tag:blogger.com,1999:blog-8611810694571930415.post721003820737363117..comments2024-03-28T04:12:17.506-04:00Comments on the daily howler: THE PROBLEM INCLUDES US: What, Us worry, perform or care?<b>bob somerby</b>http://www.blogger.com/profile/02963464534685954436noreply@blogger.comBlogger57125tag:blogger.com,1999:blog-8611810694571930415.post-42749501860589218932020-09-03T10:45:34.634-04:002020-09-03T10:45:34.634-04:00I found out, that taking herbal treatment is the b...I found out, that taking herbal treatment is the best to get rid of hpv as soon as i feel the symptoms of hpv is appearing, i took the healing process by contacting Dr onokun for natural treatment it works wonders, amazingly ever since I had the herbal treatment i have not feel these horrible disease anymore and my doc told me the virus is gone, i am glad i finally got cured out from this horrible disease. every hpv or herpes patients should also get in touch with this herbalist Dr to get ride of these disease forever his email address; dronokunherbalcure@gmail.com Christina N.https://www.blogger.com/profile/03645822487825930683noreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-65075913001530882572020-01-30T20:06:42.868-05:002020-01-30T20:06:42.868-05:00I want to share a testimony of how Dr.Osemuhau her...I want to share a testimony of how Dr.Osemuhau herbal mixture cream saves me from shame and disgrace, my penis was a big problem to me as the size was really so embarrassing,and i was also having weak erection problem. I can't make love to my wife and my penis was just too small a full grown man like me having 4 inches penis and to worsen it i don't last in sex i cant even last two minutes it was really a thing of shame to me. My wife was really tired of me because my sex life was very poor,she never enjoyed sex,i was always thinking and searching for solutions everywhere until when i saw a testimony of how Dr.Osemuhau herbal mixture cream have been helping people regarding their sex life, so i decided to give him a try and to my greatest surprise in less than one week of taking the herbs my penis grow to 8 inches i couldn't believe my eyes and as i speak now my penis is now 8 inches and i do not have week erection again. I can make love to my wife longer in bed. And my marriage is now stable,my wife now enjoy me very well in bed. can contact him drosemuhau@gmail.com {) or call or what-apps him through +2348168714427moorehttps://www.blogger.com/profile/13968274379955557653noreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-36491377785646389552018-06-02T19:08:31.019-04:002018-06-02T19:08:31.019-04:00Thanks to dr.ezomo for his good work I never belie...Thanks to dr.ezomo for his good work I never believe that ALS has cure, I was ALS over 3 year now before I came across a comment about how<br />dr.ezomo cure ALS and herpes disease but when I saw it i have it in mind<br />that he cant cure ALS I just decided to give it a try I contact him that<br />night luckily to me he replied me, but I dont believe him I thought it was<br />a scam but I still hold on to see the work of Dr ezomo if he is saying the<br />truth he ask for some details about me i gave him all he needed and I<br />waited to see his reply to my problem after all, he told me to go for check<br />up and I went for HIV test I cant believe I was negative,am so happy and<br />grateful to God for using Dr ezomo to cure me, that is the reason why i<br />decided to write this wonderful testimony of our i was cured, i recommend<br />Dr ezomo to you all around the world,contact him on his Email dr.ezomorootandherbals@gmail.com or you can also reach him through WhatsApp number+2349069171173 <br />dr.ezomo for helping me at this young age if you need help contact,<br />He can also cure so many sicknessmary carehttps://www.blogger.com/profile/02120688689719962431noreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-87136605337848448362017-05-10T23:49:09.305-04:002017-05-10T23:49:09.305-04:00I Am Here Again To Say A Big Thanks To Dr.EDOROR F...I Am Here Again To Say A Big Thanks To Dr.EDOROR For<br />Making Me A Complete woman Again, I Was Infected With Herpes For 5 Years<br />I Have Been Seriously Praying To God And Searching For Cure. I Came<br />Here Last Month To Search For Solution To My Problem And I Saw A Comment<br />Of People Talking About Different Doctors And God Directed Me To Choose<br />Dr.EDOROR And I Contacted Him, He Sent Me A Medicine And Directed Me On<br />How I Will Take The Medicine For 7 Days, I Did So And Went For A Test<br />And My Result Came Out As Negative. I Am So Happy, I Shared Tears Of<br />Happiness And I Have Taken It Upon My Self To Always Testify About How<br />God Used Dr.EDOROR To Solve My Problem. I Am A Clean woman Now, Without<br />Any Virus If You Are Infected With Any Disease Like HIV AIDS, CANCER<br />,HERPES,ulcer, Hepatitis disease also<br />,Herpes,Fertility spells for conceiving and getting pregnant Or Any Other Disease You Can Also Be Happy Like Me By Contacting<br />Dr EDOROR Through His Email on (Dredororcurecenter@gmail.com)<br /><br />CONTACT HIM TODAY VIA THIS EMAIL ADDRESS: ( Dredororcurecenter@gmail.com ) AS HIS POWERS ARE SO STRONG AND VERY EFFECTIVE AND HAS NO BAD EFFECT INSTEAD IT HAVE A VERY GOOD RESULT AFTER CASTING THE SPELL.<br />.....Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-74210120664076142552017-05-10T23:43:23.027-04:002017-05-10T23:43:23.027-04:00Medical scientists have discovered a new way to ba...Medical scientists have discovered a new way to battle HIV AIDS by using a man called Dr EDOROR.<br /> MY NAMES ARE Thomas William from the United State of America.I SAW A COMMENT ON POSITIVE BLOGS AND I WILL LOVE TO TELL EVERY BODY HOW MY STATUS CHANGES TO NEGATIVE and i got cured, AND AM NOW A LIVING WITNESS OF IT AND I THINK ITS A SHAME ON ME IF I DON'T SHARE THIS LOVELY STORY WITH OTHER PEOPLE INFECTED WITH THIS DEADLY VIRUS.<br /> HIV HAS BEEN ONGOING IN MY FAMILY, I LOST BOTH PARENTS TO HIV. AND IT IS SO MUCH PAIN I'VE NOT BEEN ABLE TO GET OVER..<br />AS WE ALL KNOW MEDICALLY THERE IS NO SOLUTION TO IT..AND MEDICATION IS VERY EXPENSIVE..SO SOMEONE INTRODUCED ME TO A HERBAL PRACTITIONER.<br />I HAD A JOB THERE TO EXECUTE SO I TOOK TIME TO CHECK OUT ON HIM.I SHOWED HIM ALL MY TESTS AND RESULTS..<br />I WAS ALREADY DISORGANIZED WITH HIV AND IT WAS ALREADY TAKING ITS TOWL ON ME..<br />I HAD SPENT THOUSANDS OF DOLLARS SO I DECIDED TO TRY HIM OUT ALTHOUGH I DID'NT BELIEVE IN IT,<br />I WAS JUST TRYING IT OUT OF FRUSTRATION? SO WHEN I CONTACTED HIM HE TOLD ME THE PROCEDURE WHICH I DID AND AFTER 14 DAYS, HE TOLD ME TO GO FOR A MEDICAL TEST. AND YOU WON'T BELIEVE THAT 5 DIFFERENT DOCTORS CONFIRMED IT THAT AM NEGATIVE..IT WAS LIKE A DREAM,,I NEVER BELIEVE HIV HAS CURE..AM NOW NEGATIVE, AM A LIVING WITNESS..I DON'T KNOW HOW TO THANK THIS MAN? I JUST WANT TO HELP OTHERS IN ANY WAY I CAN.. I HAVE JOINED MANY FORUMS AND HAVE POSTED THIS TESTIMONIES AND A LOT OF PEOPLE HAS MAIL THIS MAN AND AFTER 14 DAYS THEY ALL CONFIRMED NEGATIVE.. BBC NEWS TOOK IT LIVE AND EVERYBODY SAW IT AND ITS NOW OUT IN PAPERS AND MAGAZINES THAT THERE IS A HERBAL CURE FOR HIV AND ALL WITH THE HELP OF THIS MAN,, IF YOU WISH TO TAKE IT OR NOT..GOD KNOWS I HAVE TRIED MY BEST. ABOUT 28 PEOPLE HAVE BEEN CONFIRMED NEGATIVE THROUGH THE HERBAL CURE OF DR EDOROR AND THEY SEND MAILS TO THANKS ME AFTER THEY HAVE BEEN CONFIRMED NEGATIVE,,THIS MAN IS REAL..DON'T MISS THIS CHANCE,,HIV IS A DEADLY VIRUS,,GET RID OF IT NOW..<br />If there is anyone who has similar problem and still looking for a way out, his email still remains Dredororcurecenter@gmail.com<br />DOCTOR EDOROR CAN AS WELL CURE THE FOLLOWING DISEASE:<br />1. HIV/AIDS<br />2. HERPES<br />3. CANCER<br />4. ALS<br />5. Hepatitis B<br />6. Diabetes<br />THANK YOU VERY MUCH FOR TAKING YOUR TIME TO READ THROUGH Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-46481453569797203042017-05-10T00:08:29.990-04:002017-05-10T00:08:29.990-04:00We have not met Dr.Amuwal but have heard of his ex...We have not met Dr.Amuwal but have heard of his excellent work on people's life,my sister was a carrier of HERPES and I saw a testimony on how Dr.Amuwal have CURED people for STD,so I decided to contact, I contacted him and he started his work on her life and right now my sister is CURED.she was diagnosed with HERPES VIRUS we have been to everywhere to get rid of it but no way until we give a try to HERBAL MEDICINE and after taking Dr.Amuwal HERBAL MEDICINE she was CURED. You can reach him on (dr.amuwalsolutionhome@gmail.com) or call him +2349050141440/whats-app him is the best option to get Cured of your HERPES VIRUS disease or any sexually transmitted disease fast. . Thank God, now everything is fine, my sister is CURED by Dr.Amuwal HERBAL MEDICINE, I'm very thankful to Dr.Amuwal, reach him on his mail (dr.amuwalsolutionhome@gmail.com) ../...facebook...https://web.facebook.com/Drokeyto-help-care-1769862086588278/?skip_nax_wizard=true ../.or call him on Mobile Or contact his number via +2349050141440/ or you can as well add him on whats-app with same number he is a herbal remedy to all illness contact him for help of any kind of disease problem bet me he will be of great help ...Thank to you DR.once againAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-77769814369286750562017-05-08T16:37:58.764-04:002017-05-08T16:37:58.764-04:00I'm DR EDOROR am one of the Powerful doctor wh...I'm DR EDOROR am one of the Powerful doctor who offer.Herbal Medicine that can cure HIV/AIDS 1. cancer 2. stroke,<br />3. HIV<br />4. herpes<br />5. ulcer<br />6. Hepatitis disease also If you want your ex back,You want to be promoted in your office,<br />,Herpes,Fertility spells for conceiving and getting pregnant.<br />Fertility spells help you to conceivealso help. The spell to conceive powers<br />one's body after which one gets pregnant.Good fortune spells Improve spell casters who offer both witchcraft spells as well as spell removal:<br />Guaranteed binding spells for love and love spells<br />and love spells improve, tighten and protect<br />relationships or marriages for as long as both partners live.These<br />love spells bring back your lost lover,make your partner faithful and<br />stable.Powerful money spells and good luck spells Protect your<br />business and attract more customers or clients. Good luck spells make<br />your goals come to reality Good luck spells improve school performance<br />hence more chances of passing exams leading to passing and<br />success work promotion and salary increase.Contact Dr edoror now. Email me on (Dredororcurecenter@gmail.com)<br /><br />CONTACT ME TODAY VIA THIS EMAIL ADDRESS: ( Dredororcurecenter@gmail.com ) A VERY GOOD RESULT WILL COME TO YOU AFTER CASTING MY SPELL. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-47045998263678728452017-05-01T03:07:47.900-04:002017-05-01T03:07:47.900-04:00Happiness is all i see now I never thought that I ...Happiness is all i see now I never thought that I will be cured from HERPES virus again. I have been suffering from a deadly disease (HERPES) for the past 3 years now, I had spent a lot of money going from one places to another, from churches to churches, hospitals have been my home every day residence. Constant checks up have been my hobby not until this faithful day, I was searching through the internet, I saw a testimony on how DR Aba helped someone in curing his HERPES disease, quickly I copied his email which is dr.abaherbalhome@gmail.com just to give him a test I spoke to him, he asked me to do some certain things which I did, he told me that he is going to provide the herbal cure to me, which he did, then he asked me to go for medical checkup after some days after using the herbal cure, behold I was free from the deadly disease, he only asked me to post the testimony through the whole world, faithfully am doing it now, please brothers and sisters, he is great, I owe him in return. if you are having a similar problem just email him on ( dr.abaherbalhome@gmail.com ) or you can whatsApp his mobile number on +2348107155060jessica allenhttps://www.blogger.com/profile/12528232627906239372noreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-90859062900517764312017-03-12T19:27:53.587-04:002017-03-12T19:27:53.587-04:00Hello everyone, I was infected with the herpes vir...Hello everyone, I was infected with the herpes virus and I got cured of the herpes virus few months ago after i contacted Dr Ekpiku. I saw a post on the internet after i have seek healing for several years from different doctors in California. I sent the Doctor a request for help, just a few email i followed his instruction and he sent me the medication after i paid him. Now i am negative and i referred him to all my friend who had this same sickness and they have gotten their cure too. You can contact him via his email.Ekpikuspellhomeofgrace@hotmail.com or Ekpikuspellhomeofgrace@gmail.com or Phone call: 2348073673757. While i was on his medication i understood that he can also cure HERPES, HIV/AIDS, CANCER, Male/female menopause, Miscarriage, Menstruation problems, PREGNANCY PROBLEM, EPILEPSY, GONORRHEA, LASSA FEVER, OBESITY, KIDNEY FAILURE, HYPERTENSION, FIBROID TUMOR and many more.Anonymoushttps://www.blogger.com/profile/05599949627689459266noreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-16126667446161541512017-02-25T06:05:46.844-05:002017-02-25T06:05:46.844-05:00I have been suffering from (HERPES SIMPLEX VIRUS) ...I have been suffering from (HERPES SIMPLEX VIRUS) disease for the past two years and had constant pain, especially in my knees. During the first year,I had faith in God that i would be healed someday.This disease started circulating all over my body and i have been taking treatment from my doctor, few weeks ago i came on search on the internet if i could get any information concerning the prevention of this disease, on my search i saw a testimony of someone who has been healed from (HERPES SIMPLEX VIRUS) by this Man Dr Ero and she also gave the email address: dreroherbaltreatment@gmail.com of this man and advise we should contact him for any sickness that he would be of help, so i wrote to Dr.Ero telling him about my (HERPES Virus) he told me not to worry that i was going to be cured!! hmm i never believed it,, well after all the procedures and remedy given to me by this man few weeks later i started experiencing changes all over me as the Dr Ero assured me that i have cured,after some time i went to my doctor to confirmed if i have be finally healed behold it was TRUE, So friends my advise is if you have such sickness or any other at all you can email:: dreroherbaltreatment@gmail.com.SUSAN LUTHERhttps://www.blogger.com/profile/03840474796075557950noreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-38043699864702783202017-02-04T02:38:06.649-05:002017-02-04T02:38:06.649-05:00Hello, i am Jessica Wayne from TX, USA. Life witho...Hello, i am Jessica Wayne from TX, USA. Life without my husband was a real mess for me and my children I am so happy to get my Ex back through the help of Dr Noble the spell caster . My greatest surprise was that 48 hours after the Doctor prepared the spell for me, my husband who has abandoned me for 4 years suddenly called me unexpectedly and am so happy that we have come to become one again through the help of Dr Noble and am so happy to be with my husband once again. Dr Noble is a very wonderful spell caster, you can contact him if you need his assistant because i know he can also help you. contact him through his email: templeofjoyandprosperity@gmail.com +2349039520524 immediately Jessica Waynehttps://www.blogger.com/profile/03248456170446720899noreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-86216186780725468282017-01-29T16:11:59.383-05:002017-01-29T16:11:59.383-05:00I know people will be complaining about their marr...I know people will be complaining about their marriage, and their relationship, especially the women, they usually complain about their husband does not love them anymore, their husband is cheating on them and even their husband left them, but my case was similar to theirs, my name is sonia Walker, I am from Texas, USA, I had a very similar case with theirs, my husband, Walker left me with my two kids, for no reason, he said he does not love me anymore, he left for about 5 years, he never called me even my kids, I had a friend, Anita, she had a case similar to mine but her husband is now with her, I told her my problems I was facing, she told me about a great man that helped her to solve her problems, she introduced me to the great Baba ubeji, a man with great powers and kindness, he told me that my problems will be solved, so I believed, then after one week, it was unbelievable my husband came to me asking me for forgiveness, I accepted him, he has changed some much since when he came back, I just want to thank, the great Baba ubeji for his understanding and love, my friends if you are facing similar problems with me and even some other problems, he introduced me to some people he has helped, he can also help with solutions to some problems, like;<br />Cancer Spell:<br />Pregnancy Spell:<br />Protection Spell:<br />Becoming a Manager Spell: Getting Your Lover back:<br />Getting your Scam Money Back: long life Spell:<br />Beauty Spell:<br />Becoming rich and famous Spell:<br /> if you have a similar case to these problems and you want solutions, and even some problems you may have and you need solutions, you can email him at: greatbabaubeji@gmail.com<br />Anonymoushttps://www.blogger.com/profile/00240265339536873366noreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-8315500488080661762017-01-24T17:05:40.953-05:002017-01-24T17:05:40.953-05:00Friends my name is love, am happy to share this te...Friends my name is love, am happy to share this testimony <br />with the world do not hide your problem,I AM<br /><br />SO VERY HAPPY TODAY!!! That is why am giving this big thanks to powerfulhappyspellcaster@gmail.com <br />I have been suffering from HIV/AIDS for the<br /><br />past six (6)years, i have spent a lot of money getting drugs from the <br />hospitals to keep myself healthy, i tried everything<br /><br />possible to get myself cure, but i could'nt get any solution! until i <br />decided to try herbal cure. That was how i got in<br /><br />contact with this great herbal doctor in an online research, i contacted <br />him and after he had administer his herbal cure on<br /><br />me, two(2) days after i want for another test. To God be the glory i tested <br />HIV/AIDS negative, (I am so glad to see my<br /><br />myself HIV/AIDS negative once again). I'm very proud to express my <br />happiness through this platform and to say a big thanks<br /><br />to DR. HAPPY for restoring life back to normal. You can as well <br />contact powerfulhappyspellcaster@gmail.com<br />if you are infected with HIV/AIDS virus or having any health problems, contact <br />his Email, powerfulhappyspellcaster@gmail.com.<br />Dr. HAPPY, CAN ALSO CURE THE FOLLOWING DISEASE:<br /><br />1. HIV/AIDS<br />2. HERPES 1/2<br />3. CANCER<br />4. ALS (Lou Gehrig’s disease)<br />5. Herpatitis<br />6.chronic pancreatitis<br />7.Emphysema<br />8.COPD (Chronic Obstructive Pulmonary Disease)<br />9.asthma<br />10.Acute angle-closure Glaucoma<br />11.Diabates<br />12.CHRONIC PANCREATITIS<br /><br />contact him via email powerfulhappyspellcaster@gmail.com.<br />powerfulhappyhttps://www.blogger.com/profile/01836836875731473395noreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-10149392283985254792017-01-18T07:04:01.464-05:002017-01-18T07:04:01.464-05:00Hello everybody! Its a period of celebration and i...Hello everybody! Its a period of celebration and if you are not much financially you can solve your problems by buying a blank card atm from tristandaninton@outlook.com The email belongs to an affiliate of an agency that is able to provide an abundance of people too Help has gained financial ground for almost nothing. I've been in less than 4 days after buying and I'm looking for another. They are very transparent in their transactions and trustworthy. They even offer a guarantee if your purchase is back to a certain amount, the contact is tristandaninton@outlook.comFredhttps://www.blogger.com/profile/17182186689773533430noreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-13403970099337972017-01-16T04:09:18.281-05:002017-01-16T04:09:18.281-05:00Hello, I am Theresa Williams After being in relati...Hello, I am Theresa Williams After being in relationship with Anderson for years, he broke up with me, I did everything possible to bring him back but all was in vain, I wanted him back so much because of the love I have for him, I begged him with everything, I made promises but he refused. I explained my problem to my friend and she suggested that I should rather contact a spell caster that could help me cast a spell to bring him back but I am the type that never believed in spell, I had no choice than to try it, I mailed the spell caster, and he told me there was no problem that everything will be okay before three days, that my ex will return to me before three days, he cast the spell and surprisingly in the second day, it was around 4pm. My ex called me, I was so surprised, I answered the call and all he said was that he was so sorry for everything that happened that he wanted me to return to him, that he loves me so much. I was so happy and went to him that was how we started living together happily again. Since then, I have made promise that anybody I know that have a relationship problem, I would be of help to such person by referring him or her to the only real and powerful spell caster who helped me with my own problem. email: drogunduspellcaster@gmail.com you can email him if you need his assistance in your relationship or any other Case.<br /><br />1) Love Spells<br />2) Lost Love Spells<br />3) Divorce Spells<br />4) Marriage Spells<br />5) Binding Spell.<br />6) Breakup Spells<br />7) Banish a past Lover<br />8.) You want to be promoted in your office/ Lottery spell<br />9) want to satisfy your lover<br />Contact this great man if you are having any problem for a lasting solution<br />through drogunduspellcaster@gmail.comTheresa williamshttps://www.blogger.com/profile/17287986721251835460noreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-61926498226826788752017-01-08T19:09:23.553-05:002017-01-08T19:09:23.553-05:00hardindr: If you suggest a shorter period of train...hardindr: If you suggest a shorter period of training then a separate training program would need to be established instead of incorporating foreign doctors into an existing program. It might be that some foreign doctors would need varying lengths of training. That is sounding unrealistic for an admittedly short-handed discipline.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-8719082930809501262017-01-08T19:08:58.702-05:002017-01-08T19:08:58.702-05:00@5:58 PM: An orthopedic surgeon can encounter deat...@5:58 PM: <i>An orthopedic surgeon can encounter death too whenever general anesthesia is involved.</i><br /><br />Funny you would say this. I have been the caregiver in the past several weeks for a patient who had a reverse total shoulder replacement. Because of a particular concern I had for how the patient would handle the anesthesia during and after surgery, in the immediate post-op consult I asked the surgeon how that aspect of the procedure went and he told me it's not his job to pay attention to any of that, he's focused on other matters. Then he showed me the pictures on his phone of the joint he had removed. (True story.)<br /><br />@5:58 PM: <i>Pediatric services are lower paid because women go into them.</i><br /><br />Well that solves that mystery in this, the best (and fairest) of all possible worlds.<br /><br />@5:58 PM: <i>My daughter has four board certifications (internal medicine, critical care, pulmonary, sleep medicine). She is an intensivist -- the person who answers when someone codes anywhere in the hospital. She typically works ICU, a week at a time, on call 24 hrs, which means you can be called out after working all day, and you have to monitor some of the most critical patients.<br /><br />She tells me that the requirement to be alert despite lack of sleep is not a vestige or rite of passage but is needed to train residents to see the course of a developing disease in a patient in crisis. Staying with someone until they stabilize is needed and handing patients off in the middle of that period can be fatal to the patient.<br /><br />She thinks the restrictions on work schedules are a big mistake, and she is not an old curmudgeon or legacy of older times.</i><br /><br />That's interesting, but I refuse to believe it is in the patient's best interest for the attending physician to be sleep deprived. In the matter of the "hand-off" I can see where if one doctor checks out at 5:00 PM at the moment the next doctor checks in, that that would be a problem. But I can't believe the relief doctor can't get up to speed on a patient in the course of several hours before the original doctor takes an adequate break. Of course your daughter, who from the sounds of it has very impressive credentials, speaks with far more authority on this subject than I do. CMikehttps://www.blogger.com/profile/13481861530761114492noreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-12703031665659028992017-01-08T18:57:25.200-05:002017-01-08T18:57:25.200-05:00PhD not MD. I have done medical reseach. Retired n...PhD not MD. I have done medical reseach. Retired now. My adult children are doctors. <br /><br />My daughter has supervised residents and fellows. Some of the foreign students have been excellent and some shouldn't be anywhere near patients.<br /><br />I see no reason why Baker and not the professionals who do the job should decide how much training is needed.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-13516316923404239952017-01-08T18:41:28.308-05:002017-01-08T18:41:28.308-05:00None of the things you brought up justifies a 3-ye...None of the things you brought up justifies a 3-year residency to become a doctor. Again, I agree along with Baker that there needs to be some additional training for foreign doctors. Curiously, are you a doctor yourself?hardindrhttps://www.blogger.com/profile/05275899305949454964noreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-38088623490246328812017-01-08T18:17:12.634-05:002017-01-08T18:17:12.634-05:00Answer to hardindr about why foreign doctors shoul...Answer to hardindr about why foreign doctors should be a 3-year residency:<br />1. Medicine is not practiced in the same way worldwide. They need to learn the specifics of how it is practiced in the US.<br />2. Standard of care does not refer to competence -- it refers to the specific protocol established to treat each condition and disease. It changes with new knowledge and differs across hospitals or HMOs or practices, not just countries.<br />3. The English vocabulary used to discuss illness and body symptoms is not taught in classroom courses in English. Someone may be very fluent but not know that language and need to learn it.<br />4. Traditional beliefs about illness and alternative treatments among people are very different across cultures. These are part of the medicine in that region, including the US. There are differences in folk beliefs and treatment expectations just between the US and Mexico, Asia and the West, Eastern Europe and Western Europe. These need to be learned/relearned.<br />5. Practices and drugs illegal in Europe are used in the US and vice versa. People go to other countries to get treatments forbidden here, for example. The differences need to be learned.<br />6. The US has laws governing patient privacy and record-keeping (HIPAA) and other regulations that need to be learned.<br />7. It is easier to verify the competence and knowledge of someone by supervising them on the job than by giving them a written test.<br />8. The three-year requirement is to enable someone to practice without supervision. <br /><br />The limiting factor on the availability of more doctors is not medical school seats but residency positions. It means there are too few doctors at teaching hospitals available to supervise more residents. Such doctors are on the lower end of the physician pay scales because the hospitals are associated with universities and they are paid as academics. Getting more doctors to abandon higher paying jobs is difficult.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-84030057735121209172017-01-08T17:58:55.134-05:002017-01-08T17:58:55.134-05:00The working for days on end while needing to be al...The working for days on end while needing to be alert is part of the call system that persists for those who work in hospitals. My daughter has four board certifications (internal medicine, critical care, pulmonary, sleep medicine). She is an intensivist -- the person who answers when someone codes anywhere in the hospital. She typically works ICU, a week at a time, on call 24 hrs, which means you can be called out after working all day, and you have to monitor some of the most critical patients. She tells me that the requirement to be alert despite lack of sleep is not a vestige or rite of passage but is needed to train residents to see the course of a developing disease in a patient in crisis. Staying with someone until they stabilize is needed and handing patients off in the middle of that period can be fatal to the patient. She thinks the restrictions on work schedules are a big mistake, and she is not an old curmudgeon or legacy of older times.<br /><br />The working for days on end also occurs in emergency rooms during major accidents involving multiple hospitals, in a whole hospital during flu and other infectious disease epidemics which can affect staff as well as patients, and during strikes, severe weather or other periods of disruption of services. Doctors don't take sick days. The same is not true for nurses or other medical staff as a job expectation, although they frequently are equally dedicated.<br /><br />Pediatric services are lower paid because women go into them.<br /><br />An orthopedic surgeon can encounter death too whenever general anesthesia is involved. Diabetics often die in the course of foot amputations but the cause of death may be listed as diabetes. Yes, there are specialties where doctors deal with less death, but even dermatologists diagnose melanomas. Obstetricians, dealing with the happiest of life outcomes, also have the births that go very wrong. <br /><br />The major part of the job for an emergency room doctor is dealing with the addicted people who come in seeking pain meds (because they don't take "no" very well) and the overdoses -- by far the most frequent occurrence.<br /><br />The complaints being put forward by Dean Baker and others need to be balanced by the testimony of those who work in the field. Nurses, physical therapists, technicians of various types, all believe they do what doctors do (or could have done it), but they don't see the whole job. While what they do is essential, it isn't the same contribution to health care -- they don't make the decisions and they don't bear the responsibility.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-29101851080799495202017-01-08T17:26:26.310-05:002017-01-08T17:26:26.310-05:00@10:59: What kind of movement pits less skilled wo...@10:59: <i>What kind of movement pits less skilled workers against more skilled ones?</i><br /><br />If we were to revise that to read, "What kind of movement pits less skilled workers against a favored class of corporate executives, professionals, and owners?" the answer would be an all together rancid one. Those in the United States not trying to hide their embrace of these objectives call this particular movement American neo-liberalism.<br /><br />@10:59: <i>There is a glut of low and moderately skilled workers because most people do not get the education needed to do professional jobs. Why blame those who do?</i><br /><br />In the 21st century it is a fallacy to hold on to the notion that the more educated the population becomes the more high paying jobs there will be in the economy. If everyone keeps getting better credentials you won't end up with more professional work for PhDs, you'll need a PhD to get hired as a cashier at Wal-Mart. Even if it were true that most any low skilled worker could improve their economic prospects with more of the right kind of education or specialized training, it is not true that a large segment of the population together can improve their economic prospects by acquiring more education or specialized training. The private sector can not produce enough high paid, high skilled job opportunities to match the number of diligent aspirants who want one.<br /><br />@10:59: <i>Doctors confront life and death every day as part of their work. Who else has to tell relatives that their loves have died, who else struggles with trying to extend life while knowing it is a losing battle. Who else gets sued regularly for outcomes beyond their control? Who else must inflict pain to cure? And who works on call for days on end and must be alert and competent despite fatigue, emotional upset, and personal concerns? </i><br /><br />Just about all of this is wrong. Most doctors do not confront life and death every day as part of their work. Those who do, like emergency medicine practitioners, are not among the highest paid. Orthopedic surgeons who perform necessary but what are essentially elective procedures are among the best paid of all doctors. Those particular doctors are almost entirely insulated from dealing with patients during their painful recoveries and rehabilitations- those challenges are jobs left to be performed by lower paid medical personnel.<br /><br />Among the lowest paid doctors are the ones dealing with what I would think is the most emotionally challenging work, pediatrics. Pediatric oncology and pediatric emergency medicine doctors are lower paid than those practicing the same specialties for the adult population, in fact this is true of almost every pediatric specialty. I don't know the reason for this pay discrepancy but I would suspect it is because children are more likely to be on Medicaid.<br /><br />The working for days on end while needing to be alert and competent is a vestige of a ridiculous residency regime which at this late date is nothing more than an entirely unnecessarily <i>rite of passage by hazing</i> and dangerous to patients.CMikehttps://www.blogger.com/profile/13481861530761114492noreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-43242094082519066712017-01-08T14:38:15.951-05:002017-01-08T14:38:15.951-05:00I think that would be helpful. Thank you.I think that would be helpful. Thank you.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-44610959088527642502017-01-08T14:06:12.278-05:002017-01-08T14:06:12.278-05:00Brill did not confine his discussion to MD Anderso...Brill did not confine his discussion to MD Anderson, which he specified as being in a special class of the centers like those at "Texas, Stanford, Duke or Yale."<br /><br />I sometimes paste, what for this forum are relatively long passages, because I, myself, have no expertise in these areas. Some people prefer comments to be a series of paragraph or two dismissals of one another delivered impatiently off the top of the head by people who are here to argue or show off what they see in themselves as some sort of verbal prowess. That style of discussion doesn't interest me much.<br /><br />However, as a variation on what you're recommending, maybe I should be extending the length of my comments to include an explicit statement of the conclusions I am drawing from whatever <i>grafs</i> I'm pasting. CMikehttps://www.blogger.com/profile/13481861530761114492noreply@blogger.comtag:blogger.com,1999:blog-8611810694571930415.post-24033154471677720942017-01-08T13:07:45.343-05:002017-01-08T13:07:45.343-05:00Why should doctors in other OECD who are qualified...Why should doctors in other OECD who are qualified to practice medicine in their own countries be required to have a 3-year residency in the US? Are doctors in France less qualified to practice medicine than doctors in the US? Why is the US the only OECD country to require a 3-year residency. Baker in his book says that it is reasonable to require doctors who are trained in developing countries to have some kind of additional training before being allowed to practice medicine in the US, but that there is no justification for a 3-year residency.<br /><br />According to the Dean bakers' books, the AMA states that 25% of the doctors practicing in the US graduated from a foreign medical school, with 5% being US citizens who get their degrees from medical schools in Caribbean countries and the 20% rest being foreign doctors who emigrated tot the US. 5% is not a lot. Why does the AMA (with help from the federal government) limit the number of openings in medical school, when the US has so few doctors compared to other OECD countries?<br /><br />Medical school professors are some of the best paid professionals in academia (the highest paid public employee in New York State is the chair of a department in a public medical school). Being a professor at a medical school is both a highly paid job and one with high prestige. I am sure that more people could be attracted to fill the positions needed to train more doctors in the US.hardindrhttps://www.blogger.com/profile/05275899305949454964noreply@blogger.com