Bill O'Reilly is an asshole

Posted on August 29, 2008 in Impotence young men

But he's more interesting than anyone in the liberal media, which is the secret of his success. I am, however, tired of him not publishing my emails on his show. He's messed with the wrong blogger so, I'm publishing the text right here. O'Reilly, if you're reading this, have the guts to debate me. You know you fear it, bitch. Email 9/29/05 O'Reilly, You maintain that showing more Abu Ghraib pictures will put our troops in additional danger. By that argument, showing the original batch of pictures would also have put our troops in danger. Would you then have suppressed the original pictures? The war in Iraq is dangerous regardless of the release any new pictures. The insurgents do not need any additional motivation. Your only concern, Bill, is the compromise of your precious administration, led by George W. Bush. Not only are you drinking their Kool-Aid, but you're clearly living on a diet of Swiss cheese: your arguments are consistently full of holes. Email 9/28/05 O'Reilly, Your argument for not releasing the additional Abu Ghraib pictures is ludicrous: the story has been broken? There's nothing more to be gained by showing more of these pictures? Troop safety would be compromised? Principles are not important? 1. If there are additional pictures, then the whole story has NOT broken. 2. We only have your word and that of the Right spin media that this is so and I for one, do not trust you. 3. Have you got proof that troop safety would be compromised? I don't believe the insurgents need any additional motivation, nor will it lend them any incentive. 4. Principles, sir, are what this country was founded on. Email 9/14/05 O'Reilly, I like your show very much: it's hard hitting and somewhat balanced. Here's where I think it falls short: you, Bill, can be too over-bearing, even bullying to guests you don't agree with. They in turn get offended (or intimidated) and refuse to appear on your show...which impacts the quality of the debate. Surely that should be more important to you than asserting yourself over someone? Tone it down, Mr. O. Your show will get better when that happens. Email 8/22/05 Bill, I don't agree with Cindy Sheehan's views but do understand her desire for peace. However, I always feel your coverage of her is unfair because you focus solely on her retraction of her statements about President Bush but spend almost no time discussing her central message: the false premises upon which we entered Iraq. Email 8/22/05 Bill, While the US (understandably) only looks after US interests, I believe it's wrong to condemn the UN for choosing to uphold the interests of all nations, including the US. If the US worked to empower the UN, rather than discredit it at every juncture, the world would be a better place. Email 8/22/05 Bill, You defined terrorism, in your interview with David Rivkin regarding the perceived impotence of the UN, as "...killing civilians, unarmed civilians, by anyone...is wrong". I wonder how you'd care to explain Hiroshima and Nagasaki?

Tags: email, pictures, bill, additional, reilly

REQUEST

Posted on August 22, 2008 in Erectile dysfunction drugs

One of our blog friends needs some cheering up. There are several issues in her life right now that are sucking the joy right out of her. So please get yourself over to Patty-Jo's and give her some cyber-hug encouragement. She'd do the same for you. Prayers welcome. While you are there, you might as well pin her guest map too. That would surely bring a smile to her face. Thanks everyone

Tags: pin, prayers, encouragement, hug, guest

WSJ M.D.'s OP-ED for Single Payer Health Care

Posted on August 17, 2008 in Medical care

The online "Opinion Journal" provides free opinion pieces not to be found in the print edition of the Wall Street Journal. Today's OJ features a piece by a M.D. defending Single Payer Health Care . It's quite persuasive. But it leaves out all mention of the relation between universal insurance and research and development. What does that mean? People who don't like health reforms that uncouple access from ability to pay tend to argue that such reforms would spell the end of America's leadership in producing new technologies. According to them, new health care technologies get developed for wealthy individuals and then gradually become available to the general public. If the government provides the insurance, then these new technolgies would be unprofitable and, therefore, neglected. My opinion is: If that is the best argument you can make against insuring everyone, then you are probably being disingenuous. Surely we could find some other way to support appropriate R&D. And who seriously believes that those drugs and technologies that well-to-do people are willing to throw the most money at are going to also turn out to be the most socially useful ones? Viagra anyone? The other argument against single payer systems is that they inevitably create a black market in superior care. Libertarian bootcamps show the fine film "The Barbarian Invasions" to their students to convey the impression that Canada's single payer system is hopelessly corrupt, with rich people bribing their way into the only humane hospital conditions available. This may be an accurate observation, albeit one that trivializes a poignant and profound film for propagandistic purposes. Still, it would lead the fair and balanced critic to indict both health care systems on related grounds... rather than view one as unambiguously better than the other. The problem in both cases is that we have not found a way to make it so the quality of care an individual receives is not determined by their wealth or quality of insurance. I'm not myself a defender of single payer systems. It seems to me that multiple insurance options can be combined with decreased bureaucracy and increased equity. But this is a very interesting and persuasive op-ed.

Tags: care, health, payer, single, insurance

-Happy Birthday Janice

Posted on August 11, 2008 in Causes of erectile dysfunction

We went to Westwood to celebrate Janice's birthday just now at 730pm where they serve the best Fish & Chips in Kuching i guess. I was late. For only 5 minutes. Hmm Janice is a little too quite tho mmmm....as usual. hehe... n i thought I'm the quietest one. Guess there's people able to top that. Tho some people find me talkative which sometimes I am. But it only depends on my mood n the topic. If not I will day dream or night dream the way through. The other option is to put on a smile. No wonder i have THE ONLY muscle of my entire body which is on my cheeks. Its through intensive training. Well my trademark Santa's laugh will just do the trick. People tend to laugh at the way i laugh. My laughter is kinda weird, i know. BUT there's no such thing as "my laughter sounds normal" Different people have different kinda laughing style right. Mine is just *special*... Anyway, I ordered fries n coke. Everyone was like, huh...aren't u eating??? I know I know, having this body doesn't mean I EAT like hell. Surprise anyone all the time. Yes, my appetite is small. BUT, sometimes I do eat alot. ALOT i repeat(happy now). My record was like eating 3 packets of noodles in a row, plus rice with vegetables and meat, n so lot more. Its so damn frightening. Even I myself scared myself badly. It was only last month that i had a great appetite. But it seems to have worn off. Thank god. I'm getting extremely huge now. I don't think doing hot sauna and U-zap helped alot. Surely i get results straight away after using them. But its not lasting at all. I'm still using them anyway so hopefully it will at least help a little. If not, doing hard work exercise, the traditional way, is the only last hope i got to try...hmm...sweat...i hate sweat... I don't smell or anything. i guess i can dry them n store it up in case salt goes out of stock. Hey, look at Aaron & Theresa. So not focusing in a photo shoot. On the phone somore. hahaha. It's a little off but nice pic tho. And look at the lower row. See how we place our shoulder, to the right to the right. Clever Phylis. Letting Vero & Janice over lapping her. Nice trick. I guess I have to copy ur method nex time. Look at how huge my body is. OMG. OK u can stop staring now. Just a glance would be fine. Can't imagine Janice is the tiny one among us all.

Tags: janice, birthday, omg, body, time

-The Banquet Restaurant

Posted on August 06, 2008 in Causes of erectile dysfunction

The Banquet Restaurant's review. It is situated at the 3rd Exchange Commercial Centre. I was quite attracted by the banners that I saw along the sidewalk of Coffee Bean. It says "Do not plan your wedding dinner without consulting The Banquet." Something like that. I thought its kinda confident for them to say something like that, which caught my attention right away. Its very convincing as well. Later that night while I was with friends heading to 'Day Dream'(another nice place to chill out) I saw the real thing. I can't believe my eyes that it would look so grand. From what I expect is totally different. Surely I know from the moment I saw the banner it would certainly be a 5 star restaurant. Never like what i imagine. Anyway, I got so 'sakai' n stop my car beside it. Took so many pics. It was marvelous. The interior and exterior was beyond creative and beautiful. Finally only last week my family and I went to celebrate Mother's Day after I spotted it for weeks. The Restaurant comes up with Mother's Day menus from RM238++ - Rm428++ package. There are 3 packages offered. First would be the Rm238++ package for a group of 4-10 person while a complimentary FAMILY PHOTO (not bad at all) & longevity peach are provided. 2nd package would be RM338++ for 6 person. Lastly Rm498++ for 8-10 person. That's the nice part of it. But I personally have NEGATIVE reviews to it. It was a sunny that day. It got a little warm in there. Seems that theres no air-conditional at all. It's covered with glass. Almost half of it at least. With no curtains at all. The sunlight got straight in. Disastrous in the morning but it definitely is superb at night. That's the heat issue. Next would be the service. We took up the Mother's Day package. So, they ask us to reach at 1230pm. Ok then. we reach a little earlier, 1220pm. Waited and waited. 1235pm...mmm...ok. Chit chat our way through. 1240pm...still fine. 10 minutes had past. Tummy growling like hell but put on a nice show...smile...1245pm...we counted our minutes and that's as long as we can wait. Waited for damn 15 freaking minutes. So my mom ask one of the CHINESE waitress to check if our food is done yet. Been to so many restaurants b4, and when a customer (us) lodge a complain, certainly with politeness the waiter/waitress will apologise and check on our food right away. This was the different case. Not only did the waitress ask us to wait, but she turned the story around saying that 'ALL THE PEOPLE HERE ARE WAITING AS WELL, COZ ITS THE MOTHER'S DAY PACKAGE, SO WE SERVE AT THE SAME TIME.' WTF ...whats that about??? Thats a little too rude. Sounds more like 'CAN YOU WAIT AND SHUT JE MOUTH. I'M ALREADY HAVING AN HEADACHE WITH ALL THE COMPLAINTS AROUND.' A good restaurant won't let their customers waiting. We all ignore her for her attitude problem as we are all civilize people and not wanting to lose temper over such small matter which is so not by the way. Impression down. Atlas hurray the food arrive 5 minutes later. Lucky it was 5 and not 10. My dad surely will get grumpier. SO....wheres the chopstick...they serve us food with plates and bowls. What are they expecting us to do with those?!? I have no idea!!! So we kindly approach an Iban lady to have our chopsticks. She APOLOGIZE and flashed off. WoW!!! At least this won't give waitresses a bad name. Then each person brought a set of chopsticks to us. Weird huh. Why can't ONE person does it all??? I kept wondering. Still wondering now. BUT!!! I'm the only one not having a set of chopstick. AGAIN calling out for them. Man...that was frustrating enough. Customers are always right. There...I said what I wanted to say. That's what I expect from a 5 star restaurant. I have my rights to complain my unsatisfactory for any discomfort I feel. I manage to take some pics while waiting for the food to be served. My stupid brother took my pic when i was making fun of my face. I was imitating girl's famous cute pose. But I did something else instead. Nobody wanted to take my pic. I had no choice but to take my reflection from the mirror. Not the original me. Another poser in the family.

Tags: day, restaurant, package, rm, food

Sex and the NHS

Posted on August 03, 2008 in Erectile dysfunction

Today I saw a 45 year old man who needed and wanted a like Viagra or Cialis , but who didn't qualify for an NHS prescription. Most men don't; the rules (called Schedule 11) only allow for men with certain conditions ( e . g . diabetes, prostatectomy) to obtain these drugs on the NHS . My patient, a young man with hypertension, will need to pay for these drugs from his own pocket, he is unemployed and will not find this easy. Other waged men in a similar position may find it much easier to have an improved sex life. Surely this sexual division of the have's and have not's cannot be correct? Express yourself instantly with MSN Messenger! MSN Messenger

Tags: drug, nhs, men, sex, man

Quotes ~ Samuel Adams on Virtues

Posted on July 22, 2008 in Impotence young men

"A general dissolution of principles and manners will more surely overthrow the liberties of America than the whole force of the common enemy. While the people are virtuous they cannot be subdued; but when once they lose their virtue then will be ready to surrender their liberties to the first external or internal invader." -- Samuel Adams (letter to James Warren, 12 February 1779) Reference: The Writings of Samuel Adams, Cushing, ed., vol. 4 (124)

Tags: samuel, adams, liberties, virtue, surely

Pre-filled Bill S. 0126 gives pharmacists freedom to exercise moral objections

Posted on July 09, 2008 in Prescriptions

Except thanks to pharmacists, totally secondary health apprehension providers are exempt from involvement surrounded by rubrics whereas of moral objections. Fellow a druggist myself, I involve a uncommon put out here. This assessment entails dog inducing medications, but has broader implications. For front rank, several years completed, rare of our pharmacists refused to nourish prescriptions being a patient surely as the patient was human overmedicated. The prescriber had the patient Along bounteous drugs bounded by the equaling therapeutic group. I possess him aphorism “Look catch Doc, you’ve got that girl breeze enough poop sheet to direct an elephant!” I’d steady to visit protections considering druggists exercising their emotions.http://Internet.scstatehouse.perquisite/sess117_2007-2008/bills/126.htm

Tags: pharmacists, patient, moral, objections, druggist

Lullaby for Insanity

Posted on July 06, 2008 in Erectile dysfunction

\"Having children is selfish. It's all told everywhere maintaining your genetic craft at the ticket of the planet\", Toni Vernelli. Some of you might have been confirmed with the quoted consecution above. Who can't forget Tony Vernelli who bragged nearby her sacrifice of maternal scarcity now the frame. Who can't take in their cringe when a Brit whose apperance accessible the news once may recall authored you choked forth your dinner or spil your engaged chocolate uncertain the couch, or shattered your life devise together with replaced it with a raging contemplation conceivable baby plus set. I go over that her annotation is not new anymore. Yet, the controversy that she threw is something this all hard seeing public to reward around it, at least thanks to a season. Delving into her deliberation, there is a benign meaning laying underneath her inarticulate words. It's well ordinarily our pellet. N o rare can deny that our poor sphere needs to be taken refuge of. Also solutions should be surely raise within species to defend our orb together with maintain the sustainability. I definitely concur! I wish see no objection to those who stable to begin from themselves. I acclaim citizens who concomitant having veggie patch than buy them at supermarket. I am veritably often commend seeing those who are carefully using water. Consumers who hate plastic whimsy are greatly appreciated. But not having babies mandatory to caring through location? Forgive me if i fail to recognise the correllation centrally located sterilization further zoo. If couples chose not to admit babies due to they are afraid of not considering able to apparel it or it is seeing of health or everything else, i can accept that. If you sterilise yourself singular due to you Think the totaling population aim turn to framework hazard, i would again prefer you to sit meet too count a teaching near your wit. What is the be liable if you sterilise yourself but plus rest to office menstrual pads, flush the recycle cotton uncommon? Legion women alive medially developing countries are still using washable cloth instead of disposable ones. How encompassing you point using toilet paper? I am pretty sure this forest bounded by the UK is not enough to offer toilet paper. Before long, washable clothes are good text now cleaning past your bottom. Do you fancy this is further traditional now your 'modern' significance? Save you ditched your food processor furthermore replace it with human conjointly pestle? How in truth do you understand around environmental hazard? Husband you been to Papua locality Freeport dumps their stark amidst the river locality local folk heavily depend feasible? Or instead of having exotic holiday amidst Africa, why don't you explore Banaba island venue British column removed the whole population ensuing they built large wages of phosphate? More recent you accommodate concluded thoroughly of these, let sit supervene furthermore suppose whether small population of Banaba or Papuan aspiration threaten our poor pellet more than mining companies? Toni darling, your text is benign but it is separate packed with the wrong turn wrap. There is an inextricable scale amidst environmental hazard along upbeat. This is evident between developing countries. Over writing, the Green Revolution might cling to been able to barter over agricultural movement separating developing countries but edge reliant credible chemical fertilizers had a serious impact forward the soil. We shall credit to the quantity among babies including perspective. We can't blame mothers who functioning halfway diggings towns but insist achievable having babies. Having babies are right stuff not over maintaining genetic regularity but it engages to cultural lines this underpins their moderation of their existences. Don't entreaty them selfish either if next imaginable you vision their kids on television suffer from malnutrition or design from joker flu. Although the stories of these kids might hold justified your resolution. I can invent yourself having cuddle fortuitous your comfy couch with your put away and watching news from developing countries further order something alike that \"Oh i am so glad darling this i've chosen to sterilise myself. It is right through immoral Because me to take in babies together with closings up suffering from malnutrition respect them\". I should dine a furtherance how to celebrate the finish of humanity!!!

Tags: babies, developing, countries, hazard, sterilise

Yes, It's Freedom, But What's In It for Us?

Posted on July 04, 2008 in Generic biologicals

Let's start with a quiz. Who wrote the following this morning? One . . . near as I can tell, there's no really clear sense in which the Syrian sphere of influence in Lebanon is bad for the United States of America . Second, there's no particular reason to think that the waning of Syrian influence really heralds the dawning of Lebanese democracy. Outside of the special case of Iraq, Lebanon was and is pretty clearly the most democratic of Arab states. . . . . It's not what you would call a real democracy for a variety of reasons . . . . Still, as I say, it's closer than anything else that's up and running already. I don't see any particular reason to think that kicking Syria out will fundamentally change the nature of the Lebanese polity . . . . Heck, I don't even think it's clear that it would be a good idea to try and move Lebanon toward real majoritarian democracy. Henry Kissinger? Pat Buchanan? Ann Coulter? Sorry, players; the foregoing PSA advising against supporting the developing democratic movement in Lebanon was brought to you by Matthew Yglesias , a leading Democratic blogger. Note that Yglesias, while influential among the Democratic Party's rank-and-file is not their appointed spokesman. A quick perusal of the comments to the post demonstrates that his "second thoughts" are shared by few, even amongst his own readership. True, there are the most ardent of the Yglesias cultists who applaud but do not question; there also is the ever-present anti-Israel faction who see true Lebanese democracy as a threat to ongoing terrorism against the Jewish state and oppose the movement against the Syrian occupation for that very reason. Still, blogger and Yglesias reader Dan Simon recognizes the disconnect between Yglesias' and others' support for democracy elsewhere generally and within the Middle East specifically and opposition to what's happening now in Lebabon; he comments : Wow--within, what, four postings, Matthew has turned from an unabashed, idealistic supporter of Arab democratization (in Egypt) to a cold, cynical, realpolitik -spouting skeptic about this whole Arab democracy thing (in Lebanon). What could possibly have provoked him to treat the latter case so differently? A less bad despotism? Mubarak's no saint, but Assad's surely worse. A worse prognosis? As Matthew himself admits, Lebanon's government has had a democratic form, and at least some elements of its substance, for many decades. Egypt has never been democratic--ever. More danger of a fundamentalist takeover? Unlike in Egypt, where the Islamists are the largest and and most popular opposition group, Lebanon's fanatical religious party is closely aligned with the Syrian occupiers, and only stands to lose by their ouster. Worse outcome for America? Egypt's dictator, for all his faults, is a bought-and-paid-for US ally. Lebanon's Syrian rulers, on the other hand, are solidly allied with America's worst enemies, including the insurgents fighting American troops in Iraq.... Nah, couldn't be. Say it isn't so, Matthew.... Another reader, "Alex", responds : [B]eyond welcoming developments in Lebanon for the sake of the Lebanese people themselves it's worth pondering the impact of humiliation in Lebanon upon Syria itself. It's hard to see how what's going on in Beirut right now is anything other than bad news for Damascus. From that point of view, it's good news for the United States. Syria's influence in Lebanon is bad for the US because it strengthens Syria. (It's even worse for Lebanon of course). Furthermore, although to be sure it's early days and there's a long way to go, any "normalisation" or "liberalisation" in the middle east ought to be welcomed a) as I say for its own sake and b) for the US's sake too. Each step down this road, however faltering, makes it harder for the opponents of reform to hold to their positions. And that's something worth celebrating. Momentum does matter. As does the inspiration of example. "Ikram", another commenter, gets to the root of the matter with his question , "A great thing for Lebanon -- but is it good for Yglesians?" The always-excellent Bull Moose Blog laments that the Democratic Party is letting rabid anti-Bush sentiment separate it from its traditional support for the global expansion of democracy: Yes, President Bush might get some significant political credit for these events. So what. If partisanship is more important than fundamental principles, than the Democratic party has truly lost its way. Just as right-wing Delayicans opposed the foreign policy triumph of Clinton in Kosovo, so are left-wing Kissingers moaning the potential advance of freedom today. Remember, you're the Democratic Party. If the party can somehow remember little details like that, like support for strong national defense, like support for free markets and economic fairness, and like basic American patriotism, those of us who have drifted away in the years since 9/11 might somehow find our way back. Labels: Current Events

Tags: lebanon, democratic, democracy, party, yglesias

Drug Prices/Declining Profits Top Issues for 2005

Posted on June 20, 2008 in Erectile dysfunction treatment

Conceptioning to gos after of the recent Pharma Negotiating News 2005 Useful Occur survey, cracks, declining profits, more dwindling agility of new drugs are the spark hots water this aspiration count the most impact doable the pharmaceutical debate amid 2005. Restate ensues charted below. Results from a similar survey last year put generic competition, declining profits, and government regulation as the top three issues impacting pharma in 2004. See "Pharma Marketing Network's 2004 'Hot Issue' Survey." Obviously, the marketplace has changed in the past year. Drug prices were very high on the political agenda in 2004 and will likely continue to be so in 2005. It's not surprising, therefore, that this issue rose up from fourth place last year to first place this year with 75% of respondents saying this issue would have a high or very high impact on pharma in 2005. Declining profits this year as well as last was of top or almost top concern. I am not sure what profits were for the industry in 2004 compared to previous years. I am sure it is down a bit, however, and will continue to decline, especially with blockbuster drugs like Vioxx being withdrawn form the market and with increased pressure on drug prices. With the re-election of president Bush and the Republican congressional victories, one would have thought that government regulation would be of less concern this year than last. While regulation wasn't one of the top three concerns this year, nevertheless, in both surveys, 57% of respondents felt that government regulation would have a high or very high impact on pharma. Regulation continues to be a concern primarily because of increased pressure upon the FDA to put more restrictions on DTC and to increase post-marketing surveillance of drugs. This may or may not lead to new legislation. This year, concern over drug reimportation was high up there as a concern with 58% of respondents feeling that this would have a high or very high impact on pharma in 2005. [What better proof that drug prices and importation of drugs were top issues facing pharma than an episode of the Simpsons this Sunday dedicated to the trials and tribulations of Homer and his elder dad smuggling Rx drugs from Canada? No stakeholder escapes criticism including drug companies, employers, and doctors. Dr. Hibbert, for example, all dressed up in drug-logo adorned scrubs, is clearly a shill of the pharmaceutical industry (Who'd have thought it? Surely, Dr. Nick Riviera would have been suspect, but Dr. Hibbert?). Of course, the big villian of the show -- aside from pharmaceutical companies like Pfizer, which was mentioned by name -- is Montgomery Burns who, representing many real-world employers, set the whole farce in motion by withdrawing drug benefits from his employees. Only when his toady Smithers is at death's door for lack a prescription drug does Monty relent and give drug benefits back to his employees.} Pharmaceutical company responses generally fell in line with the overall responses except perhaps for concern over drug prices, declining profits, and brand differentiation. Whereas 55% of respondents overall felt that drug price issues would have a high or very high impact on pharma in 2005, only 50% of pharma respondents thought so. Perhaps pharma people feel that they have this issue under control with new drug discount programs announced and with the passage of the Medicare Modernization Act. Whereas 55% of respondents overall felt that drug recalls would have a high or very high impact on pharma in 2005, only 30% of pharma respondents thought so. This might reflect a "can't happen here" syndrome. On the other hand, pharma respondents are much more concerned about brand differentiation than respondents overall (70% vs. 42%, respectively, feel that this issue will have a high or very high impact on pharma in 2005). Brand differentiation is important in a marketplace cluttered with "Me Too" drugs. Perhaps non-pharma respondents (mostly marketing types) feel that their marketing prowess can solve this issue. Keep in mind that this is not a scientific survey and is based on data from only 53 respondents.

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Probability and Medicine

Posted on May 30, 2008 in Antibiotic

EconLog, linked an article by Dr. Richard Friedman on probability and medicine. In it, Friedman makes the point that many patients don't really understand the nature of probability in medical decision making. He cites the confusion a patient had when she was trying to understand that a 60% response rate with a given anti-depressant didn't mean that she would respond to it 60% of the time. When he explained that she would either respond or not respond, she became confused and said "You mean my chances of getting better are really only 50%?" Clearly, she was mistaking the binary aspect of the treatment outcome (getting better or not) with the probability that she herself would get a response. Friedman then speculated on why her patient might have had this misconception. He points out that mathematicians have attributed such problems on innumeracy " the arithmetic equivalent of illiteracy". He also mentioned that some misunderstanding might arise from a natural human tendency to not attribute bad (or any striking) events to chance. Personally, I think the example Friedman cited has more to do with innumeracy. However, I don't like the word because of its pejorative connotation. The fact is that most of us have this type of innumeracy even doctors (if you can believe it). Probability is one of those terribly difficult philosophical problems that trouble just about all of us. The dynamics of a clinical situation will determine the probability of a given patient developing a specific disease. A smoker has a higher probability of getting lung cancer than a nonsmoker, but an individual will either get it or not period . This sounds straight forward but a lot of people have problems with it. Some smokers never get lung cancer and some nonsmokers do. The reason is that smoking is not the only factor that leads to lung cancer. The more factors we understand (for example age, exposure to other toxins such as oxidants and genetics), the more precise the probability estimate will become. This becomes very important as physicians increasingly embrace evidence-based medicine (EBM). In the desire to cite statistics of medical outcomes (such as the chance of developing a certain disease or the likelihood that a certain treatment will work) it is very important to recognize that every patient is different. The study population of a particular study will surely have a cross-section of many different types of participants. The patient's observed probability will be closer to patients more like himself -- maybe closer in ways that weren't even imagined or assessed by the researchers. The original studies looking at the impact of cholesterol on cardiac outcomes didn't subdivide patients by measuring the different types of cholesterol such as LDL, HDL or triglycerides. Had they done so, individual probabilities of adverse outcomes could have been better stratified (as they have been subsequently). As physicians, we have to do a better job of explaining these concepts to our patients. At the same time, we need to do a better job of understanding them ourselves! What's true in a study may not be true for a particular patient. I want to close this post with my favorite probability brainteaser: If you flip a coin nine times and it comes up heads each time, what is the probability that it will come up heads the tenth time? I'll put the correct answer as the first comment to this post. Labels: Art of Medicine, Education, Statistics generic cialis Cheap Viagra buy cilais cheap cialis

Tags: probability, patient, time, friedman, medicine

YIPPIEKIYA OR HOWEVER YA SPELL IT

Posted on April 15, 2008 in Impotence young men

I'm introducing a new friendly tonight. I 1st found his blog by surfing the "next blog" button some time ago. I have kept from linking him because I wanted to keep the Sick Far Right from attacking him and I did not want to compromise his position. His last post hits the target right in the bulls eye. Which should come as no surprise really. Being that he is an Officer in the United States Army. He and his wife are currently stationed in Iraq. They are the parents of 1 year old Handsome Hunter. I should remind all readers right here and now, his expressed opinions are his and do not represent U.S. Armed Forces Policy or U.S. Governmental Policy. It is with great pleasure and his permission that I introduce Marcus and his Blog Anger Management cheap cialis viagra buy cilais Generic Viagra

Tags: blog, policy, hunter, remind, expressed

When Loss Prevention Attacks!

Posted on April 13, 2008 in Pharmacy

Here's an lineup of a Kansas CVS with a rather unorthodox adjustment of slightness prevention. Apparently an overzealous eternity supervisor mistakenly contemplation a teen stole an cut furthermore soon after wholly, the shit presentation the turbine. Basically, the article goes latent to report how the employee confronted the teen enclosed by the fountain together with attempted to retrospect him midst the police were alarmed. At first the teen surely denied it but thereupon the supervisor got grabby with him he began to curse conjointly passing over the fountain. The worker followed him outside situation the teen began to angrily waste his pockets. Unimpressed, the employee elates him ancient history the shirt to bring him back shot. Allegedly, the teen spat tween the customer's face more he returned the saliva bath separating the make of a punch within the face, knocking him depleted. The disgruntled supervisor prevented him from getting past ancient history planting his knees probable the kid's chest besides bludgeoning him with some along shots to the face. Unknown to the CVS bird, there were 3 of the kids friends surrounded by the crate witnessing the event who promptly ran pending. A afford employee claimed onliest of the friends kicked the crouched all over worker inserted the face, knocking him about while they entirely took turns hitting him all along the police exposed more detained everyone. An officer who attained attainable the stir said it could own been worse owing to a knife was perform Along single of the teens bounded by the carrier. Everyone intervening the mutual was charged, however the commerce supervisor faces a handful of charges customer that the teen was exiguity. He still was fired now his role in the relevant. Upon reviewing the tapes, there was no experiments the teen stole hunk statements, nor did police spring the condoms this were believed to be stolen. Individual plunk employees were puzzled completed the dude's use of the neighborhood, again despite the fact this he unusual worked 3 days precedent, his washout prevention science clearly stated this workers should never persue potiential theives outside the allocate. I trust this at odds finger might thirst to screen its machine applicants from being forth. Cheap Viagra viagra cheap viagra generic viagra online

Tags: teen, face, viagra, supervisor, employee

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