Practical Principles for Photojournalists

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Photojournalism is about people doing things.

1. Get in close.

Your photos will often be published on low-quality newsprint for a jaded audience easily distracted. Detail gets lost. Photos strong enough to break through the media competition focus on a single, frame-filling center of interest. Generally no more than two or three people. No more than a few objects. A clean, contrasting background. Sometimes photojournalists call this the “poster effect.” This is why telephoto or zoom lenses are the workhorses of photojournalism: many photojournalists don’t even use a normal perspective (35-50mm) lens. If you can’t get in close, crop ruthlessly.
“If your pictures aren’t good enough, you’re not close enough.”–Robert Capa, one of the century’s top war photographers (killed by land mine while trying to get in close).
2. Find unusual angles.

If you’re sitting or standing like everyone else, you’re probably going to take back some blah photos. Kneel. Climb on a chair. Crouch. Lie down. Shoot down a stairway. Get off your butt. Good photojournalists are always moving.
Corollary to this rule: If forced to take photos of, say, a speaker at a podium (not an attractive option, but too often necessary), never sit in the chairs with the rest of the audience. Think you’ll be too noticeable? Everyone already knows you’re taking pictures–so what? If you’re too shy to move around in front of an audience, become a copy editor.
3. Get identification.

All subjects easily identifiable must be named. Journalism is about people, not abstract art. Most editors will reject photos without idents, unless they are used as generic illustrations. Beginners are intimidated by walking up to strangers, but it’s not really very hard. Simply say some variation of, “Hi, my name is Irving Nern, with the Spectrum. I just took your picture, and I wonder if I can have your name? Can you spell that, please?” Write names in your Reporters’ Notebook. Few people will turn you down: Americans love to be in pictures.
4. Burn pixels.

Move in, move out, move high, move low, and keep on clicking. You’ll have more to choose from, and you’ll more likely have a strong image. Unlike studio photographers, photojournalists have to nab action as it’s unfolding, so at least to some extent are forced to trust on luck to bring back good pictures. The old film rule used to be to shoot one roll (24 ex.) minimum at any event you’re asked to cover, even a speaker at a podium. You can interpret this in the digital age. Half a football game should bag you 75 photos at least. How are you going to have any choice at all if you return to the office with a mere four shots? Pixels are free!
One caution: Anything worth doing is not necessarily anything worth overdoing. Don’t just leave your camera in burst mode thinking you’ll edit those 1,580 images later. It’s a nightmare. I read a few years ago about a guy who took more than 2,000 images of a thunderstorm. TWO THOUSAND pictures. It the old days, that would have cost you about $550 for the film alone. One useful constraint about those old film days: it did encourage you to think at least a tiny bit before snapping the shutter.
5. Go beyond the cliche.

How many photos have you seen showing people talking on a phone? Working at a computer? At a desk with books in the background? In a mugshot? Shaking hands (“grip n’ grin”)? Making a lay-up to a basketball hoop? For goodness’ sake, promise yourself NEVER to take a photo like this again! Assigned a mugshot of a faculty member? Ask the person to meet at the lab, engage her in her research for a photo. Supposed to shoot a basketball game? Dump the standard “armpit shot,” look for interesting floor action. Make your shot stand out from the ruck!
6. Avoid obvious posing.

Okay, sometimes you have to ask people to stand someplace or do something, but that still doesn’t mean they have to just grin into the camera. Try to make the scene appear natural, as if the subject were involved in something and the photographer just happened to come by. Photojournalism aims to cover people doing things, not people posing. That’s for the studio photographers.
7. Add light, but don’t make it obvious.

Available light is ideal, but usually its quality is hardly that. Especially when you’re shooting color, you need to control the color balance of garish green florescent, or difficult combinations of artificial and natural light. In some cases, light comes from ugly angles (such as nearly every standard classroom or office), or is so weak you can’t even get close to stopping the action.
The normal approach is to carry a portable electronic flash, but NEVER to merely attach it to the hot shoe and blast away. That looks ‘way too artificial. Solution: bounce. Aim your electronic flash straight up. Tape a piece of white cardboard at an angle so the light bounces up and off the cardboard. Adjust for your available light exposure, perhaps underexposing a stop. The added flash will fill in the ugly shadows, but still maintain a feeling of natural light.
This is harder if your light is primarily florescent, as your bluish flash will clash with the greenish ambient light, but you should be able to adjust most color cast problems fairly easily in Photoshop. When all else fails, at least take your flash off your camera, hold it a few inches away, and shoot directly.
As an added note, good photojournalists carefully analyze the light falling on their subject, and find an angle which best enhances the scene. For instance, if a subject is bending over, the face may be in shadow. Wait until he stands. If a subject is seated next to a window, wait until she turns toward this attractive light source.
8. Focus faithfully, stay steady.

You just cannot use a blurry photo in a publication: any slight fuzziness will be enhanced by poor quality paper and fast reproduction. Most fuzzy photos can be blamed on camera movement. If you’re naturally jittery, get help: buy a mini tripod and lean it on your chest, or buy a monopod and lean it on the ground. In a pinch, lean against a tree or wall. Rule of thumb: any shutter speed more than one stop lower than the size of your lens will produce a fuzzy picture, unless you use a mechanical aid. This means If you’re shooting at about 50mm or equivalent, you can’t hand-hold anything slower than 1/30 second. If you’re shooting with a zoom set at 200 mm, 1/125 is the limit. And this really is the limit: you must make like a rock to get sharp images even at this speed. (The older you get the harder that gets, by the way. I used to hand-hold 1/15 second. Not anymore….) Photoshop’s blur filter can sharpen pixels, but can do only so much (or usually not so much) with pictures that were originally blurry.
Image stabilization in some modern lenses may help steady your camera for slower exposures. But don’t forget to pay attention to your auto focus. Is it actually focusing on the center of interest? I have found auto focus to give me the wrong setting at least a quarter of the time, and it hardly works at all in low light.
Conclusion: automatic cameras are wonderful devices, but you need to be aware of your settings, shutter speed, f/stop and focus.
9. Dump poorly exposed photos.

Got a great shot, but the guy’s face is in deep shadow? Got a great expression on that cute kid, but a telephone pole is growing out of her head? What about that nice little blurry photo of the sorority sisters’ car wash? DO NOT submit poorly exposed photos for publication, no matter how much you like the image. On the other hand, BE CAREFUL to expose correctly. Automatic cameras are usually smarter than we are, but not always. Study principles of proper exposure. It’s still hard to fix up poorly exposed images, even with Photoshop software: you can’t add detail when nothing’s there to begin with.
10. Have guts.

Walk up to 10 people on the street, snap their picture, ask for their name, write it down. Get a floor pass to a rock concert (and wear earplugs!). Walk as close to the sports action as you dare–get a press pass if you need one. Look for interesting expressions after the posed shots are done. Get out there and shoot! Photojournalists are to a person not to be counted among the timid. Sure, you can overdo this–harassing paparazzi spring to mind–but a courteous, assertive demeanor is nothing to be ashamed of.

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Waiting List for Heart Surgery

 

Heart diseases, as the most common cause of death in Indonesia and worldwide, have always been considered by the public and healthcare policy makers.

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Complicated task by CV anesthesiology, preparing patient for open heart surgery

Consequently, increasing the number of heart surgery centers has become an indicator of healthcare extension. Almost all of healthcare managers place the expansion of heart centers at the top of their career priorities.

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Hand wash for all team member, preventing post operative infection leading to sepsis

 

This issue is usually supported by national politicians, e.g. members of parliament and city council, beyond the people’s concern. Therefore, purchasing and launching highly developed technologies has become a touchstone to assess politician’s capacities. It varies from an ordinary clinic to the most advanced open-heart surgery and imaging facilities, such as catheterization labs.

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Need for Specialized Medical Team

Despite this progress, waiting time is regarded as an appropriate determinant in evaluating healthcare quality, heart surgery prognosis

 

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Ability for mentally & physically adapt to high medical standart

In countries with general health insurance coverage, waiting time limits healthcare access and decreases inpatient payment. Consequently, they will have more sources for providing state surgical or hospital services. Of course, it can harm people’s health and cause inadequate use of elective services

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Ready even they’re not ready

Besides being an important factor influencing patient satisfaction, waiting time is a quality measure for outpatient services. Keijzers et al. assumed that waiting time, staff motivation and patient education are more effective on patient satisfaction than specialized team provision. Several scholars believe the time assigned by physicians to patients’ visit is more satisfying than waiting time for receiving services . Waiting time is an expression of hospital services accessibility and a measure for hospital performance.

 

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The smallest Cardiac OR in the world (?)

Solans-Domenech et al. mentioned about an increasing pressure for the implementation of an equitable and patient needs-based system to rationing surgery. They also assumed that national official data on waiting lists for Spain and Catalonia do not allow conclusive lessons to be learned, regarding the impact that the austerity measures are having on waiting times for patients.

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One of the proposed solutions for decreasing the need to elective surgeries is the substitution of public financing by private methods. When the public services are in poor condition, or private services are strong and choosing of the providers could be done by patients, this is useful. We should consider that increasing private insurance coverage can cause more demand and give the opposite result

 

In our country, Indonesia, the long list of non arguable cardiac surgical patient have ben a long talk. More than 6 months, even almost one year considered as an irreasonable time,. Few more heart centre have been built, the outcome was significantly “different” due to different capability.

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But the bottom line is, that we has been out numbered by the patient.

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My photo on Lens Culture

What we have to deal with, is the government, the decision making of all condition rehardless the humanitarian system in Indonesia.

Hungry for more surgeon, more cardiac centre.

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