Surgery Is An Art Quotes

This is beautiful," I said, ignoring the shop window to trace the gleaming stone walls fronting another boutique. "You know what's funny?" Jacob asked. He didn't wait for my answer. "You can see beauty in everything, except for yourself." *** I swallowed hard. Erik thought my body was beautiful, Karin that it was enviable. At random times, people had noted that my hands were beautiful, or my hair. The Twisted Sisters had called my art beautiful. Mom had the best intentions and always told me before and after my laser surgeries that I would be beautiful. But no one had ever said that I was beautiful, all my parts taken together, not just the bits and pieces.

The beauty myth sets it up this way: A high rating as an art object is the most valuable tribute a woman can exact from her lover. If he appreciates her face and body because it is hers, that is next to worthless. It is very neat: The myth contrives to make women offend men by scrutinizing honest appreciation when they give it; it can make men offend women merely by giving them honest appreciation. It can manage to contaminate the sentence "You're beautiful," which is next to "I love you" in expressing a bond of regard between a woman and a man. A man cannot tell a woman that he loves to look at her without risking making her unhappy. If he never tells her, she is destined to be unhappy. And the "luckiest" woman of all, told she is loved because she's "beautiful," is often tormented because she lacks the security of being desired because she looks like who she lovably is.

The real issue has nothing to do with whether women wear makeup or don’t, gain weight or lose it, have surgery or shun it, dress up or down, make our clothing and faces and bodies into works of art or ignore adornment altogether. The real problem is our lack of choice.

Know why people run marathons? …Because running is rooted in our collective imagination, and our imagination is rooted in running. Language, art, science; space shuttles, Starry Night, intravascular surgery; they all had their roots in our ability to run. Running was the superpower that made us human — which means its a superpower all humans posses.

Any kind of modification, whether it’s to alter physical features, like cosmetic surgery, or to decorate, like piercings and tattoos, cause some degree of discomfort. But that’s the point, isn’t it? It’s cathartic because it’s the promise of change in some form or another. My tattoos give the memory related to the art a place to exist outside of my head, on my body. At least that’s my interpretation, but not everyone feels the same way I do.

I stand by the bed where a young woman lies, her face postoperative, her mouth twisted in palsy, clownish. A tiny twig of the facial nerve, the one to the muscles of her mouth has been severed. She will be thus from now on. The surgeon had followed with religious fervor the curve of her flesh; I promise you that. Nevertheless, to remove the tumor in her cheek, I had to cut the little nerve. Her young husband is in the room. He stand on the opposite side of the bed and together they seem to dwell in the evening lamplight, isolated from me, private. Who are they, I ask myself, he and this wry mouth I have made, who gaze at and touch each other so generously, greedily? The young woman speaks, "Will my mouth always be like this?" she asks. "Yes," I say, "it will. It is because the nerve was cut." She nods and is silent. But the young man smiles. "I like it," he says, "It is kind of cute." "All at once I know who he is. I understand and I lower my gaze. One is not bold in an encounter with a god. Unmindful, he bends to kiss her crooked mouth and I am so close I can see how he twists his own lips to accommodate to hers, to show her that their kiss still works.

A man does not know whose hands will stroke from him the last bubbles of his life. That alone should make him kinder to strangers.

The fatal combination of indulgence without feeling disgusts me. Strange to be both greedy and dead. For myself, I prefer to hold my desires just out of reach of appetite, to keep myself honed and sharp. I want the keen edge of longing. it is so easy to be a brute and yet it has become rather fashionable. Is that the consequence of leaving your body to science? Of assuming that another pill, another drug, another car, another pocket-sized home-movie station, a DNA transfer, or the complete freedom of choice that five hundred TV channels must bring, will make everything all right? Will soothe the nagging pain in the heart that the latest laser scan refuses to diagnose? The doctor's surgery is full of men and women who do not know why they are unhappy. "Take this", says the Doctor, "you'll soon feel better." They do not feel better, because, little by little, they cease to feel at all.

He knows that there is something wrong, forbidden in what he is about to do, but he cannot help himself, for he is a fanatic. He is driven by a dark desire. To see, to feel, to discover is all. His is a passion, not a romance.

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

Six witnesses affirmed that Jacoba had cured them, even after numerous doctors had given up, and one patient declared that she was wiser in the art of surgery and medicine than any master physician or surgeon in Paris. But these testimonials were used against her, for the charge was not that she was incompetent, but that—as a woman—she dared to cure at all.

I swallowed hard. Erik thought my body was beautiful, Karin that it was enviable. At random times, people had noted that my hands were beautiful, or my hair. The Twisted Sisters had called my art beautiful. Mom had the best intentions and always told me before and after my laser surgeries that I would be beautiful. But no one had ever said that I was beautiful, all my parts taken together, not just the bits and pieces.

His most famous (and possibly apocryphal) mishap involved an operation during which he worked so rapidly that he took off three of his assistant’s fingers and, while switching blades, slashed a spectator’s coat. Both the assistant and the patient died later of gangrene, and the unfortunate bystander expired on the spot from fright. It is the only surgery in history said to have had a 300 percent fatality rate.

Another, related issue is that longevity itself, and healthspan in particular, doesn’t really fit into the business model of our current healthcare system. There are few insurance reimbursement codes for most of the largely preventive interventions that I believe are necessary to extend lifespan and healthspan. Health insurance companies won’t pay a doctor very much to tell a patient to change the way he eats, or to monitor his blood glucose levels in order to help prevent him from developing type 2 diabetes. Yet insurance will pay for this same patient’s (very expensive) insulin after he has been diagnosed. Similarly, there’s no billing code for putting a patient on a comprehensive exercise program designed to maintain her muscle mass and sense of balance while building her resistance to injury. But if she falls and breaks her hip, then her surgery and physical therapy will be covered. Nearly all the money flows to treatment rather than prevention—and when I say “prevention,” I mean prevention of human suffering.

Start on clavicle. Remove middle third. Control and divide subsc art and vein. Divide large nerve trunks around these as prox as poses. Then come onto chest wall immed anterior and divide Pec maj origin from remaining clav. Divide pec minor insertion and (very imp) divide origin and get deep to serrates anterior. Your hand sweeps behind scapula. Divide all muscles attached to scapula. Stop muscle bleeding with count suture. Easy! Good luck. Meirion

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.

After three hours, I come back to the waiting room. It is a cosmetic surgery office, so a little like a hotel lobby, underheated and expensively decorated, with candy in little dishes, emerald-green plush chairs, and upscale fashion magazines artfully displayed against the wall. A young woman comes in, frantic to get a pimple "zapped" before she sees her family over the holidays. An older woman comes in with her daughter for a follow-up visit to a face-lift. She is wearing a scarf and dark glasses. The nurse examines her bruises right out in the waiting room. And you are in the operating room having your body and your gender legally altered. I feel like laughing, but I know it makes me sound like a lunatic.

Every quack is, indeed, a demagogue; and relies, for his success on nearly the same arts, with his political and religious, or rather irreligious, brethren.

Medicine 2.0 relies on two types of tactics, broadly speaking: procedures (e.g., surgery) and medications. Our tactics in Medicine 3.0 fall into five broad domains: exercise, nutrition, sleep, emotional health, and exogenous molecules, meaning drugs, hormones, or supplements.

If tomorrow morning by some stroke of magic every dazed and benighted soul woke up with the power to take the first step toward pursuing his or her dreams, every shrink in the directory would be out of business. Prisons would stand empty. The alcohol and tobacco industries would collapse, along with the junk food, cosmetic surgery, and infotainment businesses, not to mention pharmaceutical companies, hospitals, and the medical profession from top to bottom. Domestic abuse would become extinct, as would addiction, obesity, migraine headaches, road rage, and dandruff.

Simply being in the presence of natural landscapes tends to reduce stress and promote relaxation. Such experiences lower mental fatigue and boost mental clarity while enhancing both work performance and healing. One early study found that surgery patients recovered faster and required less pain medication if their hospital room had a window overlooking a natural setting. Another found similar effects in a prison population: prisoners with windows facing out toward rolling farmland and trees had 24 percent fewer sick call visits than their counterparts with views of an empty interior courtyard.

...in all the Kalahari Desert, only six true hunters remained. The renegades agreed to let Louis hang around, an offer he took to the extreme; once installed, Louis acted like an unemployed in-law, basically squatting with the Bushmen for the next four years...He learned to keep his campfire burning and tent zipped even on the most sweltering nights, since packs of hyenas were known to drag people from open shelters and tear out their throats. He leaned that if you stumble upon an angry lioness and her cubs, you stand tall and make her back down, but in the same situation with a rhino, you run like hell. (p. 234) Know why people run marathons? he said... Because running is rooted in our collective imagination, and our imagination is rooted in running. Language, art, science; space shuttles... intravascular surgery, they all had their roots in our ability to run. Running was the superpower that made us human- which means it's a superpower all humans possess. (p. 239)

Know why people run marathons? he told Dr. Bramble. Because running is rooted in our collective imagination, and our imagination is rooted in running. Language, art, science; space shuttles, Starry Night, intravascular surgery; they all had their roots in our ability to run. Running was the superpower that made us human—which means it’s a superpower all humans possess.

So let me just say this. There are ways. You already know that because, in your life, there have been High Kindness periods and Low Kindness periods, and you know what inclined you toward the former and away from the latter. Education is good; immersing ourselves in a work of art: good; prayer is good; meditation’s good; a frank talk with a dear friend; establishing ourselves in some kind of spiritual tradition — recognizing that there have been countless really smart people before us who have asked these same questions and left behind answers for us. It would be strange and self-defeating to fail to seek out these wise voices from the past--as self-defeating as it would be to attempt to rediscover the principles of physics from scratch or invent a new method of brain surgery without having learned the ones that already exist.

Liston’s speed was both a gift and a curse. Once, he accidentally sliced off a patient’s testicle along with the leg he was amputating. His most famous (and possibly apocryphal) mishap involved an operation during which he worked so rapidly that he took off three of his assistant’s fingers and, while switching blades, slashed a spectator’s coat. Both the assistant and the patient died later of gangrene, and the unfortunate bystander expired on the spot from fright. It is the only surgery in history said to have had a 300 percent fatality rate.

Many people with this condition receive minimally invasive surgery, or use adhesive strips called Breathe Right or nasal dilator cones. If these simpler approaches fail, the drills come out. About three-quarters of modern humans have a deviated septum clearly visible to the naked eye, which means the bone and cartilage that separate the right and left airways of the nose are off center. Along with that, 50 percent of us have chronically inflamed turbinates; the erectile tissue lining our sinuses is too puffed up for us to breathe comfortably through our noses.

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

For the duration of the war, American surgery remained crude, and wound infections spread unchecked. The bullet-riddled arms and legs of more than thirty thousand Union soldiers were amputated by battlefield surgeons, many of whom had little or no experience of treating trauma patients. Knives and saws were wiped free of gore with nothing more than dirty rags, if at all. Surgeons never washed their hands and were often covered in the blood and guts of previous patients at the commencement of a new operation. When linen and cotton were scarce, army surgeons used cold, damp earth to pack open wounds. When these wounds inevitably began to suppurate, they were praised for their laudable pus. Many surgeons had never even witnessed a major amputation or treated gunshot wounds when they joined their regiments, much to the detriment of those who fell under their care.

As it turned out, the two decades immediately following the popularization of anesthesia saw surgical outcomes worsen. With their newfound confidence about operating without inflicting pain, surgeons became ever more willing to take up the knife, driving up the incidences of postoperative infection and shock. Operating theaters became filthier than ever as the number of surgeries increased. Surgeons still lacking an understanding of the causes of infection would operate on multiple patients in succession using the same unwashed instruments on each occasion. The more crowded the operating theater became, the less likely it was that even the most primitive sanitary precautions would be taken. Of those who went under the knife, many either died or never fully recovered and then spent the rest of their lives as invalids. This problem was universal. Patients worldwide came to further dread the word “hospital,” while the most skilled surgeons distrusted their own abilities.

It was said of Liston by his colleagues that when he amputated, “the gleam of his knife was followed so instantaneously by the sound of sawing as to make the two actions appear almost simultaneous.” His left arm was reportedly so strong that he could use it as a tourniquet, while he wielded the knife in his right hand. This was a feat that required immense strength and dexterity, given that patients often struggled against the fear and agony of the surgeon’s assault. Liston could remove a leg in less than thirty seconds, and in order to keep both hands free, he often clasped the bloody knife between his teeth while working. Liston’s speed was both a gift and a curse. Once, he accidentally sliced off a patient’s testicle along with the leg he was amputating. His most famous (and possibly apocryphal) mishap involved an operation during which he worked so rapidly that he took off three of his assistant’s fingers and, while switching blades, slashed a spectator’s coat. Both the assistant and the patient died later of gangrene, and the unfortunate bystander expired on the spot from fright. It is the only surgery in history said to have had a 300 percent fatality rate.

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

If they’re not practicing deliberately, even experts can see their skills backslide. Ericsson shared with me an incredible example of this. Even though you might be inclined to trust the advice of a silver-haired doctor over one fresh out of medical school, it’s been found that in a few fields of medicine, doctors’ skills don’t improve the longer they’ve been practicing. The diagnostic accuracy of professional mammographers, for example, doesn’t get more accurate over the years. Why would that be? For most mammographers, practicing medicine is not deliberate practice, according to Ericsson. It’s more like putting into a tin cup than working with a coach. That’s because mammographers usually only find out if they missed a tumor months or years later, if at all, at which point they’ve probably forgotten the details of the case and can no longer learn from their successes and mistakes. One field of medicine in which this is definitively not the case is surgery. Unlike mammographers, surgeons tend to get better with time. What makes surgeons different from mammographers, according to Ericsson, is that the outcome of most surgeries is usually immediately apparent—the patient either gets better or doesn’t—which means that surgeons are constantly receiving feedback on their performance. They’re always learning what works and what doesn’t, always getting better. This finding leads to a practical application of expertise theory: Ericsson suggests that mammographers regularly be asked to evaluate old cases for which the outcome is already known. That way they can get immediate feedback on their performance.

The men entered the sumptuously furnished reception room of the office suite. After the first greeting, they were silent, uncomfortable. They didn’t know what to say. Doc Savage’s father had died from a weird cause since they last saw Doc. The elder Savage had been known throughout the world for his dominant bearing and his good work. Early in life, he had amassed a tremendous fortune— for one purpose. That purpose was to go here and there, from one end of the world to the other, looking for excitement and adventure, striving to help those who needed help, punishing those who deserved it. To that creed he had devoted his life. His fortune had dwindled to practically nothing. But as it shrank, his influence had increased. It was unbelievably wide, a heritage befitting the man. Greater even, though, was the heritage he had given his son. Not in wealth, but in training to take up his career of adventure and righting of wrongs where it left off. Clark Savage, Jr., had been reared from the cradle to become the supreme adventurer. Hardly had Doc learned to walk, when his father started him taking the routine of exercises to which he still adhered. Two hours each day, Doc exercised intensively all his muscles, senses, and his brain. As a result of these exercises, Doc possessed a strength superhuman. There was no magic about it, though. Doc had simply built up muscle intensively all his life. Doc’s mental training had started with medicine and surgery. It had branched out to include all arts and sciences. Just as Doc could easily overpower the gorilla-like Monk in spite of his great strength, so did Doc know more about chemistry. And that applied to Renny, the engineer; Long Tom, the electrical wizard; Johnny, the geologist and the archaeologist; and Ham, the lawyer. Doc had been well trained for his work.

Excerpt from Storm’s Eye by Dean Gray With a final drag and drop, Jordan Rayne sent his latest creation winging its way toward the publisher. He looked up, squinted at that little clock in the right hand corner of his monitor, and removed his glasses to rub the bridge of his nose. His cover art was finished and shipped, just in time for lunch. He sighed and stood, rolling his shoulders and bending side to side, his back cracking in protest as the muscles loosened after having been hunched over the screen for so long. Sam raised his head, tilting it enquiringly at him, and Jordan laughed. “Yeah, I know what you want, some lunch and a nice long walk along the beach, hmm?” Jordan smiled fondly at the furry ball of energy he’d saved from certain death. With his mom’s recent death it was just Sam and him in the house. Sometimes he wondered what kept him here, now that the last thread tethering him to the island was severed. Sam limped over and nuzzled at his hand. When Jordan had first found him out on the main road, hurt and bleeding, he hadn’t been sure the pooch would make it. Taylor, his best friend and the local vet, had done what she could. At the time, Jordan simply didn’t have the deep pockets for the fancy surgery needed to mend Sam’s leg perfectly, he could barely afford the drugs to keep his mom in treatment. So they’d patched him up as well as they could, Taylor extending herself further than he could ever repay, and hoped for the best. The dog had made a startling recovery, urged on by plenty of rest and good food and lots of love, and had flourished, the slight limp now barely noticeable. Jordan’s conscience still twinged as he watched Sam limp over to his dish, but he had barely been keeping things together at the time. He had done the best he could. He’d done his best to find Sam’s real owners as well, papering downtown Bar Harbor with a hand-drawn sketch of the dog, but to no avail. The only thing it had prompted was one kind soul wanting to buy the illustration. But no one had ever come forward to claim the “goldendoodle,” which Taylor had told him was a golden retriever/standard poodle cross. Who had a dog breed like that anyway? Summer people! Jordan shook his head, grinning at the dog’s foolish antics, weaving in and around his legs like he was still a little pup instead of the fifty-pound fuzzball he actually was now. So without meaning to at all, Sam had drifted into Jordan’s life and stayed, a loyal, faithful companion.

In Hiding - coming summer of 2020 WAYNE ANTHONY SEEKS REDEMPTION FROM A BAD DAY - Although warned about getting the stitches wet, he believed a hot shower was the only road to his redemption. Experienced taught him the best way to relieve the tightness in his lower back was by standing beneath the near-scalding water. Dropping the rest of his clothing, he turned the shower on full blast. The hot water rushed from the showerhead filling the tiny room with steam, instantly the small mirror on the medicine cabinet fogged up. The man quietly pulled the shower curtain back and entered the shower stall without a sound. Years of acting as another’s shadow had trained him to live soundlessly. The hot water cascaded over his body as the echo from the pounding water deadened slightly. Grabbing the sample sized soap, he pulled the paper off and tossed the wrapper over the curtain rail. Wayne rubbed the clean smelling block until his large hands disappeared beneath the lather. He ignored the folded washcloth, opting to use his hands across his body. Gently he cleaned the injury allowing the slime of bacterial soap to remove the residual of the rust-colored betadine. All that remained when he finished was the pale orange smear from the antiseptic. This scar was not the only mar to his body. The water cascaded down hard muscles making rivulets throughout the thatches of dark hair. He raised his arms gingerly as he washed beneath them; the tight muscles of his abdomen glistened beneath the torrent of water. Opening a bottle of shampoo-slash-conditioner, he applied a dab then ran his hands across his scalp. Finally, the tension in his square jaw had eased, making his handsome face more inviting. The cords of his neck stood out as he rinsed the shampoo from his hair. It coursed down his chest leading down to his groin where the scented wash caught in his pelvic hair. Wayne's body was one of perfection for any woman; if that was, she could ignore the mutilations. Knife injuries left their mark with jagged white lines. Most of these, he had doctored himself; his lack of skill resulted in crude scars. The deepest one, undulated along the left side of his abdomen, that one had required the art of a surgeon. Dropping his arms, he surrenders himself to the pelting deluge from the shower. The steamy water cascaded down his body, pulling the soap toward the drain. Across his back, it slid down several small indiscernible pockmarks left by gunshot wounds, the true extent of their damage far beneath his skin. Slowly the suds left his body, snaking down his muscular legs. It slithered down the scars on his left knee, the result of replacement surgery after a thug took a bat to it. Wayne stood until the hot water cooled, and ran translucent over his body. Finally, he washes the impact of the long day from his mind and spirit.

If she had had the money, she would have put herself through enough plastic surgery to look respectable again. She didn't understand women, like Betsy, who had the money and didn't want to. For the same reason, she would never live in one of the outer boroughs or in the suburbs, no matter how much more space she could get for how much less money. It said something about you that you could not stay in Manhattan, that you valued a few extra square feet over the chance to be close to art, literature and history. The six tall tumblers in her kitchen cabinet had come from Steuben Glass and cost $345 for the set. The green silk dress she was wearing had come from Brooks Brothers and cost $225 off the rack.

The practice of medicine is a thinker's art the practice of surgery a plumber's.

The secret to anything is to decide. Anything is surmountable. Anything. Anything but death, but if death is not foreign, if death is not exotic, if death isn’t—but death is. Death always is. It’s the unknown country. It’s the tenant of tall shadows. It’s the dark. It is the Thing humanity has tried to vanquish with cities, with lit-all-night streetlamps; with medicine and surgery, religion and mythology, art and demagoguery, and yet—yet, yet, death looks at these measures and feels the briefest, barest confusion.

At the end of the day, high-risk surgery is simply a series of adjustments. But, you know, most of life is.” He makes it sound so easy. And I must consider that maybe it really is that simple, whether you’re talking brain surgery or baking. A calculation of risk, followed by an informed series of adjustments in response to any setbacks.

What's wrong with looking chic? Women need to be strong enough to say, "I don't need to dress like a teen girl any more." It's okay to be in sync with your younger daughter or niece, but it's not okay to try to look like her (whether it comes to clothes or plastic surgery).

The importance of a group seeing one another may sound trivial, but it can be deadly serious. Until recently when medical teams gathered to operate on a patient, studies showed that they often did not know one another's names before starting. A 2001 John's Hopkins study showed that when members introduced themselves and shared concerns ahead of time, the likelihood of complications and deaths fell by 35%. Surgeons, like many of us felt they shouldn't waste time with the formalities of seeing and being seen, for something as important as saving lives, yet it was these silly formalities that directly affected the outcomes of surgeries. It was when [the surgical team] practiced good gathering principles that they felt more comfortable speaking up during surgery and offering solutions.

In my twenties, when I was in medical school and still training hard, lifting weights almost daily, I experienced a mysterious back injury that required two separate surgeries (one of which was botched), followed by a long and very difficult recovery. For several months I was almost unable to function, surviving on large amounts of pain-killers. I couldn’t even brush my teeth without excruciating back pain, and I spent most of the day just lying on the floor. It got so bad that my mom had to fly out to Palo Alto and take care of me. The thing is, people think it’s terrible when someone in their twenties has to go through this (and it is), yet they almost expect it for someone Sophie’s age.

Starting with just eleven beds and three doctors, Aravind has become the world’s largest provider of eye care in the world, performing about 300,000 surgeries a year, at least two-thirds of them for free. Aravind has an extraordinary value proposition. Correction: it has two value propositions. One is aimed at affluent customers who want the best eye care money can buy. These customers want to be seen by state-of-the-art doctors in state-of-the-art facilities, and they are willing to pay the going market rate for such advanced medical care. That’s one value proposition. The second is for those who can’t afford to pay and who would otherwise become blind. Aravind offers them sight, and the independence that goes with it. The medical care is identical to that provided to the paying patients—same doctors, same operating rooms. The hotel function (room and board) is vastly stripped down. But the price is stripped down even further, all the way to zero.

New opinions are always suspected, and usually opposed, without any other reason but because they are not already common. —JOHN LOCKE

Gentle Sir Conan, I'll venture that few have been Half as prodigiously lucky as you have been. Fortune, the flirt! has been wondrously kind to you. Ever beneficent, sweet and refined to you. Doomed to the practise of physic and surgery, Yet, growing weary of pills and physicianing, Off to the Arctic you packed, expeditioning. Roving and dreaming, Ambition, that heady sin, Gave you a spirit too restless for medicine: That, I presume, as Romance is the quest of us, Made you an Author-the same as the rest of us. Ah, but the rest of us clamor distressfully, "How do you manage the game so successfully? Tell us, disclose to us how under Heaven you Squeeze from the inkpot so splendid a revenue!" Then, when you'd published your volume that vindicates England's South African raid (or the Syndicate's), Pleading that Britain's extreme bellicosity Wasn't (as most of us think) an atrocity Straightaway they gave you a cross with a chain to it (Oh, what an honor! I could not attain to it, Not if I lived to the age of Methusalem!) Made you a knight of St. John of Jerusalem! Faith! as a teller of tales you've the trick with you! Still there's a bone I've been wanting to pick with you: Holmes is your hero of drama and serial: All of us know where you dug the material! Whence he was moulded-'tis almost a platitude; Yet your detective, in shameless ingratitude Sherlock your sleuthhound with motives ulterior Sneers at Poe's "Dupin" as "very inferior!" Labels Gaboriau's clever "Lecoq," indeed, Merely "a bungler," a creature to mock, indeed! This, when your plots and your methods in story owe More than a trifle to Poe and Gaboriau, Sets all the Muses of Helicon sorrowing. Borrow, Sir Knight, but in decent borrowing! Still let us own that your bent is a cheery one, Little you've written to bore or to weary one, Plenty that's slovenly, nothing with harm in it, Give me detective with brains analytical Rather than weaklings with morals mephitical Stories of battles and man's intrepidity Rather than wails of neurotic morbidity! Give me adventures and fierce dinotheriums Rather than Hewlett's ecstatic deliriums! Frankly, Sir Conan, some hours I've eased with you And, on the whole, I am pretty well pleased with you

Many years ago I was jumped one evening while walking past a local bar. The unprovoked attack left me requiring surgery and many hospital visits. The incident also had significant psychological ramifications.   Instead of accepting the unfortunate event and moving on I spent a long time turning my frustration inwards. For months I blamed myself for that night and this lead to a period of depression that I now see as probably the low point of my life. Oh sure, the actual punk that mugged me did the physical damage (and was never caught by the way) but like most 18 year old guys I had always thought that in a tight spot I could handle myself and turn on the “tough guy” as required.   It was only after I’d spent 30 seconds choking on my own blood wondering if I was about to die in that silly little town that I realized all the bravado, all the posturing and fooling around with my friends counted for exactly nothing. There was no “Tough Guy” to switch on.

Know why people run marathons? Because running is rooted in our collective imagination, and our imagination is rooted in running. Language, art, science; space shuttles, Starry Night, intravascular surgery; they all had their roots in our ability to run. Running was the superpower that made us human.

So it is that once a person has settled on the question as to what is wrong, the choice of cures is limited. You do not prescribe surgery for a minor cut, nor do you put a Band-Aid on cancer. The question of the human condition is, I believe, the most fundamental and consequential question of all.

A Chinese practitioner of Western medicine might prescribe surgery, medication, and qigong for cancer.

His most famous mishap involved an operation during which he worked so rapidly that he took off three of his assistant’s fingers and, while switching blades, slashed a spectator’s coat. Both the assistant and the patient died later of gangrene, and the unfortunate bystander expired on the spot from fright. It is the only surgery in history said to have had a 300 percent fatality rate.

Drewe set to work manipulating history. In one brazen but typical ploy at the National Art Library, he razored apart a catalog from a 1955 show at a London gallery that had since gone out of business. Then he created new pages with photographs of Myatt forgeries, added captions in the proper typeface, inserted the false pages among the real ones, reassembled the catalog, and set it back on the shelves. The scheme, which focused not on the paintings themselves but on the documentation that proved the paintings’ bona fides, was ingenious. Why bother going through surgery to change your fingerprints if you can change the fingerprint records in the FBI files?

The bottom line: If you have trouble making a decision, remember that the choices are broader than “no surgery” or “highly risky surgery.” Forget about the rock and the hard place, and open your eyes to the other, superior alternatives.

There’s another level at which attention operates, this has to do with leadership, I argue that leaders need three kinds of focus, to be really effective, the first is an inner focus, let me tell you about a case that’s actually from the annals of neurology, there was a corporate lawyer, who unfortunately had a small prefrontal brain tumour, it was discovered early, operated successfully, after the surgery though it was a very puzzling picture, because he was absolutely as smart as he had been before, a very high IQ, no problem with attention or memory, but he couldn’t do his job anymore, he couldn’t do any job, in fact he ended up out of work, his wife left him, he lost his home, he’s living in his brother spare bedroom and in despair he went to see a famous neurologist named Antonio Damasio. Damasio specialized in the circuitry between the prefrontal area which is where we consciously pay attention to what matters now, where we make decisions, where we learn and the emotional centers in the midbrain, particularly the amygdala, which is our radar for danger, it triggers our strong emotions. They had cut the connection between the prefrontal area and emotional centers and Damasio at first was puzzled, he realized that this fellow on every neurological test was perfectly fine but something was wrong, then he got a clue, he asked the lawyer when should we have our next appointment and he realized the lawyer could give him the rational pros and cons of every hour for the next two weeks, but he didn’t know which is best. And Damasio says when we’re making a decision any decision, when to have the next appointment, should I leave my job for another one, what strategy should we follow, going into the future, should I marry this fellow compared to all the other fellows, those are decisions that require we draw on our entire life experience and the circuitry that collects that life experience is very base brain, it’s very ancient in the brain, and it has no direct connection to the part of the brain that thinks in words, it has very rich connectivity to the gastro- intestinal tract, to the gut, so we get a gut feeling, feels right, doesn’t feel right. Damasio calls them somatic markers, it’s a language of the body and the ability to tune into this is extremely important because this is valuable data too - they did a study of Californian entrepreneurs and asked them “how do you make your decisions?”, these are people who built a business from nothing to hundreds of millions or billions of dollars, and they more or less said the same strategy “I am a voracious gatherer of information, I want to see the numbers, but if it doesn’t feel right, I won’t go ahead with the deal”. They’re tuning into the gut feeling. I know someone, I grew up in farm region of California, the Central Valley and my high school had a rival high school in the next town and I met someone who went to the other high school, he was not a good student, he almost failed, came close to not graduating high school, he went to a two-year college, a community college, found his way into film, which he loved and got into a film school, in film school his student project caught the eye of a director, who asked him to become an assistant and he did so well at that the director arranged for him to direct his own film, someone else’s script, he did so well at that they let him direct a script that he had written and that film did surprisingly well, so the studio that financed that film said if you want to do another one, we will back you. And he, however, hated the way the studio edited the film, he felt he was a creative artist and they had butchered his art. He said I am gonna do the film on my own, I’m gonna finance it myself, everyone in the film business that he knew said this is a huge mistake, you shouldn’t do this, but he went ahead, then he ran out of money, had to go to eleven banks before he could get a loan, he managed to finish the film, you may have seen

Beauty is nothing but a concept, nothing but a belief, but you can believe in that concept of beauty, and base all your power on that beauty. Time passes, and you see you are getting old. Perhaps you are not as beautiful as you were from your point of view, and a younger woman comes along who is now the one who is beautiful. Time for plastic surgery, to try to keep the power because we believe that our beauty is our power. Our own aging starts to hurt us. “Oh my god, my beauty is going away. Will my man still love me if I am not as attractive? Now he can see other women who are more attractive than me.” We resist aging; we believe that because someone is old, it means she is not beautiful. This belief is completely wrong. If you see a newborn baby, it is beautiful. Well, an old person is also beautiful. The problem is the emotion we have in our eyes to perceive what is and what is not beautiful.

the prostate may take different forms, they all use ultrasound high frequency waves and sophisticated computer analysis. It is a simple exam. Harmless sound waves ensure that the test is safe (no x-rays or radiation). It is rapid because of high technology imaging products. It is accurate, employing state-of-the-art computer reconstruction. Generally, the small lubricated probe is placed inside the rectum, although it may be applied

In short, consciousness, in this model, is not a passive receptor but an active creator, busy every nanosecond in projecting the art work that is an individualized reality-tunnel and is usually hypnotically dreamed of as The "Real" Universe. This trance, in most cases, appears as deep as that of anybody professionally hypnotized to repress pain during surgery. The criminal — we return to this point to stress that these observations are not academic but urgently existential — repressed sympathy and charity just as "miraculously" as the patient repressed pain in the above example. We are not the victims of The "Real" Universe; we have created the particular "Real" Universe that we happen to dwell in.

There are few insurance reimbursement codes for most of the largely preventive interventions that I believe are necessary to extend lifespan and healthspan. Health insurance companies won’t pay a doctor very much to tell a patient to change the way he eats, or to monitor his blood glucose levels in order to help prevent him from developing type 2 diabetes. Yet insurance will pay for this same patient’s (very expensive) insulin after he has been diagnosed. Similarly, there’s no billing code for putting a patient on a comprehensive exercise program designed to maintain her muscle mass and sense of balance while building her resistance to injury. But if she falls and breaks her hip, then her surgery and physical therapy will be covered. Nearly all the money flows to treatment rather than prevention—and when I say “prevention,” I mean prevention of human suffering.

someone with more muscle mass is less likely to fall and injure themselves, while those who are less likely to fall for other reasons (better balance, more body awareness) will also have an easier time maintaining muscle mass. Conversely, muscle atrophy and sarcopenia (age-related muscle loss) increase our risk of falling and possibly requiring surgery—while at the same time worsening our odds of surviving said surgery without complications.

For all its modern glamour and for everything else that the Tarot has become, it had a fairly humble origin; it began as a simple pack of playing cards. No matter what use the Tarot is put to today, from psychological insight to divination to collectible folk art, it began and remains a card game. Trying to understand the Tarot without knowledge of this fact would be like trying to perform surgery without any knowledge of anatomy. In both cases, we end up with a mangled product.

Both problems can lead to chronic breathing difficulties and an increased risk of infections. Surgery is highly effective in straightening or reducing these structures, but Nayak warned that it needs to be done carefully and conservatively. The nose, after all, is a wondrous, ornate organ whose structures work as a tightly controlled system.

even if the chandelier wasn’t brain surgery or even art, it was something. Making a place more beautiful was always something.

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Tolerances of the Human Face in Crash Impacts. Travers took the glass of whisky from Karen Novotny. ‘Who is Koester? - the crash on the motorway was a decoy. Half the time we’re moving about in other people’s games.’ He followed her on to the balcony. The evening traffic turned along the outer circle of the park. The past few days had formed a pleasant no-man’s land, a dead zone on the clock. As she took his arm in a domestic gesture he looked at her for the first time in half an hour. This strange young woman, moving in a complex of undefined roles, the gun moll of intellectual hoodlums with her art critical jargon and bizarre magazine subscriptions. He had met her in the demonstration cinema during the interval, immediately aware that she would form the perfect subject for the re-enactment he had conceived. What were she and her fey crowd doing at a conference on facial surgery? No doubt the lectures were listed in the diary pages of Vogue , with the professors of tropical diseases as popular with their claques as fashionable hairdressers. ‘What about you, Karen? - wouldn’t you like to be in the movies?’ With a stiff forefinger she explored the knuckle of his wrist. ‘We’re all in the movies.

ChiroCynergy - Dr. Matthew Bradshaw | Chiropractic in Leland, NC Cutting-edge, state-of-the-art treatments. We don’t know any office that offers what we offer: Erchonia Percussor chiropractic adjustment tools, spinal decompression, cold laser therapy, gentle “no-popping” chiropractic, active release technique (ART), clinical nutrition, detoxification footbaths, acupuncture, ergonomic instruction, yoga instruction … ALL UNDER THE SAME ROOF by the best chiropractic in Leland, NC - ChiroCynergy! Almost 50 years of chiropractic experience (between our 4 Doctors). Schooled at the top-rated Chiropractic Colleges in the country. Treatments that fix the cause of your pain. Instead of masking your symptoms with medications and injections, we get to the underlying cause of your ailment/injury and correct it by using our all-natural, state-of-the-art treatments. We never use medications, injections or surgery. Call us: (910) 368-1528 #chiropractor_Leland_nc #best_chiropractor_Leland_nc #chiropractor_near_Leland_nc #chiropractic_in_Leland_nc #best_chiropractor_in_Leland_nc #chiropractic_near_me #chiropractor_near_me #family_chiropractor_in_Leland_nc #female_chiropractors_in_Leland_nc #physical_therapy_in_Leland_nc #sports_chiropractor_in_Leland_nc #pregnancy_chiropractor_in_Leland_nc #sciatica_chiropractor_in_Leland_nc #car_accident_chiropractor_in_Leland_nc #Active_Release_Technique_in_Leland_nc #Cold_Laser_Therapy_in_Leland_nc #Spinal_Decompression_in_Leland_nc

ChiroCynergy - Dr. Matthew Bradshaw | Active Release Technique (A.R.T.) in Leland, NC What exactly is Active Release Technique (A.R.T.)? ART is a patented, state-of-the-art, soft tissue management system developed by Dr. Michael Leahy (an Air Force engineer/chiropractor) that treats problems occurring with: - Muscles - Tendons - Ligaments - Fascia - Nerves Injuries to these tissues can occur in 3 different ways: Acute trauma injury – a sprained ankle playing racquetball is a great example of this type of injury. Compression injury – an example of a compression injury would be back stiffness and pain and/or numbness down the leg (sciatica) caused by sitting behind a computer frequently and for long periods of time. Sitting causes reduced oxygen flow to the tissues, which in turn causes the numbness and/or pain. Overuse injuries – frequently seen in people whose jobs involve typing all day. The repetitive motion can produce wrist and hand pain (i.e. carpal tall syndrome) due to the accumulation of small tears in the tissues. Each of these changes causes your body to produce tough, dense scar tissue in the affected area. This scar tissue binds up and ties down tissues that need to move freely. As scar tissue builds up: Muscles become shorter and weaker. Tension on tendons causes tendonitis. Nerves can become trapped. This can result in reduced ranges of motion, loss of strength, and pain. With trapped nerves, you may also feel tingling, numbness, shooting pains, burning sensations, weakness, muscle atrophy and circulatory changes. Even when most doctors say medications or surgery is the only answer, ART may still be able to resolve the symptoms and put you back on the field or back to work and into your best game. ChiroCynergy can help! We offer Active Release Technique (A.R.T.) in Leland, NC. Call us: (910) 368-1528 #chiropractor_Leland_nc #best_chiropractor_Leland_nc #chiropractor_near_Leland_nc #chiropractic_in_Leland_nc #best_chiropractor_in_Leland_nc #chiropractic_near_me #chiropractor_near_me #family_chiropractor_in_Leland_nc #female_chiropractors_in_Leland_nc #physical_therapy_in_Leland_nc #sports_chiropractor_in_Leland_nc #pregnancy_chiropractor_in_Leland_nc #sciatica_chiropractor_in_Leland_nc #car_accident_chiropractor_in_Leland_nc #Active_Release_Technique_in_Leland_nc #Cold_Laser_Therapy_in_Leland_nc #Spinal_Decompression_in_Leland_nc

she had graduated from the Beaux Arts in Caen. She worked entirely on her body, she explained to me; I looked at her anxiously as she opened her portfolio. I was hoping she wasn't going to show me photos of plastic surgery on her toes or anything like that - I'd had it up to here with things like that. But no, she simply handed me some postcards which she had had made, with the imprint of her pussy dipped in different coloured paints. I chose a turquoise and a mauve; I was a little sorry I hadn't brought photos of my prick to return the favour.