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131
Trump ambushes South African president at White House meeting
And these people are actually trying to pretend that Trump is in the wrong. The denial of non-Whites doing anything bad and Whites being victims is chilling. -
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Joe Biden Diagnosed with Aggressive Cancer
Biden lost a son to cancer, and he was the Cancer Czar while vice president. -
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Tourism Thailand Hosts "Sawasdee Ni Hao" to Boost Chinese Tourism
might get more interest with "Maimikanlakphatua......Meiyou Bangjia" -
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People keep posting, Thailand expensive, but I'm not seeing it!
I am wondering if anyone has tried substituting stevia for sugar. Zero calories, 200 times sweeter than sugar. Stable up to 200 C. -
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Joe Biden Diagnosed with Aggressive Cancer
Well done on funding IVD tests. Overuse of the PSA test is a big issue in medicine. It has lead to many thousands of men undergoing unnecessary surgery, that leaves them in a debilitated state. Hence in the UK, there is no recommendation to provide PSA testing to men without symptoms. I've spoken to doctors in the VA about this, and they are in 100% agreement, but the men read about these tests, and demand these tests. The PSA test misses many cancers and indicates cancer where there is none. https://jamanetwork.com/journals/jama/fullarticle/2817322?guestAccessKey=4f006acb-c40d-46ea-83d9-38c1f5b3815d&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=040624 Prostate cancer deaths in the US are about 50 per 100,000, with a fairly aggressive screening programme. The UK, which does not practice PSA testimg for screening purposes, but otherwise has a demographically similar male population, is 40 per 100,000, which is slightly in the top half of European countries If you have been through 20 years with cancer like symptoms, but no cancer, I sympathise. Cancer sucks. No one should blame the victim for the wicked disease. Only blame God. As usual with these diagnoses, there is diagnostic hindsight, often not due to the patient, but due to the physician, and whether they are paying attention. A couple of real world examples. My mother had breast cancer 40 years ago. It was quickly identified and successfully treated, thanks to the NHS. However, as a result, she was left immunocompromised, since lymph nodes needed to be removed. Roll on 30 years. She has a back ache, and like most people, just cracked on with it, until after 2 weeks, she went to the doctor for advice. I don't think its that unusual for people to put up with a sore back for a couple of weeks. Doc instantly decided it was orthopedic, and prescribed morphine. 48 hours later, mum was a paraplegic. What happened was quite rare, possibly treatable, but accelerated by strange circumstance. Paraplegia was caused by what some call a spinal cord stroke or infarction; the blood supply was interuppted by a build up of pus. Looking at the scans, I could see about 3 vertebrae were dead; when bone is infected, the blood supply whithers, and the bone dies, and a scan shows a change in density. What the doc failed to do, because of confirmation bias, was something very simple, take the patient's temperature. Back ache and a raised temperature should be instant pointers of concern. The doctor could have done a quick PCT test which would have confirmed suspicions, but there was probably no point compared to ordering an ambulance, and a trip to A&E, scan and likely emergency spinal decompression. I suspect that would have saved more function. Why the whole paraplegia thing happened so fast. Normally, these cases can be resolved through antibiotics. But my mother was immunocompromised and the fever was a sign her body was fighting. Its not well known, but morphine depresses the immune system. Essentially, it was the coup de grace. More recently and closer to home. I had a few urinary problems; nothing major, but blood spots in my urine were. Off to the GP. No tests were done, just a listen. Upon hearing my wife was Thai, the doctor's instant conclusion was an STD, and said I needed to got there. It wasn't. Then she decided I must have cancer, and I was booked in for an emergency scan the next day. Only I was flying to India shortly after, so I declined, whereupon the Consultant called me a problem patient. F 'Em, I thought. At no point did anyone do a basic measure. 6 months later, in for a boil to be lanced. The nurse ordered bloods. I mentioned the blood in the urine, how it appeared as spots. She said, that's not blood, why did the GP put me on a cancer pathway because of that. What I had all along was Type 2 Diabetes, now firmly in remission. To the question at hand, President Biden. I've heard his interview about his late son and some dates. That was not forgetfulness, but confusion. On the one hand, a lot of people speculated old man President, dementia. Those answers were not someone with dementia, that's someone with confusion. There is a difference. I gather he has had some urinary problems recently, the nature of which is unknown. Forgetfulness combined with urinary problems does point to a urological issue. A colleague went through this, was told he had dementia, but later changed to bladder cancer. He was relieved, in both senses. Missed signs perhaps, to the patient, maybe meaningless (did he have a history of stones?), and, common among many hardworking people, a tendency to put things off. It reveals presidential medical exams are just medical exams. te president isn't getting special treatment, the doctors are not infallible, and a critical part of the exam is still listening to the patient (what are they say, what are they not saying). I think as well, irrespective of this case, anything serious is never divulged to the public for well founded reasons. Trump might have been given a terminal diagnosis for all I know. Its none of my business if he does. And its certainly none of the business of America's enemies if they want to exploit that fact.
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