Professional belly burning clinic

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St Francis, Eastern cape/Garden route area, South Africa
Medically based beauty and health clinic providing free online confidential consultations conducted by certified doctors. As professional on the net as were are at our clinic. As efficient as I have ever been. E mail direct Ben@makgale.com or whatsapp +27 794676567 .

Sunday, 26 November 2023

If biochemistry and physiology of beauty and health are the elements of every mix, then results are assured

If biochemistry and physiology of beauty and health are the elements of every mix, then results are assured

Friday, 22 September 2023

Non dominant brain edged out

There is a pattern to chaos, if AI has to be believed. The beginning of life didn't come by random chance. God didn't throw no dice. I hope Stephen Hawkins is deep enough. 

Evolution is planned and logical. God and creation could possibly be factored in, given time is relative. That chemical reaction to form proteins and DNA from ancient cosmic soup post big bang as planets started to coalesce into mass collections was part of the equation. 

Left handers are not intuitive passion driven, from the heart beings they'd always been portrayed to be. It's a scam of epidemic proportions. Scam to let impulse control traits or mishaps express without constant réflex punishment. . 

 

Crushing news to all the left handed souls out there whose biggest advantage against the majority was just that, unpredictability. AI is found you out. AI has put the lid on the little advantage you had up to now. The racquet is saved. 

If we are all logical, deductive and therefore accountable, what’s to happen to life? What’s is to happen to the heart. What's to happen to art and magic of discovery? What is to happen impulsivity? Making two plus two seven. What is to happen to love? What is to happen to intuition?

Shouldn’t we genetically just shut out the right hemisphere of the brain and safe the racquets from mass destruction. We do need order for civilizations to thrive. 10% of the population is nothing to sniff at though. More so if you stray into mental institutions. The percentage gets to be much higher. They're here for a reason. 

The cost is just too much. A lot more so if you consider the fact that some of those could be there because of the rigid dominant hemispheric institutional structures we're born into in the first place.

Anyone who's ever tried using the left hand to even cut a suture will bear testament to that.  Opening a door is a task.

Drive using the left foot to interchange between a brake and accelerator and check your heart after five minutes. Have mercy on John McEnroe or Nadal to a lesser extent. For what gain do they have to go through that much slog, if they can't even hurl an insult at the institutions. 

I am no left hander. The mountain of impediments to their daily survival should make mounting Everest an afternoon stroll in the park, yet they supposed to compete against the dominant brain folks.

The very individuals educational curricula were fashioned around. Very individuals science and businesses is built to fit glove in hand. The very individuals whom scissors are made to for.

But then if everyone is riding on the shoulders of the giants before us, who can see the grass without the racquet breakers. One wrong turn by the giant and we all f'd


If  biochemistry and physiology of beauty and health are the elements of every mix, then results are assured

Thursday, 31 August 2023

Cancer screening

I will be damned. Numbers is all we the evidence we use. 

https://click.mail.medscape.com/?qs=90f8ddf3c4b76fcbf8599b2d4b771dfdc6dcdc3fa19fe6f29f09f7ade119b457728adbf9f614a688660250114b41031d9aebe07bf227652f

If biochemistry and physiology of beauty and health are the elements of every mix, then results are assured

Monday, 19 December 2022

Creutzfeld Jakob disease

Prions or Creutzfeld Jakob disease as the primary disease is known is probably lowest form of infectious particle known to man, very slowly progressive to an extent of tolerance or self limiting in many active closed systems. Mad cow disease, British outbreaks of the 90's that interrupted our peace was the faster variant caused by introduction of brain and bone infected feeds to cows and therefore burgers for human consumption, the theory goes.. 

Kuru, the skull trophy variant is probably closer to mad cow in transmission. Papua new Guinea skull trophy tribes were instrumental in sustaining this variant incidence. These are only proteins, lower than even viruses that are either DNA or RNA in form, yet still very infective and invariably fatal. The classic CJD is probably spontaneous  mutation, neuro degenerative rather than infection. The end result classical though. 
The  présentation is with dementia, a lot more rapidly progressive in a much younger patient profile, with no genetic predisposition or acquired cause to in sight.
 
Myoclonus is a predominant part of this picture. EEG helps but not diagnostically helpful. One needs a brain biopsy to confirm. Doctors tend to chicken out at this level as they consider this too invasive to contemplate, more so if the diagnosis is not in the differential. 
Post mortem biopsy gets to be our only salvation from the political insult that soon follows. 

I have to know as my diagnostic capabilities was insulted by non less than the minister of tourism when we diagnosed it in a white 40 yrs old lady, without no travel history, no biopsy for confirmation. 

This wasn't the first time I was accused of using my gut for diagnosis. It should have bounced, student days lay strong foundation for such incidents. I can show a rhino a trick or two in the thick skin department but this uppercut was from a fellow black person, with no medical knowledge except for Wikipedia and internet.
My guard was down. 

We were hoping to save further insult to a patient when resources were few and far between. 
Working from within the HMO system, getting the histo pathological results would change nothing treatment wise. Another would have thought this self serving exercise though, and the minister was one. 

Biopsy had to be summarily arranged without further hesitation. The first mad cow on our shores couldn't be left to medical iliterates to diagnose and manage. The  tourism status of South Africa was deemed to be at risk because of a mad platteland doctor bent on being medically right. That was the Sunday paper headlines as it appeared then. One had to accept little knowledge is dangerous. I read the Sunday times first time that weekend, six free copies donated. Never knew I had that many friends.  

Three months later the biopsy confirmation arrived. No fanfare, no Sunday headlines. Needless to say the minister never came back to apologize either.
 
May have to do with the fact that I refused to see her for that first  appointment. 
The honorable minister had very little of honor about her. She wanted to be seen before sick patients. My supervisor then was white. He could be race card pushed. 

If biochemistry and physiology of beauty and health are the elements of every mix, then results are assured

Saturday, 17 December 2022

Science and spirituality, United beyond ignorance

Death or any semblance of scientific addition to the concept, beyond what we know in medicine is straw grasping exercise. Nobody has come back to add to facts of any objectivity to this topic. I cannot claim to know any better. I am trapped by my Newtonian group association. Theoretical physics has led us close without having to risk the wrath of the black hole though. 

Just before one as individual identity enters into existence, we are a loan sperm, record breaking sperm not to underestimate its achievement, and an ovum within range. The time has to perfect, so has the position in the uterus for fertilization to even get to be a possibility. 

If the sperm can penetrate the zona pelucida, then an embryo is formed. From that from that moment this one cell if it survives Darwin and genetic culling screen, will accumulate as much éléments, periodic table elements to be specific. as it possibly can to mitotically multiply self. 

Nine months and absolute parasitism through the umbilical cord later, three or so kilograms of solar dust accumulate  is cut free from the cord only to be attached to a milk dripping nipple, hopefully mother's. More solar dust and mitotic division continues from this extract as we navigate this process of claiming more periodic table elements as our own. 

We form a character around this solar accumulate that we get to identify as self. We get older and the solar dust housing that we have used rent free for 60 or so years wants to be returned to mother solar system and we cry foul.

How inconsiderate? How sleazy can one get to be, claiming the loan material to be now part of  his identity? How close is this to a snake that's about to shedd a skin that kept it blinded to possibilities beyond its opaque lens, lie castrate and start crying about it? How real is association between the spirit that is surely is the real self to the solar accumulate that is obviously reached its use by date? Are we not hanging on for dear life to the the dead shedd skin and refusing to step up to the now clear and vision perfect freed self? 

I know I am giving no answers. There are no certainties in life. I could probably do better by edging closer to the black hole, but the other side should be a whole lot better, judging by no U turns once the view is sampled. No qurantees I would be the first. Even the richest ain't coming back. The attitude I think should surely be wait and see. One can't cross the bridge until one is there. We should be comfortable in our ignorance. The edge is in being aware of our ignorance. Data or being aware of this knowledge gap should be our trump card. 

If  biochemistry and physiology of beauty and health are the elements of every mix, then results are assured

Wednesday, 7 December 2022

If biochemistry and physiology of beauty and health are the elements of every mix, then results are assured

Monday, 5 December 2022

Predicting breast cancer, 18 months before it presents

Predicting that one's turn getting cancer, at least adenocarcinoma of the breast, might not be as far fetched a looney corner as one might assume. 

As early as 1992 under the leadership of proff Saeffer and G Modi as part of the then Baragwanath hospital neurology team, I presented a paper that predicted breast cancer 18 months before one can radiologically visualise it as a mass, using only à bedside examination. A patella hammer, to be specific. It was not that welcome to say it out loud, more so to peers a lot higher in statue, that we have been missing cancer sign and snorting it out with bath water all that time. Doctors used to have intelligence to insult then. 

We found that Lambert Eaton mysthenic syndrome could be used as a predictor of breast cancer at probably the first few cell levels. We could radio immuno assay pinpoint the auto antibodies on the breast mass when the excision biopsy was eventually done on follow up, which then was 18 months, averaged. 

The theory is easy enough for even the barefoot doctors of yesteryear to understand. Adenocarcinoma cell, in this case of breast type induces an natural immune response that produces antibodies to hopefully eradicate the rogues. In the process though the same good intention antibodies target self at the neuromuscular cleft, resulting in what an examining doctor should hopefully pick up, 18 months before it's there. EMG confirmation made it as objective à study as any, even before any further step is taken, right onto every scientist desktop. The paraneoplastic character of LEMS is well documented, usually related to oat cell lung cancer. 

Our limited resources dictated then that we send radio immunoassay studies to London for histopathology confirmation which sort of let the cat out before slaying it.
 
I expected that someone would have done further studies on this after mass exodus from state hospitals around that time. This was no CR 17 campaign files of any sort. There was no lid slapped on it. I presented this at a neurology congress in Durban. It was published. I left Feb 1994. No rights or nothing, unlike drug companies, neither did my seniors or hospital patent or seal nothing. 

Don't you judge. I was taking home about R2000 after my bond was paid. No wonder I had a normal BMI. 
Impala hospital that poached me then was offering 8 times more, a house, plus a merc. One had to have more than a monk determination to stay, not to mention monk sexual character, or lack thereof. Add monk needs to that list.

Such doorway opening into the next interface of medicine can't be left ajar this long, not here, not internationally, not in space. It's crime to human suffering and patients dying of cancer today. They probably were flagging something loud and clear more than 5 or so years ago already. The doctor only had to be able to read the sign post. 
All we see these days are observational studies. 
These probably gives justification to my distaste for Newtonian studies. The need to go to the black hole to study one doesn't hold water. It can only lead to dearth of science. 

As technology makes strides into new frontiers, IQ seems to be in fast retreat. 
The human rights sect of medicine can't be blamed for that much paucity in almost everything. 
I should mention I was driving a Mazda then. It was going to be almost an impossible task to hand back that merc.

I should have tried a little more though. I owe myself that much honest reflection at the very least. Poverty is not an absolute excuse to jump ship, more so as a black doctor. We should have stayed not only for the  re inforcement of the state hospitals, but delay of the collective ANC IQ collapse. 
If  biochemistry and physiology of beauty and health are the elements of every mix, then results are assured

Saturday, 3 December 2022

Pain free swag to the next athroplasty

Osteoarthritis and intra articular steroids treatment is probably the only way to pain free survival until next athroplasty.

I am not a Texan. Definitely not an American by any means. 
Pathophysiology and disease management based on understanding is my mainstay at every level. 
I have yet to see a more satisfied patient doctor relationship than OA clinic when celestone rémicaine  is the communication of choice. Trigger happy shooting from the hip, all day long. 
No side effects compared to NSAIDS, no squabbles about pharmacy waiting periods. Heck, I have had to inject some difficult customers even before getting their file, just to ease the wrestling in the quieie while waiting, and none leaves without delivering their file for documentation. 

Only justification I use is the intervening periods between the shots. It should preferably be about 6 months for me to face finance department without twitching. I will come down to 3 without a snort though. 

Not enough research done there as the HMO tactics of justifying interventions based on cost tends to be frowned upon in medicine, for good reason, sometimes. 

The complications is when say fibromyalgic patients gate crash to have access to magic results when the word gets out. 
I will allow those provided a reasonably good biokinetist can pre mark the trigger points. And the expectations are accordingly lowered. 

This is as close to anesthesia environment as one can possibly get, no talking to patients, just smiles.

The variables are best kept minimal and under one roof though. 
It's advisable to screen gout and inflammatory athropathies first. Those should be managed differently with  support from departments other than orthopedics, when say the joint is only part of a syndrome.
 
Intra articular steroids will for sure hasten the time to athroplasty if time from a wrist watch is the only criteria used. If you use displacement  from point A to point B, pain free extended interval to athroplasty can be the only conclusion. And the displacement will be significant, whether Newtonian or Einstein in parameter. 

The fact that it's without renal complications in the sample most  at risk is a big bonus.
 
If biochemistry and physiology of beauty and health are the elements of every mix, then results are assured

If biochemistry and physiology of beauty and health are the elements of every mix, then results are assured