Medical Intern Quotes

We all build internal sea walls to keep at bay the sadnesses of life and the often overwhelming forces within our minds. In whatever way we do this--through love, work, family, faith, friends, denial, alcohol, drugs, or medication, we build these walls, stone by stone, over a lifetime.

But money spent while manic doesn't fit into the Internal Revenue Service concept of medical expense or business loss. So after mania, when most depressed, you're given excellent reason to be even more so.

Those who fail to exhibit positive attitudes, no matter the external reality, are seen as maladjusted and in need of assistance. Their attitudes need correction. Once we adopt an upbeat vision of reality, positive things will happen. This belief encourages us to flee from reality when reality does not elicit positive feelings. These specialists in "happiness" have formulated something they call the "Law of Attraction." It argues that we attract those things in life, whether it is money, relationships or employment, which we focus on. Suddenly, abused and battered wives or children, the unemployed, the depressed and mentally ill, the illiterate, the lonely, those grieving for lost loved ones, those crushed by poverty, the terminally ill, those fighting with addictions, those suffering from trauma, those trapped in menial and poorly paid jobs, those whose homes are in foreclosure or who are filing for bankruptcy because they cannot pay their medical bills, are to blame for their negativity. The ideology justifies the cruelty of unfettered capitalism, shifting the blame from the power elite to those they oppress. And many of us have internalized this pernicious message, which in times of difficulty leads to personal despair, passivity and disillusionment.

We all build internal sea walls to keep at bay the sadnesses of life and the often overwhelming forces within our minds. In whatever way we do this—through love, work, family, faith, friends, denial, alcohol, drugs, or medication—we build these walls, stone by stone, over a lifetime. One of the most difficult problems is to construct these barriers of such a height and strength that one has a true harbor, a sanctuary away from crippling turmoil and pain, but yet low enough, and permeable enough, to let in fresh seawater that will fend off the inevitable inclination toward brackishness.

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

When I am high I couldn’t worry about money if I tried. So I don’t. The money will come from somewhere; I am entitled; God will provide. Credit cards are disastrous, personal checks worse. Unfortunately, for manics anyway, mania is a natural extension of the economy. What with credit cards and bank accounts there is little beyond reach. So I bought twelve snakebite kits, with a sense of urgency and importance. I bought precious stones, elegant and unnecessary furniture, three watches within an hour of one another (in the Rolex rather than Timex class: champagne tastes bubble to the surface, are the surface, in mania), and totally inappropriate sirenlike clothes. During one spree in London I spent several hundred pounds on books having titles or covers that somehow caught my fancy: books on the natural history of the mole, twenty sundry Penguin books because I thought it could be nice if the penguins could form a colony. Once I think I shoplifted a blouse because I could not wait a minute longer for the woman-with-molasses feet in front of me in line. Or maybe I just thought about shoplifting, I don’t remember, I was totally confused. I imagine I must have spent far more than thirty thousand dollars during my two major manic episodes, and God only knows how much more during my frequent milder manias. But then back on lithium and rotating on the planet at the same pace as everyone else, you find your credit is decimated, your mortification complete: mania is not a luxury one can easily afford. It is devastating to have the illness and aggravating to have to pay for medications, blood tests, and psychotherapy. They, at least, are partially deductible. But money spent while manic doesn’t fit into the Internal Revenue Service concept of medical expense or business loss. So after mania, when most depressed, you’re given excellent reason to be even more so.

No one 'just adopts'.

Today we are less likely to speak of humanitarianism, with its overtones of paternalistic generosity, and more likely to speak of human rights. The basic freedoms in life are not seen as gifts to be doled out by benevolent well-wishers, but as Casement said at his trial, as those rights to which all human beings are entitled from birth. It is this spirit which underlies organizations like Amnesty International, with its belief that putting someone in prison solely for his or her opinion is a crime, whether it happens in China or Turkey or Argentina and Medecins Sans Frontieres, with its belief that a sick child is entitled to medical care, whether in Rwanda or Honduras or the South Bronx.

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

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

If overtly depressed men are paralyzed, men who are covertly depressed, as I was, cannot stand still. They run, desperately trying to outdistance shame by medicating their pain, pumping up their tenuous self-esteem, or, if all else fails, inflicting their torture on others. Overt depression is violence endured. Covert depression is violence deflected. In either case, understanding depression in men means coming to grips with men's violence. How has the door of the psyche been opened to such a dark visitation? By what mechanisms does violence in the boy's environment become internalized as a stable force inside his own mind?

My abortion was a normal medical procedure that got tangled up in my bad relationship, my internalized fatphobia, my fear of adulthood, my discomfort with talking about sex; and one that, because of our culture’s obsession with punishing female sexuality and shackling women to the nursery and the kitchen, I was socialized to approach with shame and describe only in whispers. But the procedure itself was the easiest part. Not being able to have one would have been the real trauma.

contradiction with this the majority of medical writers hardly admit that the dream is a psychical phenomenon at all. According to them dreams are provoked and initiated exclusively by stimuli proceeding from the senses or the body, which either reach the sleeper from without or are accidental disturbances of his internal organs.

Claiming that the past was socially better than the present is also a hallmark of white supremacy. Consider any period in the past from the perspective of people of color: 246 years of brutal enslavement; the rape of black women for the pleasure of white men and to produce more enslaved workers; the selling off of black children; the attempted genocide of Indigenous people, Indian removal acts, and reservations; indentured servitude, lynching, and mob violence; sharecropping; Chinese exclusion laws; Japanese American internment; Jim Crow laws of mandatory segregation; black codes; bans on black jury service; bans on voting; imprisoning people for unpaid work; medical sterilization and experimentation; employment discrimination; educational discrimination; inferior schools; biased laws and policing practices; redlining and subprime mortgages; mass incarceration; racist media representations; cultural erasures, attacks, and mockery; and untold and perverted historical accounts, and you can see how a romanticized past is strictly a white construct. But it is a powerful construct because it calls out to a deeply internalized sense of superiority and entitlement and the sense that any advancement for people of color is an encroachment on this entitlement.

In the sitcom Scruns, medicals interns used the supply closet as a hideout when they needed to have a panic attack or a good cry. If you seek private space, you are much more likely to find it.

In my view, the recognition that a person has distorted thinking that comes from or produces suffering is important, but it has no inherent implication for action. It doesn’t imply medication, incarceration, or any particular brand of treatment. It just means stating openly that an internal conflict is not being resolved, is instead being expressed externally, and that those who did not cause the pain will be the ones to be blamed and to pay for it.

[I]nternalized experiences of selfhood are linked to autobiographical narratives, which are linked to biographies, legal testimonies, and medical case histories, which are linked to forms of therapy and theories of the subject. . .

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

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

Many of the Chinese medical texts dating back from 2,000 years ago lament the ills of 'modern times' and allude to the traditional 'good old days' another 3,000 years before that. A common theme in these texts is the decline in human health due to careless lifestyles and the deterioration in human relations due to lack of love: degenerative conditions that Taoist alchemy as well as psychoneuroimmunology would link as symptoms of the same syndrome. In his essay entitled 'Loving People' Chang San-feng, the thirteenth-century master, summed it up by saying: 'Therefore to those who want to know the way to deal with the world, I suggest, Love People.' This is a potent description for health and longevity that generates positive healing energy throughout the human system by stimulating the internal alchemy of psychoneuroimmunology.

So much of what is broadly called wellness now involves an expensive kind of burrowing into our selves, wobbling on the plank between self-care and self-obsession. Many get lost in the labyrinth of internal observation, an endless cycle of maintenance of muscle, mood and self-medication.

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

Century after century, the belief that an individual’s physical health was independent of his or her emotional health has so dominated medical thought that there has even been open contempt for anyone who would dare to claim that a person’s physical well-being is the sum of its internal and external influences.

Forces of digestion and metabolism are at work within me that are utterly beyond my perception or control. Most of my internal organs may as well not exist for all I know of them directly, and yet I can be reasonably certain that I have them, arranged much as any medical textbook would suggest. The taste of the coffee, my satisfaction at its flavor, the feeling of the warm cup in my hand—while these are immediate facts with which I am acquainted, they reach back into a dark wilderness of facts that I will never come to know... Where am I, that I have such a poor view of things? And what sort of thing am I that both my outside and my inside are so obscure?

Nostalgia was diagnosed [as a medical illness] at a time when art and science had not yet entirely severed their umbilical ties and when the mind and body internal and external well-being were treated together...Our progeny well might poeticize depression and see it as a global atmospheric condition, immune to treatment with Prozac.

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

At the end of World War II, we had wage and price controls. Under wartime inflationary conditions, many employers found it difficult to recruit employees. To get around the limitations of wage control, many began to offer health care as a fringe benefit to attract workers. As a new benefit, it took some years for the Internal Revenue Service to get around to requiring the cost of the medical care to be included in the reported taxable income of the employees. By the time it did, workers had come to regard nontaxable medical care provided by the employer as a right—or should I say entitlement? They raised such a big political fuss that Congress legislated nontaxable status for employer-provided medical care.

Despite the intervening six decades of scientific inquiry since Selye’s groundbreaking work, the physiological impact of the emotions is still far from fully appreciated. The medical approach to health and illness continues to suppose that body and mind are separable from each other and from the milieu in which they exist. Compounding that mistake is a definition of stress that is narrow and simplistic. Medical thinking usually sees stress as highly disturbing but isolated events such as, for example, sudden unemployment, a marriage breakup or the death of a loved one. These major events are potent sources of stress for many, but there are chronic daily stresses in people’s lives that are more insidious and more harmful in their long-term biological consequences. Internally generated stresses take their toll without in any way seeming out of the ordinary. For those habituated to high levels of internal stress since early childhood, it is the absence of stress that creates unease, evoking boredom and a sense of meaninglessness. People may become addicted to their own stress hormones, adrenaline and cortisol, Hans Selye observed. To such persons stress feels desirable, while the absence of it feels like something to be avoided. When people describe themselves as being stressed, they usually mean the nervous agitation they experience under excessive demands — most commonly in the areas of work, family, relationships, finances or health. But sensations of nervous tension do not define stress — nor, strictly speaking, are they always perceived when people are stressed. Stress, as we will define it, is not a matter of subjective feeling. It is a measurable set of objective physiological events in the body, involving the brain, the hormonal apparatus, the immune system and many other organs. Both animals and people can experience stress with no awareness of its presence. “Stress is not simply nervous tension,” Selye pointed out. “Stress reactions do occur in lower animals, and even in plants, that have no nervous systems…. Indeed, stress can be produced under deep anaesthesia in patients who are unconscious, and even in cell cultures grown outside the body.” Similarly, stress effects can be highly active in persons who are fully awake, but who are in the grip of unconscious emotions or cut off from their body responses. The physiology of stress may be triggered without observable effects on behaviour and without subjective awareness, as has been shown in animal experiments and in human studies.

It is devastating to have the illness and aggravating to have to pay for medications, blood tests, and psychotherapy. They, at least, are partially deductible. But money spent while manic doesn’t fit into the Internal Revenue Service concept of medical expense or business loss. So after mania, when most depressed, you’re given excellent reason to be even more so.

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

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

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

A black intern at the County Hospital now watched Mary Young die of pneumonia. The intern did not know her. He had been in Midland City for only a week. He wasn't even a fellow-American, although he had taken his medical degree at Harvard. He was an Indaro. He was a Nigerian. His name was Cyprian Ukwende. He felt no kinship with Mary or with any American blacks. He felt kinship only with Indaros. As she died, Mary was as alone on the planet as were Dwayne Hoover or Kilgore Trout. She had never reproduced. There were no friends or relatives to watch her die. So she spoke her very last words on the planet to Cyprian Ukwende. She did not have enough breath left to make her vocal chords buzz. She could only move her lips noiselessly. Here is all she had to say about death: "Oh my, oh my.

At the same time, it was also part of a larger tendency among internationalists like the Rockefellers to seek the regulation and control of the global drug trade. After the First World War, the nascent League of Nations formed an Advisory Committee on the Traffic of Opium and Other Dangerous Drugs. It worked closely with the Rockefeller Foundation’s International Health Board, the “parent” of the China Medical Board.

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

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

Medical thinking usually sees stress as highly disturbing but isolated events such as, for example, sudden unemployment, a marriage breakup or the death of a loved one. These major events are potent sources of stress for many, but there are chronic daily stresses in people’s lives that are more insidious and more harmful in their long-term biological consequences. Internally generated stresses take their toll without in any way seeming out of the ordinary.

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

Because now mental health disorders have gone “mainstream”. And for all the good it’s brought people like me who have been given therapy and stuff, there’s a lot of bad it’s brought too. Because now people use the phrase OCD to describe minor personality quirks. “Oooh, I like my pens in a line, I’m so OCD.” NO YOU’RE FUCKING NOT. “Oh my God, I was so nervous about that presentation, I literally had a panic attack.” NO YOU FUCKING DIDN’T. “I’m so hormonal today. I just feel totally bipolar.” SHUT UP, YOU IGNORANT BUMFACE. Told you I got angry. These words – words like OCD and bipolar – are not words to use lightly. And yet now they’re everywhere. There are TV programmes that actually pun on them. People smile and use them, proud of themselves for learning them, like they should get a sticker or something. Not realizing that if those words are said to you by a medical health professional, as a diagnosis of something you’ll probably have for ever, they’re words you don’t appreciate being misused every single day by someone who likes to keep their house quite clean. People actually die of bipolar, you know? They jump in front of trains and tip down bottles of paracetamol and leave letters behind to their devastated families because their bullying brains just won’t let them be for five minutes and they can’t bear to live with that any more. People also die of cancer. You don’t hear people going around saying: “Oh my God, my headache is so, like, tumoury today.” Yet it’s apparently okay to make light of the language of people’s internal hell

But then back on lithium and rotating on the planet at the same pace as everyone else, you find your credit is decimated, your mortification complete: mania is not a luxury one can easily afford. It is devastating to have the illness and aggravating to have to pay for medications, blood tests, and psychotherapy. They, at least, are partially deductible. But money spent while manic doesn't fit into the Internal Revenue Service concept of medical expense or business loss. So after mania, when most depressed, you're given excellent reason to be even more so.

We all build internal sea walls to keep at bay the sadnesses of life and the often overwhelming forces within our minds. In whatever way we do this - through love, work, family, faith, friends, denial, alcohol, drugs, or medication - we build these walls, stone by stone, over a lifetime. One of the most difficult problems is to construct these barriers of such a height and strength that one has a true harbor, a sanctuary away from crippling turmoil and pain, but yet low enough, and permeable enough, to let in fresh seawater that will fend off the inevitable inclination toward brackishness.

Army studies indicate that if a wounded soldier arrives alive at a combat support hospital where surgeons and nurses can treat him, the chances of his surviving are extremely high—greater than 90 percent. “Surviving,” of course, doesn’t necessarily entail keeping arms or legs or retaining the ability to function independently back home. The leading cause of preventable death on the battlefield is bleeding. Having a leg blown off by an IED, for instance, can be fatal if quick steps are not taken to control the blood loss. Even deadlier is internal bleeding, a problem for which medics generally don’t have a good answer. A soldier who is bleeding internally needs to be evacuated and delivered to a surgeon immediately if he is to have any hope of survival. The second-leading cause of preventable death is something called tension pneumothorax. If a bullet punctures a soldier’s lung, air can leak from that hole into the “pleural space,” or cavity outside the lungs. That air can build up and eventually interfere with the functioning of the heart. This can be a relatively simple problem to correct: a medic can simply stick a big needle in the soldier’s chest to relieve the pressure in the pleural space.

When trying to comprehend what is happening to, and through, oneself, why not question the narratives one has been handed to make sense with? This is an approach increasingly utilized within transgender knowledge production, one spearheaded by transgender people themselves. It brings to light questions about previous entries into the trans nonfiction canon, asking: Is it necessary, when writing a trans protagonist, to describe in detail a medical transition, to 'confess' conflicted feelings of body confusion? Has it even been internalized into a communal consciousness, into something resembling a trans storytelling requirement?

The ability to draw a connection between two things that had previously appeared to be unrelated is an important part of creativity, and it appears that it can be enhanced by electrical stimulation. Compared to participants who were given fake tDCS, those who got electricity created more unusual analogies—that is, analogies between things that seemed very unlike one another. Nevertheless, these highly creative analogies were just as accurate as the more obvious ones created by the participants whose devices were secretly turned off. Dopaminergic drugs can do the same thing. Although some patients who take dopaminergic drugs for Parkinson’s disease develop devastating compulsions, others experience enhanced creativity. One patient who came from a family of poets had never done any creative writing. After starting dopamine-boosting drugs for his Parkinson’s disease, he wrote a poem that won the annual contest of the International Association of Poets. Painters treated with Parkinson’s medication often increase their use of vivid color. One patient who developed a new style after being treated said, “The new style is less precise but more vibrant. I have a need to express myself more. I just let myself go.” Just like Winnie-the-Pooh: “It is the best way to write poetry, letting things come.

autocratic information operations exaggerate the divisions and anger that are normal in politics. They pay or promote the most extreme voices, hoping to make them more extreme, and perhaps more violent; they hope to encourage people to question the state, to doubt authority, and eventually to question democracy itself. In seeking to create chaos, these new propagandists, like their leaders, will reach for whatever ideology, whatever technology, and whatever emotions might be useful. The vehicles of disruption can be right-wing, left-wing, separatist, or nationalist, even taking the form of medical conspiracies or moral panic. Only the purpose never changes: Autocracy, Inc., hopes to rewrite the rules of the international system itself.

Needless to say, elderly people taking steroids may also experience the same side effects as younger persons. So, if you are a senior and need to be on a long course of steroids, what should you do? We would suggest a practical approach—which could apply to anyone on steroids, regardless of age, but may be particularly relevant for seniors because they are particularly vulnerable to side effects: • Understand and verify the need for steroids in your own situation, weighing the anticipated benefit with the possible risks. This means that you should explore the range of other treatments that may be available for your particular condition. You need to learn about the benefits and risks of any other treatment suggested. In other words, get all the information you can prior to going on treatment, be it with steroids or other medications. • Be sure that your health is well-assessed before or at the start of therapy. If you have underlying, separate health conditions, those should be noted and followed while you are on steroids. • Assess bodily systems that might particularly be affected by being on steroids. This means an assessment of your skeletal health, your eyes, your teeth, and your internal organs. • Request guidance about staying active. Physical therapy should be planned, to minimize the chances that your muscles and joints will be overtaxed or that any existing damage might get worse. • Ask to reassess the length and dose of your medication course at various intervals. A reasonable interval is every couple of months, if you are on a long course of steroids.

In 1995, China passed the National Maternal and Infant Health Law, forbidding couples who had “genetic diseases of a serious nature” to procreate. The conditions listed include mental retardation, mental illness, and seizures. These couples were required to undergo a mandatory premarital medical exam. It was hugely controversial, reviving international criticism that China practices eugenics. Actually, the wording of the national law was considered mild. Some provinces had more explicit regulations. In 1988, Gansu Province passed local regulations prohibiting “reproduction of the dull-witted, idiots, or blockheads.” Gansu abolished that law in 2002. Similarly, the National Maternal and Infant Health Law was defanged when requirements for the premarital medical examination were quietly dropped in 2003.

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

We all build internal sea walls to keep at bay the sadness of life and the often overwhelming forces within our minds. In whatever way we do this--through love, work, family, faith, friends, denial, alcohol, drugs, or medication--we guild these walls, stone by stone, over a lifetime. One of the most difficult problems is to construct these barriers of such a height and strength that one has a true harbor, a sanctuary away from crippling turmoil and pain, and yet low enough, and permeable enough, to let in fresh seawater that will fend off the inevitable inclination toward blackishness. For someone with my cast of mind and mood, medication is an integral element of this wall: without it, I would be constantly beholden to the crushing movements of the mental sea; I would, unquestionably, be dead or insane. But love is, to me, the ultimately more extraordinary part of the breakwater wall: it helps to shut out the terror and awfulness, while, at the same time, allowing in life and beauty and vitality.

There were six hundred thousand Indian troops in Kashmir but the pogrom of the pandits was not prevented, why was that. Three and a half lakhs of human beings arrived in Jammu as displaced persons and for many months the government did not provide shelters or relief or even register their names, why was that. When the government finally built camps it only allowed for six thousand families to remain in the state, dispersing the others around the country where they would be invisible and impotent, why was that. The camps at Purkhoo, Muthi, Mishriwallah, Nagrota were built on the banks and beds of nullahas, dry seasonal waterways, and when the water came the camps were flooded, why was that. The ministers of the government made speeches about ethnic cleansing but the civil servants wrote one another memos saying that the pandits were simply internal migrants whose displacement had been self-imposed, why was that. The tents provided for the refugees to live in were often uninspected and leaking and the monsoon rains came through, why was that. When the one-room tenements called ORTs were built to replace the tents they too leaked profusely, why was that. There was one bathroom per three hundred persons in many camps why was that and the medical dispensaries lacked basic first-aid materials why was that and thousands of the displaced died because of inadequate food and shelter why was that maybe five thousand deaths because of intense heat and humidity because of snake bites and gastroenteritis and dengue fever and stress diabetes and kidney ailments and tuberculosis and psychoneurosis and there was not a single health survey conducted by the government why was that and the pandits of Kashmir were left to rot in their slum camps, to rot while the army and the insurgency fought over the bloodied and broken valley, to dream of return, to die while dreaming of return, to die after the dream of return died so that they could not even die dreaming of it, why was that why was that why was that why was that why was that.

I can hardly believe that our nation’s policy is to seek peace by going to war. It seems that President Donald J. Trump has done everything in his power to divert our attention away from the fact that the FBI is investigating his association with Russia during his campaign for office. For several weeks now he has been sabre rattling and taking an extremely controversial stance, first with Syria and Afghanistan and now with North Korea. The rhetoric has been the same, accusing others for our failed policy and threatening to take autonomous military action to attain peace in our time. This gunboat diplomacy is wrong. There is no doubt that Secretaries Kelly, Mattis, and other retired military personnel in the Trump Administration are personally tough. However, most people who have served in the military are not eager to send our young men and women to fight, if it is not necessary. Despite what may have been said to the contrary, our military leaders, active or retired, are most often the ones most respectful of international law. Although the military is the tip of the spear for our country, and the forces of civilization, it should not be the first tool to be used. Bloodshed should only be considered as a last resort and definitely never used as the first option. As the leader of the free world, we should stand our ground but be prepared to seek peace through restraint. This is not the time to exercise false pride! Unfortunately the Trump administration informed four top State Department management officials that their services were no longer needed as part of an effort to "clean house." Patrick Kennedy, served for nine years as the “Undersecretary for Management,” “Assistant Secretaries for Administration and Consular Affairs” Joyce Anne Barr and Michele Bond, as well as “Ambassador” Gentry Smith, director of the Office for Foreign Missions. Most of the United States Ambassadors to foreign countries have also been dismissed, including the ones to South Korea and Japan. This leaves the United States without the means of exercising diplomacy rapidly, when needed. These positions are political appointments, and require the President’s nomination and the Senate’s confirmation. This has not happened! Moreover, diplomatically our country is severely handicapped at a time when tensions are as hot as any time since the Cold War. Without following expert advice or consent and the necessary input from the Unites States Congress, the decisions are all being made by a man who claims to know more than the generals do, yet he has only the military experience of a cadet at “New York Military Academy.” A private school he attended as a high school student, from 1959 to 1964. At that time, he received educational and medical deferments from the Vietnam War draft. Trump said that the school provided him with “more training than a lot of the guys that go into the military.” His counterpart the unhinged Kim Jong-un has played with what he considers his country’s military toys, since April 11th of 2012. To think that these are the two world leaders, protecting the planet from a nuclear holocaust….

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

Flow is an extremely potent response to external events and requires an extraordinary set of signals. The process includes dopamine, which does more than tune signal-to-noise ratios. Emotionally, we feel dopamine as engagement, excitement, creativity, and a desire to investigate and make meaning out of the world. Evolutionarily, it serves a similar function. Human beings are hardwired for exploration, hardwired to push the envelope: dopamine is largely responsible for that wiring. This neurochemical is released whenever we take a risk or encounter something novel. It rewards exploratory behavior. It also helps us survive that behavior. By increasing attention, information flow, and pattern recognition in the brain, and heart rate, blood pressure, and muscle firing timing in the body, dopamine serves as a formidable skill-booster as well. Norepinephrine provides another boost. In the body, it speeds up heart rate, muscle tension, and respiration, and triggers glucose release so we have more energy. In the brain, norepinephrine increases arousal, attention, neural efficiency, and emotional control. In flow, it keeps us locked on target, holding distractions at bay. And as a pleasure-inducer, if dopamine’s drug analog is cocaine, norepinephrine’s is speed, which means this enhancement comes with a hell of a high. Endorphins, our third flow conspirator, also come with a hell of a high. These natural “endogenous” (meaning naturally internal to the body) opiates relieve pain and produce pleasure much like “exogenous” (externally added to the body) opiates like heroin. Potent too. The most commonly produced endorphin is 100 times more powerful than medical morphine. The next neurotransmitter is anandamide, which takes its name from the Sanskrit word for “bliss”—and for good reason. Anandamide is an endogenous cannabinoid, and similarly feels like the psychoactive effect found in marijuana. Known to show up in exercise-induced flow states (and suspected in other kinds), this chemical elevates mood, relieves pain, dilates blood vessels and bronchial tubes (aiding respiration), and amplifies lateral thinking (our ability to link disparate ideas together). More critically, anandamide also inhibits our ability to feel fear, even, possibly, according to research done at Duke, facilitates the extinction of long-term fear memories. Lastly, at the tail end of a flow state, it also appears (more research needs to be done) that the brain releases serotonin, the neurochemical now associated with SSRIs like Prozac. “It’s a molecule involved in helping people cope with adversity,” Oxford University’s Philip Cowen told the New York Times, “to not lose it, to keep going and try to sort everything out.” In flow, serotonin is partly responsible for the afterglow effect, and thus the cause of some confusion. “A lot of people associate serotonin directly with flow,” says high performance psychologist Michael Gervais, “but that’s backward. By the time the serotonin has arrived the state has already happened. It’s a signal things are coming to an end, not just beginning.” These five chemicals are flow’s mighty cocktail. Alone, each packs a punch, together a wallop.

A lot of girls think they're ready to have sex, but then change their mind, after the fact." It took Daniel a minute to find his voice. "Are you saying that my daughter's lying?" "No. But I want you to understand that even if Trixie is willing to testify, you might not get the outcome you're hoping for." "She's fourteen, for God's sake," Daniel said. "Kids younger than that are having sex. And according to the medical report, there wasn't significant internal trauma." "She wasn't hurt enough?" "I'm just saying that given the details-the alcohol, the strip poker, the former relationship with Jason-rape could be a hard sell to a jury. The boy's going to say it was consensual." Daniel clenched his jaw. "If a murder suspect told you he was innocent, would you just let him walk away?" "It's not quite the same-" "No, it's not. Because the murder victim's dead and can't give you any information about what really happened. As opposed to my daughter, the one who's inside there telling you exactly how she was raped, while you aren't fucking listening to her.

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

When I was a child, no one ever said the words "institutionalized racism." We hardly even said the word "racism." I don't think I took a single class in college that talked about the physiological effects of years of personally medicated racism and internalized racism. This was before studies came out that showed that black women were four times more likely to die from childbirth, before people were talking about epigenetics and whether or not trauma was heritable. If those studies were out there, I never read them. If those classes were offered, I never took them. There was little interest in these ideas back then because there was, there *is,* little interest in the lives of black people. What I'm saying is I didn't grow up with a language for, a way to explain, to parse out, my self-loathing. I grew up only with my part, my little throbbing stone of self-hate that I carried around with me to church, to school, to all those places in my life that worked, it seemed to me then, to affirm the idea that I was irreparably, fatally, wrong. I was a child who liked to be right.

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.

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

When I am high I couldn’t worry about money if I tried. So I don’t. The money will come from somewhere; I am entitled; God will provide. Credit cards are disastrous, personal checks worse. Unfortunately, for manics anyway, mania is a natural extension of the economy. What with credit cards and bank accounts there is little beyond reach....During one spree in London I spent several hundred pounds on books having titles or covers that somehow caught my fancy: books on the natural history of the mole, twenty sundry Penguin books because I thought it could be nice if the penguins could form a colony..... But then back on lithium and rotating on the planet at the same pace as everyone else, you find your credit is decimated, your mortification complete: mania is not a luxury one can easily afford. It is devastating to have the illness and aggravating to have to pay for medications, blood tests, and psychotherapy. They, at least, are partially deductible. But money spent while manic doesn’t fit into the Internal Revenue Service concept of medical expense or business loss. So after mania, when most depressed, you’re given excellent reason to be even more so.

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

Yet, it was precisely our failure to differentiate between work and politics, between reality and illusion; it was precisely our mistake of conceiving of politics as a rational human activity comparable to the sowing of seeds or the construction of buildings that was responsible for the fact that a painter who failed to make the grade was able to plunge the whole world into misery. And I have stressed again and again that the main purpose of this book—which, after all, was not written merely for the fun of it—was to demonstrate these catastrophic errors in human thinking and to eliminate irrationalism from politics. It is an essential part of our social tragedy that the farmer, the industrial worker, the physician, etc., do not influence social existence solely through their social activities, but also and even predominantly through their political ideologies. For political activity hinders objective and professional activity; it splits every profession into inimical ideologic groups; creates a dichotomy in the body of industrial workers; limits the activity of the medical profession and harms the patients. In short, it is precisely political activity that prevents the realization of that which it pretends to fight for: peace, work, security, international cooperation, free objective speech, freedom of religion, etc.

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

The appropriation of terms from psychology to discredit political opponents is part of the modern therapeutic culture that the sociologist Christopher Lasch criticized. Along with the concept of the authoritarian personality, the term “-phobe” for political opponents has been added to the arsenal of obloquy deployed by technocratic neoliberals against those who disagree with them. The coinage of the term “homophobia” by the psychologist George Weinberg in the 1970s has been followed by a proliferation of pseudoclinical terms in which those who hold viewpoints at variance with the left-libertarian social consensus of the transatlantic ruling class are understood to suffer from “phobias” of various kinds similar to the psychological disorders of agoraphobia (fear of open spaces), ornithophobia (fear of birds), and pentheraphobia (fear of one’s mother-in-law). The most famous use of this rhetorical strategy can be found in then-candidate Hillary Clinton’s leaked confidential remarks to an audience of donors at a fund-raiser in New York in 2016: “You know, to just be grossly generalistic, you could put half of Trump’s supporters into what I call the basket of deplorables. Right? They’re racist, sexist, homophobic, xenophobic, Islamophobic—you name it.” A disturbed young man who is driven by internal compulsions to harass and assault gay men is obviously different from a learned Orthodox Jewish rabbi who is kind to lesbians and gay men as individuals but opposes homosexuality, along with adultery, premarital sex, and masturbation, on theological grounds—but both are "homophobes.” A racist who opposes large-scale immigration because of its threat to the supposed ethnic purity of the national majority is obviously different from a non-racist trade unionist who thinks that immigrant numbers should be reduced to create tighter labor markets to the benefit of workers—but both are “xenophobes.” A Christian fundamentalist who believes that Muslims are infidels who will go to hell is obviously different from an atheist who believes that all religion is false—but both are “Islamophobes.” This blurring of important distinctions is not an accident. The purpose of describing political adversaries as “-phobes” is to medicalize politics and treat differing viewpoints as evidence of mental and emotional disorders. In the latter years of the Soviet Union, political dissidents were often diagnosed with “sluggish schizophrenia” and then confined to psychiatric hospitals and drugged. According to the regime, anyone who criticized communism literally had to be insane. If those in today’s West who oppose the dominant consensus of technocratic neoliberalism are in fact emotionally and mentally disturbed, to the point that their maladjustment makes it unsafe to allow them to vote, then to be consistent, neoliberals should support the involuntary confinement, hospitalization, and medication of Trump voters and Brexit voters and other populist voters for their own good, as well as the good of society.

The hot case at a kombini features tonkatsu, fried chicken, menchikatsu (a breaded hamburger patty), Chinese pork buns, potato croquettes, and seafood items such as breaded squid legs or oysters. In a bit of international solidarity, you'll see corn dogs, often labeled "Amerikandoggu." One day for lunch I stopped at 7-Eleven and brought home a pouch of "Gold Label" beef curry, steamed rice, inarizushi (sushi rice in a pouch of sweetened fried tofu), cold noodle salad, and a banana. Putting together lunch for the whole family from an American 7-Eleven would be as appetizing as scavenging among seaside medical waste, but this fun to shop for and fun to eat. Instant ramen is as popular in Japan as it is in college dorms worldwide, and while the selection of flavors is wider than at an American grocery, it serves a predictable ecological niche as the food of last resort for those with no money or no time. (Frozen ramen, on the other hand, can be very good; if you have access to a Japanese supermarket, look for Myojo Chukazanmai brand.) That's how I saw it, at least, until stumbling on the ramen topping section in the 7-Eleven refrigerator case, where you can buy shrink-wrapped packets of popular fresh ramen toppings such as braised pork belly and fermented bamboo shoots. With a quick stop at a convenience store, you can turn instant ramen into a serious meal. The pork belly is rolled and tied, braised, chilled, and then sliced into thick circular slices like Italian pancetta. This is one of the best things you can do with pork, and I don't say that lightly.

Hardy reinforces his narrative with stories of heroes who didn’t have the right education, the right connections, and who could have been counted out early as not having the DNA for success: “Richard Branson has dyslexia and had poor academic performance as a student. Steve Jobs was born to two college students who didn’t want to raise him and gave him up for adoption. Mark Cuban was born to an automobile upholsterer. He started as a bartender, then got a job in software sales from which he was fired.”8 The list goes on. Hardy reminds his readers that “Suze Orman’s dad was a chicken farmer. Retired General Colin Powell was a solid C student. Howard Schultz, the CEO of Starbucks, was born in a housing authority in the Bronx … Barbara Corcoran started as a waitress and admits to being fired from more jobs than most people hold in a lifetime. Pete Cashmore, the CEO of Mashable, was sickly as a child and finished high school two years late due to medical complications. He never went to college.” What do each of these inspiring leaders and storytellers have in common? They rewrote their own internal narratives and found great success. “The biographies of all heroes contain common elements. Becoming one is the most important,”9 writes Chris Matthews in Jack Kennedy, Elusive Hero. Matthews reminds his readers that young John F. Kennedy was a sickly child and bedridden for much of his youth. And what did he do while setting school records for being in the infirmary? He read voraciously. He read the stories of heroes in the pages of books by Sir Walter Scott and the tales of King Arthur. He read, and dreamed of playing the hero in the story of his life. When the time came to take the stage, Jack was ready.

Thanks again, sir.” Jules shook his hand again. “You’re welcome again,” the captain said, his smile warm. “I’ll be back aboard the ship myself at around nineteen hundred. If it’s okay with you, I’ll, uh, stop in, see how you’re doing.” Son of a bitch. Was Jules getting hit on? Max looked at Webster again. He looked like a Marine. Muscles, meticulous uniform, well-groomed hair. That didn’t make him gay. And he’d smiled warmly at Max, too. The man was friendly, personable. And yet . . . Jules was flustered. “Thanks,” he said. “That would be . . . That’d be nice. Would you excuse me, though, for a sec? I’ve got to speak to Max, before I, uh . . . But I’ll head over to the ship right away.” Webster shook Max’s hand. “It was an honor meeting you, sir.” He smiled again at Jules. Okay, he hadn’t smiled at Max like that. Max waited until the captain and the medic both were out of earshot. “Is he—” “Don’t ask, don’t tell.” Jules said. “But, oh my God.” “He seems nice,” Max said. “Yes,” Jules said. “Yes, he does.” “So. The White House?” “Yeah. About that . . .” Jules took a deep breath. “I need to let you know that you might be getting a call from President Bryant.” “Might be,” Max repeated. “Yes,” Jules said. “In a very definite way.” He spoke quickly, trying to run his words together: “I had a very interesting conversation with him in which I kind of let slip that you’d resigned again and he was unhappy about that so I told him I might be able to persuade you to come back to work if he’d order three choppers filled with Marines to Meda Island as soon as possible.” “You called the President of the United States,” Max said. “During a time of international crisis, and basically blackmailed him into sending Marines.” Jules thought about that. “Yeah. Yup. Although it was a pretty weird phone call, because I was talking via radio to some grunt in the CIA office. I had him put the call to the President for me, and we did this kind of relay thing.” “You called the President,” Max repeated. “And you got through . . .?” “Yeah, see, I had your cell phone. I’d accidently switched them, and . . . The President’s direct line was in your address book, so . . .” Max nodded. “Okay,” he said. “That’s it?” Jules said. “Just, okay, you’ll come back? Can I call Alan to tell him? We’re on a first-name basis now, me and the Pres.” “No,” Max said. “There’s more. When you call your pal Alan, tell him I’m interested, but I’m looking to make a deal for a former Special Forces NCO.” “Grady Morant,” Jules said. “He’s got info on Heru Nusantra that the president will find interesting. In return, we want a full pardon and a new identity.” Jules nodded. “I think I could set that up.” He started for the helicopter, but then turned back. “What’s Webster’s first name? Do you know?” “Ben,” Max told him. “Have a nice vacation.” “Recovering from a gunshot wound is not a vacation. You need to write that, like, on your hand or something. Jeez.” Max laughed. “Hey, Jules?” He turned back again. “Yes, sir?” “Thanks for being such a good friend.” Jules’s smile was beautiful. “You’re welcome, Max.” But that smile faded far too quickly. “Uh-oh, heads up—crying girlfriend on your six.” Ah, God, no . . . Max turned to see Gina, running toward him. Please God, let those be tears of joy. “What’s the verdict?” he asked her. Gina said the word he’d been praying for. “Benign.” Max took her in his arms, this woman who was the love of his life, and kissed her. Right in front of the Marines.

Mueller kicked off the meeting by pulling out a piece of paper with some notes. The attorney general and his aides believed they noticed something worrisome. Mueller’s hands shook as he held the paper. His voice was shaky, too. This was not the Bob Mueller everyone knew. As he made some perfunctory introductory remarks, Barr, Rosenstein, O’Callaghan, and Rabbitt couldn’t help but worry about Mueller’s health. They were taken aback. As Barr would later ask his colleagues, “Did he seem off to you?” Later, close friends would say they noticed Mueller had changed dramatically, but a member of Mueller’s team would insist he had no medical problems. Mueller quickly turned the meeting over to his deputies, a notable handoff. Zebley went first, summing up the Russian interference portion of the investigation. He explained that the team had already shared most of its findings in two major indictments in February and July 2018. Though they had virtually no chance of bringing the accused to trial in the United States, Mueller’s team had indicted thirteen Russian nationals who led a troll farm to flood U.S. social media with phony stories to sow division and help Trump. They also indicted twelve Russian military intelligence officers who hacked internal Democratic Party emails and leaked them to hurt Hillary Clinton’s campaign. The Trump campaign had no known role in either operation. Zebley explained they had found insufficient evidence to suggest a conspiracy, “no campaign finance [violations], no issues found. . . . We have questions about [Paul] Manafort, but we’re very comfortable saying there was no collusion, no conspiracy.” Then Quarles talked about the obstruction of justice portion. “We’re going to follow the OLC opinion and conclude it wasn’t appropriate for us to make a final determination as to whether or not there was a crime,” he said. “We’re going to report the facts, the analysis, and leave it there. We are not going to say we would indict but for the OLC opinion.

More to the point, one cannot understand The Holocaust without understanding the intentions, ideology, and mechanisms that were put in place in 1933. The eugenics movement may have come to a catastrophic crescendo with the Hitler regime, but the political movement, the world-view, the ideology, and the science that aspired to breed humans like prized horses began almost 100 years earlier. More poignantly, the ideology and those legal and governmental mechanisms of a eugenic world-view inevitably lead back to the British and American counterparts that Hitler’s scientists collaborated with. Posterity must gain understanding of the players that made eugenics a respectable scientific and political movement, as Hitler’s regime was able to evade wholesale condemnation in those critical years between 1933 and 1943 precisely because eugenics had gained international acceptance. As this book will evidence, Hitler’s infamous 1933 laws mimicked those already in place in the United States, Britain, Norway, Sweden, Finland, and Canada. So what is this scientific and political movement that for 100 years aspired to breed humans like dogs or horses? Eugenics is quite literally, as defined by its principal proponents, an attempt at “directing evolution” by controlling any aspect of human existence that affects human heredity. From its onset, Francis Galton, the cousin of Charles Darwin and the man credited with the creation of the science of eugenics, knew that the cause of eugenics had to be observed with religious fervor and dedication. As the quote on the opening pages of this book illustrates, a eugenicist must “intrude, intrude, intrude.” A vigilant control over anything and everything that affects the gene pool is essential to eugenics. The policies could not allow for the individual to enjoy self-government or self-determination any more than a horse breeder can allow the animals to determine whom to breed with. One simply cannot breed humans like horses without imbuing the state with the level of control a farmer has over its livestock, not only controlling procreation, but also the diet, access to medical services, and living conditions.

But perhaps the best and most memorable way to explain the conflict that arose between honoring traditional honor, and honoring one’s individual psyche, can be conveyed in a story from World War II. In 1943, coming off his dazzling victories in the Sicily campaign, George S. Patton stopped by a medical tent to visit with the wounded. He enjoyed these visits, and so did the soldiers and staff. He would hand out Purple Hearts, pump the men full of encouragement, and offer rousing speeches to the nurses, interns, and their patients that were so touching in nature they sometimes brought tears to many of the eyes in the room. On this particular occasion, as Patton entered the tent all the men jumped to attention except for one, Private Charles H. Kuhl, who sat slouched on a stool. Kuhl, who showed no outward injuries, was asked by Patton how he was wounded, to which the private replied, “I guess I just can’t take it.” Patton did not believe “battle fatigue” or “shell-shock” was a real condition nor an excuse to be given medical treatment, and had recently been told by one of the commanders of Kuhl’s division that, “The front lines seem to be thinning out. There seems to be a very large number of ‘malingerers’ at the hospitals, feigning illness in order to avoid combat duty.” He became livid. Patton slapped Kuhl across the face with his gloves, grabbed him by his collar, and led him outside the tent. Kicking him in the backside, Patton demanded that this “gutless bastard” not be admitted and instead be sent back to the front to fight. A week later, Patton slapped another soldier at a hospital, who, in tears, told the general he was there because of “his nerves,” and that he simply couldn’t “stand the shelling anymore.” Enraged, Patton brandished his white-handled, single-action Colt revolver and bellowed: Your nerves, Hell, you are just a goddamned coward, you yellow son of a bitch. Shut up that goddamned crying. I won’t have these brave men here who have been shot seeing a yellow bastard sitting here crying…You’re a disgrace to the Army and you’re going back to the front lines and you may get shot and killed, but you’re going to fight. If you don’t I’ll stand you up against a wall and have a firing squad kill you on purpose. In fact I ought to shoot you myself, you God-damned whimpering coward.

I lost my first patient on a Tuesday. She was an eighty-two-year-old woman, small and trim, the healthiest person on the general surgery service, where I spent a month as an intern. (At her autopsy, the pathologist would be shocked to learn her age: “She has the organs of a fifty-year-old!”) She had been admitted for constipation from a mild bowel obstruction. After six days of hoping her bowels would untangle themselves, we did a minor operation to help sort things out. Around eight P.M. Monday night, I stopped by to check on her, and she was alert, doing fine. As we talked, I pulled from my pocket my list of the day’s work and crossed off the last item (post-op check, Mrs. Harvey). It was time to go home and get some rest. Sometime after midnight, the phone rang. The patient was crashing. With the complacency of bureaucratic work suddenly torn away, I sat up in bed and spat out orders: “One liter bolus of LR, EKG, chest X-ray, stat—I’m on my way in.” I called my chief, and she told me to add labs and to call her back when I had a better sense of things. I sped to the hospital and found Mrs. Harvey struggling for air, her heart racing, her blood pressure collapsing. She wasn’t getting better no matter what I did; and as I was the only general surgery intern on call, my pager was buzzing relentlessly, with calls I could dispense with (patients needing sleep medication) and ones I couldn’t (a rupturing aortic aneurysm in the ER). I was drowning, out of my depth, pulled in a thousand directions, and Mrs. Harvey was still not improving. I arranged a transfer to the ICU, where we blasted her with drugs and fluids to keep her from dying, and I spent the next few hours running between my patient threatening to die in the ER and my patient actively dying in the ICU. By 5:45 A.M., the patient in the ER was on his way to the OR, and Mrs. Harvey was relatively stable. She’d needed twelve liters of fluid, two units of blood, a ventilator, and three different pressors to stay alive. When I finally left the hospital, at five P.M. on Tuesday evening, Mrs. Harvey wasn’t getting better—or worse. At seven P.M., the phone rang: Mrs. Harvey had coded, and the ICU team was attempting CPR. I raced back to the hospital, and once again, she pulled through. Barely. This time, instead of going home, I grabbed dinner near the hospital, just in case. At eight P.M., my phone rang: Mrs. Harvey had died. I went home to sleep.

Tim Tigner began his career in Soviet Counterintelligence with the US Army Special Forces, the Green Berets. That was back in the Cold War days when, “We learned Russian so you didn't have to,” something he did at the Presidio of Monterey alongside Recon Marines and Navy SEALs. With the fall of the Berlin Wall, Tim switched from espionage to arbitrage. Armed with a Wharton MBA rather than a Colt M16, he moved to Moscow in the midst of Perestroika. There, he led prominent multinational medical companies, worked with cosmonauts on the MIR Space Station (from Earth, alas), chaired the Association of International Pharmaceutical Manufacturers, and helped write Russia’s first law on healthcare. Moving to Brussels during the formation of the EU, Tim ran Europe, Middle East, and Africa for a Johnson & Johnson company and traveled like a character in a Robert Ludlum novel. He eventually landed in Silicon Valley, where he launched new medical technologies as a startup CEO. In his free time, Tim has climbed the peaks of Mount Olympus, hang glided from the cliffs of Rio de Janeiro, and ballooned over Belgium. He earned scuba certification in Turkey, learned to ski in Slovenia, and ran the Serengeti with a Maasai warrior. He acted on stage in Portugal, taught negotiations in Germany, and chaired a healthcare conference in Holland. Tim studied psychology in France, radiology in England, and philosophy in Greece. He has enjoyed ballet at the Bolshoi, the opera on Lake Como, and the symphony in Vienna. He’s been a marathoner, paratrooper, triathlete, and yogi.  Intent on combining his creativity with his experience, Tim began writing thrillers in 1996 from an apartment overlooking Moscow’s Gorky Park. Decades later, his passion for creative writing continues to grow every day. His home office now overlooks a vineyard in Northern California, where he lives with his wife Elena and their two daughters. Tim grew up in the Midwest, and graduated from Hanover College with a BA in Philosophy and Mathematics. After military service and work as a financial analyst and foreign-exchange trader, he earned an MBA in Finance and an MA in International Studies from the University of Pennsylvania’s Wharton and Lauder Schools.  Thank you for taking the time to read about the author. Tim is most grateful for his loyal fans, and loves to correspond with readers like you. You are welcome to reach him directly at tim@timtigner.com.

In the future that globalists and feminists have imagined, for most of us there will only be more clerkdom and masturbation. There will only be more apologizing, more submission, more asking for permission to be men. There will only be more examinations, more certifications, mandatory prerequisites, screening processes, background checks, personality tests, and politicized diagnoses. There will only be more medication. There will be more presenting the secretary with a cup of your own warm urine. There will be mandatory morning stretches and video safety presentations and sign-off sheets for your file. There will be more helmets and goggles and harnesses and bright orange vests with reflective tape. There can only be more counseling and sensitivity training. There will be more administrative hoops to jump through to start your own business and keep it running. There will be more mandatory insurance policies. There will definitely be more taxes. There will probably be more Byzantine sexual harassment laws and corporate policies and more ways for women and protected identity groups to accuse you of misconduct. There will be more micro-managed living, pettier regulations, heavier fines, and harsher penalties. There will be more ways to run afoul of the law and more ways for society to maintain its pleasant illusions by sweeping you under the rug. In 2009 there were almost five times more men either on parole or serving prison terms in the United States than were actively serving in all of the armed forces.[64] If you’re a good boy and you follow the rules, if you learn how to speak passively and inoffensively, if you can convince some other poor sleepwalking sap that you are possessed with an almost unhealthy desire to provide outstanding customer service or increase operational efficiency through the improvement of internal processes and effective organizational communication, if you can say stupid shit like that without laughing, if your record checks out and your pee smells right—you can get yourself a J-O-B. Maybe you can be the guy who administers the test or authorizes the insurance policy. Maybe you can be the guy who helps make some soulless global corporation a little more money. Maybe you can get a pat on the head for coming up with the bright idea to put a bunch of other guys out of work and outsource their boring jobs to guys in some other place who are willing to work longer hours for less money. Whatever you do, no matter what people say, no matter how many team-building activities you attend or how many birthday cards you get from someone’s secretary, you will know that you are a completely replaceable unit of labor in the big scheme of things.

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,

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

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

Granite Male Enhancement nt if you want to have a bigger penis. Might be pretty shameful to definitely admit it to thrilling international of however inner your personal little nutshell you dream of experiencing one. Maybe you've got got time-honored going for your medical doctor however are too ashamed to even ask how a penis Male E

Giving words to trauma begins to heal it. Hiding it or pretending it isn’t there creates a cauldron of pain that eventually boils over. That’s where addiction comes in: In the absence of sharing and receiving support, pain feels overwhelming. The person in pain reaches not toward people, whom he or she has learned to distrust, but toward a substance that he or she has learned can be counted on to kill the pain, to numb the hurt. Such actions are attempts to self-medicate, to manage emotional pain, but the relief is temporary and had at a huge price. Addicts may initially feel they have found a solution, but the solution becomes a primary problem: addiction. The longer traumatized people rely on external substances to regulate their internal worlds, the weaker those inner worlds become and, consequently, the fewer their available personal resources. Addicts become out of practice for living. Emotional muscles atrophy from lack of healthy exercise.

Warfare effectively brought the antimalarial campaign to a halt as medical personnel were conscripted and as the collapse of the international supply of quinine deprived the movement of its chief tool.

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

In Rome, the person in charge of equipollenza, or training equivalency, was located at the Foreign Ministry. I got into that mass of marble by depositing my passport at the front desk, and was escorted through dimly-lit halls wearing a temporary ID badge on my lapel and clutching my little pile of documents. The diminutive official took a glance at my grimy Xeroxes and harrumphed a little laugh through his moustache. The colleague at the New York Consulate had unfortunately gotten several things wrong, he said. First a procedural error: the “authenticating” squiggles on the back of the copies were meaningless. They didn’t even vouch for the accuracy of the photocopying, much less prove the validity of the originals. All the documents would have to be sent back and scattered around the USA for proper authentication, by local Italian consulates. For example, the Italian Consul in Boston had to testify that Harvard was a degree-granting university. Second, the Consular list had omitted a crucial document, the Certificate of Existence in Life. No, the mere observation of me stamping my foot and tearing my hair was not, for the Italian government, sufficient proof that I existed. Yes, a nonexistent person was unlikely to be asking for an Italian medical license, but rules were rules. The Consulate’s final error was a bit of misinformation, bred, perhaps, of tenderheartedness. All these documents couldn’t possibly get me an Italian license. They would merely get me a toehold in the University where they might, at best, be alchemized into an Italian medical degree, but an actual license would be another and rather more difficult question. This was my first lesson in Italian bureaucracy. The Consular official in New York clearly hadn’t had the faintest idea what she was doing and no intention of trying to find out, but she had found me too simpatica to disappoint—a sentiment not strong enough to keep her from abandoning my application to gather dust. By this time various shady sources such as Italian medical professors and representatives of international foundations had suggested an alternative to my quest for the holy grail of doctorly legitimacy: just hang out a shingle and to hell with the license. Unfortunately, I’m such a coward that climbing on a bus without a ticket gives me palpitations, so practicing without a license would be a degree of “transgression” (as the Italians call it) far beyond my talents.

Incremental and anecdotal infection cases are irrelevant. Total numbers are irrelevant. Most of these are not even “cases” but just positive test results. Most will experience no symptoms or mild to moderate symptoms and recover quickly. Many international studies show that countries that use HCQ as an early treatment for COVID patients have an exponentially lower mortality rate. You’ll never hear that in the United States.

The pull of these regressive forces places us in a dangerous position, for if we allow ourselves to succumb to them, then over time we will pay a steep price. Anxiety, guilt, shame, and self-hate will manifest and torture us internally. But the presence of these symptoms does not necessarily mean that all is lost. Rather, as Maslow suggests, if we can learn to view these symptoms not as a sign that we are ill and in need of medication, but rather as a cry from the growth forces within, warning us that a change in our life is needed, we will have taken the first step toward becoming a self-actualizer, and thus one of those rare individuals who succeed in being human.

First, I am thrilled that paramedics are finally getting the respect they deserve for being the professionals they can be. The scope of practice is expanding, and patient care modalities are improving, seemingly by the minute. Patient outcomes are also improving as a result, and EMS is passing through puberty and forging into adulthood. On the other hand, autonomy in the hands of the “lesser-motivated,” can be a very dangerous thing. You know as well as I do that there are still plenty of providers who operate from a subjective, complacent, and downright lazy place. Combined with the ever-expanding autonomy, that provider just became more dangerous than he or she ever has been – to the patients and to you. Autonomy in patient care places more pressure for excellence on the provider charged with delivering it, and also on the partner and crew members on scene. Since the base hospital is not involved like it once was, they are likewise less responsible for the errors and omissions of the medics on the scene. Now more than ever, crew members are being held to answer for the mistakes and follies of their coworkers; now more than ever, EMS providers are working without a net. What’s next? I predict (and hope) emergency medical Darwinism is going to force some painful and necessary changes. First, increasing autonomy is going to result in the better and best providing superior patient care. More personal ownership of the results is going to manifest in outcomes such as increased cardiac arrest survival rates, faster and more complete stroke recovery, and significantly better outcomes for STEMI patients, all leading to the brass ring: EMS as a profession, not just a job. On the flip side of that coin, you will see consequences for the not-so-good and completely awful providers. There will be higher instances of licensure action, internal discipline, and wash-out. Unfortunately, all those things will stem from generally preventable negative patient outcomes. The danger for the better provider will be in the penumbra; the murky, gray area of time when providers are self-categorizing. Specifically, the better provider who is aware of the dangerously poor provider but does nothing to fix or flush him or her, is almost certain to be caught up in a bad situation caused by sloppy, complacent, or ultimately negligent patient care that should have been corrected or stopped. The answer is as simple as it is difficult. If you are reading this, it is more likely because you are one of the better, more committed, more professional providers. This transition is up to you. You must dig deep and find the strength necessary to face the issue and force the change; you have to demand more from yourself and from those around you. You must have the willingness to help those providers who want it – and respond to those who need it, but don’t want it – with tough love by showing them the door. In the end, EMS will only ever be as good as you make it. If you lay silent through its evolution, you forfeit the right to complain when it crumbles around you.

The minority stress model is also, conveniently, the go-to explanation for the phenomenon of detransition. A speaker at the AACAP 2022 annual meeting41 explained that when, after social transition and medical treatments, people decide to turn back and live in congruence with their sex, it does not necessarily mean they regret transitioning. “For a small minority, gender trajectories are non-linear and dynamic.” These individuals have “evolving paths.” It is simply “a shift in expression,” and “internal and external factors” must be considered, including family and society stigma. Conservative homes and the military were mentioned.

mania is not a luxury one can easily afford. It is devastating to have the illness and aggravating to have to pay for medications, blood tests, and psychotherapy. They, at least, are partially deductible. But money spent while manic doesn’t fit into the Internal Revenue Service concept of medical expense or business loss. So after mania, when most depressed, you’re given excellent reason to be even more so.

When I am high I couldn’t worry about money if I tried. So I don’t. The money will come from somewhere; I am entitled; God will provide. Credit cards are disastrous, personal checks worse. Unfortunately, for manics anyway, mania is a natural extension of the economy. What with credit cards and bank accounts there is little beyond reach. So I bought twelve snakebite kits, with a sense of urgency and importance. I bought precious stones, elegant and unnecessary furniture, three watches within an hour of one another (in the Rolex rather than Timex class: champagne tastes bubble to the surface, are the surface, in mania), and totally inappropriate sirenlike clothes. During one spree in London I spent several hundred pounds on books having titles or covers that somehow caught my fancy: books on the natural history of the mole, twenty sundry Penguin books because I thought it could be nice if the penguins could form a colony. Once I think I shoplifted a blouse because I could not wait a minute longer for the woman-with-molasses feet in front of me in line. Or maybe I just thought about shoplifting, I don’t remember, I was totally confused. I imagine I must have spent far more than thirty thousand dollars during my two major manic episodes, and God only knows how much more during my frequent milder manias. But then back on lithium and rotating on the planet at the same pace as everyone else, you find your credit is decimated, your mortification complete: mania is not a luxury one can easily afford. It is devastating to have the illness and aggravating to have to pay for medications, blood tests, and psychotherapy. They, at least, are partially deductible. But money spent while manic doesn’t fit into the Internal Revenue Service concept of medical expense or business loss. So after mania, when most depressed, you’re given excellent reason to be even more so.

ARE YOU GETTING ENOUGH SUNSHINE?” my doctor asked. He may have noticed my I-work-at-my-desk-all-day pallor. “I work at my desk all day,” I told him. “But I take vitamin D supplements.” He looked at my lab results. “Your calcium is on the low side of normal. Are you eating enough dark greens?” “Not to worry, Doctor. I’ll take a calcium supplement, or two.” This is how the appointment progressed in my mind as I prepared for my annual physical. I was compiling the list of medications and supplements, conscious that I was supplementing much of what the human body can normally get from a healthy diet and ten minutes of fresh air a day. How often do we try to do the same with our spiritual health? We depend on supplements—someone else’s insights, Sunday’s sermon, a brief nugget heard on the radio—as our entire spiritual intake for the week. We lean on supplements rather than a rich diet of daily Bible reading, prayer time, and reflection with Jesus. Jesus no doubt carried on a perpetual internal conversation with His Father, but He still stole away by Himself for extended times of prayer. He said we should “abide” in Him (John 15:7, NKJV), which seems more like a meal than a quick snack, doesn’t it? —CYNTHIA RUCHTI

I guess this whole thing doesn't bode well for my relationship with my former lawyer but you know what they say: when God closes a door he opens an electrosexed unethical medical-experimenting international murder queen window.

There is much to be said for the conscious expression of anger, and it is well known medically and psychologically that suppressing anger in the sense of internalizing it is unhealthy, particularly if it becomes habitual. But it is also unhealthy to vent anger uncontrollably as a matter of habit and reaction, however “justifiable.” You can feel it cloud the mind. It breeds feelings of aggression and violence—even if the anger is in the service of righting a wrong or getting something important to happen—and thus intrinsically warps what is, whether you are in the right or not. You can feel this even when you can’t stop yourself sometimes. Mindfulness can put you in touch with the toxicity of the anger to yourself and to others. I always come away from it feeling that there is something inadequate about anger, even when I am objectively on high ground. Its innate toxicity taints all it touches. If its energy can be transmuted to forcefulness and wisdom, without the smoke and fire of self-absorption or self-righteousness, then its power multiplies, and so does its capacity to transform both the object of the anger and the source.

KAILASA Celebrates International Day of Charity KAILASA upholds the fundamental concepts and principles of making a Dana which is the traditional practice of ‘giving away’ or ‘donation’ without expecting any return’ as ‘philanthropy’, helping humanity to reclaim conscious sovereignty through six of its international humanitarian agencies. Members of the Sovereign Order of KAILASA form an efficient network as religious peacekeepers of International humanitarian agencies that includes supporting everything from educational needs, medical needs, food bank programs, emergency relief programs, spiritual support for the displaced living through war, conflict, or law-fare to intervention in areas hit by natural disasters, and various social services.

Finding a fine British International school can be a challenge if you live in a place like Dubai. Known as a melting pot of cultures, Dubai offers many choices when it comes to curriculum preferences. Digging the web for valuable options can leave in you bind as well. But, to find the right and affordable British school in Dubai you must have a clear picture of the options available. To make your work easier, here is a list to help you pick the best British curriculum school in Dubai. The best British International schools in Dubai Listed below are the top picks of English Schools in Dubai: The Winchester School This English school in Dubai is the right example of high-quality education at affordable rates. The Winchester School is an ideal pick as it maintains the desired level of British curriculum standards and has a KHDA rating as ‘good’. Admission: This school is fully inclusive for kids aged 1-13 and it conducts no entrance exam for foundation level. However, for other phases, necessary entrance tests are taken according to the standard. Also, admissions here do not follow the concept of waiting lists, which can depend on the vacant seats and disability criteria. Fees: AED 12,996- AED 22,996 Curriculum: National Curriculum of England-EYFS(Early Years Foundation Stage), IGCSE, International A-Level, and International AS Level. Location: The Gardens, Jebel Ali Village, Jebel Ali Contact: +971 (0)4 8820444, principal_win@gemsedu.com Website: The Winchester School - Jebel Ali GEMS Wellington Internation School GEMS Wellington Internation School is yet another renowned institute titled the best British curriculum school in Dubai. It has set a record of holding this title for nine years straight which reveals its commendable standards. Admission: For entrance into this school, an online registration process must be completed. A non-refundable fee of AED 500 is applicable for registration. Students of all gender and all stages can enroll in any class from Preschool to 12th Grade. Fees: AED 43,050- AED 93,658 Curriculum: GCSE, IB, IGCSE, BTEC, and IB DP Location: Al South Area Contact: +971 (0)4 3073000, reception_wis@gemsedu.com Website: Outstanding British School in Dubai - GEMS Wellington International School Dubai British School Dubai British School is yet another prestigious institute that is also a member of the ‘Taaleem’ group. It is also one of the first English schools to open and get a KHDA rating of ‘Outstanding’. Thus, it can be easily relied on to provide the curriculum of guaranteed quality. Admission: Here, the application here can be initiated by filling up an online form. Next, the verification requires documents such as copies of UAE Residence Visa, Identification card, Medical Form, Educational Psychologist’s reports, Vaccination report, and TC. Also, students of all genders and ages between 3-18 can apply here. Fees: AED 46,096- AED 69,145 Curriculum: UK National Curriculum, BTEC, GCSE, A LEVEL Location: Behind Spinneys, Springs Town Centre, near Jumeirah Islands. Contact: +971 (0)4 3619361 Website: Dubai British School Emirates Hills | Taaleem School Final takeaways The above-listed schools are some of the best English schools in Dubai that you can find. Apart from these, you can also check King’s School Dubai, Dubai College School, Dubai English Speaking School, etc. These offer the best British curriculum school in Dubai and can be the right picks for you. So, go on and find the right school for your kid.

HIV provided Gates and Dr. Fauci a beachhead in Africa for their new brand of medical colonialism and a vehicle for the partners to build and maintain a powerful global network that came to include heads of state, health ministers, international health regulators, the WHO, the World Bank, the World Economic Forum, and key leaders from the financial industry and the military officials who served as command center of the burgeoning biosecurity apparatus.

Il se nommait bien Garrett Goodrich, docteur en chirurgie oncologique, ancien interne au Medical General Hospital de Boston, médecin attaché au Staten Island Hospital et chef de l’unité de soins palliatifs de cet hôpital.

Hamas seeks to derive prestige and political profit from social welfare activism precisely by maintaining the professionalism and integrity of such institutions rather than politicizing them. It appears to understand better than others that if schools and medical clinics developed a reputation as recruitment centres, and services were provided in exchange for support, the crown jewels of the Islamist movement would be irretrievable debased in exchange for short-term gains of dubious value. [Quoting the International Crisis Group]

Note: The first incident happened after the arrest by the Netherlands police in May 1980. I suffered from that, which destroyed my career, future, health, and life. I tried and tried to investigate that, but the police didn't even register the first information report (FIR). It stayed, refusing since 1980 until now, which creates suspicious questions about what the reasons are for not filing the case. It mirrors whether the Netherlands government victimised me or whether the hired ones of the international intelligence agencies have been a hindrance or the criminal groups. - The second incident happened in the shape of uncurable cancer; it was a deliberate mistake and ignorance of the Netherlands Urologists, who did not follow even the primary medical borderlines for the checkup during one year from 2016 to 2017. After the diagnosis, they are hiding the reality, and they still do not take it seriously. I still hope that the Netherlands' neutral and free media will awaken to help me investigate the incident. It will save millions of lives around the world. In God's name, take it seriously to protect me and others. I feel suspicious elements around me. I cry and pray day and night for God's protection since I do not exclude the Qadeyanis witches and magicians, who keep doing black magic continuously that the West does not understand. My Real Story In A Poem *** I never thought I would suffer from cancer The metastatic prostate gland I still cannot decide that It is natural or human-made Since everything is possible In the medical-criminal world How it happened in Western society; Civilized urologists ignored it deliberately From 2016 to 2017 Telling that nothing was wrong Whereas I was suffering from Bleeding, burning, and pain During urinating I begged urologists for a wide-scale checkup With MRI scans and other new technologies But urologists stayed rejecting; Whereas I was paying insurance for that Consequently, at the beginning of 2017 The diagnosis became a time bomb that I had metastatic prostate gland cancer, Which was not curable, They listed me on the death list, Treating for longer life expectancy However, they do tell not the truth And stay suspicious It confuses me and creates grave fear Since then I am bearing terrible side effects Factually, I became victimized twice By criminals, Intelligence Agencies And underground-mafias Which I am unable to trace alone In this regard, I approached Western Media, Ministries, police, courts, Euro Union Unfortunately, none of those responded Even my motherland media cruelly ignored It seems as if I am in the grip of the demon And The Prisoner Of The Hague Everyone has left me alone in pain, Stress, fear, depression Even my children don't care And realize my tears Where resides sympathy, empathy, And humanity? I feel death before death It is a silent cruelty Ah, where should I ask and beg For justice, help, and investigation That civilized world should know An innocent is under victimization I believe God will help and protect And someone from somewhere Appear to hold my hands To eliminate all criminals and demons My cancer will be curable With a longer life expectancy, in some ways Amen, O' merciful God amen.

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

Today, as provost of Harvard University, Steve Hyman is mostly engaged in the many political and administrative tasks that come with leading a large institution. But he is a neuroscientist by training, and in 1996 to 2001, when he was the director of the NIMH, he wrote a paper, one both memorable and provocative in kind, that summed up all that had been learned about psychiatric drugs. Titled “Initiation and Adaptation: A Paradigm for Understanding Psychotropic Drug Action,” it was published in the American Journal of Psychiatry, and it told of how all psychotropic drugs could be understood to act on the brain in a common way.46 Antipsychotics, antidepressants, and other psychotropic drugs, he wrote, “create perturbations in neurotransmitter functions.” In response, the brain goes through a series of compensatory adaptations. If a drug blocks a neurotransmitter (as an antipsychotic does), the presynaptic neurons spring into hyper gear and release more of it, and the postsynaptic neurons increase the density of their receptors for that chemical messenger. Conversely, if a drug increases the synaptic levels of a neurotransmitter (as an antidepressant does), it provokes the opposite response: The presynaptic neurons decrease their firing rates and the postsynaptic neurons decrease the density of their receptors for the neurotransmitter. In each instance, the brain is trying to nullify the drug’s effects. “These adaptations,” Hyman explained, “are rooted in homeostatic mechanisms that exist, presumably, to permit cells to maintain their equilibrium in the face of alterations in the environment or changes in the internal milieu.” However, after a period of time, these compensatory mechanisms break down. The “chronic administration” of the drug then causes “substantial and long-lasting alterations in neural function,” Hyman wrote. As part of this long-term adaptation process, there are changes in intracellular signaling pathways and gene expression. After a few weeks, he concluded, the person’s brain is functioning in a manner that is “qualitatively as well as quantitatively different from the normal state.” His was an elegant paper, and it summed up what had been learned from decades of impressive scientific work. Forty years earlier, when Thorazine and the other first-generation psychiatric drugs were discovered, scientists had little understanding of how neurons communicated with one another. Now they had a remarkably detailed understanding of neurotransmitter systems in the brain and of how drugs acted on them. And what science had revealed was this: Prior to treatment, patients diagnosed with schizophrenia, depression, and other psychiatric disorders do not suffer from any known “chemical imbalance.” However, once a person is put on a psychiatric medication, which, in one manner or another, throws a wrench into the usual mechanics of a neuronal pathway, his or her brain begins to function, as Hyman observed, abnormally.

Why are the central nervous systems of mammals so much alike, and wouldn't it stand to reason that they serve precisely the same evolutionary purpose, motivating each creature to flee bodily harm and thereby perpetuate the species? If the purpose of pain is the same for us as for other animals, if the internal mechanisms of pain are the same, if the outward expressions of pain are the same, and if the medical treatments for pain are the same, why wouldn't the physical experience of pain be the same - and for that matter, the psychological experience of it as well?

The physical benefits of taking time off are substantial. A study sponsored by the Heart, Lung, and Blood Institute at the National Institute of Health followed, over a nine-year period, twelve thousand men who had a high risk for coronary heart disease. The study found that those who took frequent annual vacations were 21 percent less likely to die from any cause and were 32 percent less likely to die from heart disease.14 According to a Gallup study, people who always make time for regular vacations had a 68.4 score on the Gallup-Healthway Well-Being Index, in comparison to a 51.4 Well-Being score for less frequent travelers.15 Professional services firm Ernst & Young conducted an internal study of its employees and found that, for each additional ten hours of vacation employees took, their year-end performance ratings improved 8 percent.16 One study found that three days after vacation, subjects’ physical complaints, quality of sleep, and mood had improved as compared to before vacation.17 And, vacations are good for relationships, too. A study published in the Wisconsin Medical Journal found that women who took vacations were more satisfied with their marriages.18

and while at first I felt bad for her and tried to help her cope, gradually I noticed that we’d stopped doing any therapy at all. And how could we? By focusing on one external calamity after another, Charlotte has been distracting herself from the real crises in her life—the internal ones. Sometimes “drama,” no matter how unpleasant, can be a form of self-medication, a way to calm ourselves down by avoiding the crises brewing inside.

While further exploring the first floor of the hospital, the friends discovered a dusty room filled with old photographs and crumbling letters; the room was labeled “Archives”. One picture caught their attention — a group of children in tattered school uniforms, their faces frozen in time. The letters spoke of longing and loneliness, and the pain of separation. “These kids do not look like they were at this school according to their own will. They look very sad, almost disturbed.” Emily said as she looked around, cautious of what may be in the basement of this place. Continuing on the main floor, a second room also had file cabinets in it but had no name on the door. Inside the room was an article from the Mountainside times of a time when the hospital had its own tale of tragedy and despair. During the war, the medical facility had been overwhelmed with wounded soldiers, and the staff struggled to provide adequate care. Rumors circulated of a nurse who, unable to cope with the constant death and suffering, succumbed to madness, killing 3 interns and one patient before being shot. It went on to say that since this incident, patients reported she still wandered the desolate corridors, her soft footsteps and distant sobs haunting those who dared to stay overnight. The war department cited an increase in transfer requests out of the hospital citing the interactions with “the inhabitants” that haunt the place. As the friends explored the hospital's abandoned wards and empty rooms, they could almost feel the weight of the past pressing down on them the whole time. Shadows danced along the peeling wallpaper, and the air was filled with an otherworldly chill and the dampness of a bog. Every creak and groan of the building seemed to whisper the stories of those who had lived and died within its walls. Its decrepit walls and shattered windows bathed in the ghostly light of the full moon.

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

Do not understand only the words; also understand their contexts since they illuminate you precisely. If you vote wisely, you won’t have to fight for your rights and peace everywhere. The political mafia is the mother of all mafias and often causes wars and uses vetoes to disrupt global peace. My every minute of life is for the entire humanity and human rights; it is a core prayer of all my prayers. What is a mafia, how do you understand it, and when do you overcome it? It is neither easy nor difficult; just be brave for your rights and never ignore them. No one can stand in front of your rights if you truly believe that. I have described the context of the mafia in the form of quotations that may guide and enlighten your life journey honourably. When a nation faces the Mafia Judiciary, which employs and applies an unfair way that fractures justice, the criminal mafia groups become licensed, and freehand is a juristic disaster. Wherever the medical, trade, business, media, and political interests of the mafia prevail, there is certainly neither a cure nor freedom possible nor justice nor peace. A vote holds not only significant power; it also carries a key to a system, essence to the welfare, surety to the career of a future generation, and a magnet to the stability of the state. The wrong choice or emotional pledge and favor of the vote-casting can indeed victimize a voter himself as a consequence. Realize this power and use it wisely, disregarding all external influences and tricks. Such a political party remains the proprietorship of a particular family, a rich circle, a corrupt mafia, or an establishment that accomplishes neither transparent democratic legitimacy nor fair democracy. Undoubtedly, such a party enforces majority dictatorship when it comes to power. It is mendacious dishonesty and severe corruption in a precise democratic voting context. I have been critical of the undemocratic rule, but now I think it may be the option of neutral law, but not martial law, which is essential for the stability and unity of Pakistan’s state, constitution, economy, and institutions to eliminate the democratic mafia and terror. International intelligence agencies and their hired ones avoid the weapons now; however, they utilize deadly chemicals to kill their rivals, whether high-level or low-level, whereas doctors diagnose that as a natural death. Virtually becoming infected and a victim of deathly diseases through chemicals is neither known publicly nor common. As a fact, the intelligence mafia can achieve and gain every task for their interests.

Because my internal baseline is already so calm, when I take something that’s supposed to just relax me, I doze off. Dr. Perry: Right. You probably have friends who take the same amount that puts you to sleep. Oprah: In some cases, they’re taking twice as much. And I’m thinking, How is everybody not just asleep? But if your baseline stress response is already elevated, you need more anxiety medication to get below your base. So even though people may not appear to be in a state of high alert or anxiety, they are biologically revved up.

But despite the fact that this boy was clearly suicidal and required hospitalization, he was not included among the patients listed as having developed serious adverse effects in the published 2001 Paxil study. Other patients were similarly miscoded. One was a fifteen-year-old girl who had been withdrawn from the Brown study site in 1995 after becoming combative with her mother. According to internal university documents that Howard gave me, Brown researchers knew that this girl had become suicidal after taking Paxil. In a memo to the Institutional Review Board dated October 30, 1995, Martin Keller wrote that this teenager, who had been enrolled in the study in June 1995, “was hospitalized on 9/15/95 due to becoming very combative with her mother and threatening suicide.” Yet instead of coding her behavior as an adverse effect related to Paxil, Keller in his memo says she was “terminated from the study for non-compliance.” The Brown investigators may have coded her as noncompliant because she had stopped taking Paxil before having her meltdown. But they shouldn’t have, according to several clinicians familiar with the study. The Brown researchers should have included all adverse effects experienced by their patients, regardless of what may have caused the problems. As a Harvard Medical School biostatistician later told me, “You shouldn’t try to make these subjective attributions and exclude patients who don’t fit into your thesis.” As research has shown, the SSRI antidepressants can cause serious side effects, including suicidal behaviors and hostility, weeks after people stop taking them.

- I have to go. - No. You don't have to go. - Yes, I do. - No, you have to rest now. - I gotta go. - No, you don't have to go anywhere. You don't need to walk out this door and hire a Pakistani. - I have to go. I got other things to do. - F…g bullshit! We just woke up! And you are bleeding. I tie you to the gas pipe by the oven in the kitchen, girl. You do not go out on that door until you calm down Martina. - I am calm. - No, you need a few hours tied to the gas pipe to think some things over. Meditate a bit. - I want to go. - I don’t give a f..k what do you want right now, Martina, I am serious. You are wrong to think I won’t tie you to that f…g pipe if you don’t calm the f..k down and use your head finally. Apparently you do not know me so well after a year, baby. You are really stupid and you don’t see or hear it when I am telling you nicely. OK. You start to piss me off because you don’t realize it. You didn’t come home here to get Sabrina killed, do you understand? It is time for you now to get yourself together after this terrible year and begin to listen to me before I slap you only once Martina but the wall gives you the second one. Do you understand? Things only get done if I take care of them myself, haven’t you seen or realized that yet? Now, you need to listen to me just this once, Martina, and stay put with your bleeding hand, before I take you to the hospital for some stitches. Do you want stitches in your hand? Shots? - No. - Tough. So sit tight until I clean up this mess, and roll a joint. Here, have a Hennessy. - I don’t want it. - I repeat. I did not ask what do you want the first time in one year. I don’t give a f..k. You are listening to the smarter one. I told you to take a shot so that you calm down before you get yourself in jail for your stupidity thinking that you had to get Sabrina killed for any reason. Who told you this bullshit Martina? No hospital, no doctor, no medication, no stitches, then you need a drink right now. Alcohol. A bit. Internally. And externally. And shut up. Answer when I ask you something. Who told you this bullshit Martina that Sabrina has the club and she has to die? - Nobody. No one told me that. – You are lying. Who told you that Sabrina was your enemy, Martina? – Nobody. You. – Stop playing! I told you she is a f…g loser, a junkie, a bum, a liar, a thief. Do you want me to beat the answers, the living shit out of Adam, or Nicolas? Which one? Both?

His instructions to the inspector and the intern were precise and rapid. There was no need for an autopsy; the odor in the house was sufficient proof that the cause of death had been the cyanide vapors activated in the tray by some photographic acid, and Jeremiah de Saint-Amour knew too much about those matters for it to have been an accident. When the inspector showed some hesitation, he cut him off with the kind of remark that was typical of his manner: “Don't forget that I am the one who signs the death certificate.” The young doctor was disappointed: he had never had the opportunity to study the effects of gold cyanide on a cadaver. Dr. Juvenal Urbino had been surprised that he had not seen him at the Medical School, but he understood in an instant from the young man's easy blush and Andean accent that he was probably a recent arrival to the city. He said: “There is bound to be someone driven mad by love who will give you the chance one of these days.” And only after he said it did he realize that among the countless suicides he could remember, this was the first with cyanide that had not been caused by the sufferings of love. Then something changed in the tone of his voice. “And when you do find one, observe with care,” he said to the intern: “they almost always have crystals in their heart.

Desperate to join the medical mainstream, psychiatry recognized that its diagnostic system was grossly inadequate. For instance, in the 1968 second edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-II), depressive neurosis was defined as “An excessive reaction of depression due to an internal conflict or to an identifiable event such as the loss of a love object or cherished possession.”4 Is moderate depression a week after the loss of a favorite cat “excessive”? One diagnostician would say, “No, not at all, people love their cats”; another, “After a week, it is obviously excessive!” Such disagreements made psychiatry’s scientific aspirations laughable. The solution was a radical revision, DSM-III, published in 1980.5 Written by a task force of the American Psychiatric Association under the leadership of psychiatry researcher Robert Spitzer, it purged psychoanalytic theory from DSM-II and replaced its 134 pages of clinical impressions describing 182 disorders with 494 pages of symptom checklists that defined 265 disorders. “Depressive neurosis” was eliminated. The definition of a new diagnosis, “major depressive disorder,” said nothing about internal conflict; it only required the presence of at least five of nine possible symptoms for at least two weeks. Every diagnosis was now defined by a checklist of necessary and sufficient symptoms. DSM-III transformed psychiatry.6 It made possible standardized interviews that epidemiologists could use to measure the prevalence of specific disorders.

Doctors end up adopting the role of automaton, following recipes and doing as directed, but no longer empowered to listen, to think, to diagnose, and to heal. Patients end up believing that their role is to help speed the checkbox ticking as quietly and as obediently as possible. Worse still, they begin to internalize that this is the best and only way to receive medical care.

S.P. is a 68-year-old retired painter who is experiencing right leg calf pain. The pain began approximately 2 years ago but has become significantly worse in the past 4 months. The pain is precipitated by exercise and is relieved with rest. Two years ago, S.P. could walk two city blocks before having to stop because of leg pain. Today, he can barely walk across the yard. S.P. has smoked two to three packs of cigarettes per day (PPD) for the past 45 years. He has a history of coronary artery disease (CAD), hypertension (HTN), peripheral vascular disease (PVD), and osteoarthritis. Surgical history includes quadruple coronary artery bypass graft (CABG × 4) 3 years ago. He has had no further symptoms of cardiopulmonary disease since that time, even though he has not been compliant with the exercise regimen his cardiologist prescribed, he continues to eat anything he wants, and continues to smoke two to three PPD. Other surgical history includes open reduction internal fixation of the right femoral fracture 20 years ago. S.P. is in the clinic today for a routine semiannual follow-up appointment with his primary care provider. As you take his vital signs, he tells you that, besides the calf pain, he is experiencing right hip pain that gets worse with exercise, the pain doesn't go away promptly with rest, some days are worse than others, and his condition is not affected by a resting position. � Chart View General Assessment Weight 261 lb Height 5 ft, 10 in. Blood pressure 163/91 mm Hg Pulse 82 beats/min Respiratory rate 16 breaths/min Temperature 98.4° F (36.9° C) Laboratory Testing (Fasting) Cholesterol 239 mg/dL Triglycerides 150 mg/dL HDL 28 mg/dL LDL 181 mg/dL Current Medications Lisinopril (Zestril) 20 mg/day Metoprolol (Lopressor) 25 mg twice a day Aspirin 325 mg/day Simvastatin (Zocor) 20 mg/day Case Study 4 Name Class/Group Date ____________________ Group Members INSTRUCTIONS All questions apply to this case study. Your responses should be brief and to the point. When asked to provide several

After Rahul graduated from high school their parents celebrated, having in their opinion now successfully raised two children in America. Rahul was going to Cornell, and Sudha was still in Philadephia, getting a master's in international relations. Their parents threw a party, inviting nearly two hundred people, and bought Rahul a car, justifying it as a necessity for his life in Ithaca. They bragged about the school, more impressed by it than they'd been with Penn. "Our job is done," her father declared at the end of the party, posing for pictures with Rahul and Sudha on either side. For years they had been compared to other Bengali children, told about gold medals brought back from science fairs, colleges that offered full scholarships. Sometimes Sudha's father would clip newspaper articles about unusually gifted adolescents - the boy who finished his PhD at twenty, the girl who went to Stanford at twelve - and tape them on the refrigerator. When Sudha was fourteen, her father had written to Harvard Medical School, requested an application, and placed it on her desk.

Some respected groups (such as the International Symposium on Excellence in Maternal Healthcare) will even argue that it is never medically necessary to perform a direct abortion to save the life of the mother.19

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

Many people fear that decriminalization and the controlled dispensing of drugs will lead to widespread substance use among people who are now deterred from becoming addicts only by existing legal prohibitions. Like other tenets of the War on Drugs, this view entirely lacks supporting evidence. Any data on the subject points to the opposite prediction. For example, for many decades in the United Kingdom, heroin has been dispensed, under legal supervision, to addicts. The same type of program has been offered on a limited basis in other countries as well, and nowhere has it been found that this measure served in any way to entice unaddicted people into addiction. That is not surprising, given that addiction is a response to life experience, not simply to a drug. People who do not suffer the searing emotional pain that drives hardcore drug addiction will rarely fall into dependency on chemicals, even if these were more readily available — and, once more, public access to habit-forming substances is not being proposed. The call for the decriminalization of drugs for personal use does not imply legal acceptance of drug dealing. Criminalization and prevention are not identical — if anything, the first undermines the other. Paradoxical though it may seem, current drug laws against possession make drugs more readily available to potential new users than decriminalization would. Only the War on Drugs creates the raison d’être of the international trafficking industry, most of whose wealth is based on satisfying the cravings of established drug addicts. Without the exorbitant profits yielded by supplying to addicted users desperate for their substances, the illegal market would shrink to a fragment of its present size. Further, much of the street-level front-line sales force of the illicit drug trade consists of users raising money to support their habit. With the decriminalization of possession for personal use and the medically supervised distribution of drugs, the incentive to sell to new “customers,” including young kids, would largely evaporate. Policing resources could then be concentrated on the remaining large-scale traffickers — if any.

Back in 2012, the American Board of Internal Medicine Foundation along with Consumer Reports, a highly regarded independent, nonprofit consumer organization, introduced Choosing Wisely,68–77 an initiative to reduce unnecessary medical tests and cut costs. When Choosing Wisely was first announced, nine medical professional organizations published their lists of five tests and procedures that they deemed were unnecessary. Of these forty-five recommendations for unneeded tests, twenty-five (56 percent) were related

In the cloudy swirl of misleading ideas surrounding public discussion of addiction, there’s one that stands out: the misconception that drug taking by itself will lead to addiction — in other words, that the cause of addiction resides in the power of the drug over the human brain. It is one of the bedrock fables sustaining the so-called “War on Drugs.” It also obscures the existence of a basic addiction process of which drugs are only one possible object, among many. Compulsive gambling, for example, is widely considered to be a form of addiction without anyone arguing that it’s caused by a deck of cards. The notion that addiction is drug-induced is often reinforced. Clearly, if drugs by themselves could cause addiction, we would not be safe offering narcotics to anyone. Medical evidence has repeatedly shown that opioids prescribed for cancer pain, even for long periods of time, do not lead to addiction except in a minority of susceptible people. During my years working on a palliative care ward I sometimes treated terminally ill cancer patients with extraordinarily high doses of narcotics — doses that my hardcore addict clients could only dream of. If the pain was alleviated by other means — for example, when patient was successfully given a nerve block for bone pain due to malignant deposits in the spine — the morphine could be rapidly discontinued. Yet if anyone had reason to seek oblivion through narcotic addiction, it would have been these terminally ill human beings. An article in the Canadian Journal of Medicine in 2006 reviewed international research covering over six thousand people who had received narcotics for chronic pain that was not cancerous in origin. There was no significant risk of addiction, a finding common to all studies that examine the relationship between addiction and the use of narcotics for pain relief. “Doubts or concerns about opioid efficacy, toxicity, tolerance, and abuse or addiction should no longer be used to justify withholding opioids,” concluded a large study of patients with chronic pain due to rheumatic disease. We can never understand addiction if we look for its sources exclusively in the actions of chemicals, no matter how powerful they are.

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

A net of human surveillance had been thrown over the neighborhood. He’d picked out a couple of them. Men who were too fit and too clean-cut. They were Agency muscle, ex–special operations types. They were excellent with a gun and terrific to have on your team if things went sideways, but they were too visible and Harmon had requested no babysitters. His request, though, had been ignored. He had also asked that they buy the woman a plane ticket so he could conduct the meeting in a nice, anonymous airline lounge out at Hong Kong International. It was a controlled environment. Much harder to bring weapons in. Easier to spot trouble before it happened. Tradecraft 101. That request had also been ignored. Langley felt the airport was too controlled and therefore too easy for the Chinese to tilt in their favor. The CIA wanted a public location with multiple evacuation routes. They had cars, safe houses, changes of clothes, medical equipment, fake passports, and even a high-speed boat on standby.

This book reveals the complexity of nurses’ motivations for joining. It probes how humanitarian nursing within a Quaker-based organization challenged nurses’ perception of their role as purveyors of Western-based knowledge and standards, even as they confronted questions of medical ethics and unfamiliar cultural practices. The Gadabout nurses’ narratives are not solely about what happened to them and how they reacted to the challenges. Rather, they are about how men and women as categories of identity have been constructed within the gendered mainstream historiography, particularly the international relations discipline.1 The China Convoy suggests that nurses’ voices should be taken more seriously, not only within the scholarly literature but also within the contemporary policy formation process. Nurses have been and will remain key to the delivery of humanitarian assistance. It is my hope that this book will open avenues of scholarly inquiry within the history and practice of humanitarian nursing.

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

As we gain an understanding of what's going on internally, we need to apply that same kind of awareness and understanding to others and to the environment around us. I've done ongoing research on the experiences of North Americans who volunteer overseas for one or two weeks. Most of these volunteers travel to developing countries where they help with disaster relief, build medical clinics, teach English, or engage in religious mission work. Of all the comments made by these North American travelers, the most common statement made upon their return is something like, “Even though those people have so little, they're so happy!” There's something endearing about hearing a group of relatively wealthy North Americans talk about their amazement that people with so little could be so happy. My question is, are the people they observed really happy? I've asked several hundred of these volunteers, “What makes you think they're happy?” They most often respond, “Because they were always smiling and laughing. And they were so generous to us. They fed us better than they eat themselves.” Part of becoming more aware of others requires we slow down to ask what familiar behaviors might mean in a different culture. The observation made by these American travelers is usually accurate—the locals they're meeting are in fact smiling and generous. But the question is whether the North Americans are accurately interpreting what those behaviors mean. First, if you don't speak the language and you're just meeting someone for the first time, what do you do? After some feeble attempts at saying things like “Hola!” “Gross Got!” or “Nee how!” there's often some nervous laughter that ensues. It's really awkward. So the locals might be expressing happiness or their smiles might just be a nervous response. Then add that in places like Thailand, where there are twenty-three different smiles, each smile communicates something different. And in one small, extremely polite community in New Zealand, smiling reactions are a way of expressing that they feel deeply offended.4 As I've consistently said, the point isn't to learn every nuanced meaning. But with heightened awareness of others, an individual will realize that while smiles might reflect genuine happiness, they just as well might be a nervous cross-cultural response that indicates little about one's level of contentment.

The comprehensive integrity level was calculated based on the results of surveys (by internal, external, and policy customers) after deducting the points for corruption cases, rebate, and not implementing the systems to exempt medical expenses

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

Eric Spiegel, the head of Siemens’ US arm, laid out a vision not that far removed from Ms Huang’s when he spoke at a breakfast in Washington hosted by the McKinsey Global Institute, the consultancy’s think-tank. The German engineering company, he said, would soon begin delivering spare parts to customers via email and 3D printers, also avoiding physical borders and the usual logistical complexities of global trade. But the advances in business are also coming up against fundamental debates about privacy. The Edward Snowden revelations of US online snooping have sparked a worldwide debate about privacy and the internet. Receiving less attention is the way international trade negotiations are trying to deal with what limits, if any, ought to be set on the flow of data around the globe and how to prepare for a digital future that is already a reality in some sectors. The negotiation of a 12-country Transpacific trade partnership (TPP) has sparked debate in Australia and New Zealand over whether companies ought to be allowed to store personal banking and medical data in foreign countries, or if such sensitive information should even be allowed to cross borders freely.

Wow! tarnished drew me right into the diabolical world of Dale and Isabel. They are two of the most coldblooded killers the medical profession may have ever produced. --- Valerie Graves of New York - an Internationally known Advertising and Marketing Executive who also was creative consultant for the '92 Clinton/Gore campaign

One recent study performed by the American Medical Association and published in the _Archives of Internal Medicine_ in January 2012 demonstrated an astounding 48 percent increased risk of diabetes among women taking statin medications. This study involved big numbers -- more than one hundred sixty thousand postmenopausal women -- making it hard to ignore its significance and gravity. Recognizing that type 2 diabetes is a powerful risk factor for Alzheimer's disease, a relationship between statin drugs and cognitive decline or cognitive dysfunction is certainly understandable. ~ David Perlmutter, M.D., _Grain Brain_

In spite of everything, all the POWs except for the Russians were receiving food parcels and medication from the International Red Cross. The Soviet Union had withdrawn from that organisation. Stalin said then: “There are no POWs of ours – there are traitors…

Balance life's stressors with life's pleasures.

Global Insurance Travel Medical Coverage GeoBlueAffiliate Available for PrestigeCare Private Health Advisory Members GeoBlue Voyager Global Insurance for Single-Trip International Travel travel insurance Global insurance health coverage may be the last thought we have when planning a trip to another country. Most people do not even realize that while traveling, your current medical insurance can be useless in some countries or that your usual over-the-counter medications are prohibited in many locations. Protect Your Health Around the World. What is GeoBlue VoyagerSM? Short-term travel medical insurance for U.S. residents traveling abroad. Why Choose GeoBlue? Strength of a U.S. Insurer Underwritten by 4 Ever Life Insurance Company, rated A- (Excellent) by A.M. Best. 4 Ever Life is an independent licensee of the Blue Cross and Blue Shield Association. Better Coverage: Our plans are U.S. licensed and feature coverage more generous than plans sold as “surplus coverage.” Our plans do not restrict illnesses or injuries resulting from a terrorist act. We do not impose precertification penalties for hospitalization. We provide coverage for pre-existing conditions for medical evacuation. Pre-existing conditions are also covered in all instances by our Choice plan. A Better Kind of Care: International travelers can leave home feeling confident that a trusted source of care is available at a moment’s notice - no matter what town, country or time zone, with global insurance. Travel anywhere knowing that if your health is a concern, getting good care is not. Global insurance coverage is available through PrestigeCare Private Health Advisory's affiliate partner, GeoBlue. You will have access to short-term global insurance health coverage options that best suit your needs while traveling. Just another way PrestigeCare Private Health Advisory looks out for all your health and wellness needs.* At PrestigeCare, we provide health solution services. *Up to $250,000 of coverage available through our affiliated partner for an unlimited number of trips of a maximum of 30 days in duration.

Global Insurance Travel Medical Coverage GeoBlueAffiliate Available for PrestigeCare Private Health Advisory Members GeoBlue Voyager Global Insurance for Single-Trip International Travel travel insurance Global insurance health coverage may be the last thought we have when planning a trip to another country. Most people do not even realize that while traveling, your current medical insurance can be useless in some countries or that your usual over-the-counter medications are prohibited in many locations. Protect Your Health Around the World. What is GeoBlue VoyagerSM? Short-term travel medical insurance for U.S. residents traveling abroad. Why Choose GeoBlue? Strength of a U.S. Insurer Underwritten by 4 Ever Life Insurance Company, rated A- (Excellent) by A.M. Best. 4 Ever Life is an independent licensee of the Blue Cross and Blue Shield Association. Better Coverage: Our plans are U.S. licensed and feature coverage more generous than plans sold as “surplus coverage.” Our plans do not restrict illnesses or injuries resulting from a terrorist act. We do not impose precertification penalties for hospitalization. We provide coverage for pre-existing conditions for medical evacuation. Pre-existing conditions are also covered in all instances by our Choice plan. A Better Kind of Care: International travelers can leave home feeling confident that a trusted source of care is available at a moment’s notice - no matter what town, country or time zone, with global insurance. Travel anywhere knowing that if your health is a concern, getting good care is not. Global insurance coverage is available through PrestigeCare Private Health Advisory's affiliate partner, GeoBlue. You will have access to short-term global insurance health coverage options that best suit your needs while traveling. Just another way PrestigeCare Private Health Advisory looks out for all your health and wellness needs.* At PrestigeCare, we provide health solution services. *Up to $250,000 of coverage available through our affiliated partner for an unlimited number of trips of a maximum of 30 days in duration.

He didn't even bother trying to justify himself to his internal medical ethical police -- he was guilty, pure and simple, of doing just about everything all his ethics classes and internal review board decisions had told him that doctors and scientists were absolutely not to do under any circumstances.

Try to find a medical center that has a finger on the pulse of the latest treatments both nationally and internationally.

[Sanctification] is a process that includes on the one hand medication and diet (in the form of biblical instruction and admonition coming in various ways to the heart), and on the other hand tests and exercises (in the form of internal and external pressures, providentially ordered, to which we have to make active response). The process goes on as long as we are in the world, which is something that God decides in each case.

But these are extreme cases. They only serve to illustrate that whenever reality reinforces a child’s fantasied dangers, the child will have more difficulty in overcoming them. This is why, on principle, we avoid any methods of handling a child which could reinforce his fantasies of danger. So, while parents may not regard a spanking as a physical attack or an assault on a child’s body, the child may regard it as such, and experience it as a confirmation of his fears that grown-ups under certain circumstances can really hurt you. And sometimes, unavoidably, circumstances may confirm a child’s internal fears. A tonsillectomy may be medically indicated. It can be disturbing to a small child because his fears of losing a part of his body are given some justification in this experience where something is removed from him. We cannot always avoid the situation in which a child’s fears are confirmed in some way in reality but where it is within our control, as in the realm of everyday parent-child relationships and methods of handling, we try not to behave in such a way that a child need feel a real danger. There

When we arrived at the hospital, you were in a medically induced coma, which I was made to understand was a sort of freezing of you, a fabricated reprieve from your own body that would allow your internal organs to rest.

We assume that the vital relations between the organism’s cells and organs are established and maintained by information transmission through signs and not by rigid tissue structures. Since sign processes do not figure in the traditional medical model of the body, not only the doctrine of signs, but also the organizing principle introduced by systems theory will have far-reaching effects on our conceptions of the structure of the body. The traditional model has been developed by anatomists studying corpses. (“Ana-tomy” is derived from the Greek word for “cutting open”, and originally meant dissection.) In this model’s spatial order, bones, joints, muscles, and internal organs are enclosed by the skin as an outer integument. This image neglects that organisms are “autopoietic” – that is, self-constructing and self-maintaining systems (Maturana 1980) in which bones, joints, muscles, internal organs, and the skin enclosing them also participate in the process of autopoiesis. Therefore, as Victor von Weizsacker (1930) has put it, health is not a capital resource which one may exhaust, but exists only so long as it is continually generated. If it ceases to be generated, one is already ill.

Sinclair James International Review: What to With Your Pets on a Flight Most of the times, most pet owners do not know what to do with their pets when on a flight. To make it easier, we have allotted today’s feature for pet owners and address their challenges when flying with their pets. Whether you are flying with your pet or it is flying without you, it is important to choose an airline that serves the entire route from beginning to end. After finding your airline, you will need to know their pet policies. Will the airline allow your dog or cat to fly in the cabin with you? What are the restrictions? Will your pet need to travel in the cargo hold? Health Certificate A health certificate is required when shipping your pet as cargo. Most airlines will require a health certificate for all pets checked as baggage. Some destination states may require a health certificate for your pet such as health cities like Manila, Philippines or Singapore. It is best to ask you veterinarian for more requirements. If a health certificate is required, it must be issued by a licensed veterinarian within 10 days of transport. It must be authentic and not fraud. Airlines now have a lot of ways to know the authenticity of your documents. It must include: • shipper’s name and address • tag numbers or tattoos assigned to the animal • age of the animal being shipped (USDA regulations require animals be at least 10 weeks old and fully weaned before traveling) • statement that the animal is in good health (If the shipper knows that the pet is pregnant, it must be noted on the health certificate) • list of administered inoculations, when applicable • signature of the veterinarian • date of the certificate Live Animal Checklist/Confirmation of Feeding When you check in your pet, you will be asked to complete a live animal checklist. When you sign this checklist, you are confirming that your pet has been offered food and water within four hours of check-in. On the checklist, you must also provide feeding and watering instructions for a 24-hour period. If in-transit feeding is necessary, you must provide food. This is to avoid any complaints of improper handling of animals on board. Tranquilizers The use of pet tranquilizers at high altitudes is unpredictable. If you plan to sedate your pet, you must have written consent from the pet’s veterinarian. This information must be attached to the kennel. Please keep in mind that some airline agents cannot administer medication of any kind.

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

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

The Sayanim: Mossad’s International Volunteers by Michael Ellmer April 16, 2021 In the Hebrew language, Sayanim translates to mean “helpers” or “assistants”. In the Mossad, the Sayanim are a volunteer network of Jews across the world who are loyal to the nation of Israel and willing to help the agency in their global mission. According to a comparative study of HUMINT in counterterrorism between Israel and France, Amy Kirchheimer writes that Israel has “the challenge of collecting intelligence on a vast array of targets with a comparatively small number of intelligence officers, and the Sayanim network helped the Mossad Katsas (case officers) somewhat lessen this problem.” According to Gordon Thomas in his book Gideon’s Spies: Mossad’s Secret Warriors, the Sayanim were a creation of Mier Amit, the Chief Director of the Mossad from 1963-1968. Thomas writes, “Each Sayan was an example of historical cohesiveness of the world Jewish community. Regardless of allegiance to his or her country, in the final analysis, a Sayan would recognize a greater loyalty: the mystical one to Israel, and a need to help protect it from its enemies”. The loyalty of the Sayanim is what fuels their mission and none reside on a Mossad payroll. The flexibility and diversity in their roles give the Mossad a unique operational capability with increased protection from detection and a way to avoid budget restraints or accountability. Most Sayanim fulfil various roles that can themselves be used to support Mossad operations. For example, Thomas writes, “A car Sayan, running a rental agency, provided a Katsa with a vehicle without the usual documentation. A letting agency Sayan offered accommodation. A bank Sayan might unlock funds outside normal hours. A Sayan physician would give medical assistance – treating a bullet wound for example – without informing the authorities”.

One of those 48 studies is the Danish analysis published in November 2020 in the world-renowned journal Annals of Internal Medicine, which concluded: „The trial found no statistically significant benefit of wearing a face mask.“1416 Shortly before, U.S. researcher Yinon Weiss updated his charts on cloth face masks mandates in various countries and U.S. states—and they also showed that mask mandates have made no difference or may even have been counterproductive.1417 The aforementioned website „Ärzte klären auf“ showed a graph with data going until December 4, 2020, which also refutes the effectiveness of the mask obligation.

What I mean is, if you’re feeling overwhelmed by your internal monologue, and the voice delivering it is no longer a friendly one—please—don’t be afraid to ask for help. One of the most insidious lies mental illness tells us is that asking for help, or taking medication to get better, means that we are weak. It means that we are a failure, and we somehow deserve to suffer. This. Is. Bullshit. You don’t deserve to suffer. You are not weak. You are not a failure. Your brain, like mine, needs help to keep its profoundly complicated machinery working. Depression lies, and when it tells you these lies, you can look right back into its stupid face and say, “Shut up. Wil Wheaton told me that it’s okay to get help, and he pretended to live in outer space, so he outranks you.

You may consider me as a sentimental one or a realistic one since I perceive that the world's scientists of Intelligence Agencies have the capability, to develop such as coronavirus, cancer, and other chemicals to harm humans, especially its political foes, whether those hold high status or low grade. In such fields, every option is possible. I suffered from two incidents in my life by the International Intelligence Agencies, first in 1980 and second 2016, first caused esophagus damage and stomach hernia and second metastatic prostate cancer. I tried years and years to investigate the first incident, but Dutch police refused even to write the report about that. Such refusal created in my mind doubts that Dutch Secret Agencies played an evil role to damage and destroy my life since why the authorities had been ignoring and refusing. Before diagnosing metastatic prostate cancer, when urologists were not paying attention, I went to a Brazilian Homeopath Miriam Sommer in The Hague, after a month discussing she told me that she was sure that I was poisoned in 1980, not to kill, but severe physical damage, and it happened. She put a couple of tablets under my tongue, to suck, I did that; however, later I became suspicious, why she did that? - Dutch urologists, one year from the start of 2016 to 2017, refused to check up that I requested per International Medical Guidelines, they overlooked, and consequently, February 2017, they diagnose as last stage prostate cancer, which was not curable. The Dutch medical system is very awkward; it does not meet the International Medical Guidelines, they let the patient suffering from the disease and treat it with a gravely cheap way, paying no proper care and attention. I am unaware of others' experiences in this regard. I want that both incidents, which caused me unexplained damage, and destruction of career and life, the Dutch authorities should investigate on a high-level scale as my guidelines before criminals disappear that can lead to a positive result. Otherwise, I will be right to realize that Institutions of the Dutch government had victimized me, violating International Law and human rights. - Ehsan Sehgal

Can you give him a break with the ticket? He bought that car with his first paycheck when he became a medical intern and drove it straight home to show his dad that all the sacrifices he'd made to give his son a better life were worth it. One minute he was #desiproud and the next, Bambi gets revenge Thumper style." "I never liked that movie," Officer Pataudi said. "Of course you didn't, because you have a heart. You feel for the little guy, for all the Bambis who lost their moms and all the immigrants who came here for the American dream only to be crushed by the cruel deer of fate.

By focusing on one external calamity after another, Charlotte has been distracting herself from the real crises in her life—the internal ones. Sometimes “drama,” no matter how unpleasant, can be a form of self-medication, a way to calm ourselves down by avoiding the crises brewing inside.

How’s it going?” People have not always greeted each other in this way: they invoked divine protection for themselves, and they did not bow before a commoner the way they bowed before a nobleman. In order for the formula “How’s it going?” to appear, we had to leave the feudal world and enter the democratic era, which presupposes a minimal degree of equality between individuals, subject to oscillations in their moods. According to one legend, the French expression “ça va?” is of medical origin: how do you defecate? A vestige of a time when intestinal regularity was seen as a sign of good health. This lapidary, standardized formality corresponds to the principle of economy and constitutes the minimal social bond in a mass society that seeks to include people from all over. But it is sometimes less a routine than a way of intimating something: we want to force the person met to situate himself, we want to petrify him, subject him to a detailed examination. What are you up to? What’s happened to you? A discreet summons that commands everyone to expose himself for what he really is. In a world that makes movement a canonical value, there is an interest in how things are going, even if we don’t know where. That’s why a “how’s it going?” that expects no answer is more human than one that is full of concern but wants to strip you bare and force you to give a moral accounting for yourself. This is because the fact of being is no longer taken for granted, and we have to pay permanent attention to our internal barometers. Are things going as well as I say, or am I embellishing them? That is why many people evade the question and move to another topic, assuming that the interlocutor is perceptive enough to discern in their “fine” a discreet depression. Then there is this terrible expression of renunciation: “Okay, I guess,” as if one had to let the days and hours pass without taking part in them. But why, after all, do things have to be going well? Asked daily to justify ourselves, it often happens that we are so opaque to ourselves that the answer no longer has any meaning other than as a formality. “You’re looking good today.” Flowing over us like honey, this compliment has the effect of a kind of consecration: in the confrontation between the radiant and the grouchy, I am on the right side. And now I am, through a bit of verbal magic, raised to the summit of a subtle and ever-changing hierarchy. But the following day another, ruthless verdict is handed down: “You look terrible today.” This observation executes me at point-blank range, deprives me of the splendid position where I thought I had taken up permanent residence. I have not proven worthy of the caste of the magnificent, I am a pariah and have to slink along walls, trying to conceal the fact that I look ill. Ultimately, “how’s it going?” is the most futile and the most profound of questions. To answer it precisely, one would have to make a scrupulous inventory of one’s psyche, considering each aspect in detail. No matter: we have to say “fine” out of politeness and civility and change the subject, or else ruminate the question during our whole lives and reserve our reply for afterward.

Eat plenty of vegetables and fruits, but limit fruit juices and corn, and hold the potatoes. • Eat more good fats (these mostly come from plants) and fewer bad fats (these mostly come from meat and dairy foods). • Eat more whole-grain carbohydrates and fewer refined-grain carbohydrates. • Choose healthy sources of protein, limit your consumption of red meat, and don’t eat processed meat. • Drink more water. Coffee and tea are okay; sugar-sweetened soda and other beverages aren’t. • Drink alcohol in moderation, if at all. • Take a multivitamin for insurance, just in case you aren’t getting the vitamins and minerals you need from the foods you eat. Make sure it delivers at least 1,000 international units of vitamin D.

Residents and interns are the grunts of the medical profession, tasked, simply, with getting everything done. The practical side of the clinical buck stops with them (even if the ultimate clinical and legal responsibility rests with the attendings), and the house staff do whatever it takes to get everything done. With their scut lists in hand, their coat pockets doubling as supply cabinets, they are the embodiment of the pragmatic. While many still retain their interest in the theories and mechanisms of disease, the overriding modus operandi is utilitarian, because unlike the electricians, housekeepers, therapists, technicians, orderlies, dietitians, even the nurses and senior doctors, their job description has no bounds.

Most medical students desperately want to help out on the wards—to ease some of their guilt, to “pay back” the interns and residents who are teaching them, to do some good for the patients in need they see all around them. But it’s hard to know where to start when your skills are minimal and everything is moving at breakneck speed with a paradoxically anarchic efficiency that you are sure to jam up. Indeed, the help that medical students earnestly offer often slows things down, a point that is painfully obvious to all parties involved. Although medical students eventually acclimatize somewhat to the clinical tumult, most retain that awkward sense of feeling useless, of being a constant fifth wheel. This difficulty in finding purpose, in finding a justified place in the beehive, can cause many students to unconsciously curtail their desire for engagement and hence their empathy.

the head of innovation of an international French insurance company. I was supporting a HealthTech start-up providing remote chats with GPs in South Asian emerging countries. As data is the new oil, the start-up was also capturing analytics in the process on key trends for main pathologies. Patients in those countries miss affordable access to medical consultations. Equally, insurance companies miss useful data of the healthcare market and the patient requirements. People in this part of the world cannot pay for yearly insurances with large coverage but they could afford some level of insurance addressing specific diseases, pregnancy or partial coverage for their children. Hence insurance companies are keen to better understand this population and tap into a huge market. As the win/win was obvious the founder of the start-up had engaged with several insurance companies in view of developing an open innovation program. I was following up the engagement bringing the professional experience of working with a major healthcare innovative company in the US. The conversation started very well with an innovation manager genuinely supportive of integrating start-up creativity in the enterprise. Knowing the corporate world, I was not surprised to uncover two obstacles:

Instead of citing scientific studies to justify mandates for masks, lockdowns, and vaccines, our medical rulers cite WHO, CDC, FDA, and NIH—captive agencies that are groveling sock puppets to the industries they regulate. Multiple federal and international investigations have documented the financial entanglements with pharmaceutical companies that have made these regulators cesspools of corruption.

In the field of biology, “superbugs” evolve when a bacterium, fungus, or virus is put in a low-stakes setting where it can both thrive and test itself against a panoply of our best defenses (like antibiotics). Hospitals present one such setting in that they serve as gathering points for already-infected individuals (many of whom are immunocompromised, making them “easy mode” for viruses, fungi, and bacteria) and are packed with antivirals, antifungal, and antibiotic medications. . . . Our modern social landscape has created a similar environment, enabling cultural viruses to evolve. These viruses cannot survive and reproduce independently and must parasitize healthy cultural ecosystems, rewriting healthy cultures' internal machinery to carry out their life cycles.

Cardiomyopathy Sonnet (Medicine and Metaphor) Person's worth comes from their pulse, not from their purse. It's okay if your purse is anemic, so long as your veins got plenty pulse. It's your pulse that brings the world to life, Pulsating heart is radiator during this ice-age. Ice-age never went away, it just got internalized, As outwardly in appearance we became less savage. Human heart is in dire need of a green house, All the warmth is escaping rapidly. Melting ice caps will drown us later, We'll have kicked the bucket long before, from frostbitten cardiomyopathy. Brain's death is death of the body, Heart's death is death of the being. Kindness keeps the being alive long after the heart stops beating.

Beaudart, C., et al. (2017), Nutrition and physical activity in the prevention and treatment of sarcopenia: Systematic review, Osteoporosis International 28:1817–33; Lozano-Montoya, I. (2017), Nonpharmacological interventions to treat physical frailty and sarcopenia in older patients: A systematic overview—the SENATOR Project ONTOP Series, Clinical Interventions in Aging 12:721–40. 55. Fiatarone, M. A., et al. (1990), High-intensity strength training in nonagenarians: Effects on skeletal muscle, Journal of the American Medical Association 263:3029–34. 56. Donges, C. E., and Duffield, R. (2012), Effects of resistance or aerobic exercise training on total and regional body composition in sedentary overweight middle-aged adults, Applied Physiology, Nutrition, and Metabolism 37:499–509; Mann, S., Beedie, C., and Jimenez, A. (2014), Differential effects of aerobic exercise, resistance training, and combined exercise modalities on cholesterol and the lipid profile: Review, synthesis, and recommendations, Sports Medicine 44:211–21. 57. Phillips, S. M., et al. (1997), Mixed muscle protein synthesis and breakdown after resistance exercise in humans, American Journal of Physiology 273:E99–E107; McBride, J. M. (2016), Biomechanics of resistance exercise, in Haff and Triplett, Essentials of Strength Training and Conditioning, 19–42.

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

The key word here is recurrence. A review of 11 large-scale studies covering some 65,000 patients, published in the JAMA (Journal of the American Medical Association) Internal Medicine, showed no evidence that statins had any benefits for heart disease prevention in patients who had not been previously diagnosed with a cardiovascular condition.2 Even worse, you may have to endure some unpleasant side effects—such as muscle aches, headaches, and bloating—without any definite benefit.

Your microbiome looks perfect,” Google tells you. “Also, blood glucose levels are good, vitamin levels fine, but an increased core temperature and IgE levels…” “Google—in plain English?” “You’ve got a virus.” “A what?” “I ran through your last forty-eight hours of meetings. It seems like you picked it up Monday, at Jonah’s birthday party. I’d like to run additional diagnostics, would you mind using the…” Well, take your pick. Alphabet’s healthcare division, called Verily Life Sciences, is developing a full range of internal and external sensors that monitor everything from blood sugar to blood chemistry. And that’s just Alphabet. The list of once multimillion-dollar medical machines now being dematerialized, demonetized, democratized, and delocalized—that is, made into portable and even wearable sensors—could fill a textbook.

Late that evening, as we wheeled the chamber with its ominous, low rumble down the long hospital corridor, we passed two interns chatting in the hallway. To my surprise they took no notice of us, the chamber, or the seal. I still have not decided whether this was because interns are so intensely involved in medical matters or are frequently half asleep.

As noted earlier, the great wars of this century are extraordinary not so much in the unprecedented scale on which they permitted people to kill, as in the colossal numbers persuaded to lay down their lives. Is it not certain that the numbers of those killed vastly exceeded those who killed? The idea of the ultimate sacrifice comes only with an idea of purity, through fatality. Dying for one’s country, which usually one does not choose, assumes a moral grandeur which dying for the Labour Party, the American Medical Association, or perhaps even Amnesty International can not rival, for these are all bodies one can join or leave at easy will. Dying for the revolution also draws its grandeur from the degree to which it is felt to be something fundamentally pure.

American Airlines Customer Service Number-+1-855-653-5006 American Airlines Customer Service Number We also have plans for all airports we regularly serve (including our designated diversion airports) to make reasonable efforts to share facilities and gates with other carriers in an emergency and during irregular operations such as extreme weather. Gates would be made available in accordance with established operational priorities (i.e. medical emergencies, maintenance concerns) and local gate compatibility constraints. If a gate is not available and deplaning is necessary, other equipment such as air stairs will be made available to deplane passengers. Unless otherwise noted, marketed international and/or codeshare flights (AA flight number operated by another carrier) follow their own tarmac delay contingency plan. This contingency plan is explicitly separate from and not a part of these carriers' contract of carriage.

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

There are several medications used in the treatment of ADD. They all help the individual to focus better. In a sense, they act like internal eyeglasses, increasing the brain’s ability to focus on one task over time while filtering out competing stimuli or distractions.

You may consider me sentimental or realistic since I perceive that the world's scientists of Intelligence Agencies can develop such as coronavirus, cancer, and other chemicals to harm humans, especially its political foes, whether those hold high status or low grade. In such fields, every option is possible. I suffered from two incidents in my life by the International Intelligence Agencies, first in 1980 and second in 2016, first causing esophagus damage and stomach hernia, and second metastatic prostate cancer. I tried for years and years to investigate the first incident, but Dutch police refused even to write a report about that. Such refusal created doubts in my mind that Dutch Secret Agencies played an evil role in damaging and destroying my life since why the authorities had been ignoring and refusing. Before diagnosing metastatic prostate cancer, when urologists were not paying attention, I went to a Brazilian Homeopath, Miriam Sommer, in The Hague; after a month's discussion, she told me that she was sure that I was poisoned in 1980, not to kill, but severe physical damage and it happened. She put a couple of tablets under my tongue to suck, and I did that. However, later I became suspicious of why she did do that. Dutch urologists, one year from the start of 2016 to 2017, refused to check what I requested per International Medical Guidelines, they overlooked it, and consequently, in February 2017, they diagnosed as last stage prostate cancer, which was not curable. The Dutch medical system is very awkward; it does not meet International Medical Guidelines; they let the patients suffering from the disease and treat them in a gravely poor way, paying no proper care and attention. In this regard, I am unaware of others' experiences. I want that both incidents, which caused me unexplained damage and the destruction of my career and life, the Dutch authorities should investigate on a high-level scale as guidelines before criminals disappear, can lead to a positive result; otherwise, I am right to realize that Institutions of the Dutch government had victimized me, violating International Law and human rights.

Consider any period in the past from the perspective of people of color: 246 years of brutal enslavement; the rape of black women for the pleasure of white men and to produce more enslaved workers; the selling off of black children; the attempted genocide of Indigenous people, Indian removal acts, and reservations; indentured servitude, lynching, and mob violence; sharecropping; Chinese exclusion laws; Japanese American internment; Jim Crow laws of mandatory segregation; black codes; bans on black jury service; bans on voting; imprisoning people for unpaid work; medical sterilization and experimentation; employment discrimination; educational discrimination; inferior schools; biased laws and policing practices; redlining and subprime mortgages; mass incarceration; racist media representations; cultural erasures, attacks, and mockery; and untold and perverted historical accounts, and you can see how a romanticized past is strictly a white construct.

When black and Latinx youth go before a judge, the cause of the crime is more often attributed to something internal to the person—the youth is naturally more prone to crime, is more animalistic, and has less capacity for remorse (similarly, a 2016 study found that half of a sample of medical students and residents believe that blacks feel less pain18).

What are the main causes of Dandruff? Dandruff, a harmless, chronic condition, occurs when the scalp is dry or oily and produces thin patches of dead skin. These little white scales dot the hair and fall like snow on the shoulders. Although harmless, dandruff can be bothersome. They often appear between the ages of 10 or 20 and affect up to 40% of people over 30. What is dandruff caused by? There are several types with different causes. What are they and how to treat them? Answers from a dermatologist. Do you feel like your scalp is literally peeling? Is dandruff strewn on your shoulders ruining your life? Although very annoying, this desquamation is generally benign. However, it happens that it really is a pathology and requires appropriate treatment. What are the different types of Dandruff? The most common dandruff is pityriasis, a condition caused by a fungus that colonizes the scalp and disrupts its cell renewal system. Indeed, the skin of the skull permanently eliminates dead cells to produce new ones (as for all skin areas). Under the effect of pityriasis, the process tends to accelerate. The dead cells clump together and accumulate in the form of scales. Result: unsightly flakes on your shoulders. Does hot water cause dandruff? The hot water allows your shampoo to remove more easily grease, dirt and dust that accumulate and dirty scalp. However, do not risk increasing the temperature too much: water that is too hot can irritate or even damage your scalp. Local infection with Staphylococcus aureus can also suggest the presence of ringworms, without this being the case. This is why it is imperative to consult a dermatologist in the event of the appearance of oily and yellowish dandruff. Psoriasis (an autoimmune disease) is the excessive activity of the body's defense systems. Psoriasis and has an exaggerated response to environmental insults. The cells of the epidermis renewing themselves in too large a quantity, they cause excessive desquamation. On the scalp, the phenomenon, therefore, manifests itself in the form of dandruff. Does food cause dandruff? The most cited link between diet and dandruff is due to the yeast Malassezia. According to one theory, since dandruff is caused by yeast, eating yeast-based foods can make it worse. Internal causes of dandruff Stress - Infection, fever - Hormonal imbalance - In women: approaching menstruation and / or heavy menstruation - Excessive sweating - Digestive assimilation problems - Overly acidifying diet EXTERNAL FACTORS - Shampoos too aggressive for the scalp. Best dandruff treatment and prevention The diagnosis of dandruff is easy to do yourself: the scalp itches, it is dry and covered with scales. Seborrheic dermatitis is accompanied by reddish skin, a few yellowish and oily scales, and patches with indefinite contours. Although often chronic, dandruff can be treated. Try a non-medicated shampoo first, massaging the scalp vigorously and rinsing it well. Frequent application of shampoo removes dander, reduces the amount of oil, and prevents the build-up of dead skin cells. If there is no improvement, special anti-dandruff shampoos can give good results. The instructions for use depend on the shampoo used. Some are to be used daily, while others are used once or twice a week. Best products to use during dandruff When choosing an over-the-counter shampoo, look for anti-dandruff agents such as onion and caffeine. You may need Onion Caffeine Shampoo & Conditioner to help control dandruff, and try reducing the number of products you put in your hair (e.g., gels and sprays), or stop using them altogether and eat a balanced diet.

As in the United States, medical professionals in the Global South most often come from higher-income families; even when they do not, they frequently view medicine as a route of upward mobility. As a result, medical professionals tend to ally themselves with the capitalist class, the “national bourgeoisie,” within these countries. They also frequently support cooperative links between the local capitalist class and business interests in economically dominant countries.4 The class position of health professionals has led them to resist social change that would threaten current class structure, either nationally or internationally.

Ultimately, Laura found sufficient resources, both internal and external, to wean herself from the medications, and to see her emotions and moods as fundamentally human, rather than as problems to be solved.

For those who still cling to the gauzy hope that nations will join hands to better identify and coordinate around global risks, the gloomy truth was revealed by the collective international response to COVID—the application of trade and travel barriers as a way to isolate the virus and the nations that hosted it; the nationalization of production facilities that made critical medical products; the deliberate withholding of drugs and equipment needed for the global response.

That morning Captain Rostron had considered several places he might land his more than seven hundred unexpected passengers. He’d first considered the Azores so that he could continue to the Mediterranean as scheduled; then Halifax, which was the nearest port. But on seeing the survivors come aboard, many of them in a distressed state and some in need of medical attention, it soon became clear that he should take them directly to New York. Rostron decided to visit Bruce Ismay to discuss the decision with him but the shattered White Star chairman quickly gave his agreement to whatever the captain thought was best. It was Rostron who had earlier prompted a dazed Ismay to send a wireless message notifying the White Star Line’s New York office about the accident. To Philip Franklin, the U.S. vice president of White Star’s parent company, the International Mercantile Marine, Ismay had written: Deeply regret advise you Titanic sank this morning after collision iceberg, resulting serious loss life. Full particulars later. Bruce Ismay.

Here is the outline of my simple, actionable advice for healthy eating, which I describe in detail later in the book: • Eat plenty of vegetables and fruits, but limit fruit juices and corn, and hold the potatoes. • Eat more good fats (these mostly come from plants) and fewer bad fats (these mostly come from meat and dairy foods). • Eat more whole-grain carbohydrates and fewer refined-grain carbohydrates. • Choose healthy sources of protein, limit your consumption of red meat, and don’t eat processed meat. • Drink more water. Coffee and tea are okay; sugar-sweetened soda and other beverages aren’t. • Drink alcohol in moderation, if at all. • Take a multivitamin for insurance, just in case you aren’t getting the vitamins and minerals you need from the foods you eat. Make sure it delivers at least 1,000 international units of vitamin D.

As a white person, I can openly and unabashedly reminisce about “the good old days.” Romanticized recollections of the past and calls for a return to former ways are a function of white privilege, which manifests itself in the ability to remain oblivious to our racial history. Claiming that the past was socially better than the present is also a hallmark of white supremacy. Consider any period in the past from the perspective of people of color: 246 years of brutal enslavement; the rape of black women for the pleasure of white men and to produce more enslaved workers; the selling off of black children; the attempted genocide of Indigenous people, Indian removal acts, and reservations; indentured servitude, lynching, and mob violence; sharecropping; Chinese exclusion laws; Japanese American internment; Jim Crow laws of mandatory segregation; black codes; bans on black jury service; bans on voting; imprisoning people for unpaid work; medical sterilization and experimentation; employment discrimination; educational discrimination; inferior schools; biased laws and policing practices; redlining and subprime mortgages; mass incarceration; racist media representations; cultural erasures, attacks, and mockery; and untold and perverted historical accounts, and you can see how a romanticized past is strictly a white construct.

By the end of the year, X-ray burns were front-page news in virtually every prominent electrical, medical, and scientific journal. No one, however, paid a greater price than the men and women on the front lines of this new technology: radiologists and radiology technicians, most of whom saw themselves as noble warriors, “martyrs to science,” in their quest to save lives with X-rays. In November 1896, Walter Dodd, a founding father of radiology in the United States, suffered severe skin burns on both hands. Within five months, the pain was “beyond description” and his face and hands were visibly scalded. When the pain kept him awake at night, Dodd paced the floor of Massachusetts General Hospital with his hands held above his head. In July 1897, he received the first of fifty skin grafts, all of which failed. Bit by bit, his fingers were amputated. Dodd waited as long as he could before amputating his little finger because, as he said, “I needed something to oppose my thumb.” On August 3, 1905, at the age of forty-six, Elizabeth Fleischmann, the most experienced woman radiographer in the world, died from X-ray-induced cancer after a series of amputations. Fleischmann had gained international renown for her X-rays of soldiers in the Philippines during the Spanish-American War. Upon her death, almost every major newspaper published eulogies about “America’s Joan of Arc.

In March 1942, the Office of the Surgeon General noted a growing incidence of jaundice (yellowing of the skin caused by liver disease) among US Army personnel stationed in California, England, Hawaii, Iceland, and Louisiana. All of those jaundiced had recently received a yellow fever vaccine, which, in addition to containing yellow fever vaccine virus, contained human serum as a stabilizing agent. On April 15, 1942, the surgeon general ordered that yellow fever vaccination be discontinued and that all existing lots be recalled and destroyed. Shortly thereafter, manufacturers made a yellow fever vaccine with water instead of serum, but it was too late. The serum used to stabilize the yellow fever vaccine had been obtained from nurses, medical students, and interns at Johns Hopkins Hospital in Baltimore, several of whom had a history of jaundice and one of whom was actively infected at the time of the donation. By June 1942, fifty thousand US servicemen had been hospitalized with severe liver disease, and 150 had died from what would later be known as hepatitis B. Of the 141 lots of yellow fever vaccine provided to the army, seven were definitely contaminated. Among those who received one of those seven lots, 78 percent became infected. When the dust settled, 330,000 servicemen had been infected and one thousand had died. This was then and remains today one of the worst single-source outbreaks of a fatal infection ever recorded.

After you’ve decided on a place to study MBBS abroad, the following step is to choose the best medical university. MBBS abroad offers its students a plethora of alternatives and chances. Here are some pointers to help you choose the top medical university in the world to study MBBS. Learn about the university’s rating. The university’s experience in teaching MBBS The university’s recognition Fees for tuition and living expenses Whether or if the university provides FMGE coaching Indian cuisine is available at the hostel canteen. Examine the number of Indian students enrolled at the university. Admission Procedures for MBBS Programs Abroad MBBS overseas is increasingly a popular option for thousands of students. It does not necessitate any difficult procedures or fees. Admission to medical schools in other countries is a pretty straightforward procedure. MBBS abroad offers a plethora of chances to its students. The student must send the necessary paperwork to us, and we will begin the admissions process right away. The admission letter is issued once the following papers are submitted: Results of the 12th grade with eligibility matching according to the university. Passport photocopy Following the submission of the required papers, the student will get an invitation from the Ministry of Education of the particular nation. A representative is on hand at the airport to meet the students, and another is on hand at the destination airport to greet them, The University provides lodging for its students. The Cost of a Medical Degree in Abroad MBBS overseas offers a viable option for medical education studies. The cost of MBBS in Russia, Ukraine, Kyrgyzstan, China, Bangladesh, Guyana, and other such nations is substantially lower than that of private medical institutions in India. Furthermore, the cost of living in these nations is quite low for international students. These colleges also provide scholarships to deserving students. Criteria for Eligibility to Study medical Abroad: The following admission requirements are reserved for Indian candidates seeking admission to MBBS programs at any of the Best Medical Universities in the World: Firtly, A non-reserved Indian medical candidate must have obtained a minimum of 50% in their 12th grade in Physics, Chemistry, and Biology. Secondly, Medical aspirants from the restricted categories (SC/ST/OBC) can apply with a minimum of 40% marks in Physics, Chemistry, and Biology, according to NMC/MCI criteria (Medical Council of India). Medical students must take the NEET (National Eligibility and Entrance Test) starting in 2019.

India has quickly emerged as a global leader in medical treatment, providing world-class care at a fraction of the expense of other countries. From complex surgical procedures to comprehensive wellness programs, India's leading hospitals and healthcare facilities are outfitted with cutting-edge equipment and highly qualified medical experts. Whether looking for economical medical care, specialist therapies, or holistic wellness, India has great healthcare alternatives for domestic and international patients. Discover why millions choose India for their medical needs and receive exceptional care now.

pregnant woman applying to the Coombe for intern midwifery care was required to present a recommendation to the resident medical officer signed by a patron, patroness, vice-patron, vice-patroness, governor, subscriber, collector or clergyman.

What is the 24/7 Helpline for Delta Airlines? How to Contact Customer Service Anytime" Introduction Need to contact Delta Airlines at any time of day or night? Here's everything you need to know about their 24/7 helpline. Having access to a customer service helpline that operates around the clock is essential for travelers facing urgent issues during their trips. Whether it's a booking problem, flight delay, or baggage issue, Delta Airlines' 24/7 helpline ensures that you can get the help you need no matter the time. With the ability to reach a representative at any hour, this service helps reduce stress and keeps your travel plans on track. Remember, the ☎️+1(888) 217-5921 number is available 24/7 to resolve your travel concerns. What Is the Delta Airlines 24/7 Helpline? The Delta Airlines 24/7 helpline allows travelers to reach customer service anytime, no matter where they are in the world. Whether you need assistance with booking flights, rescheduling your itinerary, or handling last-minute cancellations, this service is available at all hours to make sure you're not left stranded. By calling ☎️+1(888) 217-5921, you can speak directly with a Delta representative, ensuring that your issue is resolved as quickly as possible. The round-the-clock service ensures peace of mind, knowing that support is just a phone call away whenever you need it. Whether you're in the middle of a trip or planning for an upcoming flight, the Delta Airlines 24/7 helpline makes it easy to handle urgent concerns, ensuring minimal disruption to your travel experience. Why You Might Need Delta Airlines’ 24/7 Helpline There are numerous reasons why you might need to contact the Delta Airlines 24/7 customer service helpline. Here are some common scenarios: Booking Issues: Sometimes mistakes happen during the booking process. If you encounter errors, need to make last-minute reservations, or have questions about your flight, calling ☎️+1(888) 217-5921 can help resolve the issue quickly. Flight Changes and Cancellations: Emergencies or unexpected events can force you to change or cancel your flight. With the help of Delta’s 24/7 helpline, you can modify your booking or secure a refund, even if it's outside of normal business hours. Baggage or Lost Items: If your baggage is delayed or lost, the 24/7 helpline is the best way to get in touch with Delta’s baggage services. You can report the issue and receive real-time updates on your luggage status. Other Assistance: Whether you need special requests for seating, upgrades, or assistance for medical needs, Delta’s 24/7 helpline is always available to handle these types of inquiries. No matter the issue, the Delta Airlines 24/7 customer service ensures your questions are answered promptly, making your travel experience smoother and less stressful. How to Reach the Delta Airlines 24/7 Helpline Contacting Delta’s 24/7 helpline is easy. Simply call ☎️+1(888) 217-5921 to reach a customer service representative who can assist you with a wide range of issues. The process is straightforward—follow the voice prompts, select your issue, and you’ll be connected to the right department. For international travelers, Delta also offers specific phone numbers for different countries. If you’re calling from abroad, you may want to check Delta’s website for the most appropriate international contact number. Another option for less urgent matters is to reach Delta through their live chat feature on their website or mobile app. Additionally, social media platforms such as Twitter and Facebook are also available for inquiries during business hours, offering a quick response for general questions.

What is the Best Way to Contact Delta Airlines for Flight Changes? A Complete Guide" Introduction Looking to change your Delta flight? Here’s the fastest and most efficient way to reach Delta Airlines customer service for flight changes. Knowing how to contact Delta Airlines when needing to change a flight is crucial, especially for last-minute changes, cancellations, or schedule adjustments. Whether you're dealing with an urgent personal emergency or just need to tweak your travel plans, having quick access to Delta’s customer service can save time and reduce stress. The ☎️+1(888) 217-5921 number is the most direct way to get assistance with your flight changes. Read on to explore all the options available for making modifications to your Delta flights. Why You Might Need to Contact Delta Airlines for Flight Changes There are several common reasons why travelers might need to contact Delta Airlines for flight changes: Schedule Changes: Airlines sometimes adjust flight times or routes, requiring passengers to modify their plans. Missed Connections: If you miss a connecting flight due to delays or other issues, contacting Delta promptly will help you rebook. Personal Emergencies: Unforeseen events, such as medical issues or urgent work commitments, may require you to change your flight at the last minute. Destination Alterations: You might realize that your destination or layover needs to be adjusted after booking, and Delta allows customers to make modifications under certain conditions. Delta's flexibility means that, depending on the circumstances, you can modify your travel plans with minimal hassle. Understanding the Delta Airlines flight change policy and knowing how to reach Delta for rebooking can make these adjustments smoother. The Best Ways to Contact Delta Airlines for Flight Changes When you need to change your Delta flight, there are multiple ways to reach customer service: Phone Support The quickest way to get help with flight changes is by calling ☎️+1(888) 217-5921. This number connects you directly to Delta’s customer service team, where a representative can assist you with rebooking, cancellations, or any other flight-related concerns. For international customers, Delta also provides country-specific phone numbers. You can find these by visiting the airline's official website. Online Another efficient way to change your flight is through Delta’s online platforms. You can use the "Manage My Booking" feature on their website or mobile app. Simply log in to your Delta account, enter your booking reference, and follow the steps to change your flight. This method is often faster for less complex changes and can also help you avoid waiting times. The Delta Airlines rebooking phone number is useful for more intricate issues, but the online process is great for quick adjustments. Delta’s Social Media Support For simpler queries or general information on flight changes, you can also reach out via Delta’s social media channels. The official Twitter account @DeltaAssist is available to answer questions and offer guidance on flight changes. Similarly, Delta’s Facebook page can also be used for inquiries. Social media is especially useful for getting quick responses during peak times, though it’s better suited for non-urgent matters. Delta Sky Club For those who are members of the Delta Sky Club, you can also get in-person assistance with flight changes at any Sky Club location. Delta representatives at the Sky Club can help you modify your itinerary and provide additional support.

Stronger & Lasting Performance – Buy Viagra 200 mg Now! When it comes to improving guys’ sexual health, Viagra 200 mg is one of the most well-known and structured medicinal drugs internationally. It is significantly used to deal with erectile dysfunction (ED), assisting men to achieve and maintain an adequate erection for satisfying sexual performance. If you are looking for a handy and discreet way to shop for Viagra 200 mg online, look no further than Medikit.store — your dependable companion for actual drugs. Why Choose Viagra 200 mg? Viagra 200 mg incorporates a higher dose of sildenafil citrate, the lively thing that increases blood go with the flow to the penis through playing the blood vessels. This permits guys to gain a natural erection whilst sexually stimulated. It is usually prescribed for males who may not have responded well to lower-strength prescriptions, the 200mg dosage. However, as with any other medicine, advice should be sought first from a healthcare professional before going ahead with this higher strength to guarantee safety and efficacy. Why Choose the Medikit.store? Medikit.store is committed to presenting secure, genuine medications with pinnacle-notch customer support. Here’s why customers agree with us: 100% Genuine Products: All Viagra pills are manufactured by licensed producers by relevant statutory regulations. Fast & Secure Shipping: Orders are shipped in perfect confidentiality; hence, we do our best to deliver well on time with secure packaging. Data Security: Your personal and payment information is fully encrypted. 24/7 Support: Our dedicated customer support team is always ready to assist you. Final Thoughts Don’t let erectile dysfunction maintain your back. Buy Viagra 200 mg online from Medikit.store and regain your self-assurance these days. Always remember to use Viagra responsibly and seek advice from your healthcare provider for the appropriate dosage. Visit Medikit.store now for a safe, secure, and problem-free experience!

Viagra 200 mg for Maximum Power – Order Online Today! When it comes to improving guys’ sexual health, Viagra 200 mg is one of the most well-known and structured medicinal drugs internationally. It is significantly used to deal with erectile dysfunction (ED), assisting men to achieve and maintain an adequate erection for satisfying sexual performance. If you are looking for a handy and discreet way to shop for Viagra 200 mg online, look no further than Medikit.store — your dependable companion for actual drugs. Why Choose Viagra 200 mg? Viagra 200 mg incorporates a higher dose of sildenafil citrate, the lively thing that increases blood go with the flow to the penis through playing the blood vessels. This permits guys to gain a natural erection whilst sexually stimulated. It is usually prescribed for males who may not have responded well to lower-strength prescriptions, the 200mg dosage. However, as with any other medicine, advice should be sought first from a healthcare professional before going ahead with this higher strength to guarantee safety and efficacy. Why Choose the Medikit.store? Medikit.store is committed to presenting secure, genuine medications with pinnacle-notch customer support. Here’s why customers agree with us: 100% Genuine Products: All Viagra pills are manufactured by licensed producers by relevant statutory regulations. Fast & Secure Shipping: Orders are shipped in perfect confidentiality; hence, we do our best to deliver well on time with secure packaging. Data Security: Your personal and payment information is fully encrypted. 24/7 Support: Our dedicated customer support team is always ready to assist you. Final Thoughts Don’t let erectile dysfunction maintain your back. Buy Viagra 200 mg online from Medikit.store and regain your self-assurance these days. Always remember to use Viagra responsibly and seek advice from your healthcare provider for the appropriate dosage. Visit Medikit.store now for a safe, secure, and problem-free experience!

Viagra 200 mg – Your Secret Weapon for a Passionate Night! When it comes to improving guys’ sexual health, Viagra 200 mg is one of the most well-known and structured medicinal drugs internationally. It is significantly used to deal with erectile dysfunction (ED), assisting men to achieve and maintain an adequate erection for satisfying sexual performance. If you are looking for a handy and discreet way to shop for Viagra 200 mg online, look no further than Medikit.store — your dependable companion for actual drugs. Why Choose Viagra 200 mg? Viagra 200 mg incorporates a higher dose of sildenafil citrate, the lively thing that increases blood go with the flow to the penis through playing the blood vessels. This permits guys to gain a natural erection whilst sexually stimulated. It is usually prescribed for males who may not have responded well to lower-strength prescriptions, the 200mg dosage. However, as with any other medicine, advice should be sought first from a healthcare professional before going ahead with this higher strength to guarantee safety and efficacy. Why Choose the Medikit.store? Medikit.store is committed to presenting secure, genuine medications with pinnacle-notch customer support. Here’s why customers agree with us: 100% Genuine Products: All Viagra pills are manufactured by licensed producers by relevant statutory regulations. Fast & Secure Shipping: Orders are shipped in perfect confidentiality; hence, we do our best to deliver well on time with secure packaging. Data Security: Your personal and payment information is fully encrypted. 24/7 Support: Our dedicated customer support team is always ready to assist you. Final Thoughts Don’t let erectile dysfunction maintain your back. Buy Viagra 200 mg online from Medikit.store and regain your self-assurance these days. Always remember to use Viagra responsibly and seek advice from your healthcare provider for the appropriate dosage. Visit Medikit.store now for a safe, secure, and problem-free experience!

What is the Expedia cancellation plan ? Expedia is one of the world’s largest online travel agencies, offering a wide range of services including flights, hotels, car rentals, vacation packages, and more. Whether you’re planning a short getaway or an international adventure, Expedia provides tools to book and manage your trip with flexibility and ease. A key part of that flexibility comes in the form of Expedia's cancellation plan, which can help protect travelers from unexpected changes or emergencies. Let’s break down everything you need to know about Expedia’s cancellation policies, protection plans, and how to get assistance via their customer support line: +1-833-341-8536. 1. What Is the Expedia Cancellation Plan? Expedia offers various cancellation options depending on what you’ve booked and whether you’ve opted for travel protection. These cancellation plans are designed to give travelers peace of mind, especially when plans change unexpectedly due to illness, weather disruptions, or other unforeseen circumstances. Types of Bookings Covered Hotel bookings Flight reservations Vacation packages Car rentals Cruises Each of these services may come with its own cancellation rules and conditions. 2. Standard Cancellation Policy Many Expedia bookings come with either refundable or non-refundable terms: Refundable bookings: You can cancel your booking for a full refund up until a specified date or time before your travel begins. Non-refundable bookings: These do not offer refunds if you cancel, although you might be able to change dates or receive credit with the provider, depending on the circumstances. Important: Always check the cancellation policy listed on the booking confirmation. Expedia works with thousands of travel providers, and each provider may have unique policies. 3. Expedia's Travel Protection Plan To offer more flexibility and safeguard your trip, Expedia offers Travel Protection Plans (also called Trip Protection or Cancellation Protection) for purchase during checkout. These plans are underwritten by third-party insurance providers such as AIG Travel Guard and typically include the following: Coverage Benefits Trip cancellation: Reimbursement for non-refundable trip costs if you cancel due to covered reasons (like illness, job loss, or family emergency). Trip interruption: Coverage if your trip is interrupted after it starts due to a covered reason. Emergency medical assistance: Coverage for medical expenses incurred while traveling. Lost baggage: Reimbursement for baggage that is lost, stolen, or damaged. Travel delay: Compensation for meals and lodging if your trip is delayed due to covered reasons. Cost of the Plan The cost varies depending on: The total price of the trip Your destination Duration of travel Traveler’s age It’s usually a small percentage of the total trip cost, often ranging from 5% to 10%. 4. How to Cancel a Booking on Expedia Expedia makes cancellations relatively straightforward through their website or mobile app. Here’s how: Steps to Cancel Your Booking Sign in to your Expedia account. Go to "My Trips" or "My Bookings". Find the booking you wish to cancel. Click "Cancel" or "Change" (options depend on the booking type). Follow the prompts to confirm cancellation. If your booking is refundable, you should receive a confirmation and a timeline for your refund. Non-refundable bookings may not be eligible for a refund, but Expedia may still offer credits or help negotiate with the provider. 5. Getting Help: Expedia Customer Service If you need help canceling or understanding your cancellation options, Expedia’s customer service is available 24/7. Customer Service Toll-Free Number

What is the Expedia cancellation plan ? Expedia is one of the world’s largest online travel agencies, offering a wide range of services including flights, hotels, car rentals, vacation packages, and more. Whether you’re planning a short getaway or an international adventure, Expedia provides tools to book and manage your trip with flexibility and ease. A key part of that flexibility comes in the form of Expedia's cancellation plan, which can help protect travelers from unexpected changes or emergencies. Let’s break down everything you need to know about Expedia’s cancellation policies, protection plans, and how to get assistance via their customer support line: +1-833-341-8536. 1. What Is the Expedia Cancellation Plan? Expedia offers various cancellation options depending on what you’ve booked and whether you’ve opted for travel protection. These cancellation plans are designed to give travelers peace of mind, especially when plans change unexpectedly due to illness, weather disruptions, or other unforeseen circumstances. Types of Bookings Covered Hotel bookings Flight reservations Vacation packages Car rentals Cruises Each of these services may come with its own cancellation rules and conditions. 2. Standard Cancellation Policy Many Expedia bookings come with either refundable or non-refundable terms: Refundable bookings: You can cancel your booking for a full refund up until a specified date or time before your travel begins. Non-refundable bookings: These do not offer refunds if you cancel, although you might be able to change dates or receive credit with the provider, depending on the circumstances. Important: Always check the cancellation policy listed on the booking confirmation. Expedia works with thousands of travel providers, and each provider may have unique policies. 3. Expedia's Travel Protection Plan To offer more flexibility and safeguard your trip, Expedia offers Travel Protection Plans (also called Trip Protection or Cancellation Protection) for purchase during checkout. These plans are underwritten by third-party insurance providers such as AIG Travel Guard and typically include the following: Coverage Benefits Trip cancellation: Reimbursement for non-refundable trip costs if you cancel due to covered reasons (like illness, job loss, or family emergency). Trip interruption: Coverage if your trip is interrupted after it starts due to a covered reason. Emergency medical assistance: Coverage for medical expenses incurred while traveling. Lost baggage: Reimbursement for baggage that is lost, stolen, or damaged. Travel delay: Compensation for meals and lodging if your trip is delayed due to covered reasons. Cost of the Plan The cost varies depending on: The total price of the trip Your destination Duration of travel Traveler’s age It’s usually a small percentage of the total trip cost, often ranging from 5% to 10%. 4. How to Cancel a Booking on Expedia Expedia makes cancellations relatively straightforward through their website or mobile app. Here’s how: Steps to Cancel Your Booking Sign in to your Expedia account. Go to "My Trips" or "My Bookings". Find the booking you wish to cancel. Click "Cancel" or "Change" (options depend on the booking type). Follow the prompts to confirm cancellation. If your booking is refundable, you should receive a confirmation and a timeline for your refund. Non-refundable bookings may not be eligible for a refund, but Expedia may still offer credits or help negotiate with the provider. 5. Getting Help: Expedia Customer Service If you need help canceling or understanding your cancellation options, Expedia’s customer service is available 24/7.

Dr. Rao’s Hospitals, headquartered in Bhimavaram, Andhra Pradesh, is a premier multi-specialty healthcare institution known for its excellence in neurosurgery, spine surgery, and advanced medical care. Founded by Dr. Mohana Rao Patibandla, a U.S.-trained neurosurgeon and one of the best neurosurgeons in Bhimavaram, the hospital has become a trusted name in both national and international medical circles.

To contact a live representative at Expedia (1⇌8.55-92.4⇌01.34) , call their 24/7 customer service hotline at (1⇌8.55-92.4⇌01.34) or 1-800-Expedia . You can also use their website’s live chat or email for assistance. Whether you’re changing a flight, handling a booking issue, or need general support, speaking with a live agent is the fastest way to get help. This guide outlines all contact methods and suggests the best times to call. When you need help from Expedia (1⇌8.55-92.4⇌01.34) , knowing the right way to reach their customer service can save you time and stress. As a frequent Expedia traveler (1⇌8.55-92.4⇌01.34), I’ve explored every available channel—phone, chat, email, and more—to resolve booking issues, get flight updates, and manage travel plans. Below is a complete (1⇌8.55-92.4⇌01.34) , user-focused guide on 12 ways to connect with Expedia customer service, including the exclusive number: (1⇌8.55-92.4⇌01.34) . Call Expedia Directly (24/ Hotline) The most direct (1⇌8.55-92.4⇌01.34) and often the fastest way to get help is by calling Expedia ’s main customer service line. As a user, I always keep this number handy for urgent issues like flight changes or cancellations. Expedia ’s support is available 24/, so you can call anytime, even in the middle of the night. Expedia Customer Service Number: (1⇌8.55-92.4⇌01.34) What you need: Have your booking reference, SkyMiles number, and travel details ready for faster service. When to use: Urgent booking changes, cancellations, flight delays, or immediate travel needs. Use the Expedia Live Chat Feature If you prefer not to wait on hold, Expedia ’s live chat is a fantastic option. I’ve used this for quick questions about baggage allowance or seat selection. How to access: (1⇌8.55-92.4⇌01.34) Go to Expedia ’s official website or open the Fly Expedia app, navigate to the “Help” or “Contact Us” section, and start a chat session. Best for: Quick questions, minor booking adjustments, and when you can’t make a call. Email Expedia Customer Support For non-urgent concerns or when you need to send documents (like refund requests or medical certificates), email is ideal. How to use: Fill out the contact form on Expedia ’s website or email through their official support address. Response time: Usually within a few business days. Best for: Detailed inquiries, complaints, or documentation-heavy requests. Reach Out via Social Media Expedia is active on platforms like Twitter and Facebook. I’ve found that sending a direct message often gets a quick response, especially for public complaints or quick clarifications. Where to message: Twitter (@Expedia ), Facebook Messenger. Best for: Non-urgent issues, sharing feedback, or getting updates on widespread disruptions. . Visit a Expedia Customer Service Desk at the Airport If you’re already at the airport and need immediate assistance—like rebooking after a cancellation—visit the Expedia service desk. Where to find: At all major airports, near check-in or boarding gates. Best for: Last-minute changes, baggage issues, or special travel needs. . Use the Expedia Mobile App The Fly Expedia app isn’t just for checking in. You can manage bookings, chat with support, and even request callbacks. How to use: Download the app, log in, and access the “Help” section. Best for: On-the-go support, managing reservations, and receiving real-time notifications. . Contact Expedia via WhatsApp (If Available) Some regions offer WhatsApp support for Expedia . I’ve used this for quick, text-based support when traveling internationally. How to access: Check the Expedia website for the latest WhatsApp contact details. Best for: Quick queries when you have limited phone access. . Use Expedia ’s Automated Phone System If you don’t need a live agent, Expedia ’s automated system can help you check flight status, baggage info, or basic booking details. How to use: Call (1⇌8.55-92.4⇌01.34) and

To contact a live representative at Expedia (1⇌8.55-92.4⇌01.34) , call their 24/7 customer service hotline at (1⇌8.55-92.4⇌01.34) or 1-800-Expedia . You can also use their website’s live chat or email for assistance. Whether you’re changing a flight, handling a booking issue, or need general support, speaking with a live agent is the fastest way to get help. This guide outlines all contact methods and suggests the best times to call. When you need help from Expedia (1⇌8.55-92.4⇌01.34) , knowing the right way to reach their customer service can save you time and stress. As a frequent Expedia traveler (1⇌8.55-92.4⇌01.34), I’ve explored every available channel—phone, chat, email, and more—to resolve booking issues, get flight updates, and manage travel plans. Below is a complete (1⇌8.55-92.4⇌01.34) , user-focused guide on 12 ways to connect with Expedia customer service, including the exclusive number: (1⇌8.55-92.4⇌01.34) . Call Expedia Directly (24/ Hotline) The most direct (1⇌8.55-92.4⇌01.34) and often the fastest way to get help is by calling Expedia ’s main customer service line. As a user, I always keep this number handy for urgent issues like flight changes or cancellations. Expedia ’s support is available 24/, so you can call anytime, even in the middle of the night. Expedia Customer Service Number: (1⇌8.55-92.4⇌01.34) What you need: Have your booking reference, SkyMiles number, and travel details ready for faster service. When to use: Urgent booking changes, cancellations, flight delays, or immediate travel needs. Use the Expedia Live Chat Feature If you prefer not to wait on hold, Expedia ’s live chat is a fantastic option. I’ve used this for quick questions about baggage allowance or seat selection. How to access: (1⇌8.55-92.4⇌01.34) Go to Expedia ’s official website or open the Fly Expedia app, navigate to the “Help” or “Contact Us” section, and start a chat session. Best for: Quick questions, minor booking adjustments, and when you can’t make a call. Email Expedia Customer Support For non-urgent concerns or when you need to send documents (like refund requests or medical certificates), email is ideal. How to use: Fill out the contact form on Expedia ’s website or email through their official support address. Response time: Usually within a few business days. Best for: Detailed inquiries, complaints, or documentation-heavy requests. Reach Out via Social Media Expedia is active on platforms like Twitter and Facebook. I’ve found that sending a direct message often gets a quick response, especially for public complaints or quick clarifications. Where to message: Twitter (@Expedia ), Facebook Messenger. Best for: Non-urgent issues, sharing feedback, or getting updates on widespread disruptions. . Visit a Expedia Customer Service Desk at the Airport If you’re already at the airport and need immediate assistance—like rebooking after a cancellation—visit the Expedia service desk. Where to find: At all major airports, near check-in or boarding gates. Best for: Last-minute changes, baggage issues, or special travel needs. . Use the Expedia Mobile App The Fly Expedia app isn’t just for checking in. You can manage bookings, chat with support, and even request callbacks. How to use: Download the app, log in, and access the “Help” section. Best for: On-the-go support, managing reservations, and receiving real-time notifications. . Contact Expedia via WhatsApp (If Available) Some regions offer WhatsApp support for Expedia . I’ve used this for quick, text-based support when traveling internationally. How to access: Check the Expedia website for the latest WhatsApp contact details. Best for: Quick queries when you have limited phone access.

telegram handle @str8dropzlife Proton email:str8dropzlife@proton.me whatsapp : +18162871409 signal: str8drop36life.4 buy coca seeds,cocaine, hashish,weed,captagon pills,Fenethylline (Captagon), subutex,tramadol,ketamine,Meth,heroin,Scopolamine, etc..Welcome to str8drop 36 narcotics, we are committed team around the clock specialist sales personelle gracefully fulfilling all narcotic product orders that are necessary. Always professional and always committed to answering questions and helping to the best of me and my teams ability. STR8DROP36 isn’t just an international narcotics logistics service but also a personal mental health care service. No stone is left unturned when ordering or dealing with a professional team like the STR8 team. We pride ourselves on being the nicest vendors with competitiveness to match! greatest international narcotics logistics group. Buy Bolivian Cocaine for sale, Buy Pure Fish scale Cocaine for sale Canada, Buy Peruvian Cocaine for sale USA We ship worldwide with express delivery, all products are shipped from the USA. We provide discreet shipping and all the packages are odorless packed. Buy cocaine online , buy top quality coke ,buy cocaine, were can i buy cocaine, how to buy cocaine, where can i buy cocaine, buy heroin online, cocaine for sale online, Buy Columbia cocaine online, Buy Cocaine Online, Cocaine for sale online, Pure Colombian Cocaine For Sale, Buy Pure Colombian, Buy Crystal Meth Online, Buy Colombian Cocaine online, order Colombian Cocaine, Pure Colombian Cocaine For Sale | Buy Pure Colombian, Buying Drugs Online, Buy cocaine online USA, Buy Peruvian Cocaine, Colombian Cocaine for Sale, Buy Bolivian Cocaine Online, Buy Crack Cocaine , Amphetamine Powder, Buy Crystal Meth Online, Buy Colombian Cocaine, Volkswagen Cocaine 90% Pure is marked down, we give the best quality Cocaine. As we realize that it is a free base medication and devouring as smoke. Buy cocaine online Australia . Buy cocaine online Canada, Buy cocaine online UK, Buy cocaine online Germany, Buy cocaine online New Zealand , Buy cocaine online Europe

And now that we exercise so comprehensive a medical and technological mastery over whole regions or nature at whose mercy our ancestors lived out their lives, we enjoy the unprecedented luxury of being able to render the 'natural' at once remote and benign. It is we who summon it, rather than the reverse, and we do so at our pleasure; it dwells with us, not we with it. We are free to sentimentalize or romanticize it, or even weave a veil of empty and unthreatening sanctity around it - until the moment when disease, age, infirmity, or random violence suddenly defeats us, or fire, flood, tempest, volcanic eruption, or earthquake surprise us by vaulting past our defenses. Then nature astonishes and horrifies us with its power, immensity, and sublime indifference. Even at such times, though, it is unlikely that we truly hate it; ours is a disenchanted world because it is one from which our love, reverence, dread, and hatred have all been irrevocably alienated. Nature for us is a single, internally consistent thing, an event, lovely and enticing, then terrible and pitiless, abundant and destructive at once, but moved neither by will nor by intelligence; it is sheer fact.

The New Yorker (The New Yorker) - Clip This Article on Location 1510 | Added on Wednesday, June 10, 2015 5:42:23 PM FICTION THE DUNIAZáT BY SALMAN RUSHDIE   In the year 1195, the great philosopher Ibn Rushd, once the qadi , or judge, of Seville and most recently the personal physician to the Caliph Abu Yusuf Yaqub in his home town of Córdoba, was formally discredited and disgraced on account of his liberal ideas, which were unacceptable to the increasingly powerful Berber fanatics who were spreading like a pestilence across Arab Spain, and was sent to live in internal exile in the small village of Lucena, a village full of Jews who could no longer say they were Jews because they had been forced to convert to Islam. Ibn Rushd, a philosopher who was no longer permitted to expound his philosophy, all of whose writing had been banned and burned, felt instantly at home among the Jews who could not say they were Jews. He had been a favorite of the Caliph of the present ruling dynasty, the Almohads, but favorites go out of fashion, and Abu Yusuf Yaqub had allowed the fanatics to push the great commentator on Aristotle out of town. The philosopher who could not speak his philosophy lived on a narrow unpaved street in a humble house with small windows and was terribly oppressed by the absence of light. He set up a medical practice in Lucena, and his status as the ex-physician of the Caliph himself brought him patients; in addition, he used what assets he had to enter modestly into the horse trade, and also financed the making of tinajas , the large earthenware vessels, in which the Jews who were no longer Jews stored and sold olive oil and wine. One day soon after the beginning of his exile, a girl of perhaps sixteen summers appeared outside his door, smiling gently, not knocking or intruding on his thoughts in any way, and simply stood there waiting patiently until he became aware of her presence and invited her in. She told him that she was newly orphaned, that she had no source of income, but preferred not to work in the whorehouse, and that her name was Dunia, which did not sound like a Jewish name because she was not allowed to speak her Jewish name, and, because she was illiterate, she could not write it down. She told him that a traveller had suggested the name and said it was Greek and meant “the world,” and she had liked that idea. Ibn Rushd, the translator of Aristotle, did not quibble with her, knowing that it meant “the world” in enough tongues to make pedantry unnecessary. “Why have you named yourself after the world?” he asked her, and she replied, looking him in the eye as she spoke, “Because a world will flow from me and those who flow from me will spread across the world.” Being a man of reason, Ibn Rushd did not guess that the girl was a supernatural creature, a jinnia, of the tribe of female jinn: a grand princess of that tribe, on an earthly adventure, pursuing her fascination with human men in general and brilliant ones in particular.

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

The photos showed a light-complexioned black man with cornrows, a prison tattoo around his neck—ragged dashes and a caption that said, “Fill to dotted line”—and three or four facial scars, along with a nasty jagged scar on his scalp. A photo taken from his right side demonstrated the effects of being shot in the ear with a handgun with no medical insurance. Some intern had sewn him up and sent him on his way, and now his ear looked like a pork rind.

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

We make it fast and easy to order North American and international power cords, including hospital/medical-grade power cords that you can find on our hospital-grade products page. Order online or call us today.

Enemies were central to the anxieties that helped inflame the fascist imagination. Fascists saw enemies within the nation as well as outside. Foreign states were familiar enemies, though their danger seemed to intensify with the advance of Bolshevism and with the exacerbated border conflicts and unfulfilled national claims that followed World War I. Internal enemies grew luxuriantly in number and variety in the mental landscape as the ideal of the homogeneous national state made difference more suspect. Ethnic minorities had been swollen in western Europe after the 1880s by an increased number of refugees fleeing pogroms in eastern Europe. Political and cultural subversives—socialists of various hues, avant-garde artists and intellectuals—discovered new ways to challenge community conformism. The national culture would have to be defended against them. Joseph Goebbels declared at a book-burning ceremony in Berlin on May 10, 1933, that “the age of extreme Jewish intellectualism has now ended, and the success of the German revolution has again given the right of way to the German spirit.” Though Mussolini and his avant-garde artist friends worried less than the Nazis about cultural modernism, Fascist squads made bonfires of socialist books in Italy. The discovery of the role of bacteria in contagion by the French biologist Louis Pasteur and the mechanisms of heredity by the Austrian monk-botanist Gregor Mendel in the 1880s made it possible to imagine whole new categories of internal enemy: carriers of disease, the unclean, and the hereditarily ill, insane, or criminal. The urge to purify the community medically became far stronger in Protestant northern Europe than in Catholic southern Europe. This agenda influenced liberal states, too. The United States and Sweden led the way in the forcible sterilization of habitual offenders (in the American case, especially African Americans), but Nazi Germany went beyond them in the most massive program of medical euthanasia yet known.

As interns we attempted to avoid the overwhelming awareness of the patients’ passive, helpless, and vulnerable experience by identifying ourselves only as active, empowered, and invulnerable medical workers. The child’s vulnerability became a threat to our active but nonconscious effort to avoid our feelings of vulnerability and helplessness. In retrospect, the children’s vulnerability became the enemy.

It is worth pondering how much of our struggle with avarice is linked to a tendency to value things solely in terms of their usefulness. When the older generation laments that they are only a burden to society, since they are no longer capable of useful work or productive labor, and their medical care is a constant drain on others’ resources, have they internalized a system of value that measures people’s true worth in terms of a cost–benefit analysis? Time spent with children also becomes “unprofitable” in more than one sense, for we have precious little in the way of tangible payoff to show for such investments. The very use of metaphors of financial transactions to describe personal care for other human beings points to a conceptual framework tilted toward the distortions of avarice. The salary charts for the helping professions, especially compared to the salaries of those who work in financial fields managing investments, also point not so subtly to implicit assumptions of what is truly of value and worth. We are measured by our usefulness, and our usefulness is measured by the production of things and the possession of money. Greed now invades human life and its value in this subtler way as well.

My body, my work, my voice, my confidence, my power, my determination to demand a life as potent, vibrant, public and complex as any man's. My abortion wasn’t intrinsically significant, but it was my first big grown-up decision – the first time I asserted, unequivocally: ‘I KNOW THE LIFE I WANT AND THIS IS NOT IT"; the moment I stopped being a passenger in my own body and grabbed the rudder... The truth is I don't give a damn why anyone has an abortion. I believe unconditionally in the right of people with uteruses to decide what grow inside of their body and feeds on their blood and endangers their life and reroutes their future. There are no "good" abortions and "bad" abortions, there are only pregnant people who want them and pregnant people who don't, pregnant people who have access and support and pregnant people who face institutional roadblocks and lies... For that reason, we simply MUST talk about it. The fact that abortion is still a taboo subject means that opponents of abortion get to define it however suits them best. They can cast those of us who have had abortions as callous monstrosities and seed fear in anyone who might need one by insisting that the procedure is always traumatic, always painful, and always an impossible decision. Well we're not and it's not. The truth is that life is unfathomably complex and every abortion story is as unique as the person who lives it. Some are traumatic, some are even regretted, but plenty are like mine... My abortion was a normal medical procedure that got tangled up in my bad relationship, my internalized fatphobia, my fear of adulthood, my discomfort with talking about sex; and one that, because of our culture’s obsession with punishing female sexuality and shackling women to the nursery and the kitchen, I was socialized to approach with shame and describe only in whispers. But the procedure itself was the easiest part. Not being able to have one would have been the real trauma.

Emerging opportunities in new areas such as green energy and life sciences-related medical device technologies should not be missed out.

ABOUT THE AUTHOR Tim Tigner began his career in Soviet Counterintelligence with the US Army Special Forces, the Green Berets. That was back in the Cold War days when, “We learned Russian so you didn't have to,” something he did at the Presidio of Monterey alongside Recon Marines and Navy SEALs. With the fall of the Berlin Wall, Tim switched from espionage to arbitrage. Armed with a Wharton MBA rather than a Colt M16, he moved to Moscow in the midst of Perestroika. There, he led prominent multinational medical companies, worked with cosmonauts on the MIR Space Station (from Earth, alas), chaired the Association of International Pharmaceutical Manufacturers, and helped write Russia’s first law on healthcare. Moving to Brussels during the formation of the EU, Tim ran Europe, Middle East and Africa for a Johnson & Johnson company and traveled like a character in a Robert Ludlum novel. He eventually landed in Silicon Valley, where he launched new medical technologies as a startup CEO. In his free time, Tim has climbed the peaks of Mount Olympus, hang glided from the cliffs of Rio de Janeiro, and ballooned over Belgium. He earned scuba certification in Turkey, learned to ski in Slovenia, and ran the Serengeti with a Maasai warrior. He acted on stage in Portugal, taught negotiations in Germany, and chaired a healthcare conference in Holland. Tim studied psychology in France, radiology in England, and philosophy in Greece. He has enjoyed ballet at the Bolshoi, the opera on Lake Como, and the symphony in Vienna. He’s been a marathoner, paratrooper, triathlete, and yogi.