The Surgeon Undergoes Surgery

Lawrence Altman:

Dr. DeBakey, one of the most influential heart surgeons in history, assumed his heart would stop in a few seconds.

“It never occurred to me to call 911 or my physician,” Dr. DeBakey said, adding: “As foolish as it may appear, you are, in a sense, a prisoner of the pain, which was intolerable. You’re thinking, What could I do to relieve myself of it. If it becomes intense enough, you’re perfectly willing to accept cardiac arrest as a possible way of getting rid of the pain.”

But when his heart kept beating, Dr. DeBakey suspected that he was not having a heart attack. As he sat alone, he decided that a ballooning had probably weakened the aorta, the main artery leading from the heart, and that the inner lining of the artery had torn, known as a dissecting aortic aneurysm.

Earmarks’ Declining Political Utility?

Timothy Egan:

Until this year, Richard W. Pombo, the seven-term Republican congressman from the Central Valley, had never caused much fanfare about bringing home earmarks, the special local projects that circumvent the normal budgeting process. He was far better known for his work fighting environmental regulations.

All that changed in the closing months of this year’s surprisingly tight re-election campaign, when Mr. Pombo began trumpeting the money he had directed to his car-bound district — particularly $75 million for highway expansion, a gift for one of the most congested areas of California.

But it was not enough to persuade voters like Alex Aldenhuysen, a self-described independent, just out of the Navy and voting for the first time in two years. He said he was turned off by Mr. Pombo’s earmark talk. And in the end, Mr. Pombo lost his seat to a Democrat in one of the year’s most significant upsets.

Much more on earmarks, including local politicians use and views of them, here.