Medication Management Quotes

It is mainly the soluble fiber in the common natural foods that  lower cholesterol

It is mainly the soluble fiber and magnesium that lowered the author's fasting pre-diabetes blood glucose to 90s and 100s without taking medication

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.

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

I wanted to be a doctor, but, well, we don’t have as much money as my mother pretends. Dad said he could manage if that’s what I really wanted, but my mother said it was too difficult for a woman to get into medical school.

Helping people better manage their upsetting feelings—anger, anxiety, depression, pessimism, and loneliness—is a form of disease prevention. Since the data show that the toxicity of these emotions, when chronic, is on a par with smoking cigarettes, helping people handle them better could potentially have a medical payoff as great as getting heavy smokers to quit.

Is understanding that disabled people have a full-time job managing their disabilities and the medical-industrial complex and the world—so regular expectations about work, energy, and life can go right out the window.

Eighty two percent of the traumatized children seen in the National Child Traumatic Stress Network do not meet diagnostic criteria for PTSD.15 Because they often are shut down, suspicious, or aggressive they now receive pseudoscientific diagnoses such as “oppositional defiant disorder,” meaning “This kid hates my guts and won’t do anything I tell him to do,” or “disruptive mood dysregulation disorder,” meaning he has temper tantrums. Having as many problems as they do, these kids accumulate numerous diagnoses over time. Before they reach their twenties, many patients have been given four, five, six, or more of these impressive but meaningless labels. If they receive treatment at all, they get whatever is being promulgated as the method of management du jour: medications, behavioral modification, or exposure therapy. These rarely work and often cause more damage.

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

His struggle to mold me in his image had been successful after all. The old walrus in fact managed to instill in me a great and burning ambition; it had simply found expression in an unintended pursuit. He never understood that the Devils Thumb was the same as medical school, only different.

Sometimes, this disapproval of how you are managing your pain crosses over to disbelief that you are in as much pain as you say you are. They don’t believe that your pain is a legitimate enough reason to rest or nap or cry or take narcotic medications or not go to work or to go to the doctor. They might think that you are making too big of a deal out of it. They doubt the legitimacy of the pain itself. This kind of stigma is the source of the dreaded accusation that chronic pain is “all in your head.” It’s as if to say that you are making a mountain out of a molehill.

To use a medical analogy, while mystics try to heal themselves (that is, to transcend sleep), conventionally religious people simply try to manage the symptoms. Near-death

We have a genuine and devastating epidemic of opiate abuse in this country, and it is of critical importance that this problem be addressed. But we must do so in a way that doesn’t cut off an effective (and often the only) treatment for the chronically ill, many of whom are able to function in this world at all only because of the small respite that responsible opiate use provides.

It was the American middle class. No one's house cost more than two or three year's salary, and I doubt the spread in annual wages (except for the osteopath) exceeded more than five thousand dollars. And other than the doctor (who made house calls), the store managers, the minister, the salesman, and the banker, everyone belonged to a union. That meant they worked a forty-hour week, had the entire weekend off (plus two to four weeks' paid vacation in the summer), comprehensive medical benefits, and job security. In return for all that, the country became the most productive in the world and in our little neighborhood it meant your furnace was always working, your kids could be dropped off at the neighbors without notice, you could run next door anytime to borrow a half-dozen eggs, and the doors to all the homes were never locked -- because who would need to steal anything if they already had all that they needed?

Her mouth was cut, her left eye already beginning to swell. There was raw color along her cheekbone. He managed to take a full, almost easy breath. "You're going to have a hell of a bruise." "I've had them before." The medication was seeping in, turning pain into a mist. She only smiled when he stripped her to the waist and began checking for other injuries. "You've got great hands. I love when you touch me. Nobody ever touched me like that. Did I tell you?" "No." And he doubted she'd remember she was telling him now. He'd make sure to remind her. "And you're so pretty. So pretty," she repeated, lifting a bleeding hand to his face. "I keep wondering what you're doing here." He took her hand, wrapped a cloth gently around it. "I've asked myself the same question." She grinned foolishly, let herself float. Need to file my report, she thought hazily. Soon. "You don't really think we're going to make anything out of this, do you? Roarke and the cop?" "I guess we'll have to find out.

What Chloe actually did to cope was take her medication religiously, write fanciful lists, play The Sims, and live through it. Sometimes it was hard, but she managed by whatever means necessary.

And yet out of the thousands of pictures that Navidson took, there not exist a single frame without a person in it. Navidson never snapped scenery. People mattered most to him, whether soldiers, lepers, medics, or newlyweds eating dinner at a trattoria in Rome, or even a family of tailors swimming alone at some sandy cove north of Rio. Navidson religiously studied others. The world around only mattered because people lived there and sometimes, in spite of the pain, tragedy and degradation, even managed to triumph there.

The proper management of one's feelings clearly lies along a complex (and therefore not simple or easy) balanced middle path, requiring constant judgment and continuing adjustment. Here the owner treats his feelings (slaves) with respect, nurturing them with good food, shelter and medical care, listening and responding to their voices, encouraging them, inquiring as to their health, yet also organizing them, limiting them, deciding clearly between them, redirecting them and teaching them, all the while leaving no doubt as to who is the boss. This is the path of healthy self-discipline.

Have you talked to her recently?” I shook my head. “You?” “No.” He turned around and took a step forward just as he made it to the counter. Over his shoulder, he asked, “Did you not tell her we’re partners then?” Shit. “No.” I paused. I had assumed he would. “You haven’t told her either?” “No.” “Your parents?” “They’re in Russia. I haven’t spoken to them since worlds. Mother has sent me a few picture messages, but that’s been all our communication.” Double shit. “I thought you would have told them.” “I thought you would have told Karina.” “I don’t talk to her as much as I used to. She’s busy with medical school.” I could only manage to see the back of Ivan’s head as he nodded, slowly and thoughtfully, like he was thinking the same thing I was. And his next words confirmed it. “She’s going to kill us.” Because she was. She sure as fuck was. “Call her and tell her,” I tried to throw it on him. “You call and tell her,” he scoffed, not looking at me. I poked him in the back. “She’s your sister.” “She’s your only friend.” “Asshole,” I muttered. “Let’s flip a coin to see who should do it.” That time he did glance at me. “No.” No. Ass. “I’m not doing it.” “Me neither.” “Don’t be a pussy and do it,” I hissed, trying to keep my voice low. His snicker made me frown. “Sounds like I’m not the only pussy,” he returned. I opened my mouth and closed it. He got me. He fucking got me.

The standard modern measurement for inebriation is the Ose system. This has been considerably developed over the years, but the common medical consensus currently has jocose, verbose, morose, bellicose, lachrymose, comatose, adios. This is a workable but incomplete system, as it fails to take in otiose (meaning impractical) which comes just after jocose. Nor does it have grandiose preceding bellicose. And how they managed to miss out globose (amorphous or formless) before comatose is beyond me.

Mystics from all traditions have the common aim of cultivating wakefulness, while the common aim of all mainstream religions is to offer consolation and psychological support. To use a medical analogy, while mystics try to heal themselves (that is, to transcend sleep), conventionally religious people simply try to manage the symptoms. Near-death

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

To this day, the notion of treating diabetes by increasing consumption of the foods that caused the disease in the first place, then managing the blood sugar mess with medications, persists.

Since my symptoms began 13 years ago, I’ve tried every form of pain management I could access — NSAIDS, nonopioid analgesics, neurologic medications, acupuncture, laser therapy, physical therapy, prolotherapy, massage, and trigger-point injections. Most of these have been unhelpful; others provide temporary relief, often at great expense. At the end of the day, when my body is fully depleted of its resources and in the most pain, a single dose of Percocet is the only tool that silences the pain enough for me to fall asleep. I honestly don’t know what I’d do if Percocet became unavailable to me, and the very thought scares me. I’ve been taking it for five years. To avoid any chance of addiction, I only take it at night and have stayed on a consistently low dose.

Without a healthy sense of control, kids feel powerless and overwhelmed and will often become passive or resigned. When they are denied the ability to make meaningful choices, they are at high risk of becoming anxious, struggling to manage anger, becoming self-destructive, or self-medicating.

I currently take Lortab, which is a combination of acetaminophen and hydrocodone. I’d rather not take this medication, or any medication for that matter, but it is the only one that controls my pain adequately enough to allow me to function on a daily basis... I take the smallest dose possible to enable me to remain as clear-headed as possible to do what I need to do each day... Even with the minimal opioids I take, I still have pain all the time, 24 hours a day; without opioids, life would be torture.

Ordering drinks always floored me. I didn't know whisky from gin and never managed to get anything I really liked the taste of. Buddy Willard and the other college boys I knew were usually too poor to buy hard liquor or they scorned drinking altogether. It's amazing how many college boys don't drink or smoke. I seemed to know them all. The farthest Buddy Willard ever went was buying us a bottle of Dubonnet, which he only did because he was trying to prove he could be aesthetic in spite of being a medical student. "I'll have a vodka," I said. The man looked at me more closely. "With anything?" "Just plain," I said. "I always have it plain." I thought I might make a fool of myself by saying I'd have it with ice or gin or anything. I'd seen a vodka ad once, just a glass full of vodka standing in the middle of a snowdrift in a blue light, and the vodka looked clear and pure as water, so I thought having vodka plain must be all right. My dream was someday ordering a drink and finding out it tasted wonderful.

I’ve learned how to manage my symptoms, now, of course. I have medication, physiotherapy, cognitive therapy. I’m fine, really. But I feel like a part of me hasn’t caught up with that. Like I’m still afraid of myself.

Even though our journey as parents of a medically fragile child began with emotional turmoil, it has since become a purposeful odyssey that brings meaning and depth to our lives. This is the road we were born to travel.

Instead, the top five jobs of Everyday Millionaires came out like this: Engineer Accountant Teacher Management Attorney It's interesting to note that medical doctors did not make the top five and neither did banker.

The thing about being barren is that you’re not allowed to get away from it. Not when you’re in your thirties. My friends were having children, friends of friends were having children, pregnancy and birth and first birthday parties were everywhere. I was asked about it all the time. My mother, our friends, colleagues at work. When was it going to be my turn? At some point our childlessness became an acceptable topic of Sunday-lunch conversation, not just between Tom and me, but more generally. What we were trying, what we should be doing, do you really think you should be having a second glass of wine? I was still young, there was still plenty of time, but failure cloaked me like a mantle, it overwhelmed me, dragged me under, and I gave up hope. At the time, I resented the fact that it was always seen as my fault, that I was the one letting the side down. But as the speed with which he managed to impregnate Anna demonstrates, there was never any problem with Tom’s virility. I was wrong to suggest that we should share the blame; it was all down to me. Lara, my best friend since university, had two children in two years: a boy first and then a girl. I didn’t like them. I didn’t want to hear anything about them. I didn’t want to be near them. Lara stopped speaking to me after a while. There was a girl at work who told me—casually, as though she were talking about an appendectomy or a wisdom-tooth extraction—that she’d recently had an abortion, a medical one, and it was so much less traumatic than the surgical one she’d had when she was at university. I couldn’t speak to her after that, I could barely look at her. Things became awkward in the office; people noticed. Tom didn’t feel the way I did. It wasn’t his failure, for starters, and in any case, he didn’t need a child like I did. He wanted to be a dad, he really did—I’m sure he daydreamed about kicking a football around in the garden with his son, or carrying his daughter on his shoulders in the park. But he thought our lives could be great without children, too. “We’re happy,” he used to say to me. “Why can’t we just go on being happy?” He became frustrated with me. He never understood that it’s possible to miss what you’ve never had, to mourn for it.

Parents of medically fragile children find themselves becoming experts in lots of different areas, including laws and regulations, research and treatments, and the various specialists that support the health of their children.

No job in the world is worth destroying yourself over, even if you work in a brilliant, beautiful place like the NHS. It’s OK to take a break or a breather. It’s also OK to step away altogether, if that’s the right thing to do. In a world of people telling you not to rock the boat, sometimes you have to fuck the boat. Do it with as much love and tenderness as you can manage, but grab your trunks and start swimming. Only you know what’s in your heart – whether it’s becoming a caricaturist in Leicester Square, moving to Chad or moving in with Chad. I promise you’ll sleep a lot better.

Then someone else appeared from the crowd, and Annabeth's vision tunneled. Percy smiled at her-that sarcastic, troublemaker's smile that had annoyed her for years but eventually had become endearing. His sea-green eyes were as gorgeous as she remembered. His dark hair was swept to one side, like he'd just come from a walk on the beach. He looked even better than he had six months ago-tanner and taller, leaner and more muscular. Annabeth was to stunned to move. She felt that if she got any closer to him, all the molecules in her body might combust. She'd secretly had a crush on him sonar they were twelve years old. Last summer, she'd fallen for him hard. They'd been a happy couple together for four months-and then he'd disappeared. During their separation, something had happened to Annabeth's feelings. They'd grown painfully intense-like she'd been forced to withdraw from a life-saving medication. Now she wasn't sure which was more excruciating-living with that horrible absence, or being with him again... Annabeth didn't mean to, but she surged forward. Percy rushed toward her at the same time. The crowds tensed. Some reach d for swords that weren't there. Percy threw his arms around her. They kissed, and for a moment nothing else mattered. An asteroid could have hit the planet and wiped out all life, Annabeth wouldn't have cared. Percy smelled of ocean air. His lips were salty. Seaweed Brain, she thought giddily. Percy pulled away and studied her face. "Gods, I never thought-" Annabeth grabbed his wrist and flipped him over her shoulder. He slammed into the stone pavement. Romans cried out. Some surged forward, but Reyna shouted, "Hold! Stand down!" Annabeth put her knee on Percy's chest. She pushed her forearm against his throat. She didn't care what the Romans thought. A white-hot lump of anger expanded in her chest-a tumor of worry and bitterness that she'd been carrying around since last autumn. "Of you ever leave me again," she said, her eyes stinging, "I swear to all the gods-" Percy had the nerve to laugh. Suddenly the lump of heated emotions melted inside Annabeth. "Consider me warned," Percy said. "I missed you, too." Annabeth rose and helped him to his feet. She wanted to kiss him again SO badly, but she managed to restrain herself. Jason cleared his throat. "So, yeah…It's good to be back…" "And this is Annabeth," Jason said. "Uh, normally she doesn't judo-flip people.

I have noticed over the past three years that most African Christians depend on their pastor or preachers for directions in life than their lecturers, politicians and nurses. That tells why most people refuse certain medical priorities with regards to their pastor's messages. I think if every pastor should have entrepreneurial knowledge coupled with spiritual integrity, Africa will shake!

Several years ago, researchers at the University of Minnesota identified 568 men and women over the age of seventy who were living independently but were at high risk of becoming disabled because of chronic health problems, recent illness, or cognitive changes. With their permission, the researchers randomly assigned half of them to see a team of geriatric nurses and doctors—a team dedicated to the art and science of managing old age. The others were asked to see their usual physician, who was notified of their high-risk status. Within eighteen months, 10 percent of the patients in both groups had died. But the patients who had seen a geriatrics team were a quarter less likely to become disabled and half as likely to develop depression. They were 40 percent less likely to require home health services. These were stunning results. If scientists came up with a device—call it an automatic defrailer—that wouldn’t extend your life but would slash the likelihood you’d end up in a nursing home or miserable with depression, we’d be clamoring for it. We wouldn’t care if doctors had to open up your chest and plug the thing into your heart. We’d have pink-ribbon campaigns to get one for every person over seventy-five. Congress would be holding hearings demanding to know why forty-year-olds couldn’t get them installed. Medical students would be jockeying to become defrailulation specialists, and Wall Street would be bidding up company stock prices. Instead, it was just geriatrics. The geriatric teams weren’t doing lung biopsies or back surgery or insertion of automatic defrailers. What they did was to simplify medications. They saw that arthritis was controlled. They made sure toenails were trimmed and meals were square. They looked for worrisome signs of isolation and had a social worker check that the patient’s home was safe. How do we reward this kind of work? Chad Boult, the geriatrician who was the lead investigator of the University of Minnesota study, can tell you. A few months after he published the results, demonstrating how much better people’s lives were with specialized geriatric care, the university closed the division of geriatrics.

The accelerating pace of zoonotic transmission of novel viruses into humans is attributable to anthropogenic epidemiologic factors. Only behavior modification or medical management of this future health burden will minimize the risks of future zoonoses for human populations.

Failure per se is not a disease but it can trigger anxiety, depression and even suicide. If failure can strike anyone, how can we handle it? Medical science has a well-defined mechanism in place for dealing with diseases – it identifies the symptoms and then prescribes a methodology for their management. Psychologists and Psychiatrists have management practices for dealing with anxiety and depression. But do we have a method for dealing with failure?

Treatment for DID should adhere to the basic principles of psychotherapy and psychiatric medical management, and therapists should use specialized techniques only as needed to address specific dissociative symptomatology. Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision

Next is diet or nutrition—or as I prefer to call it, nutritional biochemistry. The third domain is sleep, which has gone underappreciated by Medicine 2.0 until relatively recently. The fourth domain encompasses a set of tools and techniques to manage and improve emotional health. Our fifth and final domain consists of the various drugs, supplements, and hormones that doctors learn about in medical school and beyond. I lump these into one bucket called exogenous molecules, meaning molecules we ingest that come from outside the body.

Education continued to come under particularly strong fire...: If women learned how to manage in the world as well as men, if they learned about history and politics and studied for a profession, of course they would soon be demanding a voice and a role outside the home. The medical doctors soon discovered that education was dangerous to a female's health.

Though the element is no longer used in mainstream medicine, mercury has managed to slither its way into many a doctor’s office. It is perhaps oddly appropriate that the symbol for the god Mercury was the caduceus—two snakes entwined on a winged rod. The symbol is commonly and incorrectly associated with the medical establishment, due to a mistake when the US Army Medical Corps adopted the symbol in 1902. Soon after, it became a ubiquitous sign of healing. But in fact, the caduceus represents Mercury—the god of financial gain, commerce, thieves, and trickery.

We need to be the company that manages your relationship with the cloud—streams your music and videos from the cloud, stores your pictures and information, and maybe even your medical data.

The latest research on substance use disorder from Harvard Medical School shows it takes the typical opioid-addicted user eight years—and four to five treatment attempts—to achieve remission for just a single year. And yet only about 10 percent of the addicted population manages to get access to care and treatment for a disease that has roughly the same incidence rate as diabetes.

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.

Other women, even if they’ve had little support in high school, still manage to go to college. Unfortunately, because they have no idea what is wrong and what accommodations they could get to succeed, they are soon overwhelmed and either drop out or change schools several times. Others continue to self-medicate with drugs or alcohol to counteract their low self-esteem and bring them some form of needed relaxation, as well as a way to feel focused. Other young women might act out sexually with multiple partners or even tolerate destructive relationships in order to have the security of some kind of structure to come up against.

It must be frustrating to survive the gauntlet that is our western medical schooling system only to one day come to the realization that you have been taught only to manage illness and disease instead of curing it.

Kuslich SD, Ulstrom CL, Michael CJ. The tissue origin of low back pain and sciatica: a report of pain response to tissue stimulation during operations on the lumbar spine using local anesthesia. Orthop Clin North Am. 1991;22(2):181

Julius brooded. He could see Julius despising the medical school of Pavia. Tobie said, "Nicholas managed the journey from Flanders all right. Deferred to you, joked discreetly with me, got on like a dyeworks on fire with the muleteers.

Popular books promise that we can and should learn how to feel good, manage our anxiety, or get rid of our depression—but not so much information about how to learn from our own experiences. Our medications are anti-depressants, or anti-anxiety, or anti-psychotics, as if the only sensible goal is to subtract them. Our disorders are called “mood disorders” or “thought disorders” or “anxiety disorders”—once again feeding a cultural view that is often outright hostile to anything painful. We’ve got to put aside this unhelpful messaging to create some space to try truly new things.

It wasn't uncommon. Treated, bipolar disorder could be managed quite well in most cases. Two of my med school professors had talked openly about having it. But for some people, the medication made them feel flat. Gray. The mood swings and mania were the price they paid for a life full of color.

This knowledge did not bring fear but a sense of resignation – he had needed the medication, and he had somehow managed to escape his room and get it. If there were consequences, punishment, he could face them with at least the understanding that he could have done nothing but what he had done.

To change the culture leaders must make it clear that if a team member does make a medication error, it’s a process problem, not a people problem. Our job as managers and leaders is to redesign the process that delivered the defect. The culture changes when the leaders focus on the process and quit blaming the people.

Man's consciously lived fragility, individuality and relatedness make the experience of pain, of sickness and of death an integral part of his life. The ability to cope with this trio autonomously is fundamental to his health. As he becomes dependent on the management of his intimacy, he renounces his autonomy and his health must decline.

MODERN SCIENTIFIC CAPABILITY has profoundly altered the course of human life. People live longer and better than at any other time in history. But scientific advances have turned the processes of aging and dying into medical experiences, matters to be managed by health care professionals. And we in the medical world have proved alarmingly unprepared for it.

Allan Zacher - Retired physician Retired physician Allan Zacher is a loving father to three adult daughters who know him as a kind, compassionate man with a generous spirit. Since retirement, Allan Zacher has been developing his photography skills and plans to begin selling his work. In his medical career, his specializations were anesthesiology and pain management.

Stress can be viewed as a medical problem, or it can be viewed as a political one. Those who have studied it in its broader social context are well aware that it arises in circumstances where individuals have lost control over their working lives, which ought to throw the policy spotlight on precarious work and autarchic management, not on physical bodies or medical therapies.

parents are the most important influences on children, and that the best way to curb misbehavior is to insist on standards of decency. If we cannot persuade our children that they have the capacity to manage their lives and that the world is worth living in—and then work to create a world in which this is true—medical treatments will expand endlessly but will not be able to help us.

High-quality and transparent data, clearly documented, timely rendered, and publicly available are the sine qua non of competent public health management. During a pandemic, reliable and comprehensive data are critical for determining the behavior of the pathogen, identifying vulnerable populations, rapidly measuring the effectiveness of interventions, mobilizing the medical community around cutting-edge disease management, and inspiring cooperation from the public. The shockingly low quality of virtually all relevant data pertinent to COVID-19, and the quackery, the obfuscation, the cherrypicking and blatant perversion would have scandalized, offended, and humiliated every prior generation of American public health officials. Too often, Dr. Fauci was at the center of these systemic deceptions. The “mistakes” were always in the same direction—inflating the risks of coronavirus and the safety and efficacy of vaccines in

Unlike most other health-care systems in the world, health care in the United States is largely profit driven. The reconstruction of the U.S. medical system around managed care led to the closure of hundreds of hospitals across the country,697 leaving many cities with little surge capacity to deal with an abnormal influx of patients.698 HMO corporate stock profiles can ill afford to provide extra beds and ventilators for some indeterminate future surge of patients.

I ask Nichopoulos to talk about precisely, medically, what caused Presley’s death. “The night he died he was bigger than usual,” he begins. Depending on how long it had been since Presley had managed to empty himself, his girth fluctuated between big and stupendous. He sometimes appeared to be gaining or losing twenty pounds from one performance to the next. “He wanted to get rid of his gut that night. He was pushing and pushing. Holding his breath.” As the constipated do.

TRUST THE SYSTEM ON ACUTE ISSUES, IGNORE IT ON CHRONIC Most health care books give recommendations and end with a disclaimer to “consult your doctor.” I have a different conclusion: when it comes to preventing and managing chronic disease, you should not trust the medical system. This might sound pessimistic or even frightening, but understanding the incentives of our medical system and why it does not deserve our benefit of the doubt is the first step to becoming an empowered patient.

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

Without a healthy sense of control, kids feel powerless and overwhelmed and will often become passive or resigned. When they are denied the ability to make meaningful choices, they are at high risk of becoming anxious, struggling to manage anger, becoming self-destructive, or self-medicating. Despite the many resources and opportunities their parents offer them, they will often fail to thrive. Without a sense of control, regardless of their background, inner turmoil will take its toll. We

A major push is under way to figure out the molecular basis of those "critical" or "sensitive" periods, to figure out how the brain changes as certain learning abilities come and go. In some, if not all, of those mammals that have the alternating stripes in the visual cortex known as ocular dominance columns, those columns can be adjusted early in development, but not in adulthood. A juvenile monkey that has one eye covered for an extended period of time can gradually readjust its brain wiring to favor the open eye; an adult monkey cannot adjust its wiring. At the end of a critical period, a set of sticky sugar-protein hybrids known as proteoglycans condenses into a tight net around the dendrites and cell bodies of some of the relevant neurons, and in so doing those proteoglycans appear to impede axons that would otherwise be wriggling around as part of the process of readjusting the ocular dominance columns; no wriggling, no learning. In a 2002 study with rats, Italian neuroscientist Tommaso Pizzorusso and his colleagues dissolved the excess proteoglycans with an antiproteoglycan enzyme known as "chABC," and in so doing managed to reopen the critical period. After the chABC treatment, even adult rats could recalibrate their ocular dominance columns. ChABC probably won't help us learn second languages anytime soon, but its antiproteoglycan function may have important medical implications in the not-too-distant future. Another 2002 study, also with rats, showed that chABC can also promote functional recovery after spinal cord injury.

With luck and fastidiousness—eating well, exercising, keeping our blood pressure under control, getting medical help when we need it—people can often live and manage a very long time. But eventually the losses accumulate to the point where life’s daily requirements become more than we can physically or mentally manage on our own. As fewer of us are struck dead out of the blue, most of us will spend significant periods of our lives too reduced and debilitated to live independently. We do not like to think about this eventuality. As a result, most of us are unprepared for it. We

The experience of being ill can be like waking up in a foreign country. Life, as you formerly knew it, is on hold while you travel through this other world as unknown as it is unexpected. When I see patient in the hospital or in my office who are suddenly, surprisingly ill, what they really want to know is, "what is wrong with me?" They want a road map that will help them manage their new surroundings. The ability to give this unnerving and unfamiliar a place a name, to know it - on some level - restores a measure of control, independent of whether or not that diagnosis comes attached to a cure.

Health professionals have a formal classification system for the level of function a person has. If you cannot, without assistance, use the toilet, eat, dress, bathe, groom, get out of bed, get out of a chair, and walk—the eight “Activities of Daily Living”—then you lack the capacity for basic physical independence. If you cannot shop for yourself, prepare your own food, maintain your housekeeping, do your laundry, manage your medications, make phone calls, travel on your own, and handle your finances—the eight “Independent Activities of Daily Living”—then you lack the capacity to live safely on your own.

Harry huddled up. The cold, raw wind blew right through him as if he were a ghost. These were thoughts he had managed to keep at bay, but now they crowded in on him: if he couldn’t know whether he was capable of cheating on the woman he treasured most in his life, how could he know what else he had done? Aune maintained that drink and drugs merely strengthened or weakened qualities latent within us. But who knew for sure what was inside them? Humans are not robots and the chemistry of the brain changes over time. Who had a full inventory of all the things–given the right circumstances and the wrong medication–we are capable of doing?

Another eminent psychologist, Dr. Aaron Antonovsky, an Israeli medical sociologist, has also attempted to pin down the key psychological traits that allowed some to withstand extreme stress while others did not. He focused on Holocaust survivors and narrowed the search down to three traits that together add to having a sense of coherence: comprehensibility, manageability and meaningfulness. So “hardy” people have a belief that their situation has inherent meaning that they can commit themselves to, that they can manage their life and that their situation is understandable—that it is basically comprehensible, even if it seems chaotic and out of control.

This is related to the phenomenon of the Professional Smile, a national pandemic in the service industry; and noplace in my experience have I been on the receiving end of as many Professional Smiles as I am on the Nadir, maître d’s, Chief Stewards, Hotel Managers’ minions, Cruise Director—their P.S.’s all come on like switches at my approach. But also back on land at banks, restaurants, airline ticket counters, on and on. You know this smile—the strenuous contraction of circumoral fascia w/ incomplete zygomatic involvement—the smile that doesn’t quite reach the smiler’s eyes and that signifies nothing more than a calculated attempt to advance the smiler’s own interests by pretending to like the smilee. Why do employers and supervisors force professional service people to broadcast the Professional Smile? Am I the only consumer in whom high doses of such a smile produce despair? Am I the only person who’s sure that the growing number of cases in which totally average-looking people suddenly open up with automatic weapons in shopping malls and insurance offices and medical complexes and McDonald’ses is somehow causally related to the fact that these venues are well-known dissemination-loci of the Professional Smile? Who do they think is fooled by the Professional Smile? And yet the Professional Smile’s absence now also causes despair. Anybody who’s ever bought a pack of gum in a Manhattan cigar store or asked for something to be stamped FRAGILE at a Chicago post office or tried to obtain a glass of water from a South Boston waitress knows well the soul-crushing effect of a service worker’s scowl, i.e. the humiliation and resentment of being denied the Professional Smile. And the Professional Smile has by now skewed even my resentment at the dreaded Professional Scowl: I walk away from the Manhattan tobacconist resenting not the counterman’s character or absence of goodwill but his lack of professionalism in denying me the Smile. What a fucking mess.

Say Goodbye to Fingersticks & hello to Continuous Glucose Monitoring Systems Living with diabetes is a daily challenge, requiring individuals to closely monitor their blood glucose levels to maintain stable health. Fortunately, advancements in medical technology have revolutionized diabetes management, with one such innovation being Continuous Glucose Monitoring (CGM) systems. CGM has become a game-changer for diabetics, providing real-time data and insights that enable better control of blood sugar levels and, ultimately, a higher quality of life. In this article, we will explore the benefits of Continuous Glucose Monitoring and how it has transformed diabetes management for the better.

Until the early years of the twenty-first century, no one knew that bones produced hormones at all, but then a geneticist at Columbia University Medical Center, Gerard Karsenty, realized that osteocalcin, which is produced in bones, not only is a hormone but seems to be involved in a large number of important regulatory activities across the body, from helping to manage glucose levels to boosting male fertility to influencing our moods and keeping our memory in working order. Apart from anything else, it could help to explain the long-standing mystery of how regular exercise helps to stave off Alzheimer’s disease: exercise builds stronger bones and stronger bones produce more osteocalcin.

BESTIARY " charybdis: when i suck in / i make deadly / whirlpools / ask anyone who’s managed / to climb out / alive dragon: patrol or pillage / he exhales and a whole village / burns / iron scaled sentry / guardian of the ivory / tower i wrap my legs around / everyone thinks / he’s a brute / but for me / he lifts his breast plate / for me he welcome the quiver / and the arrow’s teeth. golem: take his hair in your hands / his dead / skin cells / his discarded undergarments / take them / and make of them a new boy this effigy / his likeness and nothing / like him / breathe life into its clenched carapace // my god / i think i saw it / move medusa: when i saw / my face / reflected in terror / in his eyes / i turned to stone / or a pillar of salt watching my village burn / he was the village burning / maybe that’s a different story / maybe in the end only the snakes wept siren: he cries / and i / lashed to the mast of a ship / steer my body toward the sound / sheets bound around wrists and ankles tears make grief / a lighthouse you wear / when i hear him a huge wood wheel turns in my stomach / and i break / open on / his jagged coast werewolf: there are many words for transformation / metamorphosis metaphor / medication / go to sleep / beside the man you love wake up next to a dog / maybe the moon brought it out of him hound hungry for blood / maybe its your fault / or maybe it was there inside him / howling all along

The evaluation of the merits of medical treatments for madness has always been a calculation made by doctors and, to a certain extent, by society as a whole. Does the treatment provide a method for managing disturbed people? That is the usual bottom line. The patient’s subjective response to the treatment—does it help the patient feel better or think more clearly?—simply doesn’t count in that evaluation. The “mad,” in fact, are dismissed as unreliable witnesses. How can a person crazy in mind possibly appreciate whether a treatment—be it Rush’s gyrator, a wet pack, gastrointestinal surgery, metrazol convulsive therapy, electroshock, or a neuroleptic—has helped? Yet to the person so treated, the subjective experience is everything.

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

When I first stopped trying to fix other people, I turned my attention to 'curing' myself. I was in a hurry to get this healing process over. I wanted immediate recovery from the effects of growing up in a family riddled with alcoholism and from being married to an alcoholic. I looked forward to the day I would graduate from Al-Anon and get on with my life. As year two and year three passed, I was still in the program. I began to despair as the character defects I had worked so long to overcome came back to haunt me, particularly during times of stress and during periods when I didn't attend meetings. I have severe arthritis in my joints. To cope with my condition, I have to assess my body each day and patiently respond to its needs. Some days I need a warm bath to get going in the morning. On other days I apply a medicated rub to the painful areas. Yet other days some light stretching and exercise help to loosen me up. I'ave accepted that my arthritis will never go away. It's a condition I manage daily with consistent, on-going care. One day I made a connection between my medical condition and my struggle with recovery. I began to look at myself as having 'arthritis of the personality,' requiring patient, continuous care to keep me from 'stiffening' into old habits and attitudes. This care includes attending meetings, reading Al-Anon literature, calling my sponsor, and engaging in service. Now, as long as I practice patience, recovery is a manageable and adventurous process instead of an arduously sought end point.

It was only when professionals believed that reports on errors and near misses would be treated as learning opportunities rather than a pretext to blame that this crucial information started to flow. Managers were initially worried that reducing the penalties for error would lead to an increase in the number of errors. In fact, the opposite happened. Insurance claims fell by a dramatic 74 percent. Similar results have been found elsewhere. Claims and lawsuits made against the University of Michigan Health System, for example, dropped from 262 in August 2001 to 83 following the introduction of an open disclosure policy in 2007. The number of lawsuits against the University of Illinois Medical Center fell by half in two years after creating a system of open reporting.

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.

Those of us who have so-called normal lives without undue stress and fear and worry and pain rarely know how fortunate we are. Then we see a man like Adam who’s famous even if unemployed and who lives at his sister’s house and struggles to manage, and we’re tempted to think he should snap out of it. He’s obviously intelligent, and he has no apparent disabilities. So we think, you’re smart, go out and get a job, and make yourself a normal life. Then we learn that the man has Traumatic Brain Injury and medical issues that can rip normalcy in two, and we realize that one of the main problems is in ourselves for failing to consider that not all other people have our good fortune of functioning bodies and brains, with emotional and psychological landscapes that are level and fertile and stable and predictable.

Where do you get your confidence?” is a complex, dangerous question. First of all, if you are a thin person, please do not go around asking fat people where they got their confidence in the same tone you’d ask a shark how it learned to breathe air and manage an Orange Julius. As a woman, my body is scrutinized, policed, and treated as a public commodity. As a fat woman, my body is also lampooned, openly reviled, and associated with moral and intellectual failure. My body limits my job prospects, access to medical care and fair trials, and— the one thing Hollywood movies and Internet trolls most agree on— my ability to be loved. So the subtext, when a thin person asks a fat person, “Where do you get your confidence?” is, “You must be some sort of alien because if I looked like you, I would definitely throw myself into the sea.

He wished he understood where they come from: all the terrorists, religious revolutionists and hate-criminals. Did terrorizing entire communities of people help them sleep sound at night? Did it make them happy? Or are they just in for the attention? Have they nothing to lose? Or are they simply bored and spit balling issues that have always been there? Can all global acts of violence and terror be summed up, as just a whole other level of a mixture of bad parenting, psychological disorders and unattended anger management issues? Can they be treated, medically or spiritually? Are we waiting for the birth of another great visionary like Gautama Buddha, Jesus Christ or Prophet Muhammad, who will 'make the world a better place'? Or are we just too soaked in the idea that religion is a dying concept and spirituality is overrated? Is it too late? Are we too far behind? He wanted to know.

Discouraging cooperation and common purpose. Rewarding individuals for measured performance diminishes the sense of common purpose as well as the social relationships that provide the unmeasureable motivation for cooperation and institutional effectiveness.7 Reward based on measured performance tends to promote not cooperation but competition. If the individuals or units respond to the incentives created, rather than aiding, assisting, and advising one another, they strive to maximize their own metrics, ignoring, or even sabotaging, their fellows. As Donald Berwick, a leading medical reformer, has recounted, One hospital CEO described to me his system of profit-center management, in which middle management bonuses depended on local budget performance. I asked him if one of his managers would transfer resources from his department to another’s if it would help the organization as a whole. “Yes,” the CEO answered honestly, “if he were crazy.

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….

Marilee lay perfectly still,waiting for her world to settle.She had to fight the unreasonable urge to weep. Wyatt's face was pressed to the hollow of her throat,his breathing rough, his damp body plastered to hers. He nuzzled her neck. "Am I too heavy?" "Umm." It was all she could manage. "You all right?" "Umm." "Did anybody ever tell you that you talk too much?" "Umm." He brushed his mouth over hers. "If you hum a bit more,I might be able to name that tune." That broke the spell of tears that had been threatening and caused her to laugh. She wrapped her arms around his neck and kissed him back. "Have I told you how much I like your silly sense of humor?" "No,you haven't." He rolled to his side and gathered her into his arms,nuzzling her cheek,while his big hands moved over her hip,her back,her waist, as though measuring every inch of her. "What else do you like about me?" "You fishing for compliments?" "Of course I am." "Glutton. Your sense of humor isn't enough?" "Not nearly enough.How about my looks?" "They're okay,for a footloose rebel." "Stop.All these mushy remarks will inflate my ego." He gave a mock frown. "How about the way I kiss?" "You're not bad." "Not bad?" His hands stopped their movement. He drew a little away. "That's all you can say?" "If you recall,tonight was the first time we've kissed.I haven't had nearly enough practice to be a really good judge of your talent." "Then we'd better take care of that right now." He framed her face. With his eyes steady on hers, he lowered his mouth to claim her lips. Marilee's eyelids fluttered and she felt an explosion of color behind them. As though the moon and stars had collided while she rocketed through space. It was the most amazing sensation, and, as his lips continued moving over hers,she found herself wishing it could go on forever. When at last they came up for air, she took in a long,deep breath before opening her eyes. "Oh,yes,rebel.I have to say,I do like the way you kiss." "That's good,because I intend to do a whole lot more of it." He lay back in the grass,one hand beneath his head. "Now it's my turn.Want to know all the things I like about you?" "I'm afraid to hear it." Marilee lay on her side,her hand splayed across his chest. "Besides your freckles,which I've already mentioned,the thing about you I like best is your take-charge attitude." She chuckled. "A lot of guys feel intimidated by that." "They're idiots.Don't they know there's something sexy about a woman who knows what to do and how to do it? I've watched you as a medic and as a pilot, and I haven't decided which one turns me on more." "Really?" She sat up. "Want me to fetch my first-aid kit from the plane? I could always splint your arm or leg and really turn you on." He dragged her down into his arms and growled against her mouth, "You don't need to do a single thing to turn me on. All I need to do is look at you and I want you." "You mean now? Again? So soon?" "Oh,yeah." "Liar.I don't believe it's possible." "You ought to know by now that I never say anything I can't back up with action." "Prove it,rebel." "My pleasure." There was a wicked smile on his lips as he rolled over her and began to kiss her breathless,all the while taking her on a slow,delicious ride to paradise.

On Diversification for Stress Management The below came from me asking, “What advice would you give your 30-year-old self?”: “My 30-year-old self wouldn’t have access to medical marijuana, so I’d have a limited canvas with which to paint. I’ve always made it a top priority since I was a teenager—and had tons of stress-related medical problems—to make that job one: to learn how to not have stress. I would consider myself a world champion at avoiding stress at this point in dozens of different ways. A lot of it is just how you look at the world, but most of it is really the process of diversification. I’m not going to worry about losing one friend if I have a hundred, but if I have two friends I’m really going to be worried. I’m not going to worry about losing my job because my one boss is going to fire me, because I have thousands of bosses at newspapers everywhere. One of the ways to not worry about stress is to eliminate it. I don’t worry about my stock picks because I have a diversified portfolio. Diversification works in almost every area of your life to reduce your stress.

James Theimer: This is great! I will send you a “how- to” on reviews as soon as I’m back at my computer. Daria O'Brien: “77 Days delivers a masterful blend of political intrigue and heart-pounding action that makes every page turn feel like a necessity rather than a choice. Set against the powder keg of a disputed presidential election, this novel doesn't just describe a nation on edge – it throws you headlong into the chaos and refuses to let go. The author weaves together medical drama, family relationships, and military tension with the precision of a skilled surgeon and the dramatic flair of a seasoned storyteller. While most political thrillers are content to live in the halls of power, this one dares to show us both the big picture and the intimate human cost of a democracy in crisis. From its explosive opening to its breathless conclusion, 77 Days proves itself to be that rare thriller that manages to be both intellectually stimulating and viscerally entertaining. This is one of those books that will have you both calling in sick to work and questioning your assumptions about modern American politics.

Now, although hypertension is accentuated by modern civilisation, it is not specifically a disease of civilisation. It is a disease of consciousness—that is, of being human. The farm labourer going to work is as likely to ignore his surroundings as the harassed car salesman. And if the inhabitants of some Amazon village are ‘closer to nature’ than New Yorkers, this is usually at the cost of dirt and ignorance and inconvenience. Hypertension is the price we pay for the symphonies of Beethoven, the novels of Balzac, the advances in medical knowledge that prevent children dying of smallpox. However, it is not a necessary and inescapable price. It is the result of ignorance, of bad management of our vital economy. The point to observe here is that although hypertension may not be necessary, it is as widespread as the common cold. It would not be inaccurate to say that all human beings live in a state of ‘vigilance’ and anxiety that is far above the level they actually need for vital efficiency. It is a general tendency of consciousness to ‘spread the attention too thinly’; and, like an over-excited child with too many toys on Christmas Day, the result is nervous exhaustion.

My Future Self My future self and I become closer and closer as time goes by. I must admit that I neglected and ignored her until she punched me in the gut, grabbed me by the hair and turned my butt around to introduce herself. Well, at least that’s what it felt like every time I left the convalescent hospital after doing skills training for a certification I needed to help me start my residential care business. I was going to be providing specialized, 24/7 residential care and supervising direct care staff for non-verbal, non-ambulatory adult men in diapers! I ran to the Red Cross and took the certified nurse assistant class so I would at least know something about the job I would soon be hiring people to do and to make sure my clients received the best care. The training facility was a Medicaid hospital. I would drive home in tears after seeing what happens when people are not able to afford long-term medical care and the government has to provide that care. But it was seeing all the “young” patients that brought me to tears. And I had thought that only the elderly lived like this in convalescent hospitals…. I am fortunate to have good health but this experience showed me that there is the unexpected. So I drove home each day in tears, promising God out loud, over and over again, that I would take care of my health and take care of my finances. That is how I met my future self. She was like, don’t let this be us girlfriend and stop crying! But, according to studies, we humans have a hard time empathizing with our future selves. Could you even imagine your 30 or 40 year old self when you were in elementary or even high school? It’s like picturing a stranger. This difficulty explains why some people tend to favor short-term or immediate gratification over long-term planning and savings. Take time to picture the life you want to live in 5 years, 10 years, and 40 years, and create an emotional connection to your future self. Visualize the things you enjoy doing now, and think of retirement saving and planning as a way to continue doing those things and even more. However, research shows that people who interacted with their future selves were more willing to improve savings. Just hit me over the head, why don’t you! I do understand that some people can’t even pay attention or aren’t even interested in putting money away for their financial future because they have so much going on and so little to work with that they feel like they can’t even listen to or have a conversation about money. But there are things you’re doing that are not helping your financial position and could be trouble. You could be moving in the wrong direction. The goal is to get out of debt, increase your collateral capacity, use your own money in the most efficient manner and make financial decisions that will move you forward instead of backwards. Also make sure you are getting answers specific to your financial situation instead of blindly guessing! Contact us. We will be happy to help!

One particularly distressing example of the high cost to feminist progress exacted by the war is what happened in Pakistan after the capture of Osama bin Laden in Abbottabad, Pakistan, in 2011. In the run-up to his capture, the CIA and the U.S. military allegedly worked with the charity Save the Children in hiring Dr. Shakil Afridi, a Pakistani physician, to run a fake Hepatitis B vaccination program as a front for their surveillance operations.15 Per CIA instructions, Dr. Afridi and a female healthcare worker visited the bin Laden compound under the guise of administering vaccinations and managed to gain access, although they did not see bin Laden. In 2012, all foreign Save the Children staff were expelled from Pakistan, and in 2015, the entire organization there was required to shut its doors, despite having denied (and continuing to deny) that it was involved in this effort. The CIA managed to get their guy, but when the Pakistanis, irate at not having been told about the raid, expelled U.S. military trainers from Islamabad, they were immediately threatened with a cut of the $800 million aid package that the U.S. had promised, thus exposing yet again the coercive power that aid wields. The loss of aid money was not, however, the worst impact of the tragedy. As the British medical journal The Lancet reported, the unintended victims of the tragedy were the millions of Pakistani children whose parents now refused to have them vaccinated amidst rising rates of polio, a disease that vaccination had essentially extinguished in Western countries by the mid-twentieth century.16 In their view, if the CIA could hire a doctor to run a fake vaccine program, then the whole premise of vaccinations became untrustworthy. Within a few years of the raid, Pakistan had 60 percent of all the world’s confirmed polio cases.17

Read the following chain of events and see whether a similar pattern might apply to other toxic products that were reported in the news during your lifetime: 1. Workers were told that the paint was nontoxic, although there was no factual basis for this declaration. The employers discounted scientists. The workers believed their superiors. 2. Health complaints were made in ever-increasing frequency. It became obvious that something was seriously wrong. 3. U.S. Radium and other watch-dial companies began a campaign of disinformation and bogus medical tests - some of which involved X-rays and may even have made the condition worse. 4. Doctors, dentists, and researchers complied with U.S. Radium's and other companies' requests and refused to release their data to the public. 5. Medical professionals also aided the companies by attributing worker deaths to other causes. Syphilis was often cited as the diagnosis, which had the added benefit to management of being a smear on the victims' reputations. 6. One worker, Grace Fryer, decided to sue U.S. Radium. It took Fryer two years to find a lawyer who was willing to take on U.S. Radium. Only four other workers joined her suit; they became known as the "Radium Girls." 7. In 1928, the case was settled in the middle of the trial before it went to the jury for deliberation. The settlement for each of the five "Radium Girls" was $10,000 (the equivalent of $124,000 in 2009 dollars), plus $600 a year while the victim lived and all medical expenses. Remember the general outline of this scenario because you will see it over and over again: The company denies everything while the doctors and researchers (and even the industrial hygienists) in the company's employ support the company's distorted version of the facts. Perhaps one worker in a hundred will finally pursue justice, one lawyer out of the hundreds of thousands in the United States will finally step up to the plate, and the case will be settled for chump change.

The thing about being barren is that you're not allowed to get away from it. Not when you're in your thirties. My friends were having children, friends of friends were having children, pregnancy and birth and first birthday parties were everywhere. I was asked about it all the time. My mother, our friends, colleagues at work. When was it going to be my turn? At some point our childlessness became an acceptable topic of Sunday-lunch conversation, not just between Tom and me, but more generally. What we were trying, what we should be doing, do you really think you should be having a second glass of wine? I was still young, there was still plenty of time, but failure cloaked me like a mantle, it overwhelmed me, dragged me under, and I gave up hope. At the time, I resented the fact that it was always seen as my fault, that I was the one letting the side down. But as the speed with which he managed to impregnate Anna demonstrates, there was never any problem with Tom’s virility. I was wrong to suggest that we should share the blame; it was all down to me. Lara, my best friend since university, had two children in two years: a boy first and then a girl. I didn’t like them. I didn’t want to hear anything about them. I didn’t want to be near them. Lara stopped speaking to me after a while. There was a girl at work who told me—casually, as though she were talking about an appendectomy or a wisdom-tooth extraction—that she’d recently had an abortion, a medical one, and it was so much less traumatic than the surgical one she’d had when she was at university. I couldn’t speak to her after that, I could barely look at her. Things became awkward in the office; people noticed. Tom didn’t feel the way I did. It wasn’t his failure, for starters, and in any case, he didn’t need a child like I did. He wanted to be a dad, he really did—I’m sure he daydreamed about kicking a football around in the garden with his son, or carrying his daughter on his shoulders in the park. But he thought our lives could be great without children, too. “We’re happy,” he used to say to me. “Why can’t we just go on being happy?” He became frustrated with me. He never understood that it’s possible to miss what you’ve never had, to mourn for it.

Kathy’s teachers view her as a good student who always does her homework but rarely participates in class. Her close friends see her as a loyal and trustworthy person who is a lot of fun once you get to know her. The other students in school think she is shy and very quiet. None of them realize how much Kathy struggles with everyday life. When teachers call on her in class, her heart races, her face gets red and hot, and she forgets what she wants to say. Kathy believes that people think she is stupid and inadequate. She imagines that classmates and teachers talk behind her back about the silly things she says. She makes excuses not to go to social events because she is terrified she will do something awkward. Staying home while her friends are out having a good time also upsets her. “Why can’t I just act like other people?” she often thinks. Although Kathy feels isolated, she has a very common problem--social anxiety. Literally millions of people are so affected by self-consciousness that they have difficulties in social situations. For some, the anxiety occurs during very specific events, such as giving a speech or eating in public. For others, like Kathy, social anxiety is part of everyday life. Unfortunately, social anxiety is not an easily diagnosed condition. Instead, it is often viewed as the far edge of a continuum of behaviors and feelings that occur during social situations. Although you may not have as much difficulty as Kathy, shyness may still be causing you distress, affecting your relationships, or making you act in ways with which you are not happy. If this is the case, you will benefit from the advice and techniques provided in this book. The good news is that it is possible to change your thinking and behavior. However, there are no easy solutions. It takes strong motivation and time to overcome social anxiety. It might even be necessary to see a professional therapist or take medication. Eventually, becoming free of your anxiety will make the hard work well worth the effort. This book will help you understand social anxiety and the impact it can have on your life, now and in the future. You will find out how the disorder is diagnosed, you will receive information on professional guidance, and you will learn ways to cope with and manage the symptoms. Becoming an extroverted person is probably unlikely, but you can become more confident in social situations and increase your self-esteem.

While I was in the partisan unit, I received a letter from my husband by some miracle. This was such a joy, so unexpected, because for two years I had heard nothing from him. And then a plane dropped some food, ammunition…And the mail…And in the mail, in this canvas bag, there was a letter—for me. Then I wrote a letter to the Central Committee. I wrote that I would do anything so long as my husband and I were together. We waited for the plane, it was nighttime and pitch-dark. And some sort of plane was circling over us, and then it dumped bombs on us. It was a Messerschmitt. The German had spotted our camp and circled back again. And at the same time our plane, a U-2, arrived and landed just by the fir tree where I was standing. The pilot barely landed and immediately began to take off again, because he saw that the German was circling back and would start shooting again. I took hold of the wing and shouted, “I must go to Moscow, I have permission.” He even swore: “Get in!” And we flew together, just the two of us. I figured out from the postal code where my husband was fighting... They said, “You know, it’s very dangerous where your husband is…” I sat there and wept, so he took pity on me and gave me the pass. “Go out to the highway,” he said. “There’ll be a traffic controller, he’ll tell you how to go.” I arrive at the unit, everybody’s surprised, “Who are you?” they ask. I couldn’t say I was a wife. I tell them—his sister. “Wait,” they tell me, “it’s a four-mile walk to the trenches.” They told him that his sister had arrived. What sister? They say, “The redhead.” His sister had black hair. So he figured out at once what sister. I don’t know how he managed to crawl out of there, but he came soon, and he and I met. What joy… Suddenly I see the superiors coming to the dugout: the major, the colonel. Everybody shakes my hand. Then we sat down and drank, and each of them said something about a wife finding her husband in the trenches. That’s a real wife! The next day my husband was wounded, badly wounded. We ran together, we waded together through some swamp, we crawled together. The machine guns kept rattling, and we kept crawling, and he got wounded in the hip. With an exploding bullet, and try bandaging that—it was in the buttock. It was all torn open, and mud and dirt all over. We were encircled and tried to break out. There was nowhere to take the wounded, and there were no medications. When we did break through, I took my husband to the hospital. I buried him on January 1, and thirty-eight days later I gave birth to a son.

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.

A True Story Let me tell you about Wendy. For more than ten years, Wendy struggled unsuccessfully with ulcerative colitis. A thirty-six-year-old grade school teacher and mother of three, she lived with constant cramping, diarrhea, and frequent bleeding, necessitating occasional blood transfusions. She endured several colonoscopies and required the use of three prescription medications to manage her disease, including the highly toxic methotrexate, a drug also used in cancer treatment and medical abortions. I met Wendy for an unrelated minor complaint of heart palpitations that proved to be benign, requiring no specific treatment. However, she told me that, because her ulcerative colitis was failing to respond to medications, her gastroenterologist advised colon removal with creation of an ileostomy. This is an artificial orifice for the small intestine (ileum) at the abdominal surface, the sort to which you affix a bag to catch the continually emptying stool. After hearing Wendy’s medical history, I urged her to try wheat elimination. “I really don’t know if it’s going to work,” I told her, “but since you’re facing colon removal and ileostomy, I think you should give it a try.” “But why?” she asked. “I’ve already been tested for celiac and my doctor said I don’t have it.” “Yes, I know. But you’ve got nothing to lose. Try it for four weeks. You’ll know if you’re responding.” Wendy was skeptical but agreed to try. She returned to my office three months later, no ileostomy bag in sight. “What happened?” I asked. “Well, first I lost thirty-eight pounds.” She ran her hand over her abdomen to show me. “And my ulcerative colitis is nearly gone. No more cramps or diarrhea. I’m off everything except my Asacol.” (Asacol is a derivative of aspirin often used to treat ulcerative colitis.) “I really feel great.” In the year since, Wendy has meticulously avoided wheat and gluten and has also eliminated the Asacol, with no return of symptoms. Cured. Yes, cured. No diarrhea, no bleeding, no cramps, no anemia, no more drugs, no ileostomy. So if Wendy’s colitis tested negative for celiac antibodies, but responded to—indeed, was cured by—wheat gluten elimination, what should we label it? Should we call it antibody-negative celiac disease? Antibody-negative wheat intolerance? There is great hazard in trying to pigeonhole conditions such as Wendy’s into something like celiac disease. It nearly caused her to lose her colon and suffer the lifelong health difficulties associated with colon removal, not to mention the embarrassment and inconvenience of wearing an ileostomy bag. There is not yet any neat name to fit conditions such as Wendy’s, despite its extraordinary response to the elimination of wheat gluten. Wendy’s experience highlights the many unknowns in this world of wheat sensitivities, many of which are as devastating as the cure is simple.

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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,

Are you interested in medical marijuana but have no idea what it is? In recent years, there is a growing cry for the legalization of cannabis because of its proven health benefits. Read on as we try to look into the basics of the drug, what it really does to the human body, and how it can benefit you. Keep in mind that medical marijuana is not for everyone, so it’s important that you know how you’re going to be using it before you actually use it. What is Marijuana? Most likely, everyone has heard of marijuana and know what it is. However, many people hold misconceptions of marijuana because of inaccurate news and reporting, which has led to the drug being demonized—even when numerous studies have proven the health benefits of medical marijuana when it is used in moderation. (Even though yes, weed is also used as a recreational drug.) First and foremost, medical marijuana is a plant. The drug that we know of is made of its shredded leaves and flowers of the cannabis sativa or indica plant. Whatever its strain or form, all types of cannabis alter the mind and have some degree of psychoactivity. The plant is made of chemicals, with tetrahydrocannabinol (THC) being the most powerful and causing the biggest impact on the brain. How is Medical Marijuana Used? There are several ways medical weed is used, depending on the user’s need, convenience and preference. The most common ways are in joint form, and also using bongs and vaporizers. But with its growing legalization, we’re seeing numerous forms of cannabis consumption methods being introduced (like oils, edibles, drinks and many more). ● Joint – Loose marijuana leaves are rolled into a cigarette. Sometimes, it’s mixed with tobacco to cut the intensity of the cannabis. ● Bong – This is a large water pipe that heats weed into smoke, which the user then inhales. ● Vaporizer – Working like small bongs, this is a small gadget that makes it easier to bring and use weed practically anywhere. What’s Some Common Medical Marijuana Lingo? We hear numerous terms from people when it comes to describing medical marijuana, and this list continually grows. An example of this is the growing number of marijuana nicknames which include pot, grass, reefer, Mary Jane, dope, skunk, ganja, boom, chronic and herb among many others. Below are some common marijuana terms and what they really mean. ● Bong – Water pipe that allows for weed to be inhaled ● Blunt – Hollowed-out cigar with the tobacco replaced with weed ● Hash – Mix of medical weed and tobacco ● Joint – Rolled cigarette-like way to consume medical cannabis How Does It Feel to be High? When consumed in moderation, weed’s common effects include a heightened sense of euphoria and well-being. You’ll most likely talk and laugh more. At its height, the high creates a feeling of pensive dreaminess that wears off and becomes sleepiness. In a group setting, there are commonly feelings of exaggerated physical and emotional sensitivity as well as strong feelings of camaraderie. Medical marijuana also has a direct impact on a person’s speech patterns, which will get slower. There will be an impairment in your ability to carry out conversations. Cannabis also affects short-term memory. The usual high that one gets from cannabis can last for about two hours; when you overindulge, it can last for up to 12 hours. Is Using Medical Marijuana Safe? Medical cannabis is scientifically proven to be safer compared to alcohol or nicotine. Marijuana is slowly being legalized around the world because of its numerous health benefits, particularly among people suffering from mental illness like depression, anxiety and stress. It also has physical benefits, like helping in managing pain and the treatment of glaucoma and cancer.

REPROGRAMMING MY BIOCHEMISTRY A common attitude is that taking substances other than food, such as supplements and medications, should be a last resort, something one takes only to address overt problems. Terry and I believe strongly that this is a bad strategy, particularly as one approaches middle age and beyond. Our philosophy is to embrace the unique opportunity we have at this time and place to expand our longevity and human potential. In keeping with this health philosophy, I am very active in reprogramming my biochemistry. Overall, I am quite satisfied with the dozens of blood levels I routinely test. My biochemical profile has steadily improved during the years that I have done this. For boosting antioxidant levels and for general health, I take a comprehensive vitamin-and-mineral combination, alpha lipoic acid, coenzyme Q10, grapeseed extract, resveratrol, bilberry extract, lycopene, silymarin (milk thistle), conjugated linoleic acid, lecithin, evening primrose oil (omega-6 essential fatty acids), n-acetyl-cysteine, ginger, garlic, l-carnitine, pyridoxal-5-phosphate, and echinacea. I also take Chinese herbs prescribed by Dr. Glenn Rothfeld. For reducing insulin resistance and overcoming my type 2 diabetes, I take chromium, metformin (a powerful anti-aging medication that decreases insulin resistance and which we recommend everyone over 50 consider taking), and gymnema sylvestra. To improve LDL and HDL cholesterol levels, I take policosanol, gugulipid, plant sterols, niacin, oat bran, grapefruit powder, psyllium, lecithin, and Lipitor. To improve blood vessel health, I take arginine, trimethylglycine, and choline. To decrease blood viscosity, I take a daily baby aspirin and lumbrokinase, a natural anti-fibrinolytic agent. Although my CRP (the screening test for inflammation in the body) is very low, I reduce inflammation by taking EPA/DHA (omega-3 essential fatty acids) and curcumin. I have dramatically reduced my homocysteine level by taking folic acid, B6, and trimethylglycine (TMG), and intrinsic factor to improve methylation. I have a B12 shot once a week and take a daily B12 sublingual. Several of my intravenous therapies improve my body’s detoxification: weekly EDTA (for chelating heavy metals, a major source of aging) and monthly DMPS (to chelate mercury). I also take n-acetyl-l-carnitine orally. I take weekly intravenous vitamins and alpha lipoic acid to boost antioxidants. I do a weekly glutathione IV to boost liver health. Perhaps the most important intravenous therapy I do is a weekly phosphatidylcholine (PtC) IV, which rejuvenates all of the body’s tissues by restoring youthful cell membranes. I also take PtC orally each day, and I supplement my hormone levels with DHEA and testosterone. I take I-3-C (indole-3-carbinol), chrysin, nettle, ginger, and herbs to reduce conversion of testosterone into estrogen. I take a saw palmetto complex for prostate health. For stress management, I take l-theonine (the calming substance in green tea), beta sitosterol, phosphatidylserine, and green tea supplements, in addition to drinking 8 to 10 cups of green tea itself. At bedtime, to aid with sleep, I take GABA (a gentle, calming neuro-transmitter) and sublingual melatonin. For brain health, I take acetyl-l-carnitine, vinpocetine, phosphatidylserine, ginkgo biloba, glycerylphosphorylcholine, nextrutine, and quercetin. For eye health, I take lutein and bilberry extract. For skin health, I use an antioxidant skin cream on my face, neck, and hands each day. For digestive health, I take betaine HCL, pepsin, gentian root, peppermint, acidophilus bifodobacter, fructooligosaccharides, fish proteins, l-glutamine, and n-acetyl-d-glucosamine. To inhibit the creation of advanced glycosylated end products (AGEs), a key aging process, I take n-acetyl-carnitine, carnosine, alpha lipoic acid, and quercetin. MAINTAINING A POSITIVE “HEALTH SLOPE” Most important,