This past June, I posted an entry (Library Access, the Limits of the Web, and the Shelling of Sarajevo) weighing in against the misconception that the Internet is equal to or will render obsolete the world’s great libraries. Soon after, I came across this recent paper: The Peloponnesian War and the Future of Reference, Cataloging, and Scholarship in Research Libraries (2007) by Thomas Mann, Ph.D (author of The Oxford Guide to Library Research, 3rd edition, Oxford University Press, 2005).
Mann’s paper — prepared for AFSCME 2910, the Library of Congress Professional Guild — is a compelling 40-page examination of the roles of libraries, librarians, and cataloging, and of the place and present limits of the Internet. Beginning with the device of a student’s attempt to research the Peloponnesian War, Mann reflects on the nature of research, knowledge, and scholarly discourse vs. “quick fix” searches for isolated facts. His consideration of the visceral and associative nature of delving into open stack collections inspires one to set out in search of the nearest library. Vis-a-vis the Internet, one of Mann’s main points of concern is:
“The inadequacy of the open Internet alone for scholarly research – its inability to provide overviews of “the whole elephant”—i.e., not showing all relevant parts, not distinguishing important from tangential, not showing interconnections or relationships, not adequately allowing recognition of what cannot be specified.”
In all, Mann’s paper is an enticing challenge to all of us to return to libraries, to expand our knowledge, and to taste and enter the worlds of research, scholarship and discourse, whether as participants or occasional observers. Internet partisans sometimes prefer aphorisms and “getting it” to longer, well-reasoned arguments but anyone interested in seeing the internet fulfill its potential in the hosting, association, and democratization of knowledge would do well to at least skim the paper.
Turning the Pages
One of the best projects I have encountered on the Web to digitize, examine, and make accessible treasured books and manuscripts is the British Library’s Turning the Pages site. Turning the Pages includes magnificently reproduced rare books — their pages made “turnable” via Shockwave — with English-language transcriptions of their texts and, in some cases audio files of readings of the texts in their original languages. Still, the project presents the texts in isolation and without links or references to facilitate research or place them within the contexts of collections, background material, relevant scholarship, etc. — one of the pitfalls that Mann refers to in his monograph.
A Brilliantly Aesthetic Weblog
I first found Mann’s paper on Libraries and the Internet on wood s lot, a prodigious weblog of impeccably selected — and equally impeccably associated — photographs, paintings, and literary quotes. I truly recommend it … and thank its author for his occasional links to Hak Pak Sak!
More Balkan Lessons: Health Care Data and the Benefits of Dog-Eared Files and Messy Desks
Posted by Stephen Lewis on August 19, 2007
One of the frustrations of working outside of the US on and off for much of my life is that Americans often react with irritation or hostility when I describe to them the benefits of “Big Government” in European social democracies. It seems beyond the comprehension of many Americans that Western European countries have actually developed and maintained powerhouse economies while also attending to an ethos of social responsibility and egalitarianism — to paraphrase the tone of Bush and Co.’s Iraq War rhetoric: How could cowardly, self-indulgent Europe surpass the world’s number-one democracy? Now, to their benefit and credit, Americans are beginning to wake up to the fact that they have cheated themselves and allowed themselves to be cheated, and that other nations have surpassed the US when it comes to taking care of their citizens. Michael Moore’s new film “Sicko” makes this point with Moore’s usual delightful bombast while the New York Times sums up the sorry state of affairs in this more somber editorial.
Health Care Chaos and the Democratization of Records
In a recent posting on the implications of the ever-narrowing gap between the US dollar and (!) the Bulgarian Lev, I described some facets of the economy and tone of post-communist Bulgaria and possible lessons to be learned from transformations and chaos in this small Balkan Republic over the last two decades, i.e. since the implosion of Communism. In the posting, however, I neglected to mention health care. Depending on which side of their country’s deepening gap between rich and poor Bulgarians fall, they have private or state insurance and visit expensive medical and dental clinics or are served by the country’s rank-and-file GPs and dedicated but overworked and ill-equipped public hospitals.
The single, but admittedly accidental, benefit of this unmanaged flux is that, for the moment at least, many Bulgarians have control of their own medical data, albeit without the adequate tools to administer them. Most Bulgarian doctors have neither the desire nor space to store records. Thus, their patients carry their own x-rays with them and pick-up and store their own blood-test and lab results. As a result, patients have a full set of printouts, film, and hands-scrawled charts with them most of the time — even if carried in dog-eared folders and stored on messy desk tops and in jumbled desk drawers. If they are interested and capable, and have sufficiently confrontational personalities, possession of such documents give them an inside track into understanding and maybe even managing their own conditions and treatment. Thus, once again, accidental circumstances in Bulgaria point to solutions for problems Americans face, in this case getting medical records out of the file cabinets and off the desks of doctors and, even if in duplicate, into the hands of the patients to whom they rightfully belong. The next step of course would be to set advanced information technology to work to support patients in setting data to work for their benefit and the potential benefit of others. The New York Times editorial linked to above underscored the urgency of this issue:
“Shockingly, despite our vaunted prowess in computers, software and the Internet, much of our health care system is still operating in the dark ages of paper records and handwritten scrawls. American primary care doctors lag years behind doctors in other advanced nations in adopting electronic medical records or prescribing medications electronically. This makes it harder to coordinate care, spot errors and adhere to standard clinical guidelines.”
Not Just the Province of Giants
Some days later, the Times reported that Google and Microsoft have entered into the medical information management fray. But, as I wrote following a meeting with Vendor Relations Management activists at the Oxford Internet Institute back in July, there are numerous opportunities for grass-roots information projects (in this case a proposed community-based project serving diabetics in the UK) that can turn us all into managers rather than victims of medical care. We needn’t wait for industry giants, even if well-willing, to do the job.
Posted in Bulgaria, Commentary, Digitization, Health Care, Identity, Infrastructure | Leave a Comment »