Medical Clinic Quotes

Death left its old tragic heaven and became the lyrical core of man: his invisible truth, his visible secret.

I’m a modern man, a man for the millennium. Digital and smoke free. A diversified multi-cultural, post-modern deconstruction that is anatomically and ecologically incorrect. I’ve been up linked and downloaded, I’ve been inputted and outsourced, I know the upside of downsizing, I know the downside of upgrading. I’m a high-tech low-life. A cutting edge, state-of-the-art bi-coastal multi-tasker and I can give you a gigabyte in a nanosecond! I’m new wave, but I’m old school and my inner child is outward bound. I’m a hot-wired, heat seeking, warm-hearted cool customer, voice activated and bio-degradable. I interface with my database, my database is in cyberspace, so I’m interactive, I’m hyperactive and from time to time I’m radioactive. Behind the eight ball, ahead of the curve, ridin the wave, dodgin the bullet and pushin the envelope. I’m on-point, on-task, on-message and off drugs. I’ve got no need for coke and speed. I've got no urge to binge and purge. I’m in-the-moment, on-the-edge, over-the-top and under-the-radar. A high-concept, low-profile, medium-range ballistic missionary. A street-wise smart bomb. A top-gun bottom feeder. I wear power ties, I tell power lies, I take power naps and run victory laps. I’m a totally ongoing big-foot, slam-dunk, rainmaker with a pro-active outreach. A raging workaholic. A working rageaholic. Out of rehab and in denial! I’ve got a personal trainer, a personal shopper, a personal assistant and a personal agenda. You can’t shut me up. You can’t dumb me down because I’m tireless and I’m wireless, I’m an alpha male on beta-blockers. I’m a non-believer and an over-achiever, laid-back but fashion-forward. Up-front, down-home, low-rent, high-maintenance. Super-sized, long-lasting, high-definition, fast-acting, oven-ready and built-to-last! I’m a hands-on, foot-loose, knee-jerk head case pretty maturely post-traumatic and I’ve got a love-child that sends me hate mail. But, I’m feeling, I’m caring, I’m healing, I’m sharing-- a supportive, bonding, nurturing primary care-giver. My output is down, but my income is up. I took a short position on the long bond and my revenue stream has its own cash-flow. I read junk mail, I eat junk food, I buy junk bonds and I watch trash sports! I’m gender specific, capital intensive, user-friendly and lactose intolerant. I like rough sex. I like tough love. I use the “F” word in my emails and the software on my hard-drive is hardcore--no soft porn. I bought a microwave at a mini-mall; I bought a mini-van at a mega-store. I eat fast-food in the slow lane. I’m toll-free, bite-sized, ready-to-wear and I come in all sizes. A fully-equipped, factory-authorized, hospital-tested, clinically-proven, scientifically- formulated medical miracle. I’ve been pre-wash, pre-cooked, pre-heated, pre-screened, pre-approved, pre-packaged, post-dated, freeze-dried, double-wrapped, vacuum-packed and, I have an unlimited broadband capacity. I’m a rude dude, but I’m the real deal. Lean and mean! Cocked, locked and ready-to-rock. Rough, tough and hard to bluff. I take it slow, I go with the flow, I ride with the tide. I’ve got glide in my stride. Drivin and movin, sailin and spinin, jiving and groovin, wailin and winnin. I don’t snooze, so I don’t lose. I keep the pedal to the metal and the rubber on the road. I party hearty and lunch time is crunch time. I’m hangin in, there ain’t no doubt and I’m hangin tough, over and out!

The first task of the doctor is ... political: the struggle against disease must begin with a war against bad government." Man will be totally and definitively cured only if he is first liberated...

What is the difference between a living thing and a dead thing? In the medical world, a clinical definition of death is a body that does not change. Change is life. Stagnation is death. If you don't change, you die. It's that simple. It's that scary.

Before you worry about the beauty of your body, worry about the health of your body.

Because drugs have become so profitable, major medical journals rarely publish studies on nondrug treatments of mental health problems.31 Practitioners who explore treatments are typically marginalized as “alternative.” Studies of nondrug treatments are rarely funded unless they involve so-called manualized protocols, where patients and therapists go through narrowly prescribed sequences that allow little fine-tuning to individual patients’ needs. Mainstream medicine is firmly committed to a better life through chemistry, and the fact that we can actually change our own physiology and inner equilibrium by means other than drugs is rarely considered.

Many a death was precipitated by the food, the job, or the medication whose main function was to postpone it.

To an outsider, building a school before there was a medical clinic, or someone to deal with the problems of hunger and homelessness, was illogical, but Farmer and Lafontant understood that the school meant hope and empowerment.

I know the difference between sadness and depression. Clinical depression has no source from which it springs-it just is. Intractable sadness has nothing to do with synapses, or brain chemistry, or essential salts, it's born of something. It's the product of injustice and helplessness. It can be anesthetized, I suppose, but it's there, unaltered, when the medication wears off, like an intruder who has broken into your house and is still there every morning when you wake up. Given the choice, I would rather be depressed. I've come back from depression.

When doctor saves a life, he also saves a family.

The Sackler empire is a completely integrated operation,” Blair wrote. They could develop a drug, have it clinically tested, secure favorable reports from the doctors and hospitals with which they had connections, devise an advertising campaign in their agency, publish the clinical articles and the advertisements in their own medical journals, and use their public relations muscle to place articles in newspapers and magazines.

It is simply no longer possible to believe much of the clinical research that is published, or to rely on the judgment of trusted physicians or authoritative medical guidelines. I take no pleasure in this conclusion, which I reached slowly and reluctantly over my two decades as an editor of the New England Journal of Medicine.

But it must be said from the outset that a disease is never a mere loss or excess— that there is always a reaction, on the part of the affected organism or individual, to restore, to replace, to compensate for and to preserve its identity, however strange the means may be: and to study or influence these means, no less than the primary insult to the nervous system, is an essential part of our role as physicians.

An incompetent doctor practices, but a competent doctor performs.

If you submit an article to a major refereed clinical journal and it is accepted upon first submission without a single revision, let me know and I will take you to dinner the next time you are in Portland, Oregon.

For me, hands are hard." She looks up from what she's doing. "Because you're holding this disconnected hand, and it's holding you back." Cadavers occasionally effect a sort of accidental humanness that catches the medical professional off guard. I once spoke to an anatomy student who described a moment in the lab when she realized that the cadaver's arm was around her waist. It becomes difficult, under circumstances such as these, to retain one's clinical remove.

By the time he was twenty Asclepius had mastered all the arts of surgery and medicine. He embraced his teacher Chiron in a fond farewell and left to set up on his own as the world’s first physician, apothecary and healer. His fame spread around the Mediterranean with great speed. The sick, lame and unhappy flocked to his surgery, outside which he hung a sign – a wooden staff with a snake twined round it, seen to this day on many ambulances, clinics and (often disreputable) medical websites.

The final patient of a comically busy prenatal clinic requests an elective cesarean section because of a previous traumatic vaginal delivery. This is a fairly common request—principally because there’s no such thing as a nontraumatic vaginal delivery.

Burnout at its deepest level is not the result of some train wreck of examinations, long call shifts, or poor clinical evaluations. It is the sum total of hundreds and thousands of tiny betrayals of purpose, each one so minute that it hardly attracts notice. When a great ship steams across the ocean, even tiny ripples can accumulate over time, precipitating a dramatic shift in course. There are many Tertius Lydgates, male and female, inhabiting the lecture halls, laboratories, and clinics of today’s medical schools. Like latter-day Lydgates, many of them eventually find themselves expressing amazement and disgust at how far they have veered from their primary purpose.

Medicines ensures lengthy life but not necessarily healthy life.

The first step is to give up the illusion that the primary purpose of modern medical research is to improve Americans’ health most effectively and efficiently. In our opinion, the primary purpose of commercially funded clinical research is to maximize financial return on investment, not health.” —John Abramson, M.D., Harvard Medical School I wrote this book to help Americans

Hamas repeatedly and continually used protected civilian sites for military attacks, rendering them legitimate military targets. An IDF study shows that Hamas fired rockets from amusement parks, first aid stations, U.N. facilities, playgrounds, hospitals, medical clinics, and schools.28 Consequently, Hamas, not Israel, is the party committing war crimes. Incidental or collateral damage on both sides

Spiritual depression presents itself in much the same way as clinical depression—but not quite. The marks of distinction are crucial, yet hard for the untrained to recognize. They make the difference between interpreting the source of depression as a problem that may require medication or as a process of transformation that is best served by reflection, discussion of the stages of the dark night, and understanding the nature of mystical prayer. I have met many people who have been treated for depression and other conditions when they were, in fact, in the deep stages of a spiritual crisis. Without the proper support, that crisis becomes misdirected into a problem with relationships, a problem with one’s childhood, or a chronic malaise. Spiritual crises are now a very real part of our spectrum of health challenges and we need to acknowledge them with the same authority as we do clinical depression.

People think of exercise in terms of physical health, but not mental health,” says Jennifer Shaw, an obstetrician-gynecologist in Brookline, Massachusetts, who is a clinical instructor at Harvard Medical School.

Part of the major problem attending schizophrenia is what it is defined to be, that is, abnormal, rather than an altered state of consciousness that has a specific ecological function for the species. In the West such states are labeled as an illness and are almost always medicated. Most psychoactive drug use is proscribed for exactly the same reason . . . You must not extend perception further than the society wants it to go There are very few people in the West (and virtually none who are clinically schooled) who understand how to train someone in the use of that enhanced perception. Once such gating dynamics are labeled abnormal, accepted to be neuropathological, there is generally no alternative (in that system) except pharmaceutical suppression.

In cases of organized and multi-perpetrator abuse when the abuse occurs in the context of rituals and ceremonies, some elements of the experience may have been staged specifically with the intention of encouraging the disbelief of others if the victim were to report the crime. For example, someone reporting such a crime may mention that the devil was present, or that someone well-known was there, or that acts of magic were performed. These were tricks and deceptions by the abusers-often experienced by the victims after being given medication or hallucinogenic drugs - that render the account unbelievable, make the witness sound unreliable, and protect the perpetrators. (page 120, Chapter 9, Some clinical implications of believing or not believing the patient)

Enslavement could not have existed and certainly could not have persisted without medical science. However, physicians were also dependent upon slavery, both for economic security and for the enslaved “clinical material” that fed the American medical research and medical training that bolstered physicians’ professional advancement.

One Chief Astronaut used to make a point of phoning the front desk at the clinic where applicants are sent for medical testing, to find out which ones treated the staff well—and which ones stood out in a bad way. The nurses and clinic staff have seen a whole lot of astronauts over the years, and they know what the wrong stuff looks like. A person with a superiority complex might unwittingly, right there in the waiting room, quash his or her chances of ever going to space.

Thus, whatever the medical student has been taught, and even genuinely believes, about the ideals of medicine, the primacy of empathy, the value of the doctor-patient relationship--all of this is swamped once he or she steps into the wards. [...] It's no wonder that empathy gets trounced in the actual world of clinical medicine; everything that empathy requires seems to detract from daily survival.

In 1999 the RAND Corporation published a report (the first and, so far, last of its kind) with a “conservative estimate” that more than 307 million tissue samples from more than 178 million people were stored in the United States alone. This number, the report said, was increasing by more than 20 million samples each year. The samples come from routine medical procedures, tests, operations, clinical trials, and research donations. They sit in lab freezers, on shelves, or in industrial vats of liquid nitrogen. They’re stored at military facilities, the FBI, and the National Institutes of Health.

Fortunately, the clinical diagnosis “ADD” didn’t exist when I was a child, and restless children were not medicated, or I might have been narcotized at an early age, and my brain affected. (No one can tell me that dosing young children with such powerful drugs will have no long-term effect upon them.)

People who are starving and dressed in rags don’t want to hear someone read a list of propositional “good news.” They want to see the good news in action. The church doesn’t hold revival meetings and call it a day — we feed the hungry, clothe the naked, dig wells, and staff medical clinics. Social action isn’t an optional part of evangelism; it is evangelism. This is an important correction to the overspirituality that dominated evangelical Christianity just a generation ago. But the both/and of holistic mission still misses the heart of Jesus if we don’t see that the church needs the poor as much as the poor need the church. Jesus didn’t embrace the poor only because he pitied them or because he knew he had the resources to help them. Jesus embraced the poor because they were rushing into the kingdom ahead of the scribes and Pharisees — those who called themselves God’s people. Jesus welcomed people who knew poverty because they were ready to receive what he had to offer. Religious people, he said, could learn something from them. Our spiritual lives are linked to the material conditions of our life. When we feel like we don’t need much materially, we often have trouble remembering why we need God. We comfortable Americans can go through an entire day without thinking of God. But Jesus gave the poor more than food to eat and relief from their sickness. He restored them to God’s beloved community.

physicians, Drs. Bill Castelli, Bill Roberts and Caldwell Esselstyn, Jr., that in their long careers they had never seen a heart disease fatality among their patients who had blood cholesterol levels below 150 mg/dL. Dr. Castelli was the long-time director of the famous Framingham Heart Study of NIH; Dr. Esselstyn was a renowned surgeon at the Cleveland Clinic who did a remarkable study reversing heart disease (chapter five); Dr. Roberts has long been editor of the prestigious medical journal Cardiology. BLOOD CHOLESTEROL AND DIET

Local grandmas came in and out of our clinic bringing homemade cookies and fudge, because nothing soothes phantom limb pain better than a homemade brownie.

For the past twenty-five years, the psychiatric establishment has told us a false story. It told us that schizophrenia, depression, and bipolar illness are known to be brain diseases, even though—as the MindFreedom hunger strike revealed—it can’t direct us to any scientific studies that document this claim. It told us that psychiatric medications fix chemical imbalances in the brain, even though decades of research failed to find this to be so. It told us that Prozac and the other second-generation psychotropics were much better and safer than the first-generation drugs, even though the clinical studies had shown no such thing. Most important of all, the psychiatric establishment failed to tell us that the drugs worsen long-term outcomes.

Our analyses of the FDA data showed relatively little difference between the effects of antidepressants and the effects of placebos. Indeed, the effects were so small that they did not qualify as clinically significant. The drug companies knew how small the effect of their medications were compared to placebos, and so did the FDA and other regulatory agencies. The companies found various ways to make the data seem more favorable to their products, and the FDA helped them keep their negative data secret. In fact, in some instances, the FDA urged the companies to keep negative data hidden, even when the companies wanted to reveal them. My colleagues and I hadn't really discovered anything new. We had merely revealed their 'dirty little secret'.

Psychotropic drugs have also been organized according to structure (e.g., tricyclic), mechanism (e.g., monoamine, oxidase inhibitor [MAOI]), history (first generation, traditional), uniqueness (e.g., atypical), or indication (e.g., antidepressant). A further problem is that many drugs used to treat medical and neurological conditions are routinely used to treat psychiatric disorders.

Bishop Pharmacy is a Compounding Pharmacy in Canada. We are specialized in a wide variety of Ostomy supplies and provides monthly diabetic clinics, free blood pressure monitoring and medication.

Very different thought styles are used for one and the same problem more often than are very closely related ones. It happens more frequently that a physician simultaneously pursues studies of a disease from a clinical-medical or bacteriological viewpoint together with that of the history of civilization, than from a clinical-medical or bacteriological one together with a purely chemical one.

to be recorded as they were under normal circumstances. Just beyond the public areas lay a sprawling multifloor substructure of 153 classified rooms, including a massive power plant, medical clinic, dentist’s office, a 400-seat cafeteria, laundry facilities, three 25,000-gallon water tanks, and three 14,000-gallon fuel tanks, as well as a two-story communication facility for incoming and outgoing messages.

The default to studying men at times veered into absurdity: in the early sixties, observing that women tended to have lower rates of heart disease until their estrogen levels dropped after menopause, researchers conducted the first trial to look at whether supplementation with the hormone was an effective preventive treatment. The study enrolled 8,341 men and no women. (Although doctors began prescribing estrogens to postmenopausal women in droves - by the midseventies, a third would be taking them - it wasn't until 1991 that the first clinical study of hormone therapy was conducted in women.) An NIH-supported pilot study from Rockefeller University looked at how obesity affected breast and uterine cancer didn't enroll a single woman. While men can develop breast cancer - and a small number of them do each year - as Rep. Snowe noted drily at the congressional hearings, 'Somehow I find it hard to believe that the male-dominated medical community would tolerate a study of prostate cancer that used only women as research subjects.

Psychologisation describes the emphasis on psychological factors where there is little or no evidence to justify it (1). It's a process where relevant findings are ignored or downplayed in favour of data from incomplete examinations, flawed research or anecdotal reports. In a clinical context, differential diagnoses may be dismissed prematurely while psychological explanations are readily accepted. Psychologisation does not refer to situations where there is sound evidence that psychological factors play a significant role, or where all the arguments are discussed and the psychological explanations are deemed the most persuasive.

The description given by a leading gastro-enterologist at the Mayo Clinic [of patients with chronic fatigue syndrome] remains accurate: 'the average doctor will see they are neurotic and he will often be disgusted with them'.

Today, our view of genuine reality is increasingly clouded by professionals whose technical expertise often introduces a superficial and soulless model of the person that denies moral significance. Perhaps the most devastating example for human values is the process of medicalization through which ordinary unhappiness and normal bereavement have been transformed into clinical depression, existential angst turned into anxiety disorders, and the moral consequences of political violence recast as post-traumatic stress disorder. That is, suffering is redefined as mental illness and treated by professional experts, typically with medication. I believe that this diminishes the person,

In March 1987, Gilbert White, a hematologist, conducted the first clinical trial of the hamster-cell-derived recombinant factor VIII at the Center for Thrombosis in North Carolina. The first patient to be treated was G.M., a forty-three-year-old man with hemophilia. As the initial drops of intravenous liquid dripped into his veins, White hovered anxiously around G.M.’s bed, trying to anticipate reactions to the drug. A few minutes into the transfusion, G.M. stopped speaking. His eyes were closed; his chin rested on his chest. “Talk to me,” White urged. There was no response. White was about to issue a medical alert when G.M. turned around, made the sound of a hamster, and burst into laughter.

I’m itching to get to my medical clinic, where there’s always more to do and it always matters. But I’ve learned to resist that impulse. Years ago, when Sasha and I were struggling with Lincoln, my habit of “fleeing” to my clinic almost cost me my marriage. Since then, I’ve subjected my impulses to leave for work to a three-step protocol: 1) Is it necessary that I go at this moment? 2) Is there something at home that I want to avoid? 3) Will I be letting anyone down by leaving right now?

And in the case of fecal transplants, there’s no drug or medical device involved, and thus no pharmaceutical company or device maker with diverticula deep enough to fund the multiple rounds of controlled clinical trials. If anything, drug companies might be inclined to fight the procedure’s approval. Pharmaceutical companies make money by treating diseases, not by curing them. “There’s billions of dollars at stake,” says Khoruts. “I told Katerina, if this works, don’t be surprised to find me at the bottom of the river.

Carolyn and I struggled with how or if to forgive while we dealt with the impact of the clinic's actions. Kevin Anderson helped us by introducing the idea of intolerant forgiveness: the ability to forgive the person who committed the error, but not the actual mistake.

I believe that it is the task of social science to produce nuanced and people-centered forms of knowledge, correcting asymmetries of information and helping to promote, to the best of our ability, informed consent, human protection, and safety in medical and research settings.

Clinics and Hospitals are courts where you get accused of allowing foreign nutrients to invade your immune system. You plead guilty of the xenophobic attacks and then get sentenced to medication for your life, not knowing that healer is the ground you stand on, grounds that breeds life.

From the moment they're recruited to the time they're 'rescued' and deported, trafficked women are terrorized. Every single day they face a world stacked heavily against them. Their only friends are the dedicated women and men who form the thin front line against trafficking--an often thankless job. Those working for nongovernmental aid agencies and organizations are the real heroes in this bleak morass. Still, their work is merely a Band-Aid solution. In the vast majority of cases, NGO workers report that their funding is ad hoc and wholly inadequate to meet even basic needs. If we truly want a fair shot at saving these women, we need to open not only our minds but also our wallets. We need to focus on programs that care compassionately for the victims and we need to implement them immediately, worldwide. The most urgent priorities are safe shelters and clinics equipped and staffed to offer medical and psychological treatment. We need to understand that most of these women have been psychologically and physically ripped apart. And we need to be prepared for the fac thtat most have been infected with various sexually transmitted diseases.

My eyes focused on the chart that hung on the wall behind him. It was a diagram of the human heart, with detailed renderings of the muscle and tissue, and I immediately thought how fortunate I would be to have something as simple as a heart problem. There were surgeries for that. Clinically proven medications to prescribe. Transplants, even. Labels identified the organ's components in words like chamber, ventricle, atrium, valve. It all looked so simple. Like the parts of a machine. But the human brain was like the uncharted depth of the oceans. Science was still wading around in the shallows.

On the National Sleep Foundation website I read, “In the long term, the clinical consequences of sleep deprivation are associated with numerous, serious medical illnesses, including…high blood pressure, heart attack, heart failure, stroke, psychiatric problems, mental impairment, and poor quality of life.”16

attention deficit disorder in his own son. “I had worked in an ADHD clinic during my residency, and had strong feelings that this was overdiagnosed,” he said. “That it was a ‘savior’ diagnosis for too many kids whose parents wanted a medical reason to drug their children, or to explain their kids’ bad behavior.

According to an article in the Washington Post: The Food and Drug Administration has repeatedly urged antidepressant manufacturers not to disclose to physicians and the public that some clinical trials of the medications in children found that drugs were no better than sugar pills, according to documents and testimony released at a congressional hearing yesterday. Regulators supressed the negative information on the grounds that it might scare families and physicians away from the drugs, according to testimony by drug company executives. For at least three medications, they said, the FDA blocked the companies' plans to reveal the negative studies in drug labels.

And where was the support for that kind of preparation? There are all kinds of medicines and medical devices and clinics and even hospice care to prolong life and make it as easeful as possible—but who helps you to really prepare for it, philosophically? Who teaches you how to embrace it? Is there anyone out there who really does that?

Another key feature? Thanks to the commitment and common sense of Dr. Randy Dupont, clinical director of emergency psychiatric services at the University of Tennessee Medical Center and a founding member of the Memphis CIT, if the cops brought someone to the center for an assessment, they were not turned away with some bureaucratic excuse.

That interview taught me a life lesson, because now I understand the question: They were screening me. They were screening me to see if in difficult situations I would play the role of victim or pick myself up and do what I could do. It is a character trait that, after eleven years of clinical practice, I can instantly pick out in people. It

In 2004, the FDA urged drug companies to adopt a 'Don't ask, don't tell' policy with respect to their clinical-trial data showing that antidepressants are not better than placebos for depressed children. If the data were made public, they cautioned, it might lead doctors to not prescribe antidepressants. The FDA believed that the jury was still out on antidepressants for children. Even if the clinical trials show negative results, an FDA spokesperson was reported to have said to a Washington Post reporter, it doesn't mean that the drugs are ineffective. The assumption seems to have been that doctors should prescribe medications that have not been shown to work, until it has been proven that they don't work.

CBT is a much publicised and debated psychotherapeutic intervention for ME/CFS….The premise that cognitive therapy (eg. changing ‘illness beliefs’) and graded activity can ‘reverse’ or cure this illness is not supported by post-intervention outcome data. In routine medical practice, CBT has not yielded clinically significant outcomes for patients with ME/CFS.

That question became even more salient to me as I began my clinical work with troubled children. I soon found that the vast majority of my patients had lives filled with chaos, neglect and/or violence. Clearly, these children weren’t “bouncing back”—otherwise they wouldn’t have been taken to a child psychiatry clinic! They’d suffered trauma—such as being raped or witnessing murder—that would have had most psychiatrists considering the diagnosis of post-traumatic stress disorder (PTSD), had they been adults with psychiatric problems. And yet these children were being treated as though their histories of trauma were irrelevant, and they’d “coincidentally” developed symptoms, such as depression or attention problems, that often required medication.

I’ve canceled your clinic on Tuesday. We’re meeting Ravi. Dr. V. V. Ravichandran at General Hospital. He’s brilliant . . . The first Indian full professor in surgery at the Madras Medical College. When the governor needed surgery, his wife quietly sent for Ravi. Everyone knows he’s the best, but on top of that he’s a lovely man and a good teacher. I knew him when we were posted together in Tanjore.

As part of this menu of services, the clinic also did abortions. Bruce Kessel had been trained in abortion care as a matter of course when he was a medical resident in the early eighties. The way Bruce told it, the years after Roe were an exuberant time, and physicians who cared, as he did, about public health and family planning rejoiced over the freedoms and possibilities that legal abortion promised women.

Bear in mind that Mother Teresa’s global income is more than enough to outfit several first-class clinics in Bengal. The decision not to do so, and indeed to run instead a haphazard and cranky institution which would expose itself to litigation and protest were it run by any branch of the medical profession, is a deliberate one. The point is not the honest relief of suffering but the promulgation of a cult based on death and suffering and subjection. Mother Teresa (who herself, it should be noted, has checked into some of the finest and costliest clinics and hospitals in the West during her bouts with heart trouble and old age) once gave this game away in a filmed interview. She described a person who was in the last agonies of cancer and suffering unbearable pain. With a smile, Mother Teresa told the camera what she told this terminal patient: “You are suffering like Christ on the cross. So Jesus must be kissing you.” Unconscious of the account to which this irony might be charged, she then told of the sufferer’s reply: “Then please tell him to stop kissing me.” There are many people in the direst need and pain who have had cause to wish, in their own extremity, that Mother Teresa was less free with her own metaphysical caresses and a little more attentive to actual suffering.

The problem is that many authors of papers in the medical literature allow statistics to become their master rather than their servant: numbers are plugged into a statistical program and the results are interpreted in a cut-and-dried fashion. Statistical significance (that two sets of data are not from the same population) is confused with clinical significance (that differences are sufficiently large to have a biological effect).

That women want early abortion, that many women prefer medication to surgery, that especially in rural areas it would be a lot simpler and cheaper and less stressful for women to get a prescription from their local OBGYN or GP than to travel long distances to a clinic, that it would be a good thing to free women from having to run a gauntlet of protesters—none of that mattered. What women want in their abortion care is simply not important.

The nurse smiled and gestured to two cameras pointing at each patient—one to monitor the patient himself, the other to observe the charts. The nurse told us that these were fed by Skype directly into the intensive care unit in one of the hospitals in Washington, DC, where there was a Syrian-American ICU specialist looking at the monitors twenty-four hours a day, and adjusting the patient’s medication and ventilation based on the clinical parameters.

It is ironic that none of those who took issue with Schweitzer’s theology and cursed his writings gave up fame and fortune or membership in the highest stratum of German society to live among the poorest of the poor. They prepared their critiques in the comfort of the pastor’s study or the university library, while Schweitzer nailed patches of tin on the roof of his free medical clinic at Lambarene by the banks of the Ogoove River. Theologians who sat in endowed chairs took his Christology to task, while he scraped infectious lesions off blue-black natives in the steaming misery of equatorial Africa. Albert Schweitzer deserves to be remembered as the greatest Christian of the twentieth century, yet he did not believe in literal miracles— the blood atonement, the bodily resurrection, or the second coming, just to name a few. All he did was walk away from everything the world calls good to follow Jesus.

Gosnell turned almost no one away from the Women’s Medical Society clinic. This is not meant as a compliment. Repentant Gosnell employee Adrienne Moton testified he would perform abortions on any girls or women with no concern about the age of their babies. The only times she could recall Gosnell refusing to perform an abortion was when somebody’s Social Security number couldn’t be verified. In those cases, Gosnell was worried that the “patient” was an undercover cop.

despite abortion being such a common and safe medical procedure, individuals who provide abortion care cannot count on their own personal safety, and partly because abortion providers are not safe, there are very few abortion providers in the United States. Because of their work, abortion providers have been murdered, shot, kidnapped, assaulted, stalked, and subjected to death threats. Their clinics have been bombed, attacked with noxious chemicals, invaded, vandalized, burglarized, and set ablaze.

A systematic review and meta-analysis published in the Journal of the American Medical Association looked at all the best randomized clinical trials evaluating the effects of omega-3 fats on life span, cardiac death, sudden death, heart attack, and stroke. These included studies not only on fish oil supplements but also studies on the effects of advising people to eat more oily fish. What did they find? Overall, the researchers found no protective benefit for overall mortality, heart disease mortality, sudden cardiac death, heart attack, or stroke.12

Medications used to treat psychiatric disorders are commonly referred to as psychotropic drugs. These drugs are commonly described by their major clinical application, for example, antidepressants, antipsychotics, mood stabilizers, anxiolytics, hypnotics, cognitive enhancers, and stimulants. A problem with this approach is that these drugs have multiple indicators. For example, selective serotonin reuptake inhibitors (SSRls) are both antidepressants and anxiolytics, and the serotonin-dopamine antagonists (SDAs) are both anxiolytics and mood stabilizers.

Of course people still feel gnawing anxiety, depression and despair. But these do not trigger religiousness, being increasingly dealt with by 24/7 distraction provided by the mass media, interpersonal communication and quick transportation; any dysphoria (mild depression or otherwise unpleasant feelings) is dealt with by mass medication with tranquillizers and emotionnumbing ‘antidepressants’, ‘antipsychotics’ or ‘mood stabilizers’ (these words are placed in ‘scare quotes’ because they are all marketing terms with negligible scientific or clinical rationale).

The key of brotherhood and sisterhood is that brothers and sisters carry the same genetic code. Together, united, they carry the legacy of their forefathers. Our bond (through our shared blood/DNA) as Ba Ga Mohlala family/clan is our insurance for the future. As Ba Ga Mohlala we can have our own Law firms, Auditing Firms, Doctors's Medical Surgeries, Private School, Private Clinics or Private Hospital, farms and lot of small to medium manufacturing, service, retail and wholesale companies and become self relient. All it takes to achieve that is unity, willpower and commitment.

I’ve never understood Western society’s warped perception of grief as something quantifiable and finite, a problem to be fixed. Eight months after Grandpa died, my doctor suggested I see a psychiatrist because I was still having trouble accepting he was gone. After only one session, the psychiatrist promptly diagnosed me with “persistent complex bereavement disorder,” aka chronic grief, and suggested I take antidepressants. Turns out, in the opinion of most medical experts, your grieving process shouldn’t last longer than six months. And if you aren’t over it by then, there’s something clinically wrong with you.

My mom was a sayyed from the bloodline of the Prophet (which you know about now). In Iran, if you convert from Islam to Christianity or Judaism, it’s a capital crime. That means if they find you guilty in religious court, they kill you. But if you convert to something else, like Buddhism or something, then it’s not so bad. Probably because Judaism, Christianity, and Islam are sister religions, and you always have the worst fights with your sister. And probably nothing happens if you’re just a six-year-old. Except if you say, “I’m a Christian now,” in your school, chances are the Committee will hear about it and raid your house, because if you’re a Christian now, then so are your parents probably. And the Committee does stuff way worse than killing you. When my sister walked out of her room and said she’d met Jesus, my mom knew all that. And here is the part that gets hard to believe: Sima, my mom, read about him and became a Christian too. Not just a regular one, who keeps it in their pocket. She fell in love. She wanted everybody to have what she had, to be free, to realize that in other religions you have rules and codes and obligations to follow to earn good things, but all you had to do with Jesus was believe he was the one who died for you. And she believed. When I tell the story in Oklahoma, this is the part where the grown-ups always interrupt me. They say, “Okay, but why did she convert?” Cause up to that point, I’ve told them about the house with the birds in the walls, all the villages my grandfather owned, all the gold, my mom’s own medical practice—all the amazing things she had that we don’t have anymore because she became a Christian. All the money she gave up, so we’re poor now. But I don’t have an answer for them. How can you explain why you believe anything? So I just say what my mom says when people ask her. She looks them in the eye with the begging hope that they’ll hear her and she says, “Because it’s true.” Why else would she believe it? It’s true and it’s more valuable than seven million dollars in gold coins, and thousands of acres of Persian countryside, and ten years of education to get a medical degree, and all your family, and a home, and the best cream puffs of Jolfa, and even maybe your life. My mom wouldn’t have made the trade otherwise. If you believe it’s true, that there is a God and He wants you to believe in Him and He sent His Son to die for you—then it has to take over your life. It has to be worth more than everything else, because heaven’s waiting on the other side. That or Sima is insane. There’s no middle. You can’t say it’s a quirky thing she thinks sometimes, cause she went all the way with it. If it’s not true, she made a giant mistake. But she doesn’t think so. She had all that wealth, the love of all those people she helped in her clinic. They treated her like a queen. She was a sayyed. And she’s poor now. People spit on her on buses. She’s a refugee in places people hate refugees, with a husband who hits harder than a second-degree black belt because he’s a third-degree black belt. And she’ll tell you—it’s worth it. Jesus is better. It’s true. We can keep talking about it, keep grinding our teeth on why Sima converted, since it turned the fate of everybody in the story. It’s why we’re here hiding in Oklahoma. We can wonder and question and disagree. You can be certain she’s dead wrong. But you can’t make Sima agree with you. It’s true. Christ has died. Christ is risen. Christ will come again. This whole story hinges on it. Sima—who was such a fierce Muslim that she marched for the Revolution, who studied the Quran the way very few people do read the Bible and knew in her heart that it was true.

No doubt there are other inferior clinics out there. Poor care, overpricing, and rude staffers can be found in every medical field. But you don’t find people using examples of it to inveigh against an entire specialty—railing against the greed of orthopedic surgeons (average 2012 salary, $315,000) or calling for surprise inspections of dentists because every year a few people die from preventable errors during dental procedures.8 Only in abortion care do the few bad providers taint all the others—and taint them so much that opponents can pass laws that would virtually shut down the entire field in the name of patient safety. No

[...] The problems I’ve discussed are not limited to psychiatry, although they reach their most florid form there. Similar conflicts of interest and biases exist in virtually every field of medicine, particularly those that rely heavily on drugs or devices. It is simply no longer possible to believe much of the clinical research that is published, or to rely on the judgment of trusted physicians or authoritative medical guidelines. I take no pleasure in this conclusion, which I reached slowly and reluctantly over my two decades as an editor of The New England Journal of Medicine. (Drug Companies & Doctors: A Story of Corruption, Jan 15 2009)

Everything I thought I understood about disease research, drug development, and the delivery of clinical care has been turned on its head. This isn’t science or medicine as I had come to know them but rather a parade of psychogenic bias, neglect, bad science, flawed public policy, and the political agendas of powerful people and institutions that have sentenced ME patients to the medical equivalent of the most squalid slum in the poorest country on earth. The political decisions taken over the last thirty years have polluted research, perverted clinical care, and shipwrecked ME patients with a life-threatening dose of stigma, disbelief and medically induced harm.

A similar concern about using the web to provide just-in-time information shows up among physicians arguing the future of medical education. Increasingly, and particularly while making a first diagnosis, physicians rely on handheld databases, what one philosopher calls “E-memory.” The physicians type in symptoms and the digital tool recommends a potential diagnosis and suggested course of treatment. Eighty-nine percent of medical residents regard one of these E-memory tools, UpToDate, as their first choice for answering clinical questions. But will this “just-in-time” and “just enough” information teach young doctors to organize their own ideas and draw their own conclusions?

The city had changed beyond recognition. Wrecking balls and bulldozers had leveled the old buildings to rubble. The dust of construction hung permanently over the streets. Gated mansions reached up to the northern foothills, while slums fanned out from the city’s southern limits. I feared an aged that had lost its heart, and I was terrified at the thought of so many useless hands. Our traditions were our pacifiers and we put ourselves to sleep with the lullaby of a once-great civilation and culture. Ours was the land of poetry flowers, and nightingales—and poets searching for rhymes in history’s junkyards. The lottery was our faith and greed our fortune. Our intellectuals were sniffing cocaine and delivering lectures in the back rooms of dark cafés. We bought plastic roses and decorated our lawns and courtyards with plaster swans. We saw the future in neon lights. We had pizza shops, supermarkets, and bowling alleys. We had trafric jams, skyscrapers, and air thick with noise and pollution. We had illiterate villagers who came to the capital with scraps of paper in their hands, begging for someone to show them the way to this medical clinic or that government officee. the streets of Tehran were full of Mustangs and Chevys bought at three times the price they sold for back in America, and still our oil wasn’t our own. Still our country wasn’t our own.

Fewer than one-quarter of heroin addicts who receive abstinence-only counseling and support remain clean two or more years. The recovery rate is higher, roughly 40 to 60 percent, among those who get counseling, support group, and medication-assisted treatment such as methadone, buprenorphine, or naltrexone. “We know from other countries that when people stick with treatment, outcomes can be even better than fifty percent,” Lembke, the addiction specialist, told me. But most people in the United States don’t have access to good opioid-addiction treatment, she said, acknowledging the plethora of cash-only MAT clinics that resemble pill-mill pain clinics as well as rehabs that remain staunchly anti-MAT.

At the same time that he was devising a response to the Afghanistan incursion, Carter had to confront a much more acute crisis in Iran, where he had brought the greatest disaster of his presidency down upon himself. In November 1977, he welcomed the shah of Iran to the White House, and on New Year’s Eve in Tehran, raising his glass, he toasted the ruler. Though the shah was sustained in power by a vicious secret police force, Carter praised him as a champion of “the cause of human rights” who had earned “the admiration and love” of the Iranian people. Little more than a year later, his subjects, no longer willing to be governed by a monarch imposed on them by the CIA, drove the shah into exile. Critically ill, he sought medical treatment in the United States. Secretary of State Cyrus Vance warned that admitting him could have repercussions in Iran, and Carter hesitated. But under pressure from David Rockefeller, Henry Kissinger, and the head of the National Security Council, Zbigniew Brzezinski, he caved in. Shortly after the deposed shah entered the Mayo Clinic, three thousand Islamic militants stormed the US embassy compound in Tehran and seized more than fifty diplomats and soldiers. They paraded blindfolded US Marine guards, hands tied behind their backs, through the streets of Tehran while mobs chanted, “Death to Carter, Death to the Shah,” as they spat upon the American flag and burned effigies of the president—scenes recorded on camera that Americans found painful to witness.

Being heard by your doctor isn’t just an emotional need but a physical one: patients benefit clinically from feeling cared for. The emotional and the physical, science is learning, are more intertwined than we once understood. Many studies have suggested that emotional care—interpersonal warmth—has a measurable effect on patients’ outcomes. For example, the incidence of severe diabetes complications in patients of doctors who rate high on a standard empathy scale is a remarkable 40 percent lower than in patients whose doctors do poorly on the empathy scale, Danielle Ofri, an internist at New York’s Bellevue Hospital, reports in What Doctors Feel. “This is comparable,” she points out, “to the benefits seen with the most intensive medical therapy for diabetes.

The man seemed not to have heard him. ‘At this life-giving time of the year, Professor Scrooge,’ said the pastor, clicking his pen, ‘it is more than usually desirable that we should make some slight contribution to babes and adults, who lie languishing in hospitals and care facilities, standing on street corners and under bridges, or living alone at home during this time. Many are in need of blood transfusions or food or pregnancy care every day in our large community; many others – especially the elderly – are in want of comfort and cheer.’ ‘Are there no abortion clinics?’ asked Scrooge. ‘Plenty of clinics,’ said the pastor, clicking the pen tip in again. ‘And Euthanasia facilities?’ demanded Scrooge. ‘Are they still in operation?’ ‘They are. Still,’ returned the gentleman, ‘I wish I could say they were not.’ ‘Welfare and Food Stamps are in full swing, then?’ said Scrooge. ‘Both very busy.’ ‘Oh! I was afraid, from what you said at first, that something had occurred to stop them in their useful course,’ said Scrooge. ‘I’m very glad to hear it.’ ‘Under the impression that they scarcely furnish Christian cheer of mind or body to the multitude,’ returned the gentleman, ‘a few churches are endeavoring to raise a fund to provide those in need with medical care and food as well as the comfort of a human presence and the message of eternal life through Jesus. We choose this time to sow into others’ lives because it is a time, of all others, when we rejoice in the life God gave to us through His Son. What shall I put down – in time, money, or blood – for you?’ ‘Nothing!’ Scrooge replied. ‘You wish to give anonymously, then?’ ‘I wish to be left alone,’ said Scrooge.

In March, while people were dying at the rate of 10,000 patients a week, Dr. Fauci declared that hydroxychloroquine should only be used as part of a clinical trial.104 For the first time in American history, a government official was overruling the medical judgment of thousands of treating physicians, and ordering doctors to stop practicing medicine as they saw fit. Boldly and relentlessly, Dr. Fauci kept declaring that “The Overwhelming Evidence of Properly Conducted Randomized Clinical Trials Indicate No Therapeutic Efficacy of Hydroxychloroquine (HCQ).”105 Dr. Fauci failed to disclose that NONE of the trials he had used as the basis for that pronouncement involved medication given in the first five to seven days after onset of symptoms. Instead, all of those randomized controlled trials targeted patients who were already sick enough to be hospitalized.

There was a time when the public had an unquestionable faith in biomedicine and the practitioners who translated it into everyday patient care—and physicians believed that the public's trust was justified based on their educational qualifications and training. But today, many patients believe that individual clinicians must earn their trust, just as a close relative has earned it through shared experience. ...Gallop polling over the last several decades that demonstrates how much the public's confidence in most US institutions has deteriorated. Confidence in the medical system in particular fell from 80% in 1975 to 37% in 2015. Statistics from the General Social Survey confirm this troubling trend. Baron and Berinsky explain the historical reasons for this shift in attitudes, but the more pressing question is: How can individual clinicians, and the profession as a whole, regain the patients' trust? 

The History of Social Anxiety The fact that some people are shyer than others has been observed since ancient times. However, the medical community didn’t become interested in this condition until the 1970s, when Philip Zimbardo founded the Stanford Shyness Clinic. At the time, many professionals believed that shyness was a natural state that children eventually outgrew. Zimbardo showed that shyness actually is a widespread psychological problem that has deep and lasting effects on those who suffer from it. This new awareness led to a great deal of research into the causes and treatment of social anxiety. Today, the condition is in the spotlight. Ads in magazines and commercials on television tell about social anxiety and advertise medications to treat it. People are becoming more open about discussing when they feel anxious and feel less ashamed about asking for help. The time has never been better for you to try to overcome your social anxiety.

What are the health effects of the choice between austerity and stimulus? Today there is a vast natural experiment being conducted on the body economic. It is similar to the policy experiments that occurred in the Great Depression, the post-communist crisis in eastern Europe, and the East Asian Financial Crisis. As in those prior trials, health statistics from the Great Recession reveal the deadly price of austerity—a price that can be calculated not just in the ticks to economic growth rates, but in the number of years of life lost and avoidable deaths. Had the austerity experiments been governed by the same rigorous standards as clinical trials, they would have been discontinued long ago by a board of medical ethics. The side effects of the austerity treatment have been severe and often deadly. The benefits of the treatment have failed to materialize. Instead of austerity, we should enact evidence-based policies to protect health during hard times. Social protection saves lives. If administered correctly, these programs don’t bust the budget, but—as we have shown throughout this book—they boost economic growth and improve public health. Austerity’s advocates have ignored evidence of the health and economic consequences of their recommendations. They ignore it even though—as with the International Monetary Fund—the evidence often comes from their own data. Austerity’s proponents, such as British Prime Minister David Cameron, continue to write prescriptions of austerity for the body economic, in spite of evidence that it has failed. Ultimately austerity has failed because it is unsupported by sound logic or data. It is an economic ideology. It stems from the belief that small government and free markets are always better than state intervention. It is a socially constructed myth—a convenient belief among politicians taken advantage of by those who have a vested interest in shrinking the role of the state, in privatizing social welfare systems for personal gain. It does great harm—punishing the most vulnerable, rather than those who caused this recession.

The issues of antidepressant-associated suicide has become front-page news, the result of an analysis suggesting a link between medication use and suicidal ideation among children, adolescents, a link between medication use and suicidal ideation among children, adolescents, and adults up to age 24 in short term (4 to 16 weeks), placebo-controlled trials of nine newer antidepressant drugs. The data from trials involving more than 4.4(K) patients suggested that the average risk of suicidal thinking or behavior (suicidality) during the first few months of treatment in those receiving antidepressants was 4 percent, twice the placebo risk of 2 percent. No suicides occured in these trials. The analysis also showed no increase in suicide risk among the 25 to 65 age group. Antidepressants reduced suicidality among those over age 65. Following public hearings on the subject, in October 2004, the FDA requested the addition of “black box” warnings—the most serious warning placed on the labeling of a prescription medication—to all antidepressant drugs, old and new.

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.

Christopher Lasch explains the process by which the therapeutic segment of the managerial elite win moral acceptance. Despite the fact that its claims to be providing “mental health” where always self-serving and highly subjective, the theapeutic class offered ethical leadership in the absence of shared principles. By defining emotional well-being as both a social good and the overcoming of what is individually and collectively dangerous, the behavioral scientists have been able to impose their absolutes upon the culturally fluid society. In “The True and Only Heaven” Lasch explores the implications for postwar politics of the “Authoritarian Personality.” A chief contributor to this anthology, Theodro Adorno, abandoned his earlier work as a cultural critic to become a proponent of governmentally imposed social therapy. According to Lasch, Adorno condemns undesirable political attitudes as “prejudice” and “by defining prejudice as a ‘social disease’ substituted a medical for a political idiom. In the end, Adorno and his colleagues “relegated a broad range of controversial issues to the clinic – to scientific study as opposed to philosophical and political debate.

Believing in race can be compared to believing in astrology. People who have faith in astrology find constant confirmation that horoscope predictions are reliable and that astrological signs determine personality types. For the faithful, the twelve divisions of the zodiac are as accurate as Blumenbach’s five divisions of human beings. The funny thing is, biostatisticians can find significant medical differences according to astrological signs. In the 1990s, a major randomized clinical trial compared the effectiveness of an intravenous drug, an oral aspirin, and a placebo to treat 17,000 patients who were hospitalized with signs of a heart attack. The study found a huge overall statistical benefit for patients who got the aspirin over the placebo. To test the strength of the outcome, the researchers divided the patients into twelve subgroups by their astrological signs. They found that the zodiac made a difference: their statistical analysis showed that patients born under Gemini or Libra suffered an adverse effect from aspirin.72 Unsurprisingly, physicians laughed off this finding because it was more scientifically plausible to interpret the results as an insignificant coincidence. But an astrology enthusiast would take it as proof that zodiac signs determine people’s health and drug response.

If you wouldn't mind driving my truck across the tarmac,I'd like to unload the medical supplies and deliver them to the clinic on the way to Delia's." "Good idea.Let's kill two birds." Marilee shook her head. "Please.I'd rather not talk about killing any birds." Wyatt paused and touched a hand to her cheek. She felt the heat all the way to her toes. He stared down into her eyes,and his lips curved into a killer smile that had those same toes curling with pleasure. "My fearless,independent adventurer. You handle a plane like you were born with wings.I've watched you patch up battered, bloody cowboys without flinching. But you can't even think about harming a bird." She couldn't say a word.Her throat was dry as dust. With a thoughtful look he rubbed a thumb over her lower lip,then turned away and headed toward her truck. Marilee remained where she was, absorbing the aftershock of his touch. She'd thought he would kiss her.Had wanted him to.Desperately. Instead, all he'd done was touch her.And that had been enough to reduce her to a weak, trembling mass of jelly. She was going to have to do something about these jumbled hormones. She sucked in a deep breath and got to work hauling the cases of medical supplies. By the time Wyatt drove the truck close to the plane,she was in control and able to work alongside him without sighing like a girl with her first crutch. But just barely.

Diagnozele clinice sunt importante, întrucât oferă o oarecare orientare, dar ele nu-l ajută cu nimic pe pacient. Punctul decisiv este problema “poveștii” pacientului; căci ea dezvăluie fundalul uman și suferința umană și numai atunci poate începe terapia medicului. Am văzut asta clar și într-un alt caz. Era vorba despre o pacientă bătrână de la secția de femei, în vârstă de șaptezeci și cinci de ani. Venise la spital cu aproape cincizeci de ani în urmă, dar nimeni nu-și mai amintea de momentul internării ei; toți muriseră între timp. Doar o soră-șefă, care lucra în această instituție de treizeci și cinci de ani, mai știa câte ceva din povestea ei. Bătrâna nu mai putea vorbi și nu putea consuma decât hrană lichidă sau semilichidă. Își ducea hrana la gură numai cu ajutorul degetelor. Uneori îi lua aproape două ore pentru o cană de lapte. Dacă nu era ocupată cu mâncarea, făcea niște mișcări ciudate, ritmice, cu mâinile și brațele, cărora nu le înțelegeam natura și sensul. Eram profund impresionat de gradul distrugerii pe care-l poate produce o boală mintală, dar nu găseam nici o explicație. În conferințele clinice era prezentată ca o formă catatonică de demență precoce, ceea ce nu-mi spunea nimic, căci nu mă lămurea absolut deloc în legătură cu semnificația și originea mișcărilor ei ciudate. Impresia lăsată de acest caz asupra mea caracterizează reacția mea la psihiatria de atunci. Când am ajuns medic, am avut senzația că nu pricepeam nimic din ceea ce pretindea psihiatria că este. Mă simțeam extrem de jenat față de șeful meu și de colegii care afișau atâta siguranță, în timp ce eu orbecăiam nedumerit prin întuneric. Consideram că misiunea principală a psihiatriei este cunoașterea lucrurilor care se petrec în interiorul spiritului bolnav, iar despre aceasta nu știam încă nimic. Eram antrenat deci într-o meserie în care nu mă orientam deloc! Într-o seară, târziu, m-am dus prin secție, am văzut-o pe bătrâna cu mișcările ei enigmatice și m-am întrebat din nou: de ce o fi așa? Care o fi explicația? M-am dus la bătrâna noastră soră-șefă și m-am interesat dacă pacienta fusese dintotdeauna astfel. – Da, mi-a răspuns, dar sora dinaintea mea îmi povestea că pe vremuri bolnava confecționa pantofi. Apoi i-am studiat încă o dată vechea poveste; scria despre ea că ar fi avut niște gesturi de parcă ar fi făcut cizmărie. Odinioară, cizmarii țineau pantofii între genunchi și trăgeau firele prin piele cu niște mișcări foarte asemănătoare. (La cizmarii de la sate se mai poate vedea și astăzi.) Pacienta a murit curând și fratele ei mai mare a venit pentru înmormântare. – De ce s-a îmbolnăvit sora dumneavoastră? l-am întrebat. Mi-a povestit că sora lui iubise un cizmar, care însă nu voise să se însoare cu ea dintr-un oarecare motiv și atunci ea “o luase razna”. Mișcările de cizmar arătau identificarea ei cu omul iubit, care a durat până la moarte.

Staying at Home during this lockdown period is the right time to find your life purpose within Ba Ga Mohlala family/clan. This is an opportunity to know yourself better and to understand what motivates and feeds your mind and your soul, and also to find out as to where you fit in the bigger Ba Ga Mohlala family/clan. All members of each family/clan possess characteristics, abilities, and qualities specific to that family/clan. It is up to the family/clan to distinguish itself amongst other families/clans. Ba Ga Mohlala has become an institution to build cooperation in order to build and forge unity for social and economic benefits for Ba Ga Mohlala and Banareng in general. An institution is social structure in which people cooperate and which influences the behavior of people and the way they live. intelligence and assertiveness comes to us as our nature, it is in our blood (DNA) and all there is for us to do is to nature it and it will shine, otherwise it will gather dust and rust in us. The key of brotherhood and sisterhood is that brothers and sisters carry the same genetic code. Together, united, they carry the legacy of their forefathers. Our bond (through our shared blood/DNA) as Ba Ga Mohlala family/clan is our insurance for the future. As Ba Ga Mohlala we can have our own Law firms, Auditing Firms, Doctors's Medical Surgeries, Private School, Private Clinics or Private Hospital, farms and lot of small to medium manufacturing, service, retail and wholesale companies and become self relient. All it takes to achieve that is unity, willpower and commitment.

The psychological impact of trauma in both the military and civilian arenas has been documented for well over 100 years [1], but the validity of the traumatic neuroses and their key symptoms have been continuously questioned. This is particularly true for posttraumatic amnesia and therapeutically recovered traumatic memories. Freud’s [2] abandonment of his seduction theory was followed by decades of denial of sexual trauma in the psychoanalytic and broader sociocultural realms [3]. Concomitant negation of posttraumatic symptomatology was noted in regard to the war neuroses, emanating equally from military, medical and social spheres [4]. Thus, Karon and Widener [5] drew attention to professional abandonment of the literature on posttraumatic amnesia in World War II combatants. They considered this to be due to a collective forgetting, comparable to the repression of soldiers, but instead occurring on account of social prejudices. He further noted that the validity of memories was never challenged at the time since there was ample corroborating evidence. Recent research confirms the findings of earlier investigators such as Janet [6], validating posttraumatic amnesia of both civilian and military origin. Van der Hart and Nijenhuis [7] cited clinical studies reporting total amnesia for combat trauma, experiences in Nazi concentration camps, torture and robbery. There is also increasing evidence for the existence of amnesia for child sexual abuse. Thus, Scheflen and Brown [8] concluded from their analysis of 25 empirical studies that such amnesia is a robust finding. Since then, new studies, for example those of Elliott [9], have appeared supporting their conclusion. This paper examines posttraumatic amnesia in World War I (WWI) combatants. The findings are offered as an historical cross-validation of posttraumatic amnesia in all populations, including those subjected to childhood sexual abuse.

Their eyes met. For a split second she caught a glimpse of heat in his eyes. Then Jake banked the flame and broke out of her embrace. Marnie felt a hot blush rise from her toes to her nose. It took a moment for her eyes to focus and her brain to function. Bewildered, she looked up to find him watching her. His heavy-lidded eyes held a strange desperation as he reached back and unhooked the vice of her ankles from around his wiast. Her legs dropped. Her heels thumped against the cabinet. Beneath his hawklike gaze she felt stripped bare and vulnerable. He studied her face, seeming to see more than her features. He seemed to delve into her mind, to touch things deep and frightening—parts of herself Marnie was still exploring. The muscles in his jaw knotted and unknotted. After a moment he stepped back and casually, but with difficulty, adjusted his jeans Heat flooded her cheeks. Legs splayed, nipples peaked to his clinical gaze, she’d never experienced such acute embarrassment in her life. Her breath hitched as she jumped off the counter, tugging her top down and her pants up. At a loss for hers, she half laughed. “I have absolutely no idea what to say.” Which was a reasonable start, she guessed. It was rare for her to be speechless. But then, this was a day of firsts. “I told you you weren’t my type.” The brass button on his jeans closed like the clasp of a miser’s purse. Other than a faint flush on the ridge of his cheekbones and what looked like a painful erection, he seemed totally unaffected by what had just happened. She stared at him. “Not your t—What do you call what just happened?” Marnie was confused. It was out of character for her to be sexually aggressive. But now that she’d done it, she wasn’t sorry. “What part of ‘I don’t want you’ didn’t you understand?” He’d wanted her. He might lie about it, but his body had been honest. He was as hard as petrified wood. “Then what”—she pointed—“is that?” He ignored the bulge in his jeans. “Just because I have it doesn’t mean I intend to use it.” Marnie stepped forward and touched his arm. He jerked away from her as if she’d used a cattle prod. “Was it something I said?” she asked quietly, dropping her hand to her side. “Look, I have a tendency to sort of speak without running the words through my brain first. But I know I didn’t give out mixed signals just now. I wanted to make love with you. It was very good. No, darn it, it was excellent. So if you have some sort of medical condition, let’s talk about i—” He moved backward, almost tripping over Duchess sprawled on the floor. The dog rose to hover anxiously between them. Jake’s eyes turned as he said, “I do not have a medical condition.” Marnie backed up—mentally as well as physically. Her hip bumped the counter. “Good.” He scowled and swore under his breath. “That is good, isn’t it?” she asked tentatively.

Although there are certainly a number Hair Loss regarding treatments offering great results, experts say that normal thinning hair treatment can easily yield some of the best rewards for anybody concerned with the fitness of their head of hair. Most people choose to handle their hair loss along with medications or even surgical treatment, for example Minoxidil or even head of hair hair transplant. Nevertheless many individuals fail to realize that treatment as well as surgical procedure are costly and may have several dangerous unwanted effects and also risks. The particular safest and a lot cost efficient form of thinning hair treatment therapy is natural hair loss remedy, which includes healthful going on a diet, herbal solutions, exercise as well as good hair care strategies. Natural thinning hair therapy is just about the "Lost Art" associated with locks restore and is frequently ignored as a type of treatment among the extremely expensive options. A simple main within normal hair loss treatment methods are that the identical food items which are great for your health, are good for your hair. Although hair loss may be caused by many other factors, not enough correct diet will cause thinning hair in most people. Foods which are loaded with protein, lower in carbohydrates, and have decreased excess fat articles can help in maintaining healthful hair as well as preventing hair loss. For instance, efa's, seen in spinach, walnuts, soy products, seafood, sardines, sunflower seed products and also canola acrylic, are important eating essentials valuable in maintaining hair wholesome. The omega-3 and also rr Half a dozen efas contain anti-inflammatory properties that are valuable in maintaining healthier hair. Insufficient amounts of these types of efa's may lead to more rapidly hair loss. A deficiency in nutritional B6 and also vitamin B12 can also result in excessive hair thinning. Food items containing B vitamins, like liver organ, poultry, seafood and soybean are important to healthier hair growth and normal thinning hair treatment. Both vitamin B6 and also vitamin B12 are simply within protein rich foods, which are needed to preserve natural hair growth. Vitamin b are incredibly essential to your diet plan to avoid extreme hair thinning. Certain nutritional vitamins as well as supplements are often essential to recover protein amounts which in turn, are helpful in stopping thinning hair. Growing b vitamin consumption in your diet is an effective method to avoid or perhaps treat hair damage naturally. Alongside the thought of eating healthily regarding vitamins, nutrients and also vitamins and minerals are also the utilization of herbal treatments which are good at preventing hair thinning as a organic thinning hair therapy. One of the herbal remedies producing healthcare head lines will be Saw Palmetto. Although most studies regarding Saw palmetto extract happen to be for your management of prostatic disease, more modern numerous studies have been carried out about its effectiveness for hair thinning. The actual plant has been seen as to operate in eliminating benign prostatic disease by lowering degrees of Dihydrotestosterone, the industry known cause of androgenic alopecia, the medical phrase regarding man or woman routine hair loss. While there isn't any clinical trials supporting this herb's usefulness being a normal hair thinning treatment, there is certainly some dependable investigation proving that it could decrease androgen exercise within

As she explained to her students, patients often awoke from very bad illnesses or cardiac arrests, talking about how they had been floating over their bodies. “Mm-hmmm,” Norma would reply, sometimes thinking, Yeah, yeah, I know, you were on the ceiling. Such stories were recounted so frequently that they hardly jolted medical personnel. Norma at the time had mostly chalked it up to some kind of drug reaction or brain malfunction, something like that. “No, really,” said a woman who’d recently come out of a coma. “I can prove it.” The woman had been in a car accident and been pronounced dead on arrival when she was brought into the emergency room. Medical students and interns had begun working on her and managed to get her heartbeat going, but then she had coded again. They’d kept on trying, jump-starting her heart again, this time stabilizing it. She’d remained in a coma for months, unresponsive. Then one day she awoke, talking about the brilliant light and how she remembered floating over her body. Norma thought she could have been dreaming about all kinds of things in those months when she was unconscious. But the woman told them she had obsessive-compulsive disorder and had a habit of memorizing numbers. While she was floating above her body, she had read the serial number on top of the respirator machine. And she remembered it. Norma looked at the machine. It was big and clunky, and this one stood about seven feet high. There was no way to see on top of the machine without a stepladder. “Okay, what’s the number?” Another nurse took out a piece of paper to jot it down. The woman rattled off twelve digits. A few days later, the nurses called maintenance to take the ventilator machine out of the room. The woman had recovered so well, she no longer needed it. When the worker arrived, the nurses asked if he wouldn’t mind climbing to the top to see if there was a serial number up there. He gave them a puzzled look and grabbed his ladder. When he made it up there, he told them that indeed there was a serial number. The nurses looked at each other. Could he read it to them? Norma watched him brush off a layer of dust to get a better look. He read the number. It was twelve digits long: the exact number that the woman had recited. The professor would later come to find out that her patient’s story was not unique. One of Norma’s colleagues at the University of Virginia Medical Center at the time, Dr. Raymond Moody, had published a book in 1975 called Life After Life, for which he had conducted the first large-scale study of people who had been declared clinically dead and been revived, interviewing 150 people from across the country. Some had been gone for as long as twenty minutes with no brain waves or pulse. In her lectures, Norma sometimes shared pieces of his research with her own students. Since Moody had begun looking into the near-death experiences, researchers from around the world had collected data on thousands and thousands of people who had gone through them—children, the blind, and people of all belief systems and cultures—publishing the findings in medical and research journals and books. Still, no one has been able to definitively account for the common experience all of Moody’s interviewees described. The inevitable question always followed: Is there life after death? Everyone had to answer that question based on his or her own beliefs, the professor said. For some of her students, that absence of scientific evidence of an afterlife did little to change their feelings about their faith. For others,