On this second anniversary of the disaster now known by a single word - "Katrina"

all of us in disaster response look around and shake our heads. One year ago we saw misstep after misstep, failure after failure. As we look back over a landscape that is still scarred by the aftermath of flooding and looting to see both despair and rebirth we ask ourselves: Are we any better prepared today?

Two recent reports by the national Academies of Science clearly stated that Americas hospitals and emergency rooms are no more prepared now than one or even five years ago. Worse, hospitals have failed to integrate emergency medical services (EMS) into their planning and response operations. This first link in the chain is not broken it is simply unhitched.

What happens the next time Mother Nature roars? We cannot yet mitigate an earthquake or a hurricane, a tornado or a volcano. We have yet to learn how to immunize our planet against the next great pandemic or the next plague.

Why is it after we see one of the great cities of america laid low and sunk beneath the waters of its own shores that we have yet to do any meaningful planning? This is not our governments fault. Money is available and spent every day for training. Why we must fight to get any hospital to train to avoid the next catastrophic failure in the wake of unavoidable disaster?

On those occasions when healthcare does choose to train, it is discouraging to see a room more than half empty. In a profession that loudly proclaims a dedication to patient safety and customer care, to see so few people interested in preserving the most necessary of community resources, healthcare, is demoralizing beyond words. disasters can seldom be avoided. On the other hand, catastrophe can almost always be averted with conscientious planning and practice. The difference between a disaster and a catastrophe is that while disaster is when needs exceed resources, catastrophe is when needs exceed all ability to respond.

Equally disturbing is the territorialism among the specialties, each one laying claim to disaster medicine. Most healthcare delivered after a disaster is a simple the daily practice medicine under the worst conditions. These groups fail to realize that Disaster Medicine is primarily practiced before the disaster ever strikes. Disaster Medicine Specialists are part and parcel of planning for the community disaster response and the elimination of profession-specific silos of authority and knowledge. Rather than embracing the concept of board certification in the new specialty of Disaster Medicine, these territorial and fractious groups seek to stake their claim. They have learned nothing.

The good news, Disaster Life Support (DLS) has become the national standard for preparedness of individuals, families, businesses and healthcare professionals, Healthcare first Responder training (HFR) has become the ruler by which hospitals and other healthcare institutions are measured. While it is frustratingly difficult to get these audiences to come to class, it is immensely rewarding when they finally understand how important it is to be prepared, to be aware and to be able to protect themselves, their families, their communities, and their patients. Much like the early days of CPR, it will take time for the nation to understand the importance of every man, woman and child knowing what to do when the wind blows, the buildings falls, or the whole planet sneezes at once. Until then, we who teach these most precious skills will continue to strive to ensure that everyone goes home alive at the end of the day.

Will the gulf coast and New orleans recover?

Certainly in time.

The bigger question is will we ever learn to be D.I.S.A.S.T.E.R. R.E.A.D.Y. & P.L.A.N.?

Dr. Maurice A. Ramirez is the founder and president of the consulting firm High alert, LLC.. He serves on expert panels for pandemic preparedness and healthcare surge planning with Congressional and Cabinet Members. board certified in multiple specialties, Dr. Ramirez is Founding Chairperson of the American board of Disaster Medicine and serves the nation as a Senior Physician-Federal Medical Officer in the national Disaster Medical system. Dr. Ramirez has a new book: You Can Survive Anything, Anywhere, Every Time. His website is http://www.High-Alert.com

Satisfying the proverbial sweet tooth and losing weight or keeping off the pounds that you have already lost can be a daunting task. When you see the dessert, you want to eat it the whole thing and worry about the extra calories later. This method does not always work well when trying to keep the weight off. There are some desserts out that can help keep the weight off and satisfy your craving for sweets.

Fruit cobblers, yogurt mixtures, fruit pies, and low fat cakes are just a few. However, the key to maintaining your weight loss, having your cake and eating it to is in watching your portion size. You can always run into the problem of too much of a good thing. You want to look at the desserts calorie count and fat grams associated with the portion size before you begin eating the dessert. You must consider the calorie count associated with your diet and determine if you can have the entire portion size or if you need to eat just half of the portion to stay in line with your diet. If you dont have the will power to resist the whole portion of a dessert high in calories and fat, then fix the whole, appropriate portion size and throw away of the portion before you sit down to eat it. You can not eat a dessert that is not there.

now there are some healthy desserts with natural ingredients that you can eat the entire portion, satisfy your sweet tooth craving and stay on your diet. These delicious desserts can be prepared quickly and easily. Dont worry you dont have to be a master chef to do it.

For example, fruit pies are a delicious dessert that can be prepared in a manner that yields them low in calories and low in fat. You can begin by washing and draining your fresh fruit. Some fruits that make great pies are apples, peaches or berries. Cut up the fruit as necessary into bite-sized chunks or slices and put it in a bowl. You can add a sugar substitute to your taste or leave the fruit in its naturally sweet state. Then pour the fruit mixture into a pre-made pie crust thats in a foil pie pan. Be careful not to overfill the pie pan with the fruit mixture. Add one tablespoon of butter (if desired) cut into small pieces and drop the butter chunks through out the fruit mixture that is in the pie pan. take another pie crust and put it on top. Cut slits in the top pie crust for ventilation. Bake the fruit pie in the oven at about 350 degrees for 40 to 50 minutes or until the pie crust is lightly brown. Let it cool and enjoy!

Yogurt shakes are also an enjoyable low calorie and low fat treat. You can take some low fat yogurt and blend it with your favorite fruit to make a yogurt shake. Or you can add your favorite nuts or add one or two low fat cookies to your yogurt, blend it, and make a crunchy, enjoyable cool treat.

So enjoy and indulge your sweet tooth with appropriately portioned, delicious, healthy desserts that are low in calories and low in fat while you keep the weight off.

Milton Whitley has been commercially baking and preparing products with natural ingredients and 0g trans fat for over 20 years. You can get more recipe ideas for natural, delicious desserts that will help you keep the weight off at http://www.miltonspiefillings.com/.