#Health N Wealth Diagnostic

[healthnwealthdiagnostic]

Trusted Diagnostic Services at Health N Wealth Diagnostic - Best Pathology Lab in Lucknow

Health and Wealth Diagnostic: An Integrated Philosophy for Well-being

The rapid pace of the modern world has raised the stakes in terms of a harmonious health-and-wealth equation. Both coexist as cornerstones in pursuit of a meaningful life; however, their management becomes a serious task. This essay seeks insight into health and wealth diagnostics: how both can be analyzed and optimized for general well-being.

Physical Health Check-ups

Physical is the most tangible part of health. Regular physical health check-ups help enable good health and prevent disease. Some points related to it include:

Vital Signs Monitoring : Blood pressure, heart rate, and respiratory rate, as repeatedly measured, have fundamental importance in cardiovascular and respiratory health.

Blood Tests : Full blood work would identify high cholesterol, diabetes, liver malfunction, and kidney malfunction. Imaging Studies : X-rays, MRI, and CT scans are some imaging studies that enable a better look at structures inside the body and, thus, help diagnose pathologies such as fractures, tumors, and joint problems.

Mental Health Diagnoses

Mental health is just as important as physical health. It refers to the condition of emotional and psychological states:

• Screening Tools: questionnaires such as the PHQ-9 for depression or the GAD-7 for anxiety can be helpful in raising a red flag about issues a patient may be having. • Professional Consultation: A regular session with a mental health professional gives an overview of how one is feeling and what may help cope effectively.

Lifestyle and Behavioral Assessments

Lifestyle plays an important role in maintaining overall health; identification by:

•  Diet Analysis: Nutritional assessments that pinpoint dietary imbalances and help one to develop healthier eating habits can be recommended. Specialty Service Offerings

Exercise Evaluation : Assessment of activity levels of the patients is helpful in designing an individualized exercise program.

Sleep Studies : Quality sleep is important for health. Continuous problems can be diagnosed for conditions such as sleep apnea with a sleep study.

Preventive Health Measures

Preventive measures help to maintain long-term health in the following ways:

Screenings : Mammograms, colonoscopies, etc. have greatly improved the early detection of cancers.

Vaccinations**: Staying current on vaccinations protects against a wide range of diseases.

Understanding Wealth Diagnostics

Financial Health Assessment

The assessment of financial health gives one a very clear idea of the economic stability of the individual. It will take a closer look at your income and expenditure to help you chalk out a realistic budget and identify ways where one can save money.

Income and Expenditure : Maintaining tabs on earnings and expenses will enable one to create a realistic budget and will also show ways in which more money could be saved. Calculation of Net Worth : Consider all assets, such as savings, investments, or property, and liabilities, such as debts or loans, to get a snapshot of your financial health. Credit Score : Keep track of your credit score since this is important for securing loans at better interest rates.

Investment Portfolio Evaluation

Analyzing your investments secures their being in tandem with your financial goals:

Diversification : Your money should be spread out across the asset classes in a way that minimizes your risk.

Performance Review : Periodically review investment performance using appropriate benchmarks to assure those investments are meeting your objectives.

Retirement Planning

To effectively plan for retirement:

Savings Goals: Identify how much you need to save, considering when you want to retire and what kind of life you'd like to lead.

etirement Accounts : Rebalance retirement accounts such as 401(k)s or IRAs, depending on one's performance and needs for contributions.

Insurance Coverage

The right insurance gives protection against unforeseen circumstances:

Health Insurance : Provide adequate health insurance to cover medical expenses.

Life Insurance : Provides one's dependants with financial security in the event of untimely death.

Property Insurance : Covers one against loss or damage to personal or business-related property. Health and Wealth Diagnostics

Balancing health and wealth requires infusing strategies between the two. These are represented as follows:

Stress Management

Financial stress depletes one's body and mind. The most useful practices in stress management include:

Mindfulness and Meditation : Activities like meditation relax and have obvious benefits to overall well-being.

Financial Planning**: Being clear about your budget and financial planning reduces anxiety and enforces mental stability.

Healthy Lifestyle Choices

Investment in health will keep you from blowing money on medical issues and improve financial stability:

Health planning helps reduce the chances of chronic conditions due to regular check-ups and healthy living. This can therefore cut down health costs.

Health Savings Account: This provides an avenue to save money for medical expenses. The tax advantages hence forthwith assist in financial planning.

Setting Goals

Your goals regarding health and finances shall complement each other, leading to a well-rounded life:

Short-term Goals: Make sure that your achievable goals about your fitness and savings. The long-term goals would tackle wide-based health improvements and long-term financial stability.

Conclusion

The health and wealth diagnostics amply provide one with a helical view to appraise and improve one's health and well-being. One could retain good health by regular check-ups on physical and mental fitness, reassessing life styles for necessary changes, and taking precautionary measures. Similarly, assessment of financial health, review of investment portfolio, retirement planning, and adequate insurance cover would provide financial security. By incorporating these diagnostics into your life, you can allow the handshaking of health and wealth to achieve a life that is in balance and, therefore, more complete and secure.

Balancing your life will always be a process, but frequent diagnosis and informed decisions will allow you to pave your path to a healthier and wealthier future.

[sufrgery1]

Nephrology Doctors in Hyderabad: Choosing the Best Care for Your Kidneys

Introduction:

In Hyderabad, the field of nephrology boasts a diverse array of specialists dedicated to kidney health. Whether you're seeking preventative care or advanced treatment options, understanding the expertise of these professionals can guide you towards optimal kidney health management. Here’s a detailed look at some of the leading nephrology doctors in Hyderabad who are making significant strides in kidney care:

Dr. N. Pawan Kumar Rao

Credentials: MBBS, MD, DM (Nephrology)

Dr. N. Pawan Kumar Rao stands out as a top nephrologist in Hyderabad with a robust academic background and extensive experience in nephrology. His specialization in diagnosing and treating kidney diseases makes him a sought-after expert in the field. Dr. Rao's approach combines cutting-edge medical knowledge with compassionate patient care, ensuring comprehensive treatment plans tailored to individual needs.

Dr. S.V. Subramanyam

Credentials: MBBS, MD, MISN (Nephrology)

Recognized for his excellence in nephrology, Dr. S.V. Subramanyam brings a wealth of experience to his practice. His focus on innovative treatments and patient-centric care has earned him a reputation as one of the best nephrologists in the city. Dr. Subramanyam's expertise covers a wide range of kidney disorders, from chronic kidney disease management to renal replacement therapies, ensuring holistic care for his patients.

Dr. Sashidhar Ch

Credentials: MBBS, MD, DNB

Dr. Sashidhar Ch is known for his specialized approach to nephrology, offering comprehensive diagnostic evaluations and personalized treatment plans. His dedication to advancing kidney health through research and clinical practice makes him a preferred choice among patients seeking expert nephrological care in Hyderabad. Dr. Ch's commitment to excellence and patient satisfaction underscores his reputation as a trusted nephrology specialist.

Dr. P. Hari Prasad

Credentials: (Details provided by the user were incomplete)

Dr. P. Hari Prasad is another prominent figure in Hyderabad’s nephrology landscape, known for his expertise as a kidney doctor. His contributions to the field include innovative treatment strategies and a patient-first approach, ensuring positive outcomes for those under his care.

Book Now for Comprehensive Kidney Care

Choosing the right nephrologist is crucial for managing kidney health effectively. Whether you need routine check-ups, specialized treatment, or advice on kidney disease prevention, these doctors offer a range of services designed to meet your specific needs. Booking an appointment is easy; simply dial 9089 48 9089 or visit TX Hospitals to schedule your consultation today.

Conclusion

Hyderabad's nephrology specialists are dedicated to providing cutting-edge care and personalized treatment plans for patients with kidney conditions. By choosing one of these esteemed doctors, you can rest assured that your kidney health is in capable hands. Don't wait—take charge of your well-being and book your appointment today with one of Hyderabad's top nephrology experts at TX Hospitals.

This comprehensive guide highlights the expertise and services offered by leading nephrologists in Hyderabad, ensuring you have the information needed to make informed decisions about your kidney health.

[fitjourneydaily]

Understanding the Connection Between the National Institute of Allergy and Infectious Diseases, HerpaGreens, LSD-1 Protein, and TCP: A Comprehensive Guide

Introduction --------------------------------- In the field of healthcare, research and development play a pivotal role in combating various diseases. The National Institute of Allergy and Infectious Diseases (NIAID) is at the forefront of this mission, working tirelessly to improve our understanding of infectious diseases and allergies. Today, we'll delve into the intriguing connection between NIAID, HerpaGreens, the LSD-1 protein, and TCP, exploring how they intersect and contribute to advancements in disease prevention and treatment. Understanding the Role of the National Institute of Allergy and Infectious Diseases (NIAID) (200 words) --------------------------------- The National Institute of Allergy and Infectious Diseases, a part of the National Institutes of Health, is dedicated to research that leads to a better understanding of the immune system and its response to allergies and infectious diseases. NIAID's work encompasses developing new vaccines, therapies, and diagnostic tools, with a relentless focus on the prevention and treatment of various diseases such as HIV/AIDS, influenza, and tuberculosis. HerpaGreens: A Revolutionary Approach in Disease Prevention --------------------------------- In recent years, the world has seen a surge in natural and holistic approaches to disease prevention. One such breakthrough is HerpaGreens, a unique product formulated to address the herpes simplex virus (HSV) outbreak that affects millions of individuals worldwide. Developed in collaboration with NIAID, HerpaGreens combines powerful and natural ingredients to boost the immune system and suppress the HSV virus. By leveraging the expertise of NIAID researchers, HerpaGreens provides a safe and effective alternative for individuals affected by this common viral infection. The Role of the LSD-1 Protein in Disease Progression and Treatment --------------------------------- Recent studies have shed light on the significance of the Lysine-specific Demethylase 1 (LSD-1) protein in disease progression and treatment. LSD-1 plays a critical role in regulating gene expression, cellular differentiation, and organism development. Researchers at NIAID are exploring the potential of LSD-1 inhibitors as a promising therapeutic approach for various diseases, including chronic viral infections and even certain types of cancer. By inhibiting the action of LSD-1, scientists aim to control the progression of diseases and enhance the effectiveness of existing treatments. TCP: A Target for Innovative Therapies --------------------------------- T-cell immunoglobulin and mucin-domain-containing protein 3 (TIM-3) and Carcinoembryonic Antigen Cell Adhesion Molecule 1 (CEACAM1)-related protein (TCP) are emerging as potential targets for innovative therapies. Researchers at NIAID are actively investigating the role of TCP in regulating immune responses and its association with chronic viral infections. By studying the interactions between TCP and other immune checkpoints, scientists aim to develop novel therapeutics that can modulate immune responses and enhance the body's defense against infectious diseases and allergies. Conclusion --------------------------------- The National Institute of Allergy and Infectious Diseases stands as an invaluable organization in the quest for improved healthcare. Collaborations with entities like HerpaGreens, combined with exploring the potential of proteins like LSD-1 and TCP, pave the way for groundbreaking advancements in disease prevention and treatment. Through ongoing research efforts, NIAID continues to unravel the intricacies of our immune system, bolstering our ability to combat infectious diseases and allergies more effectively. Seeking effective strategies, insightful information, and community support for managing and overcoming herpes? health? Visit our website for a wealth of resources and guidance on herpes treatment. Discover the revolutionary benefits of HerpaGreens and explore how natural ingredients can transform your health journey. Don't miss out on our comprehensive insights – your path to recovery starts here. Read the full article

[analyticalmarketresearch]

Clinical Laboratory Tests Market ,Analysis, Size, Market Demand, Competitors Analysis and Forecasts to 2030

Overview

According to Analytical Market Research, the global clinical laboratory tests market estimated at USD 122 billion in 2022 and will expand at a compound annual growth rate (CAGR) of 8.06% from 2023 to 2030. Key players in the Clinical Laboratory Tests market employ various strategies to maintain and enhance their market presence. These strategies help key players capture a significant market share and remain competitive in the dynamic Clinical Laboratory Tests market. In addition to the market insights such as market value, growth rate, market segments, geographical coverage, market players, and market scenario, the market report curated includes proficient analysis, predictive analysis, prescriptive analysis, cumulative analysis, and value chain analysis.

Read More Here: https://analyticalmr.com/reports-details/Clinical-Laboratory-Tests-Market

How are Segments Performing in the Global Clinical Laboratory Tests Market?

Clinical Laboratory Tests Type Segment Breakdown: According to Analytical Market Research, the Clinical Laboratory Tests market by type is segmented into Complete Blood Count, HGB/ HCT testing. End Use Segment Breakdown: Based on the end use, the market is bifurcated into Primary Clinics, Central Laboratories. Clinical Laboratory Tests Geographic Exploration According to Analytical Market Research, In North America, the clinical laboratory tests market is propelled by a well-established healthcare infrastructure, rising incidence of chronic diseases, an aging population, and a concerted emphasis on early disease detection, all supported by advancements in diagnostic technologies and a growing trend towards personalized medicine.

Request A Free Sample: https://analyticalmr.com/request-sample/Clinical-Laboratory-Tests-Market/request-sample

Noticeable Players Functioning in The Global Clinical Laboratory Tests Market Include:

• Quest Diagnostics Incorporated • Abbott • Cinven • Laboratory Corporation of America Holdings • ARUP Laboratories • OPKO Health, Inc. • UNILABS • Clinical Reference Laboratory, Inc. • Synnovis Group LLP • Sonic Healthcare Limited

About Us

Welcome to Analytical Market Research, where we specialize in delivering comprehensive market research solutions to meet your business needs. Our mission is to empower businesses with actionable insights, guiding strategic decisions for sustained growth and success, we are driven by integrity, innovation, and a relentless pursuit of excellence in delivering accurate and timely market intelligence.

With a team of seasoned analysts and industry experts, we bring a wealth of knowledge and experience to every project our research methodology combines cutting-edge analytics with a deep understanding of industry dynamics, ensuring clients receive insights that drive informed decision-making.

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[youtubrer]

Best Neurology Hospitals in Madurai-Devadoss Hospitals.

Explore the forefront of neurology at Devadoss Hospitals in Madurai, where innovation meets expertise. Our neurologists specialize in advanced procedures like Canalith Repositioning, Deep Brain Stimulation, EEG (Electroencephalogram), EMG (Electromyography), Epilepsy Surgery, Lumbar Puncture, Transcranial Magnetic Stimulation, and Vagus Nerve Stimulation. Experience a new era of neurological care with precision and compassion. Choose Devadoss Hospitals for progressive neurology services in the heart of Madurai.

Introduction:In the bustling city of Madurai, where tradition meets modernity, there exists a beacon of healthcare dedicated to the most intricate organ in our bodies—the brain. Devadoss Hospitals, synonymous with cutting-edge neurology, stands as a testament to the pursuit of excellence in neurological care. Join us on a journey through the corridors of expertise as we explore how Devadoss Hospitals is redefining neurology healthcare in Madurai.

Expert Neurologists at the Helm:

Devadoss Hospitals boasts a team of highly skilled and experienced neurologists, committed to providing unparalleled care to patients with neurological disorders. Their expertise spans a wide spectrum, covering conditions such as epilepsy, stroke, neurodegenerative diseases, and more. With a focus on continuous learning and staying abreast of the latest advancements, these neurologists bring a wealth of knowledge to the forefront of patient care.

Cutting-edge Diagnostics for Precision Care:

At the heart of Devadoss Hospitals' neurology services lies an array of state-of-the-art diagnostic tools. From advanced imaging techniques to neurophysiological tests, the hospital ensures accurate and timely diagnoses. This commitment to precision allows for tailored treatment plans, enhancing the likelihood of positive outcomes for patients grappling with neurological challenges.

Comprehensive Neurology Services Under One Roof:

Devadoss Hospitals stands out for providing a comprehensive range of neurology services, all conveniently housed under one roof. From outpatient consultations and diagnostics to advanced treatments and rehabilitation, patients benefit from a seamless continuum of care. The hospital's dedication to a holistic approach underscores its commitment to addressing not just symptoms but the overall well-being of individuals.

State-of-the-Art Facilities:

In the pursuit of excellence, Devadoss Hospitals spares no effort in maintaining state-of-the-art facilities. Cutting-edge neuroimaging equipment, dedicated neurology units, and technologically advanced treatment modalities contribute to the hospital's reputation as a center of neurological excellence. This commitment to innovation ensures that patients receive the best possible care in a conducive and modern healthcare environment.

Personalized Care and Empathy:

Beyond the technology and medical expertise, what sets Devadoss Hospitals apart is its unwavering commitment to providing personalized and empathetic care. Each patient is treated with respect, compassion, and an understanding of their unique neurological journey. The hospital's approach goes beyond medical intervention, encompassing emotional support and guidance throughout the treatment process.

Community Impact and Awareness:

Devadoss Hospitals actively engages with the Madurai community through awareness programs, educational initiatives, and outreach efforts. By promoting neurological health awareness, the hospital aims to empower individuals to take proactive measures for their brain health. Through these community-driven efforts, Devadoss Hospitals seeks to create a more informed and neurologically resilient society.

Conclusion:

Devadoss Hospitals stands tall as a symbol of neurological care excellence in Madurai. With a commitment to innovation, compassion, and community well-being, the hospital continues to redefine standards in the field of neurology. Whether facing neurological challenges or seeking preventive care, Devadoss Hospitals is not just a healthcare destination—it's a partner in your journey to a healthier mind and a fulfilling life. Choose Devadoss Hospitals, where excellence meets mindful healing.

[tremendouspersonarbiter]

Anorectal Diseases: How To Manage Anorectal Diseases Effective

Anorectal diseases can be uncomfortable and challenging to discuss, but they are more common than you might think. Dr. N Subrahmaneswara Babu, an esteemed expert in the field of  Surgical Gastroenterologist in Hyderabad , brings forth a wealth of knowledge to help individuals effectively manage anorectal diseases. In this comprehensive guide, we will explore various aspects of anorectal conditions and delve into practical strategies for effective management.

Demystifying Common Anorectal Diseases:

Hemorrhoids: Swollen veins around the anus, causing pain, itching, and bleeding.

Anal fissures: Small tears in the anal lining, leading to pain and bleeding during bowel movements.

Fistulas: Abnormal connections between the anus and surrounding tissues, causing drainage and pain.

Perianal abscesses: Pus-filled lumps near the anus, resulting from infections.

Pruritus ani: Itchy, irritated anal area, often caused by hygiene, allergies, or skin conditions.

Diagnostic Approaches:

Accurate diagnosis is crucial for tailoring a successful treatment plan. Dr. Babu walks readers through the diagnostic process, highlighting the importance of medical history, physical examinations, and, when necessary, advanced imaging techniques. Understanding the root cause is paramount to crafting a personalized and effective management strategy.

Holistic Management Strategies:

Dr. Babu advocates for a holistic approach to anorectal disease management. This includes lifestyle modifications, dietary changes, and simple yet effective self-care practices. From maintaining proper hygiene to incorporating fiber-rich foods, readers will learn how to make positive changes that can alleviate symptoms and promote long-term well-being.

Medical Interventions:

In more critical situations, medical interventions may become essential. Dr. Babu sheds light on the diverse treatment alternatives accessible, ranging from bariatric surgery and GI cancer surgery to gallstone surgery, encompassing topical medications and minimally invasive procedures. His expertise ensures that readers are well-informed about the potential benefits and risks associated with each intervention, empowering them to make informed decisions about their health.

Surgical Solutions:

In cases where conservative measures and medical interventions are insufficient, surgical options become crucial. Dr. Babu discusses different surgical procedures, explaining their purposes, outcomes, and recovery processes. His expertise in this area ensures that readers are well-prepared and informed should surgical intervention be recommended.

Effective Management Strategies:

Lifestyle Modifications:

Increase fiber intake for softer stools.

Drink plenty of water to avoid constipation.

Maintain good hygiene with gentle wipes and warm baths.

Avoid straining during bowel movements.

Dietary Adjustments:

Reduce processed foods, refined carbohydrates, and spicy foods that can irritate the anus.

Consider adding probiotics and yogurt to promote gut health.

Topical Treatments:

Over-the-counter creams and ointments can soothe pain and itching.

Sitz baths with warm water and Epsom salts can provide relief.

Medical Interventions:

Rubber band ligation for hemorrhoids.

Nitroglycerin or botox injections for fissures.

Surgery for fistulas and abscesses.

Patient Stories and Testimonials:

To add a personal touch, Dr. Babu includes real-life patient stories and testimonials throughout the guide. These anecdotes not only provide reassurance to those facing anorectal diseases but also underscore the effectiveness of the strategies and interventions recommended by Dr. Babu.

Conclusion:

Dr.N.Subrahmaneswara Babu’s guide on managing anorectal diseases is a valuable resource for anyone seeking comprehensive information on these conditions. By combining medical expertise with practical advice, Dr. Babu ensures that readers are empowered to take charge of their health and navigate the challenges of anorectal diseases effectively.

[vasavihospital2023]

Top Thyroid Doctors in kothapet

Discover Excellence in Thyroid Care with Vasavi Hospital - Home to the Top Thyroid Doctors in Kothapet

When it comes to thyroid health, having the best medical expertise is paramount. Welcome to Vasavi Hospital, where we are proud to host a team of top-tier thyroid specialists who are committed to providing you with the highest standard of care in Kothapet and beyond.

Why Vasavi Hospital Is Home to the Top Thyroid Doctors:

Specialized Thyroid Expertise: The Vasavi Hospital brand is synonymous with excellence, and our thyroid specialists embody this commitment. Our esteemed team of endocrinologists brings a wealth of experience, advanced knowledge, and a proven track record in diagnosing and treating thyroid disorders with precision.

Personalized Thyroid Care: At Vasavi Hospital, we understand that thyroid conditions are unique to each individual. Our top thyroid doctors take a personalized approach, ensuring that your diagnosis and treatment plan are tailored specifically to your needs.

Cutting-Edge Facilities: Step into our modern and well-equipped hospital, designed to provide the utmost comfort and convenience. Our state-of-the-art diagnostic tools and advanced technology enable accurate assessments and effective treatment strategies.

Patient-Centric Approach: We believe in empowering our patients with knowledge and involving them in their healthcare decisions. Our top thyroid doctors actively listen to your concerns, answer your questions, and work collaboratively with you to determine the most suitable treatment path.

Collaborative Care: Effective thyroid care often requires collaboration among various medical specialists, radiologists, and support staff. Vasavi Hospital promotes a team-oriented approach to ensure that you receive comprehensive care all under one roof.

Patient Education: Our top thyroid doctors are dedicated to ensuring that you fully understand your thyroid condition, treatment options, and how to manage it effectively. We equip you with the knowledge needed to make informed decisions about your health.

Compassionate Environment: Dealing with thyroid issues can be daunting, but you're never alone at Vasavi Hospital. Our compassionate staff creates a supportive and caring environment to ensure your comfort and well-being during your thyroid care journey.

Choose Exceptional Thyroid Care:

When you're searching for the top thyroid doctors in Kothapet, Vasavi Hospital stands out as the ultimate destination. With a strong reputation for excellence, a commitment to personalized care, and a team of dedicated thyroid specialists, we're here to help you regain and maintain optimal thyroid health.

Take the first step towards better thyroid health and a brighter future - schedule your appointment with our top thyroid doctors at Vasavi Hospital today. Your thyroid health is our priority, and we're dedicated to providing you with the best care and support possible.

For More Details:

Vasavi Hospital

04042218686

086869 69640

vasavihospital.net@gmail.com

branch Ashta laxmi, H.No: 11-13-1161, Ram Pratap nivas Beside Andhra Bank(green hills colony, Temple Rd N, Kothapet, Hyderabad, Telangana 500035

[metatired]

Is Gojo a sociopath/narcissist?

tl;dr Using the criteria of DSM-V, Gojo is neither.

Anime-onlies, beware as manga spoilers be ahead.

I want to preface that I am not an expert in psychology. I only have a passing interest in it and have taken a few intro courses.

So what is the DSM-V, and why are we using it?

Pulling from the American Psychiatric Association website: “The Diagnostic and Statistical Manual of Mental Disorders (DSM) is the handbook used by health care professionals in the United States and much of the world as the authoritative guide to the diagnosis of mental disorders. DSM contains descriptions, symptoms, and other criteria for diagnosing mental disorders. It provides a common language for clinicians to communicate about their patients and establishes consistent and reliable diagnoses that can be used in the research of mental disorders. DSM has been periodically reviewed and revised since it was first published in 1952. The previous version of DSM was completed nearly two decades ago; since that time, there has been a wealth of new research and knowledge about mental disorders.”

Keep in mind that the DSM-V was published nearly a decade ago and may be outdated, but this will probably be the closest we can get to an “official and credible” definition of narcissism and sociopathy, which has been redefined as antisocial personality disorder.

Here’s a link to the book. I will list each characteristic, and then apply it to Gojo, providing reasons on why he does or does not fit.

Antisocial personality disorder

A pervasive pattern of disregard for and violation of the rights of others, occurring since age 15 years, as indicated by three (or more) of the following:

1) Failure to conform to social norms with respect to lawful behaviors, as indicated by repeatedly performing acts that are grounds for arrest. - N

While Gojo is the strongest sorcerer, the higher-ups were also not afraid to put an on-sight execution on Geto despite him also being a promising special grade sorcerer. And if we define acts like murder, assault, or theft for being grounds for arrest, then Gojo has only committed murder on a human being once.

2) Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure. - N

There are no signs that Gojo has some sort of master plan that involves deception. His dream supposedly is to nurture and create strong and clever allies to reform their society, and he has not acted in a deceptive manner.

3) Impulsivity or failure to plan ahead. - N

Gojo has shown signs of being able to plan ahead, as he asked Okkotsu to take care of the others in the case he was incapacitated and to search for more Black Rope. In addition, after the Goodwill Event, he asked the students what their plan was going to be, and what they wanted to do. In addition, we see that he is able to keep composed and analyze his opponents in battle, like in his fight with Toji, and overall he appears to be a capable fighter, which necessitates a need for strategy.

4) Irritability and aggressiveness, as indicated by repeated physical fights or assaults. - N

There’s really not many moments where Gojo gets irritated. He gets angry when he finds out the higher-ups have conspired behind his back to kill Itadori, and when he sees Kenjaku. A case could be made that he got angry when Jogo and Hanami insulted him in Shibuya, but Jogo brushing him off in his introduction fight did not rile Gojo up. Gojo is only aggressive in combat, which is sometimes necessary for survival, and Gojo has only started one fight, which was when he asks Itadori to bring out Sukuna. The rest of the fights that Gojo is involved with is him reacting to the instigator.

There could be a case with how Gojo repeatedly picked fights with Geto, as volume 9 extra implies that Geto often set off the alarms because of these fights, but they were also best friends and still got along in spite of their ideological conflict.

5) Reckless disregard for safety of self or others. - Y

As a teen, Gojo destroyed a building that could have possibly injured Utahime and Mei Mei. As an adult, he uses Purple rather dangerously close to Itadori and Todo, though he could have expected Todo to know to keep his distance. He also sent Panda and Inumaki to Geto, but it may not qualify as reckless since Gojo believed Geto would not kill them.

However, Gojo also shows instances of him keeping in mind the safety of others. When Gojo senses Jogo coming for him, he tells Ijichi to continue on ahead. When Gojo brings Itadori, he also tells him to stay close. In Shibuya, surrounded by thousands of transfigured humans, Gojo casts his Domain Expansion long enough to not harm the regular humans, instead of sacrificing them to eliminate all the curses. When Hanami invades the Goodwill event, he believes that if any of the students died then it would be a loss for them.

Possibly because of Limitless, Gojo does recklessly disregard his own safety, as the fanbook states that he asked Mei Mei to use a very lethal technique on him, and has a rather tame reaction to getting stabbed in the back.

6) Consistent  irresponsibility,  as  indicated  by  repeated  failure  to  sustain consistent work behavior or honor financial obligations. - N

In the first light novel chapter 4, Ijichi mentions that Gojo is strangely dependable. We see later on that Gojo carries the backbone of Jujutsu society and often cleans up their mess. In addition, in the beginning of the Cursed Womb arc, Fushiguro mentions that Gojo has better things to do than be a teacher. While many characters often call Gojo irresponsible, it is implied he often goes on travels to exorcise curses that no one else can. In addition, chapter 1 of the first light novel also has Gojo mentioning that he can only sight-see when he’s working, therefore implying he has very little leisure time. And according to the official fanbook, Gojo only sleeps for a little bit.

7) Lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another. - Y

Gojo does demonstrate a lack of remorse, as seen by his constant teasing and insulting of Utahime. Teen Gojo also had a tendency to enjoy making others cry, but has not demonstrated this so far as an adult. In addition, he did not feel angry or guilty or sad at Amanai’s death, though it is fair to point out that he was not in the right state of mind at the time.

Narcissistic personality disorder

A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

1) Has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements). - N

The important part is “exaggerates” as Gojo being the strongest is not an exaggeration. To put it simply, Gojo can walk the talk.

2) Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love. - N

As mentioned before, his goal is to nurture strong allies to reform society. It is also not for his own benefit either. As the strongest, he already gets special privileges from the system.

3) Believes  that  he  or  she  is  “special”  and  unique  and  can  only  be understood  by,  or should associate with, other special or high-status people (or institutions). - N

Gojo seems to actively not associate with higher ranking members, and his associates aren’t special or high status either. In addition, he’s a teacher, which is not an occupation of prestige, and would actually have to interact with beginners on a daily basis.

In addition, while Gojo calls himself the strongest, which could be an argument that he thinks he is special and unique, Gojo is shown to have shared the title with Geto, therefore conveying that he never thought being the strongest was something only he could be.

Another argument could be that Gojo only hung out with Geto because Geto was just as strong, or special, but Gojo is also friends with Shoko, and she is not considered as strong.

4) Requires excessive admiration. - N

There is only one instance in which he does this, and that is when he talks with Nanami after the first incident with Mahito. However, Nanami afterwards mentions to keep making those jokes to lighten the mood for Itadori. In many other circumstances, he does not request admiration. His students often do not really show him much respect, and he does not take any measures to correct this.

5) Has  a  sense  of  entitlement  (i.e.,  unreasonable  expectations  of especially  favorable treatment or automatic compliance with his or her expectations). - N

Gojo is seen to offer his students a choice. To Itadori, he asks if he is willing to die right now or die after consuming all the fingers. To Fushiguro, he asks if he wants to stay with him or go to the Zenin. To Okkotsu, he asks if he wants to stay in the chamber forever isolated or attend the school. This is inline with his realization after Geto defects that he cannot save those who do not want to be saved. And this is still seen as a teenager when he brings up giving Amanai the choice if she wanted to merge or not.

One could argue that the fact Gojo is fine with being slightly late and makes some rather ridiculous demands of Ijichi, is him being entitled. But in the first light novel chapter 4, Ijichi also explains that it's rather due to Gojo's own high standards for himself that he also projects on others. He demand so much from Ijichi because he himself has been demanded so, which can be seen in his status of the strongest and constantly being needed places. So it's not so much as entitlement and more overestimating people because he thinks they can compare to him, which also conflicts with symptom #3.

6) Is interpersonally exploitative (i.e., takes advantage of others to achieve his or her own ends). - N

There could be a case that Gojo only saved Itadori, Okkotsu, and Fushiguro because they were potential allies. However, it is mentioned that Gojo has saved many sorcerers before, yet we have not heard of any of them. Therefore an assumption can be made that Gojo still saved some sorcerers that lacked potential.

Another case could be with the fact Geto claims Gojo sent Panda and Inumaki to sort of trigger Yuta into growing. However while sending them, he did state that he would be there quickly afterward, but was stalled by Miguel. In addition, he trusted Geto to not kill sorcerers unnecessarily. And while this may still be manipulative, it's not exploitative because Panda and Inumaki cares about Yuta and Maki and probably would have went regardless.

7) Lacks empathy: is unwilling to recognize or identify with the feelings and needs of others. - Y

There are often times where Gojo is not as emotionally sensitive as he should be. In the first light novel chapter 2, Gojo does not handle the situation with tact, and Nanami scolds him for it. He often insults and teases Utahime against her wishes. In response to Okkotsu trying to commit suicide, Gojo tells him he’s a pretty depressing guy. (Edit: the literal translation was actually "that's dark" so it was more of a statement than judgement)

However, there are also some examples of Gojo recognizing the needs of others. In the same chapter of the light novel, Gojo asks Nanami to take care of Itadori because he recognizes Nanami is more suited to that role. He also recognizes Amanai’s disappointment in returning early, so he delays the trip for her. He also knows what Fushiguro’s mental block is, and helps him overcome it to cast an incomplete Domain Expansion.

Gojo does have empathy, but it appears to be in a rather limited capability.

8) Is often envious of others or believes that others are envious of him or her. - N

There are no instances where Gojo is shown to mention jealousy.

9) Shows arrogant, haughty behaviors or attitudes - Y

Self-explanatory.

In conclusion, with Gojo scoring a 2/7 for antisocial personality disorder and a 2/9 for narcissistic personality disorder, we can conclude that Gojo has neither.

[saurabh3494]

Is breast cancer associated with urban rate and co2 emissions?

This blog is an example of how a multiple regression model problem is set up. These general steps help describe data management steps coherently. 

Sample 

GapMinder is a non-­‐profit venture promoting sustainable global development and achievement of the United Nations Millennium Development Goals. The sample includes annual estimates for breast cancer per 100k (Explanatory variable) among individual women 15-49 years old and total estimated numbers, all ages per country. The sample includes estimates of total Urban rate (quantitative response variable) for each country. The number of countries (n=214) is considered where the number of inhabitants is more than 100,000.

Procedure

Data for breast cancer rates were collected by data reporting procedures in countries and compiled by Global health data exchange in 2017. (http://ghdx.healthdata.org/)

Measures The measure of breast cancer per 100k women (Explanatory variable) was drawn from gapminder data set which is made available for download through the Gapminder web site (www.gapminder.org). The measure of urban rate and co2 emissions per country (quantitative variables) is made available for download through the Gapminder web site (www.gapminder.org).

Explanatory Variable: Breast Cancer per 100k (Quantitative)

 Response Variable:

Urban Rate (Quantitative)

Co2 Emissions(Quantitative)

  In this case, the null hypothesis is

H_o = There is no relationship between the Explanatory variable and Response Variable.

And the alternative hypothesis is

H_1 = There is a relationship between the Explanatory variable and Response Variable.

  The figure below shows the fit of the linear and quadratic regression model for breast cancer per 100k and urban rate of the country.

                         Linear Regression Analysis:

According to the linear regression modeling (smf.ols function in python)

    The linear model indicates that the P-value for urban rate is very low (0.00) indicating the null hypothesis could be rejected. i.e. there is a significant relationship between breast cancer and urban rate. One thing to note here is that R squared is 0.336 which means this linear model captures/fits 33.6% of the values.

In this case the linear regression could be modeled as follows

y = mx +b

 Where, 

y = breast cancer per 100k x = Urban rate m = 0.5868 b = 37.60

   Quadratic Regression Analysis:

According to the quadratic regression modeling (smf.ols function in python)

  The quadratic model indicates that the P-value for urban rate is very low (0.00) for the linear coefficient of urban rate and lower than 0.05 for the quadratic coefficient of urban rate indicating the null hypothesis could be rejected for this analysis. i.e. there is a significant relationship between breast cancer and urban rate. 

The quadratic model fits this sample size better than the linear model. One thing to note here is that R squared is now 0.352 which means this quadratic model captures/fits 35.2% of the values. This quadratic model fits this sample better than the linear model.

 In this case, the quadratic regression could be modeled as follows y = mx + m1(x^2) +b

 Where y = breast cancer per 100k

x = Urban rate m = 0.6075 m1 = 0.0056 b = 34.78

 Multiple Regression Analysis:

Note: Here we add Co2 Emissions to the model check whether there is any association.

According to the multiple regression modeling (smf.ols function in python)

  It could be observed that the p-value of all the coefficients urban rate, (urban rate)^2 and Co2 Emissions in this study are less than 0.05. This suggests that the null hypothesis could be rejected. 

Which means, there is a significant relationship between Breast Cancer and urban rate with co2 emissions as a confounding variable.

 Q-Q Plot

   This plot shows how large the residuals are. The Straight-line in this plot indicates normally distributed residuals. In this case, the residuals do not follow a perfectly normal distribution. This could mean that the curvilinear association that we observed in our scatter plot may not be fully estimated by the quadratic urban rate term. There might be other explanatory variables that we might consider in our model to improve the estimation of observed curvilinearity.

  The simple plot of Residuals: 

This plot shows that the most residuals lie between 2 and -2 with a few outliers.

 Additional regression diagnostic plots:

   leverage plot:

   This plot shows if there are any outliers. A point with zero leverage has no effect on the regression model. In this case, the most outliers have lower leverage and value with high H leverage is not an outlier since it is close to 0. The result of this analysis could be improved by adding more explanatory variables.

  Data Used:

 1)   The GapMinder data that includes one year of numerous country-level indicators of health, wealth and development.

https://d18ky98rnyall9.cloudfront.net/_5e80885b18b2ac5410ea4eb493b68fb4_gapminder.csv?Expires=1591747200&Signature=iXByc49QLCkuCMJLwySGjmKp0d1jopWN8HglbZ-fwUkJxtDK48zJDHK1TyLOsOENn7M-V25F4lCh7pNJe05Me~YnEnNJwGGjgmgCOl7A8BWvR1pxXHOiGUft4VKhxIyhWI8aPO9BDllXT2xecw4VVA~sjVaHGCD7wsfuL6b7ooA_&Key-Pair-Id=APKAJLTNE6QMUY6HBC5A

2) The GapMinder data Codebook

https://d396qusza40orc.cloudfront.net/phoenixassets/data-management-visualization/GapMinder%20Codebook%20.pdf

 3) Python Code: # -*- coding: utf-8 -*-

"""

Created on Tue Jul 28 18:42:12 2020

 @author: Saurabh

"""

 import numpy

import pandas

import matplotlib.pyplot as plt

import statsmodels.api as sm

import statsmodels.formula.api as smf

import seaborn

 # bug fix for display formats to avoid run time errors

pandas.set_option('display.float_format', lambda x:'%.2f'%x)

data = pandas.read_csv('C:/Users/Saurabh/Desktop/Coursera/Regression Modeling in Practice/Week 3/gapminder.csv')

 # convert to numeric format

data['internetuserate'] = pandas.to_numeric(data['internetuserate'], errors='coerce')

data['urbanrate'] = pandas.to_numeric(data['urbanrate'], errors='coerce')

data['femaleemployrate'] = pandas.to_numeric(data['femaleemployrate'], errors='coerce')

data['co2emissions'] = pandas.to_numeric(data['co2emissions'], errors='coerce')

data['employrate'] = pandas.to_numeric(data['employrate'], errors='coerce')

data['alcconsumption'] = pandas.to_numeric(data['alcconsumption'], errors='coerce')

data['breastcancerper100th'] = pandas.to_numeric(data['breastcancerper100th'], errors='coerce')

data['lifeexpectancy'] = pandas.to_numeric(data['lifeexpectancy'], errors='coerce')

#data['breastcancerper100th'] = pandas.to_numeric(data['breastcancerper100th'], errors='coerce')

#data['breastcancerper100th'] = pandas.to_numeric(data['breastcancerper100th'], errors='coerce')

data['urbanrate_c'] = (data['urbanrate'] - data['urbanrate'].mean())

#sub1['internetuserate_c'] = (sub1['internetuserate'] - sub1['internetuserate'].mean())

data['co2emissions_c'] = (data['co2emissions'] - data['co2emissions'].mean())

  #%%

 ## center quantitative IVs for regression analysis

#sub1['urbanrate_c'] = (sub1['urbanrate'] - sub1['urbanrate'].mean())

##sub1['internetuserate_c'] = (sub1['internetuserate'] - sub1['internetuserate'].mean())

#sub1['co2emissions_c'] = (sub1['co2emissions'] - sub1['co2emissions'].mean())

#

##sub1['breastcancerper100th_c'] = (sub1['breastcancerper100th'] - sub1['breastcancerper100th'].mean())

#

#

#sub1[["lifeexpectancy", "urbanrate_c", "co2emissions_c"]].describe()

#%%

   # listwise deletion of missing values

#sub1 = data[['lifeexpectancy','urbanrate', 'femaleemployrate', 'internetuserate', 'co2emissions', 'employrate', 'alcconsumption', 'breastcancerper100th']].dropna()

sub1 = data[['breastcancerper100th','urbanrate_c', 'co2emissions_c', 'urbanrate']].dropna()

 ####################################################################################

# POLYNOMIAL REGRESSION

####################################################################################

 # first order (linear) scatterplot

scat1 = seaborn.regplot(y="breastcancerper100th", x="urbanrate", scatter=True, data=sub1)

plt.ylabel('breastcancerper100th')

plt.xlabel('Urban Rate')

 # fit second order polynomial

# run the 2 scatterplots together to get both linear and second order fit lines

scat1 = seaborn.regplot(y="breastcancerper100th", x="urbanrate", scatter=True, order=2, data=sub1)

plt.ylabel('breastcancerper100th')

plt.xlabel('Urban Rate')

  #%%

# linear regression analysis

reg1 = smf.ols('breastcancerper100th ~ urbanrate_c', data=sub1).fit()

print (reg1.summary())

#%%

# quadratic (polynomial) regression analysis

 # run following line of code if you get PatsyError 'ImaginaryUnit' object is not callable

#del I

reg2 = smf.ols('breastcancerper100th ~ urbanrate_c + I(urbanrate_c**2)', data=sub1).fit()

print (reg2.summary())

  #%%

####################################################################################

# EVALUATING MODEL FIT

####################################################################################

 # adding CO2 emissions use rate

reg3 = smf.ols('breastcancerper100th  ~ urbanrate_c + I(urbanrate_c**2) + co2emissions_c',data=sub1).fit()

print (reg3.summary())

#%%

#Q-Q plot for normality

fig4=sm.qqplot(reg3.resid, line='r')

#%%

# simple plot of residuals

fig8=pandas.DataFrame(reg3.resid_pearson)

plt.plot(fig8, 'o', ls='None')

l = plt.axhline(y=0, color='r')

plt.ylabel('Standardized Residual')

plt.xlabel('Observation Number')

  # additional regression diagnostic plots

fig2 = plt.figure(figsize=(12,8))

fig2 = sm.graphics.plot_regress_exog(reg3,  "co2emissions_c", fig=fig2)

 # leverage plot

fig3=sm.graphics.influence_plot(reg3, size=8)

print(fig3)

[bluewatsons]

Leigh E. Rich, “Born Like This / Into This”: Tuberculosis, Justice, and Futuristic Dinosaurs, 13 J Bioethical Inquiry 1 (2016)

I was born of disease.

Not in the same circumstances as too many still today and so many others in the past, but my existence—or at least key narratives from life courses entwined with my existence—are rooted in disease. Had it not been for the “Spanish flu,” I would cease to exist. For it was the death of my paternal grandfather’s first wife during the 1918–1919 influenza pandemic that left him a widower, with three young children to raise. Out of this tragedy came marriage to my grandmother and ten more children, my father eighth in that line, eleventh in the blended family overall.1 And had it not been for tuberculosis, my grandparents never would have met. For it was my great-grandfather’s affliction with TB that brought this small immigrant family of three—him, my great-grandmother, and my barely born grandmother—from New York to Denver. They came West, into the dry, thin High Plains air of Colorado, where the sun reputedly shines three-quarters of the year (Colorado Climate Center 2010) and the climate was a prescriptive for what was then called “consumption” and those ill with it “lungers” (Lewis 2015).

Perhaps this health history somehow found its way, Lamarckian-style, into my being. For I am otherwise not sure from where my lifelong interest in medicine and the health sciences springs. I didn’t grow up in a household of healthcare workers. My parents, before I knew them, were both schoolteachers, and all of my life they owned and operated a local furniture manufacturing company.2 There were no aunts or uncles as doctors or nurses, no family friends in the business of sickness and health or the production of well-being. Yet, since I was small, all I wanted to do was read about medicine. True, these early books consisted mostly of those by Michael Crichton and Robin Cook (which also might explain my ongoing interest in the rise and persistence of the detective narrative). And while these novels weren’t the bastions of great philosophical or medical depth (although authored by scientists/modern medicine men), they hooked me into seeking more, and soon I was reading non-fiction about the rise of hospitals, evolutionary theory, the pharmaceutical industry, the history of science and technology. Anything related to medicine. And the politics of health. And morbidity and mortality.

Towards the end of high school, I enrolled in science seminar as well as a medical careers class, where we met after school with a dedicated teacher who led discussions and arranged field trips to hospitals and the University of Colorado’s Health Sciences Center. At the age of sixteen, a classmate and I even observed several surgeries from the floor of an operating room. Practically from over his shoulder, we watched as the orthopaedic surgeon and his team talked us through each procedure, working as one, serious and collegial, clearly enjoying their work while caring for their patients. Nearly thirty years later, I remember this experience vividly, gratefully, aware then as now of the opportunities that being able to attend a well-funded school provides. Through science seminar, I was offered an internship at National Jewish Medical and Research Center (now called National Jewish Health), whose doors opened in 1899 as National Jewish Hospital for Treatment of Consumptives. Under the guidance of world-renowned pulmonologists, I learned about TB, Mycobacterium avium-intracellulare (MAI), and drug resistance and participated in research exploring drug-susceptibility testing.

I gave no thought to it at the time, but, for a brief moment anyway, I was part of an institution that once treated my great-grandfather, connecting me to him in ways beyond just our genes.

But it’s not only our own families who count. It’s all families. As I now write, reflecting on TB and these odd (and rather morbid) webs of social and historical ties, memories are dredged from my primary school days as well, when our forearms would be pricked with the tuberculin tine test, the area circled in pen, and we’d be handed index-sized cards with variations of raised bumps with which to compare our own possible reactions over the next several days. I remember these cards well. I was intrigued by them. Almost mesmerized. And I would spend considerable time running my fingers over the uneven, artificial bulges, not so much out of vigilance for potential parallels between card and arm, but curiosity. Curiosity for something that was rather alien.

For me, there was a disconnect with the card, even though TB had in some ways shaped my life.

That disconnect doesn’t exist, cannot exist, for many, even today. According to the World Health Organization, in 2014 “9.6 million people fell ill with TB and 1.5 million people died from the disease” (WHO 2015b, ¶2 under “Key facts”; see also WHO 2015a, 8). Moreover, “an estimated 480,000 people developed multidrug-resistant TB (MDR-TB)” (WHO 2015b, ¶6 under “Key facts), nearly a tenth of whom have extensively drug-resistant TB (XDR-TB) (WHO 2015a, 2). By 2015, XDR-TB “had been reported by 105 countries” (WHO 2015a, 2).

Although TB occurs in every region in the world, some shoulder heavier burdens. The World Health Organization reports:

In 2014, about 80% of reported TB cases occurred in 22 countries. The 6 countries that stand out as having the largest number of incident cases in 2014 were India, Indonesia, Nigeria, Pakistan, People’s Republic of China and South Africa. Some countries are experiencing a major decline in cases, while in others the numbers are dropping very slowly (WHO 2015b, ¶2 under “Global impact of TB”).

Thus, while great strides have been made in reducing the overall death rate from TB and saving lives, concerns remain. As Mario Raviglione, director of the Global TB Programme, writes in the preface to the 2015 Global Tuberculosis Report, TB is “a classic example of a disease of poverty” (WHO 2015a, x). It was born in poverty and is sustained by poverty (see, e.g., Snewin, Cooper, and Hannan 2002). For example, the WHO reports that “[g]lobally an estimated 3.3% of new TB cases and 20% of previously treated cases have MDR-TB, a level that has changed little in recent years” (WHO 2015a, 2). And a “primary cause of MDR-TB,” the WHO states elsewhere, “is inappropriate treatment. Inappropriate or incorrect use of anti-TB drugs, or use of poor quality medicines, can cause drug resistance” (WHO 2015b, ¶3 under “Multidrug-resistant TB”).

Drug resistance, therefore, is “a human-made phenomenon” (Selgelid and Reichman 2011, S9), a combination of lack of access to medicines for many who need them, adherence issues among patients (e.g., rationing for economic reasons, discontinuation due to side effects), diagnostic and clinical errors, stigmatization, and continuing disincentives for change in health systems, politics, and industry.

But if it is “a human-made phenomenon,” then, too, are the solutions.

The question remains, however, whether such solutions are possible within our current social contracts. In what has become a rather controversial op-ed piece, Peter Buffett, son of American entrepreneur and philanthropist Warren Buffett, wrote frankly in 2013 about what he and his wife have termed “Philanthropic Colonialism”—which not only involves attempts to “save the day” and solve local problems in other cultures with “very little knowledge of a particular place” (and sometimes succeeding only in creating “unintended consequences”) but also “conscience laundering,” or giving back in fractional ways in order to appease any moral distress sparked by a system that “creates vast amounts of wealth for the few” at the expense of all (Buffett 2013, ¶2, ¶3, and ¶7).3

Focusing on charity, then, “just keeps the existing structure of inequality in place,” and Buffett instead calls for “a new operating system,” one steeped in humanism (Buffett 2013, ¶8 and ¶13). The title to his piece, “The Charitable–Industrial Complex,” references U.S. President Dwight D. Eisenhower’s warning upon leaving office in 1961 to beware of a growing military–industrial complex, the intertwined and reinforcing relationships “between corporations and the armed forces” that seek to maximize their own interests regardless of any peril to democracy (Bacevich 2011, ¶1). History and international relations professor Andrew J. Bacevich, in examining several of Eisenhower’s speeches related to the “economic, social, political, and moral” implications of “misappropriate[ing] … scarce resources” and diverting “social capital from productive to destructive purposes” (Bacevich 2011, ¶5–¶7), concludes that “the president contemplated a world permanently perched on the brink of war—‘humanity hanging from a cross of iron’—and he appealed to Americans to assess the consequences likely to ensue” (Bacevich 2011, ¶4).

This “cross of iron” smacks of Thomas Hobbes’ state of war, which, while “perfect freedom,” can only be “solitary, poor, nasty, brutish, and short” (1886, 64).

So too, perhaps, with the charitable–industrial complex, although Buffett’s editorial looks to John Rawls instead of Hobbes, asking us (in so many words) to return to an “original position,” to go behind a “veil of ignorance,” and to build “from the ground up” a “[n]ew code” (Buffett 2013, ¶13)—one that maximizes the minimum and secures not only basic equal liberties for all but also “effective freedom,” where genuine access to resources is a reality that enables individuals and communities to develop and grow and pursue their educational, entrepreneurial, and other dreams (Rawls 2003). We must also, then, take cues not merely from Rawls but Charles W. Mills (1997), whose examination of The Racial Contract requires that we acknowledge—and dismantle—the malign normative system within social contract theory that has been blind to the historical and enduring “whiteness” of liberalism, to the embedded biases rooted in colonialism about who “counts” as equal, free, rational persons (Mills 1997). Instead, we must create genuinely inclusive social contracts.

“What we have is a crisis of imagination,” Buffett urges. “Albert Einstein said that you cannot solve a problem with the same mind-set that created it” (Buffett 2013, ¶14), and thus we cannot address the global issue of TB (and so many other diseases) without addressing the underlying socioeconomic system in which it thrives. Without addressing the poverty that created it and the poverty created from it.

TB is not something alien, not a disease of an “other.” It is my disease. It is our disease. This issue of the Journal of Bioethical Inquiry, with a symposium on tuberculosis edited by Paul H. Mason and Chris Degeling and in honour of World TB Day 2016, underscores this. It examines the intersections of narratives of TB from multiple disciplines and diverse perspectives. It emphasizes the “deeply personal story” that is TB, even as the global disease burden and efforts at eradication continue to seem daunting (Mason and Degeling 2016, under “Abstract”).4

So many years ago, when I unconsciously played with the card that accompanied the tuberculin skin test, I was asking the question of “Why me?” Not in the usual way we pose this query, when we are stricken with illness and want to know from our maker, from society, from those in our lives why we find ourselves diagnosed with a given disease at a particular time. Rather, unbeknownst to me, I was asking “Why me?” in the sense of “Why am I not vulnerable?”

It is a question that must be asked more.

And one that demands response.

We have the duty—just perhaps not yet the Kantian good will—to do more than merely “keep the pot from boiling over” (Buffett 2013, ¶8), to do more than merely perpetuate a system where, as Rawls would put it, the “inequalities … are not to the benefit of all” (Rawls 2003, 54). George Merck reputedly once said that if his pharmaceutical company “discovered a cure for cancer, he’d not patent it. … How can you keep it away from people? How can you charge a lot of money? What’s the excuse? You can’t do that” (recounted by chemist Max Tishler, cited in Werth 1994, 127).

What is our excuse?

In various permutations, we are all born of disease. Even Rawls’ A Theory of Justice was born of disease.5

We are, as poet Charles Bukowski phrased it, “born like this / into this”6:

we are

born like this

into this

into these carefully mad wars

into the sight of broken factory windows of emptiness

into bars where people no longer speak to each other

into fist fights that end as shootings and knifings

born into this

into hospitals which are so expensive that it’s cheaper to die

into lawyers who charge so much it’s cheaper to plead guilty

into a country where the jails are full and the madhouses closed

into a place where the masses elevate fools into rich heroes

“Dinosauria, we,” Bukowski deems us, and should we wilfully fail to heed this forecast, soon we may just be

the last few survivors … overtaken by new and hideous diseases … and there will be the most beautiful silence never heard born out of that.

Can we prove him wrong?

Will we?

Footnotes

I once recounted this story at a Society for Public Health Education (SOPHE) training on crisis and emergency risk communication, during a session in which we used the possibility of an avian flu pandemic as a case study. To emphasize the far-reaching effects of epidemics, the instructor asked us to consider the influenza pandemic of 1918–1919 and urged us to share how events from ninety years prior had personally affected us. She was, perhaps, at first taken aback that, in this tragic way, I had disease to thank for my father’s life and, thus, my own. It is this randomness of circumstance, being “born into this,” that political philosopher John Rawls attempted to address in his A Theory of Justice, first published in 1971.

That said, my parents always believed, and continue to do so, in education. At university, my father focused on psychology, my mother on learning disabilities. Both went on to earn master’s degrees. And today, when we meet up on Sunday mornings for our weekly walk around a local lake, we speak primarily of health—in the World Health Organization sense of the word (WHO 1946)—and social justice, trying to understand, and find ways to ameliorate, the lack of will we humans can exhibit when it comes to others’ suffering.

I thank Susan Arshack, grants director at Armstrong State University, for sharing her perspectives and Buffett’s article with me during a recent grant-writing workshop.

The issue also includes several responses to a TB-related “In That Case” column. The case study and four of the replies can be located via the JBI website at http://bioethicalinquiry.com/.

In Thomas Pogge’s biography of John “Jack” Rawls, he notes that the “most important events in Jack’s childhood were the loss of two younger brothers, who died of diseases contracted from Jack”—one from diphtheria, one from pneumonia (Pogge 2007, 5). Pogge also emphasizes that Rawls’ “sense of justice” was heavily influenced by “his mother’s work for the rights of women” and “his own reflections on race and class” in his hometown of Baltimore, Maryland (Pogge 2007, 6). Likewise, I, too, must thank my mother, who, through her ceaseless philanthropic work—while working full-time, co-raising children and now grandchildren, and caring for parents and other friends and relatives—has always been and continues to be a role model for me. Still working full-time, she recently co-founded a community garden that has, with collaborative partners, helped to create free, healthy meals for thousands of local schoolchildren. I also am shaped by and often share with my students my father’s mantra: that no one should be hungry, homeless, or without healthcare.

This and the following Bukowski lines are from the poem “Dinosauria, we” (see Bukowski 2002, 319–321).

References

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Buffett, P. 2013. The charitable–industrial complex. The New York Times, July 26. http://www.nytimes.com/2013/07/27/opinion/the-charitable-industrial-complex.html.

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Werth, B. 1994. The billion-dollar molecule: The quest for the perfect drug. New York: Simon & Schuster.Google Scholar

World Health Organization (WHO). 1946. Constitution of the World Health Organization. http://www.who.int/governance/eb/who_constitution_en.pdf. Accessed February 17, 2016.

World Health Organization (WHO). 2015a. Global tuberculosis report 2015. Geneva: WHO Press, publication no. WHO/HTM/TB/2015.22. http://www.who.int/tb/publications/global_report/en/.

World Health Organization (WHO). 2015b. Tuberculosis: Fact sheet n° 104. http://www.who.int/mediacentre/factsheets/fs104/en/. Accessed February 17, 2016.

[salecheapsneakers-blog]

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[sufrgery1]

Discover the Top 10 Nephrologists in Hyderabad at TX Hospitals

Introduction

Kidney health is vital to overall well-being, and finding the right nephrologist is crucial for effective diagnosis and treatment. Hyderabad is a city renowned for its advanced medical facilities and expert healthcare professionals. This article introduces you to the top 10 nephrologists in Hyderabad, all available at TX Hospitals. With their expertise and commitment to patient care, you can be assured of receiving the best kidney treatment. To schedule a consultation, book now by calling 9089489089.

Top 10 Nephrologists in Hyderabad at TX Hospitals

1. Dr. N. Pawan Kumar Rao Dr. N. Pawan Kumar Rao is a highly esteemed nephrologist known for his extensive expertise in managing kidney disorders. His qualifications include:

MBBS

MD

DM (Nephrology)

Dr. Rao is dedicated to providing top-notch care, utilizing the latest advancements in nephrology to treat his patients effectively.

2. Dr. S.V. Subramanyam Dr. S.V. Subramanyam is a leading nephrologist with impressive credentials:

MBBS

MD

MISN (Nephrology)

Dr. Subramanyam’s comprehensive approach ensures individualized care for each patient, making him a trusted name in kidney care.

3. Dr. Sashidhar Ch Dr. Sashidhar Ch brings a wealth of experience to the field of nephrology. His qualifications include:

MBBS

MD

DNB

Specializing in a wide range of kidney diseases, Dr. Sashidhar is known for his patient-centric approach and personalized treatment plans.

4. Dr. P. Hari Prasad Dr. P. Hari Prasad is a distinguished nephrologist committed to advancing kidney care. His educational background includes:

MBBS

MD

DM (Nephrology)

Dr. Prasad’s dedication to patient care and his expertise in nephrology make him a vital part of the TX Hospitals team.

5. Dr. Anitha Kumari Dr. Anitha Kumari is known for her compassionate care and thorough understanding of nephrology. Her qualifications include:

MBBS

MD (General Medicine)

DM (Nephrology)

Dr. Kumari is dedicated to providing high-quality kidney care with a focus on patient comfort and well-being.

6. Dr. Ravi Kiran Dr. Ravi Kiran is a renowned nephrologist with extensive experience in treating kidney disorders. His qualifications include:

MBBS

MD

DM (Nephrology)

Dr. Kiran’s patient-first approach ensures comprehensive and effective treatment for all kidney-related conditions.

7. Dr. Suresh Babu Dr. Suresh Babu is a highly qualified nephrologist known for his expertise and patient care. His credentials include:

MBBS

MD

DM (Nephrology)

Dr. Babu’s dedication to nephrology and his personalized care make him a top choice for kidney treatment.

8. Dr. Uma Rani Dr. Uma Rani specializes in nephrology with a focus on innovative treatment methods. Her qualifications include:

MBBS

MD

DM (Nephrology)

Dr. Rani’s commitment to her patients and her advanced knowledge in nephrology ensure the best outcomes.

9. Dr. Sanjay Kumar Dr. Sanjay Kumar is a respected nephrologist known for his comprehensive care and expertise. His qualifications include:

MBBS

MD

DM (Nephrology)

Dr. Kumar is dedicated to providing high-quality kidney care, utilizing the latest technologies and treatment methods.

10. Dr. Priya Nair Dr. Priya Nair is a leading nephrologist with a patient-focused approach. Her qualifications include:

MBBS

MD

DM (Nephrology)

Dr. Nair’s expertise in nephrology and her commitment to personalized care make her a top choice for patients in Hyderabad.

Why Choose TX Hospitals?

Expert Team: TX Hospitals boasts a team of highly qualified nephrologists with extensive experience in kidney care.

Advanced Technology: Equipped with state-of-the-art technology, TX Hospitals offers precise diagnostics and effective treatments for all kidney-related conditions.

Comprehensive Services: From routine check-ups to advanced procedures like dialysis and kidney transplants, TX Hospitals provides a wide range of nephrology services.

Patient-Centered Care: Each patient receives personalized care tailored to their specific needs, ensuring a holistic approach to kidney health.

Book an Appointment Today

Early diagnosis and treatment are key to managing kidney diseases effectively. Don’t wait to address your kidney health concerns. Book your appointment with one of the top nephrologists in Hyderabad at TX Hospitals by calling 9089489089. Our team of experts is ready to provide you with the highest level of care.

Conclusion

Choosing the right nephrologist is essential for maintaining optimal kidney health. TX Hospitals in Hyderabad offers access to the top 10 nephrologists, ensuring you receive expert and compassionate care. With specialists like Dr. N. Pawan Kumar Rao, Dr. S.V. Subramanyam, Dr. Sashidhar Ch, Dr. P. Hari Prasad, and others, you can trust TX Hospitals to meet all your nephrology needs. Book your appointment today by calling 9089 48 9089 and take the first step towards better kidney health.

Contact Information

Phone: 9089489089 Hospital: TX Hospitals Location: Hyderabad

Trust TX Hospitals and their team of expert nephrologists to provide you with the best care possible. Your kidney health is our priority.

[fitjourneydaily]

Understanding the Connection Between the National Institute of Allergy and Infectious Diseases, HerpaGreens, LSD-1 Protein, and TCP: A Comprehensive Guide

Introduction --------------------------------- In the field of healthcare, research and development play a pivotal role in combating various diseases. The National Institute of Allergy and Infectious Diseases (NIAID) is at the forefront of this mission, working tirelessly to improve our understanding of infectious diseases and allergies. Today, we'll delve into the intriguing connection between NIAID, HerpaGreens, the LSD-1 protein, and TCP, exploring how they intersect and contribute to advancements in disease prevention and treatment. Understanding the Role of the National Institute of Allergy and Infectious Diseases (NIAID) (200 words) --------------------------------- The National Institute of Allergy and Infectious Diseases, a part of the National Institutes of Health, is dedicated to research that leads to a better understanding of the immune system and its response to allergies and infectious diseases. NIAID's work encompasses developing new vaccines, therapies, and diagnostic tools, with a relentless focus on the prevention and treatment of various diseases such as HIV/AIDS, influenza, and tuberculosis. HerpaGreens: A Revolutionary Approach in Disease Prevention --------------------------------- In recent years, the world has seen a surge in natural and holistic approaches to disease prevention. One such breakthrough is HerpaGreens, a unique product formulated to address the herpes simplex virus (HSV) outbreak that affects millions of individuals worldwide. Developed in collaboration with NIAID, HerpaGreens combines powerful and natural ingredients to boost the immune system and suppress the HSV virus. By leveraging the expertise of NIAID researchers, HerpaGreens provides a safe and effective alternative for individuals affected by this common viral infection. The Role of the LSD-1 Protein in Disease Progression and Treatment --------------------------------- Recent studies have shed light on the significance of the Lysine-specific Demethylase 1 (LSD-1) protein in disease progression and treatment. LSD-1 plays a critical role in regulating gene expression, cellular differentiation, and organism development. Researchers at NIAID are exploring the potential of LSD-1 inhibitors as a promising therapeutic approach for various diseases, including chronic viral infections and even certain types of cancer. By inhibiting the action of LSD-1, scientists aim to control the progression of diseases and enhance the effectiveness of existing treatments. TCP: A Target for Innovative Therapies --------------------------------- T-cell immunoglobulin and mucin-domain-containing protein 3 (TIM-3) and Carcinoembryonic Antigen Cell Adhesion Molecule 1 (CEACAM1)-related protein (TCP) are emerging as potential targets for innovative therapies. Researchers at NIAID are actively investigating the role of TCP in regulating immune responses and its association with chronic viral infections. By studying the interactions between TCP and other immune checkpoints, scientists aim to develop novel therapeutics that can modulate immune responses and enhance the body's defense against infectious diseases and allergies. Conclusion --------------------------------- The National Institute of Allergy and Infectious Diseases stands as an invaluable organization in the quest for improved healthcare. Collaborations with entities like HerpaGreens, combined with exploring the potential of proteins like LSD-1 and TCP, pave the way for groundbreaking advancements in disease prevention and treatment. Through ongoing research efforts, NIAID continues to unravel the intricacies of our immune system, bolstering our ability to combat infectious diseases and allergies more effectively. Seeking effective strategies, insightful information, and community support for managing and overcoming herpes? health? Visit our website for a wealth of resources and guidance on herpes treatment. Discover the revolutionary benefits of HerpaGreens and explore how natural ingredients can transform your health journey. Don't miss out on our comprehensive insights – your path to recovery starts here. Read the full article

[hospicelsorg]

Retired Cape doctor named to national panel on tick-borne illness

Sam Donta treated thousands of individuals such as Lyme disease.

Cynthia McCormick @Cmccormickcct

FALMOUTH — An infectious-disease expert from Falmouth having a long history of treating patients with Lyme disease was appointed to a national subcommittee analyzing tick-borne illness.

Dr. Sam T. Donta was one of 53 people delegated this month to serve on six subcommittees of their Tick-Borne Infection Working Group, which is charged with advising the U.S. secretary of Health and Human Services on the future direction of tick disease therapy and research.

“The mission is to determine what needs to be done to additional progress the diagnosis” and therapy of Lyme disease and other tick-borne illnesses, Donta explained.

“The fundamental theme is people’s continuing symptoms,” Donta, 79, said.

The first stage of Lyme disease transmitted by the bite of the black-legged deer tick comprises fatigue, flulike symptoms and a rash.

But it’s later symptoms of the bacterial illness that individuals say mess lives because they influence cognition, vision, joints, tendons as well as the heart.

The ideal treatment for chronic, late-stage or relapsing Lyme disease continues to be a medical governmental football, as some infectious-disease experts such as Donta espouse the usage of long-term antibiotics while other doctors decry their usage and say there is no proof of lingering infection.

“Some progress is being made. More have to be produced,” stated Donta, That Has Been affiliated with Boston University and the University of Connecticut Health Center in Farmington.

“Patients have persisting symptoms,” Donta explained.

Donta, who retired in 2015, estimates that he has treated at least 8,000 people from the Cape and beyond since 2003.

He is working on the Pathogenesis, Transmission and Therapy subcommittee of their Tick-Borne Diseases Working Group together with such luminaries as Dr. Brian Fallon of Columbia University’s Lyme and Tick-Borne Diseases Research Center, along with Dr. Patricia K. Coyle, neurologist in Stony Brook University Medical Center.

The working class was formally launched in August as a result of the 21st Century Cures Act enacted by Congress from 2016 to examine an assortment of health issues such as opioid addiction and behavioral health.

Critics of the action point to its service by leading pharmaceutical companies and wonder its advocacy of patients and consumers.

Among the working class subcommittees concentrates on vaccines and therapeutics while others examine surveillance, diagnostics and accessibility to care.

The working class is scheduled to make a record to the Health and Human Services secretary in December and then every two years after that.

The Tick-Borne Infection Working Group is led by Dr. John N. Aucott of the Johns Hopkins University School of Medicine and contains Charles Benjamin Beard, a Master in bacterial infections with the Centers for Disease Control and Prevention.

Donta, who stated he serves to the U.S. Army Medical Research Tick-Borne Disease Programmatic Panel Beard, stated Beard “knows there’s a issue and wants something done”

Donta also serves to the Barnstable County Lyme/Tickborne Diseases Task Force.

The Centers for Disease Control estimates that there are 300,000 new cases of Lyme disease every year. The number of additional tick-borne diseases is also on the upswing.

Over the Cape, folks are sickened by bacterial tick-borne disorders babesiosis, anaplasmosis and miyamotoi, and past year at two Cape guys died from the tick-borne Powassan virus.

Lisa Freeman, a registered nurse who set on the Cape Lyme Advocacy Service Program, stated Donta brings a wealth of knowledge to talks about Lyme in the federal level.

“I really hope they can see that really is a chronic issue that needs more focus,” Freeman said.

— Practice Cynthia McCormick on Twitter: @Cmccormickcct.

from Health http://www.hospicels.org/retired-cape-doctor-named-to-national-panel-on-tick-borne-illness/

[happygreenpanda]

What have we learned from visits to hospitals?

On 20170626, after Little Princess vomited thrice starting at 8.30pm, we rushed her to the main hospital with children emergency, where most parents in the country we lived in summer 2017 have brought their sick children to see a doctor, especially when general practitioners had closed. In the moment of rush, I still remember to bring mobile phone charger, which Honey Panda was thankful for.

We reached the hospital at ~ 9.35 pm, and a sign indicated that waiting time was expected to be 6 hours, but serious illnesses will be attended first.

At the hospital, she vomited thrice. Thankfully, her vomiting stopped at ~ 1.30 am on 20170627, but she was already admitted. Since no single-bed ward available, she had to stay at four-bed ward.

Different doctors assessed Little Princess, depending on their work shift.

The doctor at the emergency (surname K) (see *health*txt for full names), consulted his boss before told us to admit Little Princess. He examined Little Princess (press her toes, moist level of lips/gums, tummy) and shared that we did not have to worry about dehydration at that moment. We were thankful that he kept our queue number, because we went to buy drinks, he called Honey Panda several time, but his mobile phone has a problem for connection at that (important) timing.

The first doctor (surname S) at the ward asked a lot of questions, including the presence of birth marks and the occupations of the patient’s parents. She witnessed Little Princess’ 6th (and it turned out to be the last) vomit.

The second doctor (surname N) at the ward, who was gentler than the S, checked the throat of Little Princess. She mentioned that the procedure might wake the child up and did it fast. She noted that the throat of Little Princess was bit inflamed, most likely she suffered from viral infection. However, she also  ordered for urine test (to rule out UTI due to bacteria).

The consultant doctor (first name I) who came to see Little Princess in the morning of 20170627, brought some of his students. Green vomit may be due to intestinal blockage (bowel obstruction). However, in the case of Little Princess, her stomach was not bloated and she had stopped vomiting, hence it’s unlikely due to intestinal blockage.

Honey Panda informed me that their diagnosis procedure is akin to decision tree. It also reminded me on Checklist Manifesto by Atul Gawande.

It took the nurse half an hour to warm the expressed breast milk.When it’s ready, the milk was too hot, instead of waiting for it to cool down, I asked for a top up using that still in the fridge. Consequently, Little Princess drank higher volume of milk (~80 – 90 ml) than the reduced volume prescribed to her (50-60 ml every 2 hours).

Next time (though I hope she would not have to stay in a hospital again until she delivers her first baby), we can bring a kettle and a heat-resistant container, to warm the milk ourselves. Perhaps, they were very busy. Perhaps, they were under staffed, yet Honey Panda observed that he listened to nurses chit chat at the pantry. Honey Panda still gave a good feedback because the nurse was polite. It seems that being polite and showing empathetic can minimize negative feedback [2].

For her lunch, Little Princess received an empty bowl, which was not was we ordered for her. Thankfully, the neighbor’s mother asked if the cereal sachet on her son’s tray was ours as she did not order it.

Though we requested for a bumper to protect Little Princes from knocking her head against the metals of the cot, the bumper covered only less than half of the height of the metals. The active Little Princess still knocked her head, while she was cruising, in spite of our efforts protecting her head.

We were also worried for further infection acquired at the hospital because Little Princess used her mouth to explore anything, from the bumper to the metals of the cot.

Little Princess has the 4-bed ward for herself until the early morning of 20170627. Her first neighbor was a male baby ~ 2 months younger than her, who reached the hospital at 5 am. He was coughing, on an oxygen supply, vomited, and cried in pain for long periods. His mother is a nurse, it might help to soothe her.

Then, at 3 pm, a little boy with very bad ulcers in his mouth came. Honey Panda overheard that he might have oral herpes viral infection. The highly contagious herpes simplex virus can spread to others who touch infected saliva, mucous membranes, or skin.

Honey Panda asked a nurse when a doctor would come to examine Little Princess before discharging her. Since Little Princess is recovering, doctors would need to see more seriously ill children first, which we understood.

At ~3.30pm. another boy came in with his father, mother, and a maid. The ward became so crowded. Little Princess received too much stimulation. She did not manage to sleep much; as a light sleeper, she was woken up by the cry of the baby boy. At that point, I ponder on space, privacy, resources, distribution, and money.

I decided to walk around the aisle, carrying Little Princess with our baby carrier bought for Little Prince. Thankfully, they have some children-style paintings hung on the wall.

After a doctor examined Little Princess, while waiting for Honey Panda to settle the discharge matter, I brought Little Princess to breast center (clinic) at the ground floor of the hospital, because it has many empty couches. She fell asleep there ~5 pm.

We only reached home at 6.30 pm, what a relief!

***

On 20170628, Mom asked me if I know any lung specialist in a hospital in the country where we spent our summer 2017. At the same night, Honey Panda told me a news about a prominent oncologist who was suspended for giving a former 55-year old patient suffering from Stage 2B lung cancer false hope to undergo a chemotherapy; alas she died 6 months later.

Once they decided on their arrival date, I will make an appointment.

I don’t know any lung specialist [1], but will pray that we find one that is suitable for Dad and able to make right diagnosis and treatment if necessary.

***

Thus, what are our action points?

Love ourselves more. Cherish now and here.

Breathe and exercise. I must do more gentle exercises (e.g. walking). I also want to try meditation, yoga, a novel physical activity that I have never tried, and make at least one of them a habit [3].

Do not 100% believe the experts.

Pray that we stay healthy for as many days, weeks, years as possible. Health is wealth.

***

[1] The more years I live, the more things I learn, I find it even hard to 100% believe in experts. I am no longer the little girl who believes what the doctor said.

While I no longer sure whom and what to believe in, a question popped in my mind: how do doctors face diseases and death? Most of them have chosen gentle death, without heroic measures.

I heard that doctors themselves are among the hardest patients. If facing a terminal illness, 88.3% of doctors would forsake resuscitation (i.e. “no-code” status) and aggressive, life-prolonging treatment (e.g. arduous chemotherapy, radiation), according to a study by Stanford University in 2013. Why? Perhaps, they have seen too much sufferings daily [2].

In contrast, another study by University of Colorado Anschutz Medical Campus reported that doctors used more hospice care, spent more time in ICUs than non-physicians.

***

[2]  Physicians are trained to deal with patients without much emotions, so that emotions will not obscure their judgments.

However, shall any of us aspire to be a doctor or any kind of high-cost service provider, it is good to know the financial risk of lacking emotional rapport.

In USA, physicians who are sued for malpractice generally make no more medical errors than those who are not sued. Interestingly, those who are sued have shorter visits with patients, fail to inquire about the patients’ concerns or answer the patients’ questions, have little or no smile/laughter. Remember to be empathetic, humble, nod, and smile if appropriate.

It reminds me on the duality nature of an attribute, nothing is perfect.

Doctors who have more empathy, can build better rapport with patients, “greatly increases diagnostic accuracy and how the patients comply with their doctor’s instructions, and enhances patients’ satisfaction and loyalty,” according to Focus by Daniel Goleman.

While the first obstetrician whom we saw in the birth country of Little Princess was meticulous, patient, and liked more by Honey Panda, I found her too emotional for a VBAC attempt. Later in summer 2017, I understand my decision-making at that time.

Attention to patients’ distress may affect how physicians in providing excellent technical care e.g. when a great focus is required to perform a particular medical procedure perfectly in spite of the agony of the patients.

“I want my doctor to look at me if I’m in pain –to be there, be present to me, the patient. Empathic–but not too sensitive to treat my pain well“, Jean Decety of University of Chicago.

During consultations, most people including me prefer empathetic doctors. During the critical moment of delivery, I prefer less emotional obstetrician, who can focus and deploy acquired attentional anesthetic.

Attentional anesthetic appears to utilize the temporalpariental junction (TPJ) and regions of the prefrontal cortex to improve focus by disregarding emotions. In the brains of doctors, this anesthetic contributes to blocking or minimizing automatic responses to others’ pain and discomfort, that are normally fired in those who are not in the medical field. For example, when we see a baby  is being pricked with a pin, our pain centers in our brain are echoing that pain.

To meet with such a dual requirement for both empathy and attentional anesthetic, William Osler recommended doctors to practice detached concern. For example, a doctor should be able to detach himself/herself that his blood vessels don’t constrict and his heart rate remains steady when he sees terrible sights.

How I wish I knew about attentional anestetic and detached concern in my teenage years. I was concerned that I might end up feeling overwhelmed as a result of seeing the sufferings of others daily, I decided not to persistently pursue a career as a physician (one of my childhood dreams), besides the financial constraints.

***

[3] In summer 2017, I tried to have a daily walk with both Little Prince and Little Princess, sometimes we did not manage to do it, bu I am thankful for every walk.

  from What have we learned from visits to hospitals?