At eleven o’clock A.M. Dr. Wracks is preparing to go to the cafeteria to eat.  The charge nurse for the surgical unit runs directly at him and says “There is a large aneurysm to be resected in the main surgical theatre. Dr. P and Dr. W want you there now.” Tell them to find someone else to assist them,” says Dr. R.   “They want you now,” says the charge nurse. “Go and scrub in, Now!”  “I have to check a bandage and then eat,” says the Wracks.   The Charge nurse points at the door and says “NOW!”   Dr. Wracks slouches to the hallway ramparts, turn right and key in the code at the surgical unit door and enter.  “Grab a cup of coffee and some donuts,” says Dr. W.  “We may be in there all afternoon.”    dress in a new green and then scrub in.  “Where did you learn to wash your hands like that,” says Dr. Weir.  “In Mexico,” says Dr. Wracks.   “And I got a “C” in surgery operating on dogs.”  “You will do,” he adds.

      The patient is a huge obese lady who is out cold under anesthesia.  We rope her to the table.  Dr. Pan is there with a knife.  “Watch me rip her open,” he says.    He takes the stainless steel knife that glints from autoclave clean, starts at the belly and jerks it up to her rib cage.  Blood spurts everywhere.  “I will clamp the bleeders, you tie them off,” says Dr. W.   We learned to tie knots fast at the Guad.   He clamps, Wracks ties, he takes off the clamps and Wracks ties the next. “We will be in next,” says Dr. P.  He takes all the used hemostat clamps and throws them in the corner eight feet away.”   “We have to count them all before we close,” says Dr. W.   Dr. W. takes a scalpel and cuts the peritoneal membrane and the viscera bulge out of the wound.  They are a beautiful pink on white.  He then sticks his hands into her abdomen and pulls out all of her guts and sets them on her chest on top of a cotton gauze towel.   He puts another towel on top of her bowels and says to Dr. Wracks. “You have to hold them on her chest.  If you let them go, she dies.”    Dr. Wracks starts sweating and he holds and looks inside her body cavity.  Dr. P is clamping off her aorta top and bottoms one large underneath her kidney and two other on the other two femoral arteries.  The aneurysm loots like a huge asymmetrical sac, reddish purple from coagulated blood about eight centimeters in diameter.   “It is ready to burst,” says Dr. P and he goes and gets the polyester pants that will replace the artery.  He holds them up and plays with them like a little rag doll.  Dr. W says, “Is everyone ready?”  By now the whole surgical staff and medical student were watching from afar.  Some of them began to faint and were pulled outside by their friends.  The big fat woman who was dead because her heart had to stop to resect the aneurysm rolled on the table like a huge beached whale.  Dr. P said “Now.”  Dr. W maneuvered to the other side of the table next to Dr. Wracks.  Dr. P took a scalpel and in one motion delivered the aorta with aneurysm to a waiting steel bedpan held by Dr. W.  A charge nurse stepped in and took the bedpan.  I held her guts on top of her chest.  Dr. P put the polyester pants in place and started to sew.  Dr. W. took the top end and started to sew.  When they were done the polyester pants were in place with three clamps remaining.  “Second guess me Dr. W.” said Dr. P.  “It looks good,” says Dr. W.  “Let’s let her rip”.  Dr. P was the chief surgical resident in his fifth year.  He won the by over Dr. W by subjective advantage.  They were both equally good but Dr. W gets all the amputations.   Dr. P slowly, slowly. Slowly took the clamps off the aorta and threw them as far away from the table as he could.  I held her viscera on her chest.   “Start her heart,” Dr. W said to the anesthesiologist.  He injected epinephrine in her subclavian port and shocked her.  He shocked her again and the monitor came alive.  Sine wave and red blinking dot online. She is alive.  The graft inflated like a balloon and it held.  “Lets wait,” said Dr. W.  “I want to see.” The graft held and pulsed slowly. “Let go of her guts,” said Dr. W.  The Wracks muscles were frozen into tetanic spasm and as he came back into consciousness, he let them go and stepped away from the table.  Dr. P stuffed the intestines back into her body cavity and closed the peritoneum with polylysine blue strand. Dr. Ware tied and cut the knots.  Dr. P said “thank you everyone.” And left.  Dr. W. said “Here is the stapler, “you staple her up.”  “I have to do an amputation.” So, Dr. Wracks staples with a large stainless-steel stapler.  A second-year resident held the skin together for me as he stapled.  I asked, “Why staples?”  The resident said, “In case we need to rip her open again, we can pop them quickly.”  The Wracks staples.  The anesthesiologist and the internist wheel her into recovery. They say, “You can go eat dinner now.”   He has to eat dinner because tonight was a call night every third day.  He will have to be up late.  Cigarettes lose their taste.  Coffee gives everyone who drinks a lot of it an ulcer.  What keeps someone going is sheer will, perseverance and faith.  After dinner Dr. Wracks will sleep an hour and then walk my rounds through the hospital till, they tell him they do not need him until tomorrow.  By then it will be tomorrow anyway and the cycle begins anew and he wonders if he is really cut out to be a surgeon.  Dr. Wracks needs too much sleep.  Every man must know his limitations and without knowing these a man is vulnerable to life and in life is birth, death and a new beginning.  Dr. Wracks goes to the locker and scrubs out.  Someone has stolen the earpieces from his stethoscope. He wraps tape around the pipe. Stick them in a pocket and walk towards the cafeteria.  The moon is full outside.  Spring is in the air.  The snow has melted and the air is delicious, but the Wracks is inside doing what needs to be done because it has to be done and he really wonders why. There must be a better way.  The Wracks thinks about how he is going to sabotage his pager because they always bust him at dinner to do a blood gas.  They say I have good hands.  I would rather have a good heart.  The African American cook looks at Dr. Wracks with a smile in the cafeteria. “The same,” he says.  Chicken fricassee with broccoli and a scoop of mashed potatoes. Then coffee and a cigarette.   He does not know why she smiles at me. At this point he does not care.  Dr. Wracks is on call tonight in the ICU.

It possibly came into being after the civil war and then president Ulysees Grant. The need arises for clandestine yet forceful intervention into reality to preserve the existence of the democratic nation.  

The psychologists call for a person, not sadistic, not unduly violent or aligned with fringe political groups.  He or she must feel an undying affection for their country no matter where it leads them.    He or she might be burdened by guilt, guilt that impinges upon consciousness about a crime committed that cannot be righted by any action, no matter how violent or money endowed that became in their early existence.  Now they are empowered by righteousness and a sense to avenge their evil transgression.  They are now and they exist in a mortal mind, in a high place that might die very soon.  They are not real and they will never be.

They are not paid because a paycheck is part of an account that ends up on a computer system. Where they go is a bag of unmarked bills, enough to get them through an assignment and all the necessary gear to carry out the imperative.  A key arrives in a manilla envelope to a home where he or she leads a common non-descript existence.   They could be accountants or insurance men or real estate agents, or maybe even a salesperson, and they have a family with children.  In the manilla envelope, the key has a tag with an address and a date and the person wherever they live, calls in sick, or whatever and then leaves an goes to an unknown location in a circuitous route immediately.  At the destination, usually a motel or a pay-share, they find a cache of bills, and any necessary ordinance they require to carry out their mission.  Instructions are written, on disposable paper and surely, they flush down a toilet.   The list is only to be read once and then destroyed.   He or she then carries out a shooting, or a robbery, or a hacking at a server, or an impersonation at an important place to carry out a distraction for an event that is about to occur.   

After the agent complies with the written order signed by an authority, they destroy everything and take the quickest way home without attracting attention.    He or she then take a shower and go back to a humdrum existence.   The mode of transportation is the key, and they do not exist and they never happened.  They get to keep anything and everything they can steal on the way too and from and use the infrastructure provided to commit crimes.   They are not on the books, and they do not exist, the memory of them resides in the mind of the person that sent them, who configured them, and that person has to ultimately die.   

Take some time to go to Arlington, and kneel at the tomb, and say a prayer, and then leave forever.  Without these men and women, the bad guys ultimately win and without them our great nation would not exist.  Under God we trust, and our nation is delivered by them for another day.   Ask for the luck of the Irish, and Gods speed, and remember the Lord helps people that help themselves.   

“Well Dr. Wrak, you have completed twenty weeks of surgery and Dr. Ony has passed you,” says Dr. Q.  Dr. Q is the chief of internal medicine at Amityville hospital and oversees the fifth pathway program offered by New Amsterdam College.   Dr. Q stands slightly taller than average, has a slight build, olive colored skin, thin hair, but bright eyes.  His teeth show that braces were too expensive for his family in his youth and now as a rich medical doctor, he still has not corrected the poor bite which stands out when he smiles.  “I think that it is time for a vacation for you.  What elective rotation would you like for six weeks?” inquires Dr. Q.   “I would like radiology because there is no call in Radiology,” says Dr. Wrak.  “Don’t you like call,” explores Dr. Q.  “Not when it is every third day and I have to do surgery in the middle of the night,” says Dr. Wrak. “You will like the Radiology vacation,” says Dr. Q. “Dr. Pine will be instructing you.” “He is an extremely busy man.  Do not speak as you sit in the reading room and Dr. Pine will instruct you.”  “Not a word!”  insists Dr. Q.  “Not a word!”  “I promise,” says Dr. Wrak, “When do I begin?” “As soon as you leave this room.” Says Dr. Q.  “Dr. Pine is a pioneer in balloon angioplasty and will let you assist him if he likes you.”  “They read at ten AM and Four PM.” “Be there.’  “Thank you Dr. Q.” says Dr. Wrak.  As Dr. Wrak walks out of the room he hears again in the hall “Not a word Dr. Wrak.”   “Yes sir,” says Dr. Wrak as he enters the stairway and walks down from the second story at Amityville hospital into the stairwell.  Radiology lives on the first floor next to admissions.   The sign says, “Radiology, Patients enter here.”  Down the hall a smaller sign says, “Doctors only.”  Wrak chooses to enter there.  The cryptographer at the desk next to the door says, “Dr. Wrak you are late.  They are reading now.  Enter the room and take a chair in the back if one is available.  If not stand in back until they finish reading.”  “Thank you,” says Dr. Wrak.  The reading room lies to the right behind a sturdy oak door.  Inside the lights shroud a huge wall of white fluorescent reading screens with cloth pins at the top of each screen to hold the transparent X-ray films.  Comfortable padded chairs sit behind the screen plush with padding. Dr. Pine sits with three residents looking at films.  The room is dark and a red light provides enough illumination to enable a person to walk safely.  Dr. Wrak decides to stand in back.  “Good morning Dr. Wrak,” says Dr. Pine and he resumes reading films.   “This one is an intusception. Notice the fluid level above the obstruction. Phone third floor now.”   He flicks the film off the wall and places it back into a manila envelope.  A resident grabs the envelope, stands up and leaves without speaking a word.  Dr. Wrak takes his seat.  “This film is reactivation tuberculosis.  Notice the cavitation in the right lung apex on an anterior posterior.”  He puts the film back in an envelope, hands it to a resident and the resident leaves like the first one.  “Dr. Wrak, remember tuberculosis prefers the right lung because the main stem bronchus juts at a right angle.  The left stem bronchus exits at forty five degrees.  Above all be systematic in your analysis.” Says Dr. Pine.  Dr. Wrak nods his head once.   Dr. pine shoots through ten more films, looking at a film, writing an interpretation, and throwing the film back into a manila envelope.  He does this quickly and the clothes pins holding the transparencies on the wall make a snapping noise with the speed and ferocity of the actions.  “I am done.” Exclaims Dr. Pine.  “Do you want to assist in a procedure, he inquires.”  Dr. Wrak nods his head once.  “Get a radiology badge from the front office and meet me in surgery in thirty minutes.” Says Dr. Pine.  Dr. Wrak nods his head once.   The cryptographer in the front office opens a large manila folder as Dr. Wrak enters the office.  Inside the folder are bunch of radiology badges like prizes in a cracker jack box.   She wears her hair short, has glasses and a professional looking blouse buttoned up.  “Here is your badge. Do not lose it.”  She writes the number of the badge on a ledger and asks Dr. Wrak to sign it.”  “Thank you very much,” says Dr. Wrak.  “Take the badge home with you too,” She insists.

     “This patient has a stenosis in the left femoral artery at the level of the inferior olecranon process proximal to the popliteal space.” Says Dr. Pine.  “You are going to hold her leg still as I advance the cannula from her femoral triangle down to the obstruction.”  We will take films periodically as the balloon stylus descends.  The films will reveal progress.  Hold her leg still with both hands because if I pierce the arterial intima, an aneurysm will develop and the procedure will fail.  Dr. Wrak holds the patients leg and Dr. Pine inserts the cannula in the arterial stent created by a general surgeon moments before.  The X-ray gun hums.  A picture appears on the screen.  “Pixels,” says Dr. Pine.  “It is the new technology.”  He advances the cannula further.  The x-ray machine hums.  He advances the cannula as Dr. Wrak holds the patients leg.  The x-ray machine hums with a buzz and another picture appears on the screen above the table.  “We are almost there,” says Dr. Pine.  “When we get to the obstruction, hold the leg extremely still and I will inflate the balloon. At this point we will take films at the rate of one per five seconds to monitor the progress of the balloon inflating.”  The x-ray machine buzzes and a picture appears on the screen.  Dr. Pine squeezes a bulb furiously.  The x-ray machine buzzes and another picture appears on the screen.  The closed artery is being expanded.  The x-ray machine buzzes three more times and then Dr. Pine exclaims, “the dilation is successful.”  He deflates the balloon and slowly withdraws the catheter from the artery like an angler pulling in a fish.  The catheter appears to be three or more feet long. “Bring the patient back to recovery.” Says Dr. Pine The anesthesiologist leaves with the patient, dragging her IV pole beside him.  “Thank you Dr. Wrak.”  Says Dr. Pine. “See you at four.”  Dr. Wrak nods his head once.  As Dr. Pine walks out the surgical suite door he says casually as he exits, “The procedure only lasts for six months then the artery re-occludes.  I do them anyway.”

   “Dr. zel wants you to assist him in a lower GI barium swallow,” says the cryptographer. “Enter the room down the hall. You do not have to scrub.  The procedure will take about an hour.  You will rejoin the radiologists at four PM after lunch.  “What a morning,” thinks Dr. Wrak.  “Another surgical procedure.  I thought Radiology would be my vacation!”   Dr. Zel stands at medium height with large owl like spectacles and wavy dark brown hair.  He wears a pressed shirt and tie underneath the hospital smock.  “Take off your hospital smock and put on this lead suit says Dr. Zel.  Dr. Wrak complies. He puts his smock on the desk outside the radiology suite.  Dr. Wrak looks like the alien invader from Earth versus flying saucers. Dr. Wrak feels ill at ease.  The patient wheels in and the radiology orderly runs out.  Dr. Wrak helps Dr. Zel position the patient on a movable table and fastens the patient down.  “When I invert the patient hold them so they do not fall off the table. Assist the patient whenever possible, “teaches Dr. Zel.  Dr. Wrak helps Dr. Zel by moving the table into various positions as Dr. Zel takes pictures with an x-ray gun. About a half hour into the procedure something strange happens.  On the wall behind the screen a metal plate falls off the wall and a blue glowing flame appears in a steel box like a reactor core melting down.  The flame is intensely blue and Dr. Wrak cannot bear to look at it.  The room starts to smell like a lightning flash during a thunderstorm.  Dr. Wrak moves behind the lead glass screen and gesticulates to Dr. Zel about the huge blue flame in the metal box on the wall.  Dr. Zel smiles and says, “I have to finish the procedure,”  “You can go.” Dr. Wrak pounds on the glass and jumps up and down.  “It’s Ok” says Dr. Zel “the procedure is nearly over, you can go.”  Dr. Wrak nods his head in prayer and implores Dr. Zel to leave.  “It’s OK,” says Dr. Zel.  Dr. Wrak exits the room from behind the leaded glass and throws off the radiation suit.  He grabs his smock and proceeds to the cafeteria.  “Finally time to sit around and eat,” thinks Dr. Wrak.  “Where are you,” inquires a resident. “I am in Radiology now,” says Dr. Wrak.  “If you want to help in surgery, just stop by says a fourth year surgical resident. “I most certainly will,” says Dr. Wrak and he begins to eat the chicken fricassee with broccoli, mashed potatoes and gravy, chocolate milk and a cup of coffee with free refills to residents only.

   “ Good morning Ms. Kleb,” says Dr. Wrak.  “Dr. Wrak, you radiation badge is red and you must see the head of Radiology immediately.”  Dr. Wrak examines the radiation badge clipped to his left breast pocket and by Jove, the badge turned from ivory white to a bloody crimson red.  The chief of radiology is an older man with white hair and looks like either the God Thor or Loki the evil elf.  Dr. Wrak hands him his badge.  “Where have you been?” inquires the chief.  “Just a few procedures,” says Dr. Wrak.  ” I left my badge outside a procedure yesterday because I was wearing a lead radiation suit head to toe.  Somehow the badge got exposed to radiation.  The Chief says, “When a badge turns red , the event signifies a lethal dose of radiation.  You do not look sick.  If I report this badge, you cannot continue your residency until you complete medical treatment. I am going to throw it away and issue you a new badge as if this event did not ever happen.  I will alter the books.  Here is your new badge.  You can go back to the wards. If you feel sick in any way, come back and see me.”  “I will,” says Dr. Wrak.  “Good luck,” says the chief. 

     This is how radiology is. Even amongst educated elite, the world is a tooth and nail fight for wealth and supremacy.  All rivals and competitors face instant elimination on a daily basis and interact with  the forces of evil constantly.  Dr. Wrak hopes he was not exposed to high energy ionizing radiation.  Lots of radiation destroys the immune system.  Today is a new day and more films are to be read and more procedures done with x-ray guns pointed nearby.  Dr. Wrak finished the book on Clinical Radiology in one night and now knows what to expect and what to do in the hospital.  The future of Medicine lies in imagery because viewing things in situ, de facto, in surgery portends morbidity, mortality and worse for the patient and the staff.  Dr. Wrak runs with the new technology of Radiology and feels proud to be part of the new wave.  With the new wave comes great danger and in danger heroes are made. Some things must be done and not talked about.  Reading x-ray films expertly requires high intelligence, a background of medicine and the ability to visualize anatomic detail in the  mind as a doctor  correlates the information with the imagery presented on the film. Hope springs eternal even for the damned.

     “Dr. Wrak, are you finished with Radiology yet,” inquires Dr. Q from across the hall.  “We need you back on the ward.”  “I am still on vacation Dr. Q,  Still on vacation. Nice to see you. Two weeks to go.” 

Dr. Wrak did not know what was in store for him or he would have left six weeks ago.

Crystals are formed from metals and other substances that develop an intrinsic geometric shape and native bond length and angle.   Glass and plastics are not crystals, rather, they are amorphous solids.  Crystals occur in nature or they can be man-made.  Crystals have a lattice and geometric structure, which in some ways identifies their physical and chemical properties.

They like crystals and are attracted to them as their glitter draws them closer.

Each crystal has a characteristic bond distance, the length between adjacent atoms that forms an ionic rather than a covalent bond.  The length of this interatomic bond is the nature of this discussion.

Diamonds, rubies, emeralds, and garnets fascinate and attract them even more. They are a subject of interest and demonstrate worth and intrinsic beauty.

When the energy of a single frequency focuses on a crystal, the crystal bond will absorb the energy and reradiate the energy as a wave function in a lower quantum level.  This feature is called lasing.  Any even multiplicand of the wave function coincident with the crystal bond length is absorbed and then emitted or lased.   The reemitted energy is typical of a crystal bond angle and should not be confused with Albert Einstein’s photoelectric effect of 1925.  The reemitted light is coherent and of a single wavelength and demonstrates the intrinsic physical quantities of the initiator crystal in question.   In the photoelectric effect, light raises the quantum level of an outer or bonding electron which then falls to the native level and emits a photon.  When the energy is of sufficient magnitude and optical quality to be harmonic with the bond length of the intrinsic crystal, it reradiates as another form of energy that may be light, maybe heat, or even the weak force of gravity.  Again, this depends on the atomic weight and purity of the crystal as heavier metals demonstrate shorter bond lengths that determine the reradiation profile of that native crystal.     

What can we use as the initiator of the energy cascade?  Are they who want the beauty inherent to crystals willing to part with their property?

Does it take neutron radiation in a thermonuclear reaction to make the bonds lase?   After all a neutron has wavelike properties and a frequency and wavelength associated with it.  Can a high-intensity laser designed from a ramped-up photoelectric effect have enough power, E=h*nu to cause the bonds in a crystal to lase?  Will the re-emitted spectra have demonstratable qualities and quantities that enable scientists to use these forces productively?  Is the re-emitted light in the electromagnetic spectrum or really gravity, or time-space continuity?  Are the Di lithium crystals seen in the movie Star Trek a reality or a macabre fantasy of Gene Barry?

They adorn themselves with crystals because they are beautiful just as they are and they show them off unbelieving and unassuming of the true nature of the spectacle that lies within.

What is the energy necessary for crystal lase?  Can mankind create the necessary initiation energy and fabricate the necessary crystal for scientific use?  Is this re-radiated energy of sufficient character to harness and produce?  Will the nature of this energy continue to surprise as it surprises the other throughout history?   I don’t know because matter and energy are interconvertible and related to gravity and space-time.  The form function is merely an interpretation of the universal wave equation.  They wear them and they are as beautiful and desirable as they are.    Can I have my personal crystal and bring it home and infuse it with pi mesons to see what will happen?   Can it happen to us all?    Can a crystal make it happen and bring us to the next star: Alpha Centauri?     Is it silicon, carbon, titanium, or even nickel?   It all takes birth in a dream and when it is time the maker will surely fill us in with a hint and a smile. 

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