Back in the sixteenth century in Europe, the wealthy aristocracy wondered why citizens would get sick and die in the prime of their lives.   They prayed to find out why women died in childbirth and children were born deaf and what is tuberculosis, and a thing called cowpox.   The landed gentry with their money, and their power, and their influence commissioned scientists and general practitioners to elucidate the cause of disease.  These people began dissecting human cadavers to elucidate the causation of disease.   The disease is categorized by the color of the pus, the size of an organ (hypertrophy or hypotrophy), and its weight.   These parameters were the only ones available to the scientists at the time.   Pathologists still do the same thing and autopsies are hopelessly outdated by laboratory science and Microbiology discoveries.   Now scientists have machines that categorize sickness by genomic abnormalities but they do not tell the uneducated public that the mutations they discover might lie on the intergene DNA.   Most genes that code protein are well spaced out by spacer DNA.  This security through obscurity obfuscates horrible chemicals that destroy the DNA.  Most mutations occur in the spacer DNA if they occurred in the genes, they would not function correctly.

About one-half century ago, God’s gift to medicine decided after a half-century of practice that disease is either infectious or due to poisoning.   In other words, if a physician rules out infectious disease with a battery of laboratory tests, that patient has been poisoned.   Poisoning can be acute or chronic depending on the dose level and duration of poisoning.   Various poisons affect different organs in different ways and certain poisons affect different organs differently.  Poisons can be organic in nature, petroleum-based, or inorganic salts of various elements.  If a student looks at the periodic table of the elements, and looks at it again, at the groups and classes of elements with different electron levels, he or she discerns differences in chemical action.  The transition metals have electron configurations of plus two to plus six and can mimic to some extent, the natural ions sodium (+1) and potassium (+1) which constitute the major inorganic elements in the body.  The heavy earth metals like lead, arsenic, and more have an electron configuration of +2, this is why they are absorbed by the body.  Lead and arsenic resemble calcium (+2) which constitutes the major element of bone and muscle including the heart.  Any chemical element on the periodic table that ionizes, has the capability of causing disease if it accumulates in appreciable concentrations.  Scientists can look at the table and decide what element he or she is going to use as a poison. Even halogens that form a Negative one valence can uptake like protein which has a negative one valence in situ. 

The stage sets for American medicine in the twenty-first century.  American medicines’ preeminence happened because of laboratory science, and if the laboratory is not available, Chinese medicine functions better at diagnosis and treatment.    The tools for emergency room physicians are now high-pressure gas-liquid chromatography and mass spectrometry.   HPLC is ideal for enumerating organic toxins in the body.   Turn to the last chapter of the text (Current diagnosis and treatment) and look at the variety of common household poisons that affect humankind and can be brought to light for us all to see.   HPLC can bring a diagnosis, and treatment might be to be doused with hexane until the organic object passes out in the urine. Older people who sit in bars drink hard liquor not only to get intoxicated but also to initiate the elimination of organic toxins in their urine.  Ethanol solubilizes organic toxins. Do we need to be hospitalized and get intravenous infusions of grain alcohol?   Common poisons not in the text include atropine, strychnine, ibogaine, and more.  Further work in the field and pharmacy will eventually create modalities for the elimination of organic toxic entities. 

The real concern for emergency room physicians is inorganic ions.  Certain ionic species share predilection for certain organs and accumulate in these organs causing acute intoxication or poisonings of lesser amount and longer duration: chronic disease.   Pathologists will spend a decade removing organs from cadavers that died of chronic degenerative diseases and burning them with mass spectrometry until they understand what elements in the periodic table exhibit toxic properties and organ predilection.  The function of discovery is an easy task.  More arduous is elaborating on what chelating agents are most efficacious for removing inorganic ions from the body.   For example, what most internists regard as actinic keratosis in the elderly is merely chronic arsenic poisoning that if it continues, causes skin cancer.  Lead seems to accumulate most in the kidney and then the brain, hence renal failure and senile dementia.    Transuranic elements cause psychological derangement before chronic disease.  Does anybody remember when Psychiatrists had to be board-certified in internal medicine before practicing psychiatry?   Many Psychiatric maladies are merely chronic afflictions due to the accumulation of inorganic ions.   Is it true uranium ions cause manic-depressive illness?    The real work to be done is discovering novel chelating agents that remove metal from the body.  BAL removes everything.  EDTA removes lead and arsenic, deferoxamine removes iron and other transition elements.  Succimer which is a four-carbon moiety resembles oxaloacetate in the TCA cycle and causes sickness and weakness and although it is an over-the-counter agent, it is to be avoided because it is toxic and doesn’t work too well.   The sky is the limit, and drug companies have a lot of growing harvesting, and extracting to find new and more efficacious chelating agents.  Pathologists will be burning tissue by mass spectrometry to give the working public a handle on what is ailing them.   Then we have to find a cure.   Like the gift to medicine said, “disease is either an infection or a poisoning” and he was too old to do anything about it when he made this conclusion and discovery.   Now the ball is in our courts and there is a lot of work to do.  It is a lot of work!

Yo no soy marinero

Ni desperado alquileres

Pero yo bebo tequila

Entonces sangria

Hasta que yo tranquila

Yo soy capitan

Yo soy capitan

Tal vez la bamba

Da me la bamba

Presta la bamba

Queria la bamba

Porque o sea

Porgue o sea

Yo no soy marinero

Ni desperado alquilero

Pero yo baila

En mis calcitones

Abraza con miga

Besa mi ligera

Porque yo pedia

Desfruta ti cercita

Porgue o sea

Porgue o sea

La la la la

Es la bamba

Nada se importa

Excepto tu y yo

Es la única

Es la bamba

Pide el señor para la bamba

Por gue o sea

Por gue o sea

La la la

La bamba

Hello, Wracks says the Frenchman.

I am a doctor now says Dr. Wracks

What do you get says the Greek.

I have a leg we amputated due to deep venous thrombosis.   I saw some clots in the femoral artery says Dr. Wracks.

Put it on the accession table and stand behind me.  I will tell you when you can go says the Frenchman.

There sits a huge vat of liquid nitrogen next to the accession table, the opaque milky liquid seethes and boils and vapor lingers at the base like a real Halloween movie and Dr. Wracks is the captive.  

The Greek throws a tumor into the liquid nitrogen and it sinks bubbles come up and the liquid boils.

I am waiting for the tissue to rise to the surface when it is done, then I will microtome it and do thin sections.

When a pathologist does thin sections, this is what happens

Wrights Giemsa stain identifies cellular organelles for detail

Gram Stain primarily demarcates intracellular, gram-positive bacteria

Warthin’s argentaffin silver stain makes spirochetes and parasite occlusions stain black

Calcofluor white stain identifies fungal elements that fluoresce under ultraviolet light

Nigrosine stain absorbs fat and Golgi apparatus identifying lipid-associated disease conditions

Carbolfuchsin Acid-fast stain makes tuberculosis germs appear like magic.

PAS reveals glycogen inclusions

A five-thousand-dollar microscope in two, one for the Greek, one for the Frenchman sits on a different bench in front of comfortable television chairs.  These monstrous apparatuses have silicon lenses carved and polished out of crystal and multiple magnifications and they finally use the oil immersion lens for fine detail.  After the microtome cuts the tissue into extremely thin sections that anyone can practically see through, they are stained, set on slides and a coverslip in balsam keeps the oil off the tissue.  The slides are labeled with a wax pen with a number so they cannot be changed and set in a box, one for each case.  

I will get to the leg later says the Frenchman, the surgeon is waiting for the results on several of the specimens.  He moves to an electric typewriter, conveys his findings for a case, types the document, signs the paper, inserts the letter into an envelope, seals the envelope, and hands it to Dr. Wracks.  Bring the letter to OR 3 after you scrub in, they are doing a bilateral mastectomy and waiting for the results.

It’s a lot of work, You can go.

All English hospitals look the same, like bastions or forts with heavy security.  Pathology here is in the basement and the lower floor is painted white on white with red arrows and large signs with names degrees and designations.  No matter what people do, it is cold and clammy and quiet down here and the silence is deafening.   There is such purity in white on white down below where no one goes.  

Dr. Wracks hurries back to surgery and OR 3.   He scrubs in like they taught him at the Autonoma and walks in backward so his hands don’t touch anything but he holds a letter.   He hands the letter to Dr. Gold the surgeon, he opens it and reads the results.  “There is metastasis in the draining lymphatics,” Radical procedure he says, you can go.  

In the late afternoon, on the East Coast, in the spring, everything is green, growing, verdant, and beautiful and Dr. Wracks is here.  At least I have a window to look outside at God’s given world thinks Dr. Wracks.   The pathology results are always positive, it seems a waste to make a patient wait under anesthesia for the results.   As a certified anesthesiologist, Dr. Wracks knows that the longer the procedure, the greater the chance of morbidity, mortality, and adverse reactions to the anesthesia.   The longer the procedure, the greater the chance of an idiosyncratic happening occurring. 

It is the rite of passing says another of his resident brethren.

Dr. Wracks does not cross his hands in prayer anymore because they say he is a nut.  Look for good counseling when choosing a profession and hope that you find someone to love you on the way.  Then you have won the game of life.  Time for another spin.   Like anything good in life, it is a lot of work.

It’s been a long time and things are drawing to a close and life didn’t seem to turn out correctly.

It is time to say things that I was told not to say.   Of course, it all is fictional, and money and espionage are fictional too. 

His name is Vacation Unmoon.   He is the last Boy Scout, or so they say.  He took an alias that he used his whole life and everyone believed him.   He was a spook for the CIA, and no one ever knew.   If you are a spook for the CIA, you don’t get paid because if you are caught, the corporation cannot be implicated and no record for you exists.   If you are good, you have to do it until you die, and if you know too much, you disappear.   He is dead now, or at least disappeared.  Before he died in the agony of cancer and an aneurysm operation, he said,   don’t use a 270 Winchester for a shot at range because when I shot JFK, the first shot missed and I hit Connelly.  Use a 30-06 instead for a long shot.    I guess he was the man on the bluff in the park.  

The assassination of JFK was planned by the CIA and the vice president of the United States, but this is conjecture.   The real reason for the departure of the president was that the owner of the Dow Chemical Corporation did not want to share their money with the Kennedys.   Jaqueline Kennedy’s family name was Dow.  NO MATTER WHAT THEY SAY, IT IS ALWAYS THE MONEY.  They say J. Paul Getty was involved in the operation and he declared himself dead to avoid being arrested.   Another question is: is he still alive today singing in the rock group In Excess?    

The DOW chemical corporation is the fabulously rich entity that makes all the drugs the AMA sells that are made in a pot, in a lab, under pressure.   They are all carcinogens.  The only pharmaceuticals that benefit man are the products of living things, plants, Mold, or bacteria.  However to make drugs from these entities is too expensive because they have to be grown, harvested, extracted, purified, and then tested by the FDA.  This effort is far more expensive than brewing something in a retort.

The assassination operation consisted of three people to get JFK in the crossfire.    It was Vacation Unmoon, the associate from the man from UNCLE and of course Lee Harvey Oswald.   Lee was chosen as the dupe to take the fall and he was assassinated by Knife Bargely, known by another name.  Lee was chosen as the dupe to take the fall because he is Catholic.  He also was the tail gunner on the Enola Gay.  Who was he working for?    Who was the manhandling them?   He might be alive and I cannot say.

THE ONE THE GODS SEEK TO DESTROY THEY FIRST DRIVE INSANE!

NO MATTER WHAT THEY SAY, IT IS ALWAYS THE MONEY!

They are all dead now or so I think.  Vacation, Ma the gun moll, and Granny, the saint from France.

They told me if I ever opened up my mouth I would pay but it is late now and a wonderful day for me is a cup of coffee and a protein bar with my laptop.  It doesn’t matter anymore, except to the money grubbers.   Our God-given world is a gift to us given by the maker and to sit outside and see the beauty of the world and the beautiful young people is reward in itself.   It is too bad people have to live here, Malibu and 18^th Street don’t break anymore and you can never return to your hometown.   Remember this, Poland told me to my face; what people say and what people do are two different things.   May Vacation have a nice life in prison?   No one knows until now and tonight I will share a roast beef with my family.   I didn’t get to when I was young.    Freedom is not free and we may have to fight for it.  

Of course, everything on this blog is fictional, I think, but my memory is failing me

The head of the emergency room is Doctor Little says Dr. Sabre, if you ever see him.  Dr. Venido has designated you as a surgical nurse and here is the key if they call you.  There exists an elevator in the far hall that has a key receptacle next to the door.   Insert the key and turn it in, it will open and take you directly to the surgical suite on the top floor.   We call it the Penthouse.   At the sign-in, there is a basket, put the key in the basket and go to the sign-in door and key in the combination we gave you.   If you have to leave in a hurry, you don’t need a key to go down in the elevator, just to go up.  Good luck.

There is an incoming trauma.   A construction worker got hit by a wrecking ball and it tore off part of his skull.   You will assist.   Go up in the elevator.  They are waiting for you.  The charge nurse turns like a soldier and walks away.

The Wracks walk down the hall on the first floor and see the elevator at the far hall.   He inserts the key, turns it halfway to the right, the door opens and he enters.  There is one button in the cab, it glows yellow and he pushes it and the doors close.  The wracks feel the cab go up, it stops and the door opens and he sees another hardwood door with a small window reinforced with wire.  A small console is on the right.  He pushes the code they gave him, the door opens with a metallic click and he enters.   The charge nurse says, scrub in, gown up, and go to room one.   Dr. Less will be waiting for you there to begin.   Head injuries are dangerous because general anesthesia causes death in these patients so do not talk because the patient is semi-conscious.   The surgeon and the anesthesiologist are waiting.

The Wracks scrubs up as they taught him in the dog lab at the Autonoma., put on a gown, a mask, and little shoelits, and walk backward like they taught him at school through the suite door.  The anesthesiologist puts gloves on him and he steps up to the table.  The patient is propped up in a sitting position with tubes sticking out of him his back occiput hangs off his head, and the blood drips down, and he looks upwards to the maker hoping for forgiveness.

We are going to reattach his scalp and bone back to his skull, and hope that it takes and heals.  If we remove the flesh and put it in a plate, he might not survive the surgery.    Wracks unpack and hand me eighteen gauge silk from the crash cart.   The wrack complies.   Hold his head still while I begin the suture.   Dr. Less has a large needle that curves like a fish hook attached to the silk and begins to reattach the scalp and bone to the head.   Use the aspirator to pick up fluid so I can visualize then swab the area with betadine.  I will say the Wracks.  The anesthesiologist glues his eyes to the heart monitor and injects valium, a little at a time to keep the patient still.   Dr. Less sews and sews and the Wracks cuts and blots and then he asks to open another suture pack of silk.  During impetuous circumstances, time flies and soon the patient has his head back, hair and all.   He blinks and starts to cry.   We are done says Dr. Less.   Scrub out and sit with him in recovery until he goes to ICU.  Thank you for your assistance today.   It was a pleasure working with you.

The ICU team comes and gets the patient who is breathing fine and has his Cath bag put on his lap.  The Wracks goes down in the elevator.  It seems to take a long time.  So this is Medicine thinks the Wracks.  I just want to sit in a consult and hand out antibiotics at the Bu.  It is night now and the Wracks gets in the sports car that he borrowed from his brother’s first wife.  Someone has broken in and taken the stereo.  He will have to replace the stereo and never use the car again.

They call it the obelisk.  Like an obsidian sliver pointing up into the sky, the moon coming up, it exists. It is black, the opaque windows are black and there are doors only in the front and the back that face the parking lot.  They say it is the main trauma unit for the county.  Before this summer the Wracks never knew it existed and it is part of the major exclusive university of Los Angeles.  Before his end, he will rotate through pediatric surgery, pediatric neonatology, and the Neuro.  The wrack does not want to go to the neuro but the unseen hands with non-olfactory money have put him there.

Where the fuck have you been scrub, says Dr. Little.  You are supposed to clean up trauma units.   If I catch you hiding again, I will fire you and inform your mentor.   Dr. Venido sent me says the Wracks; I was up in the Penthouse.   That can’t be says Dr. Little, you are assigned here to the E.R. to help out.  I will have a word with him.

I wish you would say the Wracks, I wish you would.  I know what I am getting into. 

It is night now and the freeway has cleared and the Wracks drive back to Tranquil Hills to tell the Fonz’s wife that her car got ripped off. 

In my mind where they exist

See the trees amidst the forest

Speckled dust tossed at risk

Somewhat salted my recompense

Always when I eat or drink

Ephemeral ghosts when they appear

Crooked hand out of nowhere

Throws the dust in nourishment

Training me to accept then

Always when I eat or drink

Never dare to leave alone.

Liquid, cup, or glass

Upon a brief vacation home

Add to the reduviid mask

When I eat or drink or sleep

Through the doors, they come.

Although they are locked

Breaching an electric alarm

They turn the power off

When I eat or drink or sleep

Hiding in a closet

Or underneath the bed

Gaunt skeletons or midgets

Run while I am being fed

When I eat or drink or sleep

At a restaurant, they come.

While fixed and entranced

Leering sardonic heads peep up

Before I give the menu back

When I eat or drink or sleep

After we have left the house

They enter from the next store

Neighbors aid and then abet

Powder potions and more

When I eat or drink or sleep

In the early morning while sleep still pervades

There comes another injection

From an ghost invisible to persuade

To combat fear, force, or infection

Early when I awaken

Hopefully, someday it will end

Without a gasp or scream

Admitted to a sepulcher

In an everlasting dream

When I eat or drink or sleep

“Where have you been?” “We are busy tonight!” “Get your ass into room two. We have a gunshot to the abdomen and we need your hands!” Dr. Mac is an African American built powerful and he is also a trauma surgeon.  His sister could be Oprah Winfrey and probably is but THE wracks never asked him.  He is always too busy doing surgery.  Wracks is tired and the clock says eleven thirty.  He missed the burrito run and will have to settle for chips and a coke and the coat needs washing but no one ever sees it anyway and tonight a gunshot victim lies on a gurney in a pool of blood with two doctors doing what they do and a second-year student cleaning up the mess. The Wracks clean up messes in the ER.  His chores are to clean the surgery rooms and suture sites and then wipe the antiseptic on the furniture.  He also lends a helping hand. “Get your white ass over here and take the pail and pour the blood over the screen so we can rein-fuse him with his blood.  I have already dropped four crystalloid bags and he still bleeds.  Dr. More is on his way and will do it in the penthouse. “The patient is an Arab male of average height with dark hair.  He could be Iranian.  He could be Saudi.  He could be Iraqi but now he is in between life and death and nothing else flies germane.  On the right side of his abdomen is a gaping hole the size of a fist and the Wracks can see into his abdomen.  Blood drops out of the exit wound in his back steadily and he grabs the stainless pail and hands it to one of the doctors who pours the blood back into a bag hooked up to a large 16-gauge trochanter needle stuck into his femoral vein. The Wracks put another stainless pot underneath.  The man is conscious but barely breathing and has a vacant expression on his face with sightless eyes staring up into oblivion. Dr. Mac pours the blood on the screen and the nurses enter in and out bringing bandages and surgical sets.  “This guy is the luckiest man in the world says Dr. X.  The 357 magnum slug missed his aorta and right kidney by one inch. If we can stop the bleeding he will live.”  Mac and X clamp the bleeding vessels; and insert gauze into the hole blasted out by a 357 magnum revolver. A nurse puts her head through the curtain and says “We have a patient clubbed with a baseball bat on route. He will be in room one.”  Dr. Mac says to me, “Stay with this man until Moo comes for him. Do not let anyone closer than ten feet away.  If anyone comes in the door, grab the phone and type in the secret emergency number we gave you and security will come. Do not let anyone near him because he is near death.”  Dr. Mac and Dr. X run into receiving and the Wracks is alone. He sits in the wooden chair next to the door with a blue seat and thin legs and waits.   Five minutes later a person puts his head in the door.  The person is also mid-eastern with thick black hair and a thick black beard in jeans with a mean expression and wild eyes. The wracks say “You cannot come into this room or I will call security.  He says nothing and looks at me. The Wracks slowly stood and walked to the phone, picked up the phone, and put it to his head. “If you do not leave, I will call security!” says Wrak The man looks at me and the hair on the back of his head starts to crawl.  He holds the phone.  He looks like he will explode. He holds the phone.  He looks at me.  He starts dialing the secret code and the intruder snarls and disappears.  The wracks never saw him again.  Dr. Mac says he did well because he probably was the shooter and wanted to finish the job.  Dr. Mo is an Anglo-Saxon man about six feet tall with slightly red hair.  He has good hands.  He and his surgical assistant start rolling the man toward the service elevator.  “Dr. Mac, what is the new kid’s name?”  “Wrak”, says a voice from down the hall.  “Nice to meet you Wrak,” says Dr. Moo.  They leave and the elevator door closes. He heard the patient lived and was able to tell his children the tale.  He is a lucky man indeed.  The bullet missed vital targets and Dr. Moo was the general surgeon on call that night.  He lives only fifteen minutes away.  In life, like anything, luck is everything and when a person needs luck, they need a lot of it, now, immensely.  This man lucked out.  “Clean the room and mop up the blood.” Says Dr. Mac.  “We need a surgery set in one with proline.” “You can leave at daybreak.”  “Thank you, Dr. Mac,” says Wrak.  “Thank you.”

justice is so beautiful

that when you see her

you want to throw it all away

and become a cop

Rendu Kalel

justice

is a bad influence

but she is a total fox

and when she requests

you have to have it

and you want it

badly

What is Antimatter?

Antimatter can be thought of as the opposite of matter, or matter that has properties opposite or contra-positive of the normal steady state.  Simplistically, antimatter can have anti-protons that have the same mass as a proton but the charge of an electron, anti-neutrons: neutrons that have no charge but an opposite or out-of-phase wave associated with it, and anti-electrons which have the same mass as electrons but a positive charge. In a more real and concrete interpretation, antimatter has the same properties as matter but in a 180-degree out-of-phase wave nature associated with it.   If an antimatter particle, collides with a matter particle it will annihilate and release energy in the electromagnetic spectrum equivalent to the equation energy of equals mass times the speed of light squared.  A gram of hydrogen annihilating another gram of anti-hydrogen could liberate approximately ten to the thirty-ninth power joules of energy in a microsecond burst.  The antimatter particle must interact with a matter particle of the same atomic mass for the reaction to proceed because the wave function must be exactly opposite to the wave function described in a sign wave diagram for the reaction to proceed.   This amount of energy released per unit of time is astounding and of extreme magnitude.

Physics of antimatter annihilation

An antiparticle of a given mass can annihilate another particle of matter of the same atomic weight.  To use dissimilar particles of mass and anti-mass reveals a difficult means to bring them together to annihilate.  Using like particles of anti-matter and matter brings the two particles together of the lower quantum threshold for capture and annihilation.  The reaction of plutonium fission can be likened tangentially to reacting antimatter with matter in the sense that the two components of the reaction must be held together for a minimum amount of time for the reaction to ensue or the elements will quickly separate and the reaction quench.  As in a fission bomb, plutonium wedges must be held together to initiate a chain reaction, two particles of matter, anti and real must be collided and maintained in union for annihilation to proceed.  Anything else is a fissile. The annihilation of matter and antimatter is not a usual or natural event and the forces of God keep them separate.  

Antimatter can be contained in a near vacuum within a magnetic field as long as matter opposite to the antimatter is not brought into proximity.  For example: an atom of hydrogen antimatter under real conditions will not react with an iron atom because of the dissimilarity of mass and the shielding of the nucleus by electrons.  These will only react at relativistic conditions found only in nature at the center of a sun or neutron star.

Production of antimatter

Antimatter can be produced on earth by spinning particles or atoms in a tokamak until the particles change nature at the speed of light. Then siphon it off.  Matter spun in a circle at the speed of light eventually changes character and can be siphoned off with magnets and contained in a vacuum.

Passing energy through various crystal lattices changes the frequency of the energy in the electromagnetic spectrum.  Harmonic waves synergize and antagonistic waves do not combine.  The emission is a component of the plank’s equation.

Uses of Antimatter

At present no way exists to realize the great amount of energy liberated in a microsecond by the reaction of antimatter.   No other use comes to mind except in weapons of mass destruction. In the future, the energy released by antimatter annihilation will power starships to different galaxies and fuel huge and awesome lasers and particle weapons.  The harnessing of antimatter energy will provide the means to transgress time and the warp as envisioned by Albert Einstein.  Energy can be converted to specific forms such as gravity waves and the essence of time itself.

On a positive note

The universal field equation envisioned by Mr. Rombauer may soon become a plausible reality.