mardi 1 novembre 2011

Inanimate Objects and Human Action

I hope you can tolerate a bit of jumping around here and there as I work on some ongoing posts and projects, if you would.



I haven't forgotten about targets, or this conversation, either.  The more I read, write, and watch, the more I realize that all of this ties together.  Somehow.  Liberty.  Oppression.  Tyranny.  The economy.  Don't get me wrong, I'm no conspiracy theorist.  Human nature.  Natural law.  History repeating itself.  Call it whatever you like.  Anyway, I digress...



In this post concerning Koran burning, liberty, and the Constitution, some of you have noticed that I am moving closer to resolution on this question, namely, has the Constitution failed in its job?



I said this:

"You, government, do not have the right to take away liberties when you deem it "necessary".  If that's the case, rip the whole damned Constitution and Bill of Rights up right now.  Burn them, in fact, because they're useless.  Ink and paper.  It's the idea behind the Constitution and Bill of Rights that give them power.  The idea that the people trump the government.  The idea that government should have limited, specific powers.  The idea that I can do and say as I please as long as I do not harm another.  Burning a koran that is your property, in itself, does not harm anyone.  People who choose to kill because I destroy my own property are making a choice to murder.  That is out of my control, and not my fault."
And this:

A law cannot restrain anyone from doing anything.  It is like a book, written on paper, meaningless, except that it conveys an idea.  The restraint is self imposed, from either fear of punishment or a sense and alignment of morality.
 I'd add that restraint is oftentimes imposed by others. 



A reader, "John", writes his thoughts, shared by many in the comments.  I thought I would share it with you, and have his permission to do so:



Okay, I finally got around to collecting a few thoughts regarding the post from Thursday, March 31, regarding BTP's Hologram of Liberty.  For sake of reference, it was a quote from Spooner that prompted your request for opinions:


"But whether the Constitution really be one big thing, or another, this much is certain - that it has either authorized such a government as we have had, or it has been powerless to prevent it."


"In either case, it is unfit to exist."


Spooner puts forth two possible options regarding the Constitution, and for the sake of this discussion, let's initially pretend that those are the only two possibilities:  either it essentially gave us the government we now have, or it was unable to prevent it.  And in narrowing our focus to these two possibilities leads us to a conclusion being the Constitution is unfit.  I would disagree.


Originally, I had planned to take a different tack.  I propose we look at the second premise first, as I believe this provides a surer footing when approaching the first.  That being said, could the Constitution ever have prevented the government we have today?  Nope.


If you will allow, let's start with another quote:


"A law cannot restrain anyone from doing anything.  It is like a book, written on paper, meaningless, except that it conveys an idea.  The restraint is self imposed, from either fear of punishment or a sense and alignment of morality."


In order for the author of this statement to believe what he wrote here, I suggest to you that he, too, would agree with my simple answer.  When has a law, edict, dictate, mandate, legislation, regulation, et al, ever been able to prevent, let alone stop, the immorality of man?  Never.


Paul, in his letter to the Romans speaks of this basic idea (Romans 7).  Though chapter 7 does not stand alone, in it Paul makes the case that the Law was not meant to save mankind.  Rather it was meant to show man his sinfulness and need of a Savior (he continues this thought through chapter 8).


Consider the history of God's Law as it relates to man.  First, there was only one law (and consequence): don't eat this fruit - you do and you die!  Some have argued that God made such a silly law.  To spend time here is to waste a lot of energy and miss an important point in that there was only one restriction placed on mankind - and we blew it!  The law did not prevent man from sinning against God, it merely defined sin.


[One point worthy of contemplation here is man's ability to choose.  As it pertains to God's Law, though God gave man the ability to choose, He never gave man the right to choose.  Had he done the latter, He would be unjust, and therefore not God, in punishing those who chose to rebel against God by violating His law(s).]


We move forward in history, and God has now given man ten laws to abide by.  Oh, my!  What would we do if congress ever tried to make us abide by ten laws? (Sorry, the sarcasm slipped out.)  Ten laws which did not have any more ability to prevent man from sinning against God, nor committing offenses toward others.  Does that mean that the Ten Commandments are unfit to exist?  (If you believe that, you can argue that one out with God on your own.)  Certainly not.  The Ten Commandments point out a number of things that are both offensive to God and hurtful of others.  Regardless of where one is at in his faith, who can argue that murder is wrong?    That adultery destroys lives?


Well, just a few steps farther on our journey through history, and we find that a group of individuals who decided that it was necessary to add to God's Law.  Hundreds upon hundreds of [religious] laws were made which affected every manner of an Israelite's life.  Imagine our government... (Oops, sarcasm again).  None of these laws made a man more holy in God's eyes.  Instead, these additional laws became a burden to those on whom they were placed and benefited those imposing them. (filter, filter, filter)


Now for the real fun.  Jump all the way to Revelations (chapter 20).  Here we are told that Satan will be bound in a bottomless pit for 1000 years and mankind will be free from his temptations during this time (vv.2-3).  And at the end of the 1000 years, Satan will be let loose (v.7) and he will go about the earth to gather as many followers as he can muster in one last rebellion against God (vv.8-9).


My point here is not to preach but rather make a point.  Not only did God's Law not make man holy, let alone a morally upstanding and law abiding citizen of earth, but even after living in what will be the most just and peaceful time the earth has ever seen, man (generally speaking) chooses a path of self-damnation.  So my question to Spooner is:  what makes him think that man-made laws will be of any greater effect than those of God?  Spooner sees the Constitution as something it is not:  something that could stop man's propensity for evil.  In the physical sense, the Constitution is but thoughts penned on parchment.  But the idea, the spirit of those thoughts is where the power is.  It was never meant to be rolled up to beat an offender over the head with.  Rather, it was intended to empower the individual to stand on his God given freedoms.  It was intended to be the measure by which the people held those in government accountable.  It was intended to warn our government that it was only to operate within prescribed boundaries, and that it should fear the people if it did not.


I believe our Constitution is second only to God's written word in its beauty and content.  But again, man still has the ability to choose whether or not to adhere to the Constitution - be it the man elected to office who usurps authority, or the man who sits idly by watching his neighbor's life being stripped from him by the elected official.  As it relates to power, the issue isn't with the Constitution, the issue is with mankind:  both the governor and the governed.


Suggesting that the issue is, as it always has been, with mankind, we naturally come to a place where we can discuss Spooner's first premise:  that the Constitution authorized the government we have now have.


The handling of this premise could easily lead into much debate.  To put it simply, I believe that the Constitution was intended to set the boundaries within which government was allowed to act.  I also believe that, like today, there were many who wanted more power in the hands of the government.  But why would a person, or people, who had just escaped tyranny, want to set up a government which could/would ultimately become more tyrannical than the one they just escaped?  I suggest to you it comes back to mankind's natural bent toward evil.  Though he may resist [on his own] for a time, he eventually succumbs to it - much like he does to gravity.  So it isn't really an issue of what kind of government the ink and parchment of the Constitution wanted for our country:  left to our (generally speaking) own volition, we have brought this upon ourselves.


Finally, Spooner's asserts the Constitution should no longer exist.  He is wrong.  I propose to you that Spooner, and those who hold this tenet, are themselves incapable of solving the problems we face today that stem from our government.  Let me explain.  The minute one either fails or refuses to accept responsibility for a situation he forfeits any ability to solve it.  I did not say blame, I said responsibility.  By transferring the responsibility to the Constitution, Spooner, and those of similar mind, are attempting to transfer the ability to authorize and/or the power to prevent in the proverbial hands of an inanimate object; thereby emptying himself of the ability and/or power necessary to solve the problems we face.  And the solutions we must find today to the problems within government are our responsibility.  No amount of viagra cialis online pharmacy pharmacy can cure the impotence of Spooner's conclusion here.


Consider what would happen if an armed resistance came against the Feds - and won.  Would that guarantee we would instantly return to the Republic we were intended to be?  Nope, and I will tell you why.  First, our culture has degenerated so much over these past two hundred years.  It isn't that they were perfect then, but when stood next to men and women of generations past, we pale in comparison.  Second, without the cultural integrity of years past, what will fill the void left by an overthrown government?  It is the latter question that scares me more than an armed conflict.


Now consider what would happen if we threw out the Constitution.  What kind of government would fill the void?  What would be the character of the men/women ruling in this new government?


Spooner is wrong.  The Constitution should stay.


What IS unfit to exist?  The person within government who is unwilling to discipline himself to live within the bounds of the Constitution for the United States of America; who would rather destroy the life of free men and women for financial gain.  And what about the person who allows him to get away with it?  The person who does not resist the tyrant; who sees his own life more precious than his prodigy.


We have gone to great lengths to preserve the written record of the idea, and yet, generally speaking, we have done little to fan the flames of that idea that once burned bright in the hearts and minds of the men and women who safeguarded our freedoms - often at the price of their lives.  Before the smoldering embers are extinguished, we need to stoke the fire.


I'm still not all of the way through Hologram of Liberty, and I still have some unanswered questions and thoughts, but I stand by this:



"A law cannot restrain anyone from doing anything.  It is like a book, written on paper, meaningless, except that it conveys an idea."
That applies to the Bible, the koran, and the Constitution alike.  Blaming the paper for the misdeed is as illogical as blaming guns for murder.  Blaming the Constitution (an inanimate object, incapable of independent action) for our failure to insist that liberty be respected, that the rule of law apply to FedGov as well as you and me, well, that almost seems to me to be a way of ducking our responsibility as "the people".



The Constitution has not ordained the type of government we have.  It can't ordain squat, sitting there in its case.  I agree with Spooner here- It has indeed failed to prevent it.  It is ridiculous, however, to expect a fragile piece of paper to get up and kick worthless oathbreakers out of office.  That's our job.



I continue to read Spooner's works and Hologram, as they are good reading, and there is still a lot of value to be gained by reading them. 



Thanks for your thoughts John, and for allowing me to share them.

samedi 29 octobre 2011

I Hate Internal Medicine

Last night I was on call for the first time as a resident on the wards (i.e. general online pharmacy inpatient wards, the basic/core inpatient rotation in internal medicine), and more than ever do I hate being a resident in internal medicine.

First of all, it was a busy and brutal night. From the time we opened for admissions at 2pm and until midnight, my pager was going off nonstop. The ER certainly had a non-stop supply of patients that needed to be admitted.

And by "needed to be admitted" I mean patients for whom the easiest thing for the ER to do would be to admit them because they were feeling a little too ill to be at home (or a lot too lazy to want to return home). The ER definitely could have discharged them, but because ER doctors are too spineless and unconfident, the patients were admitted to the hospital. Honestly, a quarter of patients admitted to internal medicine teams are admitted for so-called “social” reasons, referring to reasons like those I’ve just mentioned.

Therein lays my biggest gripe -- to put it politely -- with the night and with the field of internal medicine in general. We get dumped on. We have to admit every patient. We accept every patient the ER decides to admit to the hospital; or every patient from a surgical service that no longer has a surgical issue; or -- and this is the one I absolutely hate the most -- every patient presenting with a surgical problem that the surgery team who’ll tend to it is just too lazy to admit.

(As an example, I just admitted a young man with several neck masses that he had noticed over the last several weeks. He had no other medical problems and was completely stable; and somehow the ENT teams decided he would be better served on a medicine team. All I do every day is look for the latest recommendations by ENT. Seriously, talk about lazy and work-avoidant doctors.)

Ridiculous admissions like these make me hate what I do. Yes I hate what I do, I really do. I feel that if one wants to be an inpatient internal medicine doctor, one must have a pushover personality. There is no other way to survive each day without feeling discouraged and powerless. Fortunately I will be sub-specializing with a fellowship and thus hopefully avoiding such lame admissions in my future career, but I am not sure I can survive another year and a half of this. Each new admission boils my blood and makes me resent even more the patient population at large.

Anyway, let's go back to my night of call. Lucky me, that was only my first night of call this month ... and I have four months of wards left this year. At least I'm paid well.

mardi 17 mai 2011

Betamethasone Topical

Why is this cheap cialis prescribed?
Betamethasone is used to treat the itching, redness, dryness, crusting, scaling, inflammation, and discomfort of various skin conditions.
This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.
How should this medication be used?
Betamethasone comes in ointment, cream, lotion, and aerosol (spray) in various strengths for use on the skin. It is usually applied one to four times a day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use betamethasone exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor. Do not apply it to other areas of your body or wrap or bandage the treated area unless directed to do so by your doctor.
Wash or soak the affected area thoroughly before applying the medicine, unless it irritates your skin. Then apply the ointment or cream sparingly in a thin film and rub it in gently.
To use the lotion on your scalp, part your hair, apply a small amount of the medicine on the affected area, and rub it in gently. Protect the area from washing and rubbing until the lotion dries. You may wash your hair as usual but not right after applying the medicine.
To apply an aerosol, shake well and spray on the affected area holding the container about 3 to 6 inches away. Spray for about 2 seconds to cover an area the size of your hand. Take care not to inhale the vapors. If you are spraying near your face, cover your eyes.
Avoid prolonged use on the face, in the genital and rectal areas, and in skin creases and armpits unless directed by your doctor.
If you are using betamethasone on your face, keep it out of your eyes.
If you are using betamethasone on a child's diaper area, do not use tight-fitting diapers or plastic pants. Such use may increase side effects.
Do not apply cosmetics or other skin preparations on the treated area without talking with your doctor.
If your doctor tells you to wrap or bandage the treated area, follow these instructions:
Soak the area in water or wash it well.
While the skin is moist, gently rub the medication into the affected areas.
Cover the area with plastic wrap (such as Saran Wrap or Handi-Wrap.) The plastic may be held in place with a gauze or elastic bandage or adhesive tape on the normal skin beside the treated area. (Instead of using plastic wrap, plastic gloves may be used for the hands, plastic bags for the feet, or a shower cap for the scalp.)
Carefully seal the edges of the plastic to make sure the wrap adheres closely to the skin. If the affected area is moist, you can leave the edges of the plastic wrap partly unsealed or puncture the wrap to allow excess moisture to escape.
Leave the plastic wrapping in place as long as instructed by your doctor. Usually plastic wraps are left in place not more than 12 hours each day.
Cleanse the skin and reapply the medication each time a new plastic wrapping is applied.
Call your doctor if the treated area gets worse or if burning, swelling, redness, or oozing of pus develops.
Other names
Alphatrex®
Betaderm®
Betamethacot®
Betanate®
Betatrex®
Beta-Val®
Del-Beta®
Diprolene®
Diprosone®
GentaVed® (as a combination product containing Betamethasone, Gentamicin Sulfate, Isopropyl Alcohol)
Lotrisone® (as a combination product containing Betamethasone, Clotrimazole)
Maxivate®
Taclonex® (as a combination product containing Betamethasone, Calcipotriene)
Teladar®
Uticort®
Valisone®


What special precautions should I follow?
Before using betamethasone,
tell your doctor and pharmacist if you are allergic to betamethasone or any other drugs.
tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially cancer chemotherapy agents, other topical medications, and vitamins.
tell your doctor if you have an infection or have ever had diabetes, glaucoma, cataracts, a circulation disorder, or an immune disorder.
tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while using betamethasone, call your doctor immediately.


What side effects can this medication cause?
Betamethasone may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
drying or cracking of the skin
acne
itching
burning
change in skin color
If you experience any of the following symptoms, call your doctor immediately:
severe skin rash
difficulty breathing or swallowing
wheezing
skin infection (redness, swelling, or oozing pus)
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at http://www.fda.gov/Safety/MedWatch] or by phone [1-800-332-1088].
What should I do if I forget to take a dose?
Apply the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not apply a double dose to make up for a missed one.
What storage conditions are needed for this medication?
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it according to the package instructions. Throw away any medication that is outdated or no longer needed. Do not use it to treat other skin conditions. Talk to your pharmacist about the proper disposal of your medication.
What other information should I know?
Keep all appointments with your doctor.
Do not let anyone else use your medication. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

mardi 3 mai 2011

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