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