Intern Doctor Quotes

Stand in the machine there, let’s see what state your internal organs are in. The images
will be projected on screen, and I can go through the diagnosis with you, step by step.”
Brown did as he was told and soon images of his vital organs appeared on the screen.
 As you can see, your heart is slightly enlarged and your lungs and kidneys are not in
good shape either. Have you been experiencing any pain lately?”
“Not that I can think of. What can you do to help?”
“Difficult to say, you see you are dying” said the Doctor. You can see the
discolouration in your kidneys.” Brown strained his eyes.

I have always felt that the action most worth watching is not at the center of things but where edges meet. I like shorelines, weather fronts, international borders. There are interesting frictions and incongruities in these places, and often, if you stand at the point of tangency, you can see both sides better than if you were in the middle of either one.

Here’s to the security guards who maybe had a degree in another land. Here’s to the manicurist who had to leave her family to come here, painting the nails, scrubbing the feet of strangers. Here’s to the janitors who don’t understand English yet work hard despite it all. Here’s to the fast food workers who work hard to see their family smile. Here’s to the laundry man at the Marriott who told me with the sparkle in his eyes how he was an engineer in Peru. Here’s to the bus driver, the Turkish Sufi who almost danced when I quoted Rumi. Here’s to the harvesters who live in fear of being deported for coming here to open the road for their future generation. Here’s to the taxi drivers from Nigeria, Ghana, Egypt and India who gossip amongst themselves. Here is to them waking up at 4am, calling home to hear the voices of their loved ones. Here is to their children, to the children who despite it all become artists, writers, teachers, doctors, lawyers, activists and rebels. Here’s to international money transfer. For never forgetting home. Here’s to their children who carry the heartbeats of their motherland and even in sleep, speak with pride about their fathers. Keep on.

How We Gain and Lose Weight To understand how we gain and lose weight, we need to start with insulin. Medical researchers and internal medicine doctors almost universally agree that the amount of insulin a person produces determines weight gain and weight loss. For example, Gary Taubes, a medical researcher and recipient of multiple awards from the National Association of Science Writers, refers to insulin as “the stop-and-go light of weight gain and loss.”    Produce more insulin—you will gain weight. Produce less insulin— you will lose weight.

We are wrestling with some form of imposter syndrome, unable to internalize and appreciate our own accomplishments

The only mistake you can make is not asking for help.

Situations produce vibrations. Negative, potentially harmful situations emit slow vibrations. Positive, potentially life-enhancing situations emit quick vibrations. As these vibrations impact on your energy field they produce either resonance or dissonance in your lower and middle tantiens (psychic power stations) depending on your own vibratory rate at the time. When you psychic field force is strong and your vibratory rate is fast, therefore, you will draw only positive situations to you. When you mind is quiet enough and your attention is on the moment, you will literally hear the dissonance in your belly and chest like an alarm bell going off, urging you from deep within your body to move in such and such a direction. Always follow it. At times these urges may come to you in the form of internally spoken dialogue with your higher self, spirit guide, guardian angel, alien intelligence, however you see the owner of the “still, small voice within.” This form of dialogue can be entertaining and reassuring but is best not overindulged in as, in the extreme; it tends to lead to the loony bin. At times you may receive your messages from “Indian signs”, such as slogans on passing trucks or cloud formations in the sky. This is also best kept in moderation, to avoid seeing signs in everything and becoming terribly confused. Just let it happen when it happens and don’t try looking for it.

Please consult your child’s Witch doctor before using this product. Diapers may cause severe allergies, internal bleeding, and irreversible sex change.

Before, they had been beasts, their instincts fitly adapted to their surroundings, and happy as living things may be. Now they stumbled in the shackles of humanity, lived in a fear that never died, fretted by a law they could not understand; their mock-human existence, begun in an agony, was one long internal struggle, one long dread of Moreau —

The doctors had been impressed that I was even alive. When I had asked one of them approximately how much blood I had lost, he had responded wryly with "most of it.

Such is the demographic paradox of a junior physician's relationship with his patients: I worry about how to extend their lives. This anxiety inevitably shortens my own.

This sadness lies at the heart of every merely positivistic, agnostic, or naturalistic scheme of philosophy. Let sanguine healthy-mindedness do its best with its strange power of living in the moment and ignoring and forgetting, still the evil background is really there to be thought of, and the skull will grin in at the banquet. In the practical life of the individual, we know how his whole gloom or glee about any present fact depends on the remoter schemes and hopes with which it stands related. Its significance and framing give it the chief part of its value. Let it be known to lead nowhere, and however agreeable it may be in its immediacy, its glow and gilding vanish. The old man, sick with an insidious internal disease, may laugh and quaff his wine at first as well as ever, but he knows his fate now, for the doctors have revealed it; and the knowledge knocks the satisfaction out of all these functions. They are partners of death and the worm is their brother, and they turn to a mere flatness.

The thing about the Lexington International Bank ladder was that it was very long, and climbing it was very exhausting, and so Andrew Brown didn't have a lot of time to think about whether he really wanted to get to the top of it—and besides, since so many other people were climbing too, the view from the top must be worth it. So he kept going. He worked hard. He put his heart and mind and soul into it. There was an opening for a position half a rung higher than he already was. With a promotion, he might get two hours a week of a secretary's time. He'd go to more important meetings, with more senior people, and have the opportunity to impress them, and if he did he might be promoted again and then... well, of course eventually he'd be running the whole office. It's important to have a dream: otherwise you might notice where you really are.

It is true that we Russians have sent only four doctors into space in forty years of flight, but still I might have had chance to fly to Mir or International Space Station except for one fact. This is that I cannot urinate—is this the right word, Mr. Roth?—I cannot urinate on wheel of bus.

1. Bangladesh.... In 1971 ... Kissinger overrode all advice in order to support the Pakistani generals in both their civilian massacre policy in East Bengal and their armed attack on India from West Pakistan.... This led to a moral and political catastrophe the effects of which are still sorely felt. Kissinger’s undisclosed reason for the ‘tilt’ was the supposed but never materialised ‘brokerage’ offered by the dictator Yahya Khan in the course of secret diplomacy between Nixon and China.... Of the new state of Bangladesh, Kissinger remarked coldly that it was ‘a basket case’ before turning his unsolicited expertise elsewhere. 2. Chile.... Kissinger had direct personal knowledge of the CIA’s plan to kidnap and murder General René Schneider, the head of the Chilean Armed Forces ... who refused to countenance military intervention in politics. In his hatred for the Allende Government, Kissinger even outdid Richard Helms ... who warned him that a coup in such a stable democracy would be hard to procure. The murder of Schneider nonetheless went ahead, at Kissinger’s urging and with American financing, just between Allende’s election and his confirmation.... This was one of the relatively few times that Mr Kissinger (his success in getting people to call him ‘Doctor’ is greater than that of most PhDs) involved himself in the assassination of a single named individual rather than the slaughter of anonymous thousands. His jocular remark on this occasion—‘I don’t see why we have to let a country go Marxist just because its people are irresponsible’—suggests he may have been having the best of times.... 3. Cyprus.... Kissinger approved of the preparations by Greek Cypriot fascists for the murder of President Makarios, and sanctioned the coup which tried to extend the rule of the Athens junta (a favoured client of his) to the island. When despite great waste of life this coup failed in its objective, which was also Kissinger’s, of enforced partition, Kissinger promiscuously switched sides to support an even bloodier intervention by Turkey. Thomas Boyatt ... went to Kissinger in advance of the anti-Makarios putsch and warned him that it could lead to a civil war. ‘Spare me the civics lecture,’ replied Kissinger, who as you can readily see had an aphorism for all occasions. 4. Kurdistan. Having endorsed the covert policy of supporting a Kurdish revolt in northern Iraq between 1974 and 1975, with ‘deniable’ assistance also provided by Israel and the Shah of Iran, Kissinger made it plain to his subordinates that the Kurds were not to be allowed to win, but were to be employed for their nuisance value alone. They were not to be told that this was the case, but soon found out when the Shah and Saddam Hussein composed their differences, and American aid to Kurdistan was cut off. Hardened CIA hands went to Kissinger ... for an aid programme for the many thousands of Kurdish refugees who were thus abruptly created.... The apercu of the day was: ‘foreign policy should not he confused with missionary work.’ Saddam Hussein heartily concurred. 5. East Timor. The day after Kissinger left Djakarta in 1975, the Armed Forces of Indonesia employed American weapons to invade and subjugate the independent former Portuguese colony of East Timor. Isaacson gives a figure of 100,000 deaths resulting from the occupation, or one-seventh of the population, and there are good judges who put this estimate on the low side. Kissinger was furious when news of his own collusion was leaked, because as well as breaking international law the Indonesians were also violating an agreement with the United States.... Monroe Leigh ... pointed out this awkward latter fact. Kissinger snapped: ‘The Israelis when they go into Lebanon—when was the last time we protested that?’ A good question, even if it did not and does not lie especially well in his mouth. It goes on and on and on until one cannot eat enough to vomit enough.

I was temperamentally better suited to a cognitive discipline, to an introspective field—internal medicine, or perhaps psychiatry. The sight of the operating theater made me sweat. The idea of holding a scalpel caused coils to form in my belly. (It still does.) Surgery was the most difficult thing I could imagine. And so I became a surgeon.

I have always felt that the action most worth watching is not at the center of things but where edges meet. I like shorelines, weather fronts, international borders. There are interesting frictions and incongruities in these places, and often, if you stand at the point of tangency, you can see both sides better than if you were in the middle of either one. This is especially true, I think, when the apposition is cultural.

War crimes, you say? No matter how many policies you put on paper, in reality, there are no rights and wrongs in war. War itself is a crime. War cannot be justified. I believe, the only people, in this world, whose opinions matter, are the ones who go the extra mile to help other people expecting nothing in return. Soldiers who fight fiercely for their country, the doctors in Sri Lanka's public hospitals attending to hundreds of patients at a time for no extra pay , the nuns who voluntarily teach English and math to children of refugee camps in the north, the monks who collect food to feed entire villages during crises, they are the people worth listening to, their opinion matters. So find me one of them who will say: they wish the war didn't end in 2009, that they wish Sri Lanka was divided into two parts. Find me one of them who agrees with the international war crime allegations against Sri Lanka, and I will listen. But I will not listen to the opinions of those who are paid to find faults in a war they were never a part of, a war they never experienced themselves. I will not listen to the opinions of those who watched the war on tv or read about it on the internet or were moved by a documentary on Al Jazeera. The war is over. The damage is done. Let Sri Lanka move on. So our children will never have to see what we've seen.

This was the way of it with Parker. One kiss, and she was lost.

A lot of the appeal of internal medicine is Sherlockian—solving the case from the clues. We are detectives; we revel in the process of figuring it all out. It’s what doctors most love to do.

The technical term for fuckin’ tunnel vision is attentional narrowing. It’s another prehistorically helpful but now potentially disastrous feature of the survival stress response. One focuses on the threat to the exclusion of almost everything else. Bruce Siddle tells a story about a doctor who had some fun with an anxious intern. He sent him across the emergency room to sew up a car crash victim’s lacerations. The intern was so intent on his stitching that he failed to notice his patient was dead.

For work: I bought some pens. Normally, I used makeshift pens, the kind of unsatisfactory implements that somehow materialized in my bag or in a drawer. But one day, when I was standing in line to buy envelopes, I caught sight of a box of my favorite kind of pen: the Deluxe Uniball Micro. “Two ninety-nine for one pen!” I thought. “That’s ridiculous.” But after a fairly lengthy internal debate, I bought four. It’s such a joy to write with a good pen instead of making do with an underinked pharmaceutical promotional pen picked up from a doctor’s office. My new pens weren’t cheap, but when I think of all the time I spend using pens and how much I appreciate a good pen, I realize it was money well spent. Finely made tools help make work a pleasure.

We expect the world of doctors. Out of our own need, we revere them; we imagine that their training and expertise and saintly dedication have purged them of all the uncertainty, trepidation, and disgust that we would feel in their position, seeing what they see and being asked to cure it. Blood and vomit and pus do not revolt them; senility and dementia have no terrors; it does not alarm them to plunge into the slippery tangle of internal organs, or to handle the infected and contagious. For them, the flesh and its diseases have been abstracted, rendered coolly diagrammatic and quickly subject to infallible diagnosis and effective treatment. The House of God is a book to relieve you of these illusions; it … displays it as farce, a melee of blunderers laboring to murky purpose under corrupt and platitudinous superiors.

In a period of international crisis," the doctor said gently, "when you find, for instance, cultural patterns rapidly disintergrating..." "International crisis," Mrs. Arnold said. "Patterns." She began to cry quietly. [...] "Reality," she said, and went out.

While working at a sawmill, he slipped and fell against the whirring blade, which tore through his upper body at the shoulder, creating a hole so large that his internal organs were exposed—one witness claimed he could see the poor man’s beating heart—and leaving his arm attached by just a few strands of glistening sinew. The millworkers bound the injuries as best they could and carried Lindbergh home, where he lay in silent agony for three days awaiting the arrival of a doctor from St. Cloud, forty miles away. When the doctor at last reached him, he took off the arm and sewed up the gaping cavity. It was said that Lindbergh made almost no sound. Remarkably, August Lindbergh recovered and lived another thirty years. Stoicism became the Lindbergh family’s most cultivated trait.

17On hearing this, Jesus said to them, “It is not the healthy who need a doctor, but the sick. I have not come to call the righteous, but sinners.

There’s gratification in abstaining from the easy choice. Instant gratification can bring more suffering than pleasure. If I do the hard thing, the next time I face a similar situation it’s not that hard anymore.

Filth, filth, filth, from morning to night. I know they're poor but they could wash. Water is free and soap is cheap. Just look at that arm, nurse.' The nurse looked and clucked in horror. Francie stood there with the hot flamepoints of shame burning her face. The doctor was a Harvard man, interning at the neighborhood hospital. Once a week, he was obliged to put in a few hours at one of the free clinics. He was going into a smart practice in Boston when his internship was over. Adopting the phraseology of the neighborhood, he referred to his Brooklyn internship as going through Purgatory, when he wrote to his socially prominent fiancee in Boston. The nurse was as Williamsburg girl... The child of poor Polish immigrants, she had been ambitious, worked days in a sweatshop and gone to school at night. Somehow she had gotten her training... She didn't want anyone to know she had come from the slums. After the doctor's outburst, Francie stood hanging her head. She was a dirty girl. That's what the doctor meant. He was talking more quietly now asking the nurse how that kind of people could survive; that it would be a better world if they were all sterilized and couldn't breed anymore. Did that mean he wanted her to die? Would he do something to make her die because her hands and arms were dirty from the mud pies? She looked at the nurse... She thought the nurse might say something like: Maybe this little girl's mother works and didn't have time to wash her good this morning,' or, 'You know how it is, Doctor, children will play in the dirt.' But what the nurse actuallly said was, 'I know, Isn't it terrible? I sympathize with you, Doctor. There is no excuse for these people living in filth.' A person who pulls himself up from a low environment via the bootstrap route has two choices. Having risen above his environment, he can forget it; or, he can rise above it and never forget it and keep compassion and understanding in his heart for those he has left behind him in the cruel upclimb. The nurse had chosen the forgetting way. Yet, as she stood there, she knew that years later she would be haunted by the sorrow in the face of that starveling child and that she would wish bitterly that she had said a comforting word then and done something towards the saving of her immortal soul. She had the knowledge that she was small but she lacked the courage to be otherwise. When the needle jabbed, Francie never felt it. The waves of hurt started by the doctor's words were racking her body and drove out all other feeling. While the nurse was expertly tying a strip of gauze around her arm and the doctor was putting his instrument in the sterilizer and taking out a fresh needle, Francie spoke up. My brother is next. His arm is just as dirty as mine so don't be suprised. And you don't have to tell him. You told me.' They stared at this bit of humanity who had become so strangely articulate. Francie's voice went ragged with a sob. 'You don't have to tell him. Besides it won't do no godd. He's a boy and he don't care if he is dirty.'... As the door closed, she heard the doctor's suprised voice. I had no idea she'd understand what I was saying.' She heard the nurse say, 'Oh, well,' on a sighing note.

I do feel we have a certain obligation to not lie to ourselves and a responsibility to figure out the truth, no matter where that might take us. If we’re content with living in ignorance, we’re doing ourselves a disservice.

These people all thought they knew him. They believed he was a whore, and sometimes he thought he was too. But he really wasn’t. Every partner he’d ever had broken it off with him when they couldn’t handle him at his worst points. A lot of partners won’t stick around when they hear the phrase “I have bipolar disorder” come out of someone’s mouth, so he didn’t tell them, just telling them he was moody. Of course, they all liked him when he was happy. It was when he wasn't that things went bad.

They demanded legal clarity. So, beginning with California, states passed laws exempting doctors from prosecution if they prescribed opiates for pain within the practice of responsible health care. Numerous states approved so-called intractable pain regulations: Ohio, Oregon, Washington, and others. Soon what can only be described as a revolution in medical thought and practice was under way. Doctors were urged to begin attending to the country’s pain epidemic by prescribing these drugs. Interns and residents were taught that these drugs were now not addictive, that doctors thus had a mission, a duty, to use them. In some hospitals, doctors were told they could be sued if they did not treat pain aggressively, which meant with opiates. Russell

We Americans tend to see death as an enemy to fight at all costs. But what exactly are we fighting? The people in developing countries don’t cherish their loved ones any less. They celebrate the person’s death in the same way they celebrated their life.

In some cultures, pain is a hardship to be overcome. In others, pain is a natural part of life, something that everyone experiences and that doesn’t need to be feared and defeated. Understanding how different cultures perceive pain helps us better treat our patients.

It just shows you that if you take a plain, ordinary, moronic intern and make him do the same things over and over again until he loses is mind, you can teach him to do almost anything. I think now that I've mastered IVs, I might take up neurosurgery in my spare time.

It might be instructive to try seeing things from the perspective of, say, a God-fearing hard-working rural-Midwestern military vet. It's not that hard. Imaging gazing through his eyes at the world of MTV and the content of video games, at the gross sexualization of children's fashions, at Janet Jackson flashing her aureole on what's supposed to be a holy day. Imagine you're him having to explain to your youngest what oral sex is and what it's got to do with a US president. Ads for penis enlargers and HOT WET SLUTS are popping up out of nowhere on your family's computer. Your kids' school is teaching them WWII and Vietnam in terms of Japanese internment and the horrors of My Lai. Homosexuals are demanding holy matrimony; your doctor's moving away because he can't afford the lawsuit insurance; illegal aliens want driver's licenses; Hollywood elites are bashing America and making millions from it; the president's ridiculed for reading his Bible; priests are diddling kids left and right. Shit, the country's been directly attacked, and people aren't supporting our commander in chief.

Internal medicine doctors know the functions of the kidneys. They don’t confuse protective defenses such as cough and pain with diseases such as pneumonia and cancer. Psychiatrists lack a similar framework for the utility of stress, sleep, anxiety, and mood, so psychiatric diagnostic categories remain confusing and crude.

VERY EARLY ONE MORNING in July 1977, the FBI, having been tipped off about Operation Snow White, carried out raids on Scientology offices in Los Angeles and Washington, DC, carting off nearly fifty thousand documents. One of the files was titled “Operation Freakout.” It concerned the treatment of Paulette Cooper, the journalist who had published an exposé of Scientology, The Scandal of Scientology, six years earlier. After having been indicted for perjury and making bomb threats against Scientology, Cooper had gone into a deep depression. She stopped eating. At one point, she weighed just eighty-three pounds. She considered suicide. Finally, she persuaded a doctor to give her sodium pentothal, or “truth serum,” and question her under the anesthesia. The government was sufficiently impressed that the prosecutor dropped the case against her, but her reputation was ruined, she was broke, and her health was uncertain. The day after the FBI raid on the Scientology headquarters, Cooper was flying back from Africa, on assignment for a travel magazine, when she read a story in the International Herald Tribune about the raid. One of the files the federal agents discovered was titled “Operation Freakout.” The goal of the operation was to get Cooper “incarcerated in a mental institution or jail.

An analytic treatment demands from both doctor and patient the accomplishment of serious work, which is employed in lifting internal resistances. Through the overcoming of these resistances the patient's mental life is permanently changed, is raised to a higher level of development and remains protected against fresh possibilities of falling ill.

The Mongols made culture portable. It was not enough to merely exchange goods, because whole systems of knowledge had to also be transported in order to use many of the new products. Drugs, for example, were not profitable items of trade unless there was adequate knowledge of how to use them. Toward this objective, the Mongol court imported Persian and Arab doctors into China, and they exported Chinese doctors to the Middle East. Every form of knowledge carried new possibilities for merchandising. It became apparent that the Chinese operated with a superior knowledge of pharmacology and of unusual forms of treatment such as acupuncture, the insertion of needles at key points in the body, and moxibustion, the application of fire or heat to similar areas. Muslims doctors, however, possessed a much more sophisticated knowledge of surgery, but, based on their dissection of executed criminals, the Chinese had a detailed knowledge of internal organs and the circulatory system. To encourage a fuller exchange of medical knowledge, the Mongols created hospitals and training centers in China using doctors from India and the Middle East as well as Chinese healers.

The young doctor was disappointed: he had never had th eopportunity to study the effects of gold cyanide on a cadaver. Dr. Juvenal Urbino had been surprised that he had not seen him at the Medical School, but he understood in an instant from the young man's blush and Andean accent that he was probably a recent arrival to the city. He said: "There is bound to be someone driven mad by love who will give you the chance one of these days." And only after he said it did he realize that among the countless suicides he could remeber, this was the first with cyanide that had not been caused by the sufferings of love. Then something changed in the tone of his voice. "And when you do find one, observe with care," he said to the intern: "they almost always have crystals in their heart.

Nostalgia was diagnosed at a time when art and science had not yet entirely severed their umbilical ties and when the mind and body—internal and external well-being—were treated together. This was a diagnosis of a poetic science—and we should not smile condescendingly on the diligent Swiss doctors. Our progeny well might poeticize depression and see it as a metaphor for a global atmospheric condition, immune to treatment with Prozac.

To review briefly, in the late 1960s, men got paid more than women (usually double) for doing the exact same job. Women could get credit cards in their husband's names but not their own, and many divorced, single and separated women could not get cards at all. Women could not get mortgages on their own and if a couple applied for a mortgage, only the husband's income was considered. Women faced widespread and consistent discrimination in education, scholarship awards, and on the job. In most states the collective property of a marriage was legally the husband's since the wife had allegedly not contributed to acquiring it. Women were largely kept out of a whole host of jobs--doctor, college professor, bus driver, business manager--that women today take for granted. They were knocked out in the delivery room... once women got pregnant they were either fired from their jobs or expected to quit. If they were women of color, it was worse on all fronts--work education, health care. (And talk about slim pickings. African American men were being sent to prison and cut out of jobs by the millions.) Most women today, having seen reruns of The Brady Bunch and Father Knows Best, and having heard of Betty Friedan's The Feminine Mystique, the bestseller that attacked women's confinement to the home, are all too familiar with the idealized yet suffocating media images of happy, devoted housewives. In fact, most of us have learned to laugh at them, vacuuming in their stockings and heels, clueless about balancing a checkbook, asking dogs directions to the neighbor's. But we should not permit our ability to distance ourselves from these images to erase the fact that all women--and we mean all women--were, in the 1950s and '60s supposed to internalize this ideal, to live it and believe it.

The very fact that these doctors continuing to be doctors--highly successful ones--despite their errors and their accompanying assaults on their self-definion would itself be a potent lesson to the students and interns. It is possible to hold one's head up after an error, to admit that errors are part and parcel of human existence, even in medicine. It is possible to see the error as an aspect of oneself, not the defining characteristic of oneself.

[ Dr. Lois Jolyon West was cleared at Top Secret for his work on MKULTRA. ] Dr. Michael Persinger [235], another FSMF Board Member, is the author of a paper entitled “Elicitation of 'Childhood Memories' in Hypnosis-Like Settings Is Associated With Complex Partial Epileptic-Like Signs For Women But Not for Men: the False Memory Syndrome.” In the paper Perceptual and Motor Skills,In the paper, Dr. Persinger writes: On the day of the experiment each subject (not more than two were tested per day) was asked to sit quietly in an acoustic chamber and was told that the procedure was an experiment in relaxation. The subject wore goggles and a modified motorcycle helmet through which 10-milligauss (1 microTesla) magnetic fields were applied through the temporal plane. Except for a weak red (photographic developing) light, the room was dark. Dr. Persinger's research on the ability of magnetic fields to facilitate the creation of false memories and altered states of consciousness is apparently funded by the Defense Intelligence Agency through the project cryptonym SLEEPING BEAUTY. Freedom of Information Act requests concerning SLEEPING BEAUTY with a number of different intelligence agencies including the CIA and DEA has yielded denial that such a program exists. Certainly, such work would be of direct interest to BLUEBIRD, ARTICHOKE, MKULTRA and other non-lethal weapons programs. Schnabel [280] lists Dr. Persinger as an Interview Source in his book on remote viewing operations conducted under Stargate, Grill Flame and other cryptonyms at Fort Meade and on contract to the Stanford Research Institute. Schnabel states (p. 220) that, “As one of the Pentagon's top scientists, Vorona was privy to some of the strangest, most secret research projects ever conceived. Grill Flame was just one. Another was code-named Sleeping Beauty; it was a Defense Department study of remote microwave mind-influencing techniques ... [...] It appears from Schnabel's well-documented investigations that Sleeping Beauty is a real, but still classified mind control program. Schnabel [280] lists Dr. West as an Interview Source and says that West was a, “Member of medical oversight board for Science Applications International Corp. remote-viewing research in early 1990s.

All the progress made for human rights could be wiped out. All the girls, all the women, who went to school, got an education. Got jobs. Became teachers and doctors and lawyers, bus drivers. You know what will happen to them if the Taliban has its way.” “Well, I guess we’ll need a strong, internationally respected Secretary of State to let any Afghan government know that rights must be respected. And that Afghanistan must not once again become home to terrorists.

Nevertheless, international missions have an addictive quality. There’s something magical about them. Maybe it’s the dopamine rushes we get from being needed and appreciated. Or the sense of purpose and belonging that we feel. Or the basic honesty of the work itself. We might witness horrific scenes, but on our return we miss the sense of purpose and camaraderie that went with it. For some, returning to mission work is the only way to experience that feeling again.

For nearly a hundred years, psychiatry has been striving to apply medical model thinking to psychiatric disorders. In this model, the symptoms besieging patients are sorted into specific disease entities and the causes then identified and removed. For doctors of internal medicine, this works. In the case of diabetes mellitus, for example, the symptoms of urinary frequency, fatigue, and confusion often lead to suspicion of the underlying cause, which is confirmed by blood sugar monitoring and then treated by insulin replacement. But psychiatric symptoms are much harder to sort into diagnoses. People with depression sometimes become paranoid. People with schizophrenia sometimes become depressed. Some people who hear voices have no other symptoms whatsoever, and others who hear voices also fall victim to terrible mood swings. Thus far, the hope that psychiatry would be able to identify homogeneous disease states, uncover the biological underpinnings, and remedy them has been largely a barren one. Kappler's symptoms, however, evolved when the hope for psychiatry's becoming a true medical specialty was bright to the point of being blinding. Over the years he would collect over a dozen diagnoses and cavalierly take a myriad of medicines, but no one would be able to bring him close to confronting the past he had disowned, to stand a chance of making peace with it and, ultimately, overcoming it. (46)

The most notorious story is the Trovan antibiotic study conducted by Pfizer in Kano, Nigeria, during a meningitis epidemic. An experimental new antibiotic was compared, in a randomised trial, with a low dose of a competing antibiotic that was known to be effective. Eleven children died, roughly the same number from each group. Crucially, the participants were apparently not informed about the experimental nature of the treatments, and moreover, they were not informed that a treatment known to be effective was available, immediately, from Médecins sans Frontières next door at the very same facility. Pfizer argued in court – successfully – that there was no international norm requiring it to get informed consent for a trial involving experimental drugs in Africa, so the cases relating to the trial should be heard in Nigeria only. That’s a chilling thing to hear a company claim about experimental drug trials, and it was knocked back in 2006 when the Nigerian Ministry of Health released its report on the trial. This stated that Pfizer had violated Nigerian law, the UN Convention on the Rights of the Child and the Declaration of Helsinki.

Homophobia and the closet are allies. Like an unhealthy co-dependent relationship they need each other to survive. One plays the victim living in fear and shame while the other plays the persecutor policing what is ‘normal’. The only way to dismantle homophobia is for every gay man and lesbian in the world to come out and live authentic lives. Once they realise how normal we are and see themselves in us….the controversy is over. It is interesting to think what would happen though....on a particularly pre-determined day that every single gay man and lesbian came out. Imagine the impact when, on that day, people all around the world suddenly discovered their bosses, mums, dads, daughters, sons, aunts, uncles, cousins, teachers, doctors, neighbours, colleagues, politicians, their favourite actors, celebrities and sports heroes, the people they loved and respected......were indeed gay. All stereotypes would immediately be broken.....just by the same single act of millions of people…..and at last there would no longer be need for secrecy. The closet would become the lounge room. How much healthier would we be emotionally and psychologically when we could all be ourselves doing life without the internal and societal negatives that have been attached to our sexual orientation.

...Obduracy can be overcome by determination. More insidious, and far harder to destroy, was women's internalizing of the notion that they were somehow inferior to men, a complementary species designed (in W.R. Greg's words) to 'complet[e], sweeten, and embellish the existence of others'. [Women] still chose to become nurses rather than doctors, secretaries rather than bosses: to be ill-paid facilitators for people no more talented nor, in many cases, better educated than themselves, but who simply happened to be men. The notion that they might be their bosses' equals penetrated only very slowly; the possibility that they might even be their superiors, though accepted in theory, has perhaps still not wholly sunk in.

Or is it the opposite-that the US has moved so far and so fast toward cultural permissiveness that we've reached a kind of apsidal point? It might be instructive to try seeing things from the perspective of, say, a God-fearing hard-working rural-Midwestern military vet. It's not that hard. Imagine gazing through his eyes at the world of MTV and the content of video games, at the gross sexualization of children's fashions, at Janet Jackson flashing her aureole on what's supposed to be a holy day. Imagine you're him having to explain to your youngest what oral sex is and what it's got to do with a US president. Ads for penis enlargers and Hot Wet Sluts are popping up out of nowhere on your family's computer. Your kids' school is teaching them WWII and Vietnam in terms of Japanese internment and the horrors of My Lai. Homosexuals are demanding holy matrimony; your doctor's moving away because he can't afford the lawsuit insurance; illegal aliens want driver's licenses; Hollywood elites are bashing America and making millions from it; the president's ridiculed for reading his Bible; priests are diddling kids left and right. Shit, the country's been directly attacked, and people aren't supporting our commander in chief. Assume for a moment that it's not silly to see things this man's way. What cogent, compelling, relevant message can the center and left offer him? Can we bear to admit that we've actually helped set him up to hear "We 're better than they are" not as twisted and scary but as refreshing and redemptive and true? If so, then now what?

start fresh.” “And Maryanne?” “She's devastated about what James put us through. I think she'd like a fresh start, too, and more time with Nathan. On the other hand . . . you know, she really loves James. Even after everything, I don't think she can bring herself to leave him.” James was in a coma. Between the blood loss and damage to his internal organs, his system had shut down. Doctors didn't think he'd ever regain consciousness. Mostly, they were surprised the man was still alive. “Maybe someday,” Bobby said. Catherine nodded. “Maryanne likes Arizona. She mentioned they'd always talked about buying a home out there. So maybe, afterwards . . .” His turn to nod. Now they both watched Nathan. The boy's cheeks were flushed, his breath coming in frosty pants. Trickster nipped at his

Consider California. Its wealth was initially built on gold mines. But today it is built on silicon and celluloid – Silicon Valley and the celluloid hills of Hollywood. What would happen if the Chinese were to mount an armed invasion of California, land a million soldiers on the beaches of San Francisco and storm inland? They would gain little. There are no silicon mines in Silicon Valley. The wealth resides in the minds of Google engineers and Hollywood script doctors, directors and special-effects wizards, who would be on the first plane to Bangalore or Mumbai long before the Chinese tanks rolled into Sunset Boulevard. It is not coincidental that the few full-scale international wars that still take place in the world, such as the Iraqi invasion of Kuwait, occur in places where wealth is old-fashioned material wealth. The Kuwaiti sheikhs could flee abroad, but the oil fields stayed put and were occupied.

Morbidity and Mortality Rounds Forgive me, body before me, for this. Forgive me for my bumbling hands, unschooled in how to touch: I meant to understand what fever was, not love. Forgive me for my stare, but when I look at you, I see myself laid bare. Forgive me, body, for what seems like calculation when I take a breath before I cut you with my knife, because the cancer has to be removed. Forgive me for not telling you, but I’m no poet. Please forgive me, please. Forgive my gloves, my callous greeting, my unease— you must not realize I just met death again. Forgive me if I say he looked impatient. Please, forgive me my despair, which once seemed more like recompense. Forgive my greed, forgive me for not having more to give you than this bitter pill. Forgive: for this apology, too late, for those like me whose crimes might seem innocuous and yet whose cruelty was obvious. Forgive us for these sins. Forgive me, please, for my confusing heart that sounds so much like yours. Forgive me for the night, when I sleep too, beside you under the same moon. Forgive me for my dreams, for my rough knees, for giving up too soon. Forgive me, please, for losing you, unable to forgive.

In 1892 the Hungarian doctor and journalist Max Nordau published his Entartung (Degeneration), which he dedicated to Cesare Lombroso. Despite its size (almost six hundred pages), the book became an international bestseller and soon appeared in a dozen languages. Nordau had expanded the Lombrosian analysis to show that “degenerates are not always criminals, prostitutes … lunatics; they are often authors and artists.” Charles Baudelaire and the French “decadent” poets, Oscar Wilde (Bram Stoker’s original model for Count Dracula), Manet and the Impressionists, Henrik Ibsen, Leo Tolstoy, Emile Zola, as well as Wagner and Friedrich Nietzsche—all the leading lights of fin de siècle culture, in fact—came under Doctor Nordau’s critical microscope. He concluded that they were all victims of diseased “subjective states of mind.” The modern degenerate artist, like his criminal counterpart, lacks a moral sense: “For them there exists no law, no decency, no modesty.” Emotionalism and hysteria, as well as that old disease of Romanticism, ennui , pervade their works and outlook, Nordau proclaimed, because of their enfeebled nervous state. “The degenerate and insane,” he wrote, “are the predestined disciples of Schopenhauer.

Yet the homogeneity of contemporary humanity is most apparent when it comes to our view of the natural world and of the human body. If you fell sick a thousand years ago, it mattered a great deal where you lived. In Europe, the resident priest would probably tell you that you had made God angry and that in order to regain your health you should donate something to the church, make a pilgrimage to a sacred site, and pray fervently for God’s forgiveness. Alternatively, the village witch might explain that a demon had possessed you and that she could cast it out using song, dance, and the blood of a black cockerel. In the Middle East, doctors brought up on classical traditions might explain that your four bodily humors were out of balance and that you should harmonize them with a proper diet and foul-smelling potions. In India, Ayurvedic experts would offer their own theories concerning the balance between the three bodily elements known as doshas and recommend a treatment of herbs, massages, and yoga postures. Chinese physicians, Siberian shamans, African witch doctors, Amerindian medicine men—every empire, kingdom, and tribe had its own traditions and experts, each espousing different views about the human body and the nature of sickness, and each offering their own cornucopia of rituals, concoctions, and cures. Some of them worked surprisingly well, whereas others were little short of a death sentence. The only thing that united European, Chinese, African, and American medical practices was that everywhere at least a third of all children died before reaching adulthood, and average life expectancy was far below fifty.14 Today, if you happen to be sick, it makes much less difference where you live. In Toronto, Tokyo, Tehran, or Tel Aviv, you will be taken to similar-looking hospitals, where you will meet doctors in white coats who learned the same scientific theories in the same medical colleges. They will follow identical protocols and use identical tests to reach very similar diagnoses. They will then dispense the same medicines produced by the same international drug companies. There are still some minor cultural differences, but Canadian, Japanese, Iranian, and Israeli physicians hold much the same views about the human body and human diseases. After the Islamic State captured Raqqa and Mosul, it did not tear down the local hospitals. Rather, it launched an appeal to Muslim doctors and nurses throughout the world to volunteer their services there.15 Presumably even Islamist doctors and nurses believe that the body is made of cells, that diseases are caused by pathogens, and that antibiotics kill bacteria.

She looked thoughtful. “Who knows? Perhaps now is the time to see through the habit. Accidents, illness, healing, they’re all more mysterious than any of us ever imagined. I believe that we have an undiscovered ability to influence what happens to us in the future, including whether we are healthy—although, again, the power has to remain with the individual patient. “There was a reason that I didn’t offer an opinion concerning how badly you were hurt. We in the medical establishment have learned that medical opinions have to be offered very carefully. Over the years the public has developed almost a worship of doctors, and when a physician says something, patients have tended to take these opinions totally to heart. The country doctors of a hundred years ago knew this, and would use this principle to actually paint an overly optimistic picture of any health situation. If the doctor said that the patient would get better, very often the patient would internalize this idea in his or her mind and actually defy all odds to recover. In later years, however, ethical considerations have prevented such distortions, and the establishment has felt that the patient is entitled to a cold scientific assessment of his or her situation. “Unfortunately when this was given, sometimes patients dropped dead right before our eyes, just because they were told their condition was terminal. We know now that we have to be very careful with these assessments, because of the power of our minds. We want to focus this power in a positive direction. The body is capable of miraculous regeneration. Body parts thought of in the past as solid forms are actually energy systems that can transform overnight. Have you read the latest research on prayer? The simple fact that this kind of spiritual visualization is being scientifically proven to work totally undermines our old physical model of healing. We’re having to work out a new model.” She paused and poured more water on the towel around my ankle, then continued, “I believe the first step in the process is to identify the fear with which the medical problem seems to be connected; this opens up the energy block in your body to conscious healing. The next step is to pull in as much energy as possible and focus it at the exact location of the block.” I was about to ask how this was done, but she stopped me. “Go ahead and raise your energy level as much as you can.” Accepting her guidance, I began to observe the beauty around me and to concentrate on a spiritual connection within, evoking a heightened sensation of love. Gradually the colors became more vivid and everything in my awareness increased in presence. I could tell that she was raising her own energy at the same time. When I felt as though my vibration had increased as much as possible, I looked at her. She smiled back at me. “Okay, now you can focus the energy on the block.” “How do I do that?” I asked. “You use the pain. That’s why it’s there, to help you focus.

But nothing in my previous work had prepared me for the experience of reinvestigating Cleveland. It is worth — given the passage of time — recalling the basic architecture of the Crisis: 121 children from many different and largely unrelated families had been taken into the care of Cleveland County Council in the three short months of the summer of 1987. (p18) The key to resolving the puzzle of Cleveland was the children. What had actually happened to them? Had they been abused - or had the paediatricians and social workers (as public opinion held) been over-zealous and plain wrong? Curiously — particularly given its high profile, year-long sittings and £5 million cost — this was the one central issue never addressed by the Butler-Sloss judicial testimony and sifting of internal evidence, the inquiry's remit did not require it to answer the main question. Ten years after the crisis, my colleagues and I set about reconstructing the records of the 121 children at its heart to determine exactly what had happened to them... (p19) Eventually, though, we did assemble the data given to the Butler-Sloss Inquiry. This divided into two categories: the confidential material, presented in camera, and the transcripts of public sessions of the hearings. Putting the two together we assembled our own database on the children each identified only by the code-letters assigned to them by Butler-Sloss. When it was finished, this database told a startlingly different story from the public myth. In every case there was some prima fade evidence to suggest the possibility of abuse. Far from the media fiction of parents taking their children to Middlesbrough General Hospital for a tummy ache or a sore thumb and suddenly being presented with a diagnosis of child sexual abuse, the true story was of families known to social services for months or years, histories of physical and sexual abuse of siblings and of prior discussions with parents about these concerns. In several of the cases the children themselves had made detailed disclosures of abuse; many of the pre-verbal children displayed severe emotional or behavioural symptoms consistent with sexual abuse. There were even some families in which a convicted sex offender had moved in with mother and children. (p20)

It is very important to note, however, that the only segment of the population from whom changing our social and economic conditions in the ways that prevent violence would exact a higher cost would be the extremely wealthy upper, or ruling, class — the wealthiest one per cent of the population (which in the United States today controls some 39 per cent of the total wealth of the nation, and 48 per cent of the financial wealth, as shown by Wolff in Top Heavy (1996). The other 99 per cent of the population — namely, the middle class and the lower class — would benefit, not only form decreased rates of violence (which primarily victimize the very poor), but also from a more equitable distribution of the collective wealth and income of our unprecedentedly wealthy societies. Even on a worldwide scale, it would require a remarkably small sacrifice from the wealthiest individuals and nations to raise everyone on earth, including the populations of the poorest nations, above the subsistence level, as the United Nations Human Development Report 1998, has shown. I emphasize the wealthiest individuals as well as nations because, as the U.N. report documents, a tiny number of the wealthiest individuals actually possess wealth on a scale that is larger than the annual income of most of the nations of the earth. For example, the three richest individuals on earth have assets that exceed the combined Gross Domestic Product of the fortyeight poorest countries! The assets of the 84 richest individuals exceed the Gross Domestic Product of the most populous nation on earth, China, with 1.2 billion inhabitants. The 225 richest individuals have a combined wealth of over $1 trillion, which is equal to the annual income of the poorest 47 per cent of the world's population, or 2.5 billion people. By comparison, it is estimated that the additional cost of achieving and maintaining universal access to basic education for all, basic health care for all, reproductive health care for all women, adequate food for all and safe water and sanitation for all is roughly $40 billion a year. This is less than 4 per cent of the combined wealth of the 225 richest people in the world. It has been shown throughout the world, both internationally and intranationally, that reducing economic inequities not only improves physical health and reduces the rate of death from natural causes far more effectively than doctors, medicines, and hospitals; it also decreases the rate of death from both criminal and political violence far more effectively than any system of police forces, prisons, or military interventions ever invented.

Late in the nineteenth century came the first signs of a “Politics in a New Key”: the creation of the first popular movements dedicated to reasserting the priority of the nation against all forms of internationalism or cosmopolitanism. The decade of the 1880s—with its simultaneous economic depression and broadened democratic practice—was a crucial threshold. That decade confronted Europe and the world with nothing less than the first globalization crisis. In the 1880s new steamships made it possible to bring cheap wheat and meat to Europe, bankrupting family farms and aristocratic estates and sending a flood of rural refugees into the cities. At the same time, railroads knocked the bottom out of what was left of skilled artisanal labor by delivering cheap manufactured goods to every city. At the same ill-chosen moment, unprecedented numbers of immigrants arrived in western Europe—not only the familiar workers from Spain and Italy, but also culturally exotic Jews fleeing oppression in eastern Europe. These shocks form the backdrop to some developments in the 1880s that we can now perceive as the first gropings toward fascism. The conservative French and German experiments with a manipulated manhood suffrage that I alluded to earlier were extended in the 1880s. The third British Reform Bill of 1884 nearly doubled the electorate to include almost all adult males. In all these countries, political elites found themselves in the 1880s forced to adapt to a shift in political culture that weakened the social deference that had long produced the almost automatic election of upper-class representatives to parliament, thereby opening the way to the entry of more modest social strata into politics: shopkeepers, country doctors and pharmacists, small-town lawyers—the “new layers” (nouvelles couches) famously summoned forth in 1874 by Léon Gambetta, soon to be himself, the son of an immigrant Italian grocer, the first French prime minister of modest origins. Lacking personal fortunes, this new type of elected representative lived on their parliamentarians’ salary and became the first professional politicians. Lacking the hereditary name recognition of the “notables” who had dominated European parliaments up to then, the new politicians had to invent new kinds of support networks and new kinds of appeal. Some of them built political machines based upon middle-class social clubs, such as Freemasonry (as Gambetta’s Radical Party did in France); others, in both Germany and France, discovered the drawing power of anti-Semitism and nationalism. Rising nationalism penetrated at the end of the nineteenth century even into the ranks of organized labor. I referred earlier in this chapter to the hostility between German-speaking and Czech-speaking wage earners in Bohemia, in what was then the Habsburg empire. By 1914 it was going to be possible to use nationalist sentiment to mobilize parts of the working class against other parts of it, and even more so after World War I. For all these reasons, the economic crisis of the 1880s, as the first major depression to occur in the era of mass politics, rewarded demagoguery. Henceforth a decline in the standard of living would translate quickly into electoral defeats for incumbents and victories for political outsiders ready to appeal with summary slogans to angry voters.

Well before the end of the 20th century however print had lost its former dominance. This resulted in, among other things, a different kind of person getting elected as leader. One who can present himself and his programs in a polished way, as Lee Quan Yu you observed in 2000, adding, “Satellite television has allowed me to follow the American presidential campaign. I am amazed at the way media professionals can give a candidate a new image and transform him, at least superficially, into a different personality. Winning an election becomes, in large measure, a contest in packaging and advertising. Just as the benefits of the printed era were inextricable from its costs, so it is with the visual age. With screens in every home entertainment is omnipresent and boredom a rarity. More substantively, injustice visualized is more visceral than injustice described. Television played a crucial role in the American Civil rights movement, yet the costs of television are substantial, privileging emotional display over self-command, changing the kinds of people and arguments that are taken seriously in public life. The shift from print to visual culture continues with the contemporary entrenchment of the Internet and social media, which bring with them four biases that make it more difficult for leaders to develop their capabilities than in the age of print. These are immediacy, intensity, polarity, and conformity. Although the Internet makes news and data more immediately accessible than ever, this surfeit of information has hardly made us individually more knowledgeable, let alone wiser, as the cost of accessing information becomes negligible, as with the Internet, the incentives to remember it seem to weaken. While forgetting anyone fact may not matter, the systematic failure to internalize information brings about a change in perception, and a weakening of analytical ability. Facts are rarely self-explanatory; their significance and interpretation depend on context and relevance. For information to be transmuted into something approaching wisdom it must be placed within a broader context of history and experience. As a general rule, images speak at a more emotional register of intensity than do words. Television and social media rely on images that inflamed the passions, threatening to overwhelm leadership with the combination of personal and mass emotion. Social media, in particular, have encouraged users to become image conscious spin doctors. All this engenders a more populist politics that celebrates utterances perceived to be authentic over the polished sound bites of the television era, not to mention the more analytical output of print. The architects of the Internet thought of their invention as an ingenious means of connecting the world. In reality, it has also yielded a new way to divide humanity into warring tribes. Polarity and conformity rely upon, and reinforce, each other. One is shunted into a group, and then the group polices once thinking. Small wonder that on many contemporary social media platforms, users are divided into followers and influencers. There are no leaders. What are the consequences for leadership? In our present circumstances, Lee's gloomy assessment of visual media's effects is relevant. From such a process, I doubt if a Churchill or Roosevelt or a de Gaulle can emerge. It is not that changes in communications technology have made inspired leadership and deep thinking about world order impossible, but that in an age dominated by television and the Internet, thoughtful leaders must struggle against the tide.

REFERENCE RANGES FOR THYROID HORMONES Thyroid Hormone Normal Range Thyroid-stimulating hormone (TSH) 0.45 to 4.5 mcIU/mL (microinternational units per milliliter) Free triiodothyronine (T3) 200 to 440 pg/dL (picograms per deciliter) Total triiodothyronine (T3) 71 to 180 ng/dL (nanograms per deciliter) Free thyroxine (T4) 0.82 to 1.77 ng/dL (nanograms per deciliter) Total thyroxine (T4) 4.5 to 12 mcg/dL (micrograms per deciliter) Thyroid peroxidase (TPO) 0 to 34 IU/mL (international units per milliliter) Most doctors request only TSH and T4 levels, following up with a T3 reading if results fall outside out of the normal ranges. Some doctors place great importance on free T3 levels right away, as it is the most active thyroid hormone. If T3 levels are low compared to T4 and TSH levels, it may signify low thyroid function even if the labs otherwise appear normal.

Plumley’s record of anti-labor votes was one of the issues that led a forty-year-old professor of political science, Andrew E. Nuquist, to challenge Plumley for the Republican nomination in 1946. Nuquist, from a small town in rural Nebraska, had relocated to Vermont in 1938 after completing his doctorate at the University of Wisconsin. As his daughter Elizabeth Raby remembered, “When my father arrived in Vermont, his field of interest was international relations. Very soon, however, he became fascinated by his adopted state. Although he always retained his internationalist outlook, he became a specialist in the local and state governments of Vermont.” During his tenure as associate professor of political science at the University of Vermont, Nuquist served on many civic and war-related bodies: he was chair of the Vermont State Chamber of Commerce Committee on Local Finances and Affairs from 1941 to 1943, a public panel member of the Regional War Labor Board from 1943 to 1946, and director of the Town Officers’ Educational Conference in 1946.

One assumption that is already being shattered is the idea that only routine, semi-skilled jobs like taxi driving, food delivery, or household chores are susceptible. Even traditional professions like medicine and law are proving to be susceptible to platform models. We’ve already mentioned Medicast, which applies an Uber-like model to finding a doctor. Several platform companies are providing online venues where legal services are available with comparable ease, speed, and convenience. Axiom Law has built a $200 million platform business by using a combination of data-mining software and freelance law talent to provide legal guidance and services to business clients; InCloudCounsel claims it can process basic legal documents such as licensing forms and nondisclosure agreements at a savings of up to 80 percent compared with a traditional law firm.11 In the decades to come, it seems likely that the platform model will be applied—or at least tested—in virtually every market for labor and professional services. How will this trend impact the service industries—not to mention the working lives of hundreds of millions of people? One likely result will be an even greater stratification of wealth, power, and prestige among service providers. Routine and standardized tasks will move to online platforms, where an army of relatively low-paid, self-employed professionals will be available to handle them. Meanwhile, the world’s great law firms, medical centers, consulting partnerships, and accounting practices will not vanish, but their relative size and importance will shrink as much of the work they used to do migrates to platforms that can provide comparable services at a fraction of the cost and with far greater convenience. A surviving handful of world-class experts will increasingly focus on a tiny subset of the most highly specialized and challenging assignments, which they can tackle from anywhere in the world using online tools. Thus, at the very highest level of professional expertise, winner-take-all markets are likely to emerge, with (say) two dozen internationally renowned attorneys competing for the splashiest and most lucrative cases anywhere on the globe.

You don’t have any of the disorders those doctors diagnosed you with, Sofia,” she explained. “What you have is often confused with other disorders, because it’s hard to detect, but I honestly think that you have “Low Latent Inhibition”, also known as LLI. Latent inhibition is what allows people to shut down other things so that they can focus on selected things. It’s what allows us to not have to deal with all this external and internal stimuli at the same time. After all, the brain can only take so much. You, however, don’t have a lot of latent inhibition. That’s why you’re constantly fully aware of everything going on around you.

On her very first day, when she politely raised questions about Bernie’s health care plan—she has a master’s degree in public health and a doctorate in international relations with a focus on public health institutions, so she knows what she’s talking about—she got absolutely hammered for it.

All of a sudden I'm inside the pimple realizing how grotesque this middle period is in a pimple's life. Before the white gunk emerges, when the pimple is half-internal, half-external. Veins from inside your face taking on a new shape, circling around the round ball like deranged earthworms.

The nurse read them again. This time, I wrote them down. Then I spent a minute studying them. She was afebrile, I noted. That was good. Her heart rated was 96, a high number I had no idea how to interpret. Her blood pressure was 152 over 84, another highish set of numbers that told me nothing. Her respiratory rate was 26 - also high, and vaguely disquieting. Her O2 sat - the oxygen content of her blood - was 92 percent: low, and in the context of that high respiratory rate not a good sign. The nurse was still looking at me. "I hear she's a whiner," I said hopefully. The nurse shrugged. "She asked me to call you.

This approach is now the focus of a crusading group of economists who have transformed international development over the last decade. They do not come up with grand designs; rather, they look for small advantages. As Esther Duflo, the French-born economist who is at the forefront of this approach, put it: “If we don’t know if we are doing any good, we are not any better than the medieval doctors and their leeches. Sometimes the patient gets better; sometimes the patient dies. Is it the leeches or something else? We don’t know.”6

When Aubrey was finally born, every ounce of throat-searing bile was (mostly) forgotten as I looked into her adorable little face covered in that weird, white marsh scum* infants are born with. I wish someone had warned me about the vernix situation. Maybe then I wouldn’t have screamed, “IS SHE A LEPER?” in front of two nurses, the doctor and a team of horrified interns. David teased me for weeks. Every time I’d hand her to him, he’d make a cross with his fingers and yell, “Unclean!

The doctor sighed. ‘That is not within my province, Madam. But we’d better stop the bleeding from those cuts before we move him. I wonder if you would be so kind as to boil us some water?’ ‘Sure, Doctor.’ When the landlady had left the interne glanced curiously at the doctor. ‘Did you really want her to boil water or –?’ ‘Of course not, Pete. I wanted her to boil her head, but she wouldn’t have agreed to that. Always ask women to boil water if you want to get rid of them.

Most human organizations that fall short of their goals do so not because of stupidity or faulty doctrines, but because of internal decay and rigidification. They grow stiff in the joints. They get in a rut. They go to seed.

Dr. Melissa Kanes is a compassionate and dedicated doctor passionate about providing quality healthcare to her patients. With a strong background in internal medicine, she combines her medical expertise with a caring approach to ensure the well-being of those under her care. Outside of her busy career, Melissa enjoys spending time with her family, reading mystery novels, and practicing yoga to maintain a healthy work-life balance.

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.

International Intelligence Agencies and their hired ones avoid weapons now; however, they utilize deadly chemicals to kill their rivals, whether high-level or low-level, whereas doctors diagnose that as a natural death. Virtually, becoming infected and victim of deadly diseases through chemicals is neither known publicly nor common ones believe in it. Factually, the Intelligence mafia can achieve and gain every task for their interests, indeed.

Enhancing our memory is just the beginning. When you express an idea in writing, it’s not just a matter of transferring the exact contents of your mind into paper or digital form. Writing creates new knowledge that wasn’t there before. Each word you write triggers mental cascades and internal associations, leading to further ideas, all of which can come tumbling out onto the page or screen.V Thinking doesn’t just produce writing; writing also enriches thinking. There is even significant evidence that expressing our thoughts in writing can lead to benefits for our health and well-being.11 One of the most cited psychology papers of the 1990s found that “translating emotional events into words leads to profound social, psychological, and neural changes.” In a wide range of controlled studies, writing about one’s inner experiences led to a drop in visits to the doctor, improved immune systems, and reductions in distress. Students who wrote about emotional topics showed improvements in their grades, professionals who had been laid off found new jobs more quickly, and staff members were absent from work at lower rates. The most amazing thing about these findings is that they didn’t rely on input from others. No one had to read or respond to what these people wrote down—the benefits came just from the act of writing.

scientists were men, and I’d just get married. I believed him, until I discovered Sara Baxter Clarke in one of those old magazines. She was British, went to MIT, had her doctorate in theoretical physics at twenty-two. At Berkeley, she published three brilliant articles in very, very obscure journals. In 1956, she was scheduled to deliver a controversial fourth paper at an international physics conference at Stanford. She was the only woman on the program, and she was just twenty-eight.

Poet Ayoade, the first African immigrant to serve as a nuclear missile operator in the United States Air Force, debuts with an inspirational memoir chronicling his childhood in Nigeria and journey to become a doctor and American citizen. Ayoade, who at the age of seven promised his mother “One day, I will take you far away from here,” details his upbringing with an abusive father and the many family tragedies he endured—along with his dedication to creating a different life: “Underground is my unusual journey from childhood poverty to where I am today. How the impossible became a reality.” Readers will be swept into Ayoade’s vivid recollections of his early years, including his strict education, brushes with death, and a strained relationship with his father. He recounts the family’s passion for American movies that made “America seem like the perfect place,” sparking his desire for a better future, and details his decision to become a veterinarian and eventually pursue a career in the U.S. military to ensure the best life for his family (and future generations). Ayoade’s story is moving, particularly his reconciliation with his father and hard-earned American citizenship, and his message that it’s never too late to chase your dreams resonates. That message will evoke strong emotions for readers as Ayoade highlights the importance of hard work and the benefit of a committed support system, alongside his constant “wishing, praying, and fighting to be free from all the sadness and injustice around me”—a theme that echoes through much of the book, including in his acknowledgement that the fear he experienced as a nuclear missile operator was a “cost of this freedom.” Ayoade’s poetry and personal photographs are sprinkled throughout, illuminating his deep love for family and his ultimate belief in liberty as “The reason for it all./ A foundation for a new generation,/ The best gift to any child.” Takeaway: This stirring memoir documents an immigrant’s fight for the American dream. Great for fans of: Ashley C. Ford’s Somebody's Daughter, Maria Hinojosa’s Once I Was You. Production grades Cover: A- Design and typography: A Illustrations: A Editing: A Marketing copy: A

When Richard Cooper went to medical school at the University of Arkansas in the late 1960s, he was stunned at how many of his black patients were suffering from high blood pressure. He would encounter people in their forties and fifties felled by strokes that left them institutionalized. When Cooper did some research on the problem, he learned that American doctors had first noted the high rate of hypertension in American blacks decades earlier. Cardiologists concluded it must be the result of genetic differences between blacks and whites. Paul Dudley White, the preeminent American cardiologist of the early 1900s, called it a “racial predisposition,” speculating that the relatives of American blacks in West Africa must suffer from high blood pressure as well. Cooper went on to become a cardiologist himself, conducting a series of epidemiological studies on heart disease. In the 1990s, he finally got the opportunity to put the racial predisposition hypothesis to the test. Collaborating with an international network of doctors, Cooper measured the blood pressure of eleven thousand people. Paul Dudley White, it turned out, was wrong. Farmers in rural Nigeria and Cameroon actually had substantially lower blood pressure than American blacks, Cooper found. In fact, they had lower blood pressure than white Americans, too. Most surprisingly of all, Cooper found that people in Finland, Germany, and Spain had higher blood pressure than American blacks. Cooper’s findings don’t challenge the fact that genetic variants can increase people’s risk of developing high blood pressure. In fact, Cooper himself has helped run studies that have revealed some variants in African Americans and Nigerians that can raise that risk. But this genetic inheritance does not, on its own, explain the experiences of African and European Americans. To understand their differences, doctors need to examine the experiences of blacks and whites in the United States—the stress of life in high-crime neighborhoods and the difficulty of getting good health care, for example. These are powerful inheritances, too, but they’re not inscribed in DNA. For scientists carrying out the hard work of disentangling these influences, an outmoded biological concept of race offers no help. In the words of the geneticists Noah Rosenberg and Michael Edge, it has become “a sideshow and a distraction.

As you can see, Kira underwent a mental health assessment after the war. The doctors recommended a service animal to assist with her mental state.” Kira’s head whipped toward Alexander. He flicked his fingers in their silent language, signaling “eyes front.” Kira grumbled internally as she listened, Jin’s cackling howls making her want to beat someone. Preferably Alexander. “Only Kira isn’t skilled at caring for living creatures. As a result, J1N was given the programming to act as Kira’s mental health support drone.” Humiliating. That’s what this was. Absolutely humiliating.

It is not the healthy who need a doctor, but those who are ill. 13But go and learn what this means: “I desire mercy, not sacrifice.”a For I have not come to call the righteous, but sinners.

17On hearing this, Jesus said to them, ‘It is not the healthy who need a doctor, but those who are ill. I have not come to call the righteous, but sinners.

Naturally, immunity is a natural physician that fends off all invading bacteria and viruses, whereas food becomes its medicine or trouble since that appears to increase or decrease your immune system; thus, choose the right and healthy food, and adopt this proverb: Eat to be alive, not live to eat. Experienced and qualified doctors understand the side effects of medicines before the prescription. Indeed, the majority of doctors hold a professional degree and certificate, whereas virtually none of them has the latest and accurate knowledge; as a result, it executes no difference between such doctors and a robot. When naturopathy experts and spiritual figures predict with significant certainty that you have no cancer or whatever other sickness, it confuses, surprises, and creates suspicious feelings in your mind, whereas doctors have diagnosed metastatic cancer. What should one believe and what not? However, one’s enemies are still awaiting its death. One breathes, expecting and waiting for the miracle of God; it will soon happen if one believes. You neither feel trust in your family doctor and specialists nor feel satisfaction with their treatment. You always realize that they do not tell the truth about how risky your disease is, and they never discuss it. If doctors fail to meet your sufferings of mucus, shortness of breath, and swallowing difficulties because of medication’s side effects, they will indeed put you on medical victimization, ignoring the better quality of life that the medical system promises. Most doctors work for the insurance companies instead of caring for patients. It is factually a medical crime that doctors, hospitals, or insurance providers put patients at high risk. Many doctors do not respect patients’ requests to fulfill it because patients want treatment according to international medical guidelines. Such refusal results in the spreading of their suffering. It saddens patients that the doctors only think about the insurance provider and not the patient. Indeed, such a situation can put one on the track in a dilemma. However, one’s experience and others may prove that none of the medicines give patients a good quality of life, whether homeopathy, allopathy, naturopathy, or even a spiritual one. If your fate stands as a barrier in front of you, no one sees or realizes what you have faced and is still facing worries about your health. Factually, robot doctors cannot provide significant information that may help to ease patients’ suffering; there is only one way to change lifestyle and stay strict on diet; it will have a better result than medicine, which is full of toxins that damage patients’ health instead of curing it. One can think or predict that the medical world has become a medical trade in which one cannot exclude the medical mafia. Is it a valid context that requires an authentic answer?

Only the World Health Organization (WHO) weight gain charts reflect these normal changes1 in the weight gain rate of breastfed babies, so if your doctor raises a red flag about weight gain, check to make sure she’s using the right chart for your breastfed baby.

Deaths With Chemicals *** International Intelligence Agencies And its hired-ones Avoid the weapons now However, They utilize deadly chemicals To kill their rivals, whether high-level Or low level Whereas doctors diagnose that As a natural death Virtually, becoming infected And the victim of deathly diseases Through chemicals This cruelty, this crime Neither knows the high gentry, yet, Nor common ones believe in it As a fact, The Intelligence mafia can achieve And gain every task For their interests indeed The time will come The world will shock In this criminal reality.

toms, and our own doctors have told me that they seldom err in diagnosing early leprosy. They are naturally much less sure in diagnosing diseases affecting internal organs such as the-intestines, the liver, and the spleen.

From the 1940s to the ’60s, under government auspices, Quebec doctors employed by the religious communities falsified the medical records of the illegitimate orphans. They pronounced them ‘mentally unfit’ and ‘mentally retarded.’ In the blink of an eye, thousands of perfectly healthy children found themselves interned in asylums, mixed in with actual mental patients, for years on end. Simply because they had had the misfortune of being born illegitimate. Those children are now adults, and they’re still known as the Duplessis Orphans.

The next morning, while everyone else sat in the waiting area, Mia and I met with the doctor. “Well, I have good news and bad news,” Dr. Genecov said. “The bad news is that she needs this surgery, and we need to get it on the books right now. The good news is that I’ve worked with a company to invent a new device. Instead of using the halo, I can now do everything internally.” What? Did I just hear what I think I heard? He continued talking, but I honestly didn’t hear anything for the next few seconds while I tried to process this new information. Seriously? I can’t believe this! I thought. Where did this come from? I knew he was working on a better bone graft procedure before we needed it, but this just came out of nowhere! I tried my best to hold myself together. All I wanted to do was call Jase and tell him this news. Actually, I wanted to climb the nearest mountain (if there were mountains in Dallas) and shout it from the top of my lungs! After thanking him profusely, Mia and I walked down the hall for our appointment with Dr. Sperry. “Do you know what you just avoided?” Dr. Sperry asked, grinning from ear to ear. “A shaved head, the intensive care unit for a week, and a much longer recovery period.” That was it. I couldn’t hold back any longer and let my tears flow. Mia looked at me in surprise. If I was embarrassing her, I didn’t care. It was for a good reason. “Dr. Genecov has been working hard to perfect this procedure, and he has done it one time so far.” She looked right at Mia and said, “And I’m convinced he did that one to get ready for you.” Mia smiled and said, “Cool.” Mia had enjoyed her honeymoon period. She felt no stress or anxiety about the future, which was a great blessing. I was thankful that I had not told her about the distraction surgery and glad that my eleven-year-old daughter didn’t understand all that she had been spared because of this development. When I filled in my mom, Bonny, and Tori on this unexpected and exhilarating news, they all gasped, then shouted and hugged me. All I could think of was how grateful I was to my Father in heaven. He had done this. Why? I don’t know. But I knew He had chosen this moment for Dr. Genecov to perfect a new invention that would spare my daughter, at this exact time in her life, the ordeal of a device that would have been surgically screwed into her skull. After getting to the parking lot, I immediately called Jase with this incredible news. Like me, he was having a hard time wrapping his head around it. “How many of these has he done?” I hesitated, then said, “One.” “One? He’s done one? I don’t know about this, Missy.” I quickly reminded him of Dr. Genecov’s success in the new bone graft surgery and said, “Babe, I think it’s worth the risk. He’s proven to us just how good he is.” Jase is not one to make a quick decision about anything, but before our phone call ended, he agreed that we should move forward with the surgery.

The perplexing thing was that Elon seemed to drift off into a trance at times. People spoke to him, but nothing got through when he had a certain, distant look in his eyes. This happened so often that Elon’s parents and doctors thought he might be deaf. “Sometimes, he just didn’t hear you,” said Maye. Doctors ran a series of tests on Elon, and elected to remove his adenoid glands, which can improve hearing in children. “Well, it didn’t change,” said Maye. Elon’s condition had far more to do with the wiring of his mind than how his auditory system functioned. “He goes into his brain, and then you just see he is in another world,” Maye said. “He still does that. Now I just leave him be because I know he is designing a new rocket or something.” Other children did not respond well to these dreamlike states. You could do jumping jacks right beside Musk or yell at him, and he would not even notice. He kept right on thinking, and those around him judged that he was either rude or really weird. “I do think Elon was always a little different but in a nerdy way,” Maye said. “It didn’t endear him to his peers.” For Musk, these pensive moments were wonderful. At five and six, he had found a way to block out the world and dedicate all of his concentration to a single task. Part of this ability stemmed from the very visual way in which Musk’s mind worked. He could see images in his mind’s eye with a clarity and detail that we might associate today with an engineering drawing produced by computer software. “It seems as though the part of the brain that’s usually reserved for visual processing—the part that is used to process images coming in from my eyes—gets taken over by internal thought processes,” Musk said. “I can’t do this as much now because there are so many things demanding my attention but, as a kid, it happened a lot.

the new

slowly. “You remember, don’t you?

Avigail, however, did not. Like the few other survivors, she’d suffered permanent internal damage and almost constantly felt pain. But in this, she also regarded herself as lucky. The SS doctors carried out sterilization experiments on some of the women. “When Rebekah arrived at the camp, she had a daughter, just a year old. I’m not sure why the guards let her keep the child. Rebekah was strikingly beautiful and from the start, she was treated differently. The things they made her do…” Avigail’s voice cracked, “The only reason she did not end it all herself was the child.

At lunchtime someone would call out, "Anybody want Mexican?" and I would respond, "Count me in!" like I belonged.

And indeed today as it struggles with its financial crisis, the central issue in Greek politics remains resentment of the influence of Brussels, Germany, the International Monetary Fund, and other external actors, which are seen as pulling strings behind the back of a weak Greek government. Although there is considerable distrust of government in American political culture, by contrast, the basic legitimacy of democratic institutions runs very deep. Distrust of government is related to the Greek inability to collect taxes. Americans loudly proclaim their dislike of taxes, but when Congress mandates a tax, the government is energetic in enforcement. Moreover, international surveys suggest that levels of tax compliance are reasonably high in the United States; higher, certainly, than most European countries on the Mediterranean. Tax evasion in Greece is widespread, with restaurants requiring cash payments, doctors declaring poverty-line salaries, and unreported swimming pools owned by asset-hiding citizens dotting the Athenian landscape. By one account, Greece’s shadow economy—unreported income hidden from the tax authorities—constitutes 29.6 percent of total GDP.24 A second factor has to do with the late arrival of capitalism in Greece. The United States was an early industrializer; the private sector and entrepreneurship remained the main occupations of most Americans. Greece urbanized and took on other trappings of a modern society early on, but it failed to build a strong base of industrial employment. In the absence of entrepreneurial opportunities, Greeks sought jobs in the state sector, and politicians seeking to mobilize votes were happy to oblige. Moreover, the Greek pattern of urbanization in which whole villages moved from the countryside preserved intact rural patronage networks, networks that industry-based development tended to dissolve.

Midway through my treatments, I was at the White House to do an interview with President Bush’s press secretary, Tony Snow. He had recently revealed he was facing cancer for a second time. While there I was told that the First Lady, Laura Bush, wanted to see me in the private residence for tea. Mrs. Bush has a family history of breast cancer. She personally invited me to accompany her on a portion of an international breast cancer initiative with the Susan G. Komen Foundation, and I couldn’t pass up this opportunity. My doctors cleared me to travel—although getting my mom’s blessing was far more difficult. Remember, I was in the middle of chemo treatments. I spent time with Mrs. Bush in Abu Dhabi and Dubai, in the UAE and in Riyadh, Saudi Arabia. I met some incredible women on the trip.

She butchered several students at college in her senior year and later confessed to doctoring candy with razor blades on Halloween. She poisoned and maimed quite a few children in 1984. Several of them died of internal bleeding. I hope this helps.

The story was an 82 year old guy with a broken neck. He had apparently fallen in his bathroom that morning, cracking his 1st and 2nd vertebrae. I had a vague memory from medical school that this wasn't a good thing--the expression "hangman's fracture" kept bobbing up from the well of facts I do not use --but I had a much more distinct impression that this was not a case for cardiology. "And Ortho isn't taking him because?" I said wearily. "Because he's got internal organs, dude." I sighed. "So why me?" "Because they got an EKG." The MAO was clearly enjoying himself. I remembered he had recently been accepted to a cardiology fellowship. I braced myself for the punch line. "And?" "And there's ectopy on it. Ectopy." He then made a noise intended to suggest a ghost haunting something.

I nodded my head at him and gave a small wave of acknowledgment, the gesture communicating, Oh there you are, good. I started walking over. His head turtled in a fraction and his body tensed in the internationally approved reaction to being spotted on surveillance. It’s hard to describe, but it looks a little like what a gowned patient does when the doctor picks up a long instrument and advises this might be a little uncomfortable. He looked around, then back to me, doing a decent imitation of someone wondering, Huh? Was that me you were waving to? Do we know each other?

Possibly, the entire world has become a victim of chemical and biological warfare by the sadists and evil-minded ones. Indeed, such practices will definitely, and continuously, in its ways, now and after, destroy this planet and humanity ruthlessly. Therefore, the world should forbid the medication of homeopathic medicines by homeopathic doctors, who give them in their practice offices, because it is the utmost danger to the patients as they remain unaware of the accuracy and authenticity of that. In such ways, victimization is possible by criminals and even international intelligence agencies to harm the health of their opponents in whatever ways and reasons. All homeopathic medicines should be delivered through official and licensed pharmacies so patients can stay secure and safe from suspicious and disqualified subjects and figures. As a fact, the present method of medication carries severe risks, as it fails to provide information about its ingredients, legal name, and expiration date. Indeed, deliberately or not, homeopathy doctors may become life-threatening to those who have problems and are in conflict with dictatorships in several countries. Homeopathy and other natural treatments are not controlled and observed sufficiently and accurately, which may result in grave consequences. In this regard, I expressed concerns that I physically faced and suffered from. I believe that the authorities of the global states will understand and investigate the issue of biological warfare honestly on a wide scale to stop and eliminate the perpetrators against humanity for their evil purposes. It is the core responsibility of all states in the world to take immediate action in this regard to save their people from life-threatening activities and realize the real concept and context of humanity, protecting the victims of biological weapons and warfare.

PROCESS FOR ADAPTING TO KETOFASTING Step one: Stop eating three hours before bedtime. Step two: Begin shortening your eating window—typically this is most easily done by continuing to not eat for three hours before bedtime and then delaying breakfast. Step three: As you gradually reduce your eating window to between six and eight hours a day, begin following a ketogenic diet. Step four: After you are regularly producing ketones, add in one “feast” day a week when you eat more net carbs and protein in what’s known as a cyclical ketogenic diet.