Foxx, Wonder among stars honoring Eddie Murphy

LOS ANGELES (AP) — However riotous the Eddie Murphy stories from Arsenio Hall, Tracy Morgan, Adam Sandler and Russell Brand, the highlight of Spike TV's tribute to Eddie Murphy was the comedian's duet with Stevie Wonder.

Murphy joined the subject of one of his most classic impressions for a rousing rendition of Wonder's 1973 hit "Higher Ground" during the taping of the Spike TV special "Eddie Murphy: One Night Only," which is set to air Nov. 14. The Roots served as the house band.

Jamie Foxx, Tyler Perry, Martin Lawrence, Chris Rock and Keenan Ivory Wayans were also among those paying tribute to Murphy Saturday at the Saban Theater.

Accompanied by a pretty blonde, Murphy beamed throughout the two-hour program Saturday, saying he was touched by the tribute.

"I am a very, very bitter man," he said with a beguiling smile. "I don't get touched easily, and I am really touched."

Morgan called Murphy "my comic hero" and came onstage wearing a replica of Murphy's red leather suit from his standup show "Delirious."

"He set the tone for the whole industry a long time ago," Morgan said before Saturday's tribute. "He inspired me in a fearless way."

Sandler said he was still in high school when he first saw "Delirious," which he described as "one of the most legendary standup specials of all time."

"Everybody on the planet wanted to be Eddie," he said. "He funnier than us. He's cooler than any of us."

Samuel L. Jackson said Murphy "changed the course of American film history" by giving Jackson his first speaking role on the big screen, in 1988's "Coming to America."

"If it weren't for Eddie, we might not have all the wonderful films that I've made," Jackson said.

"He is a true movie star," Jackson continued, lauding Murphy's performance in "48 Hours" and "Beverly Hills Cop." ''You became an inspiration for all young African-American actors."

The program featured clips of Murphy's standup shows, his film appearances in "Shrek" and "Nutty Professor" and his work on "Saturday Night Live."

Murphy insisted before the tribute that he is retired.

"I'm just a retired old song and dance man," he said, adding that he only makes rare appearances these days. "That's what you do when you're retired: You come out every now and then and talk about the old days."

The 51-year-old entertainer took the stage at the conclusion of the tribute to say that he was moved by the honor.

"This is really a touching moving thing, and I really appreciate it," he said. "You know what it's like when you have something like this? You know when they sing happy birthday to you? It's like that for, like, two hours... and I am Eddied out."

___

Follow AP Entertainment Writer Sandy Cohen on Twitter at www.twitter.com/APSandy.

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Opinion: Seeing Things? Hearing Things? Many of Us Do

HALLUCINATIONS are very startling and frightening: you suddenly see, or hear or smell something — something that is not there. Your immediate, bewildered feeling is, what is going on? Where is this coming from? The hallucination is convincingly real, produced by the same neural pathways as actual perception, and yet no one else seems to see it. And then you are forced to the conclusion that something — something unprecedented — is happening in your own brain or mind. Are you going insane, getting dementia, having a stroke?

In other cultures, hallucinations have been regarded as gifts from the gods or the Muses, but in modern times they seem to carry an ominous significance in the public (and also the medical) mind, as portents of severe mental or neurological disorders. Having hallucinations is a fearful secret for many people — millions of people — never to be mentioned, hardly to be acknowledged to oneself, and yet far from uncommon. The vast majority are benign — and, indeed, in many circumstances, perfectly normal. Most of us have experienced them from time to time, during a fever or with the sensory monotony of a desert or empty road, or sometimes, seemingly, out of the blue.

Many of us, as we lie in bed with closed eyes, awaiting sleep, have so-called hypnagogic hallucinations — geometric patterns, or faces, sometimes landscapes. Such patterns or scenes may be almost too faint to notice, or they may be very elaborate, brilliantly colored and rapidly changing — people used to compare them to slide shows.

At the other end of sleep are hypnopompic hallucinations, seen with open eyes, upon first waking. These may be ordinary (an intensification of color perhaps, or someone calling your name) or terrifying (especially if combined with sleep paralysis) — a vast spider, a pterodactyl above the bed, poised to strike.

Hallucinations (of sight, sound, smell or other sensations) can be associated with migraine or seizures, with fever or delirium. In chronic disease hospitals, nursing homes, and I.C.U.’s, hallucinations are often a result of too many medications and interactions between them, compounded by illness, anxiety and unfamiliar surroundings.

But hallucinations can have a positive and comforting role, too — this is especially true with bereavement hallucinations, seeing the face or hearing the voice of one’s deceased spouse, siblings, parents or child — and may play an important part in the mourning process. Such bereavement hallucinations frequently occur in the first year or two of bereavement, when they are most “needed.”

Working in old-age homes for many years, I have been struck by how many elderly people with impaired hearing are prone to auditory and, even more commonly, musical hallucinations — involuntary music in their minds that seems so real that at first they may think it is a neighbor’s stereo.

People with impaired sight, similarly, may start to have strange, visual hallucinations, sometimes just of patterns but often more elaborate visions of complex scenes or ranks of people in exotic dress. Perhaps 20 percent of those losing their vision or hearing may have such hallucinations.

I was called in to see one patient, Rosalie, a blind lady in her 90s, when she started to have visual hallucinations; the staff psychiatrist was also summoned. Rosalie was concerned that she might be having a stroke or getting Alzheimer’s or reacting to some medication. But I was able to reassure her that nothing was amiss neurologically. I explained to her that if the visual parts of the brain are deprived of actual input, they are hungry for stimulation and may concoct images of their own. Rosalie was greatly relieved by this, and delighted to know that there was even a name for her condition: Charles Bonnet syndrome. “Tell the nurses,” she said, drawing herself up in her chair, “that I have Charles Bonnet syndrome!”

Rosalie asked me how many people had C.B.S., and I told her hundreds of thousands, perhaps, in the United States alone. I told her that many people were afraid to mention their hallucinations. I described a recent study of elderly blind patients in the Netherlands which found that only a quarter of people with C.B.S. mentioned it to their doctors — the others were too afraid or too ashamed. It is only when physicians gently inquire (often avoiding the word “hallucination”) that people feel free to admit seeing things that are not there — despite their blindness.

Rosalie was indignant at this, and said, “You must write about it — tell my story!” I do tell her story, at length, in my book on hallucinations, along with the stories of many others. Most of these people have been reluctant to admit to their hallucinations. Often, when they do, they are misdiagnosed or undiagnosed — told that it’s nothing, or that their condition has no explanation.

Misdiagnosis is especially common if people admit to “hearing voices.” In a famous 1973 study by the Stanford psychologist David Rosenhan, eight “pseudopatients” presented themselves at various hospitals across the country, saying that they “heard voices.” All behaved normally otherwise, but were nonetheless determined to be (and treated as) schizophrenic (apart from one, who was given the diagnosis of “manic-depressive psychosis”). In this and follow-up studies, Professor Rosenhan demonstrated convincingly that auditory hallucinations and schizophrenia were synonymous in the medical mind.

WHILE many people with schizophrenia do hear voices at certain times in their lives, the inverse is not true: most people who hear voices (as much as 10 percent of the population) are not mentally ill. For them, hearing voices is a normal mode of experience.

My patients tell me about their hallucinations because I am open to hearing about them, because they know me and trust that I can usually run down the cause of their hallucinations. For the most part, these experiences are unthreatening and, once accommodated, even mildly diverting.

David Stewart, a Charles Bonnet syndrome patient with whom I corresponded, writes of his hallucinations as being “altogether friendly,” and imagines his eyes saying: “Sorry to have let you down. We recognize that blindness is no fun, so we’ve organized this small syndrome, a sort of coda to your sighted life. It’s not much, but it’s the best we can manage.”

Mr. Stewart has been able to take his hallucinations in good humor, since he knows they are not a sign of mental decline or madness. For too many patients, though, the shame, the secrecy, the stigma, persists.

Oliver Sacks is a professor of neurology at the N.Y.U. School of Medicine and the author, most recently, of the forthcoming book “Hallucinations.”

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Google Casts a Big Shadow on Smaller Web Sites

Annie Tritt for The New York Times

Jeffrey G. Katz, the chief executive of Wize Commerce, seen with employees. He says that about 60 percent of the traffic for the company’s Nextag comparison-shopping site comes from Google.

In a geeky fire drill, engineers and outside consultants at Nextag scrambled to see if the problem was its own fault. Maybe some inadvertent change had prompted Google’s algorithm to demote Nextag when a person typed in shopping-related search terms like “kitchen table” or “lawn mower.”

But no, the engineers determined. And traffic from Google’s search engine continued to decline, by half.

Nextag’s response? It doubled its spending on Google paid search advertising in the last five months.

The move was costly but necessary to retain shoppers, Mr. Katz says, because an estimated 60 percent of Nextag’s traffic comes from Google, both from free search and paid search ads, which are ads that are related to search results and appear next to them. “We had to do it,” says Mr. Katz, chief executive of Wize Commerce, owner of Nextag. “We’re living in Google’s world.”

Regulators in the United States and Europe are conducting sweeping inquiries of Google, the dominant Internet search and advertising company. Google rose by technological innovation and business acumen; in the United States, it has 67 percent of the search market and collects 75 percent of search ad dollars. Being big is no crime, but if a powerful company uses market muscle to stifle competition, that is an antitrust violation.

So the government is focusing on life in Google’s world for the sprawling economic ecosystem of Web sites that depend on their ranking in search results. What is it like to live this way, in a giant’s shadow? The experience of its inhabitants is nuanced and complex, a blend of admiration and fear.

The relationship between Google and Web sites, publishers and advertisers often seems lopsided, if not unfair. Yet Google has also provided and nurtured a landscape of opportunity. Its ecosystem generates $80 billion a year in revenue for 1.8 million businesses, Web sites and nonprofit organizations in the United States alone, it estimates.

The government’s scrutiny of Google is the most exhaustive investigation of a major corporation since the pursuit of Microsoft in the late 1990s.

The staff of the Federal Trade Commission has recommended preparing an antitrust suit against Google, according to people briefed on the inquiry, who spoke on the condition they not be identified. But the commissioners must vote to proceed. Even if they do, the government and Google could settle.

Google has drawn the attention of antitrust officials as it has moved aggressively beyond its dominant product — search and search advertising — into fields like online commerce and local reviews. The antitrust issue is whether Google uses its search engine to favor its offerings like Google Shopping and Google Plus Local over rivals.

For policy makers, Google is a tough call.

“What to do with an attractive monopolist, like Google, is a really challenging issue for antitrust,” says Tim Wu, a professor at Columbia Law School and a former senior adviser to the F.T.C. “The goal is to encourage them to stay in power by continuing to innovate instead of excluding competitors.”

SPEAKING at a Google Zeitgeist conference in Arizona last month, Larry Page, the company’s co-founder and chief executive, said he understood the government scrutiny of his company, given Google’s size and reach. “There’s very many decisions we make that really impact a lot of people,” he acknowledged.

The main reason is that Google is continually adjusting its search algorithm — the smart software that determines the relevance, ranking and presentation of search results, typically links to other Web sites.

Google says it makes the changes to improve its service, and has long maintained that its algorithm weeds out low-quality sites and shows the most useful results, whether or not they link to Google products.

“Our first and highest goal has to be to get the user the information they want as quickly and easily as possible,” says Matt Cutts, leader of the Web spam team at Google.

But Google’s algorithm is secret, and changes can leave Web sites scrambling.

Consider Vote-USA.org, a nonprofit group started in 2003. It provides online information for voters to avoid the frustration of arriving at a polling booth and barely recognizing half the names on the ballot. The site posts free sample ballots for federal, state and local elections with candidates’ pictures, biographies and views on issues.

In the 2004 and 2006 elections, users created tens of thousands of sample ballots. By 2008, traffic had fallen sharply, says Ron Kahlow, who runs Vote-USA.org, because “we dropped off the face of the map on Google.”

As founder of a search-engine optimization company and a recipient of grants that Google gives nonprofits to advertise free, Mr. Kahlow knows a thing or two about how to operate in Google’s world. He pored over Google’s guidelines for Web sites, made changes and e-mailed Google. Yet he received no response.

“I lost all donations to support the operation,” he said. “It was very, very painful.”

A breakthrough came through a personal connection. A friend of Mr. Kahlow knew Ed Black, chief executive of the Computer & Communications Industry Association, whose members include Google. Mr. Black made an inquiry on Mr. Kahlow’s behalf, and a Google engineer investigated.

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Power Returns to Lower Manhattan

With the parks set to reopen, the power back on in nearly all of Manhattan and the weekend providing much needed relief from traffic nightmares, parts of New York City seemed to be returning to a semblance of normalcy on Saturday.

Outside of Manhattan, though, in the hardest hit neighborhoods of Queens and Staten Island as well as along the Jersey Shore, it was just the latest day to struggle through, working to both recover and rebuild after Hurricane Sandy.

And there were still reports of long lines at gas stations, with a government survey conducted on Friday showing that nearly two-thirds of the stations in the metropolitan region were out of fuel.

The most visible sign of progress came throughout the night, as New York City, once divided between light and dark, was united again.

As of Saturday morning, only about 5,800 people in Manhattan remained without power.

Just as significant as the return of power itself was what it meant for every other aspect of the recovery, specifically transit. As the power returns, subways can start running their full routes, and one of the greatest logistical problems caused by the storm will begin to be improved.

Throughout the night Friday, as lampposts, streetlights and storefronts flickered to life, cheers could be heard across whole neighborhoods.

In Lower Manhattan, the power restoration started around 5 p.m. in the East Village. The network there, known as Cooper Square, serves about 67,000 customers between 14th and Canal Streets. The Chelsea neighborhood sparked to life about 45 minutes later, bringing back power to an additional 25,000 customers between 14th and 31st Streets on the West Side.

The next big network came back to life around 7:30 p.m., when 30,000 customers east of Fifth Avenue between 14th and 31st Streets were once again able to turn their lights on.

Throughout the night, Consolidated Edison’s crews raced to make good on a promise that company executives made to restore power to all of Manhattan before Saturday. As each network came online, they got a bit closer to getting power back to all 220,000 people below 39th Street who lost it.

By morning, they had largely succeeded. There was work to be done on the Fulton Network, which is important to the subway system as well, and 65 buildings damaged in the storm would remain without power until crews could get to them individually, a Con Edison spokesman said.

Outside Manhattan, the challenges were in some ways more difficult, with crews having to contend with thousands of lines that were mangled, damaged or ripped down in the storm. Con Ed said it could take until the end of next week to bring electricity back to all of its customers.

As of 7 a.m. Saturday, Con Edison reported approximately 280,000 customers out of service. That included 5,800 in Manhattan, 81,000 in Queens, 31,000 in Brooklyn, 31,000 on Staten Island and 25,000 in the Bronx.

In Westchester County, where 107,000 people have no power, the utility said navigating downed trees and dealing with connections cut off by limbs and branches was simply going to take more time. On Long Island, more than 430,000 customers of the Long Island Power Authority still had no power on Friday evening, or any estimate of when it would return.

In New Jersey, Public Service Electric and Gas had restored power to over a million customers by Friday morning, but nearly 600,000 still had no electricity by night. In Newark, about 100,000 customers had service restored at around 9:45 p.m., according the Mayor Cory A. Booker.

Jersey Central Power and Light had over 685,000 customers without electricity on Friday night.

In Connecticut, repairs were moving quickly. Only about 140,000 customers of Connecticut Light and Power still had no power.

With progress faster in some places than others, more crews from around the country are still arriving to help local utility companies recover.

In Manhattan, though, there was a palpable sense of relief as the lights came back on.

Ali Salah, 40, who works at his family’s deli in Chelsea, said the first thing they turned on was the coffee maker.

“Then,” he said, “we plugged in our phones.”

This past week, he added, it did not feel like he was living in New York City, but rather it was more like a small town in his native Yemen.

But when the lights came back on, he could barely contain his joy.

“Today is like New Year’s,” he said. “Like a new holiday.”

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Google's Android software in 3 out of 4 smartphones

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Songs offer messages of hope at Sandy benefit show

NEW YORK (AP) — From "Livin' on a Prayer" to "The Living Proof," every song Friday at NBC's benefit concert for superstorm Sandy victims became a message song.

New Jersey's Jon Bon Jovi gave extra meaning to "Who Says You Can't Go Home." Billy Joel worked in a reference to Staten Island, the decimated New York City borough. The hourlong event, hosted by Matt Lauer, was heavy on stars and lyrics identified with New Jersey and the New York metropolitan area, which took the brunt of this week's deadly storm. The telethon was a mix of music, storm footage and calls for donations from Jon Stewart, Tina Fey, Whoopi Goldberg and others.

The mood was somber but hopeful, from Christina Aguilera's "Beautiful" to Bon Jovi's "Livin' on a Prayer" and a tearful Mary J. Blige's "The Living Proof," her ballad of resilience with the timely declaration that "the worst is over/I can start living now." Joel rocked out with "Miami 2017 (Seen the Lights Go Out on Broadway)," a song born from crisis, New York City's near bankruptcy in the 1970s, while Jimmy Fallon endured a faulty microphone and gamely led an all-star performance of the Drifters' "Under the Boardwalk" that featured Joel, Bruce Springsteen and Steven Tyler. The Aerosmith frontman then sat behind a piano and gave his all on a strained but deeply emotional "Dream On." Sting was equally passionate during an acoustic, muscular version of The Police hit "Message In a Bottle" and its promise to "send an SOS to the world."

The show ended, as it only could, with Springsteen and the E Street Band, tearing into "Land Of Hope and Dreams."

"God bless New York," Springsteen, New Jersey's ageless native son, said in conclusion. "God bless the Jersey shore."

The stable of NBC Universal networks, including USA, CNBC, MSNBC, E! Entertainment, The Weather Channel and Bravo, aired the concert live from the NBC studios in Rockefeller Center in midtown Manhattan, several blocks north of where the city went days without power. Millions of people for whom the benefit was organized couldn't watch the event because they had no electricity.

NBC Universal invited other networks to televise the event, but not everyone signed on.

That might have something to do with network rivalries.

In the wake of the Sept. 11 terrorist attacks, the networks organized a benefit together behind the scenes and it was televised on more than 30 networks simultaneously, including all the big broadcasters.

After Hurricane Katrina, NBC televised its own benefit before the other broadcasters, one that became best known for Kanye West's off-script declaration that "George Bush doesn't care about black people." The other broadcasters cooperated on their own telethon a week later, and NBC televised that one, too.

Also this year, NBC organized and scheduled a telethon and gave others the chance to air it.

Others declined to televise Friday's telethon, even though ABC parent Walt Disney Co. said it would donate $2 million to the American Red Cross and various ABC shows will promote a "Day of Giving" on Monday. The CBS Corp., Viacom Inc., parent of "Jersey Shore" network MTV, Fox network owner News Corp. also announced big donations to the Red Cross.

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Second Illness Infects Meningitis Sufferers

Just when they might have thought they were in the clear, people recovering from meningitis in an outbreak caused by a contaminated steroid drug have been struck by a second illness.

The new problem, called an epidural abscess, is an infection near the spine at the site where the drug — contaminated by a fungus — was injected to treat back or neck pain. The abscesses are a localized infection, different from meningitis, which affects the membranes covering the brain and spinal cord. But in some cases, an untreated abscess can cause meningitis. The abscesses have formed even while patients were taking powerful antifungal medicines, putting them back in the hospital for more treatment, often with surgery.

The problem has just begun to emerge, so far mostly in Michigan, which has had more people sickened by the drug — 112 out of 404 nationwide — than any other state.

“We’re hearing about it in Michigan and other locations as well,” said Dr. Tom M. Chiller, the deputy chief of the mycotic diseases branch of the Centers for Disease Control and Prevention. “We don’t have a good handle on how many people are coming back.”

He added, “We are just learning about this and trying to assess how best to manage these patients. They’re very complicated.”

In the last few days, about a third of the 53 patients treated for meningitis at St. Joseph Mercy Hospital in Ann Arbor, Mich., have returned with abscesses, said Dr. Lakshmi K. Halasyamani, the chief medical officer.

“This is a significant shift in the presentation of this fungal infection, and quite concerning,” she said. “An epidural abscess is very serious. It’s not something we expected.”

She and other experts said they were especially puzzled that the infections could occur even though patients were taking drugs that, at least in tests, appeared to work against the fungus causing the infection, a type of black mold called Exserohilum.

The main symptom is severe pain near the injection site. But the abscesses are internal, with no visible signs on the skin, so it takes an M.R.I. scan to make the diagnosis. Some patients have more than one abscess. In some cases, the infection can be drained or cleaned out by a neurosurgeon.

But sometimes fungal strands and abnormal tissue are wrapped around nerves and cannot be surgically removed, said Dr. Carol A. Kauffman, an expert on fungal diseases at the University of Michigan. In such cases, all doctors can do is give a combination of antifungal drugs and hope for the best. They have very little experience with this type of infection.

Some patients have had epidural abscesses without meningitis; St. Joseph Mercy Hospital has had 34 such cases.

A spokesman for the health department in Tennessee, which has had 78 meningitis cases, said that a few cases of epidural abscess had also occurred there, and that the state was trying to assess the extent of the problem.

Dr. Chiller said doctors were also reporting that some patients exposed to the tainted drug had arachnoiditis, a nerve inflammation near the spine that can cause intense pain, bladder problems and numbness.

“Unfortunately, we know from the rare cases of fungal meningitis that occur, that you can have complicated courses for this disease, and it requires prolonged therapy and can have some devastating consequences,” he said.

The meningitis outbreak, first recognized in late September, is one of the worst public health disasters ever caused by a contaminated drug. So far, 29 people have died, often from strokes caused by the infection. The case count is continuing to rise. The drug was a steroid, methylprednisolone acetate, made by the New England Compounding Center in Framingham, Mass. Three contaminated lots of the drug, more than 17,000 vials, were shipped around the country, and about 14,000 people were injected with the drug, mostly for neck and back pain. But some received injections for arthritic joints and have developed joint infections.

Inspections of the compounding center have revealed extensive contamination. It has been shut down, as has another Massachusetts company, Ameridose, with some of the same owners. Both companies have had their products recalled.

Compounding pharmacies, which mix their own drugs, have had little regulation from either states or the federal government, and several others have been shut down recently after inspections found sanitation problems.

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Apple rolls out iPad mini to shorter queues

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At Bellevue, a Desperate Fight to Ensure the Patients’ Safety

Uli Seit for The New York Times

Ralston Davis had a triple heart bypass operation at Bellevue, but when the hospital lost power, he walked down 10 flights of stairs and was moved to another medical center.

From the moment the water lapped above street level in Lower Manhattan, the doctors and nurses of Bellevue Hospital Center began a desperate struggle to keep patients safe. By 9 p.m. Monday, the hospital was on backup power, and an hour later, the basement was flooded.

Officials rushed to move the most critically ill patients closer to an emergency generator. After midnight, doctors heard shouts in the hallway. The basement fuel pumps had stopped working, and medical residents, nurses and administrators formed a bucket brigade to ferry fuel up 13 flights to the main backup generators.

By Tuesday, the elevator shafts at Bellevue, the country’s oldest public hospital, had flooded, so all 32 elevators stopped working. There was limited compressed air to run ventilators, so oxygen tanks were placed next to the beds of patients who needed them. Water faucets went dry, food ran low, and buckets of water had to be carried up to flush toilets.

Some doctors began urging evacuations, and on Tuesday, at least two dozen ambulances lined up around the block to pick up many of the 725 patients housed there. People carried babies down flights of stairs. The National Guard was called in to help. On Thursday afternoon, the last two patients were waiting to be taken out.

The evacuation went quickly only because Bellevue had planned for such a possibility before Hurricane Irene hit last year, several doctors said. But the city, which had evacuated two nearby hospitals before that storm, decided not to clear out Bellevue. In the wake of Hurricane Sandy, the consequences of bad calls, bad luck and equipment failures cascaded through the region’s health care system, as sleep-deprived health care workers and patients were confronted by a new kind of disarray.

A patient recovering from a triple bypass operation at Bellevue walked down 10 flights of stairs to a waiting ambulance, one of the dozens provided through the Federal Emergency Management Agency to speed patients across the metropolitan region.

Mount Sinai Medical Center, already dealing with the 2 a.m. arrival of a dozen psychiatric patients who spoke only Chinese, was struggling to identify the relatives of brain-injured traffic victims from Bellevue who arrived three hours later with only rudimentary medical records.

Maimonides Medical Center in Brooklyn was straining to meet a rising need for emergency dialysis for hundreds of people shut out of storm-crippled private dialysis centers. Patients who would normally get three hours of dialysis were getting only two, to ensure the maximum number of people received at least a minimal amount of care.

“The catastrophe is growing by the minute,” said Eileen Tynion, a Maimonides spokeswoman. “Here we thought we’d reached a quiet point after the storm.”

Every hospital maintains an elaborate disaster plan, but after Hurricane Sandy, the fact that many health care facilities are in low-lying areas proved to be something of an Achilles’ heel. Bellevue became the third hospital in the city to evacuate after the storm’s landfall, after NYU Langone Medical Center, just north of Bellevue, and Coney Island Hospital, another public hospital.

New York Downtown Hospital, the only hospital south of 14th Street in Manhattan, and the Veterans Affairs Hospital, just below Bellevue, had evacuated before the storm.

Hospital executives were reluctant to criticize their colleagues or city officials. But the sequence of events left them with many questions.

“All hospitals are required to do disaster planning and disaster drills,” Pamela Brier, the chief executive of Maimonides, noted. “All hospitals are required as a condition of being accredited, to have generators, backup generators.”

City health department and emergency officials have been particularly fervent about citywide disaster drills, she added, but “as prepared as we think we are we’ve never had a mock disaster drill where we carried patients downstairs. I’m shocked that we didn’t do that. Now we’re going to.”

The city’s health commissioner, Dr. Thomas Farley, defended the decision not to require evacuations of Bellevue, Coney Island and NYU Langone hospitals before the storm, which he said had been made in consultation with the state health commissioner, Dr. Nirav Shah.

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U.S. Adds 171,000 Jobs; Jobless Rate Rises to 7.9%

In the last assessment of the  job market before the presidential election, the Labor Department announced Friday that the nation’s employers had added 171,000 positions in October, as well as more jobs than initially estimated in both August and September.

Source: Bureau of Labor Statistics

The unemployment rate ticked up slightly to 7.9 percent in October, from 7.8 percent in September.

 The report showed persistent but modest improvement in the American economy. It was based on surveys conducted too early in the month to capture the work stoppages across the East Coast from Hurricane Sandy.

“Generally, the report shows that things are better than we’d expected and certainly better than we’d thought a few months ago,” said Paul Dales, senior United States economist for Capital Economics. “But we’re still not making enough progress to bring that unemployment rate down significantly and rapidly.”

The latest figures are probably good news for President Obama, as there was widespread suspicion that the previous month’s large drop in the unemployment rate — below 8 percent for the first time since he took office — might have been a statistical fluke.

Even so, the numbers arrived somewhat late in the game to have a huge impact on the election, particularly given the ongoing focus on Hurricane Sandy.

Economists were hopeful that once the election was over and Congress addressed the major fiscal tightening scheduled for the end of this year, job growth could speed up further.

“If we can do this kind of job growth with all the uncertainty out there, imagine if we were to clear up those tax issues and hold back the majority of tax increases that are pending at the end of the year,” said John Ryding, chief economist at RDQ Economics. “We could do much better in 2013, maybe as well as we appeared to be doing earlier this year.”

 Job gains in previous months were revised to show bigger gains. September’s increase of 114,000 new jobs was revised to 148,000, and August’s 142,000 was revised to 192,000, the government said.

In October, the biggest job gains were in professional and business services, health care and retail trade, the Labor Department said. Government payrolls dipped slightly. State and local governments have been shedding jobs most months over the last three years.

One of the lowlights of the report was in hourly wages, which remained flat in October after showing barely any growth in the previous several months.

“Perhaps the decline in real wages is a factor here in being able to employ more people,” Mr. Ryding said. “It’s something to keep in mind when we think about creating jobs and whether we’re maybe creating the wrong sort of jobs.”

A report from the National Employment Law Project released in August found that while the majority of jobs lost in the downturn were mid-wage jobs, the majority of the jobs created since then have been lower-wage ones.

 There have now been 25 straight months of jobs gains in the United States, but the increases have been barely large enough to absorb people entering the work force. A queue of about 12 million unemployed people remain waiting for work, about two out of five of whom have been out of a job for more than six months.

 That is in addition to more than eight million people who are working part-time but really want full-time jobs.

 “I’m not just competing against all the other people who are out of work,” said Griff Coxey, 57, of Cascade, Wis., who was laid off in May from his controller job at a small business. “I’m also competing against all those people who are actually working but are underemployed.”

 Like two million other idle workers, Mr. Coxey is scheduled to lose his unemployment benefits the last week of the year, when the federal extensions abruptly expire. He said he still has some savings to fall back on, but many workers do not.

 Labor advocates and economists are hopeful that Congress will renew the benefits as part of their discussions of the “fiscal cliff” during their postelection session. So far, though, the issue has received little attention, and analysts worry that ending extended benefits could disrupt what modest forward momentum the economy currently has.

 “Federal unemployment benefits are one of the most effective stimuli we have,” said Christine L. Owens, the executive director of the National Employment Law Project, a liberal research and advocacy organization that focuses on labor issues.

“The recovery is still fragile,” she said, “and to pull that amount of income and expenditure out of the economy — particularly at a time when people thinking about the holiday season  — will have a significant impact on not just those individuals and their families but the economy as a whole.”

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