Medicine and Politic: A Deadly Mix -Pin This

  From Libertarian Tom Woods comes a very insightful post concerning how physicians have gutted true medicine in the name of "Public Health." I can totally relate to the writer's insights and angst. I first noticed this in med school, and I also had the realization that my fellow students lock-stepped (thanks for the accurate image!) right into line. It was a lonely time of my life for me. I actually gave up discussing politics with these particular classmates. I felt very much alone.

"In my opinion, the medical intelligentsia is in complete lockstep with far-left politics. It is so fully ingrained that I personally don’t think it's possible for it to change from the inside. I think outside forces need to become aware of it. Without going into too much detail, the public health field is generally made up of people who define medicine to be such a broad term, that almost no area of our lives would not be subject to control by it. For example, gun control leads to trauma, so health experts should make policy on it. Poor housing leads to worse health outcomes, so health experts should make policy on housing subsidies/projects, etc...

"...It is the orthodox opinion that the medical community should advocate and push for policies (that always line up with left-wing politics)."

The Tom Woods Show

To Spank or Not to Spank? That is the Real Question.

 My Quora Answer to: Would you spank a teen like me if you had to?

"Unless it’s done between consenting adults, spanking is VERY rarely warranted. Before I go into more detail, allow me to provide my child-forwarding (and not “-rearing”) credentials."

Spankings

Boobs

 My Quora Answer to the Question, "Why have breasts been sexualized when they deem no sexual purposes?" I didn't write it, but my first thought was that this isn't a question. Rather it is an opinion.

"The second, about 300,000 years ago, had to do with females being able to choose their mates due to face-to-face sex. Until then, as in the rest of creation, sex was basically rape. The first guy in her from behind during ovulation would usually end up being the biological father of her next kid. Like a glory hole contest for paternity."

https://qr.ae/pNPe5X

I Am Doing a Countdown Promotion for My First Book, "How to Think Like a Doctor"

 

I am doing a countdown promotion for my first book, How to Think Like a Doctor starting Friday, September 8th, and finishing on Tuesday, September 8th. The book is an entry-level medical text, written especially for new med and nursing students, EMT’s, CNA’s, Paramedics, and everyone who is interested in learning how physicians approach patient care and think logically about their problems. Using a case study from an actual patient who presented to my clinic, I dissect her issues through multiple techniques, including her Chief Complaint, History of Present Illness, Past Medical History, Physical Exam, et cetera, and arrive at a Definitive Diagnosis.

Her Treatment Plan included a combination of behavioral and lifestyle changes and prescriptions. Which worked!

My mantra for all of my books is “Enjoy & Learn,” and I hope you will.

Thank you in advance for buying this revealing book.

        https://amzn.to/3brdeic

Una Promoción de Cuenta Regresiva Para mi Libro Cómo Pensar Como un Doctor Comenzando el Viernes 4 de Septiembre

Estoy haciendo una promoción de cuenta regresiva para mi primer libro, Cómo Pensar Como un Doctor comenzando el viernes 4 de septiembre y terminando el martes 8 de septiembre Cómo Pensar Como un Doctor  es un texto médico de nivel de entrada, escrito especialmente para nuevos

estudiantes de medicina y enfermería, EMT, CNA, Paramédicos, y todos los que estén interesados en aprender cómo los médicos abordan la atención al paciente y piensan lógicamente sobre sus problemas. Utilizando un estudio de caso de un paciente real que se presentó en mi clínica, analizo sus problemas a

través de múltiples técnicas, incluida su Queja Principal, Antecedentes de Enfermedades Actuales, Antecedentes Médicos Anteriores, Examen Físico,etcétera, y llego a un Diagnóstico Definitivo. Su Plan de Tratamiento incluía una combinación de cambios de comportamiento y estilo de vida, y recetas.

¡Que funcionó!

Mi mantra para todos mis libros es "Disfruta y Aprende" y espero que tú también lo hagas. 

Gracias de antemano por comprar este revelador libro.

https://bit.ly/2YZU13M

Fletcher Hits the Bullseye

Horace Fletcher (1849-1919) was known as “The Great Masticator'' a dubious title. The foodie earned this appellation because of his practice and advocacy of chewing food until liquified before swallowing. IMHO, this is excellent advice, unlike his promotion of low protein, high carb diets. Oh well.

One surprising, if not gross, interest of his was poop. But believe it or not, these days the Bulletproof people also want us to study Number Two as a means to improve our health. I will blog about that soon.

From Wikipedia: His mastication system became known as "Fletcherism".

Fletcher and his followers recited and followed his instructions religiously, even claiming that liquids, too, had to be chewed in order to be properly mixed with saliva. Fletcher argued that his mastication method will increase the amount of strength a person could have while actually decreasing the amount of food that he consumed. Fletcher promised that "Fletcherizing", as it became known, would turn "a pitiable glutton into an intelligent epicurean”...

...He believed that the only true indication of one’s nutrition was evidenced by excreta (Fletcher 142). Fletcher advocated teaching children to examine their excreta as a means for disease prevention (Fletcher 143). If one was in good health and maintained proper nutrition then their excreta, or digestive "ash", as Fletcher called it, should be entirely "inoffensive". By inoffensive, Fletcher meant that there was no stench and no evidence of bacterial decomposition.

https://en.wikipedia.org/wiki/Horace_Fletcher?wprov=sfla1 

Daily Caloric Needs

This is fun and informative. Remember, "Learn & Enjoy."

I used to have an online calculator that did this automatically for me and my patients, but this is more fun, if not more laborious. Follow along.

I did average out "Active" and "Very Active" somewhere in-between because of the weather. It's pretty hard to be "Very Active" with this virus thing I heard is going around.

Determine Your Daily Caloric Needs:

There are several ways to determine how many calories you need:

Basal Metabolic Rate (BMR)

Physical Activity

Thermic Effect of Food

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The Basal Metabolic Rate (BMR) is the amount of energy (calories) your body needs while resting. This accounts for about 60-70 % of calories burned daily. In general, men have a higher BMR than women +because muscle and testosterone). One of the most accurate methods of estimating your Basal Metabolic Rate is the Harris-Benedict Formula:

Adult male: 66 + (6.3 x body weight in lbs.) + (12.9 x height in inches) - (6.8 x age in years) = BMR

Adult female: 655 + (4.3 x weight in lbs.) + (4.7 x height in inches) - (4.7 x age in years) = BMR

To determine your total daily calorie needs, multiply your BMR by the appropriate activity factor, as follows: 66+(6.3*170)=1203 +(12.9*71)= -(6.8*62)=2118.9-421.6=1697.3

If you are sedentary (little or no exercise) : Calorie-Calculation = BMR x 1.2

If you are lightly active (light exercise/sports 1-3 days/week) : Calorie-Calculation = BMR x 1.375

If you are moderately active (moderate exercise/sports 3-5 days/week) : Calorie-Calculation = BMR x 1.55

If you are very active (hard exercise/sports 6-7 days a week) : Calorie-Calculation = BMR x 1.725

If you are extra active (very hard exercise/sports & physical job or 2x training) : Calorie-Calculation = BMR x 1.9

Total Calorie Needs Example

If you are sedentary, multiply your BMR (1745) by 1.2 = 2094. This is the total number of calories you need in order to maintain your current weight.

Calorie Needs to Lose Weight

There are approximately 3500 calories in a pound of stored body fat. If you subtract 3500 calories each week through diet, exercise or a combination of both, you will lose one pound of body weight. (On average 75% of this is fat, 25% lean tissue) If you create a 7000 calorie deficit you will lose two pounds and so on. The calorie deficit can be achieved either by calorie reduction alone, or by a combination of eating less and doing more. This combination of healthy eating and physical activity is best for achieving and maintianing a healthy weight.

If you want to lose fat, a useful guideline for lowering your calorie intake is to reduce your calories by at least 500, but not more than 1000 below your maintenance level. For people with only a small amount of weight to lose, 1000 calories is too much. As a guide, the American College of Sports Medicine (ACSM) recommends that calorie levels never drop below 1200 calories per day for women or 1800 calories per day for men. Even these calorie levels are quite low.

If It Hurts When You Do That, Don't Do It

Sometimes people confuse me.

Here is my Quora Answer to the Question, "My hands feel like the veins are full of blood like when after I swing my arm around really fast. What is this symptom called and what does it mean?"

First of all, this is physics, not medicine. Secondly, why couldn't this person figure it out themself? Last, unless you are a Shen Yun or Blue Man Group performer, what adult swings their arms around like that?

Quora Arm Swinger