Archive for November, 2013

ÄRZTEPFUSCH

November 25, 2013

A German movie made me cry.  It was the first time I had ever cried because of what I saw in the language I am teaching myself.

The movie:  Engel der Gerechtigkeit Ärztepfusch, or Justice Angel for Doctor Screw Ups, I found exceedingly moving.  The ending was beautiful. I knew music could be powerful; I had no idea the effect it could have on me. I was in tears, and I didn’t care.  I cry, and when I let go, I feel perhaps more human than at any other time.

I’ve seen the ending at least 40 times.  For the next week, it is on zdf.de (24 November).

The movie opened with a woman standing in the middle of railroad tracks, wondering whether to commit suicide.  Later, we learn why, as she comes out of the shower, learning that she had breast cancer, and the wrong breast was removed.  She had therefore a double mastecomy, brief clips being shown of ugly scars where her breasts once were. The woman had to pay for the surgery, had no recourse to justice, until she finally met the lawyer.

The hospital stonewalled, saying the doctor was Spanish, didn’t speak German, and no longer lived in Germany.  The fact that nobody else spoke up, in the OR or anywhere else may be surprising to some, but the culture of silence of medical errors in Germany may parallel that here in the US, where I saw errors hidden, denied, and blamed, in some instances, upon me, as medical director of a hospital.

Back to the movie:  at the end, the lawyer for the woman said she would go to the press before the end of the day.  The hospital administrator said that he would allow the breast reconstruction, but no blame was to be levied.  The lawyer started to think, then smiled, and the music began.  The lawyer walked to the dry cleaners, where the woman and her husband worked.  In the crowd of people waiting for clothes, the woman spotted the lawyer, who had a smile on her face.  The husband, working, looked up, surprised.  The woman said, “Enschuldigen Sie mich, bitte” (excuse me, please) and came to the lawyer.

“The operation will be next week. The papers were signed.”  The woman was stunned, the music continued, as the woman broke down and hugged the lawyer.  The smile on her husband’s face was wonderful.  It was an incredibly powerful scene.

I saw three cases of wrong side surgery during my time as Medical Director of the hospital–the wrong knee, the wrong side of the colon, and the wrong side of the brain.  The last, I had to explain to the woman’s friend, since the woman had no family.  The internist taking the case wasn’t told and was so angry, he signed off the case, without finding another physician.  This unethical practice was not uncommon where I worked, where it meant that I had to find somebody–sometimes myself–to take over.  My colleagues never sanctioned the physician.  Indeed, at a Medical Executive Committee meeting in 1998, one blamed me for taking care of a patient who had no doctor.  I left the meeting, went outside where nobody could see me and cried.  That is the medical culture I was part of.

I was told by the head of the OR that 99.9% of the cases had no problem.  No, I retorted, it was 99,99% of cases, and per cents didn’t matter, counts did.  There are certain things where the counts should be 0, not a high percentage of successes.  The hospital administrator used the same words, and the lawyer pointed out 160,000 cases of errors and 20,000 deaths in Germany every year.  Wow.  They count.

Medicine here never really changed.  We have at least 20 wrong side cases annually nationwide.  True to medicine, everybody began his or her own process for ensuring safety, which of course meant in some places the proper limb or breast was marked for surgery, or the improper one was marked.  This leads to confusion as well.

When I objected to just a letter being sent to the neurosurgeon, I was told I was no longer welcome to attend department of surgery quality assurance meetings.  At first, I was incensed, because I knew about systems, and my knowledge should have been desired, not forbidden.  I also had discovered our carotid endarterectomy complication was far too high to warrant surgery.  I literally was screamed at, when my data were presented. My patients got statistics, probability, and my recommendation; other patients were not told of these risks.

After I left medicine, my mother refused a CT scan after a fall, and we were not told of the refusal  When she later died of dementia, we discovered during her final illness that originally she had refused the scan.  I was furious and published an article about it in Medical Economics.  My father, before he died, had weeping edema, swelling so bad that it went through the skin of his legs.  The nurses called it a weak heart, when in fact low protein in his blood caused the problem–simple osmosis.  Had he been diuresed, he would have become hypovolemic and died.  He did die, but from pneumonia.  I had to tell the Nursing Home Director that I was not the enemy, but I was trying to be my father’s advocate. My oldest brother had a brain tumor missed, causing him blindness in one eye.  He was a professional photographer. I had a medical error occur in me.

Engel Gerichtigkeit was only a movie, but it was powerful and beautiful; the medicine well portrayed. 

In 2001, I developed a reporting system for medical errors. Sadly, I was naive enough to believe I could implement it.  Looking back, I didn’t have a chance against the entrenched system of hospital and medical associations.  I wrote legislation for two years for the Arizona House, with 10 co-sponsors but went nowhere.  Doctors shunned me.  One response was, “We aren’t like aviation.”

“Yes, “ I replied. “Aviation deals with their problems honestly.  You sweep them under the rug.”

ARCHAIC WORD

November 21, 2013

In order to understand what follows, one must know that within seconds, I can go to the garage and find thank you notes written to me in the past 40 years, when I practiced medicine.  These notes were handwritten, a word that has almost been extirpated from the English language, now that we have the noun/verb e-mail.

********************************************************************************

It surprised me that day in Eugene.  I headed out for a 5 k run, a daily occurrence, and 200 meters into it, I got a sharp pain in my right patella.  It wasn’t too bad, but it bothered me, for I have never had problems with my knees.  For sixty-five years, they have climbed mountains, hiked Alaska, carried 65 kg down the middle of a Canadian river, walked thousands of kilometers, skied tens of thousands, pedaled a hundred thousand, bent as I drove more than a million, and been my friends.

I finished the run, but the knee hurt.  I took some anti-inflammatories and walked 3 km to dinner and then back.  I shouldn’t have done it, but I refused to believe my knee was betraying me.  I walked, but neither my knee nor the rest of me was happy.

The next two days, I didn’t run, but I still walked to dinner.  I was a little better.  OK, I thought, this is good.  I hiked 16 km with 300 meters elevation gain with virtually no pain.  I was happy.  I drove back to Tucson and ran 5 k again.  I was fine, until I returned home after the second day’s running.  The pain was back.

I stopped running.  For a half century I have run on a regular basis.  I think perhaps 5 times I have had to stop for some time, never for knee pain.  For the next three weeks I walked and walked, took anti-inflammatories, and my knee improved.  I was going to Uganda for the eclipse, and I did not want a bad knee to hurt the trip.

Shortly before I left, I decided to test my knee by running a few steps on it.  I am capable of remarkable denial and irrational thinking.

The third day of the test, all was going so well that I ran 60 steps three times.  I did fine.  I wish I hadn’t done a fourth.  The pain was back, and I was soon on my way to Uganda with tight connections and a bad leg.  Fortunately, I did well on the trip, because I was sitting in a vehicle most of the time.  But one day, we walked in a rain forest up and down hills.  The pain was back.  When I arrived in Houston on the way home, I took an escalator rather than the stairs.  I NEVER take escalators voluntarily.

Before I went to Uganda, I did have the good sense to make an appointment for after the trip with an orthopedist whom I have known for 30 years.  I figured I would not need the appointment; I thought I would get better.  Suddenly, I was really glad I made it.  My knee was stable and not swollen, but all sorts of things went through my head.  Could I have torn something?  Do I need an MRI or surgery?  Will I ever run again? What is going on?  A former physician, these thoughts and others went through my mind.

The orthopedist entered the room and asked if I had been hiking.  Well, sort of, until recently, I replied.  He listened to me carefully, nodding like he had seen this before.  He had me lie down and put my knee into full extension.  I had done this, but I did not have long enough arms to do what he was able to do.

OUCH!  He found the spot I had been searching for.  “Patellofemoral syndrome,” he said, rather nonchalantly.  “I’ll inject it and give you some Sulindac.”  Wow, that was quick.  He injected, without saying whether it would hurt, because he knew it wouldn’t, said he was done, and told me what to do.  From start to finish, the entire procedure took 10 minutes.  Maybe.  The pain was gone.

The physician is an elder.  He has been practicing for as long as I did plus an additional 20 years since I quit.  He has seen this condition many times.  I wish we could capture his experience and use it in the medical community.  He did something simple to him, an everyday procedure, but to me his reassurance was immense.  I never felt I did much of that as a neurologist.

But then I thought about that feeling a little more.  Early one morning, a quarter century ago, the same orthopedist called me and said he thought he was having a stroke.  He had horrible dizziness and asked if I could see him soon.  I told him to come into the office right then.  I practiced in reverse order.  If I and the patient were both ready, I saw the patient, and the paperwork came later.  Patient care came before paperwork, if I had the choice.  It drove my receptionist crazy, but I wouldn’t have done it any differently.

I knew what the orthopedist had before I had hung up the phone: positional vertigo.  I confirmed it in the office, reassured him, and was fortunate in retrospect that he didn’t need vertigo exercises, which hadn’t yet been invented.  He had no stroke, didn’t need a CT scan, and MRI wasn’t around then.  I had seen this condition a lot.

He was reassured.  I doubt he remembers that day, but you know, unless I tell him thank you for what he did, he will never know how much I appreciated what he did for me.  I will remember this day, and I will make sure he will, too.  I’m not completely sure what I will do this holiday season.  But I know I will handwrite a thank you note.  No e-mail.  The verb is “to handwrite,”  archaic today, which while sad, enhances the strength of the verb.  Oh, does it enhance the strength.

If the orthopedist is like me, he will save it.  Perhaps it may make his day, as he made mine.

BUT I WORKED SOOOO HARD!!!

November 19, 2013

In late September 1966, Dr. Taylor passed back the first paper I wrote in his English 1 class.  I had worked hours on this paper, written 15 drafts, back when we used typewriters.  Each draft was poorly written.  I can still see the angle of the red “E” on the paper.  I was devastated.  

“But I worked so hard!” is what I told my stunned parents. That paper alone kept me off the Dean’s List for the only time in my college career.  I got a C minus in the course.  I got an A in English 2.  One of the reasons I like science and math is that subjectivity is less an issue.  I did not suddenly become a good writer by the spring of 1967, any more than I was such a poor writer in the autumn of 1966.

Spring 2003.  I am teaching a statistics class for business students in Nogales and give  a group a B on their presentation.  One man said: “But we worked so hard!! We deserved an A.”  I explained that while hard work is a virtue, such does not itself deserve an “A”.  Results matter.  For every Olympian, there are hundreds of others who worked just as hard or harder but didn’t have the ability or the time, got hurt, had a bad day during the trials, and didn’t make it to the top.  Hard work is necessary but not sufficient.

I worked for years to become a better writer.  It was never a goal of mine, but I discovered that I communicate better by writing than by speaking.  I have published 60 papers in 9 different fields; won two writing awards; been an astronomy columnist for the newspaper for 20 years, writing nearly 800 columns; and been a 9 year columnist for the medical society.  I have  240 posts on my blog.  I’ve written several op-eds in the newspaper, and 75% of the letters to the editor I write get published.  I am a writer.  I am not an exceptional writer, but I am good.  Last July, my letter to the editor appeared in The New Yorker, not easy to do.

I’ve heard hospital advertisements saying how hard their staff work to care for patients.   I assume people work hard.  What I do want to know is should I get operated on, and I’m a clean case (no bowel perforation or gun shot wound, for example), my likelihood of a wound infection is less than 1%, not 4%, which it was in the hospital where I was medical director. Hard working people who work in bad systems deliver hardship.  A hospital that has a 3% higher wound infection rate for 10,000 clean cases a year has 300 more wound infections.  The human cost is significant in longer hospitalizations and possibility of permanent complications, including death and lawsuits.  The cost of these 300 infections is several million dollars.  Yet we still argue that quality costs money. I said twenty years ago, in vain, that quality saved money.

I worked hard to get my Master’s in statistics, and while I obtained it my hard work didn’t substitute for my inability to become a successful statistical consultant.  I trained hard to be a platinum bike rider, to complete the 112 mile El Tour de Tucson under 5 hours, and I missed it by 7 minutes.  I worked as much as many of the riders who beat me.  I achieved my potential, and it was less than theirs.

The concept that hard work is all people need to do to escape poverty annoys me.  Mitt Romney’s son got $10 million to start his business.  Very few of us get that “seed money.”  Many connections get some kids into the top schools, where they meet other people, network, and get good jobs.  It isn’t all hard work.  Some is genetics; there are some very talented people.  A lot of it is networking.  If one is good at networking, one will do better than somebody like me, who is not good at it.

I knew David Levy nearly 30 years ago when I was an astronomy columnist for the paper and he had yet to discover his first comet.  David discovered his first comet and had the personality that led to his connection with Eugene Shoemaker.  That led to Comet Shoemaker-Levy and Mr. Levy’s becoming famous.  I was dismissed from the paper with hardly a “by your leave” in 2004, after 20 years of writing.  Networking….and luck.  No comet in 1994,  no fame.

A Nurse’s Aide who is a single mother works hard on the night shift in a nursing home.  She does things that would repel most.  I know, because I have helped these women change soiled patients, dress bed sores, try to get the patients out of bed, and dodge blows that demented patients throw at them.  She makes a little more than minimum wage, but she works hard.  She might not have been born with great intelligence, and she might not have done well in school. Many of our politicians weren’t great students.  Vice President Dan Quayle couldn’t spell “potato.”  Arizona’s governor didn’t go to college. But these NAs aren’t blue bloods.  Yes, I wish they hadn’t gotten pregnant, but the Republican Right is trying to defund Planned Parenthood, which will exacerbate the problem.  We all make bad choices.  These women are going to be poor all their lives, no matter how hard they work.

Achieving success requires many factors, in addition to hard work and intelligence.  It is being in the right place at the right time, knowing the right people, and a lot of luck, too.  A lot of luck.

A country that pays rock stars, athletes, and entertainers millions of dollars, most of which is taxed at far too low a rate, has its priorities wrong.  A country where financiers who only move money around and collect fees ought to tax their bonuses, which annually are more than I earned in my lifetime, at 80%.  Teachers provide more value than these people, and research has shown that.  I have forgotten what rock concerts I have seen; I was lied to by financial advisors about the economy in 2007, and the list of sports stars who went bankrupt is long. I can still remember the name of my kindergarten teacher, my high school math, chemistry, and physics teachers, all of whom had a profound effect on me.

No, Mitt, and Sarah, and an especial NO to Ted and Rand; most of the millions of poor people in this country are not lazy.  A lot of them have decent ideas, want to work, and want to work hard.  If you think hard work is all that is necessary, then start with yourself in Congress, by working hard for THIS country, rather than your petty party. Your behavior is shameful, and if I were a believer, I’d call you horrible sinners.  When a person fails to achieve his potential through his own behavior, that is a shame.  When another prevents him, deliberately, from achieving his potential, that is …. I don’t have the word for it.

Perhaps if I were a better writer or had the right connections I’d find that word.

NO MORE PURPLE RIBBONS

November 15, 2013

THE “10 AND 18”

Ten Standard Fire Orders

  1. Fight fire aggressively, but provide for safety first.
  2. Initiate all actions based on current and expected fire behavior.
  3. Recognize current weather conditions and obtain forecasts.
  4. Ensure instructions are given and understood.
  5. Obtain current information on fire status.
  6. Remain in communication with crew members, your supervisor, and adjoining forces.
  7. Determine safety zones and escape routes.
  8. Establish lookouts in potentially hazardous situations.
  9. Retain control at all times.
  10. Stay alert, keep calm, think clearly, act decisively.

Eighteen watch-out situations

  1. Fire not scouted and sized up.
  2. In country not seen in daylight.
  3. Safety zones and escape routes not identified.
  4. Unfamiliar with weather and local factors influencing fire behavior.
  5. Uninformed on strategy, tactics, and hazards.
  6. Instructions and assignments not clear.
  7. No communications link with crewmembers/supervisors.
  8. Constructing line without safe anchor point.
  9. Building fireline downhill with fire below.
  10. Attempting frontal assault on fire.
  11. Unburned fuel between you and the fire.
  12. Cannot see main fire, not in contact with anyone who can.
  13. On a hillside where rolling material can ignite fuel below.
  14. Weather is getting hotter and drier.
  15. Wind increases or is changing direction.
  16. Getting frequent spot fires across the line.
  17. Terrain and fuels make escape to safety zone difficult.
  18. Taking a nap near the fireline. 

1949: Mann Gulch fire.  Thirteen died when the fire blew up due to strong winds.  From the time trouble was recognized until the men were dead was 11 minutes.  Those who died did so running uphill.  They died from asphyxiation or burns.  The fire was not affecting houses or civilian lives.  We had a culture from the 1910 fire, where 87 died, that all fires were to be put out before 10 a.m. the next day.  Ironically, this has created many problems we face today.

1994: South Canyon fire, near Glenwood Springs, Colorado.  In early July, a lightning strike started it.  Because some residents complained about smoke, a decision was made to fight the fire, which was not endangering any structures or lives, and was 5 acres when a decision was made to attack it, despite its being one of the lowest priority fires in Colorado at the time, where there were at least 35 fires burning, and resources were stretched.  When the fire was initially scouted, the difficulty and the risk were noted, and recommendations were made not to fight it in that particular area.  Catastrophes occur when there are major errors, but they also occur when there is a concatenation of smaller errors.  This fire was an example of the latter.  It was attacked because a person complained of the smoke–an inadequate reason.  Had the fire grown, it might well have been clearly inaccessible to attack in the place where the people who attacked it subsequently died.  It might have been fought differently.  I do wonder whether those who complained about the smoke ever wondered whether they were culpable.

Fourteen people died, including most of the Prineville, Oregon hotshot crew, when they descended a hill, in this worrisome area, in thick growth to build fire lines. Several members thought this maneuver was dangerous, because they had unburned fuel, extremely volatile fuel,  between them and a fire they couldn’t see (Watch out #9). Nobody spoke up, except some smokejumpers elsewhere on the fire, who did not think what they were asked to do was a good idea.  Eight of the ten major rules for fire fighters, 12 of 18 Watch Out guidelines were eventually compromised or violated.

A dry cold front came through that afternoon, predicted, but the information wasn’t relayed to the firefighters.  At 1520 hours, concerns were raised, and some left the area.  At 1600 hours, all left, but sawyers were still carrying their saws, and many were walking.  Twenty minutes later, they were dead, shelters not deployed.  Not only can fire move faster than we can run (this one moved 14 mph), superheated gases and radiant heat can kill people at a great distance, and winds can knock them over.  On Mann Gulch, winds lifted a survivor up and down three times.  The idea that fire suddenly erupts and people die with no warning is not true.  Fire does suddenly erupt, but usually there are hints.  There were such hints at South Canyon.  There were draws, and there was wind, an ideal situation for fire spread, and one that had been previously noted.  Many firefighters didn’t appreciate the severity of the situation until it was too late, for the safety zones were too far away and uphill.

The recommendations after South Canyon were hoped to make fire fighting safer.  They didn’t.

Thirty Mile Fire, Washington State, 2001.  Four fire fighters died after deploying their shelters in a rock field when a small fire earlier in the day suddenly exploded, overwhelming the crew. The problem was another concatenation of errors–virtually no sleep the night before (impairs judgment equivalent to being legally drunk), going suddenly to a fire that they hadn’t planned on, faulty equipment, slow start, and pulling in the lookout.  At the lunch spot, not a safety zone, two spot fires were noted up a dead end road (which had not been previously appreciated when the group arrived at the fire), and tankers were sent to the spots.  At this point, the video given by survivors stops, and the listener is told to put himself in the position of the fireboss, rather than knowing what happened later.  The fireboss sent more help to the spot fires, had no lookout to look at what the main fire was doing, and ultimately, the whole group was cut off from escaping from the lunch site the other way.  Instead, they went up the dead end road (which also had civilians present) to what appeared to be a safe area, with a stream to the east, a rock slide with no growth (but fuel between the rocks), and the road.

Thirty minutes before the fire overwhelmed the crew, many were taking pictures of themselves, not looking for safe spots or beginning shelter deployment, not knowing this would be the last picture of them alive.

Shelter deployment means that people were in an area they should not have been in.  They were too far from the safety zone.  That happens.  Shelters are a last ditch effort to save oneself.  Had everybody deployed on the road, they would likely all have survived.  But some deployed on the rocks.  They died of asphyxiation.  Many at the time were not adequately trained to deal with shelters, which one must be able to get in either standing or lying.  Several wore fusees and backpacks into the shelter; fusees burn at 375 degrees and can ignite if in contact with the shelter itself.  Some lost gloves, which were in retrospect available and nearby, and others left backpacks too close to the shelter, where they burned, adding fuel near the shelter.  I don’t know what I would do if I were in that situation.  I haven’t been trained; all of these people were.  Many deploying shelters do so when there is a great deal of wind from the fire, sometimes ripping the shelter from a person’s hand. When I saw this haunting video, I said to myself, “When the tanker on the downwind spot fire radioed that they needed additional help, that is when I would have pulled out.  Everything is going wrong on this day, and we need to regroup.”

We get back to the basic part of fire fighting.  It is dangerous, and everybody who fights fire knows that.  My experience is nearly nil, only having driven a water tanker on a controlled burn in 1995.  The culture had been not to question orders, and there is a degree of pride in being able to handle adversity.  Nobody likes to lose a fire, nobody wants to say that they couldn’t attack it.  Nobody wants to see houses destroyed.

What I don’t remember about 1994, although I could be wrong, was that we didn’t refer to the fallen firefighters as heroes.  They were professionals, and they were sadly victims. The fire should have been allowed to burn, nobody should have been deployed in any area that was unsafe, regardless of the risk to property and especially not because somebody complained about the smoke.  And that brings me to 19 years later, a lot closer to home.

2013:  Arizona.  Nineteen firefighters die fighting the Yarnell Hill fire.  The video on the Web site was quite syrupy, and I use that word exactly as I mean to. Nothing was mentioned about the “10 and 18”.  There was a discussion about the sudden, fast fire shift, which is a known phenomenon.   I read at least one hundred comments by others, many of whom are firefighters.  A lookout was posted, and he radioed that the winds had shifted and he was leaving.  What we don’t know is critical:  why did the Hotshots leave a safe area to hike downhill, into areas where they couldn’t see the fire, into areas almost impassable on a normal day?  We have heard remarkable things about the Superintendent, who put this group together in half the time of others crews.  Did anybody of the 18 others speak up about violation of the “10 and 18?”  Or was there a culture of expertise, like we have had in medicine and aviation, where nobody speaks up to a leader who is twice their age?

We heard that the fire was moving at unbelievable speeds of 12 mph.  It was moving faster at Storm King.  Winds were expected, but the way the winds shifted was not appreciated.  There were 2 minutes to cut a place and to deploy shelters, which meant that the fire was about 600 meters away before action was taken.  Were the firefighters not aware of how close it was?  At least 5 of the 10  and 10 of the 18 were violated.  Why?  We don’t know.  More than one report is comparing the Yarnell Hill fire with the South Canyon fire.  Both were initially small, both were in difficult terrain with extreme drought, and both were handled by hotshots.  Both had a major, predictable wind event, both had unburned fuel between the firefighters and the main fire, and both led to disasters.

This was NOT an Act of God.  That statement to me is a copout, an excuse for not trying to understand circumstances that people should understand, and a way to sweep the matter under a rug.  Mistakes were made.  Thunderstorm downdrafts, erratic winds, Venturi effects, plentiful dry fuel, and a hotter than usual fire are all understandable.  Whether we can predict what they will do is another matter, and evidence is beginning to mount that our modeling of fire behavior is inadequate due to increased size of fires because of suppression, climate change allowing bark beetles to survive winters, and more houses in the wildland-urban interface.  Ability to recognize danger and to speak up is part of firefighter training.  If we cannot adequately predict the worst case scenario, and plan for it, then we have no business sending people into harm’s way, except to save lives, not property.  Worst case scenario planning is why firefighters are required to have safety zones and exits to them, both hopefully plural.

Just as Challenger repeated 17 years later with Columbia, almost to the day, with many of the same cultural problems still persisting in NASA, so did South Canyon repeat 19 years later with Yarnell Hill, almost to the day.  I suspect, like NASA, there are still cultural problems in the firefighting community.  Hopefully, the investigation will uncover these issues, and the wildland firefighting community will address exactly how we will approach fires, what we will do, and what simply will not be tolerated.   We didn’t learn from Mann Gulch in 1949; 45 and 52  years later we had South Canyon and 30 Mile fires respectively.  We didn’t learn enough from them, and 12 years after 30 Mile we had Yarnell Hill.  My prediction:  it will recur.  My hope:  It won’t.

No more purple ribbons.

UGANDAN ECLIPSE, SAROS 143; 3 NOVEMBER 2013

November 13, 2013

Saros 143, the name given to this particular eclipse family, was seen by my wife and me  on 24 October 1995, in Mandawa, India.  We saw it as a morning eclipse, with a brilliant purple chromosphere, the Sun’s inner atmosphere, and 42 seconds of totality.  It was short but exceedingly beautiful.

Total solar eclipses require 3 simultaneous occurrences: New Moon, the Moon’s passing directly in front of the Sun, and the Moon’s size viewed from Earth being larger than the Sun’s apparent size.  The Moon’s orbit is not coplanar with the Earth’s, and about every 13.6 days it crosses the plane of the Earth’s orbit.  This must occur with New Moon, for a Total Solar Eclipse to occur.  Finally, the Moon must be close enough to the Earth and the Sun further away, so the Moon will cover the Sun.  It is a remarkable cosmic coincidence that the Moon is about 1/400 th diameter of the Sun and the Sun is about 400 times further away.  Without going into the mathematics in great detail, these 3 events come into line every 18 years 10 or 11 days (depending upon a leap year) and a third of a day, which shifts each eclipse in the family about 1/3 of the way around the world and either northerly or southerly (in this case southerly).  This eclipse was 18 years and 10 days after the Indian eclipse and was shifted 1/3 of the way around the world.

This time around, the eclipse was further west, beginning near Bermuda and ending in Ethiopia.  We saw it in Uganda in late afternoon.

There are often problems getting to the eclipse track, and for me, it involved four flights, two of them 7 hours or longer, and arrival the following night after I left early in the morning.  The transatlantic flight was badly delayed, but I eventually got to Entebbe.

The next morning, three of us toured the Botanical gardens

Lake Victoria from the Botanical Gardens

Lake Victoria from the Botanical Gardens

and in the afternoon the sanctuary where Ugandans are trying to bring back endangered species.  We had our first meeting about the eclipse that evening.  I was one of only two non or partial German speakers, and the other was married to a fluent speaker.  Most of the group spoke good English.  The difficulty with my German and the softness and accent of the Ugandan English would make this a more difficult trip than I had expected.

We drove northwest to Murchison Falls the day before the eclipse.  We did not, however, scout for eclipse sites.  This would prove to be unfortunate on eclipse day, when the primary site, north of Pakwach, was scouted by us with nobody having their eclipse gear–cameras, telescopes, computers, and quite complex instruments that many take to an eclipse.  Had the site been optimal, we would have had to return to get the gear and tell others.

We returned to the hotel and left for a site east of where we were, where the road curved into the track, and set up in a field nearby.  The southeasterly flow brought cumulus clouds, and afternoon convection occurred, although it was capped at about 2500 meters.  We missed first contact by about five minutes, then had clear skies through about 60% partial phases.   Unfortunately, cirrus outflow from a distant thunderstorm had a northerly flow, and we had progressively thickening clouds as time passed.  At 10 minutes before totality, I lost the view in binoculars, because of clouds and dimming sunlight.

Approach of the Moon’s shadow.

Just after third contact, with the Moon’s moving away from the Sun.

Totality.

Totality.

The shadow appeared in the western sky as a huge black conical wall.  We were able to see the diamond ring, Bailey’s beads, the inner corona (not the outer) and a lovely eclipse through clouds.  I think while some were disappointed, they were only a few.  We were extremely lucky to see this eclipse.  The climatological predictions were against us, but we got to a good spot and had a good view.  I’ve seen better; I’ve seen a lot worse, and there are few things more depressing than being totally clouded out for a total eclipse.  

The next day, we toured the nearby national park and took an afternoon boat ride up to Albert Falls.

Albert Falls, Nile River

Albert Falls, Nile River

What struck me most was the beautiful green of the African bush.  The wildlife was good, especially from the Nile; the green was something I had not seen on my trips and safaris to Kenya, South Africa, Botswana, Zimbabwe, Zambia, and Namibia.

The following day we drove south to Kibale Primate Park, This turned out to be about a 12 hour slog along dirt roads that were so bumpy that my stomach hurt, a first.  Lunch was late, at Fort Portal, and we pulled in about 6.  Darkness comes early after sunset in the tropics; it comes relatively early in Tucson, at 32 degrees N., and it comes much later in the northern US (45-49 N).

Mousebird, Kibale National Park.

Mousebird, Kibale National Park.

Water Lilies, Kibale

Chimpanzee, Kibale

Chimpanzee, Kibale

After the primate tours, we went to Queen Elizabeth National Park, crossing the equator, and took game drives and a boat ride along the channel of Lake Edward.

The drive back to Entebbe took a day.

I don’t go into detail here about safaris, except to show pictures.  This was an eclipse trip with safaris being a big part of it.  Such a concept is foreign to many people, including the eclipse leader in this instance.  The primary purpose of the trip is to see the eclipse, and that has priority over everything else, including sanctuary visits, seeing wildlife, buying trinkets and newspapers.  Admittedly, that is my opinion, but had we avoided those mistakes, more options would have opened to us on eclipse day.  We were lucky; we saw the eclipse.  We could have easily had missed it.

Next total eclipse is 20 March 2015.  We will fly this eclipse, since ground viewing is low probability in difficult to reach places.  I do have concerns about the flight and frosted windows, which severely degraded the view my wife and I had on the 1 August 2008 eclipse.  The plane must have clean, dry windows.  Water gets in only through the doors and from cleaning; it does not affect the windows from the outside, only the inside of the outside window.  This concept has yet to be fully understood by tour operators, although one will use isopropyl alcohol to clean the windows, which has a lower vaporization temperature.

Interestingly, although my comments have not been completely believed, those who fly eclipses are now carrying hair dryers and long extension cords, suggesting that perhaps some of my rather heated past words are hitting home.

The other concern I have is the ability of some eclipse chasers to feel they are better than others and take views from windows to which they were not originally assigned.  This probably will not be changed.

In 2015, I hope to speak German much better.  I plan on commenting in both languages at the pre-flight briefing.  Those who disagree with me were not present during the time of the eclipse.  They had clear views through clear windows.

All of us who pay for one of the great experiences in the world deserve an equally good experience, assuming the weather cooperates on eclipse day.