The most troubling cascades, though, start like Niess' patient's, with an unnecessary test - what Ishani Ganguli, a primary care physician who is an assistant professor of medicine at Harvard University, and other researchers, call "low-value services" or "low-value care." After all, good medicine often requires some sleuthing.
#MAIN SQUEEZE JUICE SERIES#
Niess wrote about the case in JAMA Internal Medicine as an example of what researchers call a "cascade of care" - a seemingly unstoppable series of medical tests or procedures.Ĭascades can begin when a test done for a good reason finds something unexpected. Due to scheduling issues, another four months would pass before he finally had the operation.
"This doesn't feel like medicine."Ī second CT scan finally cleared her patient for surgery - eight weeks after he'd come for help. Want unlimited access to Esquire's trove of classic cocktail recipes? Join Esquire Select."My heart just sank," Niess said. Finally, there's a wide world of classic vodka cocktails to dip into, the spirit of Russian origin or otherwise. You can also make a highball with ginger ale (not beer) and the whiskey of your choice (but our recommendation is a rye). We'll also suggest a Kentucky Mule follow the recipe above, but replace the vodka with bourbon and try a sprig of mint as the garnish. Speaking of Caribbean history, the Dark and Stormy is another ginger beer cocktail, but with Caribbean rum instead of vodka. That about wraps up this lesson on world history. The British are credited with first brewing it hundreds of years ago, but the ginger they used was in large part harvested from the Caribbean islands they colonized, where it was cultivated by enslaved people. It should also be noted that in addition to vodka, ginger beer contributes its own global backstory to the Moscow Mule.
Unlike the Russian-American affair, America's relationship with vodka has held strong. The Moscow Mule got very popular among the Hollywood elite, and according to drinks historian David Wondrich, helped America get better acquainted with vodka. (Or perhaps it was the Cock 'n' Bull's bartender, who claimed he made up the recipe to help offload cases of ginger beer that were stacking up his basement.) The Moscow Mule's iconic copper mug came from the Cock 'n' Bull's idea factory as well. One, the bar manager of the Cock 'n' Bull bar in L.A., the other a Smirnoff exec who wanted to sell vodka to Americans. In fact, it happened to be invented the same year that the Soviet Union and the U.S. It's an American cocktail, cooked up in Los Angeles a few years before the Cold War froze up. Wouldn't you know it, the Moscow Mule is not of Russian descent. And yes, that copper mug and stirring rod sure do make things festive, but a Collins glass will work just fine.ĭrink your Moscow Mule while debating matters of geopolitical superpower import, or while chatting about, you know, the book you just finished with your comrades. (Note that ginger ale is not equal to ginger beer, but what the hell, use in case of extreme emergency.) Squeeze your lime juice fresh. However, choose a good, strong, not-too-sweet ginger beer, like the one Q Mixers makes. As such, the kind of vodka you use doesn't matter all that much.
This cocktail makes use of vodka as God intended it: covering up that acerbic bite with spice and citrus. Stuff your nose into the cup before you sip, and the gingery aroma will shoot up into your brain stem, cutting into the haze of your groggy mind like the edge of a Siberian glacier. The Moscow Mule practically crackles from its chill.
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