Monday, September 3, 2018

Science is not Voodoo

Science is not voodoo
Humans owe their well being to the hard work of scientists.
Science and experimentation are keeping the world going and advancing.
Science fixed the Ozone and saved us from a disaster.
Experimenting with vaccines saved us from plagues and mass deaths.
Experimenting with drugs helped Cure Hepatitis C and contain AIDS.
Science can save us from global warming and keep us from extinction.
Religious people, basically, do nothing, just pray, and leave it to God. When they do nothing, nothing will happen.
People thank God after scientists have actually helped them and they claim God is higher than science when experimenting fails. When science fails, it only means one more trial and error in the way to perfection.
It is impressive how people thank God for removing a brain tumor while a brilliant, well trained for years, hard-working surgeon and his team have actually done it themselves! If God is omnipotent, why can't he make a priest remove a brain tumor?
When prayers work because of science, people thank God, when prayers fail, they never blame God but say God works in mysterious ways! Prayers will work or fail simply based on the efficiency of the person doing the job.
It is simple: 1+1=2. If you need a 4, you must add a 2 to the left side of the formula. If you pray for years and never add the 2 yourself, you will never get a 4.

Saturday, August 25, 2018

What you'r worth depends on where you are

What you're worth depends on where you are!
Can anyone relate to this? Please reply if you do! 
The Egyptian Soccer player, Mo Salah is Worth $173 million worldwide, but he was buried and had no future in Egypt. Needles to say in spite of him scoring every goal for the national team, Egypt still lost every world cup game even to the very low ranking team of Saudi Arabia. 
Sire Professor Dr. Magdi Yacoub of England is the most excellent heart surgeon in the world, but he was called stupid and made to fail in Egypt. 
My brother is a recognized British Australian and American professor of medicine and surgery, and he teaches his unique style of colon surgery worldwide, but in his country, the faculty of staff downgraded him to just an average medical student and an average physician, and he had no future.
My second brother is the youngest tenured professor of electrical engineering in a most prestigious university in the USA, and he teaches his unique entrepreneur field of engineering worldwide, but he was made just an average student with no expected future in his country.
My third brother is the Manager Pharmacist of the Computer Systems for the largest pharmacy in the USA, but he was an average student and an average retail Pharmacist with no further future in his country.
I like to believe I am a successful Physician with an excellent clinical common sense but I was a below average medical student and an average physician with no further future in my country.
What does that mean?????
I think it means; No matter how your brain is, you are below average in the below average country you are from.
Why? Because when the country is corrupt, its priorities are screwed up by factors like, what is your religion? Or who is your father in the government?
I hope the USA will never get to this low of a standard.
I hope, being White, Black, Democrat, Republican, Christian, Atheist, or others will never become a factor of who you can be and what can you contribute to this country!

Tuesday, August 21, 2018

Ways to screw doctors and make them quit

Ways to screw up doctors and make them quit
In the beginning, God created Medicine. A system mandating physicians to spend most of their time documenting every detail of every visit to prove "we have done nothing wrong," so patients don't win when they sue.
And God saw that it was good.
This is a fact, whether doctors deny it or not. The main focus of the majority of physicians is documentation, running tests, and getting consultations. Defensive medicine to protect themselves from medicolegal litigation.
Of course, it is a costly way to practice medicine, and it will bankrupt the system. BUT, who cares, I just want to cover my butt!
It is very common among doctors to document
"Discussed with Dr. So and So," "The patient is notified," "Explained to the patient and the family," " The patient did not follow up," " The patient is noncompliant," or "The patient declined colonoscopy." These are all nonmedical, but just paranoid statements inserted in most medical reports, just in case a patient or his family denies the explained condition or treatment, claims negligence, or reduced level of care.
We actually spend more time teaching medical students and residents to patients and their families than the time we spend treating them, in the hope they do not sue us!

On the second day, around 2009, God Medicine created Obama and EMR for the sake of legibility and to avoid medical errors, and God saw that it was good.

It took doctors months and months of extra work to get used to the new system. It still takes a longer time, especially for doctors who are not used to typing. They said they would pay an incentive for doing this, but they were very creative about how not to pay. Actually, I got paid about 6% of what they said they would have paid.
On the third day, the God Medicine created the Meaningful Use Criteria (more accurately, the Meaningless Criteria), and God saw that it was good.
They cut our pay when we didn't fulfill those Meaningless Criteria. I never could satisfy them, criteria because they are meaningless. So, I gave up. They disqualified me for various reasons like; may patients did not send me enough emails, or they made a mistake.
Even though I used EMR from day one in my private practice, I wasn't paid because I missed the criteria by 0.5%.
Medicare increasingly cut my pay by 2% each year, year after year. We, doctors, spend an average 66 cents on the dollar to run the practice. The 2% pay cut/year is actually a 6% profit. This is on top of not getting paid for other bizarre reasons. I found out that I haven't been paid for services I have been providing to my patients over 3 and 4 years. Medicare demands me to bill the supplemental insurance, and the supplemental insurance requires me to bill Medicare, and I get lost in the middle. To save me an aneurysm or at least hemorrhoids, I accepted not to get paid, and I stopped seeing Medicare patients.
On the fourth day, the God Medicine created ICD 9 which had 10,000 codes representing 10,000 diagnoses. Doctors are not paid when did not use a specific code. There were payable and non-payable codes for the same diagnosis. Over the years, every time Doctors mastered a payable code, it became non-payable the next year, and so on.
So, on the fifth day, the God Medicine created ICD, 10 which has 40,000 codes. And the dance around payable and non-payable codes continued, but at 40,000 code complexity.
On the sixth day, the God Medicine created the "Annual AV" reports for all senior patients. It is a complex report, maybe 10 pages long/patient. It is a tedious job, and sometimes it takes one to two hours per patient.
For just an example, doctors need to document if a patient had a cataract, and if so, in which eye? Right or left, has it been surgically corrected or not? If yes, WHEN?? Doctors have to go back and dig into the charts to document the exact date a patient had a god damn cataract surgery! One year, I was so frustrated because all my reports were returned for corrections. So, I decided not to do these damn reports.
I was penalized by losing a very, very big chunk of money, over $45,000, which included all my "bonus".
The next year, I spent all of my time doing those reports.
By the way, each year, the AV reports requirements have been changing and increasing. However, doctors are still mastering them.
On the seventh day, you would think the God Medicine rested or took the day off, but NO, he created a new thing to devalue physicians. On the seventh day, the God Medicine created the Star System, like in hotels or preschool.
Basically, when doctors lose stars, they get paid less. Needless to say, it is impossible to have all 5 of them, stars.
If patients eat a lot and do not lose weight, doctors lose stars. If they eat a lot and do not control their diabetes, doctors lose stars. If they do not take their medicine and their blood pressure goes up the roof, doctors lose stars. If Patients refuse to get their ass holes propped, doctors also lose stars.
The crazy thing is, you get 1 to 5 stars per category, no matter how many patients are in the category.
So, if a doctor has 100 patients in the Diabetes category and he or she fulfills Hgb A1c control, he or she gets 5 stars. However, if he has 1 undocumented Rheumatoid patient (like those immigrants), he gets 1 star and becomes a 3-star doctor instead of 4.96039 stars.
Guess what? This stupid and mentally retarded star system will only lower doctors' pay!
So, in conclusion, doctors spend way more time struggling to collect and record data for the CMS than the time actually spent treating patients.
The only way to keep up with this is to hire people to do all the bureaucratic nonmedical work and pay them most of the income
It helps when you lose autonomy and get employed by a hospital, or incorporated and take it .....Yes, Sir, Yes Sir, paycheck to paycheck.
I don't know what is the God Medicine is doing with all this data, but for sure I know it has never improved the healthcare outcome. It only took away doctors' time and effort from patient care.
Healthcare in America costs 10s of times more than anywhere in the world, yet the quality is lower than in many countries in the world, such as France, England, New Zealand, Australia, and Canada.
Doctors, especially Primary Care doctors, get pay cuts in so many creative ways.
Doctors get new suffocating, time-consuming regulations and get DE-VALUATED by Medicare, insurance, PPOs, HMOs, Medicaid, HIPAA, Prior Authorizations, One Minute Clinics, Meaningful Use, needless Pharmacy Reminders and Drug Warnings, which do nothing but waste our valuable time. They are all devaluing physicians and making the practice of medicine impossible. They control and reduce doctors' income, and force physicians to become just ordinary employees. What a waste of expertise, intelligence, and a lifetime of hard work.

Friday, August 17, 2018

10 top scientific facts of the bible couldn't be more wrong!


These 10 top scientific facts of the bible couldn't be more wrong, and nothing is scientific about them  https://www.youtube.com/watch?v=t2sMJMXDiH4&t=945s
Here is why 

Wrong fact # 10- Job 26:7 "the earth hangs on nothing," i.e., the earth hangs in space

This contradicts what Job stated later which is the earth is laid on foundations, has a cornerstone, and footings! Job 38:4 "where were you when I laid the earth's foundation? On what were its footings set? who laid its cornerstone?"
This actually means nothing because it doesn't state any facts about the earth is a ball and rotates around the sun and it contradicts itself a few chapters later.
Job 38:13 also says " who might take hold of the earth's ends, that the wicked might be shaken off it" which means the earth has ends (not a ball) and god will hold them and shake the wicked off it. 
If Job 26:7 meant that earth is a ball in space then why did the church tortured Bruno to death when he stated similar facts.

Wrong fact # 9- Leviticus 15:13 "wash under running water," i.e., God knew that washing hands protect from disease.

Washing with just water does not efficiently kill bacteria but with water and bacteriocidal soap. If this was true then why didn't god merely say wash under running water with soap to kill bacteria. Why didn't God tell people about bacteria? Why did Jesus ridicule the Jews for caring so much about washing their hands? Why didn't Jesus scold his disciples for not washing their hands? Mathew 15:2

Wrong fact # 8- Leviticus 17:11 "life of the flesh is in the blood,"i.e., blood can diagnose diseases and save lives.

This part of Leviticus was about forbidding eating blood because blood makes atonement by sacrifice and not about blood diagnose diseases. Leviticus 17: 1o-11 "I will set my face against that person who eats blood.... the life of the flesh is in the blood...for it is the blood that makes the atonement." 
It doesn't take a genius to know that life is in the blood because anyone bleeds out dies. 
Urine diagnoses disease too, why didn't the bible say "life of the flesh is in the urine"?
In some cases, feces transfusion in gastroenteritis saves lives too. Does that mean "life of the flesh is in the feces"?

Wrong fact # 7- Isaia 40:22 "It is he who sits above the circle of the earth,"i.e., the earth is round.

It is straightforward to claim the earth is a circle because the horizon looks like a circle. A circle is flat and not a ball. Again, Job states the earth is laid on foundations, has a cornerstone, and footings! Job 38:4 "where were you when I laid the earth's foundation? On what on what were its footings set? who laid its cornerstone?" Here the bible claims the earth is flat not a ball, that is why the church imprisoned Bruno and Galileo for saying so. Unless you try to tell the heads of the church got it wrong and did not know the bible for 1600 years. When Galileo invented the telescope, he said to them the earth is a ball hanging in space rotating around the sun.

Wrong fact # 6- Psalm 8:8 "the fish of the sea and whatsoever passeth throw the paths of the seas,"i.e., God is talking about the hot and cold current of the oceans.

When you read the rest of the Psalm, you realize he is talking about God making human lower than the angles, and dominant over everything like animals, beasts, birds, and fish in the sea. Psalm 8:5-8 "Thou madest him a little lower than the angels, and hast crowned him with glory and honor. Thou madest him to have dominion over the works of thy hands; thou hast put all things under his feet. All sheep and oxen, yea, and the beasts of the fields, the fowl of the air, and the fish of the sea, and whatsoever passeth through the paths of the seas.
The seas have paths, people and fish have traveled through the waters all the time. 
How exactly does this explain the hot and cold currents of the oceans?? If so why did not the bible say "and whatsoever passeth through the hot and cold currents of the oceans, not the seas"?

Wrong fact # 5- Job 38: 35 Do you send the lightning bolts on their way? Do they report to you, 'Here we are'? i.e., God is talking about sending radio waves to talk to each other.  

There is nothing here about sending radio waves to talk to each other in this verse! God was asking if you can throw bolts of lightning and if the lightning can speak to you and say here we are! 
When you read the entire chapter you find that God is asking Job rhetorical questions which the answer to all of them is obviously No. like in Job 38:34 "Can you raise your voice to the clouds and cover yourself with a flood of water? 
Also, lightning is not radio wave but photons and electrical waves or charges. Again, the strange thing is in the same chapter Job 38:4 "Where were you when I laid the earth's foundation? 6 On what were its footings set, or who laid its cornerstone- fundamentally contradict that claim the earth is hanging in space as it says the God has set the earth on foundations and cornerstones!

Wrong fact # 4 - Genesis 2: Thus the heavens and the earth were completed in all their vast array. This sets the roles of thermodynamics.

Thermodynamics is the science of transforming forms of energies into other forms like chemical energy into thermal, electrical, light, or mechanical energies.
The narrator does not know what thermodynamics is! This is really bizarre. If this verse sets the roles of thermodynamics, then anything can mean anything! 
Genesis is full of numerous scientific mistakes about the beginning of the universe and earth. For just one example, in Genesis 1: God created light on day 1 and later called it a day before he actually created the sun on day 4!!! How is it possible to have the sun's light before creating the sun itself?? We can write pages and pages about the factual mistakes in Genesis if you are interested in learning.

Wrong fact # 3 - Genesis 6 The dimensions of Noah's Ark are the perfect ratios to build cruise ships. 

The expert shipbuilders state that is it impossible for a ship to float or stay steady in one piece if it was made of wood by the dimensions of Noah's ark described in Geneses. An Iron modern ship with the same dimensions or ratios will float though because it is not wood but Iron. The story of the flood is a modified copy of the Epic of Gilgamesh which was written 100s of years before the bible which was written around 500 BC. Not to mention the impossibility of 9,000,000 animal species to fit in such a ship for several months.

Wrong fact # 2 - Leviticus 13:46 taught the human to quarantine people with skin diseases before medicine discovered infection. 

The ancients were very concerned about Leprosy. The swelling, scab, or bright spot in (Leviticus 13:2-28) is Psoriasis: a chronic, non-infectious non-contagious skin disease, characterized by the presence of well-demarcated, slightly raised reddish patches of various sizes covered by dry grayish-white or silvery scales. 
An infection on the head of beard in (Leviticus 13:29-37) is Favus: a much more severe and damaging infection in which the fungus invades both the hair and the full thickness of the skin. Bright spots on the skin in (Leviticus 13:38-39) is Leucoderma: a slightly disfiguring condition in which patches of otherwise normal skin lose their natural coloring and become completely white. 

I don't think the bible has been a good dermatologist or doctor. It never mentioned bacteria needless to say the text considered Epilepsy, Schizophrenia, Fever, and hallucinations demon position requiring rituals to cast the demons which frequently ended in killing the diseased person. 

Wrong fact # 1 - Job 40 “Behold, Behemoth, which I made as I made you; he eats grass like an ox" ie God created the Dinosaurs. 

What an unbelievable contradiction. How could the bible believe in the creation of dinosaurs whose fossils are proven to be at least 65 million years old yet the text states the earth was created only 6000 years ago based on no evidence whatsoever. The Narrator claims the behemoth is the dinosaur, and it eats grass!  Some dinosaurs ate vegetations and most others ate meat. How is a Behemoth a Dinosaur? By the way, Behemoth or Behema in Arabic means caws, bulls, and buffaloes.

Tuesday, July 17, 2018

Why Do I Shut Down? It is the Child in Me!

Why do I shut down? It is the child in me!
After one has had enough experience with drama, blames, unnecessary problems, and arguments in his life, for many years, he would only want peace and to avoid getting into debates. 

After many years of personal experience, I realize life is too short to deal with unnecessary problems or be sad and angry about things that could have been avoided. It is frustrating to spend too much time and effort arguing trying to prove "I am good." If someone does not recognize you are good on his or her own, don't waste your breath. 

Life in my eyes should be much more straightforward. I always try to mean good. I never try to hurt someone or take what is not mine. I have always been kind to strangers. I help and helped anyone in need without expecting anything back or asking for something back while no one helped me in times of need. I was a very very good smart boy, but I was always ridiculed, punished and made feel stupid and guilty for no good enough reasons or for reasons that I do not really understand. I had my feelings and needs to be discounted all the time. I did not argue, and I followed all the rules, God's rules, social rules, and even father's rules, and it led me to nowhere when it came to my feelings or needs. I do not want this to happen to me again, and I do not have the energy to argue anymore especially to prove I meant good. 

I think one of the main reasons for divorce, besides being lied to, is the constant oppositional arguments and the fact of only trying to win the arguments. I think communication and understanding each other is more important than who is right and who is wrong. One time, one of my Exes argued and argued and argued with me about something I was not comfortable with, and I didn't feel good about until I was tired and stopped to explain my feelings. (So my x won). I asked her "do you think you won the argument?" she said "yes." I said, "You may think you won but you have lost big time." This was because she never tried to understand my feeling or to make me comfortable. She only wanted to defeat me, force me into what I don't like. So, we both lost! 

I think using the silence treatment and putting the partners on guard, as well as discounting their intentions is a form of emotional abuse. I think keeping a partner feeling guilty and guessing without clear communication is an unhealthy form of emotional abuse and control. We have learned these harmful but beneficial ways to control our partners from our parents and the society. I always try to unlearn this, but it takes hard effort to unlearn it. 

I think a good relationship is built on communication and understanding and has no winners or losers, no right, and wrong. I think it is always better to try to make the other loved one feel better. I think if the two sides do this all the time, life will be beautiful. That is what I am trying to do, and now I have too. Of course, this should be mutual from both sides. One side should never use this method to take advantage of or control the other.

Saturday, July 14, 2018

Fetish and Toys

Fetishism is a fixation on a non-sexual object or acts to achieve sexual stimulation or satisfaction. It can be related to several factors. Like Obsessive-compulsiveness, Fetishism may be mainly psychological and related to early experiences of sexual desires. For example, in obsessive-compulsive disorder, a person may wash his hands 100s of times to achieve satisfaction about clean hands or turn the light switch on and off a certain number of times to feel safe. Foot fetish, for example, could be an ongoing fixation on feet after seeing feet while discovering new sexual desires. A Fascination with women underwear can develop as they are firmly in contact with women genitalia. Early sexual experiences may actively shape the sexual behavior and preference of a person for the rest of his or her life.

Men’s fascination with breasts can be a physiological phenomenon as large breasts mean well-fed babies and a higher chance of survival of the offspring. However, excessive fascination with breasts could be related to prolonged attachment to breasts and breastfeeding as a toddler hence the feeling of security. Or it could be because of a lack of enough breastfeeding and a continuous need for the safety of the mother’s (female) breasts.

BDSM includes bondage and discipline (B&D), dominance and submission (D&S). Submissive enjoys the thrill of powerlessness, being trained, lectured, and/or controlled movement. There are many types of toys used for spanking. Each toy is made of a different material such as leather, latex, rode, metal, and etc. Each different material and texture gave a different feel and the sound to whipping.

Other new information that I have learned is the person who has the most power in a BDSM (Bondage, Discipline, Sado-Masochism) relationship is the submissive. I thought the dominant orders the submissive whatever he or she likes and the submissive has to do it even if he or she doesn't want to or doesn’t like it. However, on the contrary, the dominant only orders what the submissive agreed upon. There might be a punished if the submissive doesn't obey. The punishment could be in the form of agreed-upon spanking using hand or other things. There is usually a code word to stop when the submissive can’t take it. On the other side, in playing the role of a slave, the slave would do what the master orders even if it is unliked. There could be some form of humiliation as well.

There is a variety of different toys for different pleasures. The most common known toys are the vibrators. However, to the contrary, the preferred vibrator was the egg, not the dildo, because the egg can be used to stimulate the clitoris, the vagina, or be put in the panties and operated with the remote control. There are also toys to be inserted in the anus to enhance the feeling of orgasm in women or massage the prostate and enhance the sense of ejaculation in men. Some of the most popular are lubricants. There are many kinds of lubricants, but the safest is the water-based ones. Some oils cause stimulation by releasing a tingling sensation, but they are not highly recommended for fear of possible skin irritation or allergic reactions.

Sexuality and Aging





Sexuality is usually intense in the young and in the new relationships. In a new relationship, a young couple is full of curiosity and desire for each other. They look for opportunities to have sex anytime and anywhere. They are always motivated and in the mood for sex. It never matters if one will wake up early to work or school, or how late they went to bed the night before. It never matters if they have been exhausted after a long day of travel, work, or after hiking 20 miles. They would have a quickie or a long lasted sex at any time anywhere in the house.

By the time a relationship gets olde the couple also ages. Even though love may become stronger between the two, sex becomes less spontaneous, less intense, and more of a routine and a chore. The busy life schedule and many responsibilities get in the way of the spontaneity and the frequency of sex in the older couples. With age, testosterone levels drop hence libido and the need for sex decrease too. It takes longer and gets harder for older couples to get aroused, and sex might become a chore.

The jokes are funny because they summarize the facts about sex in the elder. Often the two would cover up the lack of desire or mood with excuses like “I am tired and exhausted,” or “I am so stressed out about work or a problem,” “the kids are outside,” or the most famous excuse “I have a headache.” Sex becomes less and less essential or frequent in the elderly because of boredom, fatigue, lack of libido, physical weakness, impotence, or giving priority to other life duties.