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  The Irreverent Buddhist: writing from a Buddhist perspective on
  subjects from the deeply personal to the thoroughly political.


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Thursday, September 13, 2007

      University College Hospital.

I was admitted to University College Hospital London on Tuesday last week with a gastrointestinal infection that had seen my weight drop from nine stone to eight stone one pound in four days.

By Thursday the GI symptoms were over and the docs were contemplating discharge despite my BMI being only 15 as I had gained only three pounds in weight - basically through rehydration - and meaning the bug had consumed ten pounds of my already depleted flesh.

I said it wasn’t wise and that while I was here we may as well get to the bottom of my long term health issues. The consultant said I could stay and that although he could ask other docters to see me, he couldn’t “make them”.

This has certainly proven prophetic: the spinal surgeon, I was told the next day, “would not see me unless someone told him there was something wrong with my spine”. I am confused as to who this should be - as I wrote my MP - is it the cleaner who decides such things? Or the hospital cat, perhaps?

The weekend was awful. The ravages of the GI bug have taken such a toll on my musculature I got no more than three hours sleep each night before the effects of my Diazepam dose wore off and I awoke in increasing pain. I lay awake until time for my six AM dose - unable to increase the dose because of the systemic muscular weaknesses that are causing the other muscles into spasm.

It is a knife edge game trying to hold together a fast failing body by controlling the overworked compensating muscles with a drug that causes more harm to the damaged and weakened muscles.

I explained all this to the registrar in great depth during an extended conversation on Monday morning: that my Diazepam was no longer effective but that I could not risk increasing the dose as it is contraindicated by my musle weakness. I explained I was exhausted and in pain.

During  that conversation I suggested he had not understood what I think is wrong with me. He said he had so I asked him to explain what I think is wrong to establish this. He waffled some nonsense  about having “listened to my
signs and symptoms” and “not having time to go into it”.

Later that day I was told by my nurse that the analysis from the tests done the previous week had shown Campylobacter as the causal agent of the GI infection that lead to admission - the most common cause of GI problems and usually caught from undercooked poultry. I was told I was being placed on a course of the antibiotic Erythromycin.

This is contra-indicated - doubly in my case:

1. Erythromycin is contra-indicated in patients with muscle weakness.

2. Erythromycin slows the metabolism of Diazepam in the liver leading to a build up of Diazepam - effectively increasing the dosage of that drug - the very thing I had told the doctor must be avoided.

Given the in depth discussion I had with the doctor about my muscle weakness and Diazepam dose - and the knife-edge situation this leaves me in I was deeply troubled that an attempt was made to administer such a doubly contra-indicated drug on the very same day.

This is especially true as in his last role at The Royal London
Hospital the doctor was working under a consultant Liver specialist and therefore he must have been well aware of these facts.

In any case, it has not been estalished that I am a “carrier” of Campylobacter - chronic or otherwise - and there was no clear need for the antibiotcs. That I had had no recent GI symptoms for five days would imply the opposite - as a junior doctor agreed the very next day.

It all seems very strange to me.

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Filed under: Medical History Stumble it! zigzagzen @ 7:35 pm
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Wednesday, September 12, 2007

      Professor Norman Williams: The Lying Surgeon

Professor Norman Williams of the Royal London, Centre for Academic Surgery and Queen Mary’s University told me there was “no treatment” for rectal intessusception (internal rectal prolapse where the wall or part of the wall of the rectum comes away from it’s attachments).

This is a lie though I am not exactly sure why he lied. The most likely reason seems to be the medical negligence of his esteemed colleague Prof Parveen Kumar, former President of the BMA. Some of the test Williams was eventually leveraged into doing certainly proved she got it wrong in February 2005.

Back then she shoved her finger up my Jacksy (conducted a rectal exam), made me scream in agony, and told me everything was fine though I’d never recover (the incoherence of these statements seemed to pass her by).

The medical euphemism for what he did is “Professor Williams decided (I) was not a suitable canditate for surgery”. It’s not what he said to me. To me, he said “We don’t know why it happens and there is no treatment for it”.

There are in fact several non-surgical and several surgical interventions. None were discussed with me and he discharged me from his clinic after wasting nine months of my time by slowing investigations he promised to complete in a month.

He actually invented the latest less-invasive surgical technique - see below* - so there is no excuse for his lies.

He continues to lie however now telling my MP he “explained” to me in surgery that which he did not. The Public Accounts Committe were right. Doctors remain unnaccountable for their actions.

There is no way anyone is going to push this guy into admitting his lies and other negative actions and My MP, Lyn Brown, has to accept what she knows is a downright lie without further questioning, I guess my only hope of any justice, once again, is “publish and be damned”.

This was my attitude last year but after the debacle with the Medical (in)Defence(able) Union I decided to take it easy and back off, leave the Doctors alone, in the hope I would be given the right help. Prof Williams has proven to me that acquiesence only leads to being taken the piss out of. I’m afraid I have had enough of that.


Norman Williams - “The Lying Surgeon”?

It’s not surprising though. After all, when he first met me in clinic he said “we don’t normally do anything for people like you”. My crime? I’m a victim of paedophiles. Man I must be made of dirt. Thank the lord there are good people like Professor Williams to put me right and keep society safe from “people like me”.

I think we can all be grateful that Professor Williams is on the Board of The Royal College of Surgeons. At least medicine is safe in the hands of such an honest man. Sorry. I mean complete bare faced liar.

*From Pubmed:
Dench JE, Scott SM, Lunniss PJ, Dvorkin LS, Williams NS.

Centre for Academic Surgery, GI Physiology Unit, The Royal London Hospital, Whitechapel, London, United Kingdom.

PURPOSE: Internal rectal prolapse has been proposed as a cause of symptomatic rectal evacuatory dysfunction. Abdominal rectopexy, the standard surgical approach, has significant attendant risk and does not address any concomitant rectocele. This video was designed to demonstrate a novel surgical method that uses porcine collagen implants (Permacol), designed to correct internal rectal prolapse, with or without rectocele. METHODS: Inclusion criteria: severe rectal evacuatory dysfunction refractory to maximal conservative therapy and full-thickness internal rectal prolapse impeding rectal emptying on defecography with or without associated functional rectocoele; normal colonic transit. Patients undergo comprehensive preoperative and postoperative symptomatic assessment and anorectal physiologic testing, including defecography. A crescenteric perineal skin incision allows development of the rectovaginal/rectoprostatic plane to Denonvilliers fascia, with rectal mobilization. A curved tunneller inserted via the perineal wound is guided retropubically to emerge through suprapubic wounds created on each side. Permacol T-strips are sutured to the anterolateral rectal wall bilaterally, upward traction exerted, and the stem of each T-strip is sutured to the suprapubic periosteum, suspending the rectum. Concomitant rectocele is repaired using a Permacol patch in the rectovaginal plane. RESULTS: Short-term results for the “Express” are encouraging with improvement in evacuatory and prolapse symptoms and concomitant anatomic improvement at defecography. CONCLUSIONS: This procedure promises to be an effective technique for managing patients with refractory evacuatory dysfunction secondary to internal rectal prolapse, with or without rectocele.

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Filed under: Medical History Stumble it! zigzagzen @ 10:32 am
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Friday, August 3, 2007

      What Is Mad? What Is Sane? And, Most Importantly, Who Is The Judge?

Someone asked me if I was “mental”.

Actually I’m not “mental” strictly speaking though I am a Crazy Wisdom Guru of the Karma-Kagyu and Nyingma Lineages of Tibbetain Buddhism. For those whose minds inhabit traditional patterns of sanity my thinking can seem “mental”, i’ll admit.

I was taking the “p” out of science and Lorreal: science doesn’t understand why “light” travels through some “things” and not others because we don’t really understand what “things” or “light” are for a start. Which would be a good beginning!

I was called a child prodigy in maths and physics which made it boring. Instead I sought out dope, girls and discovered out how to blow up the schools first computer by making the seriel port turn and off so damn quick it played a tune on a relay “Land of hope and glory”

… getting those tones right using “for-next loops” in basic to slow it down was a long job … I hear it now …”beeeeeep beeeeeep beeep beeep beeep beeeeeeeep beeeeep” and the refrain from my computer teacher “turn that F***ing thing off before it …”

BANG

Computer lessons were less fun after that. While the school saved up for a new one, we went back to sending punch cards through the post and and getting them back a week later with a printout that said “Error on card 1″. The feeling this gave us was only slightly better than the feeling we had after another week when the report said “error on card 2″. Debugging was a slow proces back then and we all had lice anyway so pointless.

However .. I digress …

I was also indeed, mimicking the style and Genius of that now-so-sadly-lost-to-us GOD of comedy, Monsieur Milligan, who’s poems lighted up my childhood like a very bling sign saying:

IT’S NOT ALL BAD “

And as you like his poems so much, here’s another:

A baby sardine saw his first submarine,
And swam to look through a peephole,
“Come come”, said his mum, don’t be so glum,
It’s only a tin - full of people.

Peace + thanks for the rep + some back for your appreciation of Spike. May god toast him quickly.

CrazyB

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Filed under: Prose, Life Stumble it! zigzagzen @ 4:46 pm
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Thursday, July 26, 2007

      MentalNurse: Irreverent Buddhist Sent To Coventry.

Over at MentalNurse I have become engaged in a most unsatisfactory string of arguments with a self styled respectable academic tw@. “Training the next generation of Mental Health nurses”, ‘Beakie’ maintains absolutely that Psychiatrists “have no power” and that the “real” power lays in Government, where it “always has”.

Such an absurd reductionist argument is reminiscent of Marx. Oh well. I can not argue with the tw@ any more because I have been “sent to Coventry” and banned from commenting on the site. I hope “Mental” the owner of the site recognises that running a comfy shop does not lead to running a healthy shop. Perhaps this is the reason Mental Health facilities and services are so often god damn awful. People who work in them are so busy “managing” the patients with chemicals, threats or other devices to keep things quiet, that they never get to the root of the problem - the patients never get to express what it is they need.

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Filed under: Uncategorized Stumble it! zigzagzen @ 1:23 am
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      Monsoon Britain: A Taste Of What Is To Come

This summer we are enjoying a monsoon in England. Aside from the ten thousand or so homeless our antiquated water management system seems to have created, the main worry seems to be whether the weather justifies spending even more money on a roof for the Olympic Stadium.

Of course, this additional economic activity will only add to the speed of climate change but at least the two week festival will pass without an umbrella crisis. That man is so shortsighted in his activity is no surprise to us. But the conesequences are coming. For Britain, the permanent change in position of the Gulf Stream will change our weather patterns completely. We will end up enjoying a three season pattern of weather.

Monsoon will run from around the end of April until the middle or end of August. The there will be a hot season lasting until the end November by which stage it will be cooler, before a short sharp and very cold winter begins in December and runs through until March.

Our farming and crops and insects and parasites and much else will change. The pattern will enshrine itslef within the next twenty five years, and quite clear agreement that it is where we are headed will be reached in five years or so. Just around the time of the Olympics, be they roofed or unroofed.

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Filed under: Politics, Life Stumble it! zigzagzen @ 1:09 am
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      US Economy: Prime Down, Private Equity Short: It’s Here: Prepare For The Bear

The US economy has run on cheap oil and cheap foreign money for many years. With the current levels of Dollar dominated indebtedness at all time highs the strain in the system is starting to show. The dollar, standing at $2.05 to the british pound, has continued the steady decline I commented on in October 2004. Since that date that drop has been around 6% against the Euro. Now we are seeing a potential implosion in the US sub-prime mortgage market which will have inevitable knock on effects on the US domestic economy as mortgages are pulled and lives turned upside down.

The overspill into the business sector of the potential funding shortage that may now arise has also begun I believe. Private equity buy outs are facing a shortage of funds as the underwriting banks are still carrying on their books much of the stock they issued for transactions earlier this year. Since Bush was re-elected for the second time, delay of an economic bear market in the US has only been managed by spending lots of dollars on very unpopular wars. The Republicans do not believe theirs will be the next president so the current situation suits them fine.

The Democrats will be handed a Basket economy on the point of implosion and two wars they can neither win, withdraw from or pay for. When I was at Las vegas airport earlier this year a Trucker from New Jersey gave me a light. We chatted as we smoked outside the terminal. “You watch”, he said, “The Democrats are down to a black and a woman for President. The Republicans aren’t gonna let a black or a woman run the show. There will be another major terrorist attack”. I do not believe he is right there. Another terrorist attack would only ensure the Democrats are in for ten years, whomever they chose. Without it they will be in for five, crisis managing through the bear to the beginning of the upside, before a shiny young besuited whiter than white Republican can take over to ride the good times.

Prepare for the bear because it is coming. Luckily we will be protected from the wash to some extent by the trading block of Europe and the trade we have with China and India who are of course leading world growth. But any major remolding of the shape of the US economy will not be without knock on effects. In the UK we can expect inflation up 1 -1.5% over the next two years and interest up 2 - 3 points. At the same time many people are coming off low fixed rate mortgages set five or ten years ago. The effects on consumer spending will be quite significant, slowing growth to near zero for a short sharp spell.

The worst affected will be the same borrowers as in the US: those who are mortgaged at higher rates because they have less resources and lower credit ranks. Oh, and those who own businesses.

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Filed under: Politics, Life, economics Stumble it! zigzagzen @ 12:38 am
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Tuesday, July 24, 2007

      Logo Designs for UntwistedVortex.com

RT at untwistedvortex.com has been running a logo contest for his blog. Despute the appalling current design scene at freedomforall.net I put pixels to screen for fun. The best fun in the world for me is doing something simple for someone else.

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Filed under: Website, art Stumble it! zigzagzen @ 3:37 pm
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Tuesday, July 10, 2007

      Computer Mod: In The Desk Not On The Desk

UPDATE: Full story here:

I got really fed up with having a great big white computer box on my desk and wires all over the place. You know the situation: cables and computers are not pretty. There was only one solution: My desk and my computer needed to be merged.

This was not your typical computer maintenance project. I did use a phillips screwdriver - quite normal - but the widespread use of a hacksaw, jigsaw and hammer to get everything in the right place and operational differentiated this project from most rebuilds I have done (lots).

Having managed to get the case cut down to provide a backplate and mounting for the motherboard and PCI devices I then cut out the back of the desk drawer for the cable access. The hammer was widely used throughout this project.

Amazingly I managed to get everything nicely located. Both the DVD drive and CD writer will appear from the front of the drawer. Have yet to cut the slots to locate them. And can’t decide if I want to go to the trouble of getting some matching veneer and giving them a wooden fascia to match the rest.

The old lock on the drawer was removed and the barrel emptied and cut down to become the power button. Locating the power switch behind the lock was easy enough. The main thing was trying to organise all the bits so they would a) fit b) connect with standard cables and c) not cook each other. Currently she is running in the drawer, in the cabinet at 43 degrees C CPU temp - thats low enough for me and only 4 degrees higher than when the beast was in a case.

Time to power up and see if this thing will actually fly. Holy cow she does !!!

Finally I have to do some cabinetwork on the desk she is going in. It’s an old base unit from a large office desk

few more bits to finish: cutting the CD drawer openings, securing the lock barrel to the power switch (don’t try no more nails - I discovered it dissolves the power switch plastic :D ) and then I have to cut down the cabinet and rebuild the desk. Nearly done. Will post a pic when the final details are completed.

Just her smoked glass top to come.

Full story of the build here

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Filed under: Life, art, Computers Stumble it! zigzagzen @ 8:16 am
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Wednesday, July 4, 2007

      Intellectual Debate: “Psychiatry vs Anti-Psychiatry”

Apparantly I have started an “intellectual debate”, with a posting on mentalnurse:

“oldschoolbaby wrote:

Wow, intellectual debate on Mental Nurse. Somewhat inevitable as I haven`t been around to lower the tone.

I think we are in desperate need of more debate as to the aetiology of mental illness. After all, if we`re not sure about the problem then we`ll obviously struggle with the solution. As I see it, the trouble with TIB`s branch of anti-psychiatry is that it has an almost perverse tendency to drive others into the arms of the medical model, in diametric oppposition to its objective. That`s disappointing for those, like me, who would like to see psychiatry take a bit of a kicking.”

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Filed under: Uncategorized Stumble it! zigzagzen @ 9:40 am
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Thursday, June 28, 2007

      A Poem: Dualism And Where to Start As A Meditator

your body is your sole supply
stop looking to the mind
the mind follows the body
did you think your leg into being?
of course not
your mind realised there was a leg
the mind follows everything
finding feeling in the body
letting go of thoughts in the mind
breathing deep and long and slow
first find all of your body
this may take a very long time
before again turning mind on mind
to untie the final knots that bind
wherein that certain answer that you seek
you will find

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Filed under: Buddhism, Poems, Life Stumble it! zigzagzen @ 1:11 am
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