Deep vein thrombosis and elastic stocking

Medicine is full of contradictions. What your doctor is scratching his bald shiny head about against what's worrying the weight challenged fat lobule lying on the couch is usually miles apart. I am not talking KFC lane here. 

DVT to a doctor is pulmonary embolus in waiting. An acute cardio respiratory compromise as primary presentation with bleeding from thrombolytic treatment needed as complications. Very high mortality exercise. 

 

Most patients though are worried about their leg girth and cosmetic appearance while quieing at KFC.

The longer it stays in the leg, the longer the body can lyse the clot, provided the patient does his or her part, taking treatment to stop propagation. 

Meantime patient wants it gone yesterday, unaware the only place that such could happen is release into a cul-de-sac.

Once DVT is formed, pretty little can be done but allow the body thrombolytic system take over while we support with warfarin outpatient or heparin if can be admitted or pregnant. Cléxane helps but even that does very little to the clot in situ. 

Prevention is therefore critical.

Virchows triad has been the cornerstone pathophysiology since Adam and Eve got snared. 

Blood has to be kept flowing. It is pumped out to body by the heart. Nothing pumps it back though. The active calf muscle action is the only indirect saving grace. Without that activity leg elevation above heart level comes to rescue, that is if you don't have a wooden spoon wielding wife on watch.

 

The other two legs of this preventative triad is the consistency of the blood and quality of the endothelium, both of which you don't have that much active control over unless you have cult based principles edging you closer to your grave. 

We are by nature not allowed to dictate against cults, so we will stay with the flow first leg. 

Planes, economy class planes to be specific are bad for people with any risk of DVTs. Not only don't you have space to move, wooden spoons are everywhere.

Dehydration which under normal circumstances can be quenched with a drink gets a little more difficult within planes, more so if you have to buy the water at prices that should be criminal if jurisdiction could be found.

Not much chance of you seeing the DVT in time to blame the airline either. The perpetrator will claim ignorance in a week. 

Your only solution would therefore be to wear your preventative elastic stockings every time inactivity of any sort is anticipated.

 

Oral contraception including estrogen supplements, weight challenge, dehydration, trauma, polycythemia, vasculitis, Chrons' disease... should probably be added to complete the list.

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

Soul expression deferred

We are built of two half cell donation. A race winning sperm and an ovum lucky enough to be there at the right time and right displacement out of the multiple and poorly timed and positioned ovulations before it. Possibly two or several if ovulation induced medically. 

Both get to form an embryo that by mitotically divide, using available resources from the maternal blood supply get to form a fetus. Periodic table elements that basically double every time sufficient solar dust material is at its disposal.

We get to be born nine or so months from conception, bar any mistake happening into a cold airy environment with hopefully a milk dripping nipple to add more solar dust or specifically periodic table elements to our our brittle self until we are self sustaining. 

Bread here, rice here, chicken there to add more kilograms to that identity we tend to associate with self, running, walking and talking in a characteristic nature we would later claim as identity. 

The wind beneath our wings in all this is further pushed into the shadows as materials and mass dominate. 

We get to be old and this accumulate can't house the soul no more. It's crumbling and wants to be returned to the solar dust it got borrowed from. Or is it a fight back from the trapped soul? Slavery has its limits, even for a soul. Data has to be retained, irrespective of matter stain. 

How do we suddenly claim this as all that we are, having been witness to the slow additives from the loan sperm and ovum starting point? How do we lay claim to lactose accumulate we got offered as a parasite for that first year, not to forget the nestum and rice that got us this far? How inconsiderate that when this vessel that's housed our soul without paying no mortgage for this long gets to be this bemoaned rather than cherished for all its given.

The energy/soul/data that we systematically suppressed thus far is trying to break free of the cage and we wail.

 

If only we could have learned to see ourselves outside this manufactured identity as part of earlier existence. If only we could have gotten an armchair view of what we deem to be us as part life. 

I guess mandatory Everest summit as qualification to existence is asking too much of mere mortals.

Change and renewal should be a celebrated event, probably more so than birth.  We need more parallel experience. We need more meditatory peace in life. We need to see more of us outside the little circle we call ourselves. 

Identity crises of momentous proportions. The 100% we are gets denied expression even post death of this parasite.

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

Singularity

Oneness/Unity/creation

Too much is made of contrast. In fact it's the only way we know how to learn most tasks. Hot or cold. Rich or poor. Fast or slow. IQ’d or politician. Dead or alive. 

Contrasting and competition as far as one can see. Win at all costs. Fly higher or lower the pass rate for the masses. 

The basis of our learning is structured upon the degree to which anything is purported to be that what it’s supposed to be. 

Remove the competitive contrast and we're lost. Remove the cage and we shut off. Our essence is forebrain centered.

The very last tract in our evolutionary brain journey is all we can muster. Trapped in 3 D. God couldn’t have created that mutant as our best survival strategy, more so after letting the devil roam free amongst us. Yet it's all that characterizes us as humans. No wonder the snake won the garden of Eden battle. 

There's no comparative analysis at subcortical level. At the very basic anatomical level, hypothalamus and amygdala  to be specific, fright flee fight response has no degrees or contrast. Every cell works in harmony with the rest of the system. No rear view mirrors. No self identity. 

Between these two evolutionary bipoles psychiatry is thrown very little light to dissect the subject cortically. If that was the right platform to use in the first place. 

Most other animals primary response to environmental stimuli is based sub cortically, okay substantial amount. 

The primordial unity is all but lost in social inhibition humans have had to endure. It's showing in our psych file epidemiological history. 

Religious scholars can butt in here but I think Jesus was alluding to exactly that in Matthew’s 6: 25 to 34 when he said that the birds with less forebrain liability have an advantage over us. They are not worked up about what’s on the menu for tomorrow. 

Meditation is an Everest to summit for most of us. Shouldn't erasing self should be child's play? 

We can’t even lay claim to any functional IQ advantage over human civilizations before us or the childish innocence we took years of education to erase. We  got little to defend our evolutionary conflicted and anxiety laden pathway. 

Pyramids and some of the temples built on monolithic rocks immediately shuts all but the most ignorant talking heads. 

A neurone can’t say to a hepatocyte that am more important than you. 

Each does what it does best for the unit to survive. It knows no liver. Each can’t live without the other.

Is it possible our forebrained développement trapped us into a spiral of self destructive vortex that can only lead us to extinction? 

Was Jesus saying something scribed in small print that we missed? Is Revelations genotyped? 

Before you shoot me down, I do believe creation needs a black hole on the flip side. The amount of energy one needs to form particles from energy can only be provided by black hole input. The amount of energy lost to make our momentum static should be somewhere difficult to hide too. Gravity can't be all we left with. 

E =mc². Data is conserved. 

Do the basic maths. Maybe Mâlema can be given immunity at this level. Hand work not much use here. 

I arrived at this from scientific end point. I need balled religious souls that can look Jesus in the eye and come back with answers to form confluence of thoughts, not just castles of hope buildt on dry sand. No matter how spiritual I am, which is an overstatement, I have no right to form a religious opinion and I am not going to. We have just too many opinionated people with little brains to back it up.

We have been past the event horizon before, if both science and the Bible got to be believed. We should be able to rise above mental decay rapidly swallowing humanity before we cross the event horizon line again. We need divine intercepts here for the whole to be realized. We need to be One or the black hole will literally make us one without much choice. 

We need the apple tree. Where is the damn snake when one needs it most. 

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

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

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

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

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

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

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