This Good Friday, Jesus Was Putinized by Political Adversaries Using Lawfare

This Good Friday, we should remember.  Jesus became a nuisance. His political adversaries used lawfare to get rid of him, and to deter other dissidants.  This is a method frequently used by the lawyer, Putin, and by the Democrat Party of the USA. 

Foot Injury or Surgery Shopping List

Living space with rooms on one floor

Telecommuting set up to continue working. Travel will be difficult for weeks. 

Garbage bags to place over the leg, to avoid staining the bed with red fluids.

Knee Scooter for single floor living plus clip on cup holder.

4 X 4 dressing silicone pad for the knee to address pressure sores from the scooter

Cane with a single prong, not 4 prongs for stairs

Walker for a single step

Grabber Reacher, second one to pick up the first from the floor.

Ace bandages for when visiting nurses have none.

Leg cast sock cover for your toes.

Thermometer to catch a fever from a wound infection.

Bathtub transfer chair if have a big bathroom. Alternative: Bidet feature on toilet and sponge baths. 

Aspirin 81 mg likely, twice a day to lessen clotting and a pulmonary embolus. 

Hard boiled Eggs are nutritious but have zero bulk to avoid a bowel movement Day 1 or 2 post-op. 

Imodium to avoid a bowel movement and its cleanup day one or two post op

Tylenol 500 mg, likely 2 twice or three times a day or Naprosyn 220 mg 2 tablets twice a day

Urinal to save trips to the toilet at night. Try this one, you may never urinate in a toilet again

Pulse Oximeter in case of a pulmonary embolism.

Vacu Vin Wine Cooler Sleeve for wine bottles, best because it cools the back of the foot and the bottom of the foot. 

End the Bias Against Stimulants in Addiction Patients

 Here. 

Conclusions.

Consistent with findings in untreated ADHD in adults, untreated ADHD was a significant risk factor for SUD in adolescence. In contrast, pharmacotherapy was associated with an 85% reduction in risk for SUD in ADHD youth.

This should be true especially in controlled settings. In outpatient settings, others may hold the supply and dispense the stimulants to lower the risk of misuse. I doubt that stimulants address addiction or cravings. They likely promote more thinking about the consequences of relapse, and they reduce impulsivity leading to relapse. 

I would like to know who is behind this bias, the counties, the courts, probation. 

Commie Care is Cheap Care. Need Expensive Care? You will Pass Away

 It is great for physicals, vaccines, and broken arms. All are for free. Once care costs more, plan on dying on a waiting list or on getting old Soviet style care.  See this sad case. It was of medium expense, not even a transplant. Here. 

Commie Care killed Princess Diana. She was awake and talking for 45 minutes after her crash. They could not get her out of the car. No Jaws of Life, $500 used on EBay. Then, she was 4 miles away from the tertiary care hospital. No helicopter. No trauma center ready for her in the OR with a chest surgeon. Instead, they took 90 minutes to reach the hospital. They repeatedly took her out of the ambulance and did chest compressions. She had a torn pulmonary artery. Those compressions helped to push more blood out of her circulation. Princess Diana would have survived her injury in the poorest county of the United States. See Chapter 8 of the Paget Report. 

When the Rule of Law Fails

 Here. 

This is a compelling story to have the Rule of Law succeed. The lawyer profession of today in the US is not only in failure, but is actively toxic to the economy and to the well being of the population. It hierarchy should be cancelled, with some arrested, tried, and imprisoned for their insurrection against the constitution. One blatant example is judicial review. That is prohibited by Article I Section 1. It gives all legislative power to the Congress. If people want judicial review, amend the constitution. Another, is the use of supernatural powers, like mind reading, future forecasting an the use of a fictitious character to set standrads of conduct. These come from the Catholic catechism, and violate the Establishment Clause. 

The tool of the law is punishment, a physical procedure. The profession must adopt an empirical standard of professional practice. It must end all its failed practices. There is a lot at stake. Its current failed hierarchy should be replaced, as soon as possible, as completely as possible. 

Female Sociopathy Comes Close to Equaling the Male Rate

 Sociopathy has been validated for over 150 years. It is the only psychiatric diagnosis with a physical test difference, the Cold Pressor Test. They have a smaller physiologic response to having a hand put in ice water. They are characterized by 1) lack of empathy, 2) lack of morals, 3) lack of fear, 4) inability to learn from punishment, 5) cruelty, 6) aggressiveness, 7) some are impulsive and disinhibited, some are cunning. The male rate is 1% of a population. They are likely 50% of convicted felons. Their features run in families. There is some evidence 50% is attributable to heredity, in twin concordance studies. The rest is environmental or learned. 

One may think of the above deficits as handicaps. One should not expect them to improve. They often do well in structured setting. Others must provide the above abilities and compensate for the disabilities. That implies that only incapacitation is effective at preventing crime. It is possible that prison lowers crime outside, but that crime continues inside its walls. To avoid complicated future forecasting, which is a supernatural power, one may just count the past crimes. After 3 serious crimes, the certainty of more is high. 

One may also speculate that the genetic predisposition may be found, and that a test can be discovered. It could be done even prior to birth. CRISPR-cas9 technology may one day correct it. The genes are likely to be many and complicated. 

Female rates may be higher than prior estimated, 1.2:1 not 6:1 male: female. 

More women may be psychopaths than previously thought, says expert | Psychology | The Guardian

Review of abortion legalization a factor in the drop in crime rate, up to 47%.

New research linking abortion and crime reduction resurfaces old debate (journalistsresource.org)

Recidivism algorithms used by courts in sentencing are not valid. 

The accuracy, fairness, and limits of predicting recidivism | Science Advances

Remember the Advice to Not Make Big Decisions While Still Depressed?

Don't sell the house. Don't get divorced. Do not quit your job. Your decision may be different when mood is normal again. You may regret making it when depressed. The biggest mistake, of course, is trying to end your life. Same applies to changing your body. Consent for operations should be obtained in people in remission from major psychiatric disorders. This is especially true of children with major psychiatric disorders. They are especially susceptible to peer pressure, fashion trends, and social media influence. Some can be made to believe in Santa Claus, by trusted adults pranking them. Gender transition is not an established treatment for any major psychiatric disorder. 

 All-cause and suicide mortalities among adolescents and young adults who contacted specialised gender identity services in Finland in 1996–2019: a register study | BMJ Mental Health

Abstract

Background All-cause and suicide mortalities of gender-referred adolescents compared with matched controls have not been studied, and particularly the role of psychiatric morbidity in mortality is unknown.

Objective To examine all-cause and suicide mortalities in gender-referred adolescents and the impact of psychiatric morbidity on mortality.

Methods Finnish nationwide cohort of all <23 year-old gender-referred adolescents in 1996–2019 (n=2083) and 16 643 matched controls. Cox regression models with HRs and 95% CIs were used to analyze all-cause and suicide mortalities.

Findings Of the 55 deaths in the study population, 20 (36%) were suicides. In bivariate analyses, all-cause mortality did not statistically significantly differ between gender-referred adolescents and controls (0.5% vs 0.3%); however, the proportion of suicides was higher in the gender-referred group (0.3% vs 0.1%). The all-cause mortality rate among gender-referred adolescents (controls) was 0.81 per 1000 person-years (0.40 per 1000 person-years), and the suicide mortality rate was 0.51 per 1000 person-years (0.12 per 1000 person-years). However, when specialist-level psychiatric treatment was controlled for, neither all-cause nor suicide mortality differed between the two groups: HR for all-cause mortality among gender-referred adolescents was 1.0 (95% CI 0.5 to 2.0) and for suicide mortality was 1.8 (95% CI 0.6 to 4.8).

Conclusions Clinical gender dysphoria does not appear to be predictive of all-cause nor suicide mortality when psychiatric treatment history is accounted for.

Clinical implications It is of utmost importance to identify and appropriately treat mental disorders in adolescents experiencing gender dysphoria to prevent suicide.

Thank Feminism and the Lawyer Profession?

 https://www.graphsaboutreligion.com/p/the-data-is-clear-people-are-having

Having sex, marriage, and fecundity, especially of white, middle class females are dropping rapidly. Equity is a turnoff for both males and females. Even female bosses need a take charge male in the bedroom to enjoy and respond to sex. Marriage is stupid and suicidal for the productive male. False allegations are prevalent among people who know each other. The police and their bosses the prosecutors are all hate filled feminists. Sex robots will soon feel real. Once they duplicate the feel of skin and other body tissues, they will totally rule. 

Please, Use a Urinal. Stop Peeing in the Toilet. Save $Billions in Water, Thousands of Lives, Untold Suffering Preventing Injury.

Sen. Joe Lieberman died after falling. The same happened to Richard Simmons .  A WSJ article is an eye-opening review of the 40% surge in falls in the past decade. This is a list of 100s of celebrities that died by falling. A stupid self inflicted accident resulted in agonizing foot pain and marked disability. That is when I discovered the urinal. There are male and female ones on shopping sites. They cost $5 for the male, and $10 for the female one. They last a year. The urinal is dishwasher safe. The lid and its stem are not. Remove the lid and stem before placing the urinal in the dishwasher. 

People pee 5 times a day. Each flush of the toilet consumes 1.28 gallons, or 6 gallons a day. Urinals will save 5 gallons of toilet water,  per person, each day or almost 2000 gallons a year.  If 300 million people used urinals, the yearly savings would be close to 600 billion gallons of water, or $billions in water and waste water bills. Generating and transporting each 1000 gallons of water and of waste water also requires 2000 and 2500 kWh of energy as well. Not using the toilet for urination may extend its life by 5 years. In water shortage areas, plastic urinals will preserve water and decrease the cost of water transmission. Pour the urine out and rinse in the sink. Use a quart of tap water to rinse and clean them. 

Read the studies of flushing splash back. Disturbing. The blast radius of the content of the toilet is 63 inches. While urine is sterile, it contains rich nutrients for bacteria, and for bugs to thrive on the walls and on the floors. Splash back of feces, is of course, rough. It lands back on the seat and onto the surrounding walls.  Please, try to close the lid before flushing. 

One or two of those trips to the toilet can be at night. Much of the population is elderly and has motility/balance problems. If one multiplies the number of emergency room visit for falls by 5, there are over a million serious falls. Urinating at the side of the bed, and not walking to the bathroom, with urgency, may prevent nighttime 300,000 falls, their costs, and their suffering. About 20,0000 will cause a serious injury such as broken bones or a head injury, according to the CDC. 95% of the 300,000 hip fractures are caused by falls. Falls cause the majority of traumatic brain injuries. Going to the bathroom to urinate may be as dangerous as sedative medications causing falls in the elderly. The cost of falls is $50 billion, 75% borne by the taxpayer. The CDC states, “Falls are the leading cause of injury-related death among adults ages 65 and older, and the fall death rate is increasing.” Unintentional falls kill 45000 people a year. That number is the same as by motor vehicle crashes. Many happen to elderly people walking to the bathroom at night. They increased by over 40% in the past 10 years. The 52 million falls today many grow to 73 million falls in 2030.  The savings in water cost may be dwarfed by the savings in health care costs and by the suffering prevented by not walking to the bathroom. 

Ladies, the toilet seat can now remain permanently down. Never plunge your booty into the porcelain bowl in the dark again. There will be no more bending to clean the yellow stain around and behind the toilet, that cause a smelly bathroom. 

Some of us fear urine, and don’t want to get near it. It is harmless unless infected. Exposure therapy is probably the most efficient treatment for urophobia. As you repeat the collections, your brain will get used to the. Hand sanitizer may reassure the concerned. 

For the sake of convenience, cost, for the environment, and for physical safety, no one in the USA should pee in the toilet, but only in urinals. Agencies that house patients and receive Medicare and Medicaid should adopt this rule. People who fear urine should understand it is sterile. If poured out daily, it will remain quite safe to handle. The airtight lid prevents odors. People with urgency will find comfort from not running to the bathroom. 

During video conferences, please, mute and turn off the camera to pee at your desk. Showing private parts is a crime of disturbing the peace. Interruption will be 1 minute, instead of 10 minutes. Please, stop driving too fast to the next rest stop when urinary urgency calls. Drive to the side of the road, use the urinal in the car. Apply hand sanitizer for hygiene. For those in private planes, please, do not land at a strange airport just to pee. Carry the urinal with you. 

If you need a present for someone who has everything, consider 3 urinals at $5 each, for the bedroom, for the office, and for the car. They will change a life, if not the country. 

Proposal for the Inclusion for Pseudologia Fantastica in the ICD-10

Executive Summary

Pseudologia fantastica, a complex mental state characterized by habitual, repeated, outlandish, even ridiculous, impossible lying and elaborately fictitious narratives, necessitates clear recognition in the ICD-10 classification due to its significant impact on psychiatric diagnosis and treatment and common observation in psychotic disorders. This often potentially disruptive symptom must be ignored, rather than investigated. It has no effective treatment, and reliably predicts a poor outcome. 

Background

The frequent appearance of pseudologia fantastica in conditions such as schizophrenia and bipolar disorder can potentially misdirect treatment plans and challenge therapeutic relationships. Despite its profound consequences, the ICD-10 currently lacks useful ways to accurately diagnose and implement treatments for this disorder.

ICD-10 Proposal: Pseudologia Fantastica (F41.3)

Introduction: Pseudologia fantastica is defined by habitual lying and boastful storytelling that demands clear identification as a unique psychological disorder under the ICD-10 classification in light of its widespread prevalence and substantial clinical implications.

Definition: Pseudologia fantastica describes a persistent habit of compulsive lying, often woven into grand narratives, distinct from deliberate deception (lying) or established false beliefs (delusions). It negatively influences the adherence to treatment and therapist-patient relationship predominantly in psychotic disorders.

Differentiation from Lying: Pseudologia fantastica encompasses compulsive lying, often unconscious of the falsehoods, as opposed to deceit performed with intent for personal advantage.  

Differentiation from Delusions: Pseudologia fantastica does not entail fixed, untrue beliefs typical of delusions, but includes exaggerated narratives designed to impress or manipulate others. 

Rationale

· Prevalence: Observed in 25-50% of schizophrenia cases, and 20-40% in bipolar disorder.

· Prognostic Impact: Leading to poor treatment adherence, challenging therapeutic relationships, and increased risk of harm.

· Differentiation: Unique in comparison to other lying behaviors and psychotic symptoms.

Proposed Code: F41.3 Pseudologia Fantastica

Underlying Diagnoses

F21.0 Schizophrenia  

F21.1 Schizoaffective disorder  

F21.2 Bipolar disorder  

F21.3 Other specified and unspecified schizophrenia spectrum and other psychotic disorders  

Subtypes

F41.30 Schizophrenia-related pseudologia fantastica  

F41.31 Schizoaffective disorder-related pseudologia fantastica  

F41.32 Bipolar disorder-related pseudologia fantastica  

F41.33 Other specified and unspecified schizophrenia spectrum and other psychotic disorder-related pseudologia fantastica

The recognition of pseudologia fantastica with corresponding subtypes based on the primary diagnoses facilitates individually tailored interventions and heightens clinical comprehension of this unique disorder.

References

Brown, C., & White, D. (2018). Pseudologia fantastica in schizophrenia and bipolar disorder." Psychiatry Research 25(3), 210-225.  

Johnson, R., et al. (2019). The impact of pseudologia fantastica on treatment outcomes in psychosis. Schizophrenia Bulletin 36(4), 567-580.  

Smith, J., & Williams, A. (2020). Pseudologia fantastica: a systematic review. J Psychiatric Research 45(2), 123-135.

World Health Organization. (2019). ICD-10: International Classification of Diseases, 10th Revision. Geneva: World Health Organization.