All Muslim nations are dangerous to be a Christian in, but none like Somalia. The violence against Christians there is so bad that according to a recent report, merely being accused of associating at all with Christianity will get you beheaded on the spot by the Muslims:
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Feminism is about the domestication of men. Feminism wants to force men into being docile, so women have all sexual rights, at no risk. That will be all the less feasible the more violence there is in a society.
The deep root of the Butea superba herb is where most of the beneficial nutrients are, which is why the tubers are so sought after.
Testosterone is the hormone that gives men their manliness. Produced by the testicles, it is responsible for male characteristics like a deep voice, muscular build, and facial hair. Testosterone also fosters the production of red blood cells, boosts mood, keeps bones strong, and aids thinking ability.
Testosterone levels peak by early adulthood and drop as you age—about 1% to 2% a year beginning in the 40s. As men reach their 50s and beyond, this may lead to signs and symptoms, such as impotence or changes in sexual desire, depression or anxiety, reduced muscle mass, less energy, weight gain, anemia, and hot flashes. While falling testosterone levels are a normal part of aging, certain conditions can hasten the decline. These include:
injury or infection
chemotherapy or radiation treatment for cancer
medications, especially hormones used to treat prostate cancer and corticosteroid drugs
Millions of men use testosterone therapy to restore low levels and feel more alert, energetic, mentally sharp, and sexually functional. But it's not that simple. A man's general health also affects his testosterone levels. For instance, being overweight, having diabetes or thyroid problems, and taking certain medications, such as glucocorticoids and other steroids, can affect levels. Therefore, simply having low levels does not always call for taking extra testosterone.
Diagnosing low testosterone
Doctors diagnose low testosterone based on a physical exam, a review of symptoms, and the results of multiple blood tests since levels can fluctuate daily.
If your doctor diagnoses low testosterone, other tests may be considered before therapy. For example, low testosterone can speed bone loss, so your doctor may recommend a bone density test to see whether you also need treatment for osteoporosis.
Prostate cancer is another concern, as testosterone can fuel its growth. The Endocrine Society recommends against testosterone supplementation in men who have prostate cancer, have a prostate nodule that can be felt during a digital rectal exam, or have an abnormal PSA level (higher than 4 ng/ml for men at average risk for prostate cancer, and higher than 3 ng/ml for those at high risk).
Because testosterone therapy may also worsen other conditions, it is not recommended for men with heart failure, untreated sleep apnea, or severe urinary difficulties.
Testosterone therapy for low levels
In most cases, men need to have both low levels of testosterone in their blood (less than 300 ng/dl (nanograms per deciliter) and several symptoms of low testosterone to go on therapy.
It is possible to have low levels and not experience symptoms. But if you do not have any key symptoms, especially fatigue and sexual dysfunction, which are the most common, it is not recommended you go on the therapy given the uncertainty about long-term safety.
Even if your levels are low and you have symptoms, therapy is not always the first course of action. If your doctor can identify the source for declining levels—for instance, weight gain or certain medication—he or she may first address that problem.
If you and your doctor think testosterone therapy is right for you, there are a variety of delivery methods to consider, as found in the Harvard Special Health Report Men's Health: Fifty and Forward.
Skin patch. A patch is applied once every 24 hours, in the evening, and releases small amounts of the hormone into the skin.
Gels. Topical gels are spread daily onto the skin over both upper arms, shoulders, or thighs. It is important to wash your hands after applying and to cover the treated area with clothing to prevent exposing others to testosterone.
Mouth tablet. Tablets are attached to your gum or inner cheek twice a day. Testosterone is then absorbed into the bloodstream.
Pellets. These are implanted under the skin, usually around the hips or buttocks, and slowly release testosterone. They are replaced every three to six months.
Injections. Various formulations are injected every seven to 14 days. Testosterone levels can rise to high levels for a few days after the injection and then slowly come down, which can cause a roller-coaster effect, where mood and energy levels spike before trailing off.
Butea superba, a Thai herbal
Most men feel improvement in symptoms within four to six weeks of taking testosterone therapy, although changes like increases in muscle mass may take from three to six months.
Butea superba is the most dangerous gateway drug on the planet. It opens the gate of the female vagina to about any male who happens to be around.
Injections of Botox into the penis probably are the most effective treatment for erectile dysfunction. Every artery and vein in the body is surrounded by a layer of smooth muscle. Otherwise there could not be variations in blood pressure. When the muscles around blood vessels contract, this is called vadoconstriction. When the muscles around blood vessels relax, this is called vasodilation.
Updated on November 4, 2016
Anesthesia Awareness - Awake Under Anesthesia
Fear of being awake under anesthesia, called anesthesia awareness or intraoperative awareness, causes a lot of anxiety for patients facing surgery.
Having anesthesia is scary for most people. As an anesthesiologist, I usually meet patients right before their surgeries. People facing surgery have many apprehensions and fears. More and more are concerned about anesthesia awareness.
I repeatedly hear that patients are often more apprehensive about the anesthesia than the surgery itself. And of all the fears that people have about the anesthetic side effects and anesthetic complications, the one I hear most often is, "I'm afraid of waking up during the surgery."
Anesthesia awareness has received a great deal of attention in the press over the last few years and even a full-length movie, called "Awake," capitalized on this fearful concept (I have reluctantly included the trailer here). But what is it really? Why and to whom does it occur? Keep reading to find out why it most likely won't happen to you.
"Awake" - Sensationalizing Anesthesia Awareness
What Is Anesthesia Awareness?
Anesthesia awareness, also called intraoperative awareness refers to a specific situation where a person is under general anesthesia for surgery and regains consciousness during the surgical procedure.
The definition of general anesthesia includes induction and maintenance of loss of consciousness. This means that you should not be able to wake up until the surgery is over. You do not respond to voice or painful stimuli.
For various reasons, some people do regain consciousness when they are under general anesthesia. For most people, this involves a very brief, hazy memory. Some people are aware of what is being said, but cannot move or indicate that they are awake. Still, there is usually no sensation of pain or awareness of the operation. The very rare, unfortunate few are awake, cannot move and do feel the surgery being done.
What Is NOT True Anesthesia Awareness?
There are many situations that are confused with anesthesia awareness.
Sedation anesthesia. I often have patients tell me they had anesthesia awareness during their colonoscopy or other procedure. These procedures are commonly done under intravenous sedation anesthesia. While the intravenous sedation drugs do cause sleepiness and often amnesia- you don't remember the procedure, they do not cause unconsciousness. It is not at all abnormal to be awake and remember these procedures. With the sedation, pain medications are either injected at the surgical site or given in the IV or both. You should still not be uncomfortable, even if you are awake, during surgeries or procedures under sedation.
Sedation plus spinal or epidural. Neither sedation or spinal/epidural anesthesia makes you unconscious during your operation. If you have spinal or epidural anesthesia to block the pain of surgery, you are usually also given sedation. The same is true for local anesthesia as well. In this case, it is not unusual or abnormal to have memories of being in the operating room. This is not anesthetic awareness.
Dreaming. Some people actually dream during their anesthetic, or more likely, when transitioning from unconsciousness back to wakefulness at the end of surgery. These dreams are often interpreted as actual wakefulness, but are not.
Waking at the end of surgery, but not able to move. When you return to consciousness, sometimes your brain is more awake than your body. You are waking up, but cannot move for a couple minutes. You can hear the anesthesiologist talking to you or feel the nurses putting bandages on your incisions, but cannot yet respond. The anesthesia wears off at different rates for different people. If your surgery is over, but you are still in the operating room and have memories of this, it is a normal variant of the emergence phase from anesthesia. Most people are conscious when they leave the operating room, post anesthesia, and many are talking and asking questions, but may not remember it later. If you do remember this phase, it's ok. The same is true for the beginning of your anesthetic, the anesthesia induction. Vague, hazy memories of being in the operating room are confusing and can be mistaken for being awake during the anesthetic.
Risk Factors for Intraoperative Awareness
Certain risk factors make anesthesia awareness more likely.
Type of surgery and type of anesthesia. Certain types of surgery are associated with higher incidences of anesthesia awareness. Surgeries where using lower concentrations and amounts of anesthetics is necessary to protect patients lead to more intraoperative awareness. Emergency cesarean sections, trauma surgeries, and open heart surgeries are the most likely cases to be associated with anesthesia awareness. Anesthesia challenges the body's physiology. Heart rates vary and blood pressures drop. When they cannot be adequately managed by giving more medication, the anesthetic must be "lightened" in order to NOT endanger the patients' lives.
There are certain brain and spinal cord surgeries that require that no anesthesia gas be used in order to not interfere with the nerve monitoring being used to prevent paralysis. The anesthetic called TIVA (total intra-venous anesthesia) also predisposes to higher rates of anesthesia awareness.
Type of patient. Patients who use illegal drugs such as cocaine and methamphetamine may be more likely to have intraoperative awareness. Not only do these drugs cause dangerous fluctuations in heart rate and blood pressure, they make the metabolism of anesthetic drugs much more unpredictable.
Some prescription medications. Certain prescription medications may also increase the risk. Anesthetics are adjusted throughout the surgery based on surgical stimulation level, type of anesthesia and the heart rate, breathing rate and blood pressure of the patient. Patients who take medications that block the normal increases in heart rate or blood pressure may have their signs of light anesthesia masked by the medication.
Statistics on Awareness Under Anesthesia
The American Society of Anesthesiologists estimates that some degree of anesthesia awareness occurs in about 1 in 1000 general anesthetics. It is believed that the majority of these cases are during the induction (beginning) of the anesthetic when the drugs haven't fully taken effect. Likewise, a great many cases are at the end of surgery, during anesthetic emergence, when the anesthetic is wearing off but isn't completely gone. These are not intraoperative awareness as the surgery is not occurring. Because the memories are fuzzy and confusing, patients often don't know that this wasn't during the surgery itself.
There are no exact statistics on true intraoperative awareness cases that occur during the surgery and cause distress and lasting trauma to the patient. It is, however, an area of active study and research.
Again, talk to your doctors and ask questions if you are remotely concerned that this has happened to you.
Prevention: What You Can Do to Prevent Intraoperative Awareness.
Talk to your anesthesia doctor and provide accurate information. This is your best defense against intraoperative awareness.
So, be honest with your doctor about:
Your fears. Usually, this will help calm you. While no absolute guarantees can ever be made, your doctor can help pinpoint whether or not you have higher risk than average for this complication and let you know how he or she will address the risk. Alcohol consumption. Chronic, excessive alcohol intake results in a higher need for anesthetic medications. Illegal drugs use. Your anesthesiologist needs to know this to figure out which and how much anesthesia it will take to get you to sleep and keep you there. They are not there to judge you, but cannot keep you safe if they don't have all relevant information. All of your prescriptions and supplements. Different medications affect the metabolism of anesthesia differently. And just because supplements are "natural" or "alternative" doesn't mean they don't have side-effects or don't interfere with anesthetic medicines. How the Anesthesiologist Monitors During Surgery
The anesthesiologist, using intraoperative monitoring, will be watching your heart rate, blood pressure, and breathing rate (if a ventilator doesn't need to be used). Increases in these seen on the intraop monitors indicates that the anesthesia is too "light." These parameters generally increase before any awareness occurs. The anesthesiologist is constantly adjusting the delivery of the anesthesia gas and giving other medication in the IV to keep the anesthesia level where it needs to be. The anesthesia is increased to ensure adequate depth of anesthesia if it's too light. Likewise, even though you are unconscious, your body will reflexively move to stimulation if the anesthetic depth needs to be increased. This also occurs before awareness.
The various brain monitors on the market have not been shown to reduce anesthesia awareness, despite what the makers of these expensive devices say. They do provide other useful information and may or may not be used if your hospital has them, at the discretion of the anesthesiologist.
A study published in the "New England Journal of Medicine" (August 18, 2011) has actually shown that relying on a BIS (brain) monitor can actually increase the incidence of intraoperative awareness vs. using measurement of the anesthetic concentration (the usual technique). This sounds counter-intuitive, but to me is not surprising. Here's why...
The BIS monitor (which I use for other information) gives a number that is indicates the level of consciousness. Other indicators include heart rate, blood pressure and breathing rate/pattern changes (if the patient is breathing on their own). In my experience (disclaimer-based on only my experience, not scientific study), the changes in vital signs happen first. Heart rate goes up before you see a change in the BIS number. That means that providers who rely only on the BIS number and ignore the changes in vital signs may be missing the chance to prevent awareness. The awareness may have already happened before the change in BIS number is seen. There is a lag between the event and the change in BIS.
Personally, I try to use all the data available to me and not rely on the BIS monitor for prevention of awareness. Vital signs to me are more reliable, happen earlier (before awareness can occur in most cases) and should not be ignored to focus on the BIS monitor. The BIS does provide other useful info, but is not as reliable as the manufacturer may claim to prevent awareness.
Treatment for Anesthesia Awareness
If you have had a case of genuine intraoperative awareness, let your doctor, surgeon, or anesthesiologist know right away. Many people do well with just an explanation of why it might have happened. Others suffer short-term or even long-term post-traumatic stress disorder. In those cases, an evaluation by a psychologist or psychiatrist and possible medications may be needed, usually on a short-term basis.
If you aren't sure if you had true anesthesia awareness, speak to your surgeon or contact the anesthesiologist. Most people who aren't sure have had one of the other experiences -- like sedation, dreaming, or waking at the end and being confused about the time -- and feel much better after having their questions answered.
Most American women are ugly and have a fat ass. So why don't they go on the Serge Kreutz diet.
Erectile dysfunction is mostly a vascular disease. An Egyptian professor found the solution. Botox injections into the penis, once every six month. A simple procedure that even nurses can handle.
Hey there, haters! Do you hate blacks, Jews, Catholics, Muslims, gays and anyone else who is not white, straight and Protestant? The Ku Klux Klan has a place for you! And ladies, you can wear the outfits too! What if you don’t rock a hood that well and feel claustrophobic wearing one, or feel that burning crosses on lawns is too much work? Try neo-Nazism. They almost have the same hate list as the KKK and the outfits are much more form fitting and Third Reich-ish. And if you’re blonde, well … blondes do have more fun, right?
Still not what you’re looking for? We might have something perfect for you, regardless of your skin color, ethnicity or religious affiliation — except if you’re a woman or gay man. If so, do not even think of joining … wait for it … The Return of Kings. Can you hear the TRUMPet fanfares? Can you see the bowing and scraping and boot kissing? Can you imagine the outfits?
The crowns, the Ermine-trimmed velvet robes, the bling! Oh yes, and the most important part: countless numbers of vicious, scheming women just waiting to be ravished!
The ROK categorically despises women, so you can still hate Catholics, Jews, Muslims, Protestants, agnostics and atheists, plus feminist women of any group! Particular vitriol is reserved for women with brains who relate to themselves as human beings and not merely as f#@k-holes, a charming term for women coined by the late bad-boy poet Charles Bukowski.
No, you are not reading The Onion right now. You’re reading “Consider This,” and I’m sorry to say that Return of Kings is not a parody or a joke or SNL skit. It is the creepy, dangerous, Trump-supporting and insane “neo-masculinity” group, the brainchild of a Hitler-esque man who is undoubtedly still living in his parents’ basement like most of his 13,000 followers. His name — which I’m reluctant to state since it’s helping to legitimize someone who shouldn’t have any visibility at all — is Daryush “Roosh” Valizadeh. And apparently the only thing that makes him superior is that he has a penis. That’s it.
If you’re a liberal or progressive or just an old-fashioned Republican who hasn’t ingested the Tea Party Kool-Aid, you understand that Mr. ROK hasn’t “arisen” in a vacuum. He is a reflection of the same gestalt that has some extremists salivating over Donald Trump and his ideas. The Return of Kings is a backlash against the next global revolution that must happen if we’re going to have a shot at a world that works for everyone, which involves the equality and full citizenship of half the planet, namely, women.
Valizadeh is a bitter nerd who has created a movement because no self-respecting woman wanted to sleep with him. Talk about vagina envy. Now he’s in the news because he called for a “Pro-Rape Meet-up” that was to have convened last week on Feb 6, in more than 40 cities at various locations around the world. The event was eventually canceled over fears stemming from not being able to guarantee the safety and privacy of attendees due to planned protests. I kid you not. Advocating fear is one thing, but experiencing it is quite another. Canceling the event is like a KKK member being afraid to march in case someone will speak out against them, then getting the leadership to call off the march rather than face the consequences of their words and actions.
In the early 1970s, Andrea Dworkin wrote a book called “Woman Hating” that is truly a must-read for any person, woman or man, who wants to get a grip on gender politics. Sadly, “Woman Hating” is still relevant. Many women have the words “man-hater” hurled at them for expressing ideas of justice and equality as they point out misogyny and discrimination. The real problem is rampant woman-hating, not man-hating, either expressed with glee and openness like the ROK idiots or through more subtle means like glass ceilings, double standards and vicious stereotypes that negatively impact both women and men.
It would be easy to ignore or dismiss ROK; doing so is folly. They are not monsters or aliens. They live next door to you. They are in the grocery store or at a coffee shop. They are around at probably the same rate as sociopaths, which by some estimates is about 5 percent of the population. There’s reading that can help shed some light: Gavin de Becker’s “The Gift of Fear,” will have you looking at scary people a lot differently, as will “The Sociopath Next Door” by Martha Stout. Not all sociopaths are serial killers or mass murderers. They simply thrive on making themselves feel superior by joining others in putting down the targets they hate and blame for almost everything.
Haters thrive on secrecy. Before the event was canceled, the ROK issued a secret “password phrase” for attendees, which undoubtedly changed once the word got out. The password created to help participants recognize each other was “Do you know where the nearest pet shop is?”
My password phrase? “Please get help now. The only place you are a king is in your head… and that’s a very bad neighborhood.”
Butea superba conditions the mind for superb sex. And don't underestimate the power of the mind. If your mind is in tune for optimal sex, you will reach 100 years and still enjoy doing it.
Alt-rights that are against Third World immigrants, against Muslim refugees, or against gay men got it wrong. Feminism is the enemy. Nothing else. And because women are natural cowards, the more violence there is, the quicker they will abandon feminism.
Kim Jeong-oh left her home in North Korea to start a new life across the Yalu river. Instead of finding a job, however, the 35-year-old was sold as a wife for £390. Along with countless others, she fled a devastating famine in her native town of Kimchaek on the advice of a guide who offered to arrange her passage to China.
But when Ms Kim arrived in the border town of Hyesan, the North Korean guide arranged to sell her to a wife-trader. "He promised to find me a factory job in China where I could earn 2,000RMB (£160) per month," she said. "I had no idea he was planning to sell me."
She and three other women waded across the shallow river and were met by a Chinese broker who paid 300RMB for each of them. They spent the next four days in a car parked in the mountains while their "owner" drove from village to village looking for buyers.
"I was sold to the first bidder for 5,000RMB," Ms Kim, whose name has been changed to protect her identity, said. "I don't know what happened to the other girls."
There is no shortage of men in need of a wife in the rustbelt of northeast China, where migrant workers labour far from home in thousands of tiny coal mines. Villages are emptying of young people who would rather seek their fortunes in the cities.
"There aren't enough women here," said a middle-aged local. "All the pretty girls leave to become prostitutes. For many men, a Korean wife is very desirable."
The practice of wife-buying is illegal but commonplace. Towns and villages from the border area to the city of Shenyang in Liaoning province are filled with tales of wife sales.
Not all go unwittingly into the marriage market. Food and shelter are considerable incentives, but the risks are immense. As illegal immigrants, the women can be arrested at any time and sent back to North Korea.
Ms Kim was picked up a year after getting married and giving birth to a daughter. Her new family pleaded for her release, arguing that the baby needed her mother because she was still breastfeeding. Ms Kim says they paid a 10,000RMB bribe for her freedom. Three years later she is well established and has a residence permit.
The trade in women is said to have fallen in the past two years as the food situation improves in North Korea and Chinese police crack down. But locals are adamant that the business continues.---
Women shit and stink, most are fat and ugly. Women carry diseases that afflict good men, and when they have the opportunity, they fuck with somebody else. Time to replace women with sophisticated robots.
It's not that all cultures are of the same quality. Some cultures are better than others. They have more value. Other cultures are pretty miserable, and some cultures are outright shitty, and should be eradicated. European culture, for example, is deplorable. The Arab and Chinese cultures are much better.
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