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On Top of the World

There’s this dream I’ve always had..

There was a kid who wanted a new “toy”, and he was unhappy for not having it. Years passed and he still didn’t receive that toy. One day, when all the criteria fulfilled he received that most wanted toy. He was happy for a while but he got bored of it, and became unhappy again.

After repeating the process for several times the kid, who now was 24 years old, discovered that not the material things we must ask for, but a state of mind.

So I ask the Universe everyday for a state of mind, a feeling, that feeling when you are on top of the world, on the highest peak, with your arms raised and the Sun tickles your face, and the wind blows straight into your soul, you can actually feel the vibration of freedom, of purity, because that is, in fact, Real. I extract that vibration of the soul and ask to have it everyday, everywhere.

This is how the law of attraction works.

Let’s talk business – Acute abdominal pain

Acute abdomen is a life threatening condition.

Acute abdominal pain is the pain that appears out of the blue or after trauma and the intensity rises in hours and is located in any part of the abdomen. It demands urgent attention and treatment.

The acute abdomen may be caused by an infection, inflammation, vascular occlusion, or obstruction.

The patient will associate nausea or vomiting, sometimes fever if infection is present. Most patients with an acute abdomen appear ill.

The physician needs information about the Age, Sex, other illnesses, past medical history, other symptoms and what happened, were there any traumas? did the patient ate something? What triggered the symptom(s)? in order to guide him to a final diagnostic.

The most frequent diagnostics are appendicitis, perforated peptic ulcer, acute pancreatitis, ruptured sigmoid diverticulum, ovarian torsion, volvulus, ruptured aortic aneurysm, lacerated spleen or liver and ischemic bowel.

As we can see in the figure above, the abdomen has 9 quadrants. According to the location of the pain, the physician gets information about the organ that might be affected. (Of course there are illnesses that act weirdly like appendicitis where the pain usually starts in the Epigastric region and the appendix is located in the Right iliac region.

Acute abdomen in many cases requires surgery, the cause must be removed and the abdomen must be cleaned.

Acute Abdominal Pain is a symptom that require immidialaty medical attention, if you want to self diagnose, do it on the way to the Emergency Room (ER).

Small talk

[…]

A: “I’m on call today, it’s acceptable. The Visitors are still here… but they are different. I have adopted a more relaxing attitude, I trust the Universe and the natural evolution of things.. I know that any event aims to keep you in line and whatever derails you will be neutralized, probably in case of excessive derailment comes “apoptosis”.
I have a special respect for the air, sun, plants, people, you, colleagues, trees, cats, crystals, myself, substances, beings above, beings under, beings of all nations, types, forms. And now the Visitors follow my path. It is interesting how you can mobilize the attitude of all things according to the “state of mind”.

This is the reason why I decided to live in the present, I chose to accept everything, I began to understand that free will exists only in the attitude towards the present.

Everything that happens around you is meant for you, I told Fj this for years. The acts, the play, the movie unfolding before your eyes is just for you, whether you are a protagonist or not. It is intended for you (designed for you) to understand it. Sometimes it takes days or even months, sometimes pictures, snapshots.

The next stage of your evolution will start when you are ready, when you will realize and resolve the headache (Sign of another deeper problem).”

Being late

I was siting on my sofa when the phone rang. “Ok, I’ll be there in 20 mins”

“Car keys, where are the fuckin’ car keys?”

I looked for them for about 15 minutes to realize that the keys were right in front of me on the coffee table.

At that moment I knew! I knew that something didn’t want me to find them and delayed me until some unhealthy inappropriate thing passed.

There are some stories about people surviving 9.11. There this superbusy businessman who took his kid to the kinder-garden for the first time that morning.

Someone just missed the bus. Someone spilled coffee and went back to change the shirt.

Someone’s kid got ill and had to stop at the drugstore. Another one, got his new shoes that morning, and walking to work stoped to buy a patch for his foot. While in that place the first airplane hit the building.

Some rational people (MBTI – NT) might say that those are just coincidences and it could happen to anyone.

But in my opinion, those delays come from beyond, as a helping hand in avoiding a terrible disaster. It is your choice to believe or not. But believing makes your life easier.

It reminds me of a movie from my childhood, The adjustment bureau. I strongly recommend it.

Even if I am a rational ENTP, I find those delays annoying but at the end of the day I thank God and the Universe for protecting me once again.

Psychosomatics

As we all know, life’s getting harder and harder due to the increasing number of tasks we must solve daily. Harder and stressful, which makes us miss the most important points in life. Like spending time with family and friends, enjoying the sun, smiling, looking around, believing in energy.

When was the last time you ran away with the love ones to a lake and enjoy the small waves and the smell of fresh grass? When was the last time you walked barefoot on the morning dew?

Psychosomatics is all about the effect of stress and negative thoughts upon our own health.

Hippocrates (460BC) believed and argued that disease was not a punishment inflicted by the gods but rather the product of environmental factors, diet, and living habits.

Any negative thought stays for a while in the foreground, in the brain. In time, when no solution is found, it grinds in the background, finally finding it’s place in the organ with the same vibrational frequency, liberating the brain’s “RAM”. Evolving to tumors, back pain, heart, liver, kidney, gut and all sorts of other illnesses.

Brain-immune system interactions. The brain regulates the immune system through the autonomic and neuroendocrine systems. The figure depicts sympathetic innervation of the adrenal medulla, which secretes epinephrine, and both sympathetic and parasympathetic innervation of lymph nodes. Neural connections between the hypothalamus, brainstem nuclei, and autonomic ganglia are not shown. Neuroendocrine influences that alter immune function and that emanate from the hypothalamus consist of the hypothalamic pituitary axis, prolactin, and growth hormone which, together with epinephrine, influence innate and adaptive immune cells that secrete cytokines. In addition to autonomic feedback, several different types of cytokines feed back to multiple brain sites that are not depicted in this figure.

Also, this phenomena modifies the inner balance breaking the equilibrium, which breaks the hormonal balance, activating the survival mode. As you can see in the figure above, keeping the brain in the wrong state, alters the homeostasis.

In the end I would like you to start living more, loving more, worrying less. Enjoy life, it’s not like you’re gonna get out alive.

Rule no. 1

Short story. (Part 1)

Monday 8:32 AM (2 days before Congress)

The phone rings “Johnathan IT”. ‘Hello Johnathan, how are you?’ Said my boss with a smile upon his face. ‘Hello sir, I have some bad news, we cannot broadcast the demo surgery to the people due to some technical problems. I’m sorry!’. ‘But sir, we are planning this for 3 month, that demonstration is the key factor of the whole congress! People come all over the world to see it!’. ‘I know, sir, but there’s nothing we can do, goodbye.’. The man from the other side of the line hangs up. I can see my chief’s face getting whiter and whiter.

‘Sir, are you ok? Can you hear me?’

Tuesday, 11:42 AM (one day before Congress)

‘Professor, what are we going to do?’ I asked my boss, worried about the itinerary of the most important conference in the country. ‘I don’t know, Paul, I really don’t know..’. ‘Ok, sir, if you don’t mind we should call the national television channel and ask them to help us’. ‘That’s not a bad idea’.

Calling “Chief of National Television”

‘Good morning miss “CNT”, how’s going?’. ‘Good morning professor, working’. ‘Do you mind helping us with a very complex and not that doable broadcast from three super new and complex devices brought from outer space by some Japanese builders to some kilometers away presentation hall?’. ‘Why not professor, let me see what I can do.’.

Tuesday, 12:38 AM (one day before Congress)

The “not that much of a Gatekeeper” rings and tells us that some weird people from the national television are here.

Hugs and kisses and many thanks, after 25 minutes of speaking not to listen but to reply, everything was set. Almost everything. In the country with the fastest internet in the world, we didn’t have enough band to broadcast.

Another set of not that friendly phone calls to some known people that crossed our path in the past, just like the CNT, we managed to creat something from nothing, with the help of every person in our contact list.

Tuesday, 5:50 PM (one day before Congress)

I am standing in my room waiting for that phone call from the internet provider.. so we can mount a 100 ft fiber-link from some street pillar to the 6th floor OR.. wishing.. wanting.. that everything’s gone run smoothly in the end..

Oh.. I have to buy a tie and some casual socks, pick someone from the airport and rehears my two presentations.

To be continued..

From Human to Robot

Brilliant performance at Gucci Spring Summer 2020 fashion show. It was all about the people and their feelings, about self-expression and how it is suppressed by the society.

The show starts with some workers standing still on a treadmill, dressed in white, coming out of an opening that looks like the production line of a human factory, leaving the theater through another opening.

“.. I’m not a normal person, actually I’m not a person.” […] “The plan is to be happy.. yeah.. I keep dre..dreaming the future”

The first part of the video below is speechless.

Humans on treadmill

Uniforms, utilitarian clothes, normative dress, including straitjackets, were included in the Gucci Spring Summer 2020 fashion show as the most extreme version of a uniform dictated by society and those who control it. These clothes were a statement for the fashion show and will not be sold. Alessandro Michele designed these blank-styled clothes to represent how through fashion, power is exercised over life, to eliminate self-expression. This power prescribes social norms, classifying and curbing identity. The Creative Director’s antidote is seen in the Gucci Spring Summer 2020 lineup of 89 looks, he has designed a collection that conveys fashion as a way to allow people to walk through fields of possibilities, cultivate beauty, make diversity sacrosanct and celebrate the self in expression and identity.

Gucci by Alessandro Michele

Uniforms, utilitarian clothes, the normative dress dictated by society and those who control it—this idea is represented in the opening 60 beige and ivory looks of the Gucci Spring Summer 2020 fashion show by Alessandro Michele—captured in the fittings before the show.
Gucci Spring Summer 2020

What about what I want?!

In some random countries, Chiefs are being bossy, tyrant, instead of being leaders.

Maybe it is all about how they grew up, about the punishments that were applied to them in the totalitarian age, how choices were made, copying the exact same attitude that was inflicted to them. Just like the kid beaten by his own father, who becomes an aggressive father in his adulthood.

Or.. maybe they are just scared of being mistreated by their own employees or worse, by their own thoughts, a cruel fact, a lack of respect that fills the companies and public domain in the Eastern countries.

Wake up people, if we don’t grow up together as one, if we don’t respect each other, if we’re being selfish and don’t care about anything else but us, if we lie so the other one, under our influence, chooses the wrong path, if we don’t love each other and don’t understand the importance of living together as friends and helping each other like family, this World will go to Hell, faster than anyone can imagine.

Our Energy feels dirty, speckled with lack of nature and love..

https://youtu.be/hN5X4kGhAtU

Self-Diagnosers

23:21, in the ER…

41 y.o. female, pretty fancy dressed with acute stomachache, bitter taste and some and nausea.

.. several blood tastes .. ultrasonography .. CT exam ..

.. contradicts the doctor upon the diagnostic because she read something on the internet about those symptoms.

It is know that seven in ten U.S. adults track at least one health indicator (according to Pew Research Center).

On one hand there’s the doctor opinion about all this on-line diagnose and there are three concerns :

First, self-diagnosis produces anxiety in the patient.

Second, it interferes with doctor-patient relationship.

Finally self-diagnosis is commonly linked to commercial interests.

Jutel A  “Dr. Google” and his predecessors. Diagnosis (Berl). 2017.27;4(2):87-91.

On the other hand, everyone of us (even the doctors) search the internet for answers they don’t know. Some of us search for terms like “stomach ache” others for “upper-right quadrant abdominal pain”. But in the end all we need to know is where to look for answers and understand that the Internet offers us just one profane perspective of what actually happens inside us.

Online health care information was frequently sought before presenting to an ED, especially by younger and e-health literate patients. Searching had a positive impact on the doctor-patient interaction and was unlikely to reduce adherence to treatment.

Cocco AM1 et al. Dr Google in the ED: searching for online health information by adult emergency department patients. Med J Aust. 2018 15;209(8):342-347.

In my opinion it is important that all people study their symptoms on specialized sites in order to understand if there is or it isn’t an emergency and go to the right physician.

My favorite symptom checker is Medhue, a perfectly balanced AI that studies not only your symptoms, but your lab results too and in the end gives you more than one diagnostic if it is the case, and several differential diagnostics and guides you towards the right physician.

Let’s talk about coffee

Coffee is that brown liquid that is served hot or cold, sweet or bitter, with or without cream. It is served with friends on a sunny day at the corner coffeeshop, with co-workers every morning, noon or with any occasion, or, why not, alone, at 5:50 AM, on the balcony before starting the day.

Lavazza 8/10 5:50 AM

Coffee, the most important fuel when surgeons are on call, helping them stay awake and function properly for 32 to 48 hours straight.

Just Imagine staying in one place, moving less than 10 inches, concentrating upon some tiny human structures for 12 hours. Do you feel the back that yells at you? Do you feel your knees hurt, your eyes tear, your forehead sweat? Do you feel that urge to use the toilette? No, you don’t, You just need to have a mouthful of coffee. Just a taste of that perfect balanced pure liquid waiting on the table in the next room.

One bit and your health goes back to 100% and your mana is overloading and you are fresh again, you can start allover.

On Call Coffee by Teo’s

That perfect friend that rocks your mind every time, the one you get a huge headache without. The perfect type of a perfect pleasure, it’s wonderful but leaves you unsatisfied.

https://youtu.be/DHQngnnHE_0

Best National Coffee 2 Go by Teo’s
Source of our daily Energy

The OR or life of a young surgeon

The OR is the place where half of my past 960 days happened.

First it was awkward, those long dark hallways which end with two reinforced automatic doors forbidding the pass of so many people. All those souls fighting in their designated bodies, fighting for freedom, fighting for life, fighting for death, struggling to save them selves one way or another.

Days passed and it became a warm and cozy place with lovely people and so much light.

Now I have this ritual of getting up early and have my coffee on the balcony regardless of the weather (a very strong and sweet espresso), listening to some weird song by Empire of the Sun, taking a shower and walk to the hospital. After seeing all the patients on our floor, I go through those metallic uncozy doors and get into a place where life and death collide. A theater where God plays the most important role, then the patient, then us, the surgeons. This scene is directed and supervised by something beyond imagination, the energy in the OR is so powerful, you can hardly control it. It is this energy that powers the surgeons and help them stay for hours looking down inside a human being and repair it, it takes so much love to stand for hours in order to save another human, it takes courage and will.

Understanding that we are just mediators between cure and illness is the key in being a doctor. Sometimes the unexpected happens, those times exceed 51%.

Surgery is like a meditation, you live in the most present moment, you breathe regularly, out of time, out of space, out of your own thoughts, you feel only the energy around you and you work like a perpetum mobile without any needs at all.

On Call, 01:40 AM
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