Major Surgery Quotes

If the Universe came to an end every time there was some uncertainty about what had happened in it, it would never have got beyond the first picosecond. And many of course don't. It's like a human body, you see. A few cuts and bruises here and there don't hurt it. Not even major surgery if it's done properly. Paradoxes are just the scar tissue. Time and space heal themselves up around them and people simply remember a version of events which makes as much sense as they require it to make.

Cosmetic surgery processes the bodies of woman-made women, who make up the vast majority of its patient pool, into man-made women.

If sympathy is all that human beings need, then the Cross of Christ is an absurdity and there is absolutely no need for it. What the world needs is not "a little bit of love," but major surgery. If you think you are helping lost people with your sympathy and understanding, you are a traitor to Jesus Christ. You must have a right-standing relationship with Him yourself, and pour your life out in helping others in His way— not in a human way that ignores God.

Remember, it is no sign of weakness or defeat that your manuscript ends up in need of major surgery. This is a common occurrence in all writing, and among the best writers.

I tell them: don’t depend on a woodsman in the third act. I tell them: look for sets of three, or seven. I tell them: there’s always a way to survive. I tell them: you can’t force fidelity. I tell them: don’t make bargains that involve major surgery. I tell them: you don’t have to lie still and wait for someone to tell you how to live. I tell them: it’s all right to push her into the oven. She was going to hurt you. I tell them: she couldn’t help it. She just loved her own children more. I tell them: everyone starts out young and brave. It’s what you do with it that matters. I tell them: you can share that bear with your sister. I tell them: no-one can stay silent forever. I tell them: it’s not your fault. I tell them: mirrors lie. I tell them: you can wear those boots, if you want them. You can lift that sword. It was always your sword. I tell them: the apple has two sides. I tell them: just because he woke you up doesn’t mean you owe him anything. I tell them: his name is Rumplestiltskin.

While all doctors treat diseases, neurosurgeons work in the crucible of identity: every operation on the brain is, by necessity, a manipulation of the substance of our selves, and every conversation with a patient undergoing brain surgery cannot help but confront this fact. In addition, to the patient and family, the brain surgery is usually the most dramatic event they have ever faced and, as such, has the impact of any major life event. At those critical junctures, the question is not simply whether to live or die but what kind of life is worth living. Would you trade your ability - or your mother's - to talk for a few extra months of mute life? The expansion of your visual blind spot in exchange for eliminating the small possibility of a fatal brain hemorrhage? Your right hand's function to stop seizures? How much neurologic suffering would you let your child endure before saying that death is preferable? Because the brain mediates our experience of the world, any neurosurgical problem forces a patient and family, ideally with a doctor as a guide, to answer this question: What makes life meaningful enough to go on living?

Trying to teach creativity is the major hoax of our time along with the Iraq war and plastic surgery.

But that can't work, can it?" Said Richard. "If we do that, then this won't have happened. Don't we generate all sorts of paradoxes?" Reg stirred himself from thought. "No worse than many that exist already," he said. "If the universe came to an end every time there was some uncertainty about what had happened in it, it would never have got beyond the first picosecond. And many of course don't. It's like a human body, you see. A few cuts and bruises here and there don't hurt it. Not even major surgery if its done properly. Paradoxes are just the scar tissue. Time and space heal themselves up around them and people simply remember a version of events which makes as much sense as they require it to make. That isn't to say if you get involved in a paradox a few things won't strike you as being very odd, but if you've got through life without that already happening to you, then I don't know which universe you've been living in, but it isn't this one

To finally surrender ourselves to healing, we have to have three spaces opened up within us - and all at the same time: our opinionated head, our closed-down heart, and our defensive and defended body. That is the summary work of spirituality - and it is indeed work. Yes, it is also the work of “a Power greater than ourselves,” and it will lead to a great luminosity and depth of seeing. That is why true faith is one of the most holistic and free actions a human can perform. It leads to such broad and deep perception that most traditions would just call it “light.” Remember, Jesus said that we also are the light of the world (Matthew 5:14), as well as saying it about himself (John 8:12). Strange that we see light in him but do not imitate him in seeing the same light in ourselves. Such luminous seeing is quite the opposite of the closed-minded, dead-hearted, body-denying thing that much religion has been allowed to become. As you surely have heard before, “Religion is lived by people who are afraid of hell. Spirituality is lived by people who have been through hell and come out enlightened.” The innocuous mental belief systems of much religion are probably the major cause of atheism in the world today, because people see that religion has not generally created people who are that different, more caring, or less prejudiced than other people. In fact, they are often worse because they think they have God on their small side. I wish I did not have to say this, but religion either produces the very best people or the very worst. Jesus makes this point in many settings and stories. Mere mental belief systems split people apart, whereas actual faith puts all our parts (body, heart, and head) on notice and on call. Honestly, it takes major surgery and much of one’s life to get head, heart, and body to put down their defenses, their false programs for happiness, and their many forms of resistance to what is right in front of them. This is the meat and muscle of the whole conversion process.

There’s a reason they call childbirth labor. Making a healthy baby takes effort: It requires foresight and self-denial and courage. It’s expensive and demanding and tiring. You have to learn new things, change many habits, possibly deal with complicated medical situations, make difficult decisions, and undergo stressful ordeals. I had a wisdom tooth pulled without Novocaine while I was pregnant—it hurt a lot and seemed to go on forever. The kindness of the very young dental assistant, holding back my hair as I spat blood into a bowl, will stay with me for the rest of my life. Pregnant women do such things, and much harder things, all the time. For example, they give birth, which is somewhere on the scale between painful and excruciating. Or they have a cesarean, as I did, which is major surgery. None of this is without risk of death or damage or trauma, including psychological trauma. To force girls and women to undergo all this against their will is to annihilate their humanity. When they undertake it by choice, we should all be grateful.

We need an engineering friend.” She points a finger at Carin. “Go back to Briar and hook up with an engineering student.” “Okay, but I’ll need to actually have sex with him beforehand, so I won’t be back until,” she pretends to check the time, “ten or so.” “We’re all college graduates,” I proclaim. “We can put this together ourselves.” Clapping my hands, I motion for everyone to get on the floor with me. After three tries of trying to lower myself to the ground and making Hope and Carin nearly pee their pants laughing in the process, D’Andre takes pity on all of us and helps me onto my knees. Which is where Tucker finds us. “Is this some new fertility ritual?” he drawls from the doorway, one shoulder propped against the frame. “Because she’s already pregnant, you know.” “Get yo ass in here, white boy, and put this thing together,” D’Andre snaps. “This is ridiculous.” “What’s ridiculous?” Tucker stops next to me, and I take the opportunity to lean against his legs. Even kneeling is hard when you’re toting around an extra thirty pounds. “We took it apart. How can you not know how to put it back together?” D’Andre repeats his earlier excuse. “I’m an accounting major.” Tucker rolls his eyes. “You got an Allen wrench?” “Are you mocking us right now?” I grumble. “I don’t have any wrenches, let alone ones with names.” He grins. “Leave this to me, darlin’. I’ll get it fixed up.” “I want to help,” Hope volunteers. “This is like surgery, except with wood and not people.” “Lord help us,” D’Andre mutters.

Do not be afraid to seize whatever you have written and cut it to ribbons; it can always be restored to its original condition in the morning...remember, it is no sign of weakness or defeat that your manuscript ends up in need of major surgery. This is a common occurrence in all writing, and among the best writers.

Congenital disease can warp the heart with great variety. Valves can be sealed tight, missing parts—or absent altogether. Major vessels can be misplaced, narrowed, or blocked completely. A chamber can be too small or missing, a wall too thick or thin. The heart’s electrical system—its nerves—may go haywire. The muscle can be weak. Holes may occur almost anywhere, in almost any size. Studying heart pathology, one is reminded that the genetic symphony that produces a normal baby is indeed a wondrous and delicate one.

They would find something simple and that would be the end of it. I'd just have to schedule my life around a surgery, nothing major.

We already have intriguing evidence that some types of chronic pain work by prediction. Animals who have stress or injury early in life become more likely to develop persistent pain. Human infants who have surgery are more likely to have heightened pain in later childhood. (Incredibly, infants prior to the 1980s were routinely not anesthetized during major surgery, on the belief that they couldn’t feel pain!)

I have come to see that the benefits produced by eating a plant-based diet are far more diverse and impressive than any drug or surgery used in medical practice. Heart diseases, cancers, diabetes, stroke and hypertension, arthritis, cataracts, Alzheimer’s disease, impotence and all sorts of other chronic diseases can be largely prevented. These diseases, which generally occur with aging and tissue degeneration, kill the majority of us before our time.

the brain surgery is usually the most dramatic event they have ever faced and, as such, has the impact of any major life event. At those critical junctures, the question is not simply whether to live or die but what kind of life is worth living.

But that can’t work, can it?” said Richard. “If we do that, then this won’t have happened. Don’t we generate all sorts of paradoxes?” Reg stirred himself from thought. “No worse than many that exist already,” he said. “If the Universe came to an end every time there was some uncertainty about what had happened in it, it would never have got beyond the first picosecond. And many of course don’t. It’s like a human body, you see. A few cuts and bruises here and there don’t hurt it. Not even major surgery if it’s done properly.

Caesar Flickerman, the man who has hosted the interviews for more than forty years, bounces onto the stage. It’s a little scary because his appearance has been virtually unchanged during all that time. Same face under a coating of pure white makeup. Same hairstyle that he dyes a different color for each Hunger Games. Same ceremonial suit, midnight blue dotted with a thousand tiny electric bulbs that twinkle like stars. They do surgery in the Capitol, to make people appear younger and thinner. In District 12, looking old is something of an achievement since so many people die early. You see an elderly person, you want to congratulate them on their longevity, ask the secret of survival. A plump person is envied because they aren’t scraping by like the majority of us. But here it is different. Wrinkles aren’t desirable. A round belly isn’t a sign of success.

The girl’s parents had belonged to a religious organization called the Society of Witnesses. A Christian sect, the Witnesses preached the coming of the end of the world. They were fervent proselytizers and lived their lives by the Bible. They would not condone the transfusion of blood, for example. This greatly limited their chances of surviving serious injury in a traffic accident. Undergoing major surgery was virtually impossible for them. On the other hand, when the end of the world came, they could survive as God’s chosen people and live a thousand years in a world of ultimate happiness.

In addition, to the patient and family, the brain surgery is usually the most dramatic event they have ever faced and, as such, has the impact of any major life event. At those critical junctures, the question is not simply whether to live or die but what kind of life is worth living. Would you trade your ability—or your mother's—to talk for a few extra months of mute life? [...] How much neurologic suffering would you let your child endure before saying that death is preferable? Because the brain mediates our experience of the world, any neurosurgical problem forces a patient and family, ideally with a doctor as a guide, to answer this question: What makes life meaningful enough to go on living?

One might go to the bakery, perhaps," he said. "But did you know the baker has tuberculosis? All the people here run around in a highly infectious state. The baker's daughter has tuberculosis too, it seems to have something to do with the runoff from the cellulose factory, with the steam that the locomotives have spewed out for decades, with the bad diet that people eat. Almost all of them have cankered lung lobes, pneumothorax and pneumoperitoneum are endemic. They have tuberculosis of the lungs, the head, the arms and legs. All of them have tubercular abscesses somewhere on their bodies. The valley is notorious for tuberculosis. You will find every form of it here: skin tuberculosis, brain tuberculosis, intestinal tuberculosis. Many cases of meningitis, which is deadly within hours. The workmen have tuberculosis from the dirt they dig around in, the farmers have it from their dogs and the infected milk. The majority of the people have galloping consumption. Moreover," he said, "the effect of the new drugs, of streptomycin for example, is nil. Did you know the knacker has tuberculosis? That the landlady has tuberculosis? That the landlady has tuberculosis? That her daughters have been to sanatoria on three occasions? Tuberculosis is by no means on the way out. People claim it is curable. but that's what the pharmaceutical industry says. In fact, tuberculosis is as incurable as it always was. Even people who have been inoculated against it come down with it. Often those who have it the worst are the ones who look so healthy that you wouldn't suspect they were ill at all. Their rosy faces are utterly at variance with their ravaged lungs. You keep running into people who've had to endure a cautery or, at the very least, a transverse lesion. Most of them have had their lives ruined by failed reconstructive surgery." We didn't go to the bakery. Straight home instead.

Absenteeism runs rife, with too many unethical doctors willing to supply fake illness certificates. "My dentist was flummoxed when he was asked by a Finanza major to provide his wife with a (false) certificate claiming he’d been performing oral surgery on her on a day she had skipped work. But he did it. “What else could I do? I mean, I might need the guy for a favor sometime.

Naturally, it causes psychological harm as well; it shouldn’t surprise you that a national survey of 24,000 workers found that men and women with few social ties were two to three times more likely to suffer from major depression than people with strong social bonds.9 When we enjoy strong social support, on the other hand, we can accomplish impressive feats of resilience, and even extend the length of our lives. One study found that people who received emotional support during the six months after a heart attack were three times more likely to survive.10 Another found that participating in a breast cancer support group actually doubled women’s life expectancy post surgery.11 In fact, researchers have found that social support has as much effect on life expectancy as smoking, high blood pressure, obesity, and regular physical activity.12

They do surgery in the Capitol, to make people appear younger and thinner. In District 12, looking old is something of an achievement since so many people die early. You see an elderly person you want to congratulate them on their longevity, ask the secret of survival. A plump person is envied because they aren't scraping by like the majority of us. But here it is different. Wrinkles aren't desirable. A round belly isn't a sign of success

They do surgery in the Capitol, to make people appear younger and thinner. In District 12, looking old is something of an achievement since so many people die early. You see an elderly person, you want to congratulate them on their longevity, ask the secret of survival. A plump person is envied because they aren’t scraping by like the majority of us. But here it is different. Wrinkles aren’t desirable. A round belly isn’t a sign of success.

Humans are organisms, subject to physical laws, including, alas, the one that says entropy always increases. Diseases are molecules misbehaving; the basic requirement of life is metabolism, and death its cessation. While all doctors treat diseases, neurosurgeons work in the crucible of identity: every operation on the brain is, by necessity, a manipulation of the substance of our selves, and every conversation with a patient undergoing brain surgery cannot help but confront this fact. In addition, to the patient and family, the brain surgery is usually the most dramatic event they have ever faced and, as such, has the impact of any major life event. At those critical junctures, the question is not simply whether to live or die but what kind of life is worth living. Would you trade your ability—or your mother’s—to talk for a few extra months of mute life? The expansion of your visual blind spot in exchange for eliminating the small possibility of a fatal brain hemorrhage? Your right hand’s function to stop seizures? How much neurologic suffering would you let your child endure before saying that death is preferable? “Because the brain mediates our experience of the world, any neurosurgical problem forces a patient and family, ideally with a doctor as a guide, to answer this question: What makes life meaningful enough to go on living?

This should be easy because I’ve fallen out of love with Facebook. First, I want to be the kind of friend who hears about others’ milestones in person. I hate learning about major life events buried in a timeline between photos of fresh pedicures and pictures of lunch. When someone close to me has a baby or goes through emergency surgery or suffers a loss, they deserve more than a “like.” A click should never take the place of real interaction. Plus, I almost never visit anyone else’s page

So certain were experts that neonates felt no pain that through the mid-1980s major surgeries on newborn babies were sometimes performed without anesthesia. These included major cardiovascular procedures requiring prying open rib cages, puncturing lungs, and tying off major arteries. Though provided with no pharmacologic agents to blunt the pain that cracking ribs or cutting through the sternum might have induced, babies were given powerful agents to induce paralysis—ensuring an immobile (and undoubtedly terrified) patient on whom to operate. Jill Lawson’s remarkable story of her premature son, Jeffrey, and his unanesthetized heart surgery provides a heartbreaking account of such a procedure. After Jeffrey’s death in 1985, Lawson’s campaign to educate the medical profession about the need to treat pain in the young literally changed the field. And likely led to improved awareness of pain in animals, too. bA technique called clicker training pairs a metallic tick-tock! with a food treat every time the animal performs a desired behavior. Eventually the animal comes to associate the sound of the clicker with the feel-good neurochemical rewards of the food. When the treat is discontinued, the animal will continue doing the behavior, because

Whatever you focus on is your reality. You tend to move in the direction of what you’re focused on--especially when it’s bad. I remember when I was about nine years old, staying with my grandma and grandpa at the lake, I was playing with my cousins at this construction site. Not the safest place to play, which I suppose is what attracted me to it. I saw a two-by-four with a nail sticking out of it, and I remember running and thinking, Oh man, wouldn’t it be terrible if I fell on that? A few moments later, it actually happened. I tripped and the nail went straight through my knee. I ended up going to the hospital with a two-by-four stuck to my knee because we were afraid to pull it out. The nail was about a centimeter away from cutting a vital tendon that would have required major surgery. So I was really fortunate in that regard. But I couldn’t help thinking that my focus on this nail created the situation. I’ve learned since then that we all have the power to create our own destiny. On some level, we ask for things that happen to us in our lives. You have to know what you want, then be aware of the thoughts you hold in your mind. Negative ones--fear, anger, jealousy, frustration--will undermine you. If you see the nail tripping you up, it will.

I don’t like to use this word,” he said, “because I’m a man of science and I don’t believe in it. But what happened to your mother today was a miracle. I never say that, because I hate it when people say it, but I don’t have any other way to explain this.” The bullet that hit my mother in the butt, he said, was a through-and-through. It went in, came out, and didn’t do any real damage. The other bullet went through the back of her head, entering below the skull at the top of her neck. It missed the spinal cord by a hair, missed the medulla oblongata, and traveled through her head just underneath the brain, missing every major vein, artery, and nerve. With the trajectory the bullet was on, it was headed straight for her left eye socket and would have blown out her eye, but at the last second it slowed down, hit her cheekbone instead, shattered her cheekbone, ricocheted off, and came out through her left nostril. On the gurney in the emergency room, the blood had made the wound look much worse than it was. The bullet took off only a tiny flap of skin on the side of her nostril, and it came out clean, with no bullet fragments left inside. She didn’t even need surgery. They stopped the bleeding, stitched her up in back, stitched her up in front, and let her heal. “There was nothing we can do, because there’s nothing we need to do,” the doctor

depression in its major stages possesses no quickly available remedy: failure of alleviation is one of the most distressing factors of the disorder as it reveals itself to the victim, and one that helps situate it squarely in the category of grave diseases. Except in those maladies strictly designated as malignant or degenerative, we expect some kind of treatment and eventual amelioration, by pills or physical therapy or diet or surgery, with a logical progression from the initial relief of symptoms to final cure. Frighteningly, the layman-sufferer from major depression, taking a peek into some of the many books currently on the market, will find much in the way of theory and symptomatology and very little that legitimately suggests the possibility of quick rescue. Those that do claim an easy way out are glib and most likely fraudulent. There are decent popular works which intelligently point the way toward treatment and cure, demonstrating how certain therapies—psychotherapy or pharmacology, or a combination of these—can indeed restore people to health in all but the most persistent and devastating cases; but the wisest books among them underscore the hard truth that serious depressions do not disappear overnight. All of this emphasizes an essential though difficult reality which I think needs stating at the outset of my own chronicle: the disease of depression remains a great mystery. It has yielded its secrets

When the National Transportation Safety Board analyzed its database of major flight accidents, it found that 73 percent occurred on a flight crew’s first day working together. Like surgeries and putts, the best flight is one in which everything goes according to routines long understood and optimized by everyone involved, with no surprises. When the path is unclear—a game of Martian tennis—those same routines no longer suffice. “Some tools work fantastically in certain situations, advancing technology in smaller but important ways, and those tools are well known and well practiced,” Andy Ouderkirk told me. “Those same tools will also pull you away from a breakthrough innovation. In fact, they’ll turn a breakthrough innovation into an incremental one.

to the patient and family, the brain surgery is usually the most dramatic event they have ever faced and, as such, has the impact of any major life event. At those critical junctures, the question is not simply whether to live or die but what kind of life is worth living. Would you trade your ability—or your mother’s—to talk for a few extra months of mute life? The expansion of your visual blind spot in exchange for eliminating the small possibility of a fatal brain hemorrhage? Your right hand’s function to stop seizures? How much neurologic suffering would you let your child endure before saying that death is preferable? Because the brain mediates our experience of the world, any neurosurgical problem forces a patient and family, ideally with a doctor as a guide, to answer this question: What makes life meaningful enough to go on living?

For the duration of the war, American surgery remained crude, and wound infections spread unchecked. The bullet-riddled arms and legs of more than thirty thousand Union soldiers were amputated by battlefield surgeons, many of whom had little or no experience of treating trauma patients. Knives and saws were wiped free of gore with nothing more than dirty rags, if at all. Surgeons never washed their hands and were often covered in the blood and guts of previous patients at the commencement of a new operation. When linen and cotton were scarce, army surgeons used cold, damp earth to pack open wounds. When these wounds inevitably began to suppurate, they were praised for their laudable pus. Many surgeons had never even witnessed a major amputation or treated gunshot wounds when they joined their regiments, much to the detriment of those who fell under their care.

MATHEMATICAL MIRACLE Some years ago, I heard a story which has been making the rounds in Midwest A.A. circles for years. I don’t have any names to back up this story, but I have heard it from many sources, and the circumstances sound believable. A man in a small Wisconsin city had been on the program for about three years and had enjoyed contented sobriety through that period. Then bad luck began to hit him in bunches. The firm for which he had worked for some fifteen years was sold; his particular job was phased out of existence, and the plant moved to another city. For several months, he struggled along at odd jobs while looking for a company that needed his specialized experience. Then another blow hit him. His wife was forced to enter a hospital for major surgery, and his company insurance had expired. At this point he cracked, and decided to go on an all-out binge. He didn’t want to stage this in the small city, where everyone knew his sobriety record. So he went to Chicago, checked in at a North Side hotel, and set forth on his project. It was Friday night, and the bars were filled with a swinging crowd. But he was in no mood for swinging—he just wanted to get quietly, miserably drunk. Finally, he found a basement bar on a quiet side street, practically deserted. He sat down on a bar stool and ordered a double bourbon on the rocks. The bartender said, “Yes, sir,” and reached for a bottle. Then the bartender stopped in his tracks, took a long, hard look at the customer, leaned over the bar, and said in a low tone, “I was in Milwaukee about four months ago, and one night I attended an open meeting. You were on the speaking platform, and you gave one of the finest A.A. talks I ever heard.” The bartender turned and walked to the end of the bar. For a few minutes, the customer sat there—probably in a state of shock. Then he picked his money off the bar with trembling hands and walked out, all desire for a drink drained out of him. It is estimated that there are about 8,000 saloons in Chicago, employing some 25,000 bartenders. This man had entered the one saloon in 8,000 where he would encounter the one man in 25,000 who knew that he was a member of A.A. and didn’t belong there. Chicago, Illinois

Society would have much to gain from decriminalization. On the immediate practical level, we would feel safer in our homes and on our streets and much less concerned about the danger of our cars being burgled. In cities like Vancouver such crimes are often committed for the sake of obtaining drug money. More significantly perhaps, by exorcising this menacing devil of our own creation, we would automatically give up a lot of unnecessary fear. We could all breathe more freely. Many addicts could work at productive jobs if the imperative of seeking illegal drugs did not keep them constantly on the street. It’s interesting to learn that before the War on Drugs mentality took hold in the early twentieth century, a prominent individual such as Dr. William Stewart Halsted, a pioneer of modern surgical practice, was an opiate addict for over forty years. During those decades he did stellar and innovative work at Johns Hopkins University, where he was one of the four founding physicians. He was the first, for example, to insist that members of his surgical team wear rubber gloves — a major advance in eradicating post-operative infections. Throughout his career, however, he never got by with less than 180 milligrams of morphine a day. “On this,” said his colleague, the world-renowned Canadian physician Sir William Osler, “he could do his work comfortably and maintain his excellent vigor.” As noted at the Common Sense for Drug Policy website: Halsted’s story is revealing not only because it shows that with a morphine addiction the proper maintenance dose can be productive. It also illustrates the incredible power of the drug in question. Here was a man with almost unlimited resources — moral, physical, financial, medical — who tried everything he could think of and he was hooked until the day he died. Today we would send a man like that to prison. Instead he became the father of modern surgery.

He ran long at the White House, and arrived late to his next meeting with Hillary Clinton, Jake Sullivan and Frank Ruggiero—their first major strategy session on Taliban talks after the secret meeting with A-Rod. She was waiting in her outer office, a spacious room paneled in white and gilt wood, with tasseled blue and pink curtains and an array of colorfully upholstered chairs and couches. In my time reporting to her later, I only ever saw Clinton take the couch, with guests of honor in the large chair kitty-corner to her. She’d left it open for him that day. “He came rushing in. . . . ” Clinton later said. “And, you know, he was saying ‘oh I’m so sorry, I’m so sorry.’ ” He sat down heavily and shrugged off his coat, rattling off a litany of his latest meetings, including his stop-in at the White House. “That was typical Richard. It was, like, ‘I’m doing a million things and I’m trying to keep all the balls in the air,’ ” she remembered. As he was talking, a “scarlet red” flush went up his face, according to Clinton. He pressed his hands over his eyes, his chest heaving. “Richard, what’s the matter?” Clinton asked. “Something horrible is happening,” he said. A few minutes later, Holbrooke was in an ambulance, strapped to a gurney, headed to nearby George Washington University Hospital, where Clinton had told her own internist to prepare the emergency room. In his typically brash style, he’d demanded that the ambulance take him to the more distant Sibley Memorial Hospital. Clinton overruled him. One of our deputies on the SRAP team, Dan Feldman, rode with him and held his hand. Feldman didn’t have his BlackBerry, so he scrawled notes on a State Department expense form for a dinner at Meiwah Restaurant as Holbrooke dictated messages and a doctor assessed him. The notes are a nonlinear stream of Holbrooke’s indomitable personality, slashed through with medical realities. “Call Eric in Axelrod’s office,” the first read. Nearby: “aortic dissection—type A . . . operation risk @ > 50 percent”—that would be chance of death. A series of messages for people in his life, again interrupted by his deteriorating condition: “S”—Secretary Clinton—“why always together for medical crises?” (The year before, he’d been with Clinton when she fell to the concrete floor of the State Department garage, fracturing her elbow.) “Kids—how much love them + stepkids” . . . “best staff ever” . . . “don’t let him die here” . . . “vascular surgery” . . . “no flow, no feeling legs” . . . “clot” . . . and then, again: “don’t let him die here want to die at home w/ his fam.” The seriousness of the situation fully dawning on him, Holbrooke turned to job succession: “Tell Frank”—Ruggiero—“he’s acting.” And finally: “I love so many people . . . I have a lot left to do . . . my career in public service is over.” Holbrooke cracked wise until they put him under for surgery. “Get me anything you need,” he demanded. “A pig’s heart. Dan’s heart.

New Goals As a major-league player, Hershiser continued to work hard at improving his game, and after five years in the majors, he set a new goal for himself: He wanted to be the youngest, smartest major-league pitcher ever.4 His new goal was realized in 1988. After recovering from knee surgery

SAMPLING OF SOME OF THE MAJOR TRIAL RESULTS WITH EDTA CHELATION A 1993analysis of 19 studies of 22,765 patients receiving EDTA chelation therapy for vascular disease found measurable improvement in 87%. A study of 2,870 patients with various degrees of degenerative diseases, especially vascular disease, almost 90% of the patients showed excellent improvement. The study measured walking distance, ECG, and Doppler blood flow changes. A small, blinded, crossover study of patients with peripheral vascular disease found significant improvements in walking distance and ankle/brachial blood flow. In 30 patients with carotid artery stenosis, there was a 30% improvement in blood flow after EDTA treatment. EDTA chelation treatment was evaluated in patients with carotid and coronary disease using technetium 99 isotope techniques. Significant improvement in arterial blood flow and ejection fraction (a measure of heart pumping ability) was reported. 65 patients on the waiting list for CABG surgery for an average of 6 months were treated with EDTA chelation therapy. The symptoms in 89% (58) improved so much they were able to cancel their surgery. In the same study, of 27 patients recommended for limb amputation due to poor peripheral circulation, EDTA chelation saved 24 limbs.

The Colon & Rectal Clinic of Colorado is the largest colon and rectal surgery group in the region and a major colorectal cancer, IBD, and proctology referral center, serving the entire metro Denver and Front Range community. Our offices are located in central Denver, Aurora, and Lafayette/Broomfield.

T4 from the thyroid must be converted to T3 before the body can use it. In the end, however, only about 60 percent of T4 is converted into a usable form of T3. Twenty percent becomes reverse T3 (rT3), which is permanently inactive. Levels of rT3 can become too high in times of major trauma, surgery, or severe chronic illness. Another 20 percent of T4 becomes T3 sulfate and T3 acetic acid, which have the potential to become useful if acted upon by healthy bacteria in the digestive tract. The remaining T4 is converted to T3 in the liver and in muscle, heart, and nerve cells.

The production of rT3 typically takes place in cases of extreme stress, such as major trauma, surgery, or severe chronic stress. It appears the increased production of T3 is due to an inability to clear rT3, as well as from elevated levels of cortisol. Functional Range: 90-350 pg/ml Typical Laboratory Range: 90-350 pg/ml

Not all areas of medicine were created equal. In my humble (and extremely biased) opinion, ophthalmology is definitely the coolest. However, it is also (again, in my view) one of the more challenging ones to learn. It is neat to reflect on the variety of skills that we learn during our training, most of which demand exceptional hand-eye coordination. To excel, we require a very delicate and nuanced touch and a sophisticated appreciation of subtle alterations in the anatomy of the most beautiful organ in the body. From the different lasers to the assortment of minor and major procedures, there is definitely a lot to learn and then master. Even in our clinics, we make use of so many instruments that it’s almost like being in surgery but without the incisions!

Societally, we will need to see shifts in how we—including the medical community—approach wellness. Instead of hospitals being repositories for the sick, they will need to become wellness centers after recovery or treatment reverses major issues. That is, they will need to focus on prevention, on health optimization, on opportunities to reboot our bodies. Many more people will recover from illness at home, as hospitals will bring those facilities and services to you, and less expensively. Note: With a decrease in fertility we expect more stabilization of pediatric and delivery centers, and with an increase in longevity we will see growth of plastic surgery and cosmetic procedures.

Metro Pillar – 211, 22, NDV Towers, First Floor, Kanakapura Rd, above Dry Fruit Shop, Raghuvanahalli, Bengaluru, Karnataka 560062 Contact Us +91 8618292628 Is Elite Orthocare Robotic Knee Replacement Better Than Conventional Surgery? Elite Orthocare's Robotic Total Knee Replacement, led by Dr. Abhinandan Punit, offers superior accuracy in implant positioning, resulting in better patient outcomes, reduced pain, faster recovery, and overall improved results. Robotic knee replacement at Elite Orthocare is among the most innovative technologies in orthopedic surgery. With thousands of robotic knee replacements performed worldwide, this advanced technology continues to set new standards in joint replacement. But you might ask: Does robotic knee replacement surgery in Bangalore really offer significant advantages over conventional surgery? Over 250 peer-reviewed studies highlight the enhanced clinical outcomes and patient benefits of robotic knee replacements compared to traditional manual methods. Here are the major differences between manual knee replacement and Elite Orthocare’s robotic knee replacement: Stage Manual Total Knee Replacement Elite Orthocare’s Robotic Knee Replacement Pre-surgery - Simple X-ray planning - CT scan-based planning for improved precision Surgery - Positioning with traditional tools - Robotic-assisted precise alignment - Larger incision needed - Smaller incision, less tissue damage - Standard ligament release - Minimal ligament release, reducing pain Post-Surgery Benefits of Elite Orthocare’s Robotic Knee Replacement: • Less pain • Faster recovery • Quicker return to mobility • Enhanced overall outcomes Understanding the Benefits of Elite Orthocare’s Robotic Knee Replacement: Accuracy: The robotic system used at Elite Orthocare ensures precise implant positioning and knee alignment. Studies show that robotic-assisted knee replacements are far more accurate than manual methods, ensuring better long-term results. For instance, one study revealed that robotic procedures were 47% more accurate in tibial component alignment and 36% more accurate in femoral component rotation compared to manual surgery. Outcomes: Patients undergoing robotic knee replacement with Dr. Abhinandan Punit report better functional outcomes, less post-operative pain, and higher satisfaction rates. Clinical studies show patients experience faster improvements in mobility and higher overall satisfaction compared to manual knee replacements. Why Choose Dr. Abhinandan Punit at Elite Orthocare? Dr. Abhinandan Punit, founder of Elite Orthocare, is an expert in robotic knee replacement surgery. With a wealth of experience and a dedication to providing top-notch care, Dr. Punit ensures the best outcomes for all his patients. If you're considering robotic knee replacement surgery in Bangalore or want to explore its benefits, book a consultation with Dr. Abhinandan Punit at Elite Orthocare today!

Dharma Master Cheng Yen is a Buddhist nun living in Hualien County, a mountainous region on the east coast of Taiwan. Because the mountains formed barriers to travel, the area has a high proportion of indigenous people, and in the 1960s many people in the area, especially indigenous people, were living in poverty. Although Buddhism is sometimes regarded as promoting a retreat from the world to focus on the inner life, Cheng Yen took the opposite path. In 1966, when Cheng Yen was twenty-nine, she saw an indigenous woman with labor complications whose family had carried her for eight hours from their mountain village to Hualien City. On arriving they were told they would have to pay for the medical treatment she needed. Unable to afford the cost of treatment they had no alternative but to carry her back again. In response, Cheng Yen organized a group of thirty housewives, each of whom put aside a few cents each day to establish a charity fund for needy families. It was called Tzu Chi, which means “Compassionate Relief.” Gradually word spread, and more people joined.6 Cheng Yen began to raise funds for a hospital in Hualien City. The hospital opened in 1986. Since then, Tzu Chi has established six more hospitals. To train some of the local people to work in the hospital, Tzu Chi founded medical and nursing schools. Perhaps the most remarkable feature of its medical schools is the attitude shown to corpses that are used for medical purposes, such as teaching anatomy or simulation surgery, or for research. Obtaining corpses for this purpose is normally a problem in Chinese cultures because of a Confucian tradition that the body of a deceased person should be cremated with the body intact. Cheng Yen asked her volunteers to help by willing their bodies to the medical school after their death. In contrast to most medical schools, here the bodies are treated with the utmost respect for the person whose body it was. The students visit the family of the deceased and learn about his or her life. They refer to the deceased as “silent mentors,” place photographs of the living person on the walls of the medical school, and have a shrine to each donor. After the course has concluded and the body has served its purpose, all parts are replaced and the body is sewn up. The medical school then arranges a cremation ceremony in which students and the family take part. Tzu Chi is now a huge organization, with seven million members in Taiwan alone—almost 30 percent of the population—and another three million members associated with chapters in 51 countries. This gives it a vast capacity to help. After a major earthquake hit Taiwan in 1999, Tzu Chi rebuilt 51 schools. Since then it has done the same after disasters in other countries, rebuilding 182 schools in 16 countries. Tzu Chi promotes sustainability in everything it does. It has become a major recycler, using its volunteers to gather plastic bottles and other recyclables that are turned into carpets and clothing. In order to promote sustainable living as well as compassion for sentient beings all meals served in Tzu Chi hospitals, schools, universities, and other institutions are vegetarian.

neurosurgeon. I graduated from the University of North Carolina at Chapel Hill in 1976 with a major in chemistry and earned my M.D. at Duke University Medical School in 1980. During my eleven years of medical school and residency training at Duke as well as Massachusetts General Hospital and Harvard, I focused on neuroendocrinology, the study of the interactions between the nervous system and the endocrine system—the series of glands that release the hormones that direct most of your body’s activities. I also spent two of those eleven years investigating how blood vessels in one area of the brain react pathologically when there is bleeding into it from an aneurysm—a syndrome known as cerebral vasospasm. After completing a fellowship in cerebrovascular neurosurgery in Newcastle-Upon-Tyne in the United Kingdom, I spent fifteen years on the faculty of Harvard Medical School as an associate professor of surgery, with a specialization in neurosurgery. During those years I operated on countless patients, many of them with severe, life-threatening brain conditions.

Need a Dental Clinic in Worcester? With hundreds of satisfied customers, our team at Wharf Dental prides itself on the fact that the majority of new clients that join our Worcester based dental practice are through personal referrals from existing clients.

«So you hired a whore, didn’t fornicate at all, and did impromptu major surgery on her?» he asked. «Exactly! Aren’t I horny and honorable and brave and resourceful?»

Those signs start at the top of the state, between the population centers, facing north on the interstate, nestled among all the other billboards that are only designed to reach out-of-state travelers driving south into Florida. So now you got signs for truck stops, motels with free Wi-Fi, citrus stands, fast food, and pictures of car crashes with jagged red lettering to remind people that they might be in pain from something that happened in Cleveland. I mean how does that work? Are this many people suddenly making major medical decisions on vacation? When you’re driving to Niagara Falls, do you see a hundred miles of billboards for joint-replacement surgery, ‘Call 1-800-HIP-OUCH’? . . . Or is it an impulse thing: ‘Let’s see, I’ve been on the road for hours, so I need to stop for gas, use the restroom, get a Big Mac and develop a drug problem.

They do surgery in the Capitol, to make people appear younger and thinner. In District 12, looking old is something of an achievement since so many people die early. You see an elderly person you want to congratulate them on their longevity, ask the secret of survival. A plump person is envied because they aren’t scraping by like the majority of us. But here it is different. Wrinkles aren’t desirable. A round belly isn’t a sign of success

Only one research team followed up this work, some ten years later.Sidney Goldring and James L. O'Leary, neuropsychiatrists at the Wash-ington University School of Medicine in St. Louis, recorded the same DC potentials from the human scalp, from the exposed brain during surgery, and from the brains of monkeys and rabbits. As noted before,the potentials varied in regular cycles several minutes long, like a basso continuo under the EEG. In fact, Goldring and O'Leary found waves within waves: "Written upon the slow major swings were lesser voltage changes." These were weak potentials, measured in microvolts (millionths of a volt) and varying in waves of 2 to 30 cycles per minute, sort of a pianissimo "inner voice" in a three-part electrical fugue.

He moved over to make room for me and I slid under the covers beside him. There was a short silence, and he ran his hand up my leg from knee to hip. ‘I thought you didn’t like these,’ he said, tracing the lacy hem of the scarlet knickers. ‘Oh, well, I thought you might.’ ‘I do. Please pass on my thanks to your stepmother.’ ‘Hmm,’ I said. ‘I think not.’ ‘Spoilsport.’ ‘You could always tell her yourself.’ ‘Fair enough,’ he said serenely. ‘I will.’ I kicked him. ‘Stop that,’ he ordered, rolling over and pinning my legs with his. ‘You’re so hot,’ I said. ‘Thanks,’ said Mark, smiling. ‘I work out.’ ‘I meant your body temperature, you weenie.’ I lifted my head off the pillow to kiss his nose, which was nice and handy. ‘What’s your dad like?’ he asked. I was a little startled by this abrupt change of subject. ‘Well,’ I said, ‘he’s about six foot seven, a fundamentalist Christian, collects guns, very protective of his daughters . . . Ow!’ ‘We’ll try that again, shall we?’ ‘Biting people is not cool,’ I said sternly. ‘Toughen up, McNeil, it didn’t even break the skin.’ ‘I can see the headlines now. Innocent Girl Bitten by Crazed All Black. Wound Turns Septic. Major Surgery Required . . .’ ‘Yeah,’ he said. ‘Amputation at the neck.’ ‘The ultimate solution.’ ‘So,’ he repeated patiently, ‘what’s your dad like?’ ‘Lovely,’ I said.

Self-disruption is akin to undergoing major surgery, but you are the one holding the scalpel.

It’s rare, but patients with cancer undergoing major surgery are at risk, and if it happens there’s not much that can be done.

Or we return from having major surgery and do not feel as if we have come fully out of the anesthesia.

A comprehensive study of this foundational assertion published in 2000 in the high-gravitas journal Pediatrics by CDC and Johns Hopkins scientists concluded, after reviewing a century of medical data, that “vaccination does not account for the impressive decline in mortality from infectious diseases . . . in the 20th century.”47 As noted earlier, another widely cited study, McKinlay and McKinlay—required reading in virtually every American medical school during the 1970s—found that all medical interventions including vaccines, surgeries, and antibiotics accounted for less than about 1 percent—and no more than 3.5 percent—of the dramatic mortality declines. The McKinlays presciently warned that profiteers among the medical establishment would seek to claim credit for the mortality declines for vaccines in order to justify government mandates for those pharmaceutical products.48 Seven years earlier, the world’s foremost virologist, Harvard Medical School’s Dr. Edward H. Kass, a founding member and first president of the Infectious Diseases Society of America and founding editor of the Journal of Infectious Diseases, rebuked his virology colleagues for trying to take credit for that dramatic decline, scolding them for allowing the proliferation of “half-truths . . . that medical research had stamped out the great killers of the past—tuberculosis, diphtheria, pneumonia, puerperal sepsis, etc.—and that medical research and our superior system of medical care were major factors extending life expectancy.”49 Kass recognized that the real heroes of public health were not the medical profession, but rather the engineers who brought us sewage treatment plants, railroads, roads, and highways for transporting food, electric refrigerators, and chlorinated water.50

Steve McConnell helped us understand how poorly timed thrashing sabotages every failed software project. It turns out that the problem extends far beyond software. Any project worth doing involves invention, inspiration, and at least a little bit of making stuff up. Traditionally, we start with an inkling, adding more and more detail as we approach the ship date. And the closer we get to shipping, the more thrashing occurs. Thrashing is the apparently productive brainstorming and tweaking we do for a project as it develops. Thrashing might mean changing the user interface or rewriting an introductory paragraph. Sometimes thrashing is merely a tweak; other times it involves major surgery. Thrashing is essential. The question is: when to thrash? In the typical amateur project, all the thrashing is near the end. The closer we get to shipping, the more people get involved, the more meetings we have, the more likely the CEO wants to be involved. And why not? What’s the point of getting involved early when you can’t see what’s already done and your work will probably be redone anyway? The point of getting everyone involved early is simple: thrash late and you won’t ship. Thrash late and you introduce bugs. Professional creators thrash early. The closer the project gets to completion, the fewer people see it and the fewer changes are permitted. Every software project that has missed its target date (every single one) is a victim of late thrashing. The creators didn’t have the discipline to force all the thrashing to the beginning. They fell victim to the resistance.

UNKNOWN UNKNOWNS Associative binding of experiences in memory to create an internal chronology would also help explain why most precognitive dreams are only identified as such in hindsight. Even if premory is just an aspect of memory and obeys most of the same principles, the stand-out exception is that only with memory for things past can we engage in what psychologists call source monitoring. We can often tell more or less how we know things from past experience because we can situate them, at least roughly, in relation to other biographical details. We can’t do this with experiences refluxing from our future, because they lack any context. We don’t know yet where or how they fit into our lives, so it may be natural for the conscious mind to assume that they don’t fit at all.12 Again, it is natural and inviting to think of precognition as a kind of radar or sonar scanning for perils in the water ahead. A metaphor that Dunne used for precognitive dreaming is a flashlight we point ahead of us on a dark path. But it makes more sense that our brains are constantly receiving messages sent back in time from our future self and are continually sifting and scanning those messages for possible associations to present concerns and longstanding priorities without knowing where that information comes from, let alone how far away it is in time. Items that match our current concerns or preoccupations will be taken and elaborated as dreams or premonitions or other conscious “psi” experiences, but we are likely only to recognize their precognitive character after the future event transpires and we recognize its source. And even then, we will only notice it, by and large, if we are paying close attention. That matching or resonance with current concerns may be important in determining the timing of a dream in relation to its future referent. For instance, it is possible Freud dreamed about the oral symptoms in the mouth of his patient Anna Hammerschlag when he did because of a confluence of events in his life in 1895 that pre-minded him of his situation all those years later, in 1923—including his relapse to smoking his cigars after his friend Wilhelm Fliess had told him to quit. Again, his thoughts about his smoking may have been the short circuit or thematic resonance between these two distant points in his life, precipitating the dream. Incidentally, there is no reason to assume that that single dream of Freud’s was the only one in his life about his cancer and surgeries. Multiple dreams may point to the same experience via multiple symbolic or associative avenues, so it would be expected that some of Freud’s later dreams, especially closer to 1923, may have also related to the same experiences. We’ll never know, of course. But dreamers frequently report multiple precognitive dreams targeting the same later upheaval in their lives, especially major experiences like health crises and life milestones.

If we were to take another example, and apply the same rules, it becomes obvious just how inappropriate and harmful this trope is. For some (not all) trans people, one element of being trans is the physical process of transition. It can be joyful, it can be painful, it can be messy, and it can involve surgery. The same could be said of parenthood. Conception, pregnancy, and childbirth are necessary parts of making a family for the majority of people. Like medical transition, it is vital that we're educated about these processes if there's a chance we'll find ourselves personally affected. And luckily, in both of these cases, the medical information is freely and easily available online, through public health initiatives, in libraries, and from the relevant medical authorities. But it would never be appropriate to approach a new mother in a cafe and say, 'so, did you rip your vagina giving birth to that one?' When greeting a colleague returning to the office after maternity leave, we don't ask if we can examine the stretch marks and possible scars, or ask about hemorrhaging and post-natal incontinence. If we're close friends or family, we might well talk about the most personal physical aspects of creating and delivering a baby - the same is true of transition. But the need to be honest and close with our loved ones doesn't make the intrusion of strangers okay.

The majority of people with planets or the Ascendant in the 8th House are highly likely to face being abused by others (psychologically, sexually, physically, emotionally, and/or financially). But I want to share the good news : that this is also the House of First-Aid Help. Therapy Aid. Psychological Aid. Trauma Aid. The emergency Room. Rehabilitation Centres. The Surgery table. PLEASE GET HELP. Don't suffer alone... The same planets that have brought pain into your life, are also in the very same House of a powerful Transformative Healing. Let's get the inner healing going. Get Help today.

Amelia Boone (TW: @ameliaboone, ameliabooneracing.com) has been called “the Michael Jordan of obstacle course racing” (OCR) and is widely considered the world’s most decorated obstacle racer. Since the inception of the sport, she’s amassed more than 30 victories and 50 podiums. In the 2012 World’s Toughest Mudder competition, which lasts 24 hours (she covered 90 miles and ~300 obstacles), she finished second OVERALL out of more than 1,000 competitors, 80% of whom were male. The one person who beat her finished just 8 minutes ahead of her. Her major victories include the Spartan Race World Championship and the Spartan Race Elite Point Series, and she is the only three-time winner of the World’s Toughest Mudder (2012, 2014, and 2015). She won the 2014 championship 8 weeks after knee surgery. Amelia is also a three-time finisher of the Death Race, a full-time attorney at Apple, and she dabbles in ultra running (qualified for the Western States 100) in all of her spare time.

The derelict station, like most of the old downtown section, was fixed in a rigor mortis of past usefulness; shapes flitted among the shadows here and there but it couldn't be said the place was inhabited. The impression that people no longer wanted to live in this part of town was reinforced by the new tall buildings to the east: orthogonal Venusian World's Fair constructions, a giant mega-globe and the expensive hotels thrown up to host a transient population. A freeway loop on stilts cut across the city like the dreadful scar from a dangerous necessary operation. Knoxville had recently undergone some major surgery; its vital organs had been replaced by artificial replicas. It had been transformed into a Conference Centre, one of those places that depends for its prosperity on cartel-constructed hotels that guarantee a standard minimum-quality accommodation for businessmen siphoning off the wealth of other richer cities. Where local industry had declined the franchise commodity and service companies had moved in: Hilton, McDonald's, Texaco. If you had ever wondered how it was you could cross the United States without ever encountering the family hotel, the home-made hamburger or locally-brewed beer, in Knoxville, Tennessee, you can see the reason with your own eyes: the miracle of capitalism regenerating itself on its own corpse.

subsequently had bariatric surgery but that after she’d lost ninety-six pounds she’d become suicidal. It had taken five psychiatric hospitalizations and three courses of electroshock to control her suicidality. Felitti points out that obesity, which is considered a major public health problem, may in fact be a personal solution for many.

was a reminder that it takes more than five months to recover fully from major surgery.

using copper peptides topically or via injection or IV to enhance your body’s ability to heal. •​If you want to pull out all the stops or have major injuries that need healing, look into available stem cell treatments. These aren’t cheap, but they’re often similar to the price of surgery without many of the risks.

Up to the surgery, I was coming to the weekly meetings of the leadership team and the annual planning meeting,” he said, looking back. “It wasn’t good for me or them. There were times when I was impatient. I’d complain to the leadership group that we weren’t solving obvious problems as fast as we should. We’d identify a quality problem, for example, or a problem with shipping to the wrong location. They weren’t difficult to solve. They just needed people’s focus. It seemed to me we could solve them more quickly by fiat than by having a committee and reaching consensus. I suppose it’s less expensive to let people figure it out for themselves than to send them to school to learn it, but it’s hard for me to do. That’s why I’m not here in the building. It’s too frustrating. Ed and I have different styles. It took me a long time to come to grips with that. Anyway, the company is better off with Ed. It’s a major stress out of my life, and he has made a huge contribution to my net worth.

To countervail (as I hope) my lifelong political set against just about all of this president’s positions, I confess to a very strong sense of the dreadfulness of the step of removal, of the deep wounding such a step must inflict on the country, and thus approach it as one would approach high-risk major surgery, to be resorted to only when the rightness of diagnosis and treatment is sure.

He kept eating, with a stubborn determination like something in a dream, until he heard the door open and close again. There was still some soup in the bowl. He set it on the floor for Major, let his head fall into his hands, and sobbed like a broken-hearted child. Or like a young man, barely more than a boy, waking up with only half a leg.

Chandler (Ira Grossel, who would die of blood poisoning following surgery in 1961) became a major film star in the 1950s, promoting such a he-man image that few would remember his notable comedy role. Richard Crenna (Walter Denton) later became a serious leading man in the movies.

You cannot stop a hemorrhage with Band-Aids, however many you apply; for a hemorrhage, you need major surgery. And I worry that as we fritter away our time and energies debating the minutiae of small-scale do-it-yourself-type community initiatives, the patient will bleed to death. Naturally, those who do not want major change would prefer to restrict the conversation to timid, half-hearted preventive efforts. They maintain that we cannot afford to do what preventing violence will require, or that the voters, who in the meantime are not being educated, will not support it - so that this whole argument becomes a self-fulfilling prophecy. Meanwhile, no expense or cruelty is spared in the effort to inflict as much pain as possible on those whom we use as scapegoats for our own massive failure to create a real family of humankind, namely, a viable social and economic system.

Human Cloning: The Least Interesting Application of Cloning Technology One of the most powerful methods of applying life’s machinery involves harnessing biology’s own reproductive mechanisms in the form of cloning. Cloning will be a key technology—not for cloning actual humans but for life-extension purposes, in the form of “therapeutic cloning.” This process creates new tissues with “young” telomere-extended and DNA-corrected cells to replace without surgery defective tissues or organs. All responsible ethicists, including myself, consider human cloning at the present time to be unethical. The reasons, however, for me have little to do with the slippery-slope issues of manipulating human life. Rather, the technology today simply does not yet work reliably. The current technique of fusing a cell nucleus from a donor to an egg cell using an electric spark simply causes a high level of genetic errors.57 This is the primary reason that most of the fetuses created by this method do not make it to term. Even those that do make it have genetic defects. Dolly the Sheep developed an obesity problem in adulthood, and the majority of cloned animals produced thus far have had unpredictable health problems.58

out of five scientific studies (randomized controlled trials) of fetal monitors, four showed no differences in outcome for the babies whether the fetal monitor was used or not.5 Only one showed an improved outcome for the babies, and that study has been severely criticized for poor scientific methodology.6 Dr. A. D. Haverkamp of Denver told the Central Association of Obstetricians and Gynecologists in 1975 that research showed no difference in the health or survival rate of babies when internal electronic fetal heart monitoring was used to manage deliveries. But the big difference, he said, was in the cesarean-section rate. It was 16.5 percent in the group of women who underwent electronic fetal monitoring but only 6.8 percent in the group whose births were managed by frequent use of the stethoscope to check the baby’s well-being.7 Clearly, repeated scientific studies show that the baby does not benefit when the mother is electronically monitored. These studies show that the major difference in outcome when the fetal monitor is used is for the mother. The cesarean surgery rate is as much as tripled!

On any given day in the United States alone, some ninety thousand people are admitted to intensive care. Over a year, an estimated five million Americans will be, and over a normal lifetime nearly all of us will come to know the glassed bay of an ICU from the inside. Wide swaths of medicine now depend on the life support systems that ICUs provide: care for premature infants; for victims of trauma, strokes, and heart attacks; for patients who have had surgery on their brains, hearts, lungs, or major blood vessels. Critical care has become an increasingly large portion of what hospitals do. Fifty years ago, ICUs barely existed. Now, to take a recent random day in my hospital, 155 of our almost 700 patients are in intensive care. The average stay of an ICU patient is four days, and the survival rate is 86 percent. Going into an ICU, being put on a mechanical ventilator, having tubes and wires run into and out of you, is not a sentence of death. But the days will be the most precarious of your life.

The majority of the “health-care dollar” expended in the United States does not benefit patients. So many highticket items that are trumpeted as the triumphs of U.S. medicine are little more than a scam.16 Spine surgery for regional low back pain has earned this ignominy. The first priority for reform in the care of the health of the American is to stop underwriting the profitably useless. We have the science to do so.

In Chapter 22, I mentioned people who fit the Seven S’s criteria, whose opinions have informed my own and provide me with further reasons to take the life-after death hypothesis seriously. They included: 1.A CEO of a major corporation 2.A former publisher who is the editor-in-chief of an award-winning newspaper 3.A former chairman of the department of surgery at a major university 4.A former chairman of the department of material sciences at a major university 5.An award winning composer for movies and television 6.A former high ranking staff member of the Joint Chiefs of Staff, 7.The director of a major foundation, educated at Harvard University, and 8.A distinguished anthropologist who was the director of an internationally known research institute. In the spirit of Criterion 5, I have reviewed this list and attempted to determine whether there were any responsible and justified reasons for challenging my evaluations of these people. Try as I might I cannot in good conscience dismiss any of these people as being untrustworthy. In sum, I cannot find valid reasons for concluding that these individuals no longer deserve my admiration and respect. Yes, I can point out a given person’s limitations (at least the ones I am aware of), but these do not impact the logic of my concluding that they meet each of the 7 S’s criteria for being credible and trustworthy. Hence, Criterion 3 passes the test posed by Criterion 5.

Sadly, our government prefers small Band-Aids to major surgery, even when the wounds are gaping.

Diaphragmatic dysfunction is a term that has been used to describe changes in the pattern of contraction of respiratory muscles in patients following major surgery. Impairment of diaphragmatic contraction is believed to result from reflex inhibition of phrenic nerve output in response to surgical trauma.

Hi here is the introduction to my book: Welcome to my journal which covers the years 2023 to 2024, when my husband, Gary underwent major heart surgery. He made a very good recovery, and our lives have gone back to, almost, normal. It has been no easy journey. This journal is a very intimate account of what we went through. It covers a few days leading up to the ‘big op’ followed by a day-to-day account of his month long stay in hospital. When he returned home, I stopped the daily journal, but I give an account of his recovery at home. In this homage to the NHS, I also write about my own experience of needing medical treatment. The penultimate section is a look back at my journal one year later and relates how life has changed since Operation Oxenham.

The majority of us perform every day, by applying makeup, wearing high heels or apologising! profusely! as a form of subservience. The performance exists on a sliding scale – from applying lipstick to injecting your lips, from dieting to achieve a smaller waist to undergoing intense plastic surgery to create an hourglass shape.