Hospitals & Asylums 








September 2013


By Anthony J. Sanders


Sorry about the loss of secrecy of email addresses due to an annoying pop-up compose screen I sued Google about for loss of consortium overseen by a mysterious Dr. of permanently dysfunctional email addresses who hand wrote "these links are broken".  It turns out they lost a privacy lawsuit and are recidivating until they hypothetically get a librarian or a laid off postal worker to manage G-mail optimally. 


For the first amendment of the statute this year I insert a section in book 9 drug regulation, amended annually for Halloween, titled "methotrexate 2.5 mg once a week", for the treatment of cancer and rheumatism.  This may leave me wanting prednisone and soma, but the upper abdominal pain reminds me to (1) pay $12 for a trial of the liver cleansing formula that contains the proprietary pancreatic enzyme I did not cite because it was not corroborated or (2) eat a whole head of cabbage before indulging in gluten or carbohydrates which I cannot tolerate subsequent to completing my wild edible dissertation on elderberry pie poisoning.  Of the several pancreatic secretions, produced by the pancreas at a rate of 1.5 to 2 liters a day, my lipase, that digests fat seems okay, but I clearly have trouble with amylase that hydrolyses glycogen and starch, and trypsin that breaks up proteins into oligopeptides comprising 2-4 amino acids, which are hydrolysed further into individual amino acids during transport through the small intestinal cells.  Anyway, I must perfect my gastroenterology this October, before I begin my final work on reproduction, this season, and blindly finish the internal medicine text for a high school health course, this year, to be taught in high school as soon as the 2014-15 school year.  I wrote the state textbook agency, the President was diplomatic and a school nurse has verbally expressed interest in being a high school health teacher, but it remains to be seen if anyone can express their support in writing.  Without any reliable insurance for adults high school graduates need to be taught to self-medicate.  For all the potential money in universal health insurance, there is no other way to improve public health than through medical education.  My comprehensive medical text resolves much of the differences between the medical stacks in the public and college libraries and is ready for dissemination for free in high school because it empirically makes a good faith effort to treat every disease with herbal, over-the-counter, professional and hospital treatments. found in the specialty literature, without any propaganda related to financial conflicts of interests but that of disability insurance I pray to be liberated from by this high school health textbook for sale to state, local and home school districts.  An index may be required before publishing a print copy of six books organized into medical specialties – neurology, cardiology, pulmonology, gastroenterology and reproduction - that are available, as they are written, for use with a free download of Microsoft Word Reader for those not able to afford the $100 fee to the sometime richest man in the world for Microsoft Office and are not unduly poisoned by the relatively high levels of radiation emitted by the lasers in their CD-ROM drives.  This book gives me high hopes that high school health teachers will educate a new more patient generation of healthcare consumers, caregivers and practitioners who will have read the equivalent of this text twice by the time they finish the classroom portion of medical school. 


Oncology HA-19-9-13


The skin is the largest organ. No one calls insect bites or chickenpox tumors, but by strict medical definition they are.  The skin is about one millimeter thick.  There are about 100,000 hairs on the scalp of which about 70 are shed each day.  Hairs on the scalp grow up to 0.015 inch every day, a half an inch a month.  Fingernails grow continuously and average between 0.02 and 0.05 inch per week.  Toenails grow about a third more slowly. Histology is the study of the microscopic anatomy of four basic tissue types: 1) epithelia, 2) connective, 3) muscle, and 4) nervous tissues. Eczema is an inflammation of the skin that causes the sensation of itch and makes the sufferer want to scratch.  An alternative name for eczema is dermatitis – the two terms mean exactly the same thing and it is not uncommon for some doctors to use the term eczema to describe the problem in babies and dermatitis in older children and adults.  The most common reason for a dermatologic doctor visit is the overtreatment of contact dermatitis; hydrocortisone ointment, available for $1, has the broadest spectrum of activity without the side-effects of more powerful corticosteroids.  Acne is most common in teens but can strike at any age.  Almost 100 percent of people between 12 and 17 years old have at least an occasional blemish.  More than 40 percent of cases are severe enough to require treatment by a doctor.  About 15 million people in the United States have some form of eczema, including 10 to 20 percent of babies.  In about half of these babies, the condition will largely clear up between the ages of 5 and 15.  This condition usually appears during infancy.  About 5 percent of the U.S. population has foot infections ,including athlete's foot, other fungal infections and warts every year.  Psoriasis affects more than 7 million Americans, about 2.6 percent of the population.  More than 150,000 new cases are reported every year, 20,0000 of them in children under 10.  It is most commonly diagnosed between ages 15 and 35.  About 1 to 2 percent of the world's population, 40 to 50 million people, suffer from vitiligo, 2 to 5 million in the U.S.  It generally develops before age 40 and affects all races and genders equally. Most skin cancer is non-melanoma cancer, such as basal or squamous cell carcinoma.  More than 1 million of these cases are diagnosed every year.  About 54,000 melanomas are diagnosed every year, causing 7,500 deaths.  About 2,000 die from non-melanoma skin cancer.  Skin cancer is the most common cancer.  About 1.5 million Americans have a form of lupus.  Lupus is much more prevalent among people of color, and 90 percent of cases occur in women.  Systemic lupus usually develops between ages 15 and 45.


Acne vulgaris is a very common skin condition of adolescents and young adults; characterized by any combination of comedones (blackheads), pustules, cysts, and scarring of varying severity; it is treated by washing with water and Dial soap, Benzoyl peroxide, resorcinol, Retin-A or Accutane for severely scarring cases, for infection topical clindamycin or erythromycin ointment or oral doxycycline, the once a day antibiotic, is cheap and highly effective for the treatment of the skin and greatly accelerates wound healing when the powder is applied to topically.  Keratosis are pre-cancerous skin lesions mostly found in people over 40 when the skin begins to dry out and becomes sun sensitive, requiring moisturizer, sunscreen, avoidance of the sun between noon and 3 pm, best treated with the topical antineoplastic exfoliator 5-fluourouracil (5-FU).  The three kinds of malignant skin cancer are squamous cell carcinoma, basal cell carcinoma and malignant melanoma, which has lethal metastatic potential, are best treated by avoiding sunlight and wide surgical excision.  Aside from general anesthesia, no pain medication will completely remove a severe burn patient's pain until they have completely healed; surgical skin grafting and reconstructive techniques have become highly developed.  Bacterial skin infections such as impetigo are best treated with doxycycline, that is effective against hospital acquired methicillin resistant staphylococcus aureus (MRSA).  Mycobacterial diseases such as leprosy and tuberculosis require special treatment with Dapsone (diaminodiphenyl sulfone, DDS), rifampin, and isoniazid.  Herpes simplex virus cold sores of mouth and genitalia are treated with Acyclovir (Zovirax).  Zovirax ointment (5%), Neo-Synalar or other antibiotic-corticosteroid ointment and Burow's solution wet compress for 20 minutes three times a day to relieve much of the pain and irritation.  Warts, or verrucae, are very common small tumors of the skin caused by the human papilloma virus (HPV.  There are 30 to 40 types of HPV that will affect an estimated 75% of 80% of males and females in their lifetime.  For most, HPV clears on its own, but, for others HPV could cause cervical cancer in females and other types of HPV could cause genital warts and oropharyngeal cancer in both males and females.  Common warts of the skin are best removed with electrosurgery.  Warts around the nails tend to recur and are treated with Salicylic acid and trimmed with a scissors.  Plantar warts of the foot are treated with trichloroacetic acid solution, fluorinated corticosteroid-occlusive dressing, or cantharidin tincture and the wart is removed curettage.  Filliform warts, flat warts, are snipped off with a small scissors. Moist warts (condylomata acuminate) appearing in the anogenital areas are treated with podophyllum resin in alcohol.  Gardasil helps protect against 4 types of HPV.  In girls and young women ages 9 to 26 Gardasil helps protect against 2 types of HPV that cause about 75% of cervical cancer cases, and 2 more types that cause 90% of genital warts in both boys and girls.  Topical fungal infections, usually Tinea (pedis, versicolor etc.) are treated with athlete's foot crème (clotimazole) that can be purchased for $1.  Cutaneous candida and sporotrichosis are treated with oral ketoconazole. Male pattern hair loss must be differentiated from patchy hair loss from alopecia areata or trichotillomania.  Treatment for lice, pediculosis capitis and pubis, is lindane shampoo (Kwell or Scabene).  Scabies from mites is treated with lindane lotion (Kwell or Scabene).  There are a number of treatments for psoriasis for which fluorinated corticosteroid cream is the mainstay.  Discoid and systemic lupus erythomatosus are characterize by a butterfly rash on the cheeks and both are sensitive to sunlight and are treated with corticosteroids but the systemic form affects all organs and dramatically shortens life-expectancy. 


Virtually every cell type in the body can become cancerous.  Carcinomas, leukemia, lymphomas and the various sarcomas account for more than 95 percent of all human cancers.  Malignant tumors of the epithelial cells are known as carcinomas, benign tumors adenomas.  White blood cell cancer of the bone marrow is known as leukemia.  Cancer of the lymphatic system lymphoma.  Cancer of the connective tissues are known as sarcomas.  For example, cancer of the colon could be a cancer of the epithelial cells of the colon (carcinoma of the colon), or of connective tissue cells of the colon (fibrosarcoma of the colon), or even of the muscle cells in the colon (leiomyosarcoma of the colon).  General symptoms caused by many different types of cancer are (1) persistent tiredness for no obvious reason, (2) progressive loss of weight for no obvious reason, (3) progressive paleness of the tongue or fingernail beds, especially if accompanying fatigue, can signify anemia from blood loss, (4) persistent loss of appetite, (5) fracture of a bone without any obvious trauma.  According to the American Cancer Society, approximately 1.4 million Americans will be diagnosed with cancer in 2006, and altogether some 10.5 million Americans alive today have had a cancer diagnosis at some time in their lives.  In 2006 nearly 550,000 people will die of cancer, which is second only to heart disease as the leading cause of death in the United States.  One out of every five people in the United States and many other countries in the world is expected to die of cancer.  Any child born in the United States in 1985 has a more than one in three chance of eventually developing some form of invasive cancer.   An exhaustive epidemiologic study in 1981 estimated that tobacco was responsible for about 30 percent of all American cancers, diet was responsible for another 35 percent, infection perhaps 10 percent, reproductive and sexual behavior about 7 percent, occupational hazards about 5 percent, geophysical factors such as sunlight 3 percent, alcohol 3 percent, pollution 2 percent, medicine and medical practices 1 percent and food additives and industrial products less than 1 percent each.  A no protein diet of mostly vegetables and fruit is highly curative for many but sufficient caloric intake must be maintained, including the 5% minimum of dietary calories from protein, usually satisfied with the accidental or intentional mixing of vegetable amino acids.  Standard cancer treatment involves surgery, radiation therapy and chemotherapy and the low survival rates are not only depressing but indicative that more research is needed.  Most patients with early stage cancer are exclusively treated with surgery and/or radiation and chemotherapy is reserved for advanced metastatic cancers.  Radiation treatment is very expensive and administered at ten time the lethal whole body doses precisely to the cancerous area, but may be lethal to patients whose cancer was caused by radiation poisoning such as the laser from a CD-ROM drive.  Major surgery involving general anesthetic and endotracheal tube is inherently dangerous and expensive and many patients complain that they are denied chemotherapy.  Intravenous chemotherapy in high doses is very toxic and expensive.  A new protocol must be developed to provide cancer patients with low dose oral chemotherapy, namely methotrexate 2.5 mg costing about 70 cents, once a week, for the FDA approved purpose of treating rheumatism, while they research curative treatment at the biohazard dumpster, doctor and oncologist's office, college and public library, athletic exercise program, organic kitchen and herb garden.      


Book 5 Customs (CC)


To amend Chapter 5 Columbia Institution for the Deaf §231-250.  The Millennium Development, MDGs for 1990-2015, cut in half the number of hungry people to 622 million people and percent of people in poverty to 22.75% by 2015 from 45.5% in 1990.  In 2005 843 million people, 12.5% of the population, were hungry and over a billion lived on less than $1.25 a day, in 2009 after the economic crisis the number of hungry people rose to 18%, 1.2 billion people, and the number of people living on less than $1.25 a day rose from 21.5% in 2007 to 22.9% in 2009.  The other goals, education, gender equality, and water and sanitation are on track and the spread of the HIV/AIDS pandemic has been reversed.  Official Development Assistance (ODA) growth must be sustained to achieve the intermediate target of 0.7% of GDP on the way to a 1% social security style payroll tax for international development.  Change voting at the Bretton Woods institutions from contribution based to population based, a one person one vote system.  To end dependency upon the U.S. dollar as the international reserve currency IMF Special Drawing Rights (SDR) shall be the international reserve currency.  To improve global public health, diplomacy and reputation the U.S. shall change the name of Title 6 of the US Code and CFR from Domestic Security and Homeland Security to Customs, amend Title 22 Foreign Relations and Intercourse (a-FRaI-d) to Foreign Relations (FR-ee), change the name of the Court of International of the United States (COITUS) to Customs Court (CC).  To terminate financing the Israeli/Egyptian US military finance race, to cease obstructing Palestinian statehood, to purchase a quota from an Afghan Opium Agency, to terminate all international offices of the DEA, to hold NATO and UN peacekeeping mission war profiteers accountable for their crimes, to terminate the UN Peacekeeping Mission in Haiti, to expel the prosecutors from the Hague, under Monroe doctrine non-entanglement in European colonial affairs. Furthermore, it is resolved to set down the General of the United Nations (GUN), elect a Secretary of the UN (SUN), abolish the Permanent Membership to the Security Council, change ECOSOC to Socio-Economic Administration, General Assembly to Assembly, Trusteeship to Human Rights Council and establish an International Tax Administration by ratifying the Charter of the States of the United Nations (SUN); to perfect the law and Customs; Quiz…671