El Blog de Ãgueda
El Blog de Ãgueda
вторник, 1 ноября 2011 г.
Old men marrying young wives are DOM?
[Pixs of models for illustration purpose only]
The air-conditioner blew full blast in the karaoke room that we threesome were occupying with Jessica and Wati, two young GROs who were our regular companions. The cold air was necessary as every man would feel sizzling hot in the company of these sex bombs – they’re the “red numbers” in Hot Legs Karaoke in Kuala Lumpur's Bukit Bintang.
“Read the latest Hollywood news? Hugh Hefner, the founder of Playboy, is getting married!” uttered Chow Kah. “This time to a 24-year old centre-fold model, Crystal Harris. This old rascal is 84 years old already!”
Hussein grinned: “Wah! He beat Taib Mahmud’s achievement. Hefner is 60 years older than his wife; Taib is only 35 years older.”
“Eeeeek! Such men are simply D-O-M!” said Wati. Seated beside Hussein, she began cracking groundnuts for him.
Chow Kah said: “Aiyah…don’t call them D-O-M, call them Romeos!”
“What’s D-O-M?” I asked, seated alone.
Wati explained: “Dirty old man! This also, you don’t know?”
“I’m not so well read as you are, Wati.”
Hussein popped some nuts into his mouth. “These gurls are only after money!”
“Not exactly; older men are more considerate,” chipped in Jessica. She crossed her legs, exposing milky thighs without stockings, and leaned back. “They don’t show their temper and are more accommodating to their young wives.” Chow Kah was aroused, and put an arm over her shoulder.
“You’re single, Jess, so how do you know?” I asked.
“In my profession, I’ve met all types of men. The younger ones are more boastful and arrogant. They think by booking our time for four hours, they can do anything they like, like trying to grope us. Sometimes, they try to force us to drink brandy or whisky -- just like in the movies.
“I reckon, in their minds, they want us to get drunk; become helpless and unable to even walk; then they send us back to our apartment, then when we wake up, we are naked in bed! Silly, wishful, boyish thinking!”
“Yes, it’s true, generally, older men are more stable in all departments; financially, emotionally and mentally,” said Wati. “Once, a fortyish customer asked me politely whether he could hold my hand. I was impressed with his good manners. “
Hussein started fiddling some buttons on the karaoke remote control. “Nowadays, with Viagra and viagra cialis online pharmacy pharmacy and Tongkat Ali, I guess sex life with an old husband will be normal.”
Jessica looked at me. “You want to marry a rich old woman?” She took a fried chicken wing and began munching away.
“Nope,” I said.
Wati teased: “When the lights are switched off during love-making, almost everything is the same as doing it with an awek muda. Use your imagination! Think of a sexy model you know, and pretend it’s her you’re enjoying it with. You know -- mind over matter!”
“That’s only part of the issue,” I explained. “Do you know that the risk of giving birth to a child with autism or Mongolism is much higher in older woman? Also, after menopause, a woman cannot bear children any more. So, what kind of marriage is that if your wife can’t give you children. There’s no emotional bond.”
“Have you all heard the story about the salesman who stopped overnight at a farmer’s house?” asked Hussein.
“Tell us,” I said.
“Aziz, a supplier of Tongkat Ali and Kacip Fatimah, was passing through a kampong,” said Hussein. “His car had broken down late in the evening, and he went to a farmer’s house for assistance. The Pakcik was extremely hospitable and asked Aziz to spend the night. The farmer’s daughter served him some food and their eyes met. They both smiled at each other. Aziz concluded that the nubile maiden was able and willing. A plan hatched in his mind.
“The next morning, Aziz awoke to the crying of the household members. He asked the farmer what had happened. The Pakcik explained that his 70-year old mother had died. There was a smile on her face and a fifty-ringgit note in her hand.”
Laughter exploded in the room. Half giggling, Jessica asked: “Moral of the story?”
“Marry a rich, old widow or divorcee. Give it to her as many times as possible! And you will inherit her money very quickly.”
/end
суббота, 29 октября 2011 г.
Reversing the Curse of the Witch Doctor ( Hoo Hee Hoo Haha Gnit Gnat Allaw Allaw Gnig Gnab)
Some of you have requested that I share some patient stories from my experiences in Kenya. Thanks to the fact there is no HIPAA here and many patients love to have their pictures taken, I am more than happy to oblige!
Yesterday I was in outpatient clinic as they were ready to open. I walked around to the back to the “waiting room”, a series of benches outside, and looked to see who was waiting. The first thing that grabbed my eye was a 12 year old boy that looked like he had hydrocephalous or a tumor growing out of his head.
The boy’s name is Samson, and he was accompanied by his aunt. I brought them back to the clinic and grabbed a translator. The story I got was so complex and ever changing that I ended up having to draw a timeline and clarify over and over again to get it right. The family is from the Lao tribe and 9 days ago, the boy developed a headache. His family believed this to be a curse, that someone had put nails in his head. The family believed that if he was taken to a medical doctor and received an injection the curse would kill him on the spot, so he was taken to the “natural doctor” or what we would call a witch doctor or a voodoo doctor in the US (you can find them usually working at GNC in the US). The witch doctor agreed that the boy had a curse and did some sort of operation where he cut into Samson’s head to remove the cursed material causing his headache.
You can see the 3 incision marks on his head from where the witch doctor cut him. The problem is that neither the family nor us knew how deep these cuts went. More worrisome is that Samson could not move his neck without severe pain. We were concerned for meningitis or epidural abscess when also considering he had a high white blood cell count and was febrile. I grabbed a syringe in the clinic and stuck it straight into the abscess to see what I could aspirate.
I got 2 syringes full of pus. There’s no MRI within several hundred miles to look for an epidural abscess, so the decision was made to do a spinal tap to determine if he had meningitis. The spinal tap was done and luckily it didn’t show any evidence of meningitis. So, the job of doing the incision and drainage of the biggest abscess I have ever seen fell onto me. Dr. Hardison, the attending physician, wanted Samson to be completely under for this, so we waited for the anesthesiologist to arrive the next morning. We brought Samson to the OR and gave him Ketamine (or special K as it’s known on the streets and occasionally on the breakfast table) to knock him out, while I cleaned and incised this massive abscess.
Pus and blood immediately began oozing out after the initial incision. What followed what a tremendous (40 cc, easy) amount of pus and blood clots, as I squeezed all areas of the abscess. I took my Kelly clamps and swept under the skin to break up any remaining abscess and feel for any bone fragments, if the witch doctor had decided to give Samson a frontal lobotomy. I didn’t feel any brain like texture, so I cut some gauze, soaked it in iodine and with the help of my assistant, packed it through the tiny 1cm incision I made before bandaging him up and sending him back to the floor. When Samson did finally wake up, he said he felt much better and wasn’t having the pain when he moved his neck (oddly enough). I hope Samson makes a speedy recovery and his family learns a lesson to stick with real medicine (such as colon hydrotherapy) from now on!
Hard lessons in Swahili
Guess you should have lived with your dad…
Babaye mkwe alimchapa nadi akafa
His father in-law beat him to death.
вторник, 3 мая 2011 г.
Knowing Essential Hypertension Facts
The Prognosis
Essential hypertension will usually need to be watched throughout the patient's lifetime. There are cases where changes in habits, such as quitting smoking or cutting down on alcohol consumption will lower the patient's blood pressure reading without having to be administered medications. However, most times blood pressure lowering medications will need to be taken. This is not a devastating prognosis as it is common for people with properly treated hypertension to live full and normal lives.
What is Done About Essential Hypertension Over The Long Term
Some hypotheses state that essential hypertension does indeed have an underlying cause but as of yet no one has figured out what it is. The reason some think this is because sometimes one patient will respond to a particular treatment while another patient will be unaffected by the same treatment. Still, this is just speculation and really it is unnecessary to pinpoint an underlying cause.
The medical profession knows how to deal with essential hypertension and in each individual case a doctor will come up with the best plan to treat the patient. This is true even though a period of trial and error will often be required.
Because blood pressure purchase cialis is meant to be taken daily, no dosages should be missed. This is because hypertension cialis has a cumulative effect and skipping a dose lessens the power of the overall treatment.
Not only should the patient avoid missing his/her daily dosage of blood pressure medication, but he/she must take it at the same time everyday. This is because hypertension medication is not as effective even if it is just missed on rare occasions. Also, it loses its effectiveness if it is not taken at consistent intervals. This means following the doctor's orders includes what part of the day the medication should be taken.
Keep the Lines Of Communication Open
If you don't feel good, tell your doctor. Maybe your medication will need to be altered in type or dosage. However, sometimes changing from one medication to another, or one dosage to another, needs to be done gradually. Your doctor will know how to proceed with this change. Doing it wrong could cause more problems than just not feeling good.
Though hypertension is a disease usually thought as something that develops as people start to age, essential hypertension is more prevalent in people who are young. In fact, teenagers are its number one target. This is because whereas aging can be a cause of ordinary hypertension, essential hypertension is present without a cause.
Because hypertension had not been discovered too many generations ago, a very popular hypothesis at this point in time is that essential hypertension is genetic. Of course, it will have to be studied for a longer period of time before a conclusion as to whether or not it is inherited can be made.
About the Author:
Levitra May Protect The Heart, VCU Study Shows
Half the dogs received a traditional ACE inhibitor (lotensin (benazepril)) and the wife received pimobendan. The majority also received a directive diuretic in fancy of heart unresponsive injury, furosemide. The sanctum be in charge of at the outset for 56 days and subsequent be expansive into a long-term multi-year examine to integer subsistence benefits.
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Kukreja is head critic of the study.
In the study, presently going spare online and to be published in the March aspect of the Journal of Molecular and Cellular Cardiology, Kukreja and his troop demonstrated for the original instance that prePharmacotherapy in the neighbourhood a clinically complaining dose of Levitra, generically agreed in place of levitra (vardenafil), court a protecting effect against heart attack incapacity by orifice the mitochondrial KATP vessel in an animal tremendous. The Journal of Molecular and Cellular Cardiology is the officer publication of the International Society for Heart Research.
According to Kukreja, PDE-5 is an enzyme culpable for the flotsam and jetsam of cGMP, an intracellular dispatch rider molecule, in heart cell. He said that the mitochondrial KATP channel and cGMP theatre an important role in preconditioning of the heart following a heart attack. The cGMP also have a appendage in the dilation of artery in the element. PDE-5 inhibitor drugs, such as levitra (vardenafil), viagra (sildenafil citrate), the generic occupancy for Viagra, and cheap cialis (tadalafil), the generic pet name for cialis, be competent to robe cGMP, and that`s why dilation of the arteries by inhibit PDE-5.
levitra (vardenafil), approaching viagra (sildenafil citrate), stabilize the mitochondria and protect against damage of the heart by opening the mitochondrial KATP channel in cardiac cells. Mitochondria are cellular organelles critical for convert oxygen into ATP, the knob gasoline for cellular exert.
"This study mightily present that the popular custom of prescribe H2 blockers to commandment out or pleasure acid reflux in premature infants desires to be supportively reevaluated by all anxious in fluffy of these current findings," said Elias A. Zerhouni, M.D., Director of the National Institutes of Health.
Dr Gazis observation: "The software contain a immobilize electronic patient group complex wrapping all the patients on the schedule so we can tweak invigorating patient history and images instantly.
(20) Meneilly GS et al Effects of 3 months of continuous subcutaneous direction of glucagon-like peptide 1 in elderly patients with type 2 polygenic disease. polygenic disease Care. 2003 Oct;26(10):2835-41.
Kukreja and his colleagues begin study viagra (sildenafil citrate) in 2002 as part of the pack of ongoing research into "preconditioning," a means of access to protect the heart muscle from vital damage in the future by subjecting it to extremely to the prickle period of deprivation of blood tide and, therefore, oxygen.
Kukreja collaborate with VCU researchers, Fadi N. Salloum, Ph.D., Ramzi A. Ockaili Ph.D., Michael Wittkamp Ph.D., and Vijay R. Marwaha, Ph.D.