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Showing posts with label driving. Show all posts
Showing posts with label driving. Show all posts

Thursday 31 December 2015

Her body is a brewery: Woman whose body turns food into alcohol beats drink-drive charge

The woman from New York state suffers from ‘auto-brewery syndrome’ but blew four times over the limit despite claiming that she ‘never felt tipsy’


 
In tests by doctors, the woman blew well over the legal limit even though she had not had any alcohol, her lawyer said. Photograph: Jack Sullivan / Alamy/Alamy


Associated Press in The Guardian


Drunken-driving charges against a woman in upstate New York have been dismissed based on an unusual defence: her body is a brewery.

The woman was arrested while driving with a blood-alcohol level more than four times the legal limit. She then discovered she has a rare condition called “auto-brewery syndrome”, in which her digestive system converts ordinary food into alcohol, her lawyer Joseph Marusak said.

A town judge in the Buffalo suburb of Hamburg dismissed the charges after Marusak presented research by a doctor showing the woman had the previously undiagnosed condition in which high levels of yeast in her intestines fermented high-carbohydrate foods into alcohol.

The rare condition, also known as gut fermentation syndrome, was first documented in the 1970s in Japan, and both medical and legal experts in the US say it is being raised more frequently in drunken-driving cases as it is becomes more known.

“At first glance, it seems like a get-out-of-jail-free card,” said Jonathan Turley, a law professor at George Washington University. “But it’s not that easy. Courts tend to be sceptical of such claims. You have to be able to document the syndrome through recognised testing.”

The condition was first documented in the US by Barbara Cordell of Panola College in Texas, who published a case study in 2013 of a 61-year-old man who had been experiencing episodes of debilitating drunkenness without drinking liquor.

Marusak contacted Cordell for help with his client who insisted she had not had more than three drinks in the six hours before she was pulled over for erratic driving 11 October 2014. The woman was charged with driving while intoxicated when a breath test showed her blood-alcohol content to be 0.33%.

Cordell referred Marusak to Dr Anup Kanodia of Columbus, Ohio, who eventually diagnosed the woman with auto-brewery syndrome and prescribed a low-carbohydrate diet that brought the situation under control. Her case was dismissed on 9 December, leaving her free to drive without restrictions.

During the long wait for an appointment, Marusak arranged to have two nurses and a physician’s assistant monitor his client for a day to document she drank no alcohol, and to take several blood samples for testing.

“At the end of the day, she had a blood-alcohol content of 0.36% without drinking any alcoholic beverages,” Marusak said. He said the woman, who cannot be named for reasons of medical confidentiality, also bought a breath test kit and blew into it every night for 18 days, registering around 0.20% every time.

The legal threshold for drunkenness in New York is 0.08%.

While people in cases described by Cordell sought help because they felt drunk and did not know why, Marusak said that was not true of his client. “She had no idea she had this condition. Never felt tipsy. Nothing,” he said.

Tuesday 23 December 2014

Why the bouncer is not essential to cricket

Pranay Sanklecha in Cricinfo

The bouncer: not worth the risk  © Getty Images
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The death of Phillip Hughes was also the death of a certain kind of false, if sincere, innocence about the game. We are reminded that cricket balls can kill. So what should we do about bouncers?
The standard answer - unanimous, even, when it comes to the old pros who constitute the majority of those who write and talk about cricket, is: nothing. There is nothing to do. Keep calm and carry on. We must understand that what happened to Hughes was a tragic but freak accident (by the way, as Andy Bull wrote in the Guardian, such tragedies happen more often than we might unthinkingly assume). Be sad because it's a tragedy, but don't let it change anything because it was a freakish one. 
Let one view stand for the rest. This is what Mark Richardson had to say:
Don't get me wrong. I don't want to see people getting seriously hurt and what happened to Phillip Hughes is just awful but what people have to accept is that this was such a freak occurrence and serious injury is still so rare that it does not in any way suggest cricket has a problem with the short ball at all. In fact, if cricket took away the bouncer, then we would have a problem. So let's mourn the loss of Phillip Hughes but not use it to grandstand unnecessarily.
I agree. Let's not grandstand unnecessarily. But let's also realise that this is a difficult question, and to dismiss the view that bouncers ought to be banned is itself unnecessary grandstanding, just from the opposite direction.
Let's first realise that there is a moral question here. When you run in and bowl a bouncer, you are (often, not always) aiming it at the batsman. If you're even halfway quick, you know - or after the death of Hughes you ought to, anyway - that you're doing something that carries a risk of causing death, a much greater risk than most other actions carried out while playing cricket.
It doesn't follow that you ought not to do it, or that you are to blame for doing it. What does follow is that you need a valid justification for doing it, and this is not provided by the trope that the bowler doesn't intend to hurt the batsman. Good for the bowler, but it still doesn't address the question of whether he's morally justified in imposing the risk of a very great harm on the batsman.
Now imposing a risk of a very great harm is not the same as imposing a great risk of harm. For instance, each time you fly, you run a tiny risk of a very great harm, while if you gently lob a pebble at someone from a few metres away, you impose a very big risk of a very small harm.
We seem comfortable with the former. Driving, for example, kills hundreds of thousands of people every year, but we do not believe that it should be banned. Why not? Because of roughly these two reasons: first, we believe that the benefits of the practice of driving outweigh the harm of the tragedies it causes; second, we believe that the risk of causing those harms is to some extent unavoidable. We try to minimise those risks, but we accept that given current technology we cannot eliminate them, and we accept them because of the value to us of being able to drive.
And this has been roughly the argument when it comes to bouncers. People outline its benefits: it's thrilling (which Test cricket needs to stay alive), it maintains the balance between bat and ball, it's a test of courage and thereby reveals character (men from boys and all that), it is part of the tradition of the game.
We can accept all of that, for the sake of the argument. But even after we do, we haven't justified the use of bouncers because there is one crucial difference between the practices of driving and of bowling bouncers.
For the justification of driving, it's crucial that its benefits can't be realised without running the accompanying risks. If they could, there would be absolutely no justification left for running those risks.
The bouncer does indeed create benefits. But it does not seem indispensable to creating them. Tradition is not justification, and even if it were, our traditions are mostly the innovations of an earlier time. Eliminating the bouncer would end a tradition, but it would simply be part of the story of the evolution of cricket, and many other traditions would remain. And if you want thrilling Test cricket and a competitive balance between bat and ball, you can achieve both by the simple expedient of making pitches better.
Eliminating the bouncer would end a tradition, but it would simply be part of the story of the evolution of cricket, and many other traditions would remain
One way of doing this would be, of course, to make pitches bouncier, which would increase the risk of inflicting harm, and this might seem to contradict my argument. To quote Mill, via Kipling, "nay, nay, not so, but far otherwise". First, leaving grass on, and allowing pitches to take spin, both make pitches more competitive without necessarily imparting greater bounce. Second, a bouncy pitch would certainly make it more likely that harm will be inflicted, but it's short-pitched bowling that would make it more likely to inflict great harm. And my argument is in part to do with proportionality. I'm not saying take the risk of harm out of the game, I'm saying (well, I will be shortly) that I can't see a good argument from risk vs benefit for imposing the great risks of bowling bouncers.
Make boundaries bigger while you're at it. As for courage and revealing character, well, there are any number of ways cricket does that without the bouncer. Sacrificing your wicket, playing in an unnatural style, bowling into the wind, your response to defeat and victory and misfortune - all these things reveal character. Facing spin on turning pitches is a test of courage, of confronting the fear of looking stupid. Calling for a crucial catch, standing under a ball that steeples high into the air and on which the fate of the game depends - this requires courage.
Ah, but the bouncer is special, people will say, because it's about physical courage. I agree with the latter but disagree with the former. A game with a hard ball travelling at speed will necessarily test physical courage. A game that requires the kind of unnatural exertion demanded of fast bowlers will necessarily test physical courage. A game that people play with niggling injuries, with broken fingers and torn hamstrings, as with in Michael Clarke's case basically no back - this game will test physical courage.
Some may have the intellectual honesty here to go the extreme position. The bouncer is special, they will say, because it tests - especially now, after the death of Hughes - the fear of death. And this testing creates benefits that nothing else can.
But even this, sadly, isn't true. It is not special in carrying the risk of death. To take the most recent example, think of the Israeli umpire who died because of a shot that ricocheted off the stumps. Simply by virtue of the hard ball, and the speeds at which it can be thrown and struck, cricket will always intrinsically carry the risk of causing death. People can die without bouncers being bowled. So even if you maintain that the fear of death is an essential part of cricket, you don't need bouncers to do it.
The point is not that we must make the game riskless. The only way this could even be attempted to be done is to make the ball soft. This would indeed destroy cricket. The point is that we must aim to reduce unnecessary risks. What are unnecessary risks? Well, a pretty good example is something which is not essential to creating the benefits associated with it, and something which directly increases the risk of deaths on the cricket field.
The bouncer.
I love the bouncer. It's electrifying, both to play and to watch. Atherton v Donald, Morkel v Clarke, Johnson 2.0 (or 3 or 4 or 7.7, new Mitch, moustachioed Mitch) v everyone. Who doesn't want to see that?
But I can't see an argument from the morality of risk that justifies it. I can see one other possibility, an argument from, roughly, the value of self-realisation. But reasons of space mean that will have to be the topic of a separate piece.

Wednesday 4 December 2013

A UK driving license is basically a PhD in driving

An American tribute to British drivers

I have newfound respect for all the motorists I encounter on British roads. 
a driving instructor teaching a student
An experienced driving instructor can earn £35,000 a year. Photograph: Christopher Thomond
The United States and the United Kingdom have many important similarities, but a rigorous driving test is not one of them. As an American who recently passed the UK driving theory and practical tests, I have newfound respect for all the motorists I encounter on British roads.
To get my American license when I was 16 years old, I had to take a very short multiple choice theory test. Having not studied and never driven, I passed easily. Then I took a practical test that consisted of a 15-minute amble through a flat rural area. I performed poorly, and at the end of my test the examiner turned to me and said, "You really don't know what you're doin', do ya?" And he passed me.
I initially assumed the UK test was comparable to the one across the pond. But then I read that the large majority of UK motorists fail their first driving exam. And I heard horror stories of Americans and other foreigners failing multiple times. I began to study (or "revise" as you Brits say) in earnest.
I'm a doctoral student at Cambridge, and I'm quite sure I prepared much more for my driving tests than I will for my PhD viva next year.
A UK license is basically a PhD in driving.
I read the Highway Code. I read the entire 528-page AA Complete Test book, reviewing all of its 948 multiple-choice questions. I bought the Driving Test Success DVD, watching hours of slightly awkward inside-the-car footage of UK driving lessons. I watched countless "hazard perception" videos on YouTube.
The night before my practical test I fell asleep around 2am on my sofa with my laptop on my stomach as I watched "show me, tell me" vehicle safety tutorials. Had I not watched those videos, my answer to every vehicle safety question during the real test would have been "I would call my dad and then call AA."
(Note to American readers: AA is the British equivalent of AAA, but for some reason they don't call it the "American Automobile Association" in the UK.)
In the course of my studies I had to learn all those charming British motoring terms. To me, many of the terms sounded more like names for rock and folk bands. You know, when I was a teenager I loved heavy metal bands like Kerb, Slip Road, and MOT, and punk bands like The Rising Bollards. Now that I'm older, I prefer the gentler acoustic sound of bands like Soft Verge, Central Reservation, Pelican Crossing, Gantry Sign, and Urban Clearway, though I can still dig the pop-punk energy of Double Mini Roundabout.
I also had to create mnemonic devices to remember the differences between Britain's bird-name road crossings. A toucan crossing is where "two can" cross – both pedestrians and cyclists. At a puffin crossing, a pedestrian may be "huffin' and puffin' to get across" because there is no flashing amber light. Oh, apparently "amber" means "yellow" in English English. I've taken to calling Britain's other traffic lights ruby and emerald.
Thanks to my preparation, I passed the theory test, though my hazard perception score was hazardously low.
When the moment of my practical test arrived, I was a nervous wreck – though thankfully not a literal wreck. I tried to endear myself to my stiff-upper-lipped examiner by noting that the driving tests in America are "a bit different". He chuckled and said, "they're a joke".
To be fair to Americans, we drive big automatic cars on wide, open, straight roads, and most of our country is farmland and wilderness. Most of our towns and cities were laid out after the invention of the automobile. America is a car-based civilization. A Declaration of Independence from public transportation is part of our national psyche. A burdensome license test would be seen as an infringement on our fundamental human right to drive.
Things are "a bit different" in Britain. You have eight times the population density of the United States and many of your narrow, windy roads were developed before the invention of even the horse-drawn coach.
My American compatriots are shocked when I tell them that to earn a UK license I had to take a lengthy theory test, computerized hazard perception test, eye sight test, vehicle safety test, and a 40-minute driving test with a meticulous examiner jotting down each of my "faults" in real time.
As my faults mounted during the test, I prayed that we would turn back toward the test centre before I surpassed the maximum level of acceptable faultiness. I'm a married homeowner who drives an MPV with two toddlers in car seats; I'm hardly a risk-taker on the road. But I am an American. The examiner perceived my hazardousness and marked me down for not looking in my mirrors before I signalled – seven times.
Now I'm always conscious of looking in the mirrors before I signal and manoeuvre. Thanks to the rigors of the UK driving test, I'm a much safer driver, and I'm glad that I share the road with a nation of drivers who had to pass the same demanding test.
The people of Great Britain can be rightfully proud of their great driving skills. Whereas the easy US tests make me wary of American drivers, here in the UK, I've embraced the mantra Keep Calm and Drive On.