HIGH ON HEALTHby Dr. John Beasley, M.D.Nothing likepreventivemaintenancefor both you andyour airplane,right? Overhaulat TBO. Well, asthe song goes, “Itain’t necessarilyJohn Beasleyso,” whether we aretalking about airplanes or people. Forairplanes, a convincing argument canbe made that we have more enginesfailing because of routine overhaulsdone at TBO than would be failing ifwe ignored the TBO. If you haven’tseen it, try the Webinar by EAA’s MikeBusch at http://www.eaavideo.org/video.aspx?v=1429764450001. Youcan get the same slant on things in hisMarch, 2011 Sport Aviation article atBRACKETTTOWBARSCESSNA 150THRUGULFSTREAM VplusHELICOPTER(928) 757-4005FAX: (928) 757-1948E-Mail: brackett@ctaz.comWebsite: www.brackettaircraft.comBRACKETT AIRCRAFT CO., INC.7045 Flightline Dr. • Kingman, AZ 86401It Ain’t Necessarily So....9""#$%$&'(&)*')+,)-"./0.""+123)&'"456)-"+#%#718)"""http://www.sportaviationonline.org/sportaviation/201103?pg=100.The aphorism for today is “There isno free lunch.” Whether we are workingon airplanes or people, stuff happens,and it is not always what we intended.Engines fail more often after overhaulsthan at any other time, but how aboutpeople?A while back, I was listening toa nationally syndicated medical talkshow, and an airline pilot called in andsaid “I just found out my PSA (a testfor prostate cancer) is elevated…whatshould I do?# I know the talk showhost and emailed him, “For heaven’ssake, tell him to stop testing!” Whywould I say that? Prostate cancer isn’t agreat disease and 3% of us who have aY chromosome will probably die fromit. But at the same time, there is strongevidence that intervening doesn’t makemuch difference. We probably have todo surgery or something to somewherebetween 8 and 48 patients to avertone death, and some studies show nobenefit at all. And if the PSA is high,then there are some rather unpleasanttests to check it out, and again, bestcase chances are 7 out of 8 that thetreatment will either not be needed(you will die of something else such asold age) or not be successful (and yougo ahead and die of the cancer despitetreatment). The treatment is fraughtwith side effects, and, as for the caller,there are certification issues.What are the upsides of screening?In some cases (screening for coloncancer for people over 50 – and under80 – or earlier for some), there isgood evidence that for most peoplethe benefits exceed the risks. Formammography, there is reasonablygood evidence too.What are the downsides? Cost anddiscomfort are two, but there are alsounnecessary, ineffective or even harmfuldiagnostic procedures and treatmentsthat result from screening.How can you tell if screening isreally a good idea for your age andgender? The best information aboutthe utility of various health-screeningmeasures comes from the U.S. PublicHealth Services Preventive Services TaskForce. They are at: http://www.ahrq.gov/clinic/uspstfix.htm Specifics for ageand gender are at: http://epss.ahrq.gov/ePSS/search.jspThe ratings come in severalcategories:Level A: Good scientific evidencesuggests that the benefits of theclinical service substantially outweighthe potential risks. Clinicians shoulddiscuss the service with eligible patients.Level B: At least fair scientificevidence suggests that the benefitsoutweigh the potential risks. Cliniciansshould discuss the service with eligiblepatients.Level C: At least fair scientificevidence suggests that there are benefits,but the balance between benefits andrisks are too close to call. Cliniciansneed not offer it unless there areindividual considerations.Level D: At least fair scientificevidence suggests that the risksoutweigh potential benefits. Cliniciansshould not routinely offer the service toasymptomatic patients.Level I: Scientific evidence islacking, of poor quality, or conflictingand the risk versus benefit balancecannot be assessed. Cliniciansshould help patients understand theuncertainty surrounding the clinicalservice.Once you know the level of rating,it is time to have a chat with your doc.And, the value of screening dependsnot only at the potential harms andbenefits, but what you (the patient)want. A rational person could say, “I’mreally worried about cancer and wantyou to do all the screening you can. Anequally rational person might say, “I feelgreat and I don’t want you messing withme unless you can show me that it’sreally likely to help me! How you feelabout these issues should help us decidewhat’s useful to you – not just useful tostatisticians.So what to do? Chat with your doc,and do the obvious to stay healthy. Iwon’t belabor the obvious.
AT OUR AIRPORTSFuel Distributor Gives Its BestTo Aviation & To Its Communityby Dave WeimanDave WeimanNineteen miles south of Duluth,Minnesota is the old furtrading and lumber town ofCloquet, Minnesota, where Best OilCompany – a major distributor ofPhillips 66 aviation fuels – is located.Cloquet is also where Jarden HomeProducts, makers of Diamond woodenmatches, and Sappi Fine Paper North,are located.John, Chris and Mike McKinney arethe third generation owners of Best OilCompany, which started as a supplierof auto gasoline and heating oil. Today,Best Oil Company also distributespetroleum products to gas stations,convenience stores, bus companies,trucking firms, municipalities, counties,electrical generating plants, and bothjet and 100LL avgas to airports andfixed base operators at 40 airports thusfar throughout Minnesota, Michiganand Wisconsin. Best Oil Companyalso owns and operates a chain of 19convenience stores called “The LittleStores.” All combined, includingJohn McKinney of Best Oil Company atCloquet-Carlton County Airport, Cloquet,Minnesota.drivers, office personnel and retailemployees, Best Oil Company employs300 people in northeast Minnesota.John McKinney’s maternalgrandparents immigrated to the UnitedStates from Finland, and met in theUnited States in 1923. McKinney’sgrandfather, Ray Lindholm, workedfor an oil company, then built hisown gas station and became a Conocodistributor.McKinney’s parents met atthe University of Minnesota inMinneapolis, and when they graduatedin the late 1940s, McKinney’sgrandfather told his father that thefuel and oil business was not a badbusiness to get into, so his parentsbought a small jobbership in Couderay,Wisconsin.“My dad drove truck, and mymother kept the books, and thebusiness grew, and they expanded intoHayward where they purchased somestations,” said McKinney. “After seeinghow well his son-in-law was doing, mygrandfather invited my dad to becomepartners with him in his business inMinnesota. So my dad and mom didjust that in the early 1950s and boughthim out in 1961. The business has beengrowing ever since.Best Oil Company operates sixtransports and seven trailers, 24/7. Thetrailers are dedicated to either jet fuel,avgas, or auto fuel.Best Oil’s corporate offices arenext to the railroad tracks that usedto transport fuel to bulk storage inCloquet. Today, everything is truckeddirectly from terminals to customers.All aviation fuels are picked up at eitherFlint Hills Refinery, or the pipelineterminals in Minneapolis, Chicago orGreen Bay.John McKinney welcomedquestions about Best Oil Company, andthe fuel business in general.WEIMAN: John, why is it that theprice of gas at the local conveniencestore can fluctuate a lot, and the price#$%$&'(&)*')+,)-"./0."""+123)&'"456)-"+#%#718)""".: