Medical Emergency Quotes

What is the nature of your emergency?” “I was assaulted in the street,” Krissa responds. “What is the location of the assault?” “At my current coordinates.” “Do you need medical attention?” “No, but my attackers do.

Simon whispered to me, “But is everything okay?” “No,” Tori said. “I kidnapped her and forced her to escape with me. I’ve been using her as a human shield against those guys with guns, and I was just about to strangle her and leave her body here to throw them off my trail. But then you showed up and foiled my evil plans. Lucky for you, though. You get to rescue poor little Chloe again and win her undying gratitude.” “Undying gratitude?” Simon looked at me. “Cool. Does that come with eternal servitude? If so, I like my eggs sunnyside up.” I smiled. “I’ll remember that.” *** “Oh, right. You must be starving.” Simon reached into his pockets. “I can offer one bruised apple and one brown banana. Convenience stores aren’t the place to buy fruit, as I keep telling someone.” “Better than these. For you, anyway, Simon.” Derek passed a bar to Tori. “Because you aren’t supposed to have those, are you?” I said. “Which reminds me…” I took out the insulin. “Derek said it’s your backup.” “So my dark secret is out.” “I didn’t know it was a secret.” “Not really. Just not something I advertise.” ... “Backup?” Tori said. “You mean he didn’t need that?” “Apparently not,” I murmured. Simon looked from her to me, confused, then understanding. “You guys thought…” “That if you didn’t get your medicine in the next twenty-four hours, you’d be dead?” I said. “Not exactly, but close. You know, the old ‘upping the ante with a fatal disease that needs medication’ twist. Apparently, it still works.” “Kind of a letdown, then, huh?” “No kidding. Here we were, expecting to find you minutes from death. Look at you, not even gasping.” “All right, then. Emergency medical situation, take two.” He leaped to his feet, staggered, keeled over, then lifted his head weakly. “Chloe? Is that you?” He coughed. “Do you have my insulin?” I placed it in his outstretched hand. “You saved my life,” he said. “How can I ever repay you?” “Undying servitude sounds good. I like my eggs scrambled.” He held up a piece of fruit. “Would you settle for a bruised apple?” I laughed.

The most common emotional defense is avoidance (an ineffective coping skill for any stressor) as expressed through denial (e.g., "That wasn't really bad, I barely remember it").

There are no emergency autopsies,” another resident pointed out to me. “Your patients never complain. They don’t page you during dinner. And they’ll still be dead tomorrow.

That if you didnt get your medicine in the next twenty-four hours you'd be dead?" i said, " Not exactly, but close. you know, the old ' upping the ante with a fatal disease that needs medication twist. APerently it still works." "Kind of a letdown, then, huh?" "No kidding. Look at you, your not even gasping." " All right then, emergency medical situation, take two." he leaped to his feet, stagored, kneeled over, then lifted his head weakly. Chloe? Is that you?" he couphed, " DO you have my insulin?" i placed it in his outstreched hand. "You savedmy life, how can i ever repay you?" he said. "undying servitude sounds good. i like my eggs scrambled." he held up a piece of fruit, "Would you settle for a bruised apple?" i lauphed. "YOu guys are wierd." tori said. simon sat on the crate beside me. "thats right. we are totally wierd and completely uncool. you popularity is plummeting just by being near us. so why dont you-" "Chloe?" derek inturupted. "Hows your arm?" "HEr-?" simon swore under his breath. "Way to keep showing me up. first food. now her arm" he turned to me"How is it?

All right, then. Emergency medical situation, take two.” He leaped to his feet, staggered, keeled over, then lifted his head weakly. “Chloe? Is that you?” He coughed. “Do you have my insulin?” I placed it in his outstretched hand. “You saved my life,” he said. “How can I ever repay you?” “Undying servitude sounds good. I like my eggs scrambled.” He held up a piece of fruit. “Would you settle for a bruised apple?” I laughed.

Right," said Marisol. "So, I don't explain modern medicine to you, and then a medical emergency occurs to me. It could be solved with the application of a little first aid, but you don't know that, and so I die. I die at your feet. Is that what you want, Jon?" "No," said Jon. "What's first aid? Is there a ... second aid?

You will not remember much from school. School is designed to teach you how to respond and listen to authority figures in the event of an emergency. Like if there's a bomb in a mall or a fire in an office. It can, apparently, take you more than a decade to learn this. These are not the best days of your life. They are still ahead of you. You will fall in love and have your heart broken in many different, new and interesting ways in college or university (if you go) and you will actually learn things, as at this point, people will believe you have a good chance of obeying authority and surviving, in the event of an emergency. If, in your chosen career path, there are award shows that give out more than ten awards in one night or you have to pay someone to actually take the award home to put on your mantlepiece, then those awards are more than likely designed to make young people in their 20's work very late, for free, for other people. Those people will do their best to convince you that they have value. They don't. Only the things you do have real, lasting value, not the things you get for the things you do. You will, at some point, realise that no trophy loves you as much as you love it, that it cannot pay your bills (even if it increases your salary slightly) and that it won't hold your hand tightly as you say your last words on your deathbed. Only people who love you can do that. If you make art to feel better, make sure it eventually makes you feel better. If it doesn't, stop making it. You will love someone differently, as time passes. If you always expect to feel the same kind of love you felt when you first met someone, you will always be looking for new people to love. Love doesn't fade. It just changes as it grows. It would be boring if it didn't. There is no truly "right" way of writing, painting, being or thinking, only things which have happened before. People who tell you differently are assholes, petrified of change, who should be violently ignored. No philosophy, mantra or piece of advice will hold true for every conceivable situation. "The early bird catches the worm" does not apply to minefields. Perfection only exists in poetry and movies, everyone fights occasionally and no sane person is ever completely sure of anything. Nothing is wrong with any of this. Wisdom does not come from age, wisdom comes from doing things. Be very, very careful of people who call themselves wise, artists, poets or gurus. If you eat well, exercise often and drink enough water, you have a good chance of living a long and happy life. The only time you can really be happy, is right now. There is no other moment that exists that is more important than this one. Do not sacrifice this moment in the hopes of a better one. It is easy to remember all these things when they are being said, it is much harder to remember them when you are stuck in traffic or lying in bed worrying about the next day. If you want to move people, simply tell them the truth. Today, it is rarer than it's ever been. (People will write things like this on posters (some of the words will be bigger than others) or speak them softly over music as art (pause for effect). The reason this happens is because as a society, we need to self-medicate against apathy and the slow, gradual death that can happen to anyone, should they confuse life with actually living.)

It’s always best to be ready for a medical emergency and nothing says “prepared” like having a tobacco smoke enema kit next to your first aid supplies.

Loose diagnosis is causing a national drug overdose of medication. Six percent of our people are addicted to prescription drugs, and there are now more emergency room visits and deaths due to legal prescription drugs than to illegal street drugs.6

Disturbing as it may be, the raw truth is that often enough, the people showing up to your medical emergency do so because this was the only respectable job they could get with a GED and a clean driving record.

Lockdown might be great if we all lived in a future with replicators and emergency medical holograms and shit, but we're not there yet.

Backup?" Tori said. "You mean he didn't need that?" "Apparently not," I murmured. Simon looked from her to me, confused, then understanding. "You guys thought..." "That if you didn't get your medicine in the next twenty-four hours, you'd be dead?" I said. "Not exactly, but close. You know, the old 'upping the ante with a fatal disease that needs medication' twist. Apparently, it still works." "Kind of a letdown, then, huh?" "No kidding. Here we were, expecting to find you minutes from death. Look at you, not even gasping." "All right, then. Emergency medical situation, take two." He leaped to his feet, staggered, keeled over, then lifted his head weakly. "Chloe? Is that you?" He coughed. "Do you have my insulin?" I placed it in his outstretched hand. "You saved my life," he said. "How can I ever repay you?" "Undying servitude sounds good. I like my eggs scrambled." He held up a piece of fruit. "Would you settle for a bruised apple?

For, medicine being a compendium of the successive and contradictory mistakes of medical practitioners, when we summon the wisest of them to our aid, the chances are that we may be relying on a scientific truth the error of which will be recognized in a few years’ time. So that to believe in medicine would be the height of folly, if not to believe in it were not greater folly still, for from this mass of errors there have emerged in the course of time many truths.

Tatiana fretted over him before he left as if he were a five-year-old on his first day of school. Shura, don't forget to wear your helmet wherever you go, even if it's just down the trail to the river. Don't forget to bring extra magazines. Look at this combat vest. You can fit more than five hundred rounds. It's unbelievable. Load yourself up with ammo. Bring a few extra cartridges. You don't want to run out. Don't forget to clean your M-16 every day. You don't want your rifle to jam." Tatia, this is the third generation of the M-16. It doesn't jam anymore. The gunpowder doesn't burn as much. The rifle is self-cleaning." When you attach the rocket bandolier, don't tighten it too close to your belt, the friction from bending will chafe you, and then irritation follows, and then infection... ...Bring at least two warning flares for the helicopters. Maybe a smoke bomb, too?" Gee, I hadn't thought of that." Bring your Colt - that's your lucky weapon - bring it, as well as the standard -issue Ruger. Oh, and I have personally organized your medical supplies: lots of bandages, four complete emergency kits, two QuickClots - no I decided three. They're light. I got Helena at PMH to write a prescription for morphine, for penicillin, for -" Alexander put his hand over her mouth. "Tania," he said, "do you want to just go yourself?" When he took the hand away, she said, "Yes." He kissed her. She said, "Spam. Three cans. And keep your canteen always filled with water, in case you can't get to the plasma. It'll help." Yes, Tania" And this cross, right around your neck. Do you remember the prayer of the heart?" Lord Jesus Christ, Son of God, have mercy on me, a sinner." Good. And the wedding band. Right around your finger. Do you remember the wedding prayer?" Gloria in Excelsis, please just a little more." Very good. Never take off the steel helmet, ever. Promise?" You said that already. But yes, Tania." Do you remember what the most important thing is?" To always wear a condom." She smacked his chest. To stop the bleeding," he said, hugging her. Yes. To stop the bleeding. Everything else they can fix." Yes, Tania.

Okay . . . let’s see. I don’t think we should take away a citizen’s right to own a gun. But I do think it should be one hell of a difficult process to get your hands on one. I think women should decide what to do with their own bodies, as long as it’s within the first trimester or it’s a medical emergency. I think government programs are absolutely necessary but I also think a more systematic process needs to be put in place that would encourage people to get off of welfare, rather than to stay on it. I think we should open up our borders to immigrants, as long as they register and pay taxes. I’m certain that life-saving medical care should be a basic human right, not a luxury only the wealthy can afford. I think college tuition should automatically be deferred and then repaid over a twenty-year period on a sliding scale. I think athletes are paid way too much, teachers are paid way too little, NASA is underfunded, weed should be legal, people should love who they want to love, and Wi-Fi should be universally accessible and free.” When he’s finished, he calmly reaches for his mug of hot chocolate and brings it back to his mouth. “Do you still love me?

According to Richard Gerber, M.D.: “The ultimate approach to healing will be to remove the abnormalities at the subtle-energy level which led to the manifestation of illness in the first place.”2 Norm Shealy, M.D., founding president of the American Holistic Medical Association, has flatly stated that “energy medicine is the future of all medicine.”3 This emerging approach is actually both contemporary and ancient. According to Albert Szent-Györgyi, Nobel laureate in Medicine: “In every culture and in every medical tradition before ours, healing was accomplished by moving energy.

Almost half of Americans would be unable to pay a $400 medical emergency bill without going into debt.67

When a worker is injured at an IBP plant in Texas, he or she is immediately presented with a waiver. Signing the waiver means forever surrendering the right to sue IBP on any grounds. Workers who sign the waiver may receive medical care under IBP's Workplace Injury Settlement Program. Or they may not. Once workers sign, IBP and its company-approved doctors have control over the job-related medical treatment - for life. Under the program's terms, seeking treatment from an independent physician can be grounds for losing all medical benefits. Workers who refuse to sign the IBP waiver not only risk getting no medical care from the company, but also risk being fired on the spot...Injured workers almost always sign the waiver. The pressure to do so is immense. An IBP medical case manager will literally bring the waiver to a hospital emergency room in order to obtain an injured worker's signature. When Lonita Leal's right hand was mangled by a hamburger grinder at the IBP plant in Amarillo, a case manager talked her into signing the waiver with her left hand as she waited in the hospital for surgery. When Duane Mullin had both hands crushed in a hammer mill at the same plant, an IBP representative persuaded him to sign the waiver with a pen held in his mouth.

We can't leave the snow all bloody," I told the underside of his chin,shadowed with stubble. "It will scare the tourists." "The new snow will cover it up." He looked down at me."Shhh." Something in his Shhh tugged at my heart. He kept watchiing me,not examining m ear for medical emergencies but looking into my eyes,for a few more steps. I couldn't read his look.He was kind of blurry,for one thing,and I was kind of dizzy. I thought he looked..concerned. Sympathetic. Determined to rescue me from danger. I wished that was what he felt. But it couldn't have been.I was misreading him.

A young psychiatrist, himself newly recovered from porn-induced sexual dysfunction,[182] pointed out that the internet porn phenomenon is only 10 or 15 years old, and way ahead of the research. He notes: Medical research works at a snail's pace. With luck we'll be addressing this in 20 or 30 years ... when half the male population is incapacitated. Drug companies can't sell any medications by someone quitting porn. We

By the time he had to head to San Francisco, for his night shift at the UCSF Medical Center emergency room, Mortenson had completed, sealed, and stamped six letters. One for Oprah Winfrey. One for each network news anchor, including CNN’s Bernard Shaw, since he figured CNN was becoming as big as the other guys. And a letter he’d written spontaneously to the actress Susan Sarandon, since she seemed so nice, and so dedicated to causes

Before Medicaid and Medicare existed, writes the American politician and former doctor Ron Paul, ‘every physician understood that he or she had a responsibility towards the less fortunate, and free medical care for the poor was the norm’.

08/14/1025h. Dessert Competitions. 08/14/1315h. Illinois State Fair Infirmary; then motel; then Springfield Memorial Medical Center Emergency Room for distention and possible rupture of transverse colon (false alarm); then motel; incapacitated till well after sunset; whole day a washout; incredibly embarrassing, unprofessional; indescribable. Delete entire day.

Until fairly recently, every family had a cornucopia of favorite home remedies--plants and household items that could be prepared to treat minor medical emergencies, or to prevent a common ailment becoming something much more serious. Most households had someone with a little understanding of home cures, and when knowledge fell short, or more serious illness took hold, the family physician or village healer would be called in for a consultation, and a treatment would be agreed upon. In those days we took personal responsibility for our health--we took steps to prevent illness and were more aware of our bodies and of changes in them. And when illness struck, we frequently had the personal means to remedy it. More often than not, the treatment could be found in the garden or the larder. In the middle of the twentieth century we began to change our outlook. The advent of modern medicine, together with its many miracles, also led to a much greater dependency on our physicians and to an increasingly stretched healthcare system. The growth of the pharmaceutical industry has meant that there are indeed "cures" for most symptoms, and we have become accustomed to putting our health in the hands of someone else, and to purchasing products that make us feel good. Somewhere along the line we began to believe that technology was in some way superior to what was natural, and so we willingly gave up control of even minor health problems.

I enjoyed the intellectual rigor and scientific challenge of death investigation. Everyone there, from new students to the most senior doctors, seemed happy, eager to learn, and professionally challenged. None of the medical examiners had cots in their offices. “There are no emergency autopsies,” another resident pointed out to me. “Your patients never complain. They don’t page you during dinner. And they’ll still be dead tomorrow.

The second reason caregivers may be silent about the dark side of epidurals is that they generate big bucks for anesthesiologists and hospitals. Epidural charges range from $500 to $2500. A hospital consultant explained to me that hospitals have to maintain staff anesthesiologists around the clock to handle obstetric emergencies. In order for these doctors to make what they consider an adequate income, the hospital has to maintain something like an 80 percent epidural rate. Given this, how strongly do you think medical staff would resist the notion that epidurals are not always a good thing and most women can cope without them?

It’s worth ten times the price to get you out of those things. Besides, I’ve got credits to burn.” He did. They all did. The more they worked, the more credits they got. The more they got, the more they needed to spend them before they expired, which they did after a year. You didn’t need to save them. All the things that Maya’s generation had saved for—a home of one’s own, retirement, the kids’ college education, medical emergencies—all those were now each person’s birthright. When the surplus was totaled each year—for the City inevitably ended up with a net surplus—it was simply a measure that they had produced more than they consumed, given more than they took back.

He emerged from the water, still holding my aunt’s drenched body. Although she appeared conscious, she seemed to be in shock. His fin dissolved into legs as the air reached them and he walked onto the sand, lowering my aunt to the ground and deftly administering CPR. I didn’t even know if it was medically necessary, but my aunt didn’t seem to mind.

The medical area has morphine for emergencies. And there’s enough there for a lethal dose. I’m not going to slowly starve to death, I’ll tell you that. If I get to that point, I’ll take an easier way out.

One of the first actions we take at Passages is to ruthlessly scrutinize, always under a doctor's supervision and care, the specific necessity of any mind- altering or mood-altering medications that our clients are taking. As soon as any non essential drugs are out of their systems, the feelings they were trying to suppress usually emerge. When that happens, we can see what symptoms the client was masking with drugs or alcohol.

Johann Hari’s 2018 book Lost Connections argues that our culture has come to medicate depression first and ask questions later, without recognizing that some discomforts are not medical emergencies. He tells the story of how when he begged for antinausea medication in a jungle hospital in Vietnam, the doctors said, “You need your nausea. It is a message, and we must listen to the message. It will tell us what is wrong with you.

Even though he was a devout Catholic, he came to believe that the life force emerged from the action of the fundamental properties of natural forces in the inorganic world, combining into action to give rise to life.

For, medicine being a compendium of the successive and contradictory mistakes of doctors, even when we call in the best of them the chances are that we may be staking our hopes on some medical theory that will be proved false in a few years. So that to believe in medicine would be utter madness, were it not still a greater madness not to believe in it, for from this accumulation of errors a few valid theories have emerged in the long run.

The skills needed to describe and recognize perturbations in the Homo sapiens microecology are disappearing with the passing of the generations, leaving humanity, lulled into a complacency born of proud discoveries and medical triumphs, unprepared for the coming plague. 1 Machupo BOLIVIAN HEMORRHAGIC FEVER Any attempt to shape the world and modify human personality in order to create a self-chosen pattern of life involves many unknown consequences.

There is a ton of literature now—including TED Talks and Michael Pollan’s book How to Change Your Mind—about psilocybin and MDMA being highly effective medications for PTSD. Anecdotal stories abound of suffering veterans emerging from one meaningful trip completely cured, with a new vigor for life. Shrooms in particular have proved to be a great salve for people with terminal illnesses. The oncoming specter of death can be terrifying, but after these suffering patients emerge from their hallucinogenic experiences, many are at peace with their lives and deaths, content to be absorbed back into the fabric of the universe. Shrooms have also been shown to suppress your DMN and dissolve your ego, allowing you to look at your life with a childlike, brand-new perspective. They can draw connections between disparate parts of the brain, building creative solutions to our life’s struggles and strengthening areas we don’t use frequently enough.

The emerging medical research into treating Long COVID in 2023 was matching my research into treating the long-term effects of altitude sickness that I published in my 2022 books. Amino acids appear to be key in treating both hypoxic conditions.

I recently asked more than seventy eminent researchers if they would have done I their work differently if they had thought Darwin's theory was wrong. The responses were all the same: no. I also examined the outstanding biodiscoveries of the past century: the discovery of the double helix; the characterization of the ribosome: the mapping of genomes; research on medications and drug reactions: improvements in food production and sanitation; the development of new surgeries; and others. I even queried biologists working in areas where one would expect the Darwinian paradigm to have most benefited research, such as the emergence of resistance to antibiotics and pesticides. Here, as elsewhere, I found that Darwin's theory had provided no discernible guidance, but was brought in, after the breakthroughs, as an interesting narrative gloss.

We are racing down Main Street. Arthur is right on the tail of a blck sedan with tinted windows that won't pull over. He slams the horn. "Arthur," I say. The car doesn't yield. "Arthur," I say. He hits the horn again, still close on the car's bummper. "Arthur, our turn was back there.

Once I had been diagnosed with a terminal illness, I began to view the world through two perspectives; I was starting to see death as both doctor and patient. As a doctor, I knew not to declare “Cancer is a battle I’m going to win!” or ask “Why me?” (Answer: Why not me?) I knew a lot about medical care, complications, and treatment algorithms. I quickly learned from my oncologist and my own study that stage IV lung cancer today was a disease whose story might be changing, like AIDS in the late 1980s: still a rapidly fatal illness but with emerging therapies that were, for the first time, providing years of life. While being trained as a physician and scientist had helped me process the data and accept the limits of what that data could reveal about my prognosis, it didn’t help me as a patient. It didn’t tell Lucy and me whether we should go ahead and have a child, or what it meant to nurture a new life while mine faded. Nor did it tell me whether to fight for my career, to reclaim the ambitions I had single-mindedly pursued for so long, but without the surety of the time to complete them. Like my own patients, I had to face my mortality and try to understand what made my life worth living—and I needed Emma’s help to do so. Torn between being a doctor and being a patient, delving into medical science and turning back to literature for answers, I struggled, while facing my own death, to rebuild my old life—or perhaps find a new one. —

There is a significant hereditary contribution to ADD but I do not believe any genetic factor is decisive in the emergence of ADD traits in any child. Genes are codes for the synthesis of the proteins that give a particular cell its characteristic structure and function. They are, as it were, alive and dynamic architectural and mechanical plans. Whether the plan becomes realized depends on far more than the gene itself. It is determined, for the most part, by the environment. To put it differently, genes carry potentials inherent in the cells of a given organism. Which of multiple potentials become expressed biologically is a question of life circumstances. Were we to adopt the medical model — only temporarily, for the sake of argument — a genetic explanation by itself would still be unsuitable. Medical conditions for which genetic inheritance are fully or even mostly responsible, such as muscular dystrophy, are rare. “Few diseases are purely genetic,” says Michael Hayden, a geneticist at the University of British Columbia and a world-renowned researcher into Huntington’s disease. “The most we can say is that some diseases are strongly genetic.” Huntington’s is a fatal degeneration of the nervous system based on a single gene that, if inherited, will almost invariably cause the disease. But not always. Dr. Hayden mentions cases of persons with the gene who live into ripe old age without any signs of the disease itself. “Even in Huntington’s, there must be some protective factor in the environment,” Dr. Hayden says.

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.

Werewolves had been so rationalized and medicalized by the year 1000 that they became subject to a medieval type of “heroin chic” romanticism in literature, in which they were frequently portrayed as attractive, lonely, suffering, victimized, self-sacrificing, chivalrous heroes in fictional and mythological tales emerging during the Grail romance era. The “chivalrous werewolf” narratives often feature a noble knight or prince who transforms into a werewolf to protect the subject of his romantic love, but while he is a werewolf she betrays him by stealing his transformative device—either a potion, a ring, a belt or his clothes—trapping him forever in his lovelorn werewolf state.25

How could one help being nervous in this mind-expanding universe, in which the emerging universe would threaten to change unrecognizably in the course of a generation? How could one avoid the ambient fear of all the noise and speed and light and steam? Humans had never been exposed to such phenomona; they had not learned yet to tolerate them.

...[S]o many people look only to their bank balance for peace or to fellow human beings for models to follow. Clinicians, academicians, and politicians are often put to a test of faith. In pursuit of their goals, will their religion show or will it be hidden? Are they tied back to God or to man? I had such a test decades ago when one of my medical faculty colleagues chastised me for failing to separate my professional knowledge from my religious convictions. He demanded that I not combine the two. How could I do that? Truth is truth! It is not divisible, and any part of it cannot be set aside. Whether truth emerges from a scientific laboratory or through revelation, all truth emanates from God.

Even a woman in labor will not be admitted into a hospital without her guardian or at least a mahram. Police cannot enter a home during a robbery, and firefighters are forbidden from entering a home during a fire or medical emergency if a woman is inside but does not have a mahram present. In 2014, Amna Bawazeer died on the campus of King Saud University when school officials refused to allow male paramedics to enter the female-only school after Amna collapsed from a heart ailment. The same story repeated itself in 2016 at Qaseem University when male paramedics were not allowed on campus to treat a female student, Dhuha Almane, who subsequently died. It is not a stretch to say that death is preferable to violating the strict code of guardianship and mahrams.

The IRF had just been completed, after nine years of construction. The facility is part of the National Institute of Allergy and Infectious Diseases, which in turn is a part of the National Institutes of Health, or NIH. The IRF’s mission is to develop experimental drugs and vaccines, called medical countermeasures, that could defeat lethal emerging viruses and advanced biological weapons.

In preparing litigation on behalf of the children we were representing, it was clear that these shocking and senseless crimes couldn't be evaluated honestly without understanding the lives these children had been forced to endure. And in banning the death penalty for juveniles, the Supreme Court had paid great attention to the emerging body of medical research about adolescent development and brain science and its relevance to juvenile crime and culpability. Contemporary neurological, psychological, and sociological evidence has established that children are impaired by immature judgment, an underdeveloped capacity for self-regulation and responsibility, vulnerability to negative influences and outside pressures, and a lack of control over their own impulses and their environment.

Over the years Jim had heard, and more often overheard, objections to the Program’s expanding practice: Many people who worked and paid taxes struggled to pay for health insurance. Why should their money go to providing what some would consider concierge medicine for these people who lived at public expense? For people who produced nothing except indecent public spectacles, and didn’t even try to take care of themselves? Heard from inside a shelter clinic or McInnis House or out on the van, such protests seemed irrelevant. What was the alternative? Ignore chronically homeless people, as the city used to do, or imitate draconian regimes and imprison all rough sleepers in a stadium? In fact, the Program lightened the burdens that homeless people placed on other medical organizations, and did so while providing good care at lower cost than in hospital emergency departments.

Well, it’s not swollen,” he stated, rewrapping the bandage, “or bleeding or leaking, so I think it’s okay.” “I know. I’m training to be a nurse,” I replied. “Thanks though.” “Explains the curiosity and attitude.” “What?” I snapped. “I’m a trainee paramedic.” “Oh.” I looked away, chewing my lower lip. “Right.” “There’s a sense of rivalry between Emergency Medical Technicians, paramedics, and nurses—I don’t know the reason behind it.” “I know.

Of course. For that brief instant, Anakin didn’t care who bombed Cato Neimoidia or why; he just wished it would all disappear, that the sunless realm of Coruscant’s underworld really was a portal to another dimension, one without the Galactic Senate or the Jedi Order. But then guilt quickly draped over that, an understanding of the civilian suffering on the planet, where right now emergency medical crews attempted to rescue Neimoidians from the debris.

The conceptual problem at the center of contemporary healthcare is the confusion between disease processes and disease origins. Instead of asking why an illness occurs and trying to remove the conditions that led to it, medical researchers try to understand the mechanisms through which the disease operates, so that they can then interfere with them. These mechanisms, rather than the true origins, are seen as the causes of disease in current medical thinking. In the process of reducing illness to disease, the attention of physicians has moved away from the patient as a whole person. By concentrating on smaller and smaller fragments of the body – shifting its perspective from the study of bodily organs and their functions to that of cells and, finally, to the study of molecules – modern medicine often loses sight of the human being, and having reduced health to mechanical functioning, it is no longer able to deal with the phenomenon of healing. Over the past four decades, the dissatisfaction with the mechanistic approach to health and healthcare has grown rapidly both among healthcare professionals and the general public. At the same time, the emerging systems view of life has given rise to a corresponding systems view of health, as we discuss in Chapter 15, while health consciousness among the general population has increased dramatically in many countries. The

For, medicine being a compendium of the successive and contradictory mistakes of medical practioners, when we summon the wisest of them to our aid, the chances are that we may be relying on a scientific truth the error of which will be recognised in a few years’ time. So that to believe in medicine would be the height of folly, if not to believe in it were not greater folly still, for from this mass of errors there have emerged in the course of time many truths.

Viruses more powerful and dangerous than Ebola were going to emerge in the future, and medical people were going to have to deal with them. “If we don’t help, what message are we sending our children?” Hensley would later say. “Our children are going to inherit these problems, and people are dying. Part of the responsibility of a parent is to teach our children how to be responsible. We have to set the example for our staff, our families, and the patients in Africa.

Heart disease is the Jeffrey Dahmer of modern ailments. It kills more than 25 percent of us. That’s one person in the United States dying of it every 37 seconds. Expanding fitness just a bit—the equivalent of a person improving their max running speed from five to six miles an hour—reduces the risk of heart disease by 30 percent, according to the American Heart Association. Next is cancer. It kills 22.8 percent of us. The most fit people face a 45 percent lower risk of dying from the disease, according to a study in the Annals of Oncology. Then we have accidents. They take 6.8 percent of us. If a person is in a serious car accident, being in shape drops their chances of dying by 80 percent, according to a study in the Emergency Medical Journal. If the docs have to operate—regardless of whether it’s an emergency or a planned surgery—fitter people also face fewer surgical complications and recover faster than unfit people, say scientists in Brazil.

allopathic medicine is very good at managing trauma, acute bacterial infections, medical and surgical emergencies, and other crises. It is very bad at managing viral infections, chronic degenerative disease, allergy and autoimmunity, many of the serious kinds of cancer, mental illness, “functional” illness (disturbances of function in the absence of major physical or chemical changes), and all those conditions in which the mind plays an active role in creating susceptibility to disease.

Without direction, the respiratory technician goes to the head of the bed. She takes the tubing, attaches it to the oxygen, and turns it on as high as it will go. She provides a seal with her hand cupped over the plastic mask, over the nose and mouth of the toddler, and methodically provides oxygenated air. Doyle’s tiny chest rises and falls while I listen with my stethoscope. I am reaching for another breathing tube. “Fib!” Dr. Pedras feels for a pulse while another places gelled pads on her chest.

As the move went on, the woman slowed down. At first, she had borne down on the emergency with focus and energy, almost running through the house with one hand grabbing something and the other holding up the phone. Now she was wandering through the halls aimlessly, almost drunkenly. Her face had that look. The movers and the deputies knew it well. It was the look of someone realizing that her family would be homeless in a matter of hours. It was something like denial giving way to the surrealism of the scene: the speed and violence of it all; sheriffs leaning against your wall, hands resting on holsters; all these strangers, these sweating men, piling your things outside, drinking water from your sink poured into your cups, using your bathroom. It was the look of being undone by a wave of questions. What do I need for tonight, for this week? Who should I call? Where is the medication? Where will we go? It was the face of a mother who climbs out of the cellar to find the tornado has leveled the house.

don’t think we should take away a citizen’s right to own a gun. But I do think it should be one hell of a difficult process to get your hands on one. I think women should decide what to do with their own bodies, as long as it’s within the first trimester or it’s a medical emergency. I think government programs are absolutely necessary but I also think a more systematic process needs to be put in place that would encourage people to get off of welfare, rather than to stay on it. I think we should open up our borders to immigrants, as long as they register and pay taxes. I’m certain that life-saving medical care should be a basic human right, not a luxury only the wealthy can afford. I think college tuition should automatically be deferred and then repaid over a twenty-year period on a sliding scale. I think athletes are paid way too much, teachers are paid way too little, NASA is underfunded, weed should be legal, people should love who they want to love, and Wi-Fi should be universally accessible and free.

Among medical specialties, anesthesiologists benefit from good feedback, because the effects of their actions are likely to be quickly evident. In contrast, radiologists obtain little information about the accuracy of the diagnoses they make and about the pathologies they fail to detect. Anesthesiologists are therefore in a better position to develop useful intuitive skills. If an anesthesiologist says, “I have a feeling something is wrong,” everyone in the operating room should be prepared for an emergency.

Bible Passage: Proverbs 27:1-3   "Boast not thyself of to morrow; for thou knowest not what a day may bring forth. Let another man praise thee, and not thine own mouth; a stranger, and not thine own lips. A stone is heavy, and the sand weighty; but a fool's wrath is heavier than them both."   ------------------------------------------------ People many times are inclined to boast about what they will or will not do and even to boast about when they will or will not do it.  But Solomon had warned about falling into that trap.  The simple fact as he pointed out is that no one knows for certain any part of the future.  One moment before having a devastating medical emergency, the individual that will have it probably has no clue about what will soon happen.  Similarly a serious automobile accident or some other kind of serious accident might be just a few moments away.  But the person or people that will suffer through that experience do not have any idea about that either.  As everyone knows, the unknown is simply a very big part of this life.

Of all the students in Desplein’s hospital, Horace Bianchon was one of those to whom he most warmly attached himself. Before being a house surgeon at the Hotel-Dieu, Horace Bianchon had been a medical student lodging in a squalid boarding house in the Quartier Latin, known as the Maison Vauquer. This poor young man had felt there the gnawing of that burning poverty which is a sort of crucible from which great talents are to emerge as pure and incorruptible as diamonds, which may be subjected to any shock without being crushed.

This is something that has been going on forever,” Craig Spencer, the director of global health in emergency medicine at Columbia University, says about the variability of human response to infection. “I wouldn’t be surprised if people are walking about with long Epstein-Barr virus, or long influenza. We all know someone who is low energy, who’s told to work harder. We have all heard about chronic Lyme sufferers, and those with ME/CFS. But they get written off.” Spencer understands something about how infections can do long-term damage, because he contracted Ebola while working in Guinea, fell ill upon his return to New York City, and then struggled with the virus’s ongoing effects. (Studies have suggested that the Ebola virus may linger in the body for years.) The difference between long COVID and other infection-associated illnesses is that it is happening “on such a huge scale—unlike anything we’ve seen before. It is harder for the medical community to write off,” Spencer told me. Indeed, many researchers I spoke with for this book hope that the race to understand long COVID will advance our understanding of other chronic conditions that follow infection, transforming medicine in the process.

Nobody knew then, nor does anybody know now, where emerging viruses are going or what one of them might become. The human host has been gathering itself into gigantic supercities, teeming urban megahives packed with tens of millions of individuals jammed into a small space, who are breathing one another’s air and touching one another’s bodies. The supercities are growing larger all the time. Many of the world’s largest supercities are crowded with people who have little or no access to doctors and medical care. The cities are connected by airline routes, and the human host has zero immunity to any emerging virus.

Addiction to internet pornography is a very real phenomenon with a very real impact on well-being. It is a phenomenon which has grown exponentially in the last decade, even though it has remained largely invisible and undetected by society. Tragically, its risks continue to be ignored or actively denied by all but a few enlightened medical professionals. It is a phenomenon that is not just here to stay, but also likely to increase. It is almost certainly the cause of the widespread sexual dysfunction found in recent studies of late adolescence.[1] It is a problem that is most likely impacting you, or your loved ones, without you even being aware of it.

We were beginning to see that the medical profession, at the time still over 90 percent male, had transformed childbirth from a natural event into a surgical operation performed on an unconscious patient in what approximated a sterile environment. Routinely, the woman about to give birth was subjected to an enema, had her pubic hair shaved off, and was placed in the lithotomy position - on her back, with knees up and crotch spread wide open. As the baby began to emerge, the obstetrician performed an episiotomy, a surgical enlargement of the vaginal opening, which had to be stitched back together after birth. Each of these procedures came with a medical rationale: The enema was to prevent contamination with feces; the pubic hair was shaved because it might be unclean; the episiotomy was meant to ease the baby's exit. But each of these was also painful, both physically and otherwise, and some came with their own risks, Shaving produces small cuts and abrasions that are open to infection; episiotomy scars heal m ore slowly than natural tears and can make it difficult for the woman to walk or relieve herself for weeks afterward. The lithotomy position may be more congenial for the physician than kneeling before a sitting woman, but it impedes the baby's process through the birth canal and can lead to tailbone injuries in the mother.

Given the central place that technology holds in our lives, it is astonishing that technology companies have not put more resources into fixing this global problem. Advanced computer systems and artificial intelligence (AI) could play a much bigger role in shaping diagnosis and prescription. While the up-front costs of using such technology may be sizeable, the long-term benefits to the health-care system need to be factored into value assessments. We believe that AI platforms could improve on the empirical prescription approach. Physicians work long hours under stressful conditions and have to keep up to date on the latest medical research. To make this work more manageable, the health-care system encourages doctors to specialize. However, the vast majority of antibiotics are prescribed either by generalists (e.g., general practitioners or emergency physicians) or by specialists in fields other than infectious disease, largely because of the need to treat infections quickly. An AI system can process far more information than a single human, and, even more important, it can remember everything with perfect accuracy. Such a system could theoretically enable a generalist doctor to be as effective as, or even superior to, a specialist at prescribing. The system would guide doctors and patients to different treatment options, assigning each a probability of success based on real-world data. The physician could then consider which treatment was most appropriate.

Nature vs. nurture is part of this—and then there is what I think of as anti-nurturing—the ways we in a western/US context are socialized to work against respecting the emergent processes of the world and each other: We learn to disrespect Indigenous and direct ties to land. We learn to be quiet, polite, indirect, and submissive, not to disturb the status quo. We learn facts out of context of application in school. How will this history, science, math show up in our lives, in the work of growing community and home? We learn that tests and deadlines are the reasons to take action. This puts those with good short-term memories and a positive response to pressure in leadership positions, leading to urgency-based thinking, regardless of the circumstance. We learn to compete with each other in a scarcity-based economy that denies and destroys the abundant world we actually live in. We learn to deny our longings and our skills, and to do work that occupies our hours without inspiring our greatness. We learn to manipulate each other and sell things to each other, rather than learning to collaborate and evolve together. We learn that the natural world is to be manicured, controlled, or pillaged to support our consumerist lives. Even the natural lives of our bodies get medicated, pathologized, shaved or improved upon with cosmetic adjustments. We learn that factors beyond our control determine the quality of our lives—something as random as which skin, gender, sexuality, ability, nation, or belief system we are born into sets a path for survival and quality of life. In the United States specifically, though I see this most places I travel, we learn that we only have value if we can produce—only then do we earn food, home, health care, education. Similarly, we learn our organizations are only as successful as our fundraising results, whether the community impact is powerful or not. We learn as children to swallow our tears and any other inconvenient emotions, and as adults that translates into working through red flags, value differences, pain, and exhaustion. We learn to bond through gossip, venting, and destroying, rather than cultivating solutions together. Perhaps the most egregious thing we are taught is that we should just be really good at what’s already possible, to leave the impossible alone.

The rule through pandemic medical and emergency decrees is nothing more than a coup d’état on a worldwide scale and it therefore follows the same patterns, not necessarily in the same order, observed in banana republics: First, pointing to a threat, lockdown of the borders, and restrictions of the means of transportation; checked. Second, full control of the media; checked. Third, declaration of a state of emergency and deployment of forces on the ground; checked. Fourth, restrictions of assembly and civil rights; checked. Fifth, repressive measure for those not cooperating; checked. Sixth, changes to the figures and political scene as some go away and old ones come back; checked. Seventh, attempt to return to normalcy; checked. - On Tyranny Through Emergency Decrees

The creation of the Undergarden was no doubt unintended,” I continued, as Mercy of Kalr showed me a brief flash of Kalr Eight speaking sternly to a junior priest, “but as it has benefited you, you tell yourselves that its condition is also just and proper.” That constant trio, justice, propriety, and benefit. They could not, in theory, exist alone. Nothing just was improper, nothing beneficial was unjust. “Fleet Captain,” began Governor Giarod. Indignant. “I hardly think—” “Everything necessitates its opposite,” I said, cutting her off. “How can you be civilized if there is no uncivilized?” Civilized. Radchaai. The word was the same. “If it did not benefit someone, somehow, there’d be plumbing here, and lights, and doors that worked, and medics who would come for an emergency.

The Debt Snowball method requires you to list all your debts in order of smallest payoff balance to largest. List all your debts except your home; we will get to it in another step. List all of your debts—even loans from Mom and Dad or medical debts that have zero interest. I don’t care if there is interest or not. I don’t care if some have 24 percent interest and others 4 percent. List the debts smallest to largest! If you were so fabulous with math, you wouldn’t have debt, so try this my way. The only time to pay off a larger debt sooner than a smaller one is some kind of big-time emergency such as owing the IRS and having them come after you, or in situations where there will be a foreclosure if you don’t pay it off. Otherwise, don’t argue about it; just list the debts smallest to largest.

Across Western nations, shell-shocked citizens experienced all the well-worn tactics of rising totalitarianism—mass propaganda and censorship, the orchestrated promotion of terror, the manipulation of science, the suppression of debate, the vilification of dissent, and use of force to prevent protest. Conscientious objectors who resisted these unwanted, experimental, zero-liability medical interventions faced orchestrated gaslighting, marginalization, and scapegoating. American lives and livelihoods were shattered by a bewildering array of draconian diktats imposed without legislative approval or judicial review, risk assessment, or scientific citation. So-called Emergency Orders closed our businesses, schools and churches, made unprecedented intrusions into privacy, and disrupted our most treasured social and family relationships. Citizens the world over were ordered to stay in their homes.

Simon whispered to me, “But is everything okay?” “No,” Tori said. “I kidnapped her and forced her to escape with me. I’ve been using her as a human shield against those guys with guns, and I was just about to strangle her and leave her body here to throw them off my trail. But then you showed up and foiled my evil plans. Lucky for you, though. You get to rescue poor little Chloe again and win her undying gratitude.” “Undying gratitude?” Simon looked at me. “Cool. Does that come with eternal servitude? If so, I like my eggs sunnyside up.” I smiled. “I’ll remember that.” -- “All right, then. Emergency medical situation, take two.” He leaped to his feet, staggered, keeled over, then lifted his head weakly. “Chloe? Is that you?” He coughed. “Do you have my insulin?” I placed it in his outstretched hand. “You saved my life,” he said. “How can I ever repay you?” “Undying servitude sounds good. I like my eggs scrambled.

Make no mistake, they are connected, these disease outbreaks coming one after another. And they are not simply happening to us; they represent the unintended results of things we are doing. They reflect the convergence of two forms of crisis on our planet. The first crisis is ecological, the second is medical. As the two intersect, their joint consequences appear as a pattern of weird and terrible new diseases, emerging from unexpected sources and raising deep concern, deep foreboding, among the scientists who study them. How do such diseases leap from nonhuman animals into people, and why do they seem to be leaping more frequently in recent years? To put the matter in its starkest form: Human-caused ecological pressures and disruptions are bringing animal pathogens ever more into contact with human populations, while human technology and behavior are spreading those pathogens ever more widely and quickly. There are three elements to the situation.

Because nobody brought that up to you?” “No, we had no idea that there were any problems that would suggest that.” Besides, as she pointed out later in her testimony, she was not an expert on poison. Dr. Henry testified that Peru was not mentioned in papers on tropical sprue, and that even where the disease was common, those who contracted it had lived in the area for a long time, at least a year. Typhoid fever didn’t fit either. “Even though it’s an acute infection, [it] does not cause a tremendous elevation of the white blood cell count.” Dr. Henry believed that Mike had been septic more than once during his three hospitalizations. Dr. Pam McCoy, the ER physician at the UK Medical Center, testified next. “I work with residents and medical students. I teach them how to work in an emergency department. And usually . . . I go see patients, they go see patients with me; we talk about how you see a patient in the emergency department, how you take care of people, how you put in stitches, that sort of thing.

the disparity between Eastern and Western spirituality resembles that found between Eastern and Western medicine—with the arrow of embarrassment pointing in the opposite direction. Humanity did not understand the biology of cancer, develop antibiotics and vaccines, or sequence the human genome under an Eastern sun. Consequently, real medicine is almost entirely a product of Western science. Insofar as specific techniques of Eastern medicine actually work, they must conform, whether by design or by happenstance, to the principles of biology as we have come to know them in the West. This is not to say that Western medicine is complete. In a few decades, many of our current practices will seem barbaric. One need only ponder the list of side effects that accompany most medications to appreciate that these are terribly blunt instruments. Nevertheless, most of our knowledge about the human body—and about the physical universe generally—emerged in the West. The rest is instinct, folklore, bewilderment, and untimely death.

Christianity has been the means of reducing more languages to writing than have all other factors combined. It has created more schools, more theories of education, and more systems than has any other one force. More than any other power in history it has impelled men to fight suffering, whether that suffering has come from disease, war or natural disasters. It has built thousands of hospitals, inspired the emergence of the nursing and medical professions, and furthered movement for public health and the relief and prevention of famine. Although explorations and conquests which were in part its outgrowth led to the enslavement of Africans for the plantations of the Americas, men and women whose consciences were awakened by Christianity and whose wills it nerved brought about the abolition of slavery (in England and America). Men and women similarly moved and sustained wrote into the laws of Spain and Portugal provisions to alleviate the ruthless exploitation of the Indians of the New World. Wars have often been waged in the name of Christianity. They have attained their most colossal dimensions through weapons and large–scale organization initiated in (nominal) Christendom. Yet from no other source have there come as many and as strong movements to eliminate or regulate war and to ease the suffering brought by war. From its first centuries, the Christian faith has caused many of its adherents to be uneasy about war. It has led minorities to refuse to have any part in it. It has impelled others to seek to limit war by defining what, in their judgment, from the Christian standpoint is a "just war." In the turbulent Middle Ages of Europe it gave rise to the Truce of God and the Peace of God. In a later era it was the main impulse in the formulation of international law. But for it, the League of Nations and the United Nations would not have been. By its name and symbol, the most extensive organization ever created for the relief of the suffering caused by war, the Red Cross, bears witness to its Christian origin. The list might go on indefinitely. It includes many another humanitarian projects and movements, ideals in government, the reform of prisons and the emergence of criminology, great art and architecture, and outstanding literature.

One man who did not understand was the New Zealanders’ legendary commander, Lieutenant General Bernard C. Freyberg. English-born but raised in New Zealand, Freyberg had been a dentist before finding his true calling as warrior of Homeric strength and courage. Known as Tiny to his troops, he had a skull the size of a medicine ball, with a pushbroom mustache and legs that extended like sycamore trunks from his khaki shorts. In the Great War, he had won the Victoria Cross on the Somme, served as a pallbearer for his great friend Rupert Brooke, and emerged so seamed by shrapnel that when Churchill once persuaded him to display his wounds the count reached twenty-seven. More were to come. Oarsman, boxer, swimmer of the English Channel, he had been medically retired for “aortic incompetence” in the 1930s before being summoned back to uniform. No greater heart beat in British battle dress. Churchill a month earlier had proclaimed Freyberg “the salamander of the British empire,” an accolade that raised Kiwi hackles—“Wha’ in ’ell’s a ‘sallymander’?”—until the happy news spread that the creature mythically could pass through fire unharmed.

[A]t least since the late nineteenth century when the primary role in categorising sexual behaviour and naming what is ‘normal’ and what is ‘perverse’ passed, in most industrial societies, from the religious to the medical and scientific professions, we have lived with the notion of distinct categories of people labelled ‘homosexual’ and ‘heterosexual’. (The category ‘homosexual’ was coined by the Viennese writer Karol Benkert in 1869, ‘heterosexual’ emerging somewhat later.) Since that time, new discourses have tried to establish the male ‘homosexual’ as a distinct type of person - as opposed to same-sex attraction or same-sex acts being seen as a potential in everyone. As Peter Tatchell [‘It’s Just a Phase: Why Homosexuality is Doomed’, in Simpson (ed.), Anti-Gay, London: Cassell. 1996] puts it, ‘prior to that time … there were only homosexual acts, not homosexual people … [For] the medieval Catholic Church … homosexuality was not … the special sin of a unique class of people but a dangerous temptation to which any mortal might succumb. This doctrine implicitly conceded the attractiveness of same-sex desire, and unwittingly acknowledged its pervasive, universal potential

Peter Navarro never hid his antagonism toward me. He stopped me one day in the Eisenhower Executive Office Building, where we were tested routinely for COVID, and again blasted my failure to encourage people to take hydroxychloroquine, the lack of which he said was causing people to die. He would not let it go. Perhaps he just had a thing about me. To give him the benefit of the doubt, I arranged with Cliff Lane to have Navarro present via Zoom his case on hydroxychloroquine’s effectiveness to the entire NIH guidelines panel cochaired by Cliff in early August. This group was thirty-five of the top experts in infectious disease, public health, and epidemiology from all over the country. Navarro made his presentation, and uniformly they politely said, “Mr. Navarro, there’s nothing there. These are anecdotes, and all the evidence indicates hydroxychloroquine doesn’t work and can even cause harm.” Navarro’s answer was that he valued his reading of the existing medical literature on hydroxychloroquine as much as or more than theirs. “If I am wrong, no one is harmed. If you are wrong, thousands of people die.” The truth was the exact opposite. By that time, the FDA, which had given hydroxychloroquine emergency approval early in the pandemic, had revoked it on June 15, after it was found to cause heart problems and even death, not to mention proving ineffective against COVID. I had given Navarro one last chance, but he still could not accept reality.

A mover started in on a girl’s bedroom, painted pink with a sign on the door announcing THE PRINCESS SLEEPS HERE. Another took on the disheveled office, packing Resumes for Dummies into a box with a chalkboard counting down the remaining days of school. The eldest child, a seventh-grade boy, tried to help by taking out the trash. His younger sister, the princess, held her two-year-old sister’s hand on the porch. Upstairs, the movers were trying not to step on the toddler’s toys, which when kicked would protest with beeping sounds and flashing lights. As the move went on, the woman slowed down. At first, she had borne down on the emergency with focus and energy, almost running through the house with one hand grabbing something and the other holding up the phone. Now she was wandering through the halls aimlessly, almost drunkenly. Her face had that look. The movers and the deputies knew it well. It was the look of someone realizing that her family would be homeless in a matter of hours. It was something like denial giving way to the surrealism of the scene: the speed and violence of it all; sheriffs leaning against your wall, hands resting on holsters; all these strangers, these sweating men, piling your things outside, drinking water from your sink poured into your cups, using your bathroom. It was the look of being undone by a wave of questions. What do I need for tonight, for this week? Who should I call? Where is the medication? Where will we go? It was the face of a mother who climbs out of the cellar to find the tornado has leveled the house.

George W. Bush’s initiative to fight AIDS around the world, the President’s Emergency Plan for AIDS Relief (PEPFAR), saved millions of lives in Africa and elsewhere. From the program’s launch in 2003 to the time Bush left office, the number of HIV-infected people in Africa getting proper treatment went from fewer than fifty thousand to two million. 19 His efforts didn’t go unnoticed by the people of the African continent. When President Bush took a farewell tour of Africa near the end of his second term, massive crowds of grateful Africans cheered for him. 20 Despite massive spending increases spearheaded by Obama, he cut funding for PEPFAR21 and deprived hundreds of thousands of people around of treatment. This inexplicable decision had a devastating effect on Africa, where most AIDS deaths occur. 22 The AIDS Healthcare Foundation was highly critical of Obama’s cuts, which came after he had promised to expand the fight against AIDS months earlier: “This latest action merely confirms what people with HIV/ AIDS and their advocates have long suspected—the President simply is not committed to fighting global AIDS. Coming on the heels of the President’s flowery rhetoric last December, the cynicism is simply breathtaking,” said Michael Weinstein, President of AIDS Healthcare Foundation, which provides free HIV/ AIDS medical care to over 125,000 people in 26 countries abroad. 23 The lesson for Africans: American friendship was fickle and patronizing and they couldn’t trust our promises. And we wonder why ISIS propaganda was so attractive to North Africans.

Dr. Knox Todd began documenting how patients’ race affects the treatment of pain when he was a doctor in the UCLA Emergency Center in the 1990s.46 He and colleagues examined the way doctors treated 139 white and Latino patients coming to the emergency room over a two-year period with a single injury—fractures of a long bone in either the arm or leg. Because this type of fracture is extremely painful, there is no medical reason to distinguish between the two groups of patients. Yet the researchers discovered that Latinos were twice as likely as whites to receive no pain medication while in the emergency room.47 Although it’s possible that the Latino patients complained less of pain, the doctors should have been aware of the high degree of pain they suffered, given the nature of their injuries. When Todd moved to Emory University School of Medicine, he led an Atlanta-based study that confirmed his finding in Los Angeles. This time his research team analyzed medical charts of 217 patients who were treated for long-bone fractures at an inner-city emergency room that served both black and white patients. In a 2000 article in Annals of Emergency Medicine, Todd reported that 43 percent of blacks, but only 26 percent of whites, received no pain medication. In this study, Todd took the additional step of documenting whether or not the patients expressed pain to their doctors. By carefully looking at notations in the medical files, he found that black patients were about as likely as whites to complain of pain. Black patients thus received pain medication half as often as whites because doctors did not order it for them, not because blacks do not feel pain or do not want pain relief.

It may seem paradoxical to claim that stress, a physiological mechanism vital to life, is a cause of illness. To resolve this apparent contradiction, we must differentiate between acute stress and chronic stress. Acute stress is the immediate, short-term body response to threat. Chronic stress is activation of the stress mechanisms over long periods of time when a person is exposed to stressors that cannot be escaped either because she does not recognize them or because she has no control over them. Discharges of nervous system, hormonal output and immune changes constitute the flight-or-fight reactions that help us survive immediate danger. These biological responses are adaptive in the emergencies for which nature designed them. But the same stress responses, triggered chronically and without resolution, produce harm and even permanent damage. Chronically high cortisol levels destroy tissue. Chronically elevated adrenalin levels raise the blood pressure and damage the heart. There is extensive documentation of the inhibiting effect of chronic stress on the immune system. In one study, the activity of immune cells called natural killer (NK) cells were compared in two groups: spousal caregivers of people with Alzheimer’s disease, and age- and health-matched controls. NK cells are front-line troops in the fight against infections and against cancer, having the capacity to attack invading micro-organisms and to destroy cells with malignant mutations. The NK cell functioning of the caregivers was significantly suppressed, even in those whose spouses had died as long as three years previously. The caregivers who reported lower levels of social support also showed the greatest depression in immune activity — just as the loneliest medical students had the most impaired immune systems under the stress of examinations. Another study of caregivers assessed the efficacy of immunization against influenza. In this study 80 per cent among the non-stressed control group developed immunity against the virus, but only 20 per cent of the Alzheimer caregivers were able to do so. The stress of unremitting caregiving inhibited the immune system and left people susceptible to influenza. Research has also shown stress-related delays in tissue repair. The wounds of Alzheimer caregivers took an average of nine days longer to heal than those of controls. Higher levels of stress cause higher cortisol output via the HPA axis, and cortisol inhibits the activity of the inflammatory cells involved in wound healing. Dental students had a wound deliberately inflicted on their hard palates while they were facing immunology exams and again during vacation. In all of them the wound healed more quickly in the summer. Under stress, their white blood cells produced less of a substance essential to healing. The oft-observed relationship between stress, impaired immunity and illness has given rise to the concept of “diseases of adaptation,” a phrase of Hans Selye’s. The flight-or-fight response, it is argued, was indispensable in an era when early human beings had to confront a natural world of predators and other dangers. In civilized society, however, the flight-fight reaction is triggered in situations where it is neither necessary nor helpful, since we no longer face the same mortal threats to existence. The body’s physiological stress mechanisms are often triggered inappropriately, leading to disease. There is another way to look at it. The flight-or-fight alarm reaction exists today for the same purpose evolution originally assigned to it: to enable us to survive. What has happened is that we have lost touch with the gut feelings designed to be our warning system. The body mounts a stress response, but the mind is unaware of the threat. We keep ourselves in physiologically stressful situations, with only a dim awareness of distress or no awareness at all.

All addictions — whether to drugs or to nondrug behaviours — share the same brain circuits and brain chemicals. On the biochemical level the purpose of all addictions is to create an altered physiological state in the brain. This can be achieved in many ways, drug taking being the most direct. So an addiction is never purely “psychological” all addictions have a biological dimension. And here a word about dimensions. As we delve into the scientific research, we need to avoid the trap of believing that addiction can be reduced to the actions of brain chemicals or nerve circuits or any other kind of neurobiological, psychological or sociological data. A multilevel exploration is necessary because it’s impossible to understand addiction fully from any one perspective, no matter how accurate. Addiction is a complex condition, a complex interaction between human beings and their environment. We need to view it simultaneously from many different angles — or, at least, while examining it from one angle, we need to keep the others in mind. Addiction has biological, chemical, neurological, psychological, medical, emotional, social, political, economic and spiritual underpinnings — and perhaps others I haven’t thought about. To get anywhere near a complete picture we must keep shaking the kaleidoscope to see what other patterns emerge. Because the addiction process is too multifaceted to be understood within any limited framework, my definition of addiction made no mention of “disease.” Viewing addiction as an illness, either acquired or inherited, narrows it down to a medical issue. It does have some of the features of illness, and these are most pronounced in hardcore drug addicts like the ones I work with in the Downtown Eastside. But not for a moment do I wish to promote the belief that the disease model by itself explains addiction or even that it’s the key to understanding what addiction is all about. Addiction is “all about” many things. Note, too, that neither the textbook definitions of drug addiction nor the broader view we’re taking here includes the concepts of physical dependence or tolerance as criteria for addiction. Tolerance is an instance of “give an inch, take a mile.” That is, the addict needs to use more and more of the same substance or engage in more and more of the same behaviour, to get the same rewarding effects. Although tolerance is a common effect of many addictions, a person does not need to have developed a tolerance to be addicted.

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.

The trends speak to an unavoidable truth. Society's future will be challenged by zoonotic viruses, a quite natural prediction, not least because humanity is a potent agent of change, which is the essential fuel of evolution. Notwithstanding these assertions, I began with the intention of leaving the reader with a broader appreciation of viruses: they are not simply life's pathogens. They are life's obligate partners and a formidable force in nature on our planet. As you contemplate the ocean under a setting sun, consider the multitude of virus particles in each milliliter of seawater: flying over wilderness forestry, consider the collective viromes of its living inhabitants. The stunnig number and diversity of viruses in our environment should engender in us greater awe that we are safe among these multitudes than fear that they will harm us. Personalized medicine will soon become a reality and medical practice will routinely catalogue and weigh a patient's genome sequence. Not long thereafter one might expect this data to be joined by the patient's viral and bacterial metagenomes: the patient's collective genetic identity will be recorded in one printout. We will doubtless discover some of our viral passengers are harmful to our health, while others are protective. But the appreciation of viruses that I hope you have gained from these pages is not about an exercise in accounting. The balancing of benefit versus threat to humanity is a fruitless task. The viral metagenome will contain new and useful gene functionalities for biomedicine: viruses may become essential biomedical tools and phages will continue to optimize may also accelerate the development of antibiotic drug resistance in the post-antibiotic era and emerging viruses may threaten our complacency and challenge our society economically and socially. Simply comparing these pros and cons, however, does not do justice to viruses and acknowledge their rightful place in nature. Life and viruses are inseparable. Viruses are life's complement, sometimes dangerous but always beautiful in design. All autonomous self-sustaining replicating systems that generate their own energy will foster parasites. Viruses are the inescapable by-products of life's success on the planet. We owe our own evolution to them; the fossils of many are recognizable in ERVs and EVEs that were certainly powerful influences in the evolution of our ancestors. Like viruses and prokaryotes, we are also a patchwork of genes, acquired by inheritance and horizontal gene transfer during our evolution from the primitive RNA-based world. It is a common saying that 'beauty is in the eye of the beholder.' It is a natural response to a visual queue: a sunset, the drape of a designer dress, or the pattern of a silk tie, but it can also be found in a line of poetry, a particularly effective kitchen implement, or even the ruthless efficiency of a firearm. The latter are uniquely human acknowledgments of beauty in design. It is humanity that allows us to recognize the beauty in the evolutionary design of viruses. They are unique products of evolution, the inevitable consequence of life, infectious egotistical genetic information that taps into life and the laws of nature to fuel evolutionary invention.

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,

A new global iatrogenic form of malaria was emerging—“iatrogenic” meaning created as a result of medical treatment. In its well-meaning zeal to treat the world’s malaria scourge, humanity had created a new epidemic.

Carlton Church - Natural Disaster Survival Kit Floods, earthquakes, tsunamis, super typhoons and fires. These types of news appear more frequently within this year than the previous ones. Old people nowadays even complain of the changing world, followed by endless accounts of peaceful living during their time. Are these all effects of global warming? Is our Mother Earth now starting to get angry of what we, humans, have done to its resources? Perhaps. We can never predict when a disaster would strike our home. And since you are still reading this, it is safe to assume that you are still able breathe and live your life. The best thing we can do right now is prepare. There is no use panicking only when the warning arrives. It is better to give gear up now and perhaps survive a few more years. Preparation should not be too extravagant. And it doesn’t have to be a suitcase filled with gas masks and whatnot. Remember that on the face of disaster, having a large baggage would be more of a burden that survival assistance. Pack light. You’ll only need a few of the following things: 1. Gears, extra batteries and supplies. Multi-purpose tool/knife, moist towelettes, dust masks, waterproof matches, needle and thread, compass, area maps, extra blankets and sleeping bags should all should be part of your emergency supply kit. It is also important to bring extra charge for your devices. There are back-up universal batteries available for most cell phones that can offer an extra charge. 2. Important paperwork and insurance documents. When tsunami hit Japan last 2011, all documents were washed up resulting to chaos and strenuous recovery operations. Until now, many citizens linger in the streets of Tokyo in the hopes that most technologically advanced city in the world can reproduce certificates, diplomas and other legal and important written document stolen by water. This is why copies of personal documents like a medication list, proof of address, deed/lease to home, and insurance papers, extra cash, family photos and emergency contact information should be included in your survival kits. 3. First Aid Kit Store your first aid supplies in a tool box or fishing tackle box so they will be easy to carry and protected from water. Inspect your kit regularly and keep it freshly stocked and do not use cheap and fraudulent ones. It is also helpful to note important medical information and most prescriptions that can be tucked into your kit. Medical gauges, bandages, Hydrogen peroxide to wash and disinfect wounds, individually wrapped alcohol swabs and other dressing paraphernalia should also be useful. Read more at: carltonchurch.org

different from 3.5. However, it is different from larger values, such as 4.0 (t = 2.89, df = 9, p = .019). Another example of this is provided in the Box 12.2. Finally, note that the one-sample t-test is identical to the paired-samples t-test for testing whether the mean D = 0. Indeed, the one-sample t-test for D = 0 produces the same results (t = 2.43, df = 9, p = .038). In Greater Depth … Box 12.2 Use of the T-Test in Performance Management: An Example Performance benchmarking is an increasingly popular tool in performance management. Public and nonprofit officials compare the performance of their agencies with performance benchmarks and draw lessons from the comparison. Let us say that a city government requires its fire and medical response unit to maintain an average response time of 360 seconds (6 minutes) to emergency requests. The city manager has suspected that the growth in population and demands for the services have slowed down the responses recently. He draws a sample of 10 response times in the most recent month: 230, 450, 378, 430, 270, 470, 390, 300, 470, and 530 seconds, for a sample mean of 392 seconds. He performs a one-sample t-test to compare the mean of this sample with the performance benchmark of 360 seconds. The null hypothesis of this test is that the sample mean is equal to 360 seconds, and the alternate hypothesis is that they are different. The result (t = 1.030, df = 9, p = .330) shows a failure to reject the null hypothesis at the 5 percent level, which means that we don’t have sufficient evidence to say that the average response time is different from the benchmark 360 seconds. We cannot say that current performance of 392 seconds is significantly different from the 360-second benchmark. Perhaps more data (samples) are needed to reach such a conclusion, or perhaps too much variability exists for such a conclusion to be reached. NONPARAMETRIC ALTERNATIVES TO T-TESTS The tests described in the preceding sections have nonparametric alternatives. The chief advantage of these tests is that they do not require continuous variables to be normally distributed. The chief disadvantage is that they are less likely to reject the null hypothesis. A further, minor disadvantage is that these tests do not provide descriptive information about variable means; separate analysis is required for that. Nonparametric alternatives to the independent-samples test are the Mann-Whitney and Wilcoxon tests. The Mann-Whitney and Wilcoxon tests are equivalent and are thus discussed jointly. Both are simplifications of the more general Kruskal-Wallis’ H test, discussed in Chapter 11.19 The Mann-Whitney and Wilcoxon tests assign ranks to the testing variable in the exact manner shown in Table 12.4. The sum of the ranks of each group is computed, shown in the table. Then a test is performed to determine the statistical significance of the difference between the sums, 22.5 and 32.5. Although the Mann-Whitney U and Wilcoxon W test statistics are calculated differently, they both have the same level of statistical significance: p = .295. Technically, this is not a test of different means but of different distributions; the lack of significance implies that groups 1 and 2 can be regarded as coming from the same population.20 Table 12.4 Rankings of

Every insurance company is different, and you should look around to see what companies offer and which are best for your trip. For that, I highly recommend the website Insure My Trip (insuremytrip.com). They compare insurance policies for more than twenty insurance providers, and because they let you compare plans in a grid layout, it’s easy to see exactly what each company covers. You’ll be able to compare medical coverage limits, emergency evacuation coverage, trip cancellation coverage, dental coverage, disaster coverage, and everything else under the sun. Some of the most popular travel insurance companies include STA Travel Insurance (statravel.com), World Nomads (worldnomads .com), MedEx (medexassist.com), MedjetAssist (medjetassist.com), and IMG (imglobal.com).

An athletic trainer must put in 1,460 days of training to get a license in Michigan. An emergency medical technician needs only 26.

constrict cutaneous muscle and splanchnic vasculature and promote salt and water retention. h e synthesis of vasodilating prostaglandins (prostacyclin and PGE 2 ) and nitric oxide in the kidneys and the intrarenal action of angiotensin II recurrent angina signals the need for angiography, if it has not already been performed. Intraaortic balloon counterpulsation is usually reserved for hemodynamically compromised patients with refractory ischemia. Temporary pacing following AMI is indicated for Mobitz type II and complete heart block, a new bifascicular block, and bradycardia with hypotension. Emergency treatment of arrhythmias constantly evolves and we recommend that the guidelines for Advanced Cardiac Life Support be followed. In general, ventricular tachycardia, if treated medically is best managed with amiodarone (150 mg intravenous bolus over 10 min). Synchronized cardioversion may be used in patients with ventricular tachycardia and with a pulse. Patients with a stable narrow-complex supraventricular tachycardia should be treated with amiodarone. Patients with paroxysmal supraventricular tachycardia, whose ejection fraction is preserved, should be treated with a calcium channel blocker, a β blocker, or DC cardioversion. Medically unstable hypotensive patients should receive cardioversion. Patients with ectopic or multifocal atrial tachycardia should not receive DC cardioversion; instead they should be treated with calcium channel blockers, a β blocker, or amiodarone. Acute Kidney Injury & Failure Acute kidney injury (AKI) is a rapid deterioration in renal function that is not immediately reversible by altering factors such as blood pressure, intravascular volume, cardiac output, or urinary l ow. h e hallmark of AKI is azotemia and frequently oliguria. Azotemia may be classii ed as prerenal, renal, and postrenal.Moreover, the diagnosis of renal azotemia is one of exclusion; thus, prerenal and postrenal causes must always be excluded.However, not all patients with acute azotemia have kidney failure.Likewise, urine output of more than 500 mL/d does not imply that renal function is normal. Basing the diagnosis of AKI on creatinine levels or an increase in blood urea nitrogen (BUN) is also problematic because creatinine clearance is not always a good measure of glomerular i ltration 12 r a t e . h e criteria developed by the Acute Kidney Injury Network are now most ot en used

Carmona emerged from an alcove of the lad brandishing a gore-splattered medical saw.

More often, medical trainees can be likened to frogs in slowly boiling water. We see sickness and death constantly, and if we are not careful, the doctor we had hoped to become will burn out. Out of necessity we create shells that protect and isolate us; sometimes it hurts too much to repeatedly feel another’s pain. We laugh at things that are not funny. We discuss people in a dehumanized, detached way.

Do I need grab the sheets or boil some water or something?” “That depends on if you’re trying to get stains out of my bedspread.” Lulu grunted.  Obviously she was in pain, and obviously I wasn’t the type of person you wanted to bring with you to a medical emergency.

He crossed to the small guard station and foraged through its drawers until he found the first-aid box. He threw bottles over his shoulder and they shattered on the ground behind him. When he came to the procaine hydrochloride vial, he stopped. The Maingate physician had insisted it be present in case emergency oral surgery were ever necessary for the guards; in addition to being a contained security unit, the Tower had to be a self-sufficient medical station. Allander withdrew a needle from the small packet and fit it gently into a plastic syringe. He punched the needle through the rubber top of the vial and withdrew some of the liquid, then cleared the air from the syringe. A few drops squirted through, onto the floor. Taking a deep breath, Allander inserted the needle into the tip of the ring finger on his left hand. He waited for the numbness to spread and settle. After a few minutes, he removed a scalpel from its sterile package and dipped it in the container of alcohol. Then he made a neat incision, cutting diagonally through his fingerprint. Since the anesthetic had not fully taken effect, he felt a painful tingling in the pad of his finger, but feeling suddenly rushed for time, he continued. Using tweezers, he pried underneath the skin, grimacing as he saw his flesh rise along the straight line of the cut. The blood came and washed over the end of the tweezers until it obscured his view. Once, he felt the tweezers close on something hard and he pulled gently, but when the tweezers emerged from the bloody gash, they held only fleshy material that looked like gristle. Allander hadn’t anticipated that numbing the finger would have made it difficult for him to distinguish the location sensor from his own senseless tissue. Beginning to lose patience, he pressed the tweezers in until they hit the bone. He applied too much pressure and they slid around the side of his finger next to his nail, pulling the flesh around and stretching the cut open. He heard a soft, metallic clink as the tweezers struck something distinctly alien, and he bit his lip in a mixture of pain and delight. Finally, working the tweezers around the metal, he withdrew the sensor, which was the size of a large pea. The flesh around the cut strained and whitened at the edges as he pulled the bloody orb through. After pressing gauze to his wound, Allander wrapped it with medical tape, bandaging it thoroughly. Then he used the tape to affix the location sensor to the side of the Hole. It was close enough to its assigned location that the difference in position would not be detected from the mainland.

It just so happens that 9-1-1 is not one of those types of services… Operator: 9-1-1 do you need fire, medical, or police? Caller: No, ma’am I don’t. I don’t have an emergency, two police officers were at my house just now, can I get their names please? Operator: What was it? Caller: To get the music turned down… he’s the cutest cop I’ve seen in God knows how long. I just wanna know his name. Doesn’t come very often a good looking man comes at your doorstep. Could you send him back my way? Operator: You need us to come back there? Caller: Oh! I’d like that, yeah! Operator: Why do you need us to come back there? Caller: Uhm, because I have an emergency. I’ll, I’ll think of something. He’s cute. Would you send them back, I think they are partners, send them back my way, would you?

As a young priest, I'd had a father scream at me once. I was working in a hospital. He'd just lost his son. I thought my clerical collar gave me the right to speak, so right after the doctors called time of death, I went and assured him his infant son was in paradise. Stupid. And of all people, I should have known better. At age fourteen, I lost my mother to a rare form of cancer similar to what struck that father's son, and every empty condolence I received after my mother's death only deepened my angry teenage grief. But platitudes are most appealing when they're least appropriate. This father had watched his healthy child waste away to nothing. It must have been maddening. The months of random emergency room visits. The brief rallies and the inevitable relapses. The inexorable course of the disease... ...And then I came along, after the chemotherapy, after the bankrupting bills and the deterioration of his and his wife's careers, after the months of hoping and despair, after every possible medical violation had denied his child grace even in death. And I dared suggest some good had come of it? It was unbearable. It was disgusting. It was vile.