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bpaddock:todo [2017/03/31 00:26]
bpaddock Murphys Laws of Combat
bpaddock:todo [2018/06/19 02:01]
bpaddock New CSF Water
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 Things that needs needs added and formatted. ​ Putting here so don't forget: Things that needs needs added and formatted. ​ Putting here so don't forget:
  
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 +New CSF Water
 +https://​rdcu.be/​Z7sE
 +https://​www.nature.com/​articles/​s41467-018-04677-9
 +https://​healthsciences.ku.dk/​news/​2018/​06/​new-discovery-about-the-brains-water-system-may-prove-beneficial-in-stroke/​
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 +https://​www.regenexx.com/​genetically-predisposed-dangers-quinolone-antibiotics/​
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 +S.e. Murphy
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 +Yay. I tag @John Vibes because this might interest him. While I have read widely and can suggest numerous books, in practice many of the conclusions are mine, as well as suggestions.
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 +Having designed medical systems for large scale hospitals, but wth a background in economics, international business, and a religious, educational and cultural upbringing deep in the catholic church , I came to some thoughts LONG ago when reading into medical systems, funding, etc debates.
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 +It has gone to hell at several points. Not least was govt being co opted by the associations that pushed for licensing of medical doctors (as opposed to private certifications) because this govt regulation, this making a crime of competing from outside of the official paradigm eliminated much choice, becae an insulator from all competition outside their paradigm and controlled education, and led to the severe pruning of medical philosophy and methods that also became ripe for the takeover of medicine by medical instrument companies and especially big pharma.
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 +Medicine became nothing more than a business.
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 +It was not always thus. The fact that even now so many hospitals carry legacy names, though they have nothing more in common with practice, with saints and religious orders and the like is because such hospitals were founded, run, organized as charities. Money may well have been taken from those able to pay, but pro Bono work was common and the guiding philosophy was to heal, not make money, not be in accord with the latest political dictates, or fads like "​embracing diversity."​. Often, at the core of these institutions,​ religious orders ran things.
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 +I will not write an essay here, but as doctors were increasingly coming ONLY from medical schools , which became fewer in number after world war 2 (halving in number as the population doubled) the practicing philosophies of these doctors, amd their need for remuneration in market forces as their relative supply fell but demand increased markedly, became enormous.
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 +I investigated some time ago the funding of doctor training and their pay, the structure od their training and internships,​ and it is a system designed to co opt them wholly financially and in methods and when combined with the massively escalated costs of medical school (and unlike programming or engineering,​ there is NO alternative path to medicine) and control of who may attend, having that time investment and debt load ensures compliance and obedience to the system backed further by any threats to license, having to service that debt load and facing potential loss of status as a doctor for holding ANY methods or ideas not sanctioned in the current drug surgery dynamic is a porful check and delay on any young, brilliant doctor having their own ideas. By and large, if you find doctors like mercola and many others with their own ideas it comes to them MUCH later in life but they tend to benout of the systems and comparatively few and often not covered in the main by insurance and such.
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 +They cannot practice at all in or on the NHS here in uk , and it is even worse here in other ways, and if you can find one they are cash only, cater to wealthy via private practices, and due to the lack of competition,​ you get what you get, and while such doctors have relative freedom , the cash basis and lack of competing alternatives means the costs are great for often mediocre results,
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 +Which, by the way, is how any de facto monopoly systems tend to operate and is the result of collusion, and you can see this in any economic situation.
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 +Money as motive could and should easily be taken out of the medical system by returning to its roots and drastic
 +Ly reducing govt mandates and demands. Medical insurance is to be insurance, not a pre paid all in health plan. Local Public health departments used to give taxpayer value for money by doing free check ups and the like for the public and poor . I have awareness of this from the detailed stories my grandmother told me of life raising her kids as she raised me,
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 +Over medicating, and over medicalizing of people was essentially unheard of until the sixties as big pharma cranked up, with full govt approval.
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 +As a side note, a truly stable, non inflated, non inflationary currency environment (and nit govt cooking books to drastically understate real inflation, but real non inflation, as largely existed through the republic until Nixon abandoned Bretton Woods as an inevitable consequence of the cost of us military/​imperial,​ fiscal, and national trade policies .
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 + ​Inflation,​ where it exists (and it has long existed and been worse than official govt stats from about 1970 as they have increasingly used apples to oranges comparisons and stator cal trickery to mask it, you can see this via the better methods in comparison by using Tom's inflation calculator to access the shadowstats if you lack the subscription for shadowstats,​ which will give you a true cost of monetary inflation and I could go into this all day).
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 +Why is this important? In a significant inflation environ,​net,​ inflation compounds, just as with compound interest on a loan. Over five , ten, twenty years it has enormous real impact in terms of costs.
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 +This constantly inflating costs means methods must be adopted to cope and deliver services and goods, even in a medical environment at prices that can be afforded. Sometimes this does enable better innovation, but often it means cheaper cost substitutions and drastic restrictions in labor invested into any endeavor (as labor costs escalate) and with this you see now why doctors are under severe time pressure, cannot personally take time to really know a patient, about their life, etc. 
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 +Upon a time, doctors USED to talk with patients, come to know them. Nurses especially so and nurses were always the caring faces of medical care back to ancient times. In my extensive experience as a patient I can say that that is totally gone. Other than, perhaps, some fly by chit chat while theynrush you through a weigh in or hand you a form, there is NO interaction with patients and I have seen numerous mistakes get made in forms, my forms, because of the hurried nature of the interactions . I am NOT an unpleasant person to deal with so it is not just me. I have observed this.
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 +Numerous prophylactic measures, especially time consuming ones, have been abandoned, on cost basis (and substituted with higher routine use of antibiotics),​ and health care has become vastly de personalized. Except for capital goods purchases where higher billable procedures can give good ROI even in inflationary environment,​ the overall environment suffers. There are numerous design and building changes that could andnshould be implemented for positive patient outcome, ditto culinary changes in hospitals because the nature and kind of food served in them (usually microwaved, prepackaged,​ high carb, cheap processed meals) is cheap, easy to deliver and markup but completely contrary to patient needs when ill or needing to heal from a surgery.
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 +Full spectrum light bulbs should be the norm in sunless and all areas, and almost all patient rooms should have ability to get significant natural sunlight and patients should be given access to natural sun exposure daily as well as lots suplementary d3, vitamin c. 
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 +Copper as a surface is vastly superior to stainless steel and even silver as a self sterilizing material (but the costs of cleaning or polishing it would be labor intensive so why worry about preventing germs from surviving on surfaces, hand rails, etc when quick use of harsh chemical sprays during intermittent cleaning is "good enough"​ and antibiotics a routine option , and profitable one (even in socialized systems) rather than pay people to clean or polish. There was an ancient wisdom to the long human use of copper cups and surgical instruments because give them a quick wipe to get the material out or off, and they do in a few hours self sterilize and better than anything else known.
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 +Additionally,​ placing negative ion generators and air filters in all patient rooms, waiting rooms etc would have an enormous positive effect, but indirect, in reducing infections and stresses and infection , which will save some lives and reduce some people getting infections from the environment andncosts associated with same. In combination,​ an excellent, truly healthy fresh foods healing diet, not microwaved, sugary, high carb meals, designs in patient and common areas emphasizing opportunity for sun exposure, full spectrum light bulbs, supplementing with key healing nutrients (as opposed ro an endless parade of drugs), increased nurse to patient ratios and time with patients, lifestyle discussions , copper work surfaces and hand rails, and some other things I would suggest would have positive benefits on patients and costs but will never be adopted in the current system, and incentives, which have far more flaws than I could detail here.
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 +But you can blame govt and special interests, and this includes the doctor associations as well, they wanted a monopoly in practice, even waging dirty tricks to suppress chiropracty and other modalities , calling anyone who does not accept their expensive and monopolistic practices as quacks amd fools, well, they largely got it, and it has been a Faustian bargain for themselves and worse for patients and society at drastic and escalating costs.
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 +Now there is this massive push to outlaw unapproved "​medical speech"​ and regulate supplements and nutrients and set up de fscto ministries of truth as to what can be said , even privately, even if it is long practice and knowledge unless FDA type hundreds of million dollar studies and govt imprimatur is performed...which will never happen for the vast majority if non ptentable methods and substances. It is nothing more than another attempt to force people into the same govt controlled, hyper regulated, specia
 +Industry partnerships for their profit and politics, our costs.
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 https://​www.dovepress.com/​delafloxacin-design-development-and-potential-place-in-therapy-peer-reviewed-article-DDDT https://​www.dovepress.com/​delafloxacin-design-development-and-potential-place-in-therapy-peer-reviewed-article-DDDT