Internal Medicine Quotes

Good medicine always tastes bad.

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.

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

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.

The ability to do perform Reiki comes from an internal freedom. The power to be free from stress, tension, and anger.

...by the end of my first week as an intern, I am just about ready to throw my pager out the window. A high window. Overlooking a trash compactor. Filled with highly corrosive acid.

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.

Archives of Internal Medicine revealed that postmenopausal women who were put on statin drugs to lower their cholesterol had a nearly 48 percent increased risk of developing diabetes compared to those who weren’t given the drug.

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.

Medicine is not efficient,” I heard Jim say to a group of interns many years after Taube had retired. “It’s not supposed to be efficient. It has nothing to do with efficiency.

She sits and listens with crossed legs under the batik house-wrap she wears, with her heavy three-way-piled hair and cigarette at her mouth and refuses me - for the time being, anyway - the most important things I ask of her. It's really kind of tremendous how it all takes place. You'd never guess how much labor goes into it. Only some time ago it occurred to me how great an amount. She came back from the studio and went to take a bath, and from the bath she called out to me, "Darling, please bring me a towel." I took one of those towel robes that I had bought at the Bon Marche' department store and came along with it. The little bathroom was in twilight. In the auffe-eua machine, the brass box with teeth of gas burning, the green metal dropped crumbs inside from the thousand-candle blaze. Her body with its warm woman's smell was covered with water starting in a calm line over her breasts. The glass of the medicine chest shone (like a deep blue place in the wall, as if a window to the evening sea and not the ashy fog of Paris. I sat down with the robe over my; shoulder and felt very much at peace. For a change the apartment seemed clean and was warm; the abominations were gone into the background, the stoves drew well and they shone. Jacqueline was cooking dinner and it smelled of gravy. I felt settled and easy, my chest free and my fingers comfortable and open. And now here's the thing. It takes a time like this for you to find out how sore your heart has been, and, moreover, all the while you thought you were going around idle terribly hard work was taking place. Hard, hard work, excavation and digging, mining, moiling through tunnels, heaving, pushing, moving rock, working, working, working, working, panting, hauling, hoisting. And none of this work is seen from the outside. It's internally done. It happens because you are powerless and unable to get anywhere, to obtain justice or have requital, and therefore in yourself you labor, you wage and combat, settle scores, remember insults, fight, reply, deny, blab, denounce, triumph, outwit, overcome, vindicate, cry, persist, absolve, die and rise again. All by yourself? Where is everybody? Inside your breast and skin, the entire cast.

Life’s definition, as it stands now, is akin to a menu. It is not one thing but a series of things, a set of behaviors, a series of processes, not a single property. To be living, an organism must have the capacity to reproduce, to grow, to metabolize, to adapt to stimuli, and to maintain its internal milieu.

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 chapter of the Internal Medicine Classic entitled 'The Oldest Truth', it is written: 'When one empties the mind and frees it of all desires, the genuine energy arises. If one maintains an undisturbed spirit within, no disease will occur.

It is a tragedy, at rate at which EBOLA VIRUS is spreading in West Africa. It is a fatal disease in the history of the world. Intensive education (formal and informal approaches) of the citizens of African can help prevent the spread. International cooperation is urgently needed to combat the EBOLA virus.

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.

Interestingly, it’s possible that practices related to the observance of Passover helped to protect Jewish neighborhoods from the plague. Passover is a week-long holiday commemorating Jews’ escape from slavery in Egypt. As part of its observance, Jews do not eat leavened bread and remove all traces of it from their homes. In many parts of the world, especially Europe, wheat, grain, and even legumes are also forbidden during Passover. Dr. Martin J. Blaser, a professor of internal medicine at New York University Medical Center, thinks this “spring cleaning” of grain stores may have helped to protect Jews from the plague, by decreasing their exposure to rats hunting for food—rats that carried the plague.

A few weeks ago, he had invited a young physician friend, Sigmund Freud, to accompany him for an entire day. A mistake perhaps! The young man had been attempting to decide on his choice of medical specialty, and that day may have frightened him away from the practice of general internal medicine. For, according to Freud’s calculations, Breuer had spent six hours in his fiacre!

The striking thing is that WHO doesn't really have the authority to do any of this. It can't tell governments what to do. It hires no vaccinators, distributes no vaccine. It is a small Geneva bureaucracy run by several hundred international delegates whose annual votes tell the organization what to do but not how to do it.…The only substantial resource that WHO has cultivated is information and expertise.

Resources are always limited.” In international health, this saying had great force. It lay behind most cost-effectiveness analyses. It often meant, “Be realistic.” But it was usually uttered, Kim and Farmer felt, without any recognition of how, in a given place, resources had come to be limited, as if God had imposed poverty on places like Haiti. Strictly speaking, all resources everywhere were limited, Farmer would say in speeches. Then he’d add, “But they’re less limited now than ever before in human history.” That is, medicine now had the tools for stopping many plagues, and no one could say there wasn’t enough money in the world to pay for them.

according to a recent paper published in the Annals of Internal Medicine, patients failing to properly take their medication cost society somewhere between $100 billion and $289 billion every year.36 (It’s estimated that nearly 50 percent of prescriptions for chronic diseases are not used as prescribed.)37 Obesity, meanwhile, adds another $190 billion in direct health care costs. Drunk driving? $114 billion.38 Smoking? Nearly $290 billion.

The fact that atomic energy is used in warfare does not make international conflicts problems in physics; likewise, the fact that the brain is used in human behavior does not make moral and personal conflicts problems in medicine.

DB: There's a lot of talk about terrorism. In fact, it's become almost an obsession for the media in the United States. But it's a very narrow definition of terrorism. AR: Yes. It completely ignores the economic terrorism unleashed by neoliberalism, which devastates the lives of millions of people, depriving them of water, food, electricity. Denying them medicine. Denying them education. Terrorism is the logical extension of this business of the free market. Terrorism is the privatization of war. Terrorists are the free marketeers of war - people who believe that it isn't only the state that can wage war, but private parties as well. If you look at the logic underlying an act of terrorism and the logic underlying a retaliatory war against terrorism, they are the same. Both terrorists and governments make ordinary people pay for the actions of their governments. Osama bin Laden is making people pay for the actions of the US state, whether it's in Saudi Arabia, Palestine, or Afghanistan. The US government is making the people of Iraq pay for the actions of Saddam Hussein. The people of Afghanistan pay for the crimes of the Taliban. The logic is the same. Osama bin Laden and George Bush are both terrorists. They are both building international networks that perpetrate terror and devastate people's lives. Bush, with the Pentagon, the WTO, the IMF, and the World Bank. Bin Laden with Al Qaeda.

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)

As the leader of the international Human Genome Project, which had labored mightily over more than a decade to reveal this DNA sequence, I stood beside President Bill Clinton in the East Room of the White House... Clinton's speech began by comparing this human sequence map to the map that Meriwether Lewis had unfolded in front of President Thomas Jefferson in that very room nearly two hundred years earlier. Clinton said, "Without a doubt, this is the most important, most wondrous map ever produced by humankind." But the part of his speech that most attracted public attention jumped from the scientific perspective to the spiritual. "Today," he said, "we are learning the language in which God created life. We are gaining ever more awe for the complexity, the beauty, and the wonder of God's most divine and sacred gift." Was I, a rigorously trained scientist, taken aback at such a blatantly religious reference by the leader of the free world at a moment such as this? Was I tempted to scowl or look at the floor in embarrassment? No, not at all. In fact I had worked closely with the president's speechwriter in the frantic days just prior to this announcement, and had strongly endorsed the inclusion of this paragraph. When it came time for me to add a few words of my own, I echoed this sentiment: "It's a happy day for the world. It is humbling for me, and awe-inspiring, to realize that we have caught the first glimpse of our own instruction book, previously known only to God." What was going on here? Why would a president and a scientist, charged with announcing a milestone in biology and medicine, feel compelled to invoke a connection with God? Aren't the scientific and spiritual worldviews antithetical, or shouldn't they at least avoid appearing in the East Room together? What were the reasons for invoking God in these two speeches? Was this poetry? Hypocrisy? A cynical attempt to curry favor from believers, or to disarm those who might criticize this study of the human genome as reducing humankind to machinery? No. Not for me. Quite the contrary, for me the experience of sequencing the human genome, and uncovering this most remarkable of all texts, was both a stunning scientific achievement and an occasion of worship.

One of the signs of the lovers of God is the love for the knowledge relating to the shape of heavenly bodies, and the knowledge of the chain of causes descending from the exalted God, the method of dissecting the human body and its internal organs and his faculties and devices. Unless these kinds of knowledge, which are the scales and ladders extending from the servant to the Lord, are uncovered to him, how can he reach God's knowledge? And if this knowledge is not gained, how can love be achieved or even imagined?

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.

But the worst of the expense lies with the medications, and there is no reason for their high and fluctuating prices: the drugs have been off patent for decades, and we know that the same companies sell the same drugs at wildly different prices in different countries. Drug prices should not constitute the chief barrier to effective therapy for all patients... With less complaining, and more coordination, international public health authorities could have brought these prices down rapidly, as we have learned by our efforts to do so.

​In the light of Sister White’s counsel, it is clear drugs can bequeath a legacy of disease upon the human race. Unfortunately, most Adventists reading these statements have locked them into a time capsule, making them only applicable to medicine of the 19th century. Such a perspective is not cognizant of the facts. For example, an article published in the Polish Archives of Internal Medicine points out that prescription drugs kill approximately 200,000 Americans each year, making it the 3rd leading cause of death after cancer and heart disease.

Some people charge that Obama is a socialist. He isn’t a socialist in the precise sense of the word. He supports corporate medicine, central banking and international banking elites, the military-industrial complex, and, with great exuberance, the surveillance-industrial complex.

The rate spread of EBOLA VIRUS in West Africa, is big tragedy. It is a fatal disease in the history of the world. Intensive education (formal and informal approaches) of the citizens of African can help prevent the spread. International cooperation is urgently needed to combat the EBOLA virus.

Medicinal rakija can be applied externally or internally for the relief of any ailment, physical or mental, including AIDS. According to Selimović, 'Rakija never did anyone any harm, as long as it’s taken as a medicine and not drunk like water' (it’s also good for cleaning glass and polishing furniture).

Grief doesn’t go away. It can change into many things and will, but as a substance and presence it never leaves. To have caused and witnessed suffering and loss of life means grief is eagerly awaiting your decision as to what direction it will take in your destiny: to make more life or to make more death and violence, internally or externally. The best decision is that all grief be turned into life-promoting grief-based beauty and usefulness. The willingness for violence-shattered soldiers to heal others makes their malady into medicine. If a society is alive, and aware in this way, then those who have suffered loss will have a chance to heal, and those who have caused loss will be socially supported to sprout a new type of life-making person out of the death they have caused: a person who can now help others to heal from their losses, instead of both of them causing more loss to the rest of the world. This not only gives a place to these people, but having been remade into a new type of human, they will become an indispensible necessity for the future well-being of the community on the whole. Only in such a way can one who has killed continue living without destroying even more: themselves and/or others. Alive, in love as one who can feel the heartbreak of another, they are praised by their community as useful human beings instead of being shunned or forgotten.

Dr. Deanna Adkins of Duke University School of Medicine claims that gender identity is “the only medically supported determinant of sex,” adding, “It is counter to medical science to use chromosomes, hormones, internal reproductive organs, external genitalia, or secondary sex characteristics to override gender identity for purposes of classifying someone as male or female.

He was now wealthy beyond his wildest dreams and wanted for nothing, so Columbus retired to Valladolid, which at one time was considered the capital of Castile and Leon, a historic region of northwestern Spain. On October 19, 1469, Queen Isabella and King Ferdinand had been married at the Palacio de los Vivero, in the city of Valladolid, giving it great significance for Columbus. It was only a year and a half after retiring, on May 20, 1506, that Christopher Columbus quietly died. Dr. Antonio Rodriguez Cuartero, a professor of Internal Medicine at the University of Granada, stated that the Admiral died of a heart attack caused by Reiter's Syndrome, also known as reactive arthritis. He was only 54 years of age; however, he had been suffering from arthritis for quite some time prior to his death.

We are running up against the difficulty of maintaining a coherent philosophical distinction between giving people the right to stop external or artificial processes that prolong their lives and giving them the right to stop the natural, internal processes that do so. At root, the debate is about what mistakes we fear most—the mistake of prolonging suffering or the mistake of shortening valued life.

In the history of the twentieth century, the principal dramatis personae were National and International Socialisms, better known as Nazism and Communism. Their citizens evaded the duty of self-responsibility by claiming to be "following orders." Following orders -attributed to or issued by God, the State, Science, Medicine-is always the easy way out. Refusing to do so requires self-reliance and resisting temptations and threats.

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.

...it was difficult for me to trust in the medicinal teaching that we must recognize friction and the not-so-good circumstances in life as being life, and that this life is perfect. It was hard to trust, swallow, and keep down this medicine, especially in conjunction with the hatred I had experienced and internalized for most of my life. I gagged on this teaching of the perfect life, as I have seen many others do. It is perfect because it is imperfect.

In Women and Madness, Phyllis Chesler writes of what she calls “psychiatric imperialism,” whereby normal responses to trauma are methodically pathologized in science and medicine. At the time of the book’s publication in 1972, few women were coming forward about gender biases in the study and practice of psychology. Chesler felt compelled to bring forward a conversation around gender, race, class, and medical ethics because “modern female psychology reflects a relatively powerless and deprived condition.” Of sensitivity she writes: “Many intrinsically valuable female traits, such as intuitiveness or compassion, have probably been developed through default or patriarchal-imposed necessity, rather than through either biological predisposition or free choice. Female emotional ‘talents’ must be viewed in terms of the overall price exacted by sexism.” Regardless of causation, of note here is that women’s internal lives were barely acknowledged or considered.

Yet the hunger to treat patients still drove Farber. And sitting in his basement laboratory in the summer of 1947, Farber had a single inspired idea: he chose, among all cancers, to focus his attention on one of its oddest and most hopeless variants—childhood leukemia. To understand cancer as a whole, he reasoned, you needed to start at the bottom of its complexity, in its basement. And despite its many idiosyncrasies, leukemia possessed a singularly attractive feature: it could be measured. Science begins with counting. To understand a phenomenon, a scientist must first describe it; to describe it objectively, he must first measure it. If cancer medicine was to be transformed into a rigorous science, then cancer would need to be counted somehow—measured in some reliable, reproducible way. In this, leukemia was different from nearly every other type of cancer. In a world before CT scans and MRIs, quantifying the change in size of an internal solid tumor in the lung or the breast was virtually impossible without surgery: you could not measure what you could not see. But leukemia, floating freely in the blood, could be measured as easily as blood cells—by drawing a sample of blood or bone marrow and looking at it under a microscope. If leukemia could be counted, Farber reasoned, then any intervention—a chemical sent circulating through the blood, say—could be evaluated for its potency in living patients. He could watch cells grow or die in the blood and use that to measure the success or failure of a drug. He could perform an “experiment” on cancer.

Luc: After hundreds of years I have found the only other terrible prospect who understands me. She's brave and funny, but she thinks she's only valued for what she can do instead of who she is. After a dramatic life event she's convinced I don't want her. I have no useful skills to benefit her, and a job that constantly disrupts my life. I'm also going to outlive her by a hundred years. Elle: Yeah, that's pretty terrible. Luc: Maybe even 200 years. Elle: Don't rub it in. You can join the club. The San Francisco chapter of Terrible Prospects International.

The “remarkable sodium and water retaining effect of concentrated carbohydrate food,” as the University of Wisconsin endocrinologist Edward Gordon called it, was then explained physiologically in the mid-1960s by Walter Bloom, who was studying fasting as an obesity treatment at Atlanta’s Piedmont Hospital, where he was director of research. As Bloom reported in the Archives of Internal Medicine and The American Journal of Clinical Nutrition, the water lost on carbohydrate-restricted diets is caused by a reversal of the sodium retention that takes place routinely when we eat carbohydrates. Eating carbohydrates prompts the kidneys to hold on to salt, rather than excrete it. The body then retains extra water to keep the sodium concentration of the blood constant. So, rather than having water retention caused by taking in more sodium, which is what theoretically happens when we eat more salt, carbohydrates cause us to retain water by inhibiting the excretion of the sodium that is already there. Removing carbohydrates from the diet works, in effect, just like the antihypertensive drugs known as diuretics, which cause the kidneys to excrete sodium, and water along with it. This

Monica nudged her husband’s shoulder. “On-time flights are easier when you’re behind the controls.” Trent Fairchild and his two brothers owned and operated Fairchild Charters. A private air charter company with a fleet of jets, big and small, not to mention more helicopters than one could count, which was why they were attending the conference of International Emergency Medicine . . . a conference where professionals worked to improve the emergency response to natural disasters all over the world. “Is Glen with you?” Glen was Trent’s brother and liaison to the fixed-wing portion of air travel for the sick and injured.

Today, genetically modified ingredients are found in at least 75 percent of all non-organic U.S. processed foods, including in many products labeled as “natural” or “all natural.” But are they good for us? Our government says GMOs are no biggie, yet the European Union, Australia, and Japan have restricted or banned them. Based on animal research, the American Academy of Environmental Medicine (AAEM), an international organization of physicians, has stated that there are serious health problems linked to eating genetically modified foods, such as infertility, immune system problems, accelerated aging, insulin problems, cholesterol regulation, gut problems, and organ damage.

One can hardly fault China for seizing on a great bargain, but for Zambia, the auctioning off of its most lucrative economic resources at fire-sale prices constituted another big stroke of bad national luck. Copper prices were still depressed and the government’s state of near bankruptcy at the time meant that Zambia had little negotiating power. Edith Nawakwi, who was the Zambian finance minister at the time of the sale, said that the country was pressured by its more traditional partners to accept this pittance. “We were told by advisers, who included the International Monetary Fund and the World Bank, that … for the next twenty years, Zambian copper would not make a profit. [Conversely, if we privatized] we would be able to access debt relief, and this was a huge carrot in front of us—like waving medicine in front of a dying woman. We had no option [but to go ahead].” The

I have again been asked to explain how one can "become a Daoists..." with all of the sad things happening in our world today, Laozi and Zhuangzi give words of advice, tho not necessarily to become a Daoist priest or priestess... " So many foreigners who want to become “Religious Daoists” 道教的道师 （道士） do not realize that they must not only receive a transmission of a Lu 籙 register which identifies their Daoist school, and learn as well how to sing the ritual melodies, play the flute, stringed instruments, drums, and sacred dance steps, required to be an ordained and functioning Daoist priest or priestess. This process usually takes 10 years or more of daily discipleship and practice, to accomplish. There are 86 schools and genre of Daoist rituals listed in the Baiyun Guan Gazeteer, 白雲觀志, which was edited by Oyanagi Sensei, in Tokyo, 1928, and again in 1934, and re-published by Baiyun Guan in Beijing, available in their book shop to purchase. Some of the schools, such as the Quanzhen Longmen 全真龙门orders, allow their rituals and Lu registers to be learned by a number of worthy disciples or monks; others, such as the Zhengyi, Qingwei, Pole Star, and Shangqing 正一，清微，北极，上请 registers may only be taught in their fullness to one son and/or one disciple, each generation. Each of the schools also have an identifying poem, from 20 or 40 character in length, or in the case of monastic orders (who pass on the registers to many disciples), longer poems up to 100 characters, which identify the generation of transmission from master to disciple. The Daoist who receives a Lu register (給籙元科, pronounced "Ji Lu Yuanke"), must use the character from the poem given to him by his or her master, when composing biao 表 memorials, shuwen 梳文 rescripts, and other documents, sent to the spirits of the 3 realms (heaven, earth, water /underworld). The rituals and documents are ineffective unless the correct characters and talismanic signature are used. The registers are not given to those who simply practice martial artists, Chinese medicine, and especially never shown to scholars. The punishment for revealing them to the unworthy is quite severe, for those who take payment for Lu transmission, or teaching how to perform the Jinlu Jiao and Huanglu Zhai 金籙醮，黃籙齋 科儀 keyi rituals, music, drum, sacred dance steps. Tang dynasty Tangwen 唐文 pronunciation must also be used when addressing the highest Daoist spirits, i.e., the 3 Pure Ones and 5 Emperors 三请五帝. In order to learn the rituals and receive a Lu transmission, it requires at least 10 years of daily practice with a master, by taking part in the Jiao and Zhai rituals, as an acolyte, cantor, or procession leader. Note that a proper use of Daoist ritual also includes learning Inner Alchemy, ie inner contemplative Daoist meditation, the visualization of spirits, where to implant them in the body, and how to summon them forth during ritual. The woman Daoist master Wei Huacun’s Huangting Neijing, 黃庭內經 to learn the esoteric names of the internalized Daoist spirits. Readers must be warned never to go to Longhu Shan, where a huge sum is charged to foreigners ($5000 to $9000) to receive a falsified document, called a "license" to be a Daoist! The first steps to true Daoist practice, Daoist Master Zhuang insisted to his disciples, is to read and follow the Laozi Daode Jing and the Zhuangzi Neipian, on a daily basis. Laozi Ch 66, "the ocean is the greatest of all creatures because it is the lowest", and Ch 67, "my 3 most precious things: compassion for all, frugal living for myself, respect all others and never put anyone down" are the basis for all Daoist practice. The words of Zhuangzi, Ch 7, are also deeply meaningful: "Yin and Yang were 2 little children who loved to play inside Hundun (ie Taiji, gestating Dao). They felt sorry because Hundun did not have eyes, or eats, or other senses. So everyday they drilled one hole, ie 2 eyes, 2 ears, 2 nostrils, one mouth; and on the 7th day, Hundun died.

How does ANY male-identified person know he is a man? And does my answer really diverge greatly from how many men, trans or cisgender, would answer? Transgender people are often said to have a 'narrative' to their lives; we’re encouraged to see our journey toward recognizing our gender as a story with an articulable pattern. The truth is, though, that everyone’s gender is a story; it’s just that trans folks are more likely to be — perhaps I could say “are given the gift of having to be” — aware of it. The story of becoming a man, a woman, or a person of any other gender often follows aspects of that most instinctual of story arcs: the hero’s journey. For instance, my personal narrative was one of effort in seeking a transformative goal (a quest), assistance (tools provided by medicine, law, and intangible emotional support), and mentorship by those who went before me (guides). And my manhood was ultimately achieved through what could be considered rites of passage — which is to say a similar structure to communal cultural tales of how one achieves cisgender manhood. It’s simply some details that vary. I do see one key difference in how all this plays out, however: Trans men make this invisible process disconcertingly visible by flipping the variables. While a cisgender man may be born with certain inherent potentials to physically embody a manhood that others will acknowledge socially, he’s not necessarily imbued with the demanding drive, the internal compass, the awareness of the systems and tropes he’s drawing on, and the deep gratitude concerning the specific man he’ll be. It’s quite possible to reach cisgender manhood externally (for instance, by reaching a certain age or displaying changes in voice, facial hair, etc.) long before one reaches an internal sense of his own unique self — and, further, before one reaches a sense of how hard he’ll fight to be that self, no matter the costs or resistance. For trans men it’s often much the opposite case." - from "'But How Do You Know You're a Man?': On Trans People, Narrative, and Trust

Medicine once consisted of the knowledge of a few simples, to stop the flow of blood, or to heal wounds; then by degrees it reached its present stage of complicated variety. No wonder that in early days medicine had less to do! Men's bodies were still sound and strong; their food was light and not spoiled by art and luxury, whereas when they began to seek dishes not for the sake of removing, but of rousing, the appetite, and devised countless sauces to whet their gluttony, – then what before was nourishment to a hungry man became a burden to the full stomach. 16. Thence come paleness, and a trembling of wine-sodden muscles, and a repulsive thinness, due rather to indigestion than to hunger. Thence weak tottering steps, and a reeling gait just like that of drunkenness. Thence dropsy, spreading under the entire skin, and the belly growing to a paunch through an ill habit of taking more than it can hold. Thence yellow jaundice, discoloured countenances, and bodies that rot inwardly, and fingers that grow knotty when the joints stiffen, and muscles that are numbed and without power of feeling, and palpitation of the heart with its ceaseless pounding. 17. Why need I mention dizziness? Or speak of pain in the eye and in the ear, itching and aching[11] in the fevered brain, and internal ulcers throughout the digestive system? Besides these, there are countless kinds of fever, some acute in their malignity, others creeping upon us with subtle damage, and still others which approach us with chills and severe ague. 18. Why should I mention the other innumerable diseases, the tortures that result from high living?   Men used to be free from such ills, because they had not yet slackened their strength by indulgence, because they had control over themselves, and supplied their own needs.[12] They toughened their bodies by work and real toil, tiring themselves out by running or hunting or tilling the earth. They were refreshed by food in which only a hungry man could take pleasure. Hence, there was no need for all our mighty medical paraphernalia, for so many instruments and pill-boxes. For plain reasons they enjoyed plain health;

Yet skill in the most sophisticated applications of laboratory technology and in the use of the latest therapeutic modality alone does not make a good physician. When a patient poses challenging clinical problems, an effective physician must be able to identify the crucial elements in a complex history and physical examination; order the appropriate laboratory, imaging, and diagnostic tests; and extract the key results from densely populated computer screens to determine whether to treat or to “watch.” As the number of tests increases, so does the likelihood that some incidental finding, completely unrelated to the clinical problem at hand, will be uncovered. Deciding whether a clinical clue is worth pursuing or should be dismissed as a “red herring” and weighing whether a proposed test, preventive measure, or treatment entails a greater risk than the disease itself are essential judgments that a skilled clinician must make many times each day. This combination of medical knowledge, intuition, experience, and judgment defines the art of medicine, which is as necessary to the practice of medicine as is a sound scientific base.

Because [a human's] chances of surviving... are much better living in a tribe or group than alone, she's developed these beautiful, incredibly complex social tools like empathy, patience, generousity, guilt, friendship, shame, and loyalty that help hold together groups of up to a couple hundred people together even when there's internal disagreements. ...Ever so often, though, a member of [a human's] tribe is born without access to those social tools, and is thus only capable of caring about herself. The modern term is sociopath... ...All those social tools we developed only really work on the small scale, though ---it's as if we only have enough true empathy to extend to a couple hundred people at a time... ...Which is why in our modern world of free markets, [the sociopath's] lack of empathy actually makes her better at surviving...Empathy and morality are clearly vital to our species, but they're often illogical within the simple framework of free-market capitalism...Maybe [the sociopath] installs pain-medicine vending machines, or markets Oxycontin as nonaddictive, or pays her workers much, much less than what it costs to live. This is the kind of innovative thinking that makes [the sociopath] an apex predator of the free market.

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.

Back then, Japan as a nation aspired to something in which each individual seemed invested. And that "something"wasn't just about economic growth, or transforming the yen into an international currency. It had more to do with accessing information. Information was indispensable, and not only as a means of obtaining necessities like food and clothing and medicine. Within two or three years of World War II's end, starvation had been basically eliminated in Japan, and yet the Japanese had continued slaving away as if their lives depended on it. Why? To create a more abundant life? If so, where was the abundance? Where were the luxurious living spaces? Eyesores dominated the scenery wherever you went, and people still crammed themselves into packed commuter trains each morning, submitting to conditions that would be fatal for any other mammal. Apparently what the Japanese wanted wasn't a better life, but more things. And things, of course, were a form of information. But as things became readily available and information began to flow smoothly, the original aspiration got lost in the shuffle. People were infected with the concept that happiness was something outside themselves, and a new and powerful form of loneliness was born. Mix loneliness with stress and enervation, and all sorts of madness can occur. Anxiety increases, and in order to obliterate the anxiety people turn to extreme sex, violence, and even murder.

The expression "fee thulumaatin thalaathin," translated into English as "a threefold darkness," indicates three dark regions involved during the development of the embryo. These are: a) The darkness of the abdomen b) The darkness of the womb c) The darkness of the placenta As we have seen, modern biology has revealed that the embryological development of the baby takes place in the manner revealed in the verse, in three dark regions. Moreover, advances in the science of embryology show that these regions consist of three layers each. The lateral abdominal wall comprises three layers: the external oblique, the internal oblique, and transverses abdominis muscles.91 Similarly, the wall of the womb also consists of three layers: the epimetrium, the myometrium and the endometrium.92 Similarly again, the placenta surrounding the embryo also consists of three layers: the amnion (the internal membrane around the foetus), the chorion (the middle amnion layer) and the decidua (outer amnion layer.)93 It is also pointed out in this verse that a human being is created in the mother's womb in three distinct stages. Indeed, modern biology has also revealed that the baby's embryological development takes place in three distinct regions in the mother's womb. Today, in all the embryology textbooks studied in departments of medicine, this subject is taken as an element of basic knowledge. For instance, in Basic Human Embryology, a fundamental reference text in the field of embryology, this fact is stated as follows: The life in the uterus has three stages: pre-embryonic; first two and a half weeks, embryonic; until the end of the eight week, and fetal; from the eight week to labor.

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.

The Western medical model — and I don't mean the science of it, I mean the practice of it, because the science is completely at odds with the practice — makes two devastating separations. First of all we separate the mind from the body, we separate the emotions from the physiology. So we don't see how the physiology of people reflects their lifelong emotional experience. So we separate the mind from the body, which is not something that traditional medicine has done, I mean, Ayuverdic or Chinese medicine or shamanic tribal cultures and medicinal practices throughout the world have always recognized that mind and body are inseparable. They intuitively knew it. Many Western practitioners have known this and even taught it, but in practice we ignore it. And then we separate the individual from the environment. The studies are clear, for example, that when people are emotionally isolated they tend to get sick more quickly and they succumb more rapidly to their disease. Why? Because people's physiology is completely related to their psychological, social environment and when people are isolated and alone their stress levels are much higher because there's nothing there to help them moderate their stress. And physiologically it is straightforward, you know, it takes a five-year-old kid to understand it. However because in practice we separate them... when somebody shows up with an inflamed joint, all we do is we give them an anti-inflammatory or because the immune system is hyperactive and is attacking them we give them a medication to suppress their immune system or we give them a stress hormone like cortisol or one of its analogues, to suppress the inflammation. But we never ask: "What does this manifest about your life?", "What does this say about your relationships?", "How stressful is your job?", "To what extent do you lack control in your life?", "Where are you not authentic?", "How are you trying to work so hard to meet your attachment needs by suppressing yourself?" (because that is what you learn to do as a kid). Then we do all this research that has to do with cell biology, so we keep looking for the cause of cancer in the cell. Now there's a wonderful quote in the New York Times a couple of years ago they did a series on cancer and somebody said: "Looking for the cause of cancer inside the individual cell is like trying to understand a traffic jam by studying the internal combustion engine." We will never understand it, but we spend hundreds of billions of dollars a year looking for the cause of cancer inside the cell, not recognizing that the cell exists in interaction with the environment and that the genes are modulated by the environment, they are turned on and off by the environment. So the impact of not understanding the unity of emotions and physiology on one hand and in the other hand the relationship between the individual and the environment.. in other words.. having a strictly biological model as opposed to what has been called a bio-psycho-social, that recognizes that the biology is important, but it also reflects our psychological and social relationships. And therefore trying to understand the biology in isolation from the psychological and social environment is futile. The result is that we are treating people purely through pharmaceuticals or physical interventions, greatly to the profit of companies that manufacture pharmaceuticals and which fund the research, but it leaves us very much in the dark about a) the causes and b) the treatment, the holistic treatment of most conditions. So that for all our amazing interventions and technological marvels, we are still far short of doing what we could do, were we more mindful of that unity. So the consequences are devastating economically, they are devastating emotionally, they are devastating medically.

The traditional hospital practice of excluding parents ignored the importance of attachment relationships as regulators of the child’s emotions, behaviour and physiology. The child’s biological status would be vastly different under the circumstances of parental presence or absence. Her neurochemical output, the electrical activity in her brain’s emotional centres, her heart rate, blood pressure and the serum levels of the various hormones related to stress would all vary significantly. Life is possible only within certain well-defined limits, internal or external. We can no more survive, say, high sugar levels in our bloodstream than we can withstand high levels of radiation emanating from a nuclear explosion. The role of self-regulation, whether emotional or physical, may be likened to that of a thermostat ensuring that the temperature in a home remains constant despite the extremes of weather conditions outside. When the environment becomes too cold, the heating system is switched on. If the air becomes overheated, the air conditioner begins to work. In the animal kingdom, self-regulation is illustrated by the capacity of the warm-blooded creature to exist in a broad range of environments. It can survive more extreme variations of hot and cold without either chilling or overheating than can a coldblooded species. The latter is restricted to a much narrower range of habitats because it does not have the capacity to self-regulate the internal environment. Children and infant animals have virtually no capacity for biological self-regulation; their internal biological states—heart rates, hormone levels, nervous system activity — depend completely on their relationships with caregiving grown-ups. Emotions such as love, fear or anger serve the needs of protecting the self while maintaining essential relationships with parents and other caregivers. Psychological stress is whatever threatens the young creature’s perception of a safe relationship with the adults, because any disruption in the relationship will cause turbulence in the internal milieu. Emotional and social relationships remain important biological influences beyond childhood. “Independent self-regulation may not exist even in adulthood,” Dr. Myron Hofer, then of the Departments of Psychiatry and Neuroscience at Albert Einstein College of Medicine in New York, wrote in 1984. “Social interactions may continue to play an important role in the everyday regulation of internal biologic systems throughout life.” Our biological response to environmental challenge is profoundly influenced by the context and by the set of relationships that connect us with other human beings. As one prominent researcher has expressed it most aptly, “Adaptation does not occur wholly within the individual.” Human beings as a species did not evolve as solitary creatures but as social animals whose survival was contingent on powerful emotional connections with family and tribe. Social and emotional connections are an integral part of our neurological and chemical makeup. We all know this from the daily experience of dramatic physiological shifts in our bodies as we interact with others. “You’ve burnt the toast again,” evokes markedly different bodily responses from us, depending on whether it is shouted in anger or said with a smile. When one considers our evolutionary history and the scientific evidence at hand, it is absurd even to imagine that health and disease could ever be understood in isolation from our psychoemotional networks. “The basic premise is that, like other social animals, human physiologic homeostasis and ultimate health status are influenced not only by the physical environment but also by the social environment.” From such a biopsychosocial perspective, individual biology, psychological functioning and interpersonal and social relationships work together, each influencing the other.

3.5 A 45-year-old woman is noted to have dizziness, pounding of the chest, and fatigue of 3 hours’ duration. On examination, she is noted to have a blood pressure (BP) of 110/70 mm Hg and heart rate of 180 bpm. She is noted on ECG to have atrial fibrillation, and a prior baseline ECG showed delta waves. The ER physician counsels the patient regarding cardioversion, but the patient declines. Which of the following is the best therapy for her condition? A. Digoxin B. Angiotensin-converting enzyme (ACE) inhibitor C. Calcium channel blocker D. Procainamide

Finally, the results of a randomized clinical trial of more than 1,000 patients, published in the June 2012 issue of Archives of Internal Medicine, found that women experienced a disproportionate level of extreme fatigue and decreased energy levels after taking statin medications to lower their cholesterol. So if you are a mother or a career woman taking statins, don’t assume it’s your busy life that’s zapped you of energy; it might be those cholesterol pills prescribed to supposedly make you healthier. At the very least, all these studies make it clear that it’s not only worth taking a closer look at the evidence, it’s worth asking if women should be lowering their cholesterol at all.

The propensity of Americans, evangelicals among them, to replace decisions of conscience with unthinking, pragmatic choices—especially when health is at stake—may have an unforeseen consequence for those who have freed themselves from external tyranny: subjection to internal tyranny of ignorance.

slowly. “You remember, don’t you?

To another extent, always there, undeniable but

One legendary animal that seems ambiguous, hovering as it does in between the real that you can touch and the humanly unattainable, is the pronghorn antelope of the American plains. It has been clocked running at 61 miles per hour—almost twice as fast as a racehorse—and not just in a short sprint. It can reputedly cover 7 miles in 10 minutes. The Hopi tribe believed the antelope to be a spirit messenger and a powerful medicine. In a recent issue of the international journal Nature, the pronghorn was declared the world’s premier ultrarunning animal, the best distance runner that muscle and bone and blood could produce.

Aging and dying are still enigmatic on the molecular scale to modern sciences. However, Avicenna had the broad concept figured out, and his explanation is congruent with our recent knowledge, and with new facts at hand we now can explain his reasoning at the cellular and biochemical levels. Avicenna states, “After the period of youth heat starts to diminish due to the decline in moisture, and in agreement with the internal innate heat and support of physical and psychological actions that are needed, therefore, in the absence of a natural reversal, all bodily functions reach their end

The results were published in March in JAMA Internal Medicine by researchers at Vanderbilt University School of Medicine. Their study, conducted among more than 200,000 men and women in the Southern United States and Shanghai, found that the more nuts people consumed, the lower their death rates from all causes and especially from heart disease and stroke.

Emissions of carbon dioxide reasonable commercial For those who do not know each other with the phrase "carbon footprint" and its consequences or is questionable, which is headed "reasonable conversion" is a fast lens here. Statements are described by the British coal climatic believe. "..The GC installed (fuel emissions) The issue has directly or indirectly affected by a company or work activities, products," only in relation to the application, especially to introduce a special procedure for the efforts of B. fight against carbon crank function What is important? Carbon dioxide ", uh, (on screen), the main fuel emissions" and the main result of global warming, improve a process that determines the atmosphere in the air in the heat as greenhouse gases greenhouse, carbon dioxide is reduced by the environment, methane, nitrous oxide and chlorofluorocarbons (CFCs more typically classified as). The consequences are disastrous in the sense of life on the planet. The exchange is described at a reasonable price in Wikipedia as "...geared a social movement and market-based procedures, especially the objectives of the development of international guidelines and improve local sustainability." The activity is for the price "reasonable effort" as well as social and environmental criteria as part of the same in the direction of production. It focuses exclusively on exports under the auspices of the acquisition of the world's nations to coffee most international destinations, cocoa, sugar, tea, vegetables, wine, specially designed, refreshing fruits, bananas, chocolate and simple. In 2007 trade, the conversion of skilled gross sales serious enough alone suffered due the supermarket was in the direction of approximately US $ 3.62 billion to improve (2.39 million), rich environment and 47% within 12 months of the calendar year. Fair trade is often providing 1-20% of gross sales in their classification of medicines in Europe and North America, the United States. ..Properly Faith in the plan ... cursed interventions towards closing in failure "vice president Cato Industries, appointed to inquire into the meaning of fair trade Brink Lindsey 2003 '. "Sensible changes direction Lindsay inaccurate provides guidance to the market in a heart that continues to change a design style and price of the unit complies without success. It is based very difficult, and you must deliver or later although costs Rule implementation and reduces the cost if you have a little time in the mirror. You'll be able to afford the really wide range plan alternatives to products and expenditures price to pay here. With the efficient configuration package offered in the interpretation question fraction "which is a collaboration with the Carbon Fund worldwide, and acceptable substitute?" In the statement, which tend to be small, and more? They allow you to search for carbon dioxide transport and delivery. All vehicles are responsible dioxide pollution, but they are the worst offenders? Aviation. Quota of the EU said that the greenhouse gas jet fuel greenhouse on the basis of 87% since 1990 years Boeing Company, Boeing said more than 5 747 liters of fuel burns kilometer. Paul Charles, spokesman for Virgin Atlantic, said flight CO² gas burned in different periods of rule. For example: (. The United Kingdom) Jorge Chavez airport to fly only in the vast world of Peru to London Heathrow with British Family Islands 6.314 miles (10162 km) works with about 31,570 liters of kerosene, which produces changes in only 358 for the incredible carbon. Delivery. John Vidal, Environment Editor parents argue that research on the oil company BP and researchers from the Department of Physics and the environment in Germany Wising said that about once a year before the transport height of 600 to 800 million tons. This is simply nothing more than twice in Colombia and more than all African nations spend together.

According to International Diabetes Foundation, diabetes had long moved from being “a rich man’s disease”. With diabetes now affecting all the segments of Indian population, India stands on the verge of becoming “the diabetes capital of the world” with around 61 million people affected by the disease and expecting to cross 100 million people by 2030. Given the scale of diabetes epidemic, the NPPA justified its price control orders. On hearing the above, all hell broke loose in the Indian Pharma. The Indian pharma industry reacted very aggressively to this decision. Both Indian and multinationals raised concerns that “India’s investment image” had gone to the dogs and that the industry would have to shut down if the same trend continues. The Indian pharma lobbies also filed in the Delhi and Bombay High Courts, and prayed for a stay order which they were not granted, as many Supreme Court judgments had earlier justified price controls on medicines in public interest Modi’s Government rescues India’s Investment Image Given the relentless Industry demands, the Modi government decided to clip the wings of NPPA which was supposedly an expert body of regulators and withdrew their powers to pass such orders in the future. The decision of Modi government to withdraw the powers of the National Pharmaceutical Pricing Authority (NPPA) to set price caps on drugs raises serious questions on the state’s commitment to the welfare of the poor. As a result, over 108 essential drugs will now lie outside the ambit of NPPA and its internal guidelines on regulation and control of drugs would cease to apply to them. According to the government, the reasoning for withdrawal of powers of NPPA and clipping of its wings was because “it lacked legality”. Interestingly, the Modi government has found that NPPA was not legally competent to pass price control orders after over 17 years of its creation and immediately after it passed orders that would restrain pharma companies from making super normal profits.

The close-up, reassuring, warm touch of the physician, the comfort and concern, the long, leisurely discussions … are disappearing from the practice of medicine, and this may turn out to be too great a loss. … If I were a medical student or an intern, just getting ready to begin, I would be more worried about this aspect of my future than anything else. I would be apprehensive that my real job, caring for sick people, might soon be taken away, leaving me with the quite different occupation of looking after machines. I would be trying to figure out ways to keep this from happening. —Lewis Thomas, M.D. The Youngest Science: Notes of a Medicine Watcher

Joint pain - Aloe vera contains polysaccharides and amino sugars; these sugars have  preventative and mitigating properties on joint functions. They support synovial fluid renewal. Aloe vera can be used topically (gel applied directly on the joints) or internally (ingestion of gel). Liver Maladies - Over a five-to-six-week period, drinking three to five glasses of water mixed with aloe vera gel aids the liver in its detoxification process. This cure is helpful  when you’ve gone through a period of excessive alcohol consumption. Neurodermatitis - The cooling effect combined with the substances within aloe vera has been a popular treatment for patients suffering

When Yang is deficient there is external Cold, when Yin is deficient there is internal Heat, when Yang is in Excess there is external Heat, when Yin is in Excess there is internal Cold.

Almost two million people over age 65, or nearly 6 percent of those Americans (excluding nursing home residents), rarely or never leave their homes, researchers recently reported in JAMA Internal Medicine. The homebound far outnumber the 1.4 million residents of nursing homes.

More than 38 percent of women report depressive symptoms after deployment, compared with about 32 percent of men, according to a study published by the Journal of General Internal Medicine.

JAMA 2003;289:2560–72

It is the body that makes us crazy: our inability to interpret our corporeality, the inscrutable messages it bathes us in with every passing moment. For the patients, it wasn’t their insistence on interpreting, on trying to decode those messages, that made them mad. We are no different in this.

It had never occurred to me before that nerve was so essential to being a doctor. What if I had lost it?

From growing up in poverty to developing drugs that fight diabetes, seizures, and cancer, Dr. Frank L. Douglas has lived a life based on values, hard work, and self-control. Defining Moments of a Free Man from a Black Stream is a reflection on the events and people that made him into the man he is. In 1963, the year of the murder of Medgar Evers, Civil Rights marches, and the assassination of President John F. Kennedy, twenty-year-old Douglas arrived in the United States. A Fulbright scholar from British Guiana, Douglas studied engineering at Lehigh University, received his Ph.D. and M.D. from Cornell University, and did his Residency in Internal Medicine at Johns Hopkins.

If you are looking for the best vein doctors for Varicose Veins Treatment in Long Island, Rybstein Medical has a highly qualified and experienced team of vein specialists. We offer quality treatment for vein problems.

When someone genuinely laughs with you, it’s proof that you share a certain internal space. And that’s not so lonely after all.

The vague contention that the economy must be decarbonised via the replacement of fossil fuels by renewable energy is inadequate when building the new infrastructure required currently relies on continued and expanded environmental plunder, such as the mining of cobalt and lithium for batteries. Resource extraction is responsible for 50% of global emissions, with minerals and metal mining responsible for 20% of emissions even before the manufacturing stage.[36] The ‘green’ industrial revolution proposed by social democrats may end up with a carbon neutral system of production by the time it is finished, but in the meantime it would be anything but. That mankind and nature have been so profoundly alienated from each other under capitalism requires that they be reunited if the planet is to remain habitable.[37] One of the ways that this alienation has been most concretely institutionalised has been through the international prohibition and under-utilisation of the hemp and cannabis plants, the most prolific and versatile crops on Earth that were used for thousands of years before capitalism for food, fuel, medicine, clothing and construction. As we shall see, not only does hemp remain capable of providing for most of humanity’s needs, it is the key not only to reversing desertification and stabilising the climate, but also furthering technological and industrial progress. We therefore argue that saving the planet is bound up with ending this alienation and completing the transition from a labour-intensive extraction-based economy to a hemp-based fully automated system of production. A green industrial revolution must be precisely that – green.

The Pala period [between the eighth and the twelfth century CE], in particular, saw several monasteries emerge in what is now modern Bengal and Bihar, five of which—Vikramashila, Nalanda, Somapura Mahavihara, Odantapuri, and Jaggadala—were premier educational institutions which created a coordinated network amongst themselves under Indian rulers. Nalanda University, which enjoyed international renown when Oxford and Cambridge were not even gleams in their founders’ eyes, employed 2,000 teachers and housed 10,000 students in a remarkable campus that featured a library nine storeys tall. It is said that monks would hand-copy documents and books which would then become part of private collections of individual scholars. The university opened its doors to students from countries ranging from Korea, Japan, China, Tibet, and Indonesia in the east to Persia and Turkey in the west, studying subjects which included the fine arts, medicine, mathematics, astronomy, politics and the art of war.

By going the extra mile to provide medicines to more than 120 nations, two-thirds of them as grant, a clear message of internationalism was sent.

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Sometimes I find myself n a situation so confusing that the only thing to do is tell the truth, I think.

Sometimes I find myself in a situation so confusing that the only thing to do is tell the truth, I think.

If one really believed in the reliability and permanence of an international arrangement, such schemes for providing the authority with 'hostages' might be more efficient, even more humane, than providing it with bombers and shock troops. One could even go further and let the force have a monopoly of critical medicines to use for bacterial warfare on a transgressor country. As soon as it starts an epidemic, it send its medical units in to make sure that no one suffers who cooperates.

administered medicine to stop the bleeding.  The man was already calm, lying with his eyes closed, so Gia assumed they’d already gotten him something for the pain. Morgan gave some orders to the other nurse in the room and then walked out into the hall to talk to Gia. “He’s okay,” she said.  “I don’t think there’s any internal injuries, it

Possibly, the entire world has become a victim of chemically and biologically warfare by the sadist and evil-minded ones. Indeed, such practices will definitely, and continuously, in its ways, now and after it, to destroy this planet and humanity ruthlessly. Therefore, the world should forbid medication of homeopathy medicines by homeopathy doctors, who give in their practice offices since it is the utmost danger to the patients as they stay unaware of the accuracy and authenticity of that. In such ways, victimization is possible by the criminals and even International Intelligence Agencies, to harm the health of its opponents in whatever ways and reasons. All homeopathy medicines should be delivered, through the official and licensed pharmacies since patients can stay secure and safe from the suspicious and disqualified subjects and figures. As a fact, the present way of medication, carries severe risks, as that fails to give information about its ingredients and legal name and expiry date. Indeed, deliberately or not, homeopathy doctors may become life-threatening to those who have problems and conflict with dictatorships in various countries. Through homeopathy and such other natural treating ways are not under control and observation sufficiently and accurately that may result in grave consequences. In this regard, I have expressed such concerns, which I physically faced and also suffered from that, even though, I believe, authorities of the global states will understand and investigate seriously in wide-scale, to stop and eliminate creators of biological warfare against humanity for their evil purposes. It is a core responsibility of all states of the world to take immediate action in this regard to save its peoples from life-threating activities. Read these below links to realize the real concept and context that humanity is becoming the victim and hunt for biological weapons and warfare.

The Times ad marked a seminal intersection in the history of cancer. With it, cancer declared its final emergence from the shadowy interiors of medicine into the full glare of public scrutiny, morphing into an illness of national and international prominence. This was a generation that no longer whispered about cancer. There was cancer in newspapers and cancer in books, cancer in theater and in films: in 450 articles in the New York Times in 1971; in Aleksandr Solzhenitsyn's Cancer Ward, a blistering account of a cancer hospital in the Soviet Union; in Love Story, a 1970 film about a twenty-four-year-old woman who dies of leukemia; in Bang the Drum Slowly, a 1973 release about a baseball catcher diagnosed with Hodgkin's disease; in Brian's Song, the story of the Chicago Bears star Brian Piccolo, who died of testicular cancer. A torrent of op-ed pieces and letters appeared in newspapers and magazines.

Living with a small and non-thick penis can be devastating to a man for more than one reason. He lacks a certain feeling of self-confidence with this problem and many areas of life will begin to suffer. For years men have been dealing with this problem. Making excuses for their poor sexual performance, avoiding intimate contact with the women they love and often times sinking into a deep depression that is hard to break. Sikander-e-Azam plus is the world's best male enhancement package to combine safe, natural and effective ingredients to treat overall sexual problem both internally and externally. It provides you with a safe chemical free alternative to boost your overall sexual health. Our penis enlargement medicine Sikander-e-Azam plus capsules are the best in the market due to its fresh herbal ingredients.

The oil of Lady’s Mantle, taken internally, eases colic, expels wind, and opens obstructions of the kidneys, ureters and, bladder, expelling gravel, stones, and sand, “cleansing them from any Tartarous Mucilage lodged therein.

We sent her Lady’s Mantle tincture, which she applied externally on the ear and took internally as well. The eardrum sealed up

The growing cerebrality of machines must logically be expected to occasion a technological purification of bodies. Inasmuch as bodies are less and less able to count on their own antibodies, they are more and more in need of protection from outside. An artificial sterilization of all environments must compensate for faltering internal immunological defences. And if these are indeed faltering, it is because the irreversible process often referred to as progress tends to strip the human body and mind of their systems of initiative and defence, reassigning these functions to technical artifacts. Once dispossessed of their defences, human beings become eminently vulnerable to science and technology; dispossessed of their passions, they likewise become eminently vulnerable to psychology and its attendant therapies; similarly, too, once relieved of emotions and illnesses, they become eminently vulnerable to medicine.

Dr S Rajasundaram, Petts Wood, Kent, UK, is heavily involved with charitable foundations in the UK and in Sri Lanka. Following his retirement from the National Health Service, Dr Rajasundaram, Petts Wood began to focus more of his time and resources on his philanthropic efforts and has recently completed a major refurbishment of a hospital in a deprived area in the Northern Sri Lankan province.

Months beforehand I started focusing my Manhattanite efficiency on getting registered in Italy, Andrea leading me by the hand through the wilderness of Old World red tape. The first step was “getting my documents together,” an Italian ritual repeated before every encounter with officialdom. Sticking to a list kindly provided by the Italian Consulate, I collected my birth certificate, passport, high school diploma, college diploma, college transcript, medical school diploma, medical school transcript, certificates of internship and residency, National Board Examination certificates, American Board of Internal Medicine test results, and specialization diploma. Then I got them transfigured into Italian by the one person in New York authorized by the Italian Consulate to crown his translation with an imprimatur. We judiciously gave him a set of our own translations as crib notes, tailored by my husband to match the Rome medical school curriculum. I wrote a cover letter from Andrea’s dictation. It had to be in my own hand, on a folded sheet of double-sized pale yellow ruled Italian paper embossed with a State seal, and had to be addressed “To the Magnificent Rector of the University of Rome.” You have to live in Italy a while to appreciate the theatrical elegance of making every fiddler a Maestro and every teacher a Professoressa; even the most corrupt member of the Italian parliament is by definition Honorable, and every client of a parking lot is by default, for lack of any higher title, a Doctor (“Back up, Dotto’, turn the wheel hard to the left, Dotto’”). There came the proud day in June when I got to deposit the stack of documents in front of a smiling consular official in red nail polish and Armani. After expressing puzzlement that an American doctor would want to move to her country (“You medical people have it so good here”), she Xeroxed my certificates, transcripts, and diplomas, made squiggles on the back to certify the Xeroxes were “authentic copies,” gave me back the originals, and assured me that she’d get things processed zip zip in Italy so that by the time I left for Rome three months later I’d have my Italian license and be ready to get a job. Don’t call me, I’ll call you. When we were about to fly in September and I still hadn’t heard from her, I went to check. Found the Xeroxes piled up on Signora X’s desk right where I’d left them, and the Signora gone for a month’s vacation. Slightly put out, I snatched up the stack to hand-carry over (re-inventing a common expatriate method for avoiding challenges to the efficiency of the Italian mails), prepared to do battle with the system on its own territory.

imagine that your DNA is like a piano buried deep in your cells. The keys on the piano are your genes, which can be played in a variety of ways. Some keys will never be pressed. Others will be struck frequently and in steady combinations. Part of what distinguishes me from you and you from everyone else in the world is how these keys are pressed. That’s gene expression. It’s the genetic recital within your cells that plays a role in forming how your body and mind work. Our inner voice, it turns out, likes to tickle our genetic ivories. The way we talk to ourselves can influence which keys get played. The UCLA professor of medicine Steve Cole has spent his career studying how nature and nurture collide in our cells. Over the course of numerous studies he and his colleagues discovered that experiencing chatter-fueled chronic threat influences how our genes are expressed. When our internal conversations activate our threat system frequently over time, they send messages to our cells that trigger the expression of inflammation genes, which are meant to protect us in the short term but cause harm in the long term. At the same time, the cells carrying out normal daily functions, like warding off viral pathogens, are suppressed, opening the way for illnesses and infections. Cole calls this effect of chatter “death at the molecular level.

Let us bring our account to a summation. Burdock acts so widely on the system that it is somewhat difficult to pin down its exact affinities. Yet, we can say that it opens pores and promotes secretion from internal and external surfaces. It seems to act particularly through the liver, lymphatics, and kidneys. It stimulates metabolism through the liver, cleansing and feeding through the lymph, and waste removal through the veins. Thus, it strengthens, wrings out and lifts tissues and organs, including the uterus and prostate. It acts strongly on the skin, to promote or correct perspiration. On the psychological level, Burdock helps us to deal with our worries about the unknown, the “Hedge Ruffians,” the bears, which lurk in the dark woods beyond our control. It seizes upon deep, complex issues, penetrates to the core and brings up old memories and new answers. It gives us the faith to move ahead on our path, despite the unknown problems which may ensnare us along the way. It helps the person who is afraid become more hardy, while it brings the hardy wanderer back to his original path. It restores vigor and momentum. Preparation,

On the other hand, the shortage of primary care physicians is so severe that 43.7 percent of the 21,885 residency positions in internal medicine in 2005 were filled by graduates of foreign medical schools30—because most of those coming out of American medical schools opt for training as specialists. This

Singh Khalsa, M.D., the internationally acclaimed expert in integrative medicine and author of Food as Medicine, the kiwifruit is one of the most underrated healing foods. “Because of their rich array of disease-fighting antioxidants and phytonutrients, they are often

The term “myalgic encephalomyelitis” (muscle pain, “myalgic”, with “encephalomyelitis” inflammation of the brain and spinal cord) was first included by the World Health Organization (WHO) in their International Classification of Diseases in 1969. It is ironic that Donald Acheson, who subsequently became the Chief Medical Officer first coined the name in 1956.8 In 1978 the Royal Society of Medicine accepted ME as a nosological organic entity.9 The current version of the International Classification of Diseases—ICD‐10, lists myalgic encephalomyelitis under G.93.3—neurological conditions. It cannot be emphasised too strongly that this recognition emerged from meticulous clinical observation and examination.

As a child, I trusted the god in the sky with decisions like life and death. It wasn’t until I began studying medicine that I learned these are decisions made by humans. Flawed humans—as though there were any other kind. —“Intangible