“
You see, there's a drill:
1. I [Amy] will say 'Right then, let's go and rescue him [Rory].'
2. The Doctor will say 'Ah yes, but...'
3. And then he'll list the fourteen things that we have to do before we resuce Rory
4. And why they're all more important than rescuing Rory
5. The list normally includes wounded puppies
6. An exploding bus full of grannies
7. You know what I mean
8. So we'll go and do those instead
9. Cos they're all so important
10. And Rory has to come last.
”
”
James Goss (Doctor Who: Dead of Winter)
“
Tea! That's all I needed! Good cup of tea! Super-heated infusion of free-radicals and tannin, just the thing for healing the synapses.
”
”
Russell T. Davies
“
He took her by the hand and led her out of the control room and into a little side room. There, amid a lot of sculpting paraphernalia, was her statue. The statue from the museum. The statue of Fortuna. New and gleaming.
Rose gaped. 'But I never posed for this.'
'No need,' said the Doctor, patting it on the arm -- an arm which still had a hand attached.
'What d'you mean?'
'I mean,' he explained, 'that you won't have to pose for it. As Mickey said -' the Doctor smiled to himself - 'it was sculpted by someone who knew you pretty well.'
He ran a hand through his hair and looked as though he was expecting applause.
Rose walked round the statue. 'Is my bum really that--'
'Yes,' the Doctor interrupted testily. 'This statue is accurate in every detail. Bum. Arms. Legs. Nose. Broken fingernail on your right hand.'
* * *
Rose stood looking at the statue for a bit longer. 'It is perfect,' she said at last.
'I was inspired.'
They smiled at each other. All was right with the world again.
”
”
Jacqueline Rayner (Doctor Who: The Stone Rose)
“
And I don't need to look clever. I am clever. The fact that I look clever is merely a bonus.
”
”
Derek Landy (The Mystery of the Haunted Cottage (Doctor Who 50th Anniversary E-Shorts, #10))
“
You have no idea the power generated each time somebody is told a story. When a conscious, sentient mind willingly ignores what is real, what is fact, and instead chooses to invest in people and places that never existed...It's magnificent.
”
”
Derek Landy (The Mystery of the Haunted Cottage (Doctor Who 50th Anniversary E-Shorts, #10))
“
I don’t find you suspicious at all.’ He turned to Martha and whispered, ‘I find him incredibly suspicious.
”
”
Derek Landy (The Mystery Of The Haunted Cottage (Doctor Who 50th Anniversary E-Shorts, #10))
“
Wow' said Rose 'I never Knew my wish really is your command.'
The Doctor (10th) grinned. 'One bag of chips and I'm anyone's
”
”
Stephen Cole
“
Yawn...
I believe that I love sleep
much more than anybody I’ve ever
met.
I have the ability to sleep for
2 or 3 days and
nights.
I will go to bed at any given
moment.
I often confused my girlfriends
this way—
say it would be about onethirty
in the afternoon:
“well, I’m going to bed now, I’m
going to sleep…”
most of them wouldn’t mind, they
would go to bed with me
thinking I was hinting for
sex
but I would just turn my back
and snore off.
this, of course, could explain
why so many of my girlfriends
left me.
as for doctors, they were never
any help:
“listen, I have this desire to
go to bed and sleep, almost all
the time.
what is wrong with
me?”
“do you get enough exercise?”
“yes…”
“are you getting enough
nourishment?”
“yes…”
they always handed me a
prescription
which I threw away
between the office and the
parking lot.
it’s a curious malady
because I can’t sleep between
6 p.m. and midnight.
it must occur after
midnight
and when I arise
it can never be
before noon.
and should the phone ring
say at 10:30 a.m.
I go into a mad rage
don’t even ask who the caller
is
scream into the
phone: “WHAT ARE YOU
CALLING ME FOR AT THIS
HOUR!”
hang
up…
every person, I suppose, has
their eccentricities
but in an effort to be
normal
in the world’s
eye
they overcome them
and therefore
destroy their
special calling.
I’ve kept mine
and do believe that
they have lent generously to
my existence.
I think it’s the main reason I
decided to become a
writer: I can type
anytime and
sleep
when I damn well
please.
”
”
Charles Bukowski
“
Children can be so cruel,’ the Doctor said. ‘Children’s writers can be even worse.
”
”
Puffin Books (The Mystery Of The Haunted Cottage (Doctor Who 50th Anniversary E-Shorts, #10))
“
Truth in the heart of heresy
”
”
The Doctor
“
Ah, yes,’ said the Doctor, ‘because 2007 has none of those things.
”
”
Puffin Books (The Mystery Of The Haunted Cottage (Doctor Who 50th Anniversary E-Shorts, #10))
“
Sealed inside your casing, not feeling anything, ever, from birth to death. locked inside a cold metal cage, completely alone. that explains your voice, no wonder you scream.
”
”
10th Doctor
“
Children can be so cruel,’ the Doctor said. ‘Children’s writers can be even worse.
”
”
Derek Landy (The Mystery Of The Haunted Cottage (Doctor Who 50th Anniversary E-Shorts, #10))
“
So let me get this straight – this is a long sentence. We are going to be gifted with a health care plan that we are forced to purchase, and fined if we don’t, which reportedly covers 10 million more people without adding a single new doctor, but provides for 16,000 new IRS agents, written by a committee whose chairman doesn’t understand it, passed by Congress, that didn’t read it, but exempted themselves from it, and signed by a president who smokes, with funding administered by a treasury chief who didn’t pay his taxes, for which we will be taxed for four years before any benefits take effect, by a government which has bankrupted Social Security and Medicare, all to be overseen by a surgeon general who is obese and financed by a country that is broke. So what the blank could possibly go wrong?
”
”
Barbara Bellar
“
The major goal of the Cold War mind control programs was to create dissociative symptoms and disorders, including full multiple personality disorder. The Manchurian Candidate is fact, not fiction, and was created by the CIA in the 1950’s under BLUEBIRD and ARTICHOKE mind control programs. Experiments with LSD, sensory deprivation,
electro-convulsive treatment, brain electrode implants and hypnosis were designed to create amnesia, depersonalization, changes in identity and altered states of consciousness. (p. iii)
“Denial of the reality of multiple personality by these doctors [See page 114 for names] in the mind control network, who are also on the FMSF [False Memory Syndrome Foundation] Scientific and Professional Advisory Board, could be disinformation. The disinformation could be amplified by attacks on specialists in multiple personality as CIA conspiracy lunatics” (P.10)
“If clinical multiple personality is buried and forgotten, then the Manchurian Candidate Programs will be safe from public scrutiny. (p.141)
”
”
Colin A. Ross (Bluebird: Deliberate Creation of Multiple Personality by Psychiatrists)
“
First rule of being a detective,' the Doctor said a he knocked on the door, 'is to observe. Observe the obvious, and observe the not-so-obvious. Observing the not-so-obvious is not as easy as observing the obvious, but if it were easy everyone would be at it.
”
”
Derek Landy (The Mystery of the Haunted Cottage (Doctor Who 50th Anniversary E-Shorts, #10))
“
We walked into my mother's house at 10:30 in the morning at the end of February 1992. I had been gone for three weeks. She had been so desperate about us - she, too, looked thin and haggard. She was stunned to see me walk in, filthy and crawling with lice, with a huge crowd of starving people.
We ate and drank clean water; then, before we even washed, I put Marian in a taxi with me and told the driver to go to Nairobi Hospital. We had no money left and I knew Nairobi Hospital was expensive; it was where I had been operated on when the ma'alim broke my skull. But I also knew that there they would help us first and ask to pay later. Saving the baby's life had become the only thing that mattered to me.
At the reception desk I announced, "This baby is going to die," and the nurse's eyes went wide with horror. She took him and put a drip in his arm, and very slowly, this tiny shape seemed to uncrumple slightly. After a little while, his eyes opened.
The nurse said, "The child will live," and told us to deal with the bill at the cash desk. I asked her who her director was, and found him, and told this middle-aged Indian doctor the whole story. I said I couldn't pay the bill. He took it and tore it up. He said it didn't matter. Then he told me how to look after the baby, and where to get rehydration salts, and we took a taxi home.
Ma paid for the taxi and looked at me, her eyes round with respect. "Well done," she said. It was a rare compliment.
In the next few days the baby began filling out, growing from a crumpled horror-movie image into a real baby, watchful, alive.
”
”
Ayaan Hirsi Ali (Infidel)
“
The Doctor put his finger to his lips and Martha nodded and followed him as quietly as she could. Wet leaves squelched under her feet. There was movement up ahead: two teenagers, a pale boy and a nervous girl, walked into a clearing. The sun broke through the clouds and the boy started to sparkle.
Martha felt the Doctor’s eyes on her and she blushed. ‘Do not judge me.’
‘Judging is for later,’ he said, and they continued on, giving the young lovers a wide berth.
”
”
Derek Landy (The Mystery of the Haunted Cottage (Doctor Who 50th Anniversary E-Shorts, #10))
“
Several years ago, researchers at the University of Minnesota identified 568 men and women over the age of seventy who were living independently but were at high risk of becoming disabled because of chronic health problems, recent illness, or cognitive changes. With their permission, the researchers randomly assigned half of them to see a team of geriatric nurses and doctors—a team dedicated to the art and science of managing old age. The others were asked to see their usual physician, who was notified of their high-risk status. Within eighteen months, 10 percent of the patients in both groups had died. But the patients who had seen a geriatrics team were a quarter less likely to become disabled and half as likely to develop depression. They were 40 percent less likely to require home health services. These were stunning results. If scientists came up with a device—call it an automatic defrailer—that wouldn’t extend your life but would slash the likelihood you’d end up in a nursing home or miserable with depression, we’d be clamoring for it. We wouldn’t care if doctors had to open up your chest and plug the thing into your heart. We’d have pink-ribbon campaigns to get one for every person over seventy-five. Congress would be holding hearings demanding to know why forty-year-olds couldn’t get them installed. Medical students would be jockeying to become defrailulation specialists, and Wall Street would be bidding up company stock prices. Instead, it was just geriatrics. The geriatric teams weren’t doing lung biopsies or back surgery or insertion of automatic defrailers. What they did was to simplify medications. They saw that arthritis was controlled. They made sure toenails were trimmed and meals were square. They looked for worrisome signs of isolation and had a social worker check that the patient’s home was safe. How do we reward this kind of work? Chad Boult, the geriatrician who was the lead investigator of the University of Minnesota study, can tell you. A few months after he published the results, demonstrating how much better people’s lives were with specialized geriatric care, the university closed the division of geriatrics.
”
”
Atul Gawande (Being Mortal: Medicine and What Matters in the End)
“
Hell, there're already too many psychologists; too many everythings. Too many engineers, too many chemists, too many doctors, too many dentists, too many sociologists. There aren't enough people who can actually do anything, really know how to make this world work.
When you thing about it; when you look at the way it really is; God, we've got - well, let's say, there's 100 percent. Half of these are under eighteen or over sixty-five; that is not working. This leaves the middle fifty percent. Half of these are women; most are so busy having babies or taking care of kids, they're totally occupied. Some of them work, too, so let's say we're down to 30 percent. Ten percent are doctors or lawyers or sociologists or psychologists or dentists or businessmen or artists or writers, or schoolteachers, or priests, ministers, rabbis; none of there are actually producing anything, they're only servicing people. So now we're down to 20 percent. At least 2 or 3 percent are living on trusts or clipping coupons or are just rich. That leaves 17 percent. Seven percent of these are unemployed, mostly on purpose! So in the end we've got 10 percent producing all the food, constructing the houses, building and repairing all the roads, developing electricity, working in the mines, building cars, collecting garbage; all the dirty work, all the real work.
Everybody's just looking for some gimmick so they don't have to actually do anything. And the worst part is, the ones who do the work get paid the least.
”
”
William Wharton
“
Their task was to film the work of the Allied women. More than 20,000 American women served overseas during the war—10,000 as nurses in the army and navy and a few thousand under the auspices of the Red Cross, the YMCA, and the Salvation Army. Several hundred women were telephone operators with the Army Signal Corps and still others served as doctors, entertainers, canteen workers, interpreters, dentists, therapists, decoders, and in a myriad of other roles. Most of the one thousand professional entertainers who joined the war effort were connected to either the Overseas Theater League or the YMCA and over half were women.
”
”
Cari Beauchamp (Without Lying Down: Frances Marion and the Powerful Women of Early Hollywood)
“
A boxer derives the greatest advantage from his sparring partner – and my accuser is my sparring partner. He trains me in patience, civility and even temper. [10] I mean, a doctor who puts me in a headlock and sets a dislocated pelvis or shoulder – he benefits me, however painful the procedure. So too does a trainer when he commands me to ‘lift the weight with both your hands’ – and the heavier it is, the greater the benefit to me.
”
”
Epictetus (Discourses and Selected Writings (Classics))
“
How to Survive Racism in an Organization that Claims to be Antiracist:
10. Ask why they want you. Get as much clarity as possible on what the organization has read about you, what they understand about you, what they assume are your gifts and strengths. What does the organization hope you will bring to the table? Do those answers align with your reasons for wanting to be at the table?
9. Define your terms. You and the organization may have different definitions of words like "justice", "diveristy", or "antiracism". Ask for definitions, examples, or success stories to give you a better idea of how the organization understands and embodies these words. Also ask about who is in charge and who is held accountable for these efforts. Then ask yourself if you can work within the structure.
8. Hold the organization to the highest vision they committed to for as long as you can. Be ready to move if the leaders aren't prepared to pursue their own stated vision.
7. Find your people. If you are going to push back against the system or push leadership forward, it's wise not to do so alone. Build or join an antiracist cohort within the organization.
6. Have mentors and counselors on standby. Don't just choose a really good friend or a parent when seeking advice. It's important to have on or two mentors who can give advice based on their personal knowledge of the organization and its leaders. You want someone who can help you navigate the particular politics of your organization.
5. Practice self-care. Remember that you are a whole person, not a mule to carry the racial sins of the organization. Fall in love, take your children to the park, don't miss doctors' visits, read for pleasure, dance with abandon, have lots of good sex, be gentle with yourself.
4. Find donors who will contribute to the cause. Who's willing to keep the class funded, the diversity positions going, the social justice center operating? It's important for the organization to know the members of your cohort aren't the only ones who care. Demonstrate that there are stakeholders, congregations members, and donors who want to see real change.
3. Know your rights. There are some racist things that are just mean, but others are against the law. Know the difference, and keep records of it all.
2. Speak. Of course, context matters. You must be strategic about when, how, to whom, and about which situations you decide to call out. But speak. Find your voice and use it.
1. Remember: You are a creative being who is capable of making change. But it is not your responsibility to transform an entire organization.
”
”
Austin Channing Brown (I'm Still Here: Black Dignity in a World Made for Whiteness)
“
For similar reasons, one common cause of committal to an asylum in Elizabeth’s time was “novel reading.”9 Doctors believed that those who indulged in this “pernicious habit”10 lived “a dreamy kind of existence, so nearly allied to insanity that the slightest exciting cause is sufficient to derange.”11 No wonder Theophilus and his co-pastor had tried to shut down the first public library that opened in Shelburne, Massachusetts. It was introducing “improper literature,”12 and the preachers did not believe that churchgoers should risk their souls—or indeed their minds.
”
”
Kate Moore (The Woman They Could Not Silence: One Woman, Her Incredible Fight for Freedom, and the Men Who Tried to Make Her Disappear)
“
I grew up in extreme poverty,’ said Hari Das. ‘Like me, my father was a day labourer, who also did theyyam during the season. Today theyyam can bring in much
more than labouring – in a good season, after expenses, maybe Rs 10,000 a month – but in those days earnings were very meagre; maybe only Rs 10 and bag of rice
for a single night.
‘I lost my mother when I was three years old. She had some small injury – a piece of metal pierced her foot – but it went septic, and because she couldn’t afford a
real doctor she saw a man in the village instead. He must have made it worse. Certainly he failed to cure her. She died quite unnecessarily; at least that is what I feel.
”
”
William Dalrymple (Nine Lives: In Search of the Sacred in Modern India)
“
Gosnell also may have been motivated by his anger. Many people who knew him told us about his ferocious temper, which could flare up at any time. A lot of that anger he took out on his patients, yelling and screaming at them and punching them with his fist when they complained of pain or woke during their abortions.10 And attention-seeking may have motivated him, too. He liked being in the same club as George Tiller and the other late-term abortion doctors, he liked the spotlight, the feeling of power. And now he thinks of himself as a martyr.
”
”
Ann McElhinney (Gosnell: The Untold Story of America's Most Prolific Serial Killer)
“
In March, while people were dying at the rate of 10,000 patients a week, Dr. Fauci declared that hydroxychloroquine should only be used as part of a clinical trial.104 For the first time in American history, a government official was overruling the medical judgment of thousands of treating physicians, and ordering doctors to stop practicing medicine as they saw fit. Boldly and relentlessly, Dr. Fauci kept declaring that “The Overwhelming Evidence of Properly Conducted Randomized Clinical Trials Indicate No Therapeutic Efficacy of Hydroxychloroquine (HCQ).”105 Dr. Fauci failed to disclose that NONE of the trials he had used as the basis for that pronouncement involved medication given in the first five to seven days after onset of symptoms. Instead, all of those randomized controlled trials targeted patients who were already sick enough to be hospitalized.
”
”
Robert F. Kennedy Jr. (The Real Anthony Fauci: Bill Gates, Big Pharma, and the Global War on Democracy and Public Health)
“
There was another reason, too, one I didn't tell her. And this will make perfect sense to people who have dealt with depression and make absolutely no sense to people who never have: I didn't want to waste the doctor's time. I knew for a fact that I could not be helped, so let that appointment go to someone with solvable problems.
Reader, the whole point of a doctor is to know more than you do, assess a problem, and then help you. Seeing people and trying to help them is the entirety of their job, and thus if you are a person, you are worthy of being seen. You are worthy of help.
"I'm not going to a doctor. I mean, what if they put me on pills and I become a zombie or something? Plus, it's a copay."
Our co-pay at the time was $10. I was not worth $10.
"If you don't love yourself enough to go do this, do you at least love me and the kids?"
Oof. "Yes.
”
”
John Moe (The Hilarious World of Depression)
“
To understand my doctor’s error, let’s employ Bayes’s method. The first step is to define the sample space. We could include everyone who has ever taken an HIV test, but we’ll get a more accurate result if we employ a bit of additional relevant information about me and consider only heterosexual non-IV-drug-abusing white male Americans who have taken the test. (We’ll see later what kind of difference this makes.) Now that we know whom to include in the sample space, let’s classify the members of the space. Instead of boy and girl, here the relevant classes are those who tested positive and are HIV-positive (true positives), those who tested positive but are not positive (false positives), those who tested negative and are HIV-negative (true negatives), and those who tested negative but are HIV-positive (false negatives). Finally, we ask, how many people are there in each of these classes? Suppose we consider an initial population of 10,000. We can estimate, employing statistics from the Centers for Disease Control and Prevention, that in 1989 about 1 in those 10,000 heterosexual non-IV-drug-abusing white male Americans who got tested were infected with HIV.6 Assuming that the false-negative rate is near 0, that means that about 1 person out of every 10,000 will test positive due to the presence of the infection. In addition, since the rate of false positives is, as my doctor had quoted, 1 in 1,000, there will be about 10 others who are not infected with HIV but will test positive anyway. The other 9,989 of the 10,000 men in the sample space will test negative. Now let’s prune the sample space to include only those who tested positive. We end up with 10 people who are false positives and 1 true positive. In other words, only 1 in 11 people who test positive are really infected with HIV.
”
”
Leonard Mlodinow (The Drunkard's Walk: How Randomness Rules Our Lives)
“
Read the following chain of events and see whether a similar pattern might apply to other toxic products that were reported in the news during your lifetime:
1. Workers were told that the paint was nontoxic, although there was no factual basis for this declaration. The employers discounted scientists. The workers believed their superiors.
2. Health complaints were made in ever-increasing frequency. It became obvious that something was seriously wrong.
3. U.S. Radium and other watch-dial companies began a campaign of disinformation and bogus medical tests - some of which involved X-rays and may even have made the condition worse.
4. Doctors, dentists, and researchers complied with U.S. Radium's and other companies' requests and refused to release their data to the public.
5. Medical professionals also aided the companies by attributing worker deaths to other causes. Syphilis was often cited as the diagnosis, which had the added benefit to management of being a smear on the victims' reputations.
6. One worker, Grace Fryer, decided to sue U.S. Radium. It took Fryer two years to find a lawyer who was willing to take on U.S. Radium. Only four other workers joined her suit; they became known as the "Radium Girls."
7. In 1928, the case was settled in the middle of the trial before it went to the jury for deliberation. The settlement for each of the five "Radium Girls" was $10,000 (the equivalent of $124,000 in 2009 dollars), plus $600 a year while the victim lived and all medical expenses.
Remember the general outline of this scenario because you will see it over and over again: The company denies everything while the doctors and researchers (and even the industrial hygienists) in the company's employ support the company's distorted version of the facts. Perhaps one worker in a hundred will finally pursue justice, one lawyer out of the hundreds of thousands in the United States will finally step up to the plate, and the case will be settled for chump change.
”
”
Monona Rossol
“
By April 23, 2014, thirty-four cases and six deaths from Ebola in Liberia were recorded. By mid-June, 16 more people died. At the time it was thought to be malaria but when seven more people died the following month tests showed that was the Ebola virus. The primary reason for the spreading of the Ebola virus was the direct contact from one person to the next and the ingesting of bush meat. Soon doctors and nurses also became infected. On July 2, 2014, the head surgeon of Redemption Hospital was treated at the JFK Medical Center in Monrovia, where he died from the disease. His death was followed by four nurses at Phebe Hospital in Bong County. At about the same time two U.S. health care workers, Dr. Kent Brantly and a nurse were also infected with the disease. However, they were medically evacuated from Liberia to the United States for treatment where they made a full recovery. Another doctor from Uganda was not so lucky and died from the disease. Arik Air suspended all flights between Nigeria and Liberia and checkpoints were set up at all the ports and border crossings.
In August of 2014, the impoverished slum area of West Point was cordoned off. Riots ensued as protesters turned violent. The looting of a clinic of its supplies, including blood-stained bed sheets and mattresses caused the military to shoot into the crowds.
Still more patients became infected, causing a shortage of staff and logistics. By September there had been a total of 3,458 cases of which there were 1,830 deaths according to the World Health Organization. Hospitals and clinics could no longer handle this crisis and patients who were treated outside died before they could get help. There were cases where the bodies were just dumped into the Mesurado River. The Ivory Coast out of compassion, opened carefully restricted humanitarian routes and resumed the previously suspended flights to Liberia.
Ellen Johnson Sirleaf the president of Libera sent a letter to President Barack Obama concerning the outbreak of Ebola that was on the verge of overrunning her country. The message was desperate, “I am being honest with you when I say that at this rate, we will never break the transmission chain and the virus will overwhelm us.” Having been a former finance minister and World Bank official, Johnson Sirleaf was not one for histrionics however she recognized the pandemic as extremely dangerous.
The United States responded to her request and American troops came in and opened a new 60-bed clinic in the Sierra Leone town of Kenema, but by then the outbreak was described as being out of control. Still not understanding the dangerous contagious aspects of this epidemic at least eight Liberian soldiers died after contracting the disease from a single female camp follower.
In spite of being a relatively poor country, Cuba is one of the most committed in deploying doctors to crisis zones. It sent more than 460 Cuban doctors and nurses to West Africa. In October Germany sent medical supplies and later that month a hundred additional U.S. troops arrived in Liberia, bringing the total to 565 to assist in the fight against the deadly disease. To understand the severity of the disease, a supply order was placed on October 15th for a 6 month supply of 80,000 body bags and 1 million protective suits. At that time it was reported that 223 health care workers had been infected with Ebola, and 103 of them had died in Liberia.
Fear of the disease also slowed down the functioning of the Liberian government. President Sirleaf, had in an emergency announcement informed absent government ministers and civil service leaders to return to their duties. She fired 10 government officials, including deputy ministers in the central government who failed to return to work.
”
”
Hank Bracker
“
In 1999, a bunch of researchers published a study of about 1,600 adults examined in order to come up with equations to estimate kidney function. Just plug in the patient’s creatinine, age (because adults tend to lose muscle mass as we get older), and gender (because men tend to have more muscle mass than women), and voila!—an estimate of kidney function. Most laboratories can do this for us now. A rising creatinine level in the blood means the kidneys are not able to pee creatinine out as well as they used to, so the person’s estimated kidney function is lower. But wait—if the patient is Black, the study determined that you have to multiply by 1.2 to get a more accurate estimate. This finding was attributed to Blacks in the study having higher muscle mass than Whites and, therefore, higher amounts of creatinine in their bodies. Laboratories report the eGFR, and just below it, the eGFR if Black. Of course one of the problems with generalizations is that they aren’t always true. In medicine, in particular, they make us lazy and we often accept them without question—especially when they are in line with our underlying assumptions and beliefs. Like the belief that Black and African are inherently different from White and European at a DNA level, a belief that dates back to the days when American researchers were measuring Black-White differences in skull size to prove Black inferiority and justify slavery. But I wonder how often health-care providers make the mental adjustment that the “race adjustment” is really a proxy for muscle mass rather than just focusing on the race of the person in front of them when they are assessing lab results. I wonder if the person in front of them were a White male bodybuilder how many would tell him the race-adjusted estimate of kidney function, or a skinny Black woman the non-race-adjusted estimate. Then too I wonder how many health-care practitioners realize that equations derived from the original study of 1,600 people only included about 200 Blacks—and no American Samoans, no Hispanics, no Asians. These groups have very different body frames, but all are simply “not Black” in our equations. The implication, then, is that only Black people are different. This shortcut has the potential for a significant negative impact on Black patients who happen to not have a high muscle mass. Patients like Book of Eli. When the non-race-adjusted eGFR is 20 (when a person can be placed on the waiting list), the race-adjusted value is closer to 25. Just as the difference between eGFRs of 20 and 10 can be several years for many patients, so can the difference between 25 and 20. Years of accruing time on the kidney transplant waiting list when thirteen people on the waiting list die every day waiting for a kidney.
”
”
Vanessa Grubbs (Hundreds of Interlaced Fingers: A Kidney Doctor's Search for the Perfect Match)
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William James said near the end of the nineteenth century, “No mental modification ever occurs which is not accompanied or followed by a bodily change.” A hundred years later, Norman Cousins summarized the modern view of mind-body interactions with the succinct phrase “Belief becomes biology.”6 That is, an external suggestion can become an internal expectation, and that internal expectation can manifest in the physical body. While the general idea of mind-body connections is now widely accepted, forty years ago it was considered dangerously heretical nonsense. The change in opinion came about largely because of hundreds of studies of the placebo effect, psychosomatic illness, psychoneuroimmunology, and the spontaneous remission of serious disease.7 In studies of drug tests and disease treatments, the placebo response has been estimated to account for between 20 to 40 percent of positive responses. The implication is that the body’s hard, physical reality can be significantly modified by the more evanescent reality of the mind.8 Evidence supporting this implication can be found in many domains. For example: • Hypnotherapy has been used successfully to treat intractable cases of breast cancer pain, migraine headache, arthritis, hypertension, warts, epilepsy, neurodermatitis, and many other physical conditions.9 People’s expectations about drinking can be more potent predictors of behavior than the pharmacological impact of alcohol.10 If they think they are drinking alcohol and expect to get drunk, they will in fact get drunk even if they drink a placebo. Fighter pilots are treated specially to give them the sense that they truly have the “right stuff.” They receive the best training, the best weapons systems, the best perquisites, and the best aircraft. One consequence is that, unlike other soldiers, they rarely suffer from nervous breakdowns or post-traumatic stress syndrome even after many episodes of deadly combat.11 Studies of how doctors and nurses interact with patients in hospitals indicate that health-care teams may speed death in a patient by simply diagnosing a terminal illness and then letting the patient know.12 People who believe that they are engaged in biofeedback training are more likely to report peak experiences than people who are not led to believe this.13 Different personalities within a given individual can display distinctly different physiological states, including measurable differences in autonomic-nervous-system functioning, visual acuity, spontaneous brain waves, and brainware-evoked potentials.14 While the idea that the mind can affect the physical body is becoming more acceptable, it is also true that the mechanisms underlying this link are still a complete mystery. Besides not understanding the biochemical and neural correlates of “mental intention,” we have almost no idea about the limits of mental influence. In particular, if the mind interacts not only with its own body but also with distant physical systems, as we’ve seen in the previous chapter, then there should be evidence for what we will call “distant mental interactions” with living organisms.
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Dean Radin (The Conscious Universe: The Scientific Truth of Psychic Phenomena)
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He had been waiting a long time for a chance to come to this place. Years earlier he had spent a good bit of time in Florida on a serial case and the only good that had come out of it was his love of Cuban food. When he later transferred to the Los Angeles field office it was hard to find a Cuban restaurant that compared with the places where he had eaten in Ybor City outside of Tampa. Once on an L.A. case he’d come across a patrol cop who he learned was of Cuban descent. McCaleb asked him where he went to eat when he wanted real home cooking. The cop’s answer was El Cochinito. And McCaleb quickly became a regular. McCaleb decided that studying the menu was a waste of time because he had known all along what he wanted. Lechon asada with black beans and rice, fried bananas and yucca on the side and don’t bother telling the doctor.
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Michael Connelly (A Darkness More Than Night (Harry Bosch, #7; Harry Bosch Universe, #10))
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study asked more than 400 doctors whether they would prefer radiation or surgery if they became cancer patients themselves. Among the physicians who were informed that 10 out of 100 patients would die from surgery, half said they would prefer to be treated with radiation. Among those who were told that 90 out of 100 patients would survive surgery, only 16% said they would choose radiation.
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Jason Zweig (Your Money and Your Brain)
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No matter that both colds and flu are the work of viruses, not bacteria, and antibiotics can’t touch them. Or that the majority of colds will burn themselves out in days or weeks, without risk to life or limb. As antibiotic resistance becomes an ever more serious problem, the pressure is on doctors to be judicious in their prescribing habits. There’s plenty of room for improvement. In the US in 1998, three-quarters of all the antibiotics doled out by primary care doctors were for five respiratory infections: ear infections, sinusitis, pharyngitis (sore throat), bronchitis and upper respiratory tract infections (URI). Of the 25 million people who went to their doctor about a URI, 30 per cent were prescribed antibiotics. Not so bad, you might think, until you realise that only 5 per cent of URIs are caused by bacteria. The same goes for sore throats; 14 million people were diagnosed with pharyngitis that year, and 62 per cent of them were given antibiotics. Only 10 per cent of them would have had bacterial infections. Overall, around 55 per cent of antibiotic prescriptions given out that year were unnecessary.
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Alanna Collen (10% Human: How Your Body's Microbes Hold the Key to Health and Happiness)
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10 Common Myths About Fertility Debunked
According to WHO’s latest report of April 2023, worldwide approximately 17% of total population find it difficult to get pregnant. Although fertility is becoming a rising concern today the subject is still taboo within the society. The couples trying to conceive either visit the Best IVF Doctor in Gurgaon or do not discuss the topic openly. According to the Best IVF Specialist in Gurgaon, Dr. Beena Muktesh, MBBS, MS, Infertility & IVF Specialist, an inability to discuss the topic openly causes the couples to believe in prevalent myths running down the mills. It is important for us as a society to debunk such myths, speak openly, and visit the doctor at the earliest.
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Dr. Beena Muktesh
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1. His back is full of knives. Notes are brittle around the blades.
2. He sleeps face down every night in a chalk outline of himself.
3. He has difficulties with metal detectors.
4. At birthday parties, someone might politely ask, may I borrow one of those knives to slice this chocolate cake?
5. He likes to stand with his back to walls. At restaurants, he likes the corner tables.
6. There is a detective who calls to ask him about the brittle notes. Also: a biographer, a woman who'd like to film a documentary, a curator of a museum, his mother. I can't read them, he says. They're on my back.
7. It would be a mistake for anyone to assume he wants the knives removed.
8. Most of the brittle notes are illegible. One of them, even, is written in French.
9. Every Halloween, he goes as a victim of a brutal stabbing. Once he tried going as a whale, but it was a hassle explaining away the knives.
10. He always wears the same bloody suit.
11. When he walks, he sounds like a tree still full of dead leaves holding on.
12. It is ok for children to count on his knives, but not to climb on them.
13. He saw his own shadow in a park. He moved his body to make the knives reach other people's shadows. He did it all evening. In the shadows, his knives looked like soft outstretched arms.
14. His back is running out of space.
15. On a trip to Paris, he fell in love and ended up staying for a few years. He got a job performing on the street with the country's best mimes.
16. The knives are what hold him together. It is the notes that are slowly killing him.
17. He is difficult to hold when he cries.
18. He will be very old when he dies and the Doctor will say, he was obviously stabbed, brutally and repeatedly. I'm sorry, the Doctor will say to a person in the room, but he's not going to make it.
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Zachary Schomburg (The Man Suit)
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That was when I began to learn how to do all the things I had been taught not to do. I learned over the years to accept more and more of myself,. The doctor and theologian Gerald May said self-acceptance is freedom. I learned to waste a lot more time, which is the opposite of the fourth thing you're told after you're born: Don't waste time. (It comes right after Go clean your room.) The fifth rule is Don't waste paper, but in order to become who I was meant to be, I learned I had to waste more paper, to practice messes, false starts and blunders: these are necessary stops on the route of creativity and emotional growth. To make up for all my papery mistakes, I sent money to the Sierra Club. I had to accept that contrary to my parents' terror of looking bad, almost everybody worth his or her salt was a mess and had been an overly sensitive child. Almost everyone had at one time or another been exposed to the world as being flawed, and human. And that it was good, for the development of character and empathy, for the growth of the spirit. Periods in the wilderness or desert were not lost time. You might find life, wildflowers, fossils, sources of water.
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Anne Lamott (Stitches: A Handbook on Meaning, Hope and Repair by Anne Lamott (2013-10-29))
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Why is owning equity in a business important to becoming rich? It’s ownership versus wage work. If you are paid for renting out your time, even lawyers and doctors, you can make some money, but you’re not going to make the money that gives you financial freedom. You’re not going to have passive income where a business is earning for you while you are on vacation. [10] This is probably one of the most important points. People seem to think you can create wealth—make money through work. It’s probably not going to work. There are many reasons for that. Without ownership, your inputs are very closely tied to your outputs. In almost any salaried job, even one paying a lot per hour like a lawyer or a doctor, you’re still putting in the hours, and every hour you get paid. Without ownership, when you’re sleeping, you’re not earning. When you’re retired, you’re not earning. When you’re on vacation, you’re not earning. And you can’t earn nonlinearly. If you look at even doctors who get rich (like really rich), it’s because they open a business. They open a private practice. The private practice builds a brand, and the brand attracts people. Or they build some kind of a medical device, a procedure, or a process with an intellectual property. Essentially, you’re working for somebody else, and that person is taking on the risk and has the accountability, the intellectual property, and the brand. They’re not going to pay you enough. They’re going to pay you the bare minimum they have to, to get you to do their job. That can be a high bare minimum, but it’s still not going to be true wealth where you’re retired but still earning. [78] Owning equity in a company basically means you own the upside. When you own debt, you own guaranteed revenue streams and you own the downside. You want to own equity. If you don’t own equity in a business, your odds of making money are very slim. You have to work up to the point where you can own equity in a business. You could own equity as a small shareholder where you bought stock. You could also own it as an owner where you started the company. Ownership is really important. [10]
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Eric Jorgenson (The Almanack of Naval Ravikant: A Guide to Wealth and Happiness)