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Sunday, July 13, 2025

Etceterini

Etceterini (pronounced et-set-er-rhini)

One or all of the sports cars & racing cars produced in small volumes by a number of “boutique” Italian manufacturers during the quarter-century-odd following World War II (1939-1945).

1980s (though not attaining wide currency until publication in 1990): A portmanteau word, the construct being etcetera(a) + ini.  Etcetera was from the early fourteenth century Middle English et cetera (and other things; and so forth), from the Latin et cētera (and the other things; and the rest of the things), the construct being et (and) + cetera (the other things; the rest).  Et was from the Proto-Italic et, from the primitive Indo-European éti or heti and was cognate with the Ancient Greek ἔτι (éti), the Sanskrit अति (ati), the Gothic (and, but, however, yet) and the Old English prefix ed- (re-).  Cētera was the plural of cēterum, accusative neuter singular of cēterus (the other, remainder, rest), from the Proto-Italic ke-eteros, the construct being ke (here) +‎ eteros (other).  The Latin suffix -īnī was an inflection of -īnus (feminine -īna, neuter -īnum), from the Proto-Italic -īnos, from the primitive Indo-European -iHnos and was cognate with the Ancient Greek -ινος (-inos) and the Proto-Germanic -īnaz.  The suffix was added to a noun base (particularly proper nouns) to form an adjective, usually in the sense of “of or pertaining to and could indicate a relationship of position, possession or origin”.  Because the cars referenced tended to be small (sometimes very small), some may assume the –ini element to be an Italian diminutive suffix but in Italian the diminutive suffixes are like -ino, -etto, -ello & -uccio but etceterini works because the Latin suffix conveys the idea of “something Italian”.  It was used substantively or adverbially.  Until the early twentieth century, the most common abbreviation was “&c.” but “etc.” (usually with a surely now superfluous period (full-stop)) has long been the standard form.   Etcetera is a noun; the noun plural is etceteras

The word “etcetera” (or “et cetera”) fully has been assimilated into English and (except when used in a way which makes a historic reference explicit) is for most purposes no longer regarded as “a foreign word” though the common use has long been to use the abbreviation (the standard now: “etc”).  If for whatever reason there’s a need for a “conspicuously foreign” form then the original Latin (et cētera (or even the Anglicized et cetera)) should be used.  There is no definitive date on which the assimilation can be said to have been completed (or at least generally accepted), rather it was a process.  From the 1400s, the Middle English et cetera was used and understood by educated speakers, due to Latin's prominence in law, science, religion and academia with it by the mid-eighteenth century being no longer viewed as a “foreignism” (except of course among the reactionary hold-outs with a fondness for popery and ecclesiastical Latin: for them, in churches and universities, even in English texts, et cētera or et cetera remained preferred).  Scholars of structural linguistics use an interesting test to track the process of assimilation as modern English became (more or less) standardized: italicization.  With “et cetera” & “etcetera”, by the mid-eighteenth century, the once de rigour italics had all but vanished.  That test may no longer be useful because words which remains classified as “foreign” (such as raison d'être or schadenfreude) often now appear without italics.

The so-called “pronunciation spellings” (ekcetera, ekcetra, excetera & exetera) were never common and the abbreviations followed the same assimilative path.  The acceptance of the abbreviated forms in printed English more widespread still during the 1600s because of the advantages it offered printers, typesetters much attracted by the convenience and economy.  By early in the eighteenth century it was an accepted element (usually as “&c” which soon supplanted “et cet”) in “respectable prose”, appearing in Nathan Bailey’s (circa 1690-1742) An Universal Etymological English Dictionary (1721) and gaining the imprimatur of trend-setter Anglo-Irish author & satirist Jonathan Swift (1667–1745).  Dr Johnson (Samuel Johnson (1709-1784)) made much use of “&c” in his A Dictionary of the English Language (1755) and although Bailey’s dictionary was influential in the breadth of its comprehensiveness and remained, over 30 editions, in print until 1802, it’s Dr Johnson who is better remembered because he was became a “celebrity lexicographer” (a breed which today must sound improbable.)

One of the implications of linguistic assimilation is the effect on the convention applied when speaking from a written text.  Although wildly ignored (probably on the basis of being widely unknown), the convention is that foreign words in a text should be spoken in the original language only if that’s necessary for emphasis or meaning (such as Caudillo, Duce or Führer) or emphasis.  Where foreign terms are used in writing as a kind of verbal shorthand (such as inter alia (among other things)) in oral use they should be spoken in English.  However, the convention doesn’t extent to fields where the terms have become part of the technical jargon (which need not influence a path of assimilation), as in law where terms like inter alia and obiter (a clipping of obiter dictum (something said by a judge in passing and not a substantive part of the judgment)) are so entrenched in written and oral use that to translate them potentially might be misleading.

Lindsay Lohan (b 1986, left), Britney Spears (b 1981, centre) & Paris Hilton (b 1981, right), close to dawn, Los Angeles, 29 November 2006; the car was Ms Hilton's Mercedes-Benz SLR McLaren (C199 (2003-2009)).  This paparazzo's image was from a cluster which included the one used for the front page on Rupert Murdoch's (b 1931) New York Post with the still infamous headline “BIMBO SUMMIT”.  Even by the standards of the Murdoch tabloids, it was nasty.

So, the text written as: “Lindsay Lohan, Paris Hilton, Britney Spears et al recommend that while a handbag always should contain “touch-up & quick fix-up” items such as lipstick, lip gloss, and lip liner, the more conscientious should pack more including, inter alia, mascara, eyeliner, eyebrow pencil, concealer, a powder compact, a small brush set & comb etc.” would be read aloud as: “Lindsay Lohan, Paris Hilton, Britney Spears and others recommend that while a handbag always should contain “touch-up & quick fix-up” items such as lipstick, lip gloss, and lip liner, the more conscientious should pack more including, among other things, mascara, eyeliner, eyebrow pencil, concealer, a powder compact, a small brush set & comb etcetera.  Despite the cautions from purists (including just about every grammar text-book and style guide on the planet), the “choice” between “etc” and “et al” does seem to becoming blurred with many using seemingly using the two interchangeably.  The rules are (1) “etc” (and other things) is used of things (and according to the style guides should always appear with a period (full-stop) even though such use is archaic and another of those “needless tributes to tradition”) and (2) “et al” (and others) is used of people (especially in citations and again, always with a period).  So, “et al” can’t be used for things; strictly, it’s for things; it’ll be interesting to see if these rules survive into the next century.  Really, it's a silly rule and because it's hardly difficult to distinguish between a text string of "people" and one of "things", if used interchangeably, the two abbreviations are unlikely to confuse.  Et al was the abbreviation of the Latin et aliī (and others).

A Unix /etc directory.

In computing, Unix-based operating systems (OS) feature a directory (the word “folder” thought effete by the Unix community, most of whom are at their happiest when typing arcane commands at the prompt) called “etc” (along with /root, /boot, dev, /bin, /opt etc) which is used as a repository for system-wide configuration files and shell scripts used to boot and initialize the system.  Although there are many variants of the OS, typically an /etc directory will contain (1) OS configuration files (/etc/passwd; /etc/fstab; /etc/hosts), (2) system startup scripts (/etc/init.d or /etc/systemd/, (3) network configuration, (4) user login & environment configuration files and (5) application configuration files.  Originally (sometime in 1969-1970), the “etc” name was adopted because it was “an et cetera” in the literal sense of “and so on”, a place to store files which were essential but didn’t obviously belong elsewhere, a single “general purpose” directory used to avoid needless proliferation in the structure.  Rapidly Unix grew in complexity and configurability so the once “place for the miscellaneous” became the canonical location for configuration files, the original sense displaced but the name retained.  It is pronounced et-see (definitely not ee-tee-see or et-set-er-uh).  Despite their reputation, the Unix guys do have a joke (and there are unconfirmed rumors of a second).  Because so many of the files in /etc can be modified with any text-editor, in some documents earnestly it’s revealed /etc is the acronym of “Editable Text Configuration” but that is fake news; it's a backronym.

The Etceterini: exquisite creations with names ending in vowels

1954 Stanguellini 750 Sport.

In the tradition of mock-Latin, the word etceterini was a late twentieth century coining created to refer to the ecosystem of the numerous small-volume Italian sports & racing cars built in the early post-war years.  A portmanteau word, the construct being etceter(a) + ini, the idea was a word which summoned the idea of “many, some obscure” with an Italianesque flavor.  Credit for the coining is claimed by both automotive historian John de Boer (who in 1990 published The Italian car registry: Incorporating the registry of Italian oddities: (the etceterini register) and reviewer & commentator Stu Schaller who asserts he’d used it previously.  Whoever first released it into the wild (and it seems to have been in circulation as least as early as the mid-1980s) can be content because it survived in its self-defined niche and the evocative term has become part of the lexicon used by aficionados of post-war Italian sports and racing cars.  Being language (and in this English is not unique), it is of course possible two experts, working in the same field, both coined the term independently, the timing merely a coincidence.  Etceterini seems not to have been acknowledged (even as a non-standard form) by the editors of any mainstream English dictionary and surprisingly, given how long its history of use now is, even jargon-heavy publications like those from the Society of Automotive Engineers (SAE) haven’t yet added it to their lexicons.  It does though appear in specialist glossaries, car-model registry websites and niche discussion forums, especially those tied to classic Italian car culture (OSCA, Moretti, Stanguellini, Siata, Bandini, Ermini etc).  So, as a word it has sub-cultural & linguistic clarity but no status among the linguistic establishment.

1953 Siata 208S Barchetta.

John De Boer’s comprehensive The Italian car registry: Incorporating the registry of Italian oddities: (the etceterini register) was last updated in 1994 and remains the best-known publication on the many species of the genus etceterini and included in its 350-odd pages not only a wealth of photographs and cross-referenced details of specification but also lists chassis and engine numbers (priceless data for collectors and restoration houses in their quests for the often elusive quality of “originality”).  Nor are the personalities neglected, as well as some notable owners the designers and builders are discussed and there are sections devoted to coach-builders, a once vibrant industry driven almost extinct by regulators and the always intrusive realities of economics.  One thing which especially delights the collectors are the photographs of some of the obscure accessories of the period, some rendered obsolete by technology, some of which became essential standard-equipment and some seriously weird.  Mr De Boer’s book was from the pre-internet age when, except for a pampered handful in a few universities, “publication” meant paper and printing presses but such things are now virtualized and “weightless publication” is available instantly to all and there are small corners of the internet curated for devotees of the etceterini such as Cliff Reuter’s Etceteriniermini, a title which certainly takes some linguistic liberties.  Some trace the breed even to the late 1930s and such machines certainly existed then but as an identifiable cultural and economic phenomenon, they really were a post-war thing and although circumstances conspired to make their survival rare by the mid 1960s, a handful lingered into the next decade.

1957 Bandini 750 Sport Siluro.

That the ecosystem of the etceterini flourished in Italy in the 1950s was because the country was then a certain place and time and while the memorable scenes depicted in La Dolce Vita (1960) might have been illusory for most, the film did capture something from their dreams.  After the war, there was a sense of renewal, the idea of the “new” Italy as a young country in which “everybody” seemed young and for those who could, sports car and racing cars were compelling.  However, while there was a skilled labor force ready to build them and plenty of places in which they could be built, economics dictated they needed to be small and light-weight because the mechanical components upon which so many relied came from the Fiat parts bin and the most significant commonality among the etceterini were the small (often, by international standards, tiny) engines used otherwise to power the diminutive micro-cars & vans with which Fiat in the post-war years “put Italy on wheels”.  It was no coincidence so many of the small-volume manufacturers established their facilities near to Fiat’s factory in Torino, the closest thing the nation had to a Detroit.  In the early years, it wasn’t unknown for a donkey and cart carrying a few engines to make the short journey from the Fiat foundry to an etceterini’s factory (which was sometime little more than a big garage).  However, just because the things were small didn’t mean they couldn’t be beautiful and, being built by Italians, over the years there were some lovely shapes, some merely elegant but some truly sensuous.

1960 Stanguellini Formula Junior.

There was a high failure rate but many for years flourished and developed also lucrative “sideline” businesses producing lines of speed equipment or accessories for majors such as Fiat or Alfa Romeo and, as has happened in other industries, sometimes the success of these overtook the original concern, Nardi soon noticing their return on capital from selling thing popular custom steering wheels far exceeded what was being achieved from producing a handful of little sports cars, production of which quickly was abandoned with resources re-allocated to the accessory which had become a trans-Atlantic best-seller.  Whether things would have gone on indefinitely had the laissez-faire spirit of the time been allowed to continue can’t be known but by the 1960s, traffic volumes rapidly were increasing on the growing lengths of autostrade (the trend-setting Italian motorway system begun during the administration of Benito Mussolini (1883-1945; Duce (leader) & Prime-Minister of Italy 1922-1943) with accident rates & the death toll both climbing.  Italy, like many jurisdictions began to impose safety regulations which before long made small-scale production runs unviable but by then rising prosperity meant people were able to purchase their own Fiat or Alfa-Romeo and the etceterini faded into fond memory.  It is of course unthinkable such a thing could again happen because the EU (European Union) is now staffed by divisions of Eurocrats who spend their days in Masonic-like plotting and scheming to devise new reasons to say no, non, nein, nee, nein, não etc.  Had these bloodless bureaucrats existed in the 1940s, not one etceterini would ever have reached the street.

Wednesday, November 27, 2024

Proctology

Proctology (pronounced prok-tol-uh-jee)

(1) Historically, the branch of medicine dealing with the surgery of the colon, rectum, and anus.

(2) In modern use, colorectal surgery as a specialty inside (as it were) proctology.

(3) A department or building so named in a hospital, university or clinic etc.

1896: The construct was procto- + -logy or proct- + -ology.  Procto was from a Latinized form of the Greek prōktos (anus), from the primitive Indo-European prokto-, the source also of Armenian erastan-k' (buttocks).  The suffix -ology was formed from -o- (as an interconsonantal vowel) +‎ -logy.  The origin in English of the -logy suffix lies with loanwords from the Ancient Greek, usually via Latin and French, where the suffix (-λογία) is an integral part of the word loaned (eg astrology from astrologia) since the sixteenth century.  French picked up -logie from the Latin -logia, from the Ancient Greek -λογία (-logía).  Within Greek, the suffix is an -ία (-ía) abstract from λόγος (lógos) (account, explanation, narrative), and that a verbal noun from λέγω (légō) (I say, speak, converse, tell a story).  In English the suffix became extraordinarily productive, used notably to form names of sciences or disciplines of study, analogous to the names traditionally borrowed from the Latin (eg astrology from astrologia; geology from geologia) and by the late eighteenth century, the practice (despite the disapproval of the pedants) extended to terms with no connection to Greek or Latin such as those building on French or German bases (eg insectology (1766) after the French insectologie; terminology (1801) after the German Terminologie).  Within a few decades of the intrusion of modern languages, combinations emerged using English terms (eg undergroundology (1820); hatology (1837)).  In this evolution, the development may be though similar to the latter-day proliferation of “-isms” (fascism; feminism etc).  A physician specializing in proctology is a proctologist although some may prefer the punchier construction Bart Simpson (from the cartoon TV series The Simpsons), used: “butt doctor”.  The noun proctalgia (pain in the anus or rectum) existed in the medical literature as early as 1811 while the first known use of “proctologist” dates from 1897.  Proctology & proctologist are nouns and proctologic & proctological are adjectives; the noun plural is protologists.

In 1974, The British Medical Journal (BMJ) used the term “guitar nipple” to describe “the irritation to the breast that can occur from the pressure of the guitar against the body.  In the same spirit, two years later a contributor to the Journal of the American Medical Association (JAMA) was more imaginative still, coining “hot pants syndrome” when documenting cases in which a burn to the skin had been induced by a patient carrying a battery-powered transistor radio in the pocket of their trousers.  There was also in 1978 the New England Journal of Medicine's (NEJM) “disco digit” which referred to “a sore or infected finger caused by too much finger snapping while dancing.  These terms were indicative of the trend in the English-speaking world for newly-identified (and in some cases novel conditions) to be constructed with English elements, rather than the Latin historically used.  In the fields of proctology, the historic terms (of discomfort in the region) were:

Rectalgia (pain in the rectum), the construct being rect- (a clipping of the New Latin rectum, itself a clipping of the Latin rectum intestinum (literally “the straight intestine”), neuter of rectus (straight) + -algia (from the New Latin -algia (pain), from the Ancient Greek λγος (álgos) (pain).

Proctalgia (pain in the anal or rectal region), the construct being proct- (a New Latin combining form, from Ancient Greek πρωκτός (prōktós) (anus).+ -algia.

Anodynia (anal pain; anorectal pain), the construct being ano- (from the Latin anus) + -dynia (an alternative (used when the preceding morpheme has a terminal vowel) form of -odynia (a New Latin combining form, from the Ancient Greek δύνη (odúnē) (sorrow, grief, anguish, unhappiness).

Confusingly though, because terminology evolved often independently an in parallel, medicine contrived to use anodynia also to mean “the absence of pain in a previously painful region” and in that case the construct differed, being an- (from the Ancient Greek ν- (an-); a doublet of un- and in- (used her in the sense of a negation) + odynia (a New Latin combining form, from the Ancient Greek δύνη (odúnē) (sorrow, grief, anguish, unhappiness).  So for the non-medically trained, confusion could arise given anodynia can mean either “pain in the butt” or “pain has gone away” although because it’s a word unlikely much to be seen by other than the medically trained, instances of this have presumably been rare.  But in the context of “butt pain” there would seem to be some overlap in meaning between rectalgia, proctalgia & anodynia but while all are used to refer to “pain in or around the rectal area”, in the profession there are distinctions in use, particularly in clinical and diagnostic work 

Rectalgia is used to describe pain localized in the rectum and tends to be used as general term for the condition and often without specifying a cause.  Conditions associated with rectalgia include anorectal abscesses and fissures.  Proctalgia encompasses pain in the anorectal region (both anus and rectum) and is commonly used of proctalgia fugax, a specific condition characterized by sudden, severe, and brief rectal pain with no obvious underlying cause.  As the etymology suggests, proctalgia’s remit is broader than that of rectalgia because it includes both anus and rectum.  Whether or not related to the duality of meaning, anodynia is now not in general clinical use but historically it referred to pain in the vicinity of the anus.  The modern terms for that are “anal pain” & “anorectal pain”.  So, although lay-readers might be forgiven for thinking they could be used interchangeably, clinicians applied them based on anatomical location: rectalgia (rectum), anodynia (anus) &, proctalgia (anorectal region).

In the thoughts of Kellyanne Conway: A protologist's ultrasonic rectal probe (available in 140 & 200 mm (5½ & 8 inch) length versions) by the Electro Surgical Instrument Company (ESI (1896)).

Protology and pains in the butt do feature in idiomatic use in English.  Kellyanne Conway (b 1967; senior counselor to the US president, 2017-2020) when discussing the “Muller probe” (an investigation by special counsel Robert Mueller (1944) into Donald Trump (b 1946; US president 2017-2021; president elect 2024) and the matter of alleged Russian interference in the 2016 US presidential election) told a press conference the whole project was “a political proctology exam.  She clearly liked the imagery because later, when Mr Muller handed down his report, she told the assembled press pack it was the “best day” since Mr Trump’s (2016) election, repeated the phrase political proctology” and, sticking with medical allusions, said the verdict delivered “a clean bill of health.

PITB (and its variations) is widely used.

Kellyanne Conway in hoodie: Miss January, Clare Boothe Luce Policy Institute's annual Conservative Women Calendar (2009).

So like Mr Trump, Ms Conway would have found the Muller probe a (metaphorical) pain in the butt but “political proctology exam” was both a more polite and elegant way of saying it.  The saying “pain in the butt” belongs to a class of such expressions (all meaning “a nuisance; a source of trouble or annoyance”) which variously are used according to the need for politeness, the hierarchy of rudeness (in ascending order) being: “pain in the neck”, “pain in the brain”, “pain in the back” (all about equal), “pain in the rear”, “pain in the bum”, “pain in the ass” & “pain in the arse” (the choice between “ass” & “arse” dictated by linguistic tradition).  All are often used as initializms (PITN PITB, PITR, PITA) and PITA seems the most popular while in oral use “pain in the neck” and “pain in the ass (arse)” vie for popularity although some do like “pain in the brain” for the rhyme.

First edition (hardcover, 1956) of Soranus' Gynecology, published by Johns Hopkins University Press, translated and with an introduction by Owsei Temkin MD (1902-2002).

Quite when the idea of “specialists” in the modern sense of the word came to the practice of medicine isn’t certain but long before such things were formalized by the creation of colleges or specialist qualifications, it’s likely the early physicians did tend to develop particular areas of expertise and would have had certain patients referred to them, much as is the modern practice.  Probably, this emergence of specialties would have happened organically, based on geography: a physician in a fishing community on the sunny Aegean coast would have encountered a different patient profile than one who worked in the cold of the mountains.  Thus, while it’s not known who can be though the “first proctologist”, medical students everywhere will probably nominate Soranus of Ephesus, a Greek physician who practiced in both Alexandria and Rome during the first & second century AD.  His four-volume treatise on gynecology still exists so he probably deserves to be remembered as an early gynecologist but, as many medical students will confirm, his name is pronounced sawr-ey-nuhs so a proto-proctologist he must be.  Such things do happen: Winston Churchill’s (1875-1965; UK prime-minister 1940-1945 & 1951-1955) neurologist was Russell Brain (1895–1966).

Thursday, November 7, 2024

Comeback

Comeback (pronounced kuhm-bak)

(1) A return to a former higher rank, popularity, position, prosperity etc, typically after an extended period of obscurity, under-performance etc.

(2) In sporting competition, a team or individual overcoming a substantial disadvantage in points to win or draw.

(3) Of products, ideas, practices etc, to again become fashionable.

(4) To reply after a period of consideration (as in “to come back” to someone).

(5) A clever or effective retort; a rejoinder; a retort; a riposte (especially if recriminatory).

(6) In informal use, a basis or cause of complaint.

(7) To return (in the sense “come back”).

(8) Of something forgotten, to return to one's memory.

1815–1825: A noun use of verb phrase “come back”, the construct being come + back.  Come was from the Middle English comen & cumen, from the Old English cuman, from the Proto-West Germanic kweman, from the Proto-Germanic kwemaną (to come), from the primitive Indo-European gwémt (to step), from gwem- (to step).  Back was from the Middle English bak, from the Old English bæc, from the Middle Low German bak (back), from the Old Saxon bak, from the Proto-West Germanic bak, from the Proto-Germanic baką, possibly from the primitive Indo-European bheg- (to bend). The adverb represents an aphetic (in phonetics, linguistics & prosody, of, relating to, or formed by aphesis (the loss of the initial unstressed vowel of a word)) form of aback.  Similar forms included the West Frisian bekling (chair back), the Old High German bah and the Swedish and Norwegian bak.  The use of comeback (for long used also as “come-back”) in the sense of a verbal (usually oral) retort dates form 1889 and was an adaptation of the verbal phrase, the implication especially of a “quick or clever response”.  The familiar modern meaning “recovery, return to former position or condition after retirement or loss” was a creation of American English, documented since 1908.  Comeback is a noun (the use as a verb is a misspelling of “come back”; the noun plural is comebacks.

In idiomatic use a “comeback kid” is a person who on more than one occasion had demonstrated a propensity to overcome tragedy, reversal or failure and rebound to triumph and victory.  It has also been used of someone who has achieved such a thing only once but in an especially notable or dramatic way such as Bill Clinton (b 1946; US president 1993-2001) who recovered from a mediocre performance in the 1992 Iowa Caucus but managed to secure an unexpected second place in the New Hampshire primary, despite (cynics would say “because”) reports of his extramarital affair with Gennifer Flowers (b 1950; “Gennifer with a ‘G’”).  Variations include “comeback king”, “comeback queen”, “comeback specialist” etc and those for whom comebacks seem to be a calling are said to stage “serial comebacks”.  When writing of comebacks (usually in sport, politics or entertainment), it not uncommon for them to be described as a “rebound”, “resurgence”, “return”, “revival”, “resurrection” or “resuscitation” (or a “redux” for those wanting something more literary).  In gambling, “comeback money” is that used by an agent of a bookie to place a large bet on a horse at large odds, thereby causing the odds on that horse to decline, reducing the bookie's potential losses in the event that the horse wins.

Thames Comeback Sauce.

Comeback sauce is a dipping sauce and salad dressing, most associated with central Mississippi and while there are variations, the classic recipes typically are based on mayonnaise and chili sauce.  A creamy & tangy Southern condiment, someback sauce is a Mississippi staple and has spread far beyond the city of Jackson, where it originated as an example of “fusion cuisine” (in this case Greek + Mississippi influences).  It’s thought the sauce's name is merely the idea “it tastes so good diners keep ‘coming back’ for more”.  It was first served in Greek-owned restaurants (some claim the Mayflower Cafe was first) in Mississippi in the mid-twentieth century and it has much evolved and in addition to the base of mayonnaise and chili sauce, other popular ingredients include ketchup, spices and Worcestershire hot sauce.

Noted comebacks in modern US politics

F Scott Fitzgerald’s (1896–1940) oft-quoted phrase “there are no second acts in American lives” appears as a fragment in his posthumously published, unfinished novel The Last Tycoon (1941) but he first published it in the early 1930s in the essay My Lost City, a kind of love letter to New York.  The quote is frequently misunderstood as an observation that for those Americans who suffer disgrace or destitution, there is no redemption, no comeback.  However, from politics to pop culture (there is still some slight distinction), there are many examples of temporarily disreputable Americans resurrecting their public lives from all but the most ignominious opprobrium.  Fitzgerald was a professional writer and his observation was an allusion to the structure used by playwrights in traditional three-act theater: (1) problem, (2) complication & (3) solution.  He thought the nature of the American mind was to prefer to skip the second act, going straight from a problem to finding a solution.  His point was well-made and it’s one of the themes of the narrative which underlies the discussions (which became arguments and sometimes squabbles) of military and political strategy between Washington and London during the World War II (1939-1945).

The concept of the comeback is well understood and the zeitgeisters at The Cut (an online publication of New York magazine) noted the phenomenon, in September 2024 posting a piece which looked at Lindsay Lohan’s latest comeback and reviewed those of the last ten-odd years.

That photograph by Doug Mills (b 1960), who has shot (in the photographic sense) every president since Ronald Reagan (1911-2004; US president 1981-1989).

What Donald Trump (b 1946; US president 2017-2021; president elect since 5 Nov 2024) did in regaining the presidency in the 2024 presidential election was perhaps the most remarkable comeback in modern US political history and as notable as any that has happened anywhere.  When one considers the prelude to the 2024 triumph, (Trump (1) lost the popular vote in 2016, (2) lost the popular vote and the electoral college (and thus the presidency) in 2020 and (3) suffered between 2021-2024 a myriad of legal problems including civil judgements in which he was found liable for hundreds of millions in damages and even a felony conviction, a historic first for a US president), his comeback seems more remarkable still.  It’s something even the Trump haters (of which there seem to be a few) must acknowledge, even if it’s not a thing of which they dare speak.

The analysis of the voting patterns in 2024 have revealed some interesting findings but talk of a “political realignment” (such as the shift of the South from the Democrats to the Republicans in the wake of the civil rights legislation of the 1960s) may be premature because there seems still not to be an understanding of just how bizarrely unique a political figure Mr Trump is.  His effect on the political dynamic is undeniable but it may be that it’s something unique to his very existence and that when he departs (God forbid), the construct called MAGA Republicanism, while it may live on as a label, ceases to exert its pull.  These personal creations do seem to behave like that, Gaullism (from Charles de Gaulle (1890-1970; President of France 1959-1969) in France and Peronism (from Juan Perón (1895–1974; President of Argentina 1946-1955 & 1973-1974) in Argentina both surviving as labels but those who have in recent decades appropriated them haven’t always pursued policies of which the two men would have approved; nor have they always aligned with the definitions political scientists have constructed.

The 2024 election:  Conde Nast's Vanity Fair makes clear its editorial position.

It was a strange election campaign.  Trump actually talked much about specifics, there were a lot of policies and many specific details: what he was going to do and to whom.  Kamala Harris (b 1964; US vice president since 2021) however appeared to have only three items on the campaign clipboard: (1) I am not Donald Trump, (2) I am not Joe Biden and (3) abortion on demand.  Had the Trump brand been as toxic as her team seemed to believe the her tactic of basing every appearance around platitudes, slogans and clichés endlessly recited (obediently to be repeated by the crowd), that might have won the election (it’s been done before) but clearly, Trump had more appeal for enough of those in the demographics the Democrats had pencilled in as “ours”.  Quickly, the analysts “scoped down” on the voting patterns and discovered (1) there were women for whom abortion was not the central issue (although it is clear women also took advantage of differential voting where possible, voting to making abortion available in their state wheen the option was on the ballot while also voting for Trump), (2) a significant proportion of Latino voters appeared to be motivated by self-interest rather than ethnic solidarity (which the Democrats seemed to assume they’d made compulsory) and (3) the black male vote for the Democrats was lower that was achieved by Barack Obama (b 1961; US president 2009-2017) in 2008 & 2012.  That last statistic intrigued some who drew what may have been a long bow in speculating that while black men don’t like being told what to do by a white man, at least they’ve had several centuries to get used to it whereas the thought of being told what to do by a black woman is just unthinkable.  It was an opportunistic conclusion to draw from an electoral behaviour which happened only at the margins but it was that sort of election.

Interest now shifts to the second Trump administration and whether it will be Trump 1.1 (ie more of the same which was experienced in the first term) or Trump 2.0 (something different).  Many analysts are suggesting it will be combination of both and structurally, the possibilities available to Mr Trump if the Republicans hold working majorities in both chambers of congress are more inviting.  Mr Trump will have learned lessons from his first term and at least some mistakes (not a word he's believed often to have used of himself) presumably won't be repeated and it's no secret a whole industry of lobbyists, specialists and obsessives have been for four years at work crafting documents detailing how they think things should be done so he won't lack for advice.  There is much talk about the "shift to conservatism" in the US (and elsewhere) but a second Trump administration promises to be one of the more radical seen since the 1960s.    

Four dead white men, left to right: Barry Goldwater, Dwight Eisenhower, Richard Nixon and Thomas Dewey, meeting to discuss the Republican platform for the 1966 mid-term elections, Washington DC, 1 June 1965.  It was a meeting of some significance because this period was the high point of the Democratic Party's control of all branches of government.

Until Trump did what he did, the greatest political comeback in the US was probably that achieved in 1968 by Richard Nixon (1913-1994; US president 1969-1974).  After two terms as VPOTUS (Vice President of the United States) to Dwight Eisenhower (1890-1969; US president 1953-1961), Nixon lost the 1960 presidential election to John Kennedy (JFK, 1917–1963; US president 1961-1963), the margin described at the time as “an electoral eyelash”.  Although it was made clear to Nixon JFK’s victory had probably been made possible by old Joe Kennedy (1888–1969 and JFK’s father) using his money to arrange some blatant vote rigging, Nixon declined to pursue his right to mount a legal challenge, arguing the institution of the office was too important to taint with scandal and telling aides: “Nobody steals the presidency of the United States”, a very different attitude that that taken in 2020 by Mr Trump  Politically, the loss in 1960 may not have been fatal but what did seem to write finis was his loss in 1962 in the Californian gubernatorial contest, an event which would now be forgotten had not Nixon, the day after, held what he called his “last press conference”.  California was then a solidly Republican state and Nixon’s loss was a surprise to most and a shock to some, most conspicuously the defeated candidate who, at the Beverly Hilton Hotel, delivered a quarter-hour tongue-lashing to the assembled press pack, accusing them, not without justification, of having hated him since first he came to prominence in 1948 and having since assiduously and unfairly worked against him.  He concluded: “I leave you gentlemen now.  And you will now write it.  You will interpret it.  That's your right.  But as I leave you, I want you to know—just think how much you're going to be missing.  You don't have Nixon to kick around anymore.  Because, gentlemen, this is my last press conference.  Nixon sat out the 1964 presidential election, appearing at the Republican National Convention only as “a simple soldier in the ranks” to nominate Barry Goldwater (1909–1998) who he described as “Mr Conservative” and the 1964 convention was the only one between 1952-1972 from which Nixon didn’t emerge as the party’s nominee for POTUS (President of the United States) or VPOTUS.  Goldwater lost the 1964 election to Lyndon Johnson (LBJ, 1908–1973; US president 1963-1969) in one of the biggest landslides ever but Goldwater managed to engineer his own, somewhat abstract, comeback, later arguing the victory of Ronald Reagan (1911-2004; US president 1981-1989) was really him winning, sixteen years on.  Barry invented the “proto-virtual comeback”.

Harry Truman, St. Louis Union Station, St. Louis, Missouri, 3 November 1948.  United States.  In Florida, 76 years later, Donald Trump would wear the same smile.

Harry Truman’s (1884–1972; US president 1945-1953) comeback victory in the 1948 presidential election was one of those events remember for one photograph: that of a smirking Truman holding aloft the 3 November 1948 edition of the Chicago Daily Tribune, the front page’s banner headline reading: “DEWEY DEFEATS TRUMAN”.  Really, the Tribune was unlucky because for reasons both technical and related to labor relations, the Wednesday edition had “gone to bed” and been printed earlier that the historic practice, the staff relying on the early returns which they interpreted as guaranteeing a solid Republican victory, not only Thomas Dewey (1902–1971) taking the White House but also both houses of congress; as things turned out, the Democrats secured all three.  For Truman, the 1948 victory was a remarkable comeback because he’d inherited the presidency only because Franklin Delano Roosevelt (FDR, 1882–1945, US president 1933-1945) had died on the eve of victory in World War II (1939-1945) and, compared with his illustrious predecessor, he seemed plain and uncharismatic, his reputation not helped as post-war economic struggles, labor strikes, and internal divisions within the Democratic Party soon took the gloss of the celebrations which had greeted the end of four years of war.  By 1948, almost universally he was expected to lose the 1948 election.

What Truman did was return to what seemed to most a kind of “pre-modern” campaign strategy in which he embarked on what came to be known as the “Whistle Stop Tour”, traveling around the nation by train, speaking in person to the voters rather than having them receive his words on the airways or in the newspapers.  Although now remembered more as part of the political lexicon, the term “whistle stop” was originally US railroad jargon and terminology and referred to small towns or rural stations where trains would only stop “on signal” and usually only if there was something or someone to pick-up or deliver (or if the conductor had, in advance, been notified).  Such stops often had little infrastructure (sometimes only the most rudimentary “platform”) and as the trains slowed down, the driver would blow the “whistle” to announce their arrival.  Although now rarely undertaken by train, the term “whistle-stop tour” remains widely used to describe campaigns that involve making multiple brief appearances in many locations.  Truman’s trip proved a great success, often delivering his speeches from the back of the railcar, his team having travelled ahead to ensure he always had an audience and in the pre internet age, he had the advantage also of being able to recycle the same text, often changing only the odd reference to “localize” the context.  His straightforward, relatable and fiery style was quite a change from the elegant, patrician FDR but it resonated with the voters who warmed to his populist message of fighting the “…do-nothing [Republican] Congress."  Against all expectations (possibly even his own), Truman enjoyed a comeback victory in what was a major upset, proving a persistent campaign with the right message can succeed even the most daunting odds.

Thursday, August 8, 2024

Anesthetist

Anesthetist (pronounced an-aes-the-tist or uh-nes-thi-tist)

(1) A person who administers anesthetics, usually a nurse or technician (US, Canada and some others).

(2) A physician who specializes in the administration of anesthetics (UK & Commonwealth).

1880–1885: From the New Latin anesthet(ize) (loss of feeling) + ist (From the Old French iste & Latin ista, from the Ancient Greek ιστής (ists), from ίζω (ízō, ize, ise, verbal suffix) + τής (ts, the agent-noun suffix).  The construct of the Ancient Greek anaisthēsia (absence of sensation) was an (prefix meaning opposite; without) + aisthēsis (feeling).  The word anesthesia was coined by physician Oliver Wendell Holmes (1809–1894) in 1846, the construct being the Greek ν (an) (without) + ασθησις (aisthēsis) (sensation) and refers to the inhibition of sensation.  Anesthetist & anesthesia are nouns, anesthetize is a verb, anesthetical is an adjective and anesthetically is an adverb; the noun plural is anesthetists.

Anesthetist or anesthesiologist?

In North America, the medical study and application of anesthetics is called anesthesiology, and a physician in the specialty is called an anesthesiologist.  In these jurisdictions, the word anesthetist is used to refer to advanced non-physician providers of anesthesia services such as anesthesiologist assistants and nurse anesthetists.  Elsewhere, in most of the English-speaking world, the specialty is instead referred to as anaesthesia or anaesthetics (with an extra "a").  The term anaesthetist is used only to refer to a physician practicing in the field; non-physicians involved in anaesthesia use other titles such as "physician assistant".  Some countries which formerly used anaesthesia and anaesthetist, such as Ireland and Hong Kong, have transitioned to anaesthesiology and anaesthesiologist, or are in the throes of transition.  It’s a case of the influence of London receding and internationalism prevailing as the (admittedly sketchy and actually multi-way) linguistic standardization of the British Empire fades.  Anaesthesiologist is the spelling adopted by the World Federation of Societies of Anaesthesiologists and most of its most of its member societies, as well as the European Society of Anaesthesiology.  It is the most commonly used term found in the titles of medical journals.

Navadha's oral anesthesia training manikin head with light & sensor.

Navadha's oral anesthesia training manikin is a device on which may be practiced the methods of intra oral anesthesia.  Augmented with both light and sound sensors, it's intended to provide students a safe and realistic experience while undergoing training on the techniques of local anesthesia.  The model consists of a metal skull with a flexible silicone face and mouth lining over an anatomically correct jaw with 28 permanent teeth, movable tongue and a jawbone with landmarks for placement of dry injection which can be seen and palpated (the silicone will not show needle marks).  The conduction sensors aid in practicing Gow Gates and Standard Mandibular Block anesthesia and local infiltration may also be administered in their respective regions.  Four electronic sensors for light and sound, triggered when the landmarks are touched by dry injection, are included and the battery-powered LED light at the top of the head displays a green light when the correct position and angle of injection have been achieved (requires three AAA batteries (batteries not included)).

Available for US$1980.00; accessories include a table top stand (US$360.00), Columbia dental chair head rest mount (US$780.00), torso for chair mount (US$360.00) & bench mount (US$410.00)

For those who really enjoy their work.

Sometimes, an anesthetist needs a court order to proceed.