic. Maryland Governor Logan resisted state funding for GVRS initially but was won over by Scott. The crushing proposed solution by Logan of police intervention, prosecutions and arrests was dealt to Baltimore by Logan for years.

Perhaps we should take the limited success Baltimore to heart. The incessant gun violence in the United States leads one to make many unpleasant conclusions about The United States. Can GVRS Baltimore style stop the gun violence frenzy in the United States?

Directed by Gabriel Francis Paz Goodenough with a theatrical release in New York 27September2024 and in Los Angeles on 18October2024. Streaming on POV on PBS on 25November2024.

RKS Film Rating 82/100.

RKS 2024 Film: “The Invisibles”: Heaven as a Narcotic

“The Invisibles” will be gracing screens in Vancouver and Toronto on 20September2024. Canadian film is largely unappreciated at the box office both in Canada and internationally. “The Invisibles” is one of those “warm and fuzzy” movies like “Peggy Sue Got Married” or “Back to the Future”. Not overly complicated but not simplistic so if it won’t take off domestically and internationally there is yet another loss for Canadian filmmakers and worldwide audiences. And I told director Andrew Currie and Charlotte starring as “Rufus” the dog my views on the film and Charlotte gave me a big tail wag and Currie an appreciative smile.

Charlie Fisher (Tim Blake Wilson) and his wife Hannah (Gretchen Mol) are unhappy married Hamiltonians suffering from a tragic loss of their young son Oskar (Simon Webster). Hannah is in therapy but Charlie doesn’t have the will to join her having the inability to accept Oskar’s death. He suffers further mental battering being passed over for a promotion at work. He is miserably unhappy and suddenly Charlie is invisible and unheard and hanging out in bowling alley headquarters with other invisibles all of whom were once miserable like Charlie.

The warm and effusive Carl (Simon Webster) acts as barkeeper at the bowling alley bar and in effect the manger of this group of invisibles. This place that the invisibles are in has no pain as it has enabled the invisibles to escape worldly inflicted trauma they have left. However persuasive Carl is about the benefits of the world of the invisibles Charlie ( and Nick played by Nathan Alexis Canada’s rising indigenous star actor) wants to return to the living world and his Hannah.

Charlie has a difficult choice as in his new world Oskar has joined him and a former first love as well. Will he leave Oskar and return to Hannah? Is love and regret at not showing it in deeds enough to escape the numbing effect of this world the invisibles are in?

Clever filmmaking. Superb casting. Greenwood, Mol and Nelson absolutely shine in “The Invisibles” a film well blended with dark comedy, tear jerking moments, tragedy, horror and science fiction. Memories of Dorothy in “The Wizard of Oz” clicking her red slippers and wishing she was back in Kansas.

You can see the trailer here https://www.youtube.com/watch?v=JM8lNnpaZ3c

RKS 2024 Film Rating 93/100.

RKS 2024 Wine: Southbrook 2019 triomphe chardonnay From Niagara

Ontario produces excellent Chardonnay. This is an organic Chardonnay.

Aroma: One of those tropical Chardonnays with pineapple, mango, peach, Royal Gala apple and more than a tad of oak. The wine was aged 10 months in 300 litre French neutral oak barrels.

Palate: Solid and full bodied and quite an oaky influence considering ageing was in neutral French oak. Not buttery and soft though. Let’s call it firm yet it goes down softly! In addition to some pear some guava and lychee. Longish finish.

Personality: Straightforward and right at you.

Food Match: Grilled pork tenderloin marinated in ginger, honey, garlic and soy sauce. Just might hit it off with a Thanksgiving turkey without cranberry sauce mind you.

Cellarbility: Consume by 2025-year end.

Price: $ 27 CDN.

RKS 2024 Wine Rating: 89/100. Rick VanSickle 91.

(Southbrook Organic 2019 triomphe chardonnay, VQA Niagara Peninsula, Southbrook Vineyards, Niagara-on-the-Lake, Ontario, 750 mL, 12.5%).