I love boobies, I really do. As I am writing this I have recently returned from the BCMJ’s Galapagos CME cruise and I have to say that the blue-footed boobie is one of my favorite birds. During mating season the male even lifts one foot after the other as if to say, “See, they really are blue.”
Following a number of long flights we eventually arrived in Quito, Ecuador, to start our journey. One of our stops along the way was in Bogota, Columbia, and I have never before been forced to go through so many security checkpoints. They even sniffed the novels I brought along. I assume they were looking for drugs and that they don’t have a penchant for scratch-and-sniff books. Quito is located at over 9000 feet, so altitude sickness is a possibility. This is supposedly worsened by alcohol consumption so I sacrificed myself to science and drank heavily. Other than a headache and some breathlessness with activity, I fared much better than some of the group who had significant respiratory symptoms. One of the many benefits of a BCMJ cruise is that there are usually a few physicians around. I realize it was probably cruel to hand out Diamox telling sufferers that it works best as a suppository, but vacations are all about fun. Quito has some interesting sites, but it isn’t very safe. Even fast-food restaurant chains have security guards with bully clubs, as apparently french-fry theft is rampant. I even spotted guards in the supermarket with machine guns, which I don’t believe were from the toy aisle. Recently, the incumbent president passed a law that it isn’t a crime to steal less than $600 cash or property unless the theft involves some sort of violent assault. Apparently, he now stands a better chance of being re-elected. I asked how this law affects tourists and was told that “theft from tourists is encouraged as it helps the economy.” Therefore, taking a cue from the adage “when in Rome,” I almost managed to cover the cost of my hotel room.
Following Quito, we flew to the Galapagos Islands and began our 7-day cruise of the islands aboard the 100-passenger Celebrity Cruise Ship Xpedition. The ship was comfortable, with good food and a friendly crew (at least until I got hold of the PA system). Our days were filled with morning and afternoon excursions to the islands, interspersed by CME provided by some of the BCMJ Editorial Board members and other notable invitees. The excursions are strictly controlled and tourists must be accompanied by a naturalist from an accepted tour at all times. The naturalists on our cruise were all very knowledgeable and passionate about the islands. Apart from boobies, we saw sea lions, frigate birds, lava herons, hawks, albatross, iguanas, land tortoises, and more. These species have little fear of humans and therefore can be viewed in close proximity (too close for some of our tour) under controlled circumstances. Human activity is limited to specific trails designed for minimal environmental impact. So imagine our horror when Dr Tim Rowe was spotted riding one of the giant land tortoises.
Our evenings were spent dining, drinking, pooping (those of us that contracted the Galapagos gallop), and partying. Fortunately, our tour group was blessed with talented singers and musicians, and a special thank you is due to Shannon Dutchyn, Clare O’Callaghan, Colin Rankin, and Heidi Oetter on backup vocals. Remember, what happens on deck 5 stays on deck 5 unless you have photos, like I do.
Being among the Galapagos Islands gave me a chance to reflect on the wonders of our natural world and how blessed some of us are to be able to travel and view this splendor. And the trip confirmed for me that there is nothing as beautiful as a well-put-together boobie.
Above is the information needed to cite this article in your paper or presentation. The International Committee
of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally
accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
About the ICMJE and citation styles
The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.
BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:
- Only the first three authors are listed, followed by "et al."
- There is no period after the journal name.
- Page numbers are not abbreviated.
For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org