Dearly Beloved You Guys:
By the time you read this, my week on the well-baby nursery will be afoot. Let’s hold the phone for a moment to think about well-babies. They’re cute. They pee and poop with abandon, and their physical findings are strange. Consider heart sounds. In the adult, the healthy human heart produces a lub’dub… lub’dub… lub’dub consisting for four separate, synchronized sounds -it’s like a barbershop quartet. I spent two years promoting
Stanford’s attempt to revitalize the physical exam, so I feel quite comfortable listening to adult heart sounds. In fact, I enjoy it. It’s reassuring to hear a healthy heart, and an abnormal rhythm presents a diagnostic puzzle. In the neonate…well..all four sounds are there…and, one hopes, the rhythm is regular…however…well…the rate… You see, an adult heart rate shouldn’t get much higher than 99 beats per minute. The neonate heart, however, will normally fly along at 170 beats per minute. In effect, the neonate heart is still like a barbershop quartet, but the quartet is anxious, and singing double time, and high on amphetamines.
In short, I feel completely unprepared to examine los personas muy pequeños. And yet…so it goes with medical training-read a lot; know a little; jump into the clinic; learn a bit more; repeat. So, if you have a second, wish me luck with the wee ones.
Anyway, let’s get on with the post. A few bits of news.
- Latest I’ve heard, the pub date for the UK edition of Spellbound has been pushed back to September 29th. Why? Something to do with publishing schedules beyond my or your or any one mortal’s control. Oh, yeah, and there’s some guy named GRRM who’s got some kinda epic fantasy book, or something, that’s supposed to be soaking up all the attention. Maybe you heard of this RR guy.
- Also, the Spanish cover! Estoy muy satisfecho con el debut de la cobertura en español de “Spellbound”. Me encanta el diseño icónico y colores vivos. Espero que los lectores en España y América Latina están de acuerdo. (Spanish speakers: if your feeling charitable, let me know how badly I screwed up the grammar there.)
![](http://www.blakecharlton.com/wp-content/uploads/2011/07/Versatil-cover.jpg)
- Also, the Dutch cover art for Spellbound is out. What do I think of it? Well, you’ll have to wait until I’ve learned enough Dutch to tell you, don’t you? Why don’t you tell me what you think of it.
![](http://www.blakecharlton.com/wp-content/uploads/2011/07/Charlton-Macht-der-Spreuken-667x1024.jpg)
Originally published at www.blakecharlton.com