Medical Procedure Quotes

Like a medical procedure,' Ruth said. 'Intricate surgery is needed to patch up the planet.

By the 1800s, animal sacrifice had been largely discredited as a medical procedure; today it is rarely used outside of Miami.

Oh, no, it wasn’t a medical procedure,” I say. “It was an Etsy spell.

This was my wake-up call. I opened my eyes to the depressing fact that there are other forces at work in medicine besides science. The U.S. health care system runs on a fee-for-service model in which doctors get paid for the pills and procedures they prescribe, rewarding quantity over quality. We don’t get reimbursed for time spent counseling our patients about the benefits of healthy eating. If doctors were instead paid for performance, there would be a financial incentive to treat the lifestyle causes of disease. Until the model of reimbursement changes, I don’t expect great changes in medical care or medical education.5

The study of medicine consists on the one hand in storing up in the mind an enormous number of facts, which are simply memorized without any real knowledge of their foundations, and on the other hand in learning practical skills, which have to be acquired on the principle “Don’t think, act!” Thus it is that, of all the professionals, the medical man has the least opportunity of developing the function of thinking.

Operating theaters are not nearly as popular as dramatic theaters, musical theaters, and movie theaters, and it is easy to see why. A dramatic theater is a large, dark room in which actors perform a play, and if you are in the audience, you can enjoy yourself by listening to the dialog and looking at the costumes. A musical theater is a large, dark room in which musicians preform a symphony, and if you are in the audience you can enjoy yourself by listening to the melodies and watching the conductor wave his little stick around. And a movie theater is a large, dark room in which a projectionist shows a film, and if you are in the audience, you can enjoy yourself by eating popcorn and gossiping about movie stars. But an operating theater is a large, dark room in which doctors preform medical procedures, and if you are in the audience, the best thing to do is to leave at once because there is never anything on display in an operating theater but pain, suffering and discomfort, and for this reason most operating theaters have been closed down or have been turned into restaurants.

By listening to the “unspoken voice” of my body and allowing it to do what it needed to do; by not stopping the shaking, by “tracking” my inner sensations, while also allowing the completion of the defensive and orienting responses; and by feeling the “survival emotions” of rage and terror without becoming overwhelmed, I came through mercifully unscathed, both physically and emotionally. I was not only thankful; I was humbled and grateful to find that I could use my method for my own salvation. While some people are able to recover from such trauma on their own, many individuals do not. Tens of thousands of soldiers are experiencing the extreme stress and horror of war. Then too, there are the devastating occurrences of rape, sexual abuse and assault. Many of us, however, have been overwhelmed by much more “ordinary” events such as surgeries or invasive medical procedures. Orthopedic patients in a recent study, for example, showed a 52% occurrence of being diagnosed with full-on PTSD following surgery. Other traumas include falls, serious illnesses, abandonment, receiving shocking or tragic news, witnessing violence and getting into an auto accident; all can lead to PTSD. These and many other fairly common experiences are all potentially traumatizing. The inability to rebound from such events, or to be helped adequately to recover by professionals, can subject us to PTSD—along with a myriad of physical and emotional symptoms.

LAWS OF THE HOUSE OF GOD I Gomers don’t die. II Gomers go to ground. III At a cardiac arrest, the first procedure is to take your own pulse. IV The patient is the one with the disease. V Placement comes first. VI There is no body cavity that cannot be reached with a #14 needle and a good strong arm. VII Age + BUN = Lasix dose. VIII They can always hurt you more. IX The only good admission is a dead admission. X If you don’t take a temperature, you can’t find a fever. XI Show me a BMS who only triples my work and I will kiss his feet. XII If the radiology resident and the BMS both see a lesion on the chest X ray, there can be no lesion there. XIII The delivery of medical care is to do as much nothing as possible.

NICUs are like the bowels of the technological underworld.  They are places where infants are literally held captive for weeks and months and subjected to all manner of painful and torturous medical procedures, most of the time without being given any form of pain relief whatsoever.

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

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.

I’d just participated in a death. A death. Not a medical procedure. Not a surgical solution to a life problem. Not the valiant step of a woman exercising her right to make medical choices about her own body. The death of a helpless baby, a baby violently ripped away from the safety of the womb, sucked away to be discarded as biohazard waste.

Three out of ten women in the United States have an abortion by the time they are forty-five years old. And women who need abortions get abortions, whether or not the procedure is legal or safe, according to the Guttmacher Institute. Blaming women who need abortions through slut-shaming is not only morally reprehensible, it also is medically irresponsible.

The art of medicine consists in amusing the patient while nature cures the disease.’ Voltaire

Doctors don’t really want to be nutritionists, they want to be experts on drugs and medical procedures.

We are dealing, then, with an absurdity that is not a quirk or an accident, but is fundamental to our character as people. The split between what we think and what we do is profound. It is not just possible, it is altogether to be expected, that our society would produce conservationists who invest in strip-mining companies, just as it must inevitably produce asthmatic executives whose industries pollute the air and vice-presidents of pesticide corporations whose children are dying of cancer. And these people will tell you that this is the way the "real world" works. The will pride themselves on their sacrifices for "our standard of living." They will call themselves "practical men" and "hardheaded realists." And they will have their justifications in abundance from intellectuals, college professors, clergymen, politicians. The viciousness of a mentality that can look complacently upon disease as "part of the cost" would be obvious to any child. But this is the "realism" of millions of modern adults. There is no use pretending that the contradiction between what we think or say and what we do is a limited phenomenon. There is no group of the extra-intelligent or extra-concerned or extra-virtuous that is exempt. I cannot think of any American whom I know or have heard of, who is not contributing in some way to destruction. The reason is simple: to live undestructively in an economy that is overwhelmingly destructive would require of any one of us, or of any small group of us, a great deal more work than we have yet been able to do. How could we divorce ourselves completely and yet responsibly from the technologies and powers that are destroying our planet? The answer is not yet thinkable, and it will not be thinkable for some time -- even though there are now groups and families and persons everywhere in the country who have begun the labor of thinking it. And so we are by no means divided, or readily divisible, into environmental saints and sinners. But there are legitimate distinctions that need to be made. These are distinctions of degree and of consciousness. Some people are less destructive than others, and some are more conscious of their destructiveness than others. For some, their involvement in pollution, soil depletion, strip-mining, deforestation, industrial and commercial waste is simply a "practical" compromise, a necessary "reality," the price of modern comfort and convenience. For others, this list of involvements is an agenda for thought and work that will produce remedies. People who thus set their lives against destruction have necessarily confronted in themselves the absurdity that they have recognized in their society. They have first observed the tendency of modern organizations to perform in opposition to their stated purposes. They have seen governments that exploit and oppress the people they are sworn to serve and protect, medical procedures that produce ill health, schools that preserve ignorance, methods of transportation that, as Ivan Illich says, have 'created more distances than they... bridge.' And they have seen that these public absurdities are, and can be, no more than the aggregate result of private absurdities; the corruption of community has its source in the corruption of character. This realization has become the typical moral crisis of our time. Once our personal connection to what is wrong becomes clear, then we have to choose: we can go on as before, recognizing our dishonesty and living with it the best we can, or we can begin the effort to change the way we think and live.

Mania is a psychological state that can be brought about by medical procedures, adverse reactions to medications (notably steroids and SSRIs), drug abuse (such as cocaine and methamphetamines), trauma (physical or psychological), or persistent mental illness such as bipolar disorder. Once experienced, it is something that will never be forgotten.

You don’t look like much, but they say you murdered that other chick.” Treating Murder

There is no such thing as a minor operation. Any opening, incision, cut, gash or puncture in the human body not put there by God is a blasphemy and a major disaster.

For patients to claim a right to any procedures they wish is to challenge a conscientious physician’s integrity as a physician.

you can't sue a tsunami ... [on zero alien Disclosure]

The Hippocratic oath prevents doctors and medical personnel from participating in executions, so Alabama officials planned for untrained correctional staff to take a knife and make a two-inch incision in Mr. Nelson’s arm or groin so that they could find a vein in which to inject him with toxins and kill him. We argued that without anesthesia, the procedure would be needlessly painful and cruel.

The U.S. has a so-called health care system that has nothing to do with the promotion of health. Those who run this system do not care about your health, and it's far from being a system. It's a fragmented patchwork of procedure-oriented services that are meshed in a voluminous trail of paper payments, with little relevance to community-based needs. This misdirected, disease-managed non-care system of symptom suppression demands more and more treatment at higher and higher costs. If they cared at all, you'd be treated like a human, not like a number resembling, quite frankly, the ear tags on a cattle herd.

The children had become wriggly and giggly, almost as if they were drunk. They seemed unable to sit still. They were sliding of their chairs, constantly knocking cutlery onto the floor, and talking in high-pitched voices over the top of one another. Alice didn't know if this was normal behavior or not. It wasn't exactly relaxing. Nick had his jaw clenched, as if this dinner were a horrible medical procedure he had to endure.

Circumcision remains prevalent in the United States, though varying greatly by region, ranging from about 40 percent of newborns circumcised in western states to about twice that in the Northeast. This widespread procedure, rarely a medical necessity, has its roots in the anti-masturbation campaigns of Kellogg and his like-minded contemporaries. As Money explains, “Neonatal circumcision crept into American delivery rooms in the 1870s and 1880s, not for religious reasons and not for reasons of health or hygiene, as is commonly supposed, but because of the claim that, later in life, it would prevent irritation that would cause the boy to become a masturbator.

Almost no effective treatments existed for prevalent diseases until the eighteenth century. Until the late 1830s, the lack of effective anesthesia made the few common surgical procedures horribly painful and all others impossible. Between

The enormous pressures on doctors today to prescribe pills, perform procedures, and please patients, all within a disjointed medical bureaucracy and all with an eye on the bottom line, has contributed to the current prescription drug epidemic.

The summary of Lambert and Lillenfelt’s “Bloodstains” in Scientific American Mind in the October 12, 2007 The Informed Reader passes along many of these authors’ strong opinions on complex and controversial topics without informing the readership that the authors’ perspective is extreme, polarized, and vulnerable to challenge at many crucial points. It is clear that false memories can be implanted in about 25% of subjects, when those memories concern issues in the normal and expectable range of experience. However, about 75% of subjects resist such efforts, and efforts to implant memories of abuse or offensive medical procedures are almost universally rejected. Therefore a wholesale attack against therapies that explore patients’ memories is unwarranted. “Recovered Memory Therapy” is not a school of treatment. It is a slur used to mischaracterize approaches offensive to the authors’ perspectives, designed to evoke an emotional bias against those to whom the slur is applied.

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

A patient suffering with cancer of the throat was informed of a new X-ray machine that would cure his condition. This man could neither read nor write, nor was he informed about any of the instruments or procedures of medical practice. When he first sat down in the doctor's office and received into his mouth a thermometer with which the doctor sought to take his temperature, he believed he was undergoing X-ray treatment. The doctor, alert to the practices of psychology, recognized this, and after leaving the thermometer in the patient's mouth for ten minutes, excused him and told him to return in two days. Three weeks of treatment with a thermometer cured this patient's cancerous condition! Obviously, it wasn't the thermometer that did it. It was Faith!

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

involved experiments with African Americans. These subjects were given experimental vaccines known to have unacceptably high lethality, were enrolled in experiments without their consent or knowledge, were subjected to surreptitious surgical and medical procedures while unconscious, injected with toxic substances, deliberately monitored rather than treated for deadly ailments, excluded from lifesaving treatments, or secretly farmed for sera or tissues that were used to perfect technologies such as infectious-disease tests.

ECONOMIC RULES OF THE DYSFUNCTIONAL MEDICAL MARKET More treatment is always better. Default to the most expensive option. A lifetime of treatment is preferable to a cure. Amenities and marketing matter more than good care. As technologies age, prices can rise rather than fall. There is no free choice. Patients are stuck. And they’re stuck buying American. More competitors vying for business doesn’t mean better prices; it can drive prices up, not down. Economies of scale don’t translate to lower prices. With their market power, big providers can simply demand more. There is no such thing as a fixed price for a procedure or test. And the uninsured pay the highest prices of all. There are no standards for billing. There’s money to be made in billing for anything and everything. Prices will rise to whatever the market will bear.

healing of trauma in its many forms. The most common of these forms are automobile and other accidents, serious illness, surgery and other invasive medical and dental procedures, assault, and experiencing or witnessing violence, war, or a myriad of natural disasters.               I

Many “ordinary,” everyday happenings that we take for granted as inevitable facts of life can become traumatic, and the younger the child, the less obviously harmful those occurrences need be in order to leave a traumatic impact. A “minor” fall, for example, can become traumatic if the child is not supported in processing it in a healthy way and especially if she is shamed for “over-reacting” or labeled as “too sensitive.” An elective medical procedure can also have long-term negative effects if the child is not adequately supported and prepared, and if his reactions are not empathically received.

If any field needs integration, it is medicine. If any field needs an integrative paradigm that can make sense out of all the different models of healing, it is medicine. The weaknesses of the conventional medical model have been clear for some time. Its procedures are too invasive and have too many harmful side effects. There is no conventional medical model for the treatment of most chronic and degenerative diseases (germ theory and genetic predisposition are not adequate explanations for most conditions in this category). Last, but not least, conventional medicine is expensive. In contrast, there are so many

Most curable sickness can now be diagnosed and treated by laymen. People find it so difficult to accept this statement because the complexity of medical ritual has hidden from them the simplicity of its basic procedures. It took the example of the barefoot doctor in China to show how modern practice by simple workers in their spare time could, in three years, catapult health care in China to levels unparalleled elsewhere. In most other countries health care by laymen is considered a crime. A seventeen-year-old friend of mine was recently tried for having treated some 130 of her high-school colleagues for VD. She was acquitted on a technicality by the judge when expert counsel compared her performance with that of the U.S. Health Service. Nowhere in the U.S.A. can her achievement be considered "standard," because she succeeded in making retests on all her patients six weeks after their first treatment. Progress should mean growing competence in self-care rather than growing dependence. 5

Deaths from legal abortion declined fivefold between 1973 and 1985 (from 3.3 deaths to 0.4 deaths per 100,000 procedures),” reported the American Medical Association’s Council on Scientific Affairs, reflecting increased physician education and skills, improvements in medical technology, and, notably, the earlier termination of pregnancy.

Opponents of abortion use the word baby to refer to the cluster of cells, the embryo, and the fetus alike. The very choice of the word baby imposes the idea of an independently existing human being. Whereas cluster of cells, embryo, and fetus keep discussion in the medical domain, baby moves the discussion to the moral domain. The issue of the morality of abortion is settled once the words are chosen. The purposeful removal of a cell group from the mother that does not constitute an independently existing, viable, or even a recognizable human being cannot be “murder.” The word “murder” is not defined as such a medical procedure. The purposeful killing of a “baby”—an independently existing human being—can be “murder.” Is

Total cash compensation for hospital CEOs grew an average of 24.2 percent from 2011 to 2012 alone, which increasingly includes bonuses as well. Those bonuses are linked to criteria such as “finance,” “quality”, “profit”, “admissions growth,” and “increase in net funds”, not medical goalposts like reducing blood infections or bedsores and avoiding unneeded procedures.

[ 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.

Now I think I was wrong. I think my luck was built into me, the keystone that cohered my bones, the golden thread that stitched together the secret tapestries of my DNA; I think it was the gem glittering at the fount of me, coloring everything I did and every word I said. And if somehow that has been excised from me, and if in fact I am still here without it, then what am I? Acknowledgments I owe huge thanks to the amazing Darley Anderson and everyone at the agency, especially Mary, Emma, Pippa, Rosanna and Kristina; Andrea Schulz, my wonderful editor, whose enormous skill, patience and wisdom have made this book so much better than I thought it could be; Ben Petrone, who is just plain great, and everyone at Viking; Susanne Halbleib and everyone at Fischer Verlage; Katy Loftus, for her faith in this book and for putting her finger on the one thing that would make the most difference; my brother, Alex French, for the computer bits and for sending me the link to the case of Bella in the Wych Elm; Fearghas Ó Cochláin, for the medical bits; Ellen at ancestrysisters.com, for genealogy help; Dave Walsh, for his enormous help with the intricacies of police procedure; Ciara Considine, Clare Ferraro and Sue Fletcher,

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

you might think that treatments like group therapy after breast cancer would now be standard. Guess again. Affiliation is not a drug or an operation, and that makes it nearly invisible to Western medicine. Our doctors are not uninformed; on the contrary, most have read these studies and grant them a grudging intellectual acceptance. But they don’t believe in them; they can’t bring themselves to base treatment decisions on a rumored phantom like attachment. The prevailing medical paradigm has no capacity to incorporate the concept that a relationship is a physiologic process, as real and as potent as any pill or surgical procedure.

It’s a demonic feedback loop. Let me see if I can get this straight. Pharmaceutical companies sell mountains of drugs to factory farms, which depend on them to maintain their abnormally intensive systems. The animals develop antibiotic resistance that spreads to humans. Humans need stronger drugs. In the meantime, the animal industries flood the government with cash in exchange for subsidies. The government, invested in keeping the generous animal food lobbies flush, runs federal programs pushing people to eat increasing amounts of animal-based foods. People oblige. People get sick, requiring medication for the rest of their lives, along with expensive medical procedures. The drugs and procedures falsely assure them that they can continue to eat the food that made them sick in the first place. People continue to support the animal agriculture industry by buying their products, which pay for studies to further convince the public that animal products are an essential part of a healthy diet. People continue to support the pharmaceutical companies because they are tethered to their prescription drugs. This allows drug companies to pay for the “education” of our doctors who prescribe more drugs to us. Then pharmaceutical companies sell mountains of drugs to factory farms…

My luminaries!" he sang out. "I am thrilled to have you here. I have been rereading both your works in preparation for our glorious collaboration." "Collaboration?" "You will forgive my enthusiasm and my presumption. But you must accept that what we are here today to do with each other cannot be subsumed under the mantle of medical procedure alone. For me to put the scalpel into your hand, my dearest Monsieur Arosteguy, is basically a crime, you understand. Though I fully comprehend the emotional ownership of the breast involved with the husband and the wife. In the light of that ownership, the alien surgeon is an intruder, a rapist, a violator. Why should he be allowed to sever that most beautiful organ from that beloved body? Who the fuck is he anyway? No, only the husband should have the right to do that intimate severing with all its resonances of personal history. And so on. But legally it's a crime. So what's the solution in our heads? In my head, the solution is that we are not committing surgery, but are creating an art/philosophy / crime/ surgery project. The three of us. A collective. The Arosteguy Collective Project. Do you agree?" Celestine and I glanced at each other and could see that we were immediately in sync. We were overwhelmed, horrified, and also delighted.

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

Connor had become a doctor just two days ago—along with all of his friends. They were hand-selected at just three years old to undergo intensive medical training as part of a controversial experiment, called Kid Docs. In the past few years, the Kid Docs program had produced some of the best doctors in the entire country, if not the world. They had some of the lowest complication rates and the highest success rates, and they had developed innovative new procedures that saved lives that were previously unsalvageable. Connor hoped that he would be among the best doctors in the world someday. But right now, he was focused on only a single thing: saving this one man’s life.

cause of cavities, even more damaging than sugar consumption, bad diet, or poor hygiene. (This belief had been echoed by other dentists for a hundred years, and was endorsed by Catlin too.) Burhenne also found that mouthbreathing was both a cause of and a contributor to snoring and sleep apnea. He recommended his patients tape their mouths shut at night. “The health benefits of nose breathing are undeniable,” he told me. One of the many benefits is that the sinuses release a huge boost of nitric oxide, a molecule that plays an essential role in increasing circulation and delivering oxygen into cells. Immune function, weight, circulation, mood, and sexual function can all be heavily influenced by the amount of nitric oxide in the body. (The popular erectile dysfunction drug sildenafil, known by the commercial name Viagra, works by releasing nitric oxide into the bloodstream, which opens the capillaries in the genitals and elsewhere.) Nasal breathing alone can boost nitric oxide sixfold, which is one of the reasons we can absorb about 18 percent more oxygen than by just breathing through the mouth. Mouth taping, Burhenne said, helped a five-year-old patient of his overcome ADHD, a condition directly attributed to breathing difficulties during sleep. It helped Burhenne and his wife cure their own snoring and breathing problems. Hundreds of other patients reported similar benefits. The whole thing seemed a little sketchy until Ann Kearney, a doctor of speech-language pathology at the Stanford Voice and Swallowing Center, told me the same. Kearney helped rehabilitate patients who had swallowing and breathing disorders. She swore by mouth taping. Kearney herself had spent years as a mouthbreather due to chronic congestion. She visited an ear, nose, and throat specialist and discovered that her nasal cavities were blocked with tissue. The specialist advised that the only way to open her nose was through surgery or medications. She tried mouth taping instead. “The first night, I lasted five minutes before I ripped it off,” she told me. On the second night, she was able to tolerate the tape for ten minutes. A couple of days later, she slept through the night. Within six weeks, her nose opened up. “It’s a classic example of use it or lose it,” Kearney said. To prove her claim, she examined the noses of 50 patients who had undergone laryngectomies, a procedure in which a breathing hole is cut into the throat. Within two months to two years, every patient was suffering from complete nasal obstruction. Like other parts of the body, the nasal cavity responds to whatever inputs it receives. When the nose is denied regular use, it will atrophy. This is what happened to Kearney and many of her patients, and to so much of the general population. Snoring and sleep apnea often follow.

17.2 One evening I was to meet Marilyn up at her mother's apartment for our ritual Friday night dinner. On my way up to the Bronx, when I got off at the 175th Street station, I decided to stop in and see what sort of sexual activity was going on in the subway john there. I'd never gone into that one before, perhaps because I usually came there with Marilyn. I pushed into the yellow-tiled space, with its dim, caged light-bulbs. There was only one guy at the urinal, a tall workman in greens and scuffed orange construction boots-- which had, only in the last year or so, become standard wear for the nation's laborers. I stood a stall away from him, and we glanced at each other. When I smiled, he turned toward me. I reached for his penis. Holding it, I realized something was wrong with it, but, for the moment, couldn't quite figure what. For its thickness and harness it was too short. It ended in a kind of flat stump, like a sawed-off dowel, without the collar or taper of glans, making me think he was uncircumcised. Only there was no cuff of skin. That's when he said, a little hoarsely, "That's what there is. If you want it, it's yours. But that's it." And I realized that, either from medical procedure or something else, the first inch or so had been amputated. He came very fast. I wanted to talk with him afterward, but he zipped up once we were finished and hurried away. I never saw him again, though I looked for him. But the image stayed, unsettlingly, for a while.

Some series teach us that ethnic features must be "fixed," by drastic means if necessary. Plastic surgeons with questionable ethics give insecure women of all ethnicities boob jobs, liposuction, and face-lifts on shows such as Extreme Makeover, The Swan, and Dr. 90210, ignoring medical risks and reinforcing problematic ideas about women's worth. Yet they don't make white surgical candidates feel like their cultural identity should also be on the chopping blocking - or that they'd be so much more attractive and fulfilled if only they didn't look so... Caucasian. In contrast, TV docs' scalpels reduce or remove racial markers on patients of colour. Black women's noses and lips are made smaller. In an increasingly common procedure targeting Asian women, creases are added to Asian women's eyelids.

It is worth pausing for a second to reflect on Snow’s willingness to pursue his investigation this far. Here we have a man who had reached the very pinnacle of Victorian medical practice—attending on the queen of England with a procedure that he himself had pioneered—who was nonetheless willing to spend every spare moment away from his practice knocking on hundreds of doors in some of London’s most dangerous neighborhoods, seeking out specifically those houses that had been attacked by the most dread disease of the age. But without that tenacity, without that fearlessness, without that readiness to leave behind the safety of professional success and royal patronage, and venture into the streets, his “grand experiment”—as Snow came to call it—would have gone nowhere. The miasma theory would have remained unchallenged.

We also had some fun with another hard-drinking and know-it-all reporter from one of the ‘red top’ tabloids. I solemnly informed him that his luck was in, because one of our trainee surgeons was a real wizard at organ transplantion. We told him that, if he was shot through the belly, we would try to exchange his worn-out liver for a new one – and then he could start his prodigious drinking career all over again. While that was sinking in, we even asked if he had any objection to receiving an Argentine donor organ if one became available. It was all a bit of military black humour of course, but the poor chap went white-faced, and tried to make me swear on the Bible that I’d never arrange such a procedure, and would finish him off with a lethal injection instead. Transplant surgery in a Forward Dressing Station? Come alongside, Jack…

Drugs and medical technology can be enormously beneficial when used to take care of real complications, but too often they are abused when applied to women birthing normally. These women are thus subjected to unnecessary risks. The key to this problem is informed consent, an ideal too seldom realized. Informed consent means that no woman during pregnancy or labor should ever be deceived into thinking that any drug or procedure (Demerol, Seconal, spinals, caudals, epidurals, paracervical block, etc.) is guaranteed safe. Not only are there no guaranteed safe drugs, but many of them have well-known, recognized side effects and potential side effects. Informed consent should mean that no woman would ever hear such falsehoods as, “This is harmless,” or, “I only give it in such a small dose that it can’t affect the baby,” or, “This is just a local and won’t reach the baby.

Until recently, three unspoken principles have guided the arena of genetic diagnosis and intervention. First, diagnostic tests have largely been restricted to gene variants that are singularly powerful determinants of illness—i.e., highly penetrant mutations, where the likelihood of developing the disease is close to 100 percent (Down syndrome, cystic fibrosis, Tay-Sachs disease). Second, the diseases caused by these mutations have generally involved extraordinary suffering or fundamental incompatibilities with “normal” life. Third, justifiable interventions—the decision to abort a child with Down syndrome, say, or intervene surgically on a woman with a BRCA1 mutation—have been defined through social and medical consensus, and all interventions have been governed by complete freedom of choice. The three sides of the triangle can be envisioned as moral lines that most cultures have been unwilling to transgress. The abortion of an embryo carrying a gene with, say, only a ten percent chance of developing cancer in the future violates the injunction against intervening on low-penetrance mutations. Similarly, a state-mandated medical procedure on a genetically ill person without the subject’s consent (or parental consent in the case of a fetus) crosses the boundaries of freedom and noncoercion. Yet it can hardly escape our attention that these parameters are inherently susceptible to the logic of self-reinforcement. We determine the definition of “extraordinary suffering.” We demarcate the boundaries of “normalcy” versus “abnormalcy.” We make the medical choices to intervene. We determine the nature of “justifiable interventions.” Humans endowed with certain genomes are responsible for defining the criteria to define, intervene on, or even eliminate other humans endowed with other genomes. “Choice,” in short, seems like an illusion devised by genes to propagate the selection of similar genes.

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

If you were to assume that many experts use their information to your detriment, you’d be right. Experts depend on the fact that you don’t have the information they do. Or that you are so befuddled by the complexity of their operation that you wouldn’t know what to do with the information if you had it. Or that you are so in awe of their expertise that you wouldn’t dare challenge them. If your doctor suggests that you have angioplasty — even though some current research suggests that angioplasty often does little to prevent heart attacks — you aren’t likely to think that the doctor is using his informational advantage to make a few thousand dollars for himself or his buddy. But as David Hillis, an interventional cardiologist at the University of Texas Southwestern Medical Center in Dallas, explained to the New York Times, a doctor may have the same economic incentives as a car salesman or a funeral director or a mutual fund manager: “If you’re an invasive cardiologist and Joe Smith, the local internist, is sending you patients, and if you tell them they don’t need the procedure, pretty soon Joe Smith doesn’t send patients anymore.” Armed with information, experts can exert a gigantic, if unspoken, leverage: fear. Fear that your children will find you dead on the bathroom floor of a heart attack if you do not have angioplasty surgery. Fear that a cheap casket will expose your grandmother to a terrible underground fate. Fear that a $25,000 car will crumple like a toy in an accident, whereas a $50,000 car will wrap your loved ones in a cocoon of impregnable steel.

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The law places the responsibility for obtaining consent for medical treatment on the provider who will perform the procedure.

competition takes place on discrete interventions rather than the full cycle of care where value is determined. Value can only be measured over the care cycle, not for an individual procedure, service, office visit, or test. Yet care is structured around medical specialties and discrete services, not the integrated care of medical conditions. Physicians act as free agents, performing their specialty and billing separately. Navigating the care cycle is challenging. Nobody takes an overall care-cycle perspective, including steps to avoid the need for interventions (prevention) and ongoing management of medical conditions to forestall recurrence (disease management).

Saving a life wasn’t always about performing complicated medical procedures.  It was something more.  It was about putting a smile on someone’s face and hearing them sincerely thank me.

Abortion is one of the most commonly performed medical procedures in the United States, and it is tragic that many women who have abortions are all too often mischaracterized and stigmatized, their exercise of moral agency sullied. Their judgment is publicly and forcefully second-guessed by those in politics and religion who have no business entering the deliberation. The reality is that women demonstrate forethought and care; talk to them the way clergy do and witness their sense of responsibility. Women take abortion as seriously as any of us takes any health-care procedure. They understand the life-altering obligations of parenthood and family life. They worry over their ability to provide for a child, the impact on work, school, the children they already have, or caring for other dependents. Perhaps the woman is unable to be a single parent or is having problems with a husband or partner or other kids.2 Maybe her contraception failed her. Maybe when it came to having sex she didn’t have much choice. Maybe this pregnancy will threaten her health, making adoption an untenable option. Or perhaps a wanted pregnancy takes a bad turn and she decides on abortion. It’s pretty complicated. It’s her business to decide on the outcome of her pregnancy—not ours to intervene, to blame, or to punish. Clergy know about moral agency through pastoral work. Women and families invite us into their lives to listen, reflect, offer sympathy, prayer, or comfort. But when it comes to giving advice, we recognize that we are not the ones to live with the outcome; the patient faces the consequences. The woman bears the medical risk of a pregnancy and has to live with the results. Her determination of the medical, spiritual, and ethical dimensions holds sway. The status of her fetus, when she thinks life begins, and all the other complications are hers alone to consider. Many women know right away when a pregnancy must end or continue. Some need to think about it. Whatever a woman decides, she needs to be able to get good quality medical care and emotional and spiritual support as she works toward the outcome she seeks; she figures it out. That’s all part of “moral agency.” No one is denying that her fetus has a moral standing. We are affirming that her moral standing is higher; she comes first. Her deliberations, her considerations have priority. The patient must be the one to arrive at a conclusion and act upon it. As a rabbi, I tell people what the Jewish tradition says and describe the variety of options within the faith. They study, deliberate, conclude, and act. I cannot force them to think or do differently. People come to their decisions in their own way. People who believe the decision is up to the woman are typically called “pro-choice.” “Choice” echoes what is called “moral agency,” “conscience,” “informed will,” or “personal autonomy”—spiritually or religiously. I favor the term “informed will” because it captures the idea that we learn and decide: First, inform the will. Then exercise conscience. In Reform Judaism, for instance, an individual demonstrates “informed will” in approaching and deciding about traditional dietary rules—in a fluid process of study of traditional teaching, consideration of the personal significance of that teaching, arriving at a conclusion, and taking action. Unitarian Universalists tell me that the search for truth and meaning leads to the exercise of conscience. We witness moral agency when a member of a faith community interprets faith teachings in light of historical religious understandings and personal conscience. I know that some religious people don’t do

In a medical study, it turned out that obstetricians in areas with declining birth rates are much more likely to perform cesarean-section deliveries than obstetricians in growing areas—suggesting that, when business is tough, doctors try to ring up more expensive procedures.

So, to return to the title chapter, what is the point of learning statistics? To summarize huge quantities of data. To make better decisions. To answer important social questions. To recognize patterns that can refine how we do everything from selling diapers to catching criminals. To catch cheaters and prosecute criminals. To evaluate the effectiveness of policies, programs, drugs, medical procedures, and other innovations. And to spot the scoundrels who use these very same powerful tools for nefarious ends.

He recognizes the necessity of life-saving medical procedures, but embodies the belief that one of the first responsibilities of the medical community is to help patients establish lifestyles that give them an opportunity to avoid needing those procedures. One important way to do that is to truly examine our diets, physical activity, and stress levels. At

People seemed to have two different selves—an experiencing self who endures every moment equally and a remembering self who gives almost all the weight of judgment afterward to two single points in time, the worst moment and the last one. The remembering self seems to stick to the Peak-End rule even when the ending is an anomaly. Just a few minutes without pain at the end of their medical procedure dramatically reduced patients’ overall pain ratings even after they’d experienced more than half an hour of high level of pain. “That wasn’t so terrible,” they’d reported afterward. A bad ending skewed the pain scores upward just as dramatically.

If Marzulli's anatomical observation of the elongated skulls of the Paracas were right in that they are completely devoid of a sagittal suture (i.e., Scaphocephaly), then such a desired physically induced mutation could be perceived as a medical procedure aimed at increasing the transfer of perceptual, sensory, motor and cognitive information between the two hemispheres; this was possibly done to prevent each hemisphere from processing information outside the awareness of the other. In essence, this meant that the operation was intended to prevent the brain from producing and developing any margin of a double consciousness as normal humans are equipped with; culminating thereby in some form of a unified consciousness.

The authors of a 2012 Cochrane review (the medical profession’s gold standard analysis) on home versus hospital births blamed the higher complication rate in hospital on “impatience and easy access to many medical procedures.”13

Upon me arriving and part of the visa procedure, my spouse and I immediately had to go to a clinic. We were required to take a “medical fitness screening.” We tested for HIV, tuberculosis and leprosy. Depending on your occupation, you could be tested for syphilis, Hepatitis A, B, C and given a pregnancy test. If you fail any of these tests, you will be denied a visa and deported back to your home country. Dubai lies directly within the Arabian Desert which occupies 900,000 square miles.

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Marc Goodman is a cyber crime specialist with an impressive résumé. He has worked with the Los Angeles Police Department, Interpol, NATO, and the State Department. He is the chief cyber criminologist at the Cybercrime Research Institute, founder of the Future Crime Institute, and now head of the policy, law, and ethics track at SU. When breaking down this threat, Goodman sees four main categories of concern. The first issue is personal. “In many nations,” he says, “humanity is fully dependent on the Internet. Attacks against banks could destroy all records. Someone’s life savings could vanish in an instant. Hacking into hospitals could cost hundreds of lives if blood types were changed. And there are already 60,000 implantable medical devices connected to the Internet. As the integration of biology and information technology proceeds, pacemakers, cochlear implants, diabetic pumps, and so on, will all become the target of cyber attacks.” Equally alarming are threats against physical infrastructures that are now hooked up to the net and vulnerable to hackers (as was recently demonstrated with Iran’s Stuxnet incident), among them bridges, tunnels, air traffic control, and energy pipelines. We are heavily dependent on these systems, but Goodman feels that the technology being employed to manage them is no longer up to date, and the entire network is riddled with security threats. Robots are the next issue. In the not-too-distant future, these machines will be both commonplace and connected to the Internet. They will have superior strength and speed and may even be armed (as is the case with today’s military robots). But their Internet connection makes them vulnerable to attack, and very few security procedures have been implemented to prevent such incidents. Goodman’s last area of concern is that technology is constantly coming between us and reality. “We believe what the computer tells us,” says Goodman. “We read our email through computer screens; we speak to friends and family on Facebook; doctors administer medicines based upon what a computer tells them the medical lab results are; traffic tickets are issued based upon what cameras tell us a license plate says; we pay for items at stores based upon a total provided by a computer; we elect governments as a result of electronic voting systems. But the problem with all this intermediated life is that it can be spoofed. It’s really easy to falsify what is seen on our computer screens. The more we disconnect from the physical and drive toward the digital, the more we lose the ability to tell the real from the fake. Ultimately, bad actors (whether criminals, terrorists, or rogue governments) will have the ability to exploit this trust.

Unlike those of almost any other area we can think of, the dynamics of the medical marketplace seem to be such that the advance of technology has made medical care more expensive, not less. First, it appears to encourage more procedures and treatment by making them easier and more convenient. (This is especially true for procedures like arthroscopic surgery.) Second, there is little patient pushback against higher costs because it seems to (and often does) result in safer, better care and because the customer getting the treatment is either not going to pay for it or not going to know the price until after the fact. Beyond

The Circumcision Decision If you have a baby boy, chances are you’ll be asked whether or not you want to circumcise him in the hospital. Most of us have inherited a vague sense that circumcision is somehow cleaner or healthier. But these are myths. We’ll share a few facts to jumpstart your research. - The significance of the infant’s pain is often overlooked in circumcision. Hospitals use painful Gomco clamps that sever nerve endings, and most docs make the cut without anesthesia. - Many infants go into shock as a result of the pain they experience in circumcision, and the breastfeeding relationship may be compromised as a result. - The circumcised penis is no cleaner than an intact penis, and requires far more care during the healing process. - “...[P]rofessional societies representing Australian, Canadian, and American pediatricians do not recommend routine circumcision of male newborns.” ~American Medical Association What if you plan to circumcise for reasons of Jewish faith? In Jewish circumcisions, - Boys are circumcised eight days after birth, when natural levels of Vitamin K are the highest. - Anesthetic is traditionally given (in the form of a tiny amount of wine and/or numbing agents). - Mohels (traditional circumcisers) don’t use painful skin clamps. Overheard… After reading up on circumcision, I knew I didn’t want to go through with it. The first reason was medical: the AAP doesn’t recommend routine circumcision. My second reason was emotional. It went against my mama bear instinct to protect my baby. Convincing dad was more difficult. He wanted to have his son like him. (I asked him if he and his dad compared their penises; the answer was no.) My husband watched videos of the procedure being done but had to stop them before they were over. He’d thought it was a simple snip of the ‘extra’ skin, but it’s not. The foreskin is actually fused to the head of the penis, like a fingernail to a nail bed. We took our baby home from the hospital the way he was born, and we haven’t regretted it. ~Lani, mom to Bentley Want to learn more? Check out the Circumcision Resource Center online, a helpful resource filled with medical and psychological literature for those questioning the practice.

Women gave high marks to providers for the completeness of their counseling. When queried three to four weeks after the abortion, 98% said the procedure had been adequately described to them. Nearly all (99%) said the information was clear and understandable. This contrasted sharply with surveys after other types of medical services studied by The Picker Institute, for which patients commonly want more information provided. Attention to privacy was rated “excellent,” “very good,” or “good” by 94% of patients. Most (88%) felt they had been treated respectfully, and 78% had “a lot of confidence and trust” in the clinic staff.

legislators try to circumvent the Court’s requirements by issuing their own opinion to the nation’s physicians and patients that such a procedure is never needed to protect a woman’s health—notwithstanding opposing opinions from the medical community. The medical misinformation currently circulating in political discussions of abortion procedures only reinforces ACOG’s position: in the individual circumstance of each particular medical case, the patient and physician—not legislators—are the appropriate parties to determine the best method of treatment.

In light of all this, it seems fitting that one of God’s great covenants with the Jewish people was a medical procedure that helped combat infection: circumcision (Genesis 17:9–14). In 2012, a task force on circumcision organized by the American Academy of Pediatrics published a review of the costs and benefits of male circumcision. In their estimation the primary benefits are a reduction in urinary tract infections among infants; lower transmission of some STDs, such as HIV and HPV; and fewer cases of penile cancer (often caused by HPV infections). To be sure, circumcision does not appear to reduce transmission of all kinds of STDs; the surgical procedure itself carries a small, non-negligible risk of complications; and some people have raised ethical issues with removing a sensitive part of an infant male’s penis. However, in an era when infectious disease was the number one cause of mortality and incurable STDs could easily cause sterility, male circumcision was probably a wise decision.

While the findings may shock you, researchers now understand that these individuals recovered most likely because they believed strongly that they were cured by the surgery. The back surgery patients were otherwise unexceptional. They were not “hypochondriacs” or especially suggestible hypnotic subjects. It turns out that mere belief is an influence on the outcome of all sorts of medical conditions and procedures. This influence is far more powerful than most people, including many doctors, realize. We will examine this more closely in the next chapter.

I must be rotten deep inside the way I hated them, the very men and women who saved my life, but hate them I did. I loathed the way they thought they were doing me a great favor by prescribing measly dosages of pain medication. I reviled their condescension, their tired jokes and heartless procedures. That suffering is good for the soul is a fool’s philosophy. I don’t like pain and have no use for suffering. Neither

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Why is owning equity in a business important to becoming rich? It’s ownership versus wage work. If you are paid for renting out your time, even lawyers and doctors, you can make some money, but you’re not going to make the money that gives you financial freedom. You’re not going to have passive income where a business is earning for you while you are on vacation. [10] This is probably one of the most important points. People seem to think you can create wealth—make money through work. It’s probably not going to work. There are many reasons for that. Without ownership, your inputs are very closely tied to your outputs. In almost any salaried job, even one paying a lot per hour like a lawyer or a doctor, you’re still putting in the hours, and every hour you get paid. Without ownership, when you’re sleeping, you’re not earning. When you’re retired, you’re not earning. When you’re on vacation, you’re not earning. And you can’t earn nonlinearly. If you look at even doctors who get rich (like really rich), it’s because they open a business. They open a private practice. The private practice builds a brand, and the brand attracts people. Or they build some kind of a medical device, a procedure, or a process with an intellectual property. Essentially, you’re working for somebody else, and that person is taking on the risk and has the accountability, the intellectual property, and the brand. They’re not going to pay you enough. They’re going to pay you the bare minimum they have to, to get you to do their job. That can be a high bare minimum, but it’s still not going to be true wealth where you’re retired but still earning. [78] Owning equity in a company basically means you own the upside. When you own debt, you own guaranteed revenue streams and you own the downside. You want to own equity. If you don’t own equity in a business, your odds of making money are very slim. You have to work up to the point where you can own equity in a business. You could own equity as a small shareholder where you bought stock. You could also own it as an owner where you started the company. Ownership is really important. [10]

Being terminated for any of the items listed below may constitute wrongful termination: Discrimination: The employer cannot terminate employment because the employee is a certain race, nationality, religion, sex, age, or (in some jurisdictions) sexual orientation. Retaliation: An employer cannot fire an employee because the employee filed a claim of discrimination or is participating in an investigation for discrimination. In the US, this "retaliation" is forbidden under civil rights law. Reporting a Violation of Law to Government Authorities: also known as a whistleblower law, an employee who falls under whistleblower protections may not lawfully be fired for reporting an employer's legal violation or for similar activity that is protected by the law. Employee's refusal to commit an illegal act: An employer is not permitted to fire an employee because the employee refuses to commit an act that is illegal. Employer is not following the company's own termination procedures: In some cases, an employee handbook or company policy outlines a procedure that must be followed before an employee is terminated. If the employer fires an employee without following this procedure, depending upon the laws of the jurisdiction in which the termination occurs, the employee may have a claim for wrongful termination. … In the United States, termination of employment is not legal if it is based on your membership in a group protected from discrimination by law. It is unlawful for an employer to terminate an employee based upon factors including employee's race, religion, national origin, sex, disability, medical condition, pregnancy, or age (over 40), pursuant to U.S. federal laws such as Title VII of the Civil Rights Act of 1964, the Americans with Disabilities Act of 1990 and the Age Discrimination in Employment Act of 1967. … Many laws also prohibit termination, even of at-will employees. For example, whistleblower laws may protect an employee who reports a legal or safety violation by the employer to an appropriate oversight agency. Most states prohibit employers from firing employees in retaliation for filing a workers' compensation claim, or making a wage complaint over unpaid wages. [firing someone for political affiliation or activism away from work is not on the list]

From a distance, the BrainTrust appears to be a routine huddle. Up close, it’s more like a painful medical procedure—specifically, a dissection that spotlights, names, and analyzes the film’s flaws in breathtaking detail. A BrainTrust meeting is not fun. It is where directors are told that their characters lack heart, their storylines are confusing, and their jokes fall flat. But it’s also where those movies get better. “The BrainTrust is the most important thing we do by far,” said Pixar president Ed Catmull. “It depends on completely candid feedback.

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At this time, our personal dosimeters—accumulators that registered doses of contamination a person got during his working time—were checked. Usually, these small badges were fastened to the outer part of our clothes, on our chests. Periodically, the dosimeters were examined in the laboratory, where they were burned in a special way, doses were measured, and then the badges were returned to their owners. With this procedure, the dosimeter “forgot” its previous history and was ready to register doses again. We fought against dosimeters constantly and secretly. The point was that a person having received a dose of 25 roentgen (25 R/h) should, according to the medical terms, leave Chernobyl immediately. With this, he got five months’ salary. Good money in this time. Why 25 R/h was the limit, it is difficult for me to say. I am not a specialist. I just remembered for myself that if you got more than 100 R/h, you got radiation sickness. When the authorities came to this decision, those working at the station became diametrically opposed to it. One pole—not very numerous—consisted of those who wanted to leave the Zone as soon as possible and with the five-month salary. These people, who aspired later to the reputation of Chernobyl heroes, usually tried to “forget” their accumulators and other types of dosimeters in dangerous, high-radiation places, and then would return secretly to get them. During the checking, the desired dose of 25 R/h was discovered; and if everything was done well and there was no evidence of swindle, the “hero” went back to his motherland with money and respect. There he started his struggle for privileges with more energy than a person who had actually gotten such a high dose could possibly have. The major part of the Kurchatovers—and it did them credit—took the opposite pole. People who did research in areas with doses of hundreds and thousands roentgen per hour tried to leave their dosimeters in safe places, or to shield the instruments so that they couldn't register that fatal 25 R/h. Then they could stay in Chernobyl. This was the secret war with our accumulators. The authorities knew everything about it, but did nothing. They needed specialists like air.

At the second hospital he was intubated to save him from suffocation. That is, a flexible tube was inserted deep into his mouth, past his glottis, and down his windpipe into his lungs, to help with breathing. This event represents another important clue toward explaining how SARS spread so effectively through hospitals around the world. Intubation is a simple procedure, at least in theory, but it can be difficult to execute amid the gag reflexes, sputters, and expectorations of the patient. The task was especially hard with Zhou, a portly man, sedated and feverish, and though his disease hadn’t yet been identified, the attending doctors and nurses seem to have had some sense of the danger to which they were being exposed. They knew by then that this atypical pneumonia, this whatever, was more transmissible and more lethal than pneumonias of the common sort. “Each time they began to insert the tube,” according to an account by Thomas Abraham, a veteran foreign correspondent based in Hong Kong, there was “an eruption” of bloody mucus. Abraham continues: It splashed on to the floor, the equipment and the faces and gowns of the medical staff. They knew the mucous [sic] was highly infectious, and in the normal course of things, they would have cleaned themselves up as quickly as possible. But with a critically ill patient kicking and heaving around, a tube half-inserted into his windpipe and mucous and blood spurting out, there was no way any of them could leave. At that hospital, twenty-three doctors and nurses became infected from Zhou, plus eighteen other patients and their relatives. Nineteen members of his own family also got sick. Zhou himself would eventually become known among medical staff in Guangzhou as the Poison King. He survived the illness, though many people who caught it from him—directly, or indirectly down a long chain of contacts—did not.

Among those who would block the right of rape victims to choice, none is more determined than David C. Reardon,48 founder of the Elliott Institute. There is no eponymous Elliott; the institute’s website explains that the name was selected to sound official and impartial. Starting in the early 1980s, some pro-life advocates opposed abortion even for rape victims on the basis that it could lead to a condition they named ‘postabortion syndrome’,49 characterised by depression, regret and suicidality – a condition formulated as evidence that the Supreme Court had been wrong, in Roe v. Wade, when it averred that abortion was a safe procedure. The ultimate goal of the Elliott Institute is to generate legislation that would allow a woman to seek civil damages against a physician who has ‘damaged her mental health’ by providing her with an elective abortion. On the topic of impregnated survivors of rape and incest, Reardon states in his book Victims and Victors, ‘Many women report that their abortions felt like a degrading form of “medical rape.”50 Abortion involves a painful intrusion into a woman’s sexual organs by a masked stranger.’ He and other anti-abortion partisans often quote the essay ‘Pregnancy and Sexual Assault’ by Sandra K. Mahkorn, who suggests that the emotional and psychological burdens of pregnancy resulting from rape ‘can be lessened with proper support’.51 Another activist, George E. Maloof, writes, ‘Incestuous pregnancy offers a ray of generosity to the world,52 a new life. To snuff it out by abortion is to compound the sexual child abuse with physical child abuse. We may expect a suicide to follow abortion as the quick and easy way to solving personal problems.

Those procedures might include certification by independent practitioners that the patient was terminally ill within the meaning of the relevant law; that the patient had voluntarily requested euthanasia, having been fully informed of the prognostic and palliative facts; that there was no undue influence on the patient from relatives or carers; that there had been a ‘cooling-off’ period since the request for euthanasia; that the request was signed and duly witnessed; and so on.

One of the first cases retrospectively diagnosed as AIDS was the Danish surgeon Grethe Rask, who had gone to work in the Congo in 1964. She worked for years in a rural hospital that lacked surgical gloves, so she did surgery bare-handed. Rask fell ill in 1976, was repatriated under emergency conditions, and died in 1977 of pneumocystis pneumonia. According to friends, she had no possible route of infection other than performing surgery, as she was celibate and spent her whole life working. Another iatrogenic pathway, that is, through medical treatment or procedures, for the transmission of HIV was unregulated blood banks.

The truth is God gives empowering grace to the one who goes to Him for it and then goes back to Him for it repeatedly. He gives grace to those who know how needy they are for Him and who draw on Jesus to live like Jesus. Bottom line; say no to do-it-yourself medical procedures. And say a bigger, more emphatic no to do-it-yourself religion! As James would say, “He giveth more grace.

She tilted her head back to look up at him, her face tense with worry, not for herself but for him. “How did he find out we were acquainted?” “One of his men followed me and saw us at the night market. From now on, Jenkyn will try to use you to manipulate me. He fancies himself a chess master, and all the rest of us pawns. He knows I’d do anything to protect you.” Garrett blinked at that. “Should we pretend to have a falling-out?” Ethan shook his head. “He’d see through that.” “Then what’s to be done?” “You can start by leaving the soiree. Tell Lady Tatham you have the vapors, and I’ll find a carriage for you.” Garrett stepped back from him and gave him an indignant glance. “The ‘vapors’ is a term for a hysterical fit. Do you know what it would do to my career if people thought I might succumb to vapors in the middle of a medical procedure? Besides, now that Sir Jasper knows about our mutual attachment, I wouldn’t be any safer at home than I am here.” Ethan looked at her alertly. “Mutual?” “Why else would I be lurking with you in a servants’ stairwell?” she asked dryly. “Of course it’s mutual, although I haven’t your pretty way of putting things—” She would have continued, but his mouth had fastened on hers.

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.

In spite of every precaution to preserve my privacy, some details of my surgery did leak out in the press...it was an extremely personal and intimate procedure in my medical history, I had no wish to share its details with the rest of the world, any more than a complete hysterectomy would be advertised by another woman.

My adrenal gland gave me a shot of adrenaline, too. I turned purple as my blood pressure skyrocketed. The adrenaline made my heart go like a burglar alarm. It also stood my hair on end. It also caused coagulants to pour into my bloodstream, so, in case I was wounded, my vital juices wouldn’t drain away. Everything my body had done so far fell within normal operating procedures for a human machine. But my body took one defensive measure which I am told was without precedent in medical history. It may have happened because some wire short-circuited or some gasket blew. At any rate, I also retracted my testicles into my abdominal cavity, pulled them into my fuselage like the landing gear of an airplane. And now they tell me that only surgery will bring them down again.

suppose there was some medical procedure that will provide some modest health benefit but is extremely painful. However, the procedure is administered with a drug that does not prevent the pain but instead erases all memory of the event. Would you be willing to undertake this procedure?

I wish you had taught me a few verses of that song, the one about Mr. Burns’s philosophy.” Nita wished this more dearly than she wished to study German medical treatises on surgical procedures.

(That was me screaming in frustration! AGAIN !!) I’ve just had the WORST. MORNING. EVER!! And right now I’m hiding out in the girls’ bathroom. I STILL cannot believe that huge FIASCO with MacKenzie! And with Brianna’s sandwich! The only logical explanation is that the sandwich probably got stuck on my coat when I tossed it on the kitchen table this morning. And then, when I put on my coat, it somehow attached itself to the front of my sweater. Like some kind of, um . . . SUPERfreaky, sticky, slimy . . . ALIEN . . . CREATURE!! I wanted to rush to the nearest emergency room and BEG the doctors for yet another life-saving medical procedure!! . . .

...doctors advised intensive talk therapy, even electroshock treatment. Some gay men were castrated against their will, a procedure that removed their testicles and deadened the sex drive. Others were lobotomized, a medical practice that destroyed the connections between the frontal lobes and the thalamus of the brain, deadening just about all aspects of behavior.

Legal You will learn that there are restrictions placed upon you in some areas. These restrictions are for your own protection. You will be prohibited from administering medications, recording sponge counts, or carrying out direct physician’s orders regarding treatment of a patient out of your scope of practice. As soon as you overstep your limitations and boundaries and perform any of these actions, you are placing yourself in legal jeopardy. Whether functioning under the supervision of a surgeon or a registered nurse, a CST is always part of the surgical team and you must carry out your responsibilities within the scope of your practice. Never try to do a task that does not fall within that realm. All counts are significant and have important legal ramifications. When performing a count, it is crucial to ensure that the count is correct for the patient’s well-being. When you are scrubbed, you count sponges while the registered nurse observes and records the count. At any given time during a surgical procedure, the CST may request a sponge, and possibly a sharps count to take place. If you are assisting the circulating nurse in a nonsterile role, you may assist with the counts as long as the nurse verifies it. In this scenario, the nurse is legally acting as the surgeon’s agent. It is the responsibility of the registered nurse to obtain the required medications for a case. The CST draws the drugs into syringes and mixes drugs when scrubbed; during this process, the proper sequence of medication verification and labeling must occur. In any phase of your responsibilities, there are possible grounds for legal breaches. Shortcuts may cause a patient to suffer tragic complications, even loss of life. Negligence must be avoided. Both as an employed CST and as a student, you carry the responsibility to do no harm. If you should become discouraged in your role or begin to feel this responsibility is overwhelming, it could simply mean that you need a change; it isn’t always the other team players or the place of employment that are at

Some children who grow up the be cutters may have been forced to take on the mother's role in childhood due to their father's sexual abuse or their mother's death or incapacity. Or a mother may simply have been too overwhelmed by life circumstances to meet her children's needs. In some cases, both parents may be conscientiously attuned to their child but because of some physical trauma she must endure—such as childhood illness, accident, or extensive medical procedure—no amount of comforting can diminish the pain and distress the child has to manage. Whatever the source, the child is left feeling emotionally abandoned and her unmet needs and unsoothed fears create an overwhelming level of anxiety. Later in life, cutting or burning becomes her primary strategy for regulating her emotions and avoiding further mental deterioration. It is a means of self-soothing and in that sense it can be viewed as a flawed attempt at self-mothering.