Ahh Mr P, I didn’t know Mrs. P is a good doc! You are all set then. Your generation had better training, perspective and can-do than mine. Has it been all downhill since 22 Nov 1963??

She is right about insecure docs being confronted by the knowledgeable with medical terminology. And that was prior to the google age. Nowadays many if not most come armed (harmed?) by bits they pick up online, which confounds both patient and doc. Half our effort appears correcting misconceptions and sometimes malignancy. Most careful generalists spend the balance of their office visits educating educating educating…

Regarding medical rackets in the fallen West.. I read somewhere a military surgeon returning from Crimea (1856!) to France and saying the entire system was built for profit even then. Are those who wage aggressive war for pillage for countless millennia any less merciful to their own vulnerable?? The good Dr. Fauci has a long pedigree.

I never watched Naked Lunch. I was revolted by the transformations and abominations (same reason avoided horror).. Maybe I will watch it someday. It appears connected to the vax. An Age of Monsters and transhumanism, via genetic alteration through the black goo. “David : Big things have small beginnings.” As a no-longer-fat Pompeo once said, “we’re in a live experiment.”

Yes Mr P, this nails it: “I am fairly confident that the R-thing is an enemy cannon and canon.” A tool of divide and rule. For Eurocrazies it has been class. And now ethnicity, vis-a-vis Russian slavs?? Globohomonazidom may be not so much divide but prosaic depopulation agenda, no?

And I think even darker. The principalities have few illusions. They live 800+ years and have seen the template. Sodom & Gomorrah being one. If do Track A, then Punishment B occurs. Rinse and Repeat ad nauseam. Wouldn’t an efficient way to get a people you wish to be destroyed in the most terrible and biblical of ways be to put them on known Track A’s?? Note the globohomonazidom was rolled out just after 1960s Club of Rome decisions on depopulation, and to deindustrialize the West using the Green Agenda.. it’s part of a package.

ZZzzzzzzzz……………

Putin met with the Iranian Admiral and NSC in February.. kept secret until now. Soon after the Indian one met with Putin. Then Iranian/Saudi ones in Beijing. Then Russian NSC met Modi and Maduro & Lula.. 🤔🤓 dominoes… “April is the cruelest month” is a theme in next Africa series I will release in 1-2 days.

VIDEO: Russian military seen stationing nuclear missiles in the town of #Vyborg, 152 miles East of #Hensinki.. pity about the Finns. These are the steady loaded guns on temples I had in mind. The only thing crazies respect in our sad world.

Was in Helsinki in mid-80s, and in Suomi Lapland @ Arctic on midsummer eve when the sun never set. It just rotated above and around. I was thrown off and slept most of the next day! We ate one of Rudolf’s reindeer relations too, quite delicious

Regarding the 1959 Santa Susana Field Lab nuclear accident… 

(1) Santa Susana nuclear meltdown continues to affect communities

and

(2) 1.5 years ago, the madmen spread it again:

“The U.S. Department of Energy demolished a building using *** EXPLOSIVES *** last month at the highly contaminated Santa Susana Field Lab (SSFL), a former nuclear and rocket test site in the hills above LA.”

Mr P, these creatures are beyond deranged. They will assuredly kill us all unless dealt with

Talking of pipes and sewers and construction, as you know until the relatively recent advent of anesthesia, the surgical field was unfairly disparaged. Not even considered a medical field! Openly mocked. Consigned to being barbers on the side or sometimes medieval executors of state will to make ends meet. I really chortled as a teen reading about the terrors ordinary sailors had of them on Pirate Ships (pre-anesthetic Napoleanic wars of British RN) — iirc called sawbones and worse; the Angel of Death and Davy Jone’s Locker had better reputations.

Even two decades ago my generalist attendings called them primitive “Plumbers.” They are the most sued docs in litigation-happy USA, due to their [lack] of communication skills and perceived arrogance… But they get the last laugh in this, their Golden Age. So many tools, toys, and advancements at their disposal, esp with visualization at the micro level. They can really achieve wonders for the right patient with the right procedure, that’s for sure. It is a genuine pleasure to see the turnaround as they’ve benefited so many.

But care must be taken to weigh the pros and cons, given their gung-ho inclinations, surgical complication rates, and even the very necessity of much they do. So much is elective nowadays, due to vanity or obsession of meeting unrealizable ideal. A fitting punishment for Exceptional minds and attitudes, no?! Surgery in all traditional societies, regardless of need, was always considered the last option for simple reason it is usually irreversible or comes at potentially catastrophic cost exceeding the driving health problem. And so many are impatient and rush to them.

Nowadays, we have tremendous advancements in physical therapy and rehab, rediscovered herbals and alternative med, and other modalities that must be first exhausted.

Are your wrists and arthritis acting up? <span style=”text-decoration: underline;”>It is unavoidable as we age</span>. Especially those engaging in strenuous hand labor (and the occasional bike spill), both of which you qualify! One of my favorite cynic lecturers (a pediatric cardiologist) remarked atherosclerosis starts in utero — i.e. we start dying even prior to birth! The natural plumbing wears away and atrophies and calcifies as we age. <span style=”text-decoration: underline;”>Consider carpal tunnel syndrome (CTS)</span> as we’re all sitting in front of screens so much that it has become ubiquitous. That is median nerve entrapment which if it advances and becomes intractable requires decompression surgery. As long as function is not lost and pain is manageable I recommend taking care given untold new risks on top of Imperial collapse changing the health care landscape.

Presurgical options:

• Can you power on your grandfather’s old effective gizmos (ozone?)? At essence, these are issues of insufficient circulation.
• Try rehab and exercises to make the muscles limber, increase blood circulation, lower inflammation, increase the anastomoses of the ulnar with the radial blood supply, etc. If one body area is damaged, a trick is to compensate with strengthening and acquiring support from the adjacent parts. Squeeze a tennis ball repetitively. Visit a physical therapist (PTOT) often working with rehab medicine in hospitals/clinics. They are my favorite allied health and do wonders, often obviating surgery. They will assess and advise on take-home exercises and protective measures.
• It may be insidious Carpal Tunnel on top of preexisting arthritis.. observe ergonomic seating and arm positions which do wonders to protect the wrists, hands, and forearms. If they tingle or ache soon after being on the computer, you need to sit right. Often elevating our seats, adjusting table height (or changing altogether), or somehow lowering the arms does the trick.. the key is maintenance of 90 degrees at elbow joint, so that the wrist does not need to pull up and backwards toward forearm.
• There are many many herbals and natural remedies to boost circulation; acupuncture; magnets; etc etc (not my area)

Studies:

Fortunately most studies worldwide show there are significant and preserved anastomosis between the ulnar and radial arteries in the hand. These two between them cover most palmar arch circulation. Surgeons worldwide may have the most experience with the radial artery since it is the most preferred donor flap (called the Radial Forearm Flap (RFF)) for reconstructive surgery of most large defects throughout the body. And used a lot in coronary bypasses and instrumentalization. It has become relatively safe and effective given such experience and wide use..

The prevailing vascular patterns helps inform surgical approaches and risk. Of course specific risk depends on the specific ailment, its source, location (deep or superficial), available expertise and abilities of surgeon, ancillary and post-OP support, age/state of patient health informing prognosis and recovery speed, etc…

• Anatomy:
  • https://pubmed.ncbi.nlm.nih.gov/30245020/
  • https://pubmed.ncbi.nlm.nih.gov/35145780/
  • https://www.researchgate.net/publication/285627176_Arco_palmar_superficial_anatomia_e_implicaciones_clinicas
  • https://www.researchgate.net/publication/357276197_A_Cadaveric_Study_of_Superficial_Palmar_Arch_with_Surgical_Importance
  • https://www.researchgate.net/publication/354196054_The_Radial_Forearm_Flap
  • Texts:
    • https://www.wheelessonline.com/orthopaedics/superficial-palmar-arch/
    • https://www.kenhub.com/en/library/anatomy/deep-palmar-arch
• Vids: 
  • Anatomy https://youtu.be/NbrrHxHlFCk
  • Anatomy https://youtu.be/kOoojdHeN1w
  • Surgery https://youtu.be/OKDJiWCTdXs
• Cases; Assessment:
  • Specifically for Dupuytren’s contracture; overall positive outcomes https://www.researchgate.net/publication/358970829_Primary_closure_using_a_perforator_flap_based_technique_for_the_Treatment_of_Dupuytren%27s_Contracture
  • https://journals.sagepub.com/doi/full/10.1177/1358863×12451514
  • Further @ Search term: https://www.researchgate.net/search/publication?q=Surgery+of+palmar+arch
• CTS
  • bracing (PTOT): https://www.aafp.org/pubs/afp/issues/2018/1115/p570.html
  • Diagnosis: https://www.aafp.org/pubs/afp/issues/2016/1215/p993.html
  • Options: https://www.aafp.org/pubs/afp/issues/2016/1115/p830.html

In short, these hand surgeries may be among most established surgeries. The anatomy often has good redundancy in blood supply. The challenges, risks increase with age. Always first exhaust non-surgical options. Keep in mind hyperstressed and dying US health care system as everything goes to hell! [Since you live in northern Cali, would Oregon or Idaho be safer? Mormons have excellent health care too! Pl explore]

ZZzzzzzzzz……………

Mr P,

I strongly agree with typical corruption at construction, racist hatred of Asians, and “lit fuzes,” but Fukushima was additionally juiced along! It was such an unnatural phenomenon. It was at a weak point for Empire, and Japan was threatening vassal-escape.

In early 2011, the US:

• Was militarily mired, exhausted and attrited in unwinnable Long Wars in the greater M.E.
• Economically weakened and kept afloat through financial dole since 2008
• China after 1.5 centuries was returning to its usual economic and industrial preeminence
• The entire hollowed-out hyperfinancialized & deindustrialized West was in senescence
• Afro-Asia and even Monroe-Doctrine lands were rising up
• A weak, effeminate optics-focused Obama was not in charge of anything, except droning on Tuesdays and how he got it from Big Mike

So in those (and many other) circumstances, they were in a panic. They went the usual “demonstration” route and splattered Japan, to warn others too. That they were capable of tremendous unconscionable harm. Like the HAARPed earthquake in Turkiye recently. This is their M.O. and last remaining card. Oderint dum metuant.

Everything was abnormal about it. Timing, location (no pretremors), public threats in advance, lack of technical support afterwards, the immediate meek return of Japan to the fold, etc.. Not sure if the usual stock market FF insider games accompanied it too. CAF mentioned she recognized what was done to Bali by unusual financial flows and bets…

How to proceed? Where to pick up the shards?! Our heads spin.

• At same time the South China Sea is being detonated as I write;
• and the Innocent Ones squatting & occupying Palestine march into the Lebanese Hades rather than suffer a dignified slow death;
• and the Russians man up to eject the Yanks from the Euphrates Valley;
• and the dollar is being electrocuted;
• and NATO is being cremated;
• and the eternally hapless Poles are convinced to suicide themselves;
• and the Chinese set aright the quarrelsome west asians and mock the touristing Eurocrazies;
• and Smoothie contemplates a Zelenskiesque green-screen to up “the production value” (!!);
• and Herr Zircon struts in the Red Sea port of Jeddah
• –> His excellency Lavrov is right now in Turkiye preparing the ground for the imminent arrival of Putin to the Mediterranean city of Akkuyu?!!

Erdogan says Putin to visit the nuclear fuel loading ceremony on April 27 at the Akkuyu Nuclear Power Plant.

Can you imagine the implications if Putin visits this putatively NATO town, a leisurely and beautiful 3-hr coastal drive from Incirlik hosting US nukes; only 250km from Idlib; surrounded by the Grey Wolves fascists who shot down the parachuting Su-24 fighter-bomber; and only 90km from the Cyprus hosting two phlegmatic British bases! Thankfully it is 300km from Latakia AFB hosting S400s and of course ZIrcon-carrier will be within range shortly, along with other floating & submerged platforms. The implications!! This is like boarding the still-sinking enemy Titanic and dancing on its top deck..

Welcome dear Mr P!

We’ve been deprived too long of your insights. Once you get the hang, this site’s a lot easier, and easy on the eyes too. And no topics verboten! We just miss the Poets (Anomalous! 🤬) and the Russian cultural bits by Uncle Bob (and Uncle Davy, Alabama et al). Its starting to feel the Magnificent Seven (1960) or Seven Samurai ride again.

PS – yes I know and agree about the incestuous relationships, that’s why I said, “useful cops.” It’s like the Brits burning their ICC tools for that frivolous “arrest warrant” of VVP; evidence of deep agony and pathologic stirrings. I learned a lot in early internet age from the possibly Epsteined L.A. cop Michael Ruppert. He chased the drugs, DEA and the CIA ratlines. How prescient was his Collapse series?

Noooo! Which thread does this belong in? Pepe so naughty

• Food prep (Swedish meatballs section?)
• War room innovations
• The Hearty Salon

Russia bans SWIFT

“Banks have been ordered to use the country’s domestic financial messaging systems for transactions

 

The Bank of Russia has forbidden Russian financial institutions to use the SWIFT messaging system for transactions inside the country, the regulator announced on Monday.

 

Starting from October, Russian banks will be obliged to only use domestic services for transferring messages on financial transactions. The use of SWIFT will be allowed only for international payments.”

Notes from Borrell’s “Secret Garden:”
join us, take these weapons of Death, man the Arc of Instability, and wither away like Gollum & the Ring-wraiths…