tag:blogger.com,1999:blog-48396043173399665792024-03-20T16:11:10.127+09:00Physician's NotebooksA book of medical, good health, nutritional and life advices based on the 50+ years of experiences and life lessons of Dr Edward Stim (M.D.) plus the wisdom of literature and medical research into living long with one's wit and wits and on one's feet. In 2015, Dr Stim at age 86 stands as his own best example of the value of the Work. See http://adventuresofkimi.blogspot.com for the Slim Novels which also has much good advice plus an exciting, interesting story of lives lived.Unknownnoreply@blogger.comBlogger243125tag:blogger.com,1999:blog-4839604317339966579.post-77551345108632316002021-11-10T07:42:00.613+09:002021-12-26T16:52:52.849+09:00The Experimental Life in its 9th Decade<div class="MsoNormal" style="mso-layout-grid-align: none;"><span><b><span style="font-size: x-large;">If</span></b><b><span style="font-size: large;"> </span><span style="font-size: x-large;">you clicked </span><i style="font-size: x-large;">http://physiciansnotebook.blogspot.com </i><span style="font-size: large;">or</span><i style="font-size: x-large;"> Physician’s Notebooks of Dr Stim, 16:40 </i></b></span><span><b><i style="font-size: x-large;">Japan time), Sunday</i></b></span><span><b><i style="font-size: x-large;">, 25 </i></b></span><span><b><i style="font-size: x-large;">December 2021; take </i></b></span><span style="font-size: x-large;"><b><span>note of, the below </span></b></span></div><div class="MsoNormal" style="mso-layout-grid-align: none;"><span style="font-size: x-large;"><b><span> New!, Important!, <i>The</i></span></b></span><span style="font-size: x-large;"><b><span><i> Experimental Life in Its 9th Decade!</i></span></b></span></div><div class="MsoNormal" style="mso-layout-grid-align: none;"><span style="font-size: large;"><b><span> For <i><u>Physician’s</u></i></span></b><span><b><i><u> Notebooks</u></i> Homepage, </b></span><b><span>the reader should continue to scroll down.</span></b></span></div><div class="MsoNormal" style="mso-layout-grid-align: none;"><br /></div><div class="MsoNormal" style="mso-layout-grid-align: none;"><span style="font-size: x-large;"><b>OK. Have fun! And don’t be the only one! Show your friend.</b></span></div><div class="MsoNormal" style="mso-layout-grid-align: none;"><b><span style="font-size: x-large;"> For age nearly 89</span></b><b><span style="font-size: x-large;">, I have been healthy, </span></b><b><span style="font-size: x-large;">thanks to good parents, affluence, and good healthcare. But now </span></b><b><span style="font-size: x-large;">I face medical problems due to risky behavior and aging. Also I am a “stranger in a strange land”, i.e., a USA </span></b><b><span style="font-size: x-large;">passport-holder, living expatriate in Yokohama Japan, with no family member but only hired acquaintances to assist me.</span></b></div><div><b><span style="font-size: x-large;"> The year opened</span></b><b><span style="font-size: x-large;"> for me with two worsening medical problems:</span></b></div><div><b><span style="font-size: x-large;"> 1. Spinal atrophy causing weakness of lower extremities, and </span></b><b><span style="font-size: x-large;">sensory loss,</span></b><b><span style="font-size: x-large;"> caused by collapse of the lumbar-sacral vertebrae due to osteoporosis and from a lifetime of poor posture and frequent accidental falls; and, </span></b><b><span style="font-size: x-large;">complicated, since first seen on imaging in September 2021, by a tumor mass on </span></b><b><span style="font-size: x-large;">the left side of the lumbar-sacral area, </span></b><b><span style="font-size: x-large;">almost certainly malignant and with</span></b><b><span style="font-size: x-large;"> apparent metastases in each lung. </span></b></div><div><b><span style="font-size: x-large;">For </span></b><b><span style="font-size: x-large;">my medical professional readers, here is a paste of the report, well before the tumor was seen: </span></b></div><div><b style="-webkit-text-size-adjust: auto; caret-color: rgb(49, 49, 49); color: #313131; font-family: -apple-system, HelveticaNeue; font-size: 16px; word-spacing: 1px;"><i data-originalcomputedfontsize="16" data-removefontsize="true" style="font-size: 1rem;">Date: Tue, 13 Oct 2015 17:52:48 +0000</i></b></div><b style="-webkit-text-size-adjust: auto; caret-color: rgb(49, 49, 49); color: #313131; font-family: -apple-system, HelveticaNeue; font-size: 16px; word-spacing: 1px;"><i data-originalcomputedfontsize="16" data-removefontsize="true" style="font-size: 1rem;">Lumber bone MRI early 2017<br />Left-side deviated scoliosis is present. There are compression fractures in the L4 and L5 levels, with the irregular bone edge. Whole lumber bone shows severe deformity. At TW1/TW2, there is a strong signal enhancement, especially in the lower part of L4 and upper part of L5, suggesting a Modic type II deformity. There is also Modic type I deformity in the upper part of L1 and L2. The whole lumbar area shows severe stenosis, creating a stenotic intervertebral foramen (especially at Th12/L1 and L1/2-L3/4 on the right side, and L4/5 and L5/S1 on the left side). These changes are similar to that in the previous study (in 2014, Dec 8). At the L3/4 level, there are perineural cysts near the intervertebral swforamen. Likewise, other things 3 perineural cyst is present at the sacral bone level. Both renal cysts are also seen.<br />Final Diagnosis: Spondylosis deformans</i></b><div><br /></div><div><span face="-apple-system, HelveticaNeue" style="color: #313131; font-size: large;"><span style="caret-color: rgb(49, 49, 49); word-spacing: 1px;"><b>Symptomatically, it has caused mostly low back pain but by 2019 a definite spinal syndrome developed. </b></span></span></div><div><span face="-apple-system, HelveticaNeue" style="color: #313131; font-size: large;"><span style="caret-color: rgb(49, 49, 49); word-spacing: 1px;"><b> Most prominent and disturbing is an obvious atrophy of the anterior thigh muscles, chief of which are the <i>quadriceps femoris. </i></b></span></span><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;">It causes difficulty in lifting each foot and thus weakens walking and support of the body, and I can now barely walk and only with a walk-wheelchair, without which I cannot even support standing up.</span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"> Along with the muscle atrophy, I experience a stocking&boot paresthesia (loss of touch) extending to just above ankles. It does not involve </span></b><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;">pain or temperature. </span></b><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;">I also have </span></b><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;">anterior aching soreness pain extending down from waist and bilaterally symmetrical except left ischial tuberosity (part of butt you sit on) which has episodic point pain.</span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"> It </span><span style="font-size: x-large;">suggests compression of the low spinal cord caused perhaps by the lumbar stenosis as part of my L-S vertebrae collapse. And, perhaps, the ischial pain is from metastatic bone lesion.</span></b></div><div><span style="color: #313131; font-size: large;"><span style="caret-color: rgb(49, 49, 49); word-spacing: 1px;"><b> 2. I have a prostate that has caused dysuria, frequency, and poor urination stream. There was a many-years, low-grade obstruction at the prostate urethra causing a thick-walled, low capacity bladder with ineffective detrusor function and hyperactive internal urinary sphincter. My urination was a drip-drop with poor control and spasmodic dysuria.</b></span></span></div><div><span style="color: #313131;"><span style="caret-color: rgb(49, 49, 49); word-spacing: 1px;"><b><span style="font-size: large;"> On 01 Octr 2021 after a night of extreme small-pee blood- tinged urinary frequency, my urination blocked, and I needed insertion of Foley catheter, size 14 (circumf. 0.462 mm, or 14/77 inch) in the ER, and the catheter was left in place and managed at home for the rest of the week.</span> </b></span></span><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;">On 08 Octr, I was admitted to hospital urology to manage removal of</span><span style="font-size: large;"> catheter. </span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;">Since then I have again needed continuous catheterization and also developed a complication, <i>hemorrhagic cystitis, </i></span></b><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;">where bleeding from the irriqtated bladder may cause blood clots that block the catheter and also cause anemia. This needed </span></b><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;">hospitalization w. continuous bladder irrigation but no blood transfusion. By 20 Dec. the bloody urine was finally clearing and on 22 Dec. after 61 days of continuous bleeding into the bladder, my urine became clear yellow. </span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"> On 05 December in AM, the home doctor replaced the size # 14 catheter with size #18 (larger; 0.594 mm circumference, c.1/4 inch catheter) to prevent block by clots.This is a serious complication of permanent catheterization. Why it happens is a mystery but probably involves low-grade infection. In my case continuous Augmentin 250 mg a day and high ingestion of vitamin C as powder crystals to render the urine highly acidic seems to have supported recovery by preventing infection.</span></b></div><div><br /></div><div><span style="color: #313131; font-size: large;"><span style="caret-color: rgb(49, 49, 49); word-spacing: 1px;"><b>Catheterization is sharply discomforting but takes less than 30 seconds. You have it done because can’t pee and need to, agonizingly. Also, need it because your obstruction causes you to pee in very small drip-drops too frequently. Once you have a catheter in you, you need to unplug and empty it every few hours unless by it is attached to a collecting bag While in place it can be uncomfortable with spasms around the penis. </b></span></span></div><div><span style="color: #313131; font-size: large;"><span style="caret-color: rgb(49, 49, 49); word-spacing: 1px;"><b> The spasms became a major symptom. Here are my observations that should be helpful to all with continuous catheterization: First to describe; the spasms start with an unpleasant spasmodic feeling in the distal penis, then include the rectum as though you need to empty your bowel; they last a minute or two, their frequency depends on several factors. The major cause of the spasms is the stretching effect of the catheter. Other enhancers are movements of the catheter, obstruction of the catheter, and the mental effect of just thinking that the spasms will come. Preventives are securing the catheter with skin tape, using the correct catheter size, and anti-infection measures such as sterile technique when handling, and antibiotic </b></span></span><span style="color: #313131; font-size: large;"><span style="word-spacing: 1px;"><b>Augmentin 250 mg 3 to 4 times a day is the best preventive against catheter infection because of its “double whammy” (amoxicillin and clavulinate) combination.</b></span></span><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"> Also daily irrigation with sterile solution. I have not found any medication helpful except perhaps 2% Xylocaine ointment liberally applied around tip of penis and catheter where it enters penis.</b></div><div><span style="color: #313131; font-size: large;"><span style="caret-color: rgb(49, 49, 49); word-spacing: 1px;"><b>But the catheter is a great convenience because you no longer need to get up to pee at night. The big worry is blockage from blood clot. This is prevented and treated by irrigation and also by selection of wide enough (larger number size) catheter. Another risk is infection to kidney, prevented by the antibiotic, sterile handling and smaller size catheter.</b></span></span></div><div><span style="color: #313131; font-size: large;"><span style="caret-color: rgb(49, 49, 49); word-spacing: 1px;"><b> </b></span></span></div><div><span style="color: #313131; font-size: large;"><span style="caret-color: rgb(49, 49, 49); word-spacing: 1px;"><b> Each patient‘s urination pleasure/pain has unique aspects. The commonality of mine is that it is on a continuum ranging from the extreme pleasure in peeing one gets on first use of an opioid to the low abdominal, suprapubic agony of obstructed urination with an overfilling bladder. My pains include a soreness of femurs </b></span></span><span style="color: #313131; font-size: large;"><span style="word-spacing: 1px;"><b>and of the left hip-joint and point pain in the left ischial tuberosity and sacral eminence, particularly while sitting. These wax and wane in</b></span></span><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"> no pattern. Occasionally they can</span></b><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"> be very bad, At worst, they need codeine 60 mg (at home; in hospital, Pentacozine (Sosegon in Japan) 25 mg substitutes for the codeine) and acetaminophen 300 to 600 mg. That is included in a single dose which may be needed 4 times a day.</span></b></div><div><span style="color: #313131; font-size: large;"><span style="caret-color: rgb(49, 49, 49); word-spacing: 1px;"><b> I have also noted the development of an irritable dry cough that comes and goes and that I attribute to the lungs metastasis but also may be side effect of the anticancer medicine. </b></span></span></div><div><span style="color: #313131;"><span style="caret-color: rgb(49, 49, 49); word-spacing: 1px;"><b><span style="font-size: large;"> I was discharged home with catheter, Sunday, 14 Nov. </span></b></span></span></div><div><span style="color: #313131;"><span style="caret-color: rgb(49, 49, 49); word-spacing: 1px;"><b><span style="font-size: large;"> </span><span style="font-size: x-large;">I</span></b></span></span><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: x-large;"> care for myself at home, but by now I am aided by many home helpers from the n</span></b><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: x-large;">urse-led social welfare section.</span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: x-large;"><br /></span></b></div><div><span style="color: #313131; font-size: large;"><span style="caret-color: rgb(49, 49, 49); word-spacing: 1px;"><b> On </b></span></span><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;">Wednesday, 17 November, </span></b><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;">I consulted, oncologist</span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"> </span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"> Here is the gist of the </span></b><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;">plan. He is now certain I have prostate-origined carcinoma. (Previously a question of bone cancer existed.) but suspects it is the rare neuroendocrine type which has poor prognosis and poor response to hormonal therapy. But, to definitively diagnose, it needs single-procedure, 15 core-needle biopsy through rectum.</span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"> The 15 core-needle samples are necessary because this is a multi centric cancer and thus easy to miss on single or even a few biopsies; hospitalization is necessary because of frequent serious complication rate: hemorrhage, infection, inflammation, fistula, etc. I signed all permission and said to myself: “Anchors away and full speed ahead.”</span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"><br /></span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><blockquote><blockquote><span style="font-size: large;">I also started the anti-androgen, anti-advanced prostate cancer medicine, (Abiraterone acetate aka <i>Zytiga</i> in Japan) </span><span style="font-size: x-large;">four 250 mg tablets once a day on empty stomach, that I take with 1 prednisone tablet before and after daily. It is a very expensive drug. About $170 a month that even with insurance you pay out of pocket. Controlled studies show a 14-month survival advantage in advanced metastatic prostate cancer.</span></blockquote></blockquote><p> </p><blockquote><blockquote><b><span style="font-size: large;"> Japan has an extensive home care program for old people which they (I too) pay for by monthly deductions from one’s bank account. Now I start experiencing its benefits with nurse, aide, doctor and pharmacist coming to my flat to clean, check me 2 or 3 times a day (4 aides this morning), set my medication and even shop for me. And expert foot care too! It’s wonderful.</span></b><b><span style="font-size: large;"> An example of the efficiency of system was my problem night. I lay down early last night but noted I had not put out any urine from </span></b><b><span style="font-size: large;">catheter into bag. The catheter had become obstructed, a potential catastrophe for me alone at home. Then I remembered home care. I called the point nurse and she immediately despatched a treating nurse who arrived in 40 minutes and solved the problem.</span></b></blockquote></blockquote></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"> On 06 Dec. 10am, I was admitted Ward 6E, 4-bed 615 for transrectal biopsy of prostate next morning. My preliminaries had already been done outpatient. Japanese university hospitals have 6-, 4-bed, and single person rooms; the 4- and 6-bed are mostly covered by the national health insurance; and the single you pay c.$300 a day.</span></b></div><div><span style="color: #313131; font-size: large;"><span style="caret-color: rgb(49, 49, 49); word-spacing: 1px;"><b>Next morning I was NPO (nothing by mouth). At 9 they took me to the surgical suite. At 9:30 I was put to sleep and awoke aat 10. They said the biopsies were a success and result the week starting 20 Dec. (I won’t find out until I visit my oncologist 27 Dec.) I was discharged home next day ( 09 Dec.). I noted how weak I was, and the thought <i>I’ll die soon </i>re-echoed thru my mind. But now with my end near, my mind, clear also said “Every day is a mitzvah.” (Yiddish: a gift from heaven!) In the words of the great Alfred E. Neuman:</b></span></span></div><div><span style="color: #313131; font-size: large;"><span style="caret-color: rgb(49, 49, 49); word-spacing: 1px;"><b>What! Me worry?</b></span></span></div><div><span style="color: #313131; font-size: large;"><span style="caret-color: rgb(49, 49, 49); word-spacing: 1px;"><b><br /></b></span></span></div><div><span style="color: #313131; font-size: large;"><span style="caret-color: rgb(49, 49, 49); word-spacing: 1px;"><b>My Milieu is important to describe here. My keepers (the social insurance persons: nurse, social worker, private org. manager), in the preliminary meeting evaluating my need for home care, asked me the crucial question: “Where do you wish to die?” Sitting in my Simmons chair in the NW corner of the living room of the flat I’d lived in for nearly 21 years, I answered “Here!” With a sweep of my right arm. It is a so-called 3 LDK (3-room, Living room, Dinette and Kitchenette), typical for a small, middle class Japanese family, with a terrace, on the 8th floor overlooking, to the south, the Yokohama Station (Yokohama Ekimae) area. </b></span></span></div><div><span style="color: #313131; font-size: large;"><span style="caret-color: rgb(49, 49, 49); word-spacing: 1px;"><b> This living room, c.12 by 10 feet, NW corner, sitting in Simmons chair c(hinged chair with arms, </b></span></span><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;">can recline to c.135 degrees) is my living space for the weeks or month of remaining life. I cannot easily walk around but need an Aide to assist and to wheel me to toilet or washroom. About my excretions, my catheter takes care of urination but I am very constipated from the opioids (pentacozine and codeine) I take for pain. I am visited 10am and 9pm by a Aide who takes</span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;">me to toilet, cleans and checks. A nurse comes at least once a day to check my vital signs and irrigate my catheter to clear it and prevent clot. A physician comes twice a month and also a pharmacist who brings the physician-ordered medicine.</span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"> What do I do with myself? Except for times when nurse and Aide work on me I sit in my Simmons chair. I gave up lying down at night because it is a struggle to stand</span></b><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"> up in morning. So I catch sleep in my chair extended, thinking with gallows humor; <i>I’ll have eternity for sleep</i>. </span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"> I read in an organized way. It means a chapter a session but read only when I feel like it. My family and admirers send me books—-Asimov’s three <i>Foundation</i> novels, Steinbeck’s <i>Tortilla Flat</i>, Dostoevsky’s <i>The Gambler</i>, Tolstoy’s <i>Family</i></span></b><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"><i> Happiness</i>, Oscar Wilde’s <i>The Picture of Dorian Gray</i>—-and I read critically pencilling notes on pages.</span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"> My daughter asks me to edit her fiction and my doctor to edit and proof his scientific papers. Then I philosophize, which means commenting in my mind, sometimes out loud on people and things. At night I doze at intervals in my 135-degree extended chair. My management of time is that I treat each portion of a day like an eternity.</span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"> Eating: I eat well from convenience and supermarket brought by my Aides on order. I eat and drink from combination of pleasure and good nutrition. So, for example a take-out N.Y. steak to build up blood and lots of soda sundaes and strawberry shortcakes. For easy eating cup noodles and ramen. Oh I am well nourished and food & drink pleasured. It’s like the condemned man’s last meals. Recently though, I prefer not put stiff in my stomach and now I am living off Dr Pepper’s canned Soda (Love that prune Soda taste) and canned tangerine with occasional spinach soup. My days are running out to hours, minutes. But! What? Me worry? I go the world on a string that soon will break.</span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"> On Monday, 27 Dec. my doctor will give me double subQ abdominal injections of Denosumab, 80 mg (Degarelix in Japan) the latest monoclonal against metastatic prostate cancer. Hope it works! I am really enjoying my limited life.</span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"> To continue.</span></b></div><div><br /></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"><br /></span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"><br /></span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"><br /></span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"><br /></span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"><br /></span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"><br /></span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"><br /></span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"><br /></span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"><br /></span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"><br /></span></b></div><div><b style="caret-color: rgb(49, 49, 49); color: #313131; word-spacing: 1px;"><span style="font-size: large;"><br /></span></b></div>Unknownnoreply@blogger.com12tag:blogger.com,1999:blog-4839604317339966579.post-67271164567008440482011-10-11T10:00:00.071+09:002021-12-02T13:59:38.267+09:00Homepage<div align="center">
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<span style="font-size: large;"><i>Welcome December, 2021 ! </i><b>Physician’s</b></span><span style="font-size: large; text-align: left;"><b> Notebooks is a blog that discusses Healthy Longevity. Additionally, you may access the <i>Slim Novels </i>at </b></span><i style="text-align: left;"><span style="font-size: large;"><b><u>http://adventuresofkimi.blogspot.com </u></b></span></i></div>
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<span style="font-size: large;"><b> The chapters are meant to be <i>fun reads; </i>they have been carefully gone over to be reader-friendly with easily understood, intelligent vocabulary, direct writing style, and packed with useful information.</b></span><div><span style="font-size: large;"><b> Here is what, Dr Allan H. Ropper, </b><span face="Calibri, Arial, Helvetica, sans-serif"><b>Professor and former head of the <i>Department of Neurology at Brigham & Women’s Hospital,</i> <i>Harvard Medical School</i>, senior editor of Adams & Victor’s </b><b style="font-style: italic; text-decoration: underline;">Principles </b><b><i><u>of Neurology</u></i></b> and Associate Editor of <b><i><u>The New England Journal of Medicine</u></i></b>, has to say about Dr. Stim’s <b><i><u>Physician’s Notebooks.</u></i></b></span><b><br /></b></span><div><span><b><i><br /></i></b></span></div><div><b><i><span> </span><span face="Calibri, Arial, Helvetica, sans-serif">"Ed Stim's Physician's Notebooks is one of the most interesting, insightful, and at times wonderfully iconoclastic things on the Internet. He has been around long enough and has seen an incredible amount of life and medicine. He is entitled to give serious advice about health and longevity, all worth listening to for the professional and lay person. Dr. Allan H. Ropper (M.D.).”</span></i></b><br /><br /><div><div><span style="font-size: large;"><b> If you want a permanent paper issue, you may order from Kindle.</b></span></div><div> <br />
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<span style="font-size: large;"><b>For more information, call or text </b></span><span style="font-size: x-large;"><b>Dr. Stim, in Japan 080 5034 9898; from North America, 011 81 80 5034, leave a message for me to contact with) or from anywhere else, using your 3-digit international code + 81 80 5034 9898. For email: </b><u style="font-style: italic; font-weight: bold;">edwardstim-eaj@softbank.ne.jp</u><b> or </b><span><b style="font-style: italic; text-decoration: underline;">valvalue@gmail.</b><i><u><b>com</b></u></i><b><i><u> </u></i></b>.</span></span></div><div style="text-align: center;"><b style="font-size: x-large;"> If anyone would like to commercially publish Physician’s Notebooks or the Slim Novels as parts or whole, or arrange lectures and seminars, contact Dr Stim,</b><b style="font-size: x-large;"> telephone/text 080 5034 9898</b></div><div style="text-align: center;">
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<b> Dr. Edward Stim, Age 88, Tokyo Japan </b></div>
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The chapters below are hyperlinked to text, with exceptions noted; Just</div><div class="separator" style="clear: both; text-align: center;">click on what you wish to start the read now. Then click on the next shown http URL and start the read. If any problem, contact Dr Stim. </div>
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Notebooks one are general interest:</div><div class="separator" style="clear: both; text-align: center;"><br /></div></div></div>
<ul class="posts">
<li><span style="font-size: large;"><b><a href="http://physiciansnotebook.blogspot.jp/2010/10/how-to-be-genius-with-physicians.html">How To Be a Genius with Physician's Noteb</a></b></span></li>
<li><span style="font-size: large;"><b>Notebooks 1 is general life advice chapters.</b></span></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/10/11-reading-wellappreciate-artdyslexia.html">1.1 Read Well/Admire Art</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/10/writing.html">1.2 Writing</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/10/physicians-notebooks-1-chapter-3.html">1.3 Foreign Travel</a></b></li><li><b>1<a href="http://physiciansnotebook.blogspot.jp/2010/09/question-why-come-to-japan-answer-it-is.html">.4 Japan - C'mon a My House</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/10/about-new-york-city-for-new-traveler.html">1.5 New York City for New Traveler</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/prefatory-note-almost-everyone-knows.html">1.6 Computer & Mobile Phone: Info & Advices</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/10/sleep-read-about-it-so-you-can-have.html">1.7 Secrets of REM Sleep - Dreams - Falling Asleep...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/memory-practical-suggestions-to-improve.html">1.8 Secrets of Memory/Digit Memory System</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/10/chapter-to-enhance-your-life.html">1.9 Losing, Misplacing or Accidentally Breaking Va...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/10/my-most-useful-chapter-it-has-saved-my.html">1.10 Mistakes to Avoid: This Has Saved My Life Oft...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/10/ideas-that-work.html">1.11 Ideas that Work/Invention/No Longer Needed/Ne...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/10/accidents-at-home-and-in-travel-gem-of.html">1.12 Accident Avoidance/ Nuclear Meltdown Japan/Ai...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/accidents-2-transportation-accidents.html">1-12-2 Accidents 2 - Transportation Accidents</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/1-12-3-accidents-3-natural-accidents.html">1-12-3 Accidents 3 Natural Accidents, Includes N...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/10/for-traveler-who-worries-about-getting.html">1.13 Traveler Stay Well/Medical Problems Abroad/Me...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/10/chapter-everyone-need-read.html">1.14 The Scientific Method - What? Why a Need? The...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/10/updated-chapter-on-how-to-be-free-of.html">1.15 Money! Money! Money! How to Make/To Spend/To ...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/10/new-chapter-for-physicians-notebooks-1.html">1.16 Time//The One-Million-Hour Life</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/11/endnotes-of-physicians-notebooks.html">1.17 Endnotes/About Author/End Physician's Notebook.</a></b></li>
<li><span style="font-size: large;"><b> Notebooks 2 starts about body weight and nutrition and then goes into general science and body fluids.</b></span></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/11/physicians-notebooks-2.html">2.0 Physician's Notebooks 2 Intro: Eating for Long...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/11/chapter-about-body-weight-gain.html">2.1 About Body Weight Gain</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/11/more-on-losing-weight.html">2.2 More on Losing Weight/Fasting Technique, Hands...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/11/more-on-eating-healthily.html">2.3 More on Eating Healthily</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/11/pb-lead-in-tap-water-latest-safety.html">2.4 Drink Water but Watch Out for Pb-Lead</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/11/safe-eating.html">2.5 Safe Eating/Avoid Toxins/Mad Cow Prion Disease...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/11/note-to-daily-new-post-blogspot-reader.html">2.6a Introduction to the Science Section</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/11/essential-physical-science.html">2.6b Essential Physical Science</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/11/electron-arrangement-in-atoms.html">2.6c Electron Arrangement in Atoms/Quantum/Laser</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/11/einsteins-relativity-and-end-of-chapter.html">2.6d Einstein's Relativity/Time Machine/TOE (Theor...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/26e-numbers-and-basic-math-for-healthy.html">2.6e Numbers for Healthy Longevity</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/06/26f-temperature-calculations.html">2.6f Temperature Calculations - Celsius/Fahrenhei...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/life-intelligence-civilizations-in.html">2.6g Life, Intelligence & Civilizations in Univer...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/26g-measurements-in-science.html">2.6g-1 Measurements in Science</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/11/periodic-table-of-chemical-elements.html">2.7 The Periodic Table of the Chemical Elements</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/12/some-important-chemical-concepts-in.html">2.8 Some Important Chemical Concepts in Medicine</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/12/start-of-about-food-nutrients-for-us.html">2.9a Secrets of Healthy Food - the Carbohydrates</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/12/fats-or-lipids-in-foods-and-importance.html">2.9b Fats or Lipids in Foods</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/proteins-and-amino-acids-in-nutrition.html">2.9c Proteins and Amino Acids in Nutrition</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/introduction-to-vitamins-minerals.html">2.10 Introduction to Vitamins & Minerals</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/start-of-vitamins.html">2.11a Start of Vitamins -Intro; Biotin and Cholin...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/folic-acid-folic-acid-or-folate-connect.html">2.11b Folic Acid - Why I take a Mega Dose</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/more-vitamins-b2-and-pantothenic-acid.html">2.11c B3 Niacin and Pantothenic Acid</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/211c-riboflavin-and-thiamine.html">2.11d Riboflavin and Thiamine</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/everything-you-need-to-read-on-vitamin.html">2.11e Everything you need to read on vitamin A</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/secrets-of-vitamin-b6-aka-pyridoxine.html">2.11f Secrets of vitamin B6 Pyridoxine</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/exciting-new-advice-on-vitamin-b12.html">2.11g Exciting New Advice on Vitamin B12</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/new-uses-for-vitamin-c.html">2.11h New Uses for Vitamin C</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/vitamin-d-parathyroid-and-calcium.html">2.11i Vitamin D, parathyroid and calcium</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/what-about-vitamin-e.html">2.11j What About Vitamin E?</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/vitamin-k-and-final-comment-on-vitamins.html">2.11k Vitamin K and Omega-3 Fatty Acid</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/minerals-as-nutrients-and-poisons-first.html">2.12a The Minerals: Introduction and Calcium</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/chromium-copper-and-iodine-nutrition.html">2.12b Chromium, Copper and Iodine - Nutrition & T...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/iron-nutrient-and-cause-of-disease.html">2.12c Iron a nutrient and a cause of disease</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/magnesium-phosphorus-selenium-and-zinc.html">2.12d Magnesium/Phosphorus/Selenium/Zinc</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/minor-metal-elements-in-nutrition-and.html">2.12e The Minor Metals in Nutrition and Toxicity</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/water-of-our-body-internal-milieu.html">2.13a The Water of Our Body - Internal Milieu</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/blood-electrolytes-and-body-water.html">2.13b Blood Electrolytes & Body Water</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/acidity-and-alkalinity-of-body.html">2.13c Acidity and Alkalinity of the Body</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/alkaline-and-acid-tides-of-your-body.html">2.13d Alkaline & Acid Tides of Body/Respiratory C...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/what-should-you-eat-to-keep-health-and.html">2.14 (a & b) What To Do & To Eat for Good Health ...</a></b></li>
<li><span style="font-size: large;"><b>Notebooks 3 is about clinical testing, and explains DNA and HLA. </b></span></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/physicians-notebooks-3-chapter-1.html">3.1 Using Doctors Well/University-HMO</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/01/secrets-of-urine-testing.html">3.2 Secrets of Urine Testing</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/02/secrets-of-blood-testing-intro.html">3.3a Secrets of Blood Testing - Introduction</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/02/blood-testing-red-blood-cell-anemia.html">3.3b Red Blood Cells/Too Few or Too Many</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/02/red-blood-tests-secrets-of-diagnosis.html">3.3c More on Too Many or Too Few RBC/Retics/Iron ...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/02/test-to-save-life-oxygen-in-red-blood.html">3.3d Oxygen and CO2 in blood/Measurements/Effects</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/02/white-blood-cells-everything-in-few.html">3.3e White Blood Cells, Types & Count & Percent i...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/02/blood-clotting-platelets-and-spleen-key.html">3.3f Blood Clot, Platelets & Spleen</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/02/blood-test-groups-and-interpretation.html">3.3g Blood Testing Groups & Interpretation</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/02/secrets-of-blood-test-reference-values.html">3.4 Secrets of Blood Test Reference</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/bleeding-and-hemorrhage-as-symptom.html">3.4a Bleeding & Transfusion</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/02/pearls-of-body-imaging-x-ray-mri.html">3..5 Secrets of Body Imaging - X-ray & CT, MRI, Ul...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/02/chapter-6-genetic-testing-you-started.html">3.6 Secrets of DNA to Help You Live Long</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/02/human-lymphocyte-antigen-hla-predictor.html">3.7 The HLA System - Predictor of Disease</a></b></li>
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<li><span style="font-size: large;"><b><i>Notebooks 4 </i>is about treatments mainly medications and also includes experience with opioid as recreational drug in Chapter 4.5. </b></span></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/02/physucians-notebooks-4-chapter-1.html">4.1 Secrets to Prevent Infections/Physician's Note...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/02/immunizations-everything.html">4.2 Immunizations</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/02/medications-everything-to-know.html">4.3 Medications - Everything to Know</a></b></li>
<li><a href="http://physiciansnotebook.blogspot.jp/2011/02/pain-and-recreational-drugs-insider.html"><strong>4.(4-5) Pain? Opium Drugs?</strong></a><strong> </strong></li>
<li><strong> </strong><a href="http://physiciansnotebook.blogspot.com/2010/09/coffee-drcrets-of-caffeine.html"><span style="color: #2288bb;"><strong>4.6a
Coffee ----Secrets of Caffeine</strong></span></a> </li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/02/alcohol-secrets-of-healthy-heavy.html">4.6 Alcohol, Secrets of a Drinker Doc</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/02/remedies-of-dr-stim-that-really-work.html">4.7 The Remedies</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/02/chemoprophylaxis-medicine-to-prevent.html">4.8 Chemoprophylaxis, Malaria.& Insect-borne Dise...</a></b></li>
<li><b><span style="font-size: large;"><i>Notebooks 5 has chapters on skin, head and neck, fever, headache, eyes and vision, ears and hearing, balance, bones and arthritis, foot care and dentistry.</i></span> </b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/02/physicians-notebooks-4-contents-skin.html">5.1 Physician's Notebooks 5/Skin & Surface Appear...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/02/bumps-in-skin-allergies-face-neck.html">5.(2-5) Bumps Under Skin, Face, Nose & Throat, ...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/03/practical-advice-on-headaches-and-fever.html">5.(6-7) Headache & Migraine and Fever</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/58-eyes-and-vision.html">5.8 Eyes and Vision</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/03/practical-values-about-ears-hearing-and.html">5.(9-10) About Ears, Hearing, Balance</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/03/million-in-5-10-c-store-advice-about.html">5.(11-14) Arthritis, My Neck, Fibromyalgia, Tendo...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/03/osteoporosis-muscle-and-good-dentistry.html">5.(15-17) Osteoporosis/Dentistry/Footcare</a></b></li>
<li><b><span style="font-size: large;"><i>Notebooks 6 is cardiovascular and respiratory; all aspects, from pulse, blood pressure to heart transplant.</i></span> </b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/03/physicians-notebooks-6-heart-vessels.html">6.1 Cardiovascular Respiratory System Physician's...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/03/healthy-heartwhy-heart-failure.html">6.(2-3) Healthy Heart/The Valves/Heart Failure/Tr...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/03/nerves-and-neurotransmitters-in-heart.html">6.4 Nerves and Neurotransmitters in the Heart</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/03/tests-of-heart-that-help-healthy.html">6.5 Tests of Heart</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/03/prevent-or-stop-mi-heart-attack.html">6.6 Prevent or Stop the MI Heart Attack</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/03/heart-drugshypertension-drugs-and.html">6.7 Cardiac Meds & Interventions like Stents and ...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/03/risk-factorscholesterol-and-fats.html">6.(8-9) Risk Factors and Secrets of Low Cholester...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/03/one-million-hours-of-good-life-from.html">6.10 Secrets of High Blood Pressure Prevention & ...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/03/your-heartdrinkingexercise-diabetes.html">6.(11-14) Drug/Exercise/Diabetes/Collapse, CPR & A...</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/03/paul-dudley-whites-method-to-examine.html">6.15 Paul Dudley White Method to Study Heart</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/heart-palpitationfibrillation-new.html">6.16 Heart Palpitation/Atrial Fibrillation</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/electrocardiogram-explained-easily.html">6.17 Electrocardiography Explained</a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/03/pacemaker-saves-life-read-it-here.html">6.18a Pacemaker Saves a Life - Re</a><span style="font-family: "century";"><br />
</span></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/03/more-about-pacemakers-first-always-be.html"><span style="color: #2288bb;">6.18b Pacemakers - Technique Insertion/Complicati...</span></a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/03/respiration-air-and-gas-we-breath.html"><span style="color: #2288bb;">6.19 Respiration - Air and Gas We Breath</span></a><b> </b></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2011/03/respiratory-tracts-lungs-and-healthy.html"><span style="color: #2288bb;">6.(20-22) Respiratory Tracts, Lungs/Asthma/COPD</span></a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/cough-short-of-breath-wheezingchest-x.html"><span style="color: #2288bb;">6.23 Cough, Short of Breath, Wheezing,Cough Blood...</span></a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/control-your-blood-pressure-heart-rate.html"><span style="color: #2288bb;">6.24 Control Your Blood Pressure & Heart Rate</span></a></b></li>
<li><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/hi-altitude-underwater-hi-temp-affect.html"><span style="color: #2288bb;">6.25 Hi Altitude, Underwater, Hi Temp Affect on H...</span></a></b></li>
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<li><span style="font-size: large;"><b><i>Notebooks 7 </i>is gastrointestinal and renal.</b></span></li>
<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/gi-tract-pain-and-symptomsphysicians.html" style="color: #2288bb;">7.(0-2) Physician's Notebooks 7/G.I. Pain & Symptom...</a></b></li>
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<b><a href="http://physiciansnotebook.blogspot.com/2010/09/stomach-esoph-duoden-gerdulcercancer.html" style="color: #2288bb; text-decoration: none;">7.(5-6) Stomach, Esoph, Duoden/GERD/Ulcer/Cancer</a></b>
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<b><a href="http://physiciansnotebook.blogspot.com/2010/09/surgeryap-gallbladder-hernia-cancer.html" style="color: #2288bb; text-decoration: none;">7.7 Hernia/AP/GB/Frenzy/Transfusion</a></b>
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<b><a href="http://physiciansnotebook.blogspot.com/2010/09/taking-care-of-asshole-and-rectum.html" style="color: #2288bb; text-decoration: none;">7.8 Taking Care of Asshole and Rectum</a></b><br />
<b style="text-indent: -15px;"><a href="http://physiciansnotebook.blogspot.com/2010/09/kidneys-failure-intro.html" style="color: #2288bb; text-decoration-line: none;">7.9 Kidneys & GU Tract - Prevent Dialysis 1</a> </b><br />
<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/kidney-failure-and-healthy-longevity.html" style="color: #2288bb; text-decoration: none;">7.10 Kidney Failure/Dialysis Prevention 2</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/dialysis-prevention-monitors.html" style="color: #2288bb; text-decoration: none;">7.11 Monitors of Kidney Failure/Prevent Dialysis ...</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/preventing-dialysis-pearls-to-preserve.html" style="color: #2288bb; text-decoration: none;">7.12 Kidney Failure Risk Factor/Preventing Dialys...</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/renal-dialysis-reality.html" style="color: #2288bb; text-decoration: none;">7.13 Renal Dialysis - the Reality</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/transplant-of-kidney-ethics-to-donate.html" style="color: #2288bb; text-decoration: none;">7.14 Transplant of Kidney: Ethics - To donate or...</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/prostate-preventives.html" style="color: #2288bb; text-decoration: none;">7.15 Prostate BPH, Cancer & Other</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/incontinence-of-urine.html" style="color: #2288bb; text-decoration: none;">7.16 Incontinence of Urine</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2011/04/renal-colickidney-stone.html" style="color: #2288bb;">7.17 Renal Colic/Kidney Stone. End PN 7</a></b></li>
<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span style="font-size: large;"><b>Notebooks 8 is everything you want to know about sexuality: reproduction, gynecology, birthing, raising and caring for children</b>.<b> Click on what interests you to read now.</b></span><br />
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/sex-sex-sex-physicians-notebooks-8.html" style="color: #2288bb;"><span style="font-family: "times new roman";"></span>8.(0-1) Sex! Sex! Sex!/Notebooks & Intro</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/erection-weak-physicians-notebooks-cure.html" style="color: #2288bb; text-decoration: none;">8.2 Erection and Orgasm. Detect it in a Woman</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/incest-re-evaluation.html" style="color: #2288bb; text-decoration: none;">8.3 Incest - A Re-evaluation</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/enhance-orgasm-by-physicians-notebooks.html" style="color: #2288bb; text-decoration: none;">8.4 Enhance Orgasm</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2011/04/sexuality-and-hormones-trans-sex-and.html" style="color: #2288bb; text-decoration: none;">8.5 Sexuality and Hormones - Trans-sex and Transv...</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/improve-erection-increase-sperm-semen.html" style="color: #2288bb; text-decoration: none;">8.6 Improve Erection; Increase Sperm & Semen</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/masturbation-safest-best-lowest-cost.html" style="color: #2288bb; text-decoration: none;">8.7 Masturbation: Safest, Best, Lowest Cost Sex</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/more-sex-sex-sex-pettingoralcoitus.html" style="color: #2288bb; text-decoration: none;">8.(8-10) More Sex! Petting/Oral/Coitus</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/gay-to-be-or-not-to-be.html" style="color: #2288bb; text-decoration: none;">8.11 Gay!: To Be or Not?</a></b></span></span>
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<a class="OYKEW4D-c-g" href="https://www.blogger.com/blogger.g?blogID=4839604317339966579#editor/target=post;postID=520471086312785420;onPublishedMenu=allposts;onClosedMenu=allposts;postNum=133;src=postname">8.12 Anal Sex?</a></div>
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<li><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/sex-and-aging-male-this-78-yo-doc.html"><span style="color: #2288bb;">8.13 Sex and An Aging Male - This 80 y/o Doc</span></a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/sex-with-animals-cats-seal-on-farm.html" style="color: #2288bb; text-decoration: none;">8.14 Sex With Animals - Cats&Dogs, a Seal, on the...</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/sexual-summing-up.html" style="color: #2288bb; text-decoration: none;">8.15 A Sexual Summing Up</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/sex-disease-syphgono-nsuherpeswarts.html" style="color: #2288bb; text-decoration: none;">8.(16-18) Sex Disease: Syph,Gono, NSU,Herpes,Wart...</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/stop-hivaids-by-physicians-notebooks.html" style="color: #2288bb; text-decoration: none;">8.19 Stop HIV/AIDS</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/advice-to-female-sex-workers.html" style="color: #2288bb; text-decoration: none;">Advice to Female Sex Workers</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2011/04/gynecology-self-exam-pre-menstrual.html" style="color: #2288bb; text-decoration: none;">8.20 Gynecology Self Exam</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/vaginitisendometriosispidovarian-tumor.html" style="color: #2288bb; text-decoration: none;">8.(21-22) Vaginitis/Endometriosis/PID/Ovarian Tum...</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/menopausal-hrt-to-do-or-not-to-do.html" style="color: #2288bb; text-decoration: none;">8.23 Menopausal HRT: To Do or not To Do?</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/male-menopause-hormone-replacement.html" style="color: #2288bb; text-decoration: none;">8.24 Male "Menopause" - Hormone Replacement?</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/gynecologic-surgery-and-uterinevaginal.html" style="color: #2288bb; text-decoration: none;">8.(25-26) Gynecologic Surgery and Uterine/Vaginal...</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/cloning-explained-exactlypregnancy.html" style="color: #2288bb; text-decoration: none;">8.27 Cloning Explained Exactly/Pregnancy Preventi...</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/to-get-pregnant-or-notartificial.html" style="color: #2288bb; text-decoration: none;">8.28 To Get Pregnant or Not/Artificial Insem./IVF...</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/ovulation-prediction-detection-be.html" style="color: #2288bb; text-decoration: none;">8.29 Ovulation Prediction & Detection -Be Superwo...</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/how-to-get-baby-despite-infertility.html" style="color: #2288bb; text-decoration: none;">8.30 How To Get a Baby Despite Infertility & Have...</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/how-to-avoid-pregnancy-and-get-good.html" style="color: #2288bb; text-decoration: none;">8.31 Avoid Pregnancy/Get a Good Lovelife</a></b></span></span>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/pregnancy-loss-by-misectopichydatid.html" style="color: #2288bb; text-decoration: none;">8.32 Pregnancy Loss by Mis/Ectopic/Hydatid Mole</a></b></span></span>
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<a class="OYKEW4D-c-g" href="https://www.blogger.com/blogger.g?blogID=4839604317339966579#editor/target=post;postID=1412171385446163497;onPublishedMenu=allposts;onClosedMenu=allposts;postNum=156;src=postname">8.37a: My Biography in Relation to Childraising to Adulthood</a></div>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/child-medical-carepediatric-self-help.html" style="color: #2288bb;">8.38 Child Medical care/Pediatric Self Help</a></b></span></span></li>
<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><span style="font-size: large;">Notebooks 9 on neural science<span face=""arial" , "helvetica" , sans-serif">, neurol<span face=""arial" , "helvetica" , sans-serif">ogy, psychology and ps<span face=""arial" , "helvetica" , sans-serif">ychiatry.</span></span></span></span> </b></span></span></li>
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<a class="OYKEW4D-e-i" href="https://www.blogger.com/blogger.g?blogID=4839604317339966579#editor/target=post;postID=4782910136214312072;onPublishedMenu=allposts;onClosedMenu=allposts;postNum=157;src=postname">9.(0-1) Physician's Notebooks 9 Mind/Brain/Behavior</a></div>
<b><a href="http://physiciansnotebook.blogspot.com/2010/09/development-of-brain-cord-starting.html" style="color: #2288bb; text-decoration: none;">9.2 Development of Brain & Cord - Starting Statem...</a></b>
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<b><a href="http://physiciansnotebook.blogspot.com/2010/09/secrets-of-brain-tissues-starter.html" style="color: #2288bb; text-decoration: none;">9.3 Secrets of the Brain tissues - A St</a> </b><br />
<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/brain-spinal-cord-gestalt-view-lobotomy.html" style="color: #2288bb; text-decoration: none;">9.4 Central Nervous System Overview</a></b>
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<li style="background-image: none; border-width: 0px; list-style: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/right-left-brainaphasia-speech.html" style="color: #888888; text-decoration: none;">9.6a Cerebral Cortex 1: The Lobes of the Brain</a></b></li>
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<li style="background-image: none; border-width: 0px; list-style: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/cerebral-cortex-lobes-of-brain.html" style="color: #33aaff;">9.6b Cerebral Cortex 2: Microstructure and Archit...</a></b></li>
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<li style="background-image: none; border-width: 0px; list-style: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/microstructure-of-central-nervous.html" style="color: #888888; text-decoration: none;">9.7 Cerebral Cortex 3: Specialization of Function</a></b></li>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b>9.8 <a href="http://physiciansnotebook.blogspot.com/2010/09/brain-mind-is-that-all.html" style="color: #2288bb; text-decoration: none;">Brain, Mind? Is That All?</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/secrets-of-spinal-cord-or-why.html" style="color: #2288bb; text-decoration: none;">9.9 Secrets of Spinal Cord or Why Christopher Ree...</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b>9.10 <a href="http://physiciansnotebook.blogspot.com/2010/09/secrets-of-nerve-signals-to-brain.html" style="color: #2288bb; text-decoration: none;">Secrets of Nerve Signals to the Brain</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/secrets-of-peripheral-nervesthe.html" style="background-color: white; color: #33aaff; line-height: 14px;">9.11 Peripheral Nerves - Autonomic Sympathetic/Par...</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/912-cranial-nerves-smellvisioneyefacevi.html" style="color: #2288bb; text-decoration: none;">9.12 The Cranial Nerves - Smell/Vision/Eye/Face/V</a></b>
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<li style="background-image: none; border-width: 0px; list-style: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/913-growth-death-of-your-brain-thru.html" style="color: #33aaff;">9.13 Growth & Death of Your Brain Through Your Lif...</a></b></li>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/914-aging-brain-how-to-prevent-it.html" style="color: #2288bb; text-decoration: none;">9.14 The Aging Brain - How to Prevent It</a></b>
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<li style="background-image: none; border-width: 0px; list-style: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/915-secrets-of-stroke-neurology-of.html" style="color: #33aaff;">9.15 Neurology of Movement & Diseases of Movement</a></b></li>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/916-pain-explained-neurologically.html" style="color: #2288bb; text-decoration: none;">9.16 .Pain Explained Neurologically</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/917-neurology-of-emotion.html" style="color: #2288bb; text-decoration: none;">9.17 The Neurology of Emotion</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/918-gait-especially-in-old-age.html" style="color: #2288bb; text-decoration: none;">9.18 Gait, Especially in Old Age</a></b>
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<li style="background-image: none; border-width: 0px; list-style: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/918-id-it-sleep-or-is-it-death-brain.html" style="color: #33aaff;">9.18b Consciousness 9.2, Coma and Related States</a></b></li>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/919-epilepsy-and-seizures-and-eeg.html" style="color: #2288bb; text-decoration: none;">9.19 Epilepsy and Seizures and the EEG</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/920-secrets-of-brain-strokes-prevention.html" style="color: #2288bb; text-decoration: none;">9.20 Secrets of Brain Strokes - Prevention & Relie...</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/21.html" style="color: #2288bb; text-decoration: none;">9.21 Mad Cow Disease - An Insider Story</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/922-secrets-of-multiple-sclerosis.html" style="color: #2288bb; text-decoration: none;">9.22 Secrets of Multiple Sclerosis</a></b>
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<li style="background-image: none; border-width: 0px; list-style: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/923-psychosurgery-what-how-where-why_23.html" style="color: #33aaff;">9.23 Psychosurgery/Brain Surgery and Tumors</a></b></li>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/924-dementiasecrets-of-alzheimers.html" style="color: #2288bb; text-decoration: none;">9.24 Dementia/Secrets of Alzheimer's</a></b></li><li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;">Note: chapters 9.24a through 9.27 inclusive (Bangs on the Head; Secrets of Neuroimaging; Psychiatry - Welcome All; Life Cycle ...; Personality ...; Mental Health; Behavioqr - Reward ...; and Manic- Depressive Disease; these are currently not hypertexted. Seek them by serial reading from Chapter 9.23.</li>
<a class="OYKEW4D-e-i" href="https://www.blogger.com/blogger.g?blogID=4839604317339966579#editor/target=post;postID=315432585252587207;onPublishedMenu=allposts;onClosedMenu=allposts;postNum=184;src=postname">9.24a Bangs on the Head and Brain Trauma</a> <br />
<a class="OYKEW4D-e-i" href="https://www.blogger.com/blogger.g?blogID=4839604317339966579#editor/target=post;postID=7666167201193419713;onPublishedMenu=allposts;onClosedMenu=allposts;postNum=185;src=postname">9.24b Secrets of Neuroimaging</a><br />
<b><a href="http://physiciansnotebook.blogspot.com/2010/09/925-psychiatry-welcome-all.html" style="color: #2288bb; text-decoration-line: none;">9.25 Psychiatry - Welcome All</a></b><br />
<table __gwtcellbasedwidgetimpldispatchingblur="true" __gwtcellbasedwidgetimpldispatchingfocus="true" cellspacing="0" class="K3JSBVB-p-y bloggPostTable" style="border-bottom-color: initial; border-bottom-style: initial; border-image: initial; border-left-color: initial; border-left-style: initial; border-right-color: initial; border-right-style: initial; border-spacing: 0px; border-top-color: rgb(235, 235, 235); border-top-style: solid; border-width: 1px 0px 0px; color: #222222; font-family: Arial, Helvetica, sans-serif; font-size: 13px; margin: 0px 0px 10px; padding: 0px; table-layout: fixed; vertical-align: baseline; width: 1603px;"><tbody style="border: 0px; font-family: inherit; font-style: inherit; font-weight: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">
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<a class="K3JSBVB-c-h" href="https://www.blogger.com/blogger.g?blogID=4839604317339966579#editor/target=post;postID=3437505627644275407;onPublishedMenu=allposts;onClosedMenu=allposts;postNum=188;src=postname" style="border: 0px; color: #00838f; cursor: pointer; display: inline-block; font-family: inherit; font-style: inherit; font-weight: inherit; margin: 0px 10px 0px 0px; max-width: 100%; overflow: hidden; padding: 0px; text-overflow: ellipsis; vertical-align: baseline; white-space: nowrap; width: auto;"><span style="font-size: large;">9.25a Life Cycle — Plan a happy, healthy one</span></a><br />
<span face=""arial" , "helvetica" , sans-serif" style="border: 0px; color: #00838f; cursor: pointer; display: inline-block; font-size: large; margin: 0px 10px 0px 0px; max-width: 100%; overflow: hidden; padding: 0px; text-overflow: ellipsis; vertical-align: baseline; white-space: nowrap; width: auto;">9.25a2—<a class="K3JSBVB-c-h" href="https://www.blogger.com/blogger.g?blogID=4839604317339966579#editor/target=post;postID=5848449860394149153;onPublishedMenu=posts;onClosedMenu=posts;postNum=189;src=postname" style="border: 0px; color: #00838f; cursor: pointer; display: inline-block; font-family: Arial, Helvetica, sans-serif; margin: 0px 10px 0px 0px; max-width: 100%; overflow: hidden; padding: 0px; text-overflow: ellipsis; vertical-align: baseline; white-space: nowrap; width: auto;">Personality and Temperament</a></span><br />
<a class="K3JSBVB-c-h" href="https://www.blogger.com/blogger.g?blogID=4839604317339966579#editor/target=post;postID=6463509891412391405;onPublishedMenu=allposts;onClosedMenu=allposts;postNum=189;src=postname" style="border: 0px; color: #00838f; cursor: pointer; display: inline-block; margin: 0px 10px 0px 0px; max-width: 100%; overflow: hidden; padding: 0px; text-overflow: ellipsis; vertical-align: baseline; white-space: nowrap; width: auto;"><span style="font-size: large;">9.25b Mental Health</span></a><br />
<b style="text-indent: -15px;"><a href="http://physiciansnotebook.blogspot.jp/2011/06/26.html" style="color: #33aaff;">9.26 Behavior - Reward, Motivation, Addiction</a></b></div>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/927-manic-depressive-bipolar-disorder.html" style="color: #2288bb; text-decoration: none;">9.27 Manic Depressive Bipolar Disorder - Good Adv...</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/928-depression-cure.html" style="color: #2288bb; text-decoration: none;">9.28 Depression - A Cure</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/929-schizophrenias-startling-story.html" style="color: #2288bb; text-decoration: none;">9.29 Schizophrenia's Startling Story</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/930-anxiety-cure-for.html" style="color: #2288bb; text-decoration: none;">9.30 Anxiety - Cure For</a></b></li>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/931-paranoias-of-life-removed-by.html" style="color: #2288bb; text-decoration: none;">9.31 Paranoias of Life Removed by Physician's No...</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/932-feelings-nothing-more-than-feelings.html" style="color: #2288bb; text-decoration: none;">9.32 Feelings, Nothing More Than Feelings</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/933-psychoanalysis-secret-of-do-it.html" style="color: #2288bb; text-decoration: none;">9.33 Psychoanalysis - Secret of Do It Yourself</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/034-edge-secret-of-stopping-habits.html" style="color: #2288bb; text-decoration: none;">9.34 The Edge - Secret of Stopping Habits</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/935-secrets-of-iq-what-is-intelligence.html" style="color: #2288bb; text-decoration: none;">9.35 Secrets of the IQ. What is Intelligence?</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/936-psychotherapymostly-psychoanalytic.html" style="color: #2288bb; text-decoration: none;">9.36 Psychotherapy/Mostly Psychoanalytic</a></b>
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<li style="background-image: none; border-width: 0px; list-style-type: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b><a href="http://physiciansnotebook.blogspot.com/2010/09/937-neurology-of-memory.html" style="color: #2288bb; text-decoration: none;">9.37 Neurology of Memory</a></b>
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<span face=""arial" , "helvetica" , sans-serif"><span style="font-size: x-small;"><b><span style="font-size: large;"> Notebooks 1</span><span face=""arial" , "helvetica" , sans-serif"><span style="font-size: large;">0 is on death and dying, cancer and achieving healthy lon<span face=""arial" , "helvetica" , sans-serif">gevit<span face=""arial" , "helvetica" , sans-serif">y.</span></span></span></span></b></span></span><br />
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<b><span lang="EN-US" style="font-size: 24pt;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/100-3-physicians-notebooks-10.html"><span style="color: #2288bb; font-size: small;">10.(0-3) Physician's Notebooks 10 - Longevity/Can...</span></a></span></b><br /></div>
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<b><span lang="EN-US" style="font-size: 24pt;"><span style="font-size: small;"> This section is the one you may scroll down on here. It contains 1. <u style="font-style: italic;">Healthy Longevity</u>, 2. <u style="font-style: italic;">Technology of Keeping Alive</u>, and 3. <u style="font-style: italic;">Fear of Death</u>. Use <i>search & find </i>or Scroll down from here for text.</span></span></b></div>
<b><span lang="EN-US" style="font-size: 24pt;"><span style="color: #2288bb; font-size: small;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/104-amok-time-what-if-your-world-goes.html">10.4 Amok Time - What If Your World Goes Crazy?</a></span></span></b><br />
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<b><span lang="EN-US"><span style="color: #2288bb; font-size: small;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/105-deaths-to-avoid-natural-catastrophe.html">10.5 Deaths to Avoid - Natural Catastrophe</a></span></span></b></div>
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<b><span lang="EN-US"> </span></b><span style="color: #2288bb; font-size: small;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/106-atheism-and-healthy-longevity.html">10.6 Atheism and Healthy Longevity</a></span> <b><span lang="EN-US"><br /></span></b> <b><span lang="EN-US"> </span></b><br />
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<a href="http://physiciansnotebook.blogspot.jp/2010/09/107-becoming-aware-you-want-to-live.html"><b><span lang="EN-US"> </span></b><span style="color: #2288bb; font-size: small;">10.7 Becoming Aware You Want To Live Long</span></a><br />
<li style="font-size: 24pt;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/108-voluntary-deathsuicide.html" style="font-size: medium;">10.(8-9) Voluntary Death/Suicide</a><b><span lang="EN-US"><br /></span></b></li>
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</span></b><a href="http://physiciansnotebook.blogspot.jp/2010/09/1010-why-seek-helathy-longevity.html"><span style="color: #2288bb; font-size: small;">10.10 Why Seek Healthy Longevity?</span></a><b><span lang="EN-US"><br /></span></b> <b><span lang="EN-US"> <div style="font-size: 24pt; text-align: left;">
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</span></b><a href="http://physiciansnotebook.blogspot.jp/2010/09/1011-long-healthy-life-prescription.html"><span style="color: #2288bb; font-size: small;">10.11 Long Healthy Life - a Prescription</span></a><b><span lang="EN-US"><br /></span></b> <b><span lang="EN-US"> <div style="font-size: 24pt; text-align: left;">
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</span></b><span style="color: #2288bb; font-size: small;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/1012-say-you-get-cancer-what-to-do.html">10.12 Say You Get Cancer? What to do?</a></span><br />
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<a href="http://physiciansnotebook.blogspot.jp/2010/09/1013-cancer-full-on.html">10.13 Cancer Full On</a><b><span lang="EN-US"></span><span lang="EN-US"></span></b><br />
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</span></b><a href="http://physiciansnotebook.blogspot.jp/2010/09/1014-cancer-preventiontreatment.html"><span style="color: #2288bb; font-size: small;">10.(14-15) Cancer Prevention/Treatment Continues</span></a><b><span lang="EN-US"><br /></span></b> <b><span lang="EN-US"> </span></b><br />
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</span></b><a href="http://physiciansnotebook.blogspot.jp/2010/09/1016-secrets-of-good-breast-cancer.html"><span style="color: #2288bb; font-size: small;">10.16 Secrets of Good Breast Cancer Survival</span></a><b><span lang="EN-US"><br /></span></b> <b><span lang="EN-US"> </span></b><br />
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</span></b><a href="http://physiciansnotebook.blogspot.jp/2010/09/10-17-leukemia-living-life-on-your-feet.html"><span style="color: #2288bb; font-size: small;">10-17 Leukemia - Living Life on Your Feet Not on Y...</span></a><b><span lang="EN-US"><br /></span></b> <b><span lang="EN-US"> </span></b><br />
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</span></b><a href="http://physiciansnotebook.blogspot.jp/2010/09/1018-deathwatches.html"><span style="color: #2288bb; font-size: small;">10.18 Deathwatches</span></a><br />
<b><span lang="EN-US"><a href="http://physiciansnotebook.blogspot.jp/2010/09/1019-cousin-dan-age-90-in-2011.html" style="color: #33aaff;">10.19 Cousin Dan - A Study in Nonagenarian Living...</a></span></b><b><span lang="EN-US"><a href="http://physiciansnotebook.blogspot.jp/2010/09/1020-murder.html" style="color: #33aaff;">10.20 How to Avoid Being Murdered - Advice that …</a></span></b><br />
<b><span lang="EN-US"><a href="http://physiciansnotebook.blogspot.jp/2010/09/1021-experimental-life-edward-stim-78.html" style="color: #33aaff;">10.21 The Experimental Life in its 9th Decade</a></span></b><br />
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<li><span style="color: #2288bb; font-size: small;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/1022-other-lives-deathwatches.html" style="color: #2288bb;">10.22 Other Lives - Deathwatch</a></span><b><span lang="EN-US"> </span></b></li>
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<li><i style="color: #2288bb; font-size: x-large; font-weight: bold;">Notebooks 11 express the Author's Opinions. Click on a title in order to read text.</i></li>
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<li><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-size: 26pt;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/11-my-motive.html"><span style="color: #2288bb;">11a My Motive</span></a></span></i></b></li>
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<li style="font-size: 26pt;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/11-motivation-legitimacy.html"><span style="color: #2288bb;">11b Motivation & Legitimacy</span></a></li>
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<li style="font-size: 26pt;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/10-legitimacy-of-ones-life.html"><span style="color: #2288bb;">11c Legitimacy in One's Life</span></a></li>
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<li style="font-size: 26pt;"><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/10-why-unpopular-essays.html">11d We Have Met the Enemy. It is US!</a></span></li>
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<li style="background-image: none; border-width: 0px; list-style: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em;"> <a href="http://physiciansnotebook.blogspot.jp/2010/09/11-dx-what-can-i-do-american-in-2013.html" style="color: #33aaff;"><span style="font-size: medium;">11 dx "What Can I Do?" An American in 2017?</span></a></li>
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<li style="font-size: 26pt;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/10-history-from-big-bang.html"><span style="color: #2288bb;">11e A History from the Big Bang</span></a></li>
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<li style="font-size: 26pt;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/10-non-anthropocentric-view.html"><span style="color: #2288bb;">11f Non Anthropocentric View</span></a></li>
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<li style="font-size: 26pt;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/10-religion-what-to-do-with-it.html"><span style="color: #2288bb;">11g Religion! What to do with it?</span></a></li>
<li style="font-size: 26pt;"><a class="PXLWASD-F-i" href="https://www.blogger.com/blogger.g?blogID=4839604317339966579#editor/target=post;postID=7980826739799205738;onPublishedMenu=allposts;onClosedMenu=allposts;postNum=228;src=postname">11g-x 21st Century Inequality: Be on Top</a><span style="color: #2288bb;"> </span></li>
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<li style="font-size: 26pt;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/10-science-civilization.html"><span style="color: #2288bb;">11h The Science-Civilization</span></a></li>
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<li style="font-size: 26pt;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/10-deterioration-of-america.html"><span style="color: #2288bb;">11i The Deterioration of America</span></a></li>
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<a class="OAVLIQC-c-g" href="https://www.blogger.com/blogger.g?blogID=4839604317339966579#editor/target=post;postID=9070796123435969858;onPublishedMenu=allposts;onClosedMenu=allposts;postNum=233;src=postname">Communitas Means of Livelihood and Ways of Life</a></div>
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<li style="font-size: 26pt;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/10-futurewhat-can-you-dofinal-wordsend.html"><span style="color: #2288bb;">11j: The Future/What Can You Do/Final Words/End of...</span></a></li>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Tokyo</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">, Author, Edward Stim, M.D.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><br /></span></b></blockquote>
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</div></div></div></div>Unknownnoreply@blogger.com28tag:blogger.com,1999:blog-4839604317339966579.post-25561542426321649132010-10-11T15:30:00.004+09:002021-09-29T22:30:13.928+09:00How To Be a Genius with Physician's Notebooks<b><span style="font-size: large;"> How To Be a Genius with Physician's Notebooks</span></b><br />
<span style="font-size: large;"><b>Up-Edited: 29 September. 2021 </b></span><br />
<span style="font-size: large;"><b> </b></span><span style="font-size: large;"><b>Because <i>Notebooks</i> is a blog, its sections constantly are being updated so it ought not to become out of print. One way to start reading it is to look for a section that interests you. For example, if you like something brief but important to you, click </b><b style="color: #33aaff; font-family: arial, tahoma, helvetica, freesans, sans-serif; line-height: 14.4px; text-indent: -15px;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/034-edge-secret-of-stopping-habits.html" style="color: #33aaff; font-family: arial, tahoma, helvetica, freesans, sans-serif; line-height: 14.4px; text-indent: -15px;">9.34 The Edge - Secret of Stopping Habits</a></b><b>; if you want to spend time to become a math<i> genius</i>, click </b><b style="color: #33aaff; font-family: arial, tahoma, helvetica, freesans, sans-serif; line-height: 14.4px; text-indent: -15px;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/26e-numbers-and-basic-math-for-healthy.html" style="color: #33aaff; font-family: arial, tahoma, helvetica, freesans, sans-serif; line-height: 14.4px; text-indent: -15px;">2.6e Numbers for Healthy Longevity</a></b><b>; if you are considering going to medical or nursing school, click </b><b><a href="http://physiciansnotebook.blogspot.jp/2010/09/x-book-for-young-physicians-and-nurses.html">X. A Book for Young Physicians and Nurses and also...</a> ; if you wish to read advice for living long, click </b><a href="http://physiciansnotebook.blogspot.jp/2010/09/1020-murder.html" style="background-color: white; color: #33aaff; font-family: arial, tahoma, helvetica, freesans, sans-serif; line-height: 14.4px; text-indent: -15px;"><b>10.20 How to Avoid Being Murdered - Advice that </b></a><b>. And so on.</b></span><br />
<span style="font-size: large;"><b> And you don't need read all at once. You are <i>Sir Boss;</i> it is your pleasure; you pay nothing and no one will test you.</b></span><br />
<span style="font-size: large;"><b> Because it is a blog, the information improves daily. With a book, you read once or twice and that's <i>It</i> for <i>You. </i>But with <i>Notebooks </i>you come back to the reading at your pleasure; not only to firm up what you already learned but to get the new things that were added. With important information, re-reading improves your understanding and your memory of what you read.</b></span><br />
<span style="font-size: large;"><b> To make the most of <i>Notebooks</i>, you should do one leisurely read from beginning to end, serially - Say a chapter each morning? - over your snack, I tea or coffee. And also refer to relevant chapters before a decision or even hold a chapter seminar with friends or family. </b></span><br />
<span style="font-size: large;"><b> And keep in mind,<i>You are the lucky one! Notebooks </i>is for you. By good luck or good friend you have been put in touch with a key to a happy, successful, long-lived future. Don't lose the opportunity!</b></span><br />
<span style="font-size: large;"><b> <i> </i>Read <i>Notebooks </i>a little each day and you will get success in your way. Nothing to lose; try it and enthuse.</b></span><br />
<span style="font-size: large;"><b> Also try the <i>Slim Novels </i>by clicking on <u style="font-style: italic;">http://adventuresofkimi.blogspot.com</u> .</b></span><br />
<span style="font-size: large;"><b>Continue on by clicking <span style="font-size: medium;"><a href="http://physiciansnotebook.blogspot.jp/2010/10/11-reading-wellappreciate-artdyslexia.html">1.1 Read Well/Admire Art</a></span></b></span><br />
<b> </b>Unknownnoreply@blogger.com4tag:blogger.com,1999:blog-4839604317339966579.post-64821905441884609152010-10-11T14:45:00.042+09:002021-09-30T09:53:57.590+09:001.1 Read Well/Admire Art<div class="MsoNormal" style="margin: 0mm 0mm 0pt;">
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<b><span face=""ms 明朝""><span style="font-size: x-small;"><i>Physician's Notebooks<span style="color: #0066cc;"> </span>1 </i>- See <i>Homepage - <a href="http://physiciansnotebook.blogspot.com/">http://physiciansnotebook.blogspot.com</a></i></span></span></b><br />
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<li style="background-image: none; border-width: 0px; list-style: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em;"><span style="font-size: 12px;">Start by clicking </span><a href="http://physiciansnotebook.blogspot.jp/2010/10/how-to-be-genius-with-physicians.html" style="color: #33aaff;"><b>How To Be a Genius with Physician's Notebooks</b></a></li>
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<b><span face=""ms 明朝"" style="font-size: x-large;">①</span></b><span style="font-family: "century";"><b><span lang="EN-US"><span style="font-size: x-large;">Read and Appreciate the Arts</span> <span style="font-size: x-large;">(Updated 30 Septr 2021) </span></span></b></span><br />
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<span style="font-family: "century";"><b><span style="font-size: x-large;"> <i><u>Why Read?</u></i></span></b></span></div>
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<span style="font-family: "century"; font-size: x-large;"><b><i><u>Technique - The Read-Unit</u></i></b></span></div>
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<b style="font-family: century; text-align: start;"><span lang="EN-US"><span style="font-size: x-large;"><i><u>Place of Reading</u>,<u>Copyin</u>g</i></span></span></b><br />
<span style="font-family: "century";"><b><span lang="EN-US"><span style="font-size: x-large;"><i><u>Online Readin</u>g </i></span></span></b></span></div>
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<span style="font-family: "century"; font-size: x-large;"><b><i><u>Pacing, Food and Stimulant</u></i></b></span><br />
<span style="font-family: "century"; font-size: x-large;"><b><i><u>The Read Session - You, an Idiot Savant! </u></i></b></span></div>
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<span style="font-family: "century"; font-size: x-large;"><b><i><u>Re-read</u></i></b></span><br />
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<span style="font-family: "century"; font-size: small;"><b><span lang="EN-US" style="font-size: large;"><u>Special Note for Students Reading Difficult Tomes with Illustrated Figures</u></span></b></span></h4>
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<span style="font-family: "century"; font-size: small;"><b style="font-family: "Times New Roman"; text-align: start; text-indent: 14px;"><span style="font-family: "century"; font-size: x-large;"><u><i>novels and fiction</i></u></span></b></span></div>
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<span style="font-family: "century"; font-size: x-large;"><b><i><u>Accessories</u></i></b></span></div>
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<span style="font-family: "century"; font-size: x-large;"><b><i><u>Interactive Reading</u></i></b></span></div>
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<span style="font-family: "century";"><b><u style="font-style: italic;"></u></b></span><span style="font-size: x-large;"> <span style="font-family: "century";"><b><u style="font-style: italic;">Books</u> </b></span></span><br />
<span style="font-size: large;"><span style="font-family: "century"; font-size: large;"><b><u style="font-style: italic;">General Knowledge</u></b></span></span><br />
<span style="font-size: large;"><span style="font-family: "century"; font-size: large;"><b> <u style="font-style: italic;">Skills</u> </b></span></span><br />
<span style="font-size: large;"><span style="font-family: "century"; font-size: large;"><b><u style="font-style: italic;">Fiction</u></b></span></span><br />
<span style="font-size: large;"><span style="font-family: "century"; font-size: large;"><b> </b></span></span><b style="font-family: Century;"><span lang="EN-US"><span style="font-size: large;"><u><i>Biography & Memoirs</i></u></span></span></b><br />
<span style="font-size: large;"><span style="font-family: "century"; font-size: large;"><b> <u style="font-style: italic;">Books of Wisdom</u></b></span></span><br />
<span style="font-size: large;"><span style="font-family: "century"; font-size: large;"><b><u style="font-style: italic;">Science & Math</u> </b></span></span><br />
<b style="text-align: start;"><span lang="EN-US"><span style="font-family: "century";"><span style="font-size: large;"><u><i><span style="font-size: large;">Medical Self-help: Healthy longevity</span></i></u></span></span></span></b><br />
<span style="font-size: large;"><span style="font-family: "century"; font-size: x-large;"><b><u style="font-style: italic;">Vocation & Hobby</u> </b></span></span><br />
<span style="font-size: x-large;"><span style="font-family: "century";"><b><i><u>Magazine & News</u></i></b></span></span></div>
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<span style="font-family: "century"; font-size: x-large;"><b><i><u>Computer Technology</u></i></b></span></div>
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<span style="font-family: "century"; font-size: x-large;"><b><i><u>Appreciating the Arts</u></i></b></span></div>
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<b style="text-indent: 18.33px;"><span lang="EN-US"><span style="font-family: "century"; font-size: x-large;"><u><i>Song & Music</i></u></span></span></b><br />
<b style="text-indent: 18.33px;"><span lang="EN-US"><span style="font-family: "century"; font-size: x-large;"><u><i>Pictorial Art</i></u></span></span></b><br />
<b><span lang="EN-US"><span style="font-family: "century"; font-size: x-large;"><u style="font-style: italic;">Amateurism</u></span></span></b></div>
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<span style="font-family: "century"; font-size: x-large;"><b><i><u>Garbage Reading & Wasteful Pastimes</u></i></b></span><br />
<b><span style="font-family: "century"; font-size: x-large;"><i><u>Paper Books - To Find, To Buy</u></i></span></b></div>
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<i><u><b><span style="font-size: large;">Really Good Reads from a Life-Time Experience</span></b></u></i><br />
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<b><span lang="EN-US"><span style="font-family: "century";"><span style="font-size: x-large;"><u style="font-style: italic;">Why Read?</u> Reading leads to success in life. A life reading will help you live long and give you happiness. </span></span></span></b></div>
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<b><span lang="EN-US"><span style="font-family: "century"; font-size: x-large;">In reading, seek new knowledge which will eventually lead to wisdom but make it fun and not a chore. So it should not be forced and the best way to succeed at that is to do much of your reading at times where you get reinforced with healthful pleasure, like with delicious but not unhealthy eating and drinking. </span></span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US"><span style="font-size: x-large;"><span lang="EN-US" style="font-family: "century";"> One's</span> early years depend on parent or teacher, on the culture one grows up in, and on the physical and emotional environment; if one has been lucky and is a big reader. But, even then, use this chapter to up reading pleasure and input.</span></span></b></span></div>
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<span style="font-family: "century";"><span style="font-size: x-large;"><u><i><b><span lang="EN-US">Technique - The Read-Unit </span></b></i></u></span></span><br />
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<span style="font-family: "century";"><span style="font-size: x-large;"><i style="text-decoration-line: underline;"><b><span lang="EN-US">(Pronounced "reed" </span></b></i><b style="text-decoration-line: underline;"><span lang="EN-US">like the verb with its meaning)</span></b><i><b><span lang="EN-US">:</span></b></i><b><span lang="EN-US"><span style="color: cyan;"> </span>To make reading less a chore and to help your recall, limit each read to a <i>read-unit - </i>a chapter, a section, a paragraph. If you plan wide reading, you will rarely spend more than 30 minutes a read. Most often my read is <15 minutes, and I stop and go on to other reads. And in such reading, I do not just read for x minutes and stop. I read a topic or subtopic or segment. In a text, I may simply limit my read to understanding an illustrated figure with its explanation legend. In my reading session, I try not to mix subjects, ideas or explanations; stick to one thing and on completion think over what I just have read. Then, if it is not clear and the subject is important, I may at separate-</span></b></span></span><span style="font-family: "century";"><span style="font-size: x-large;"><b><span lang="EN-US"><span style="font-family: "century";"><span style="font-size: x-large;"><b><span lang="EN-US">spaced </span></b></span></span> readings, re-read it until I get it. This may result in a read-unit as short as 5 minutes and also sometimes in many repeat readings. The end point of one's read can be a chapter-ending, a line of asterisks, or a double space as a convenient stop point.</span></b></span></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US"><span style="font-size: x-large;"><i><u>Place of Reading</u>, <u>Copyin</u>g: </i>A bulky book may be converted into sheets of enlarged, bold text that can be read without eyeglasses standing, sitting or reclining, or traveling. I collect the copied chapters and eventually have a complete book. </span></span></b></span><br />
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<span style="font-family: "century";"><b><span lang="EN-US"><span style="font-size: x-large;"><i><u>Online Readin</u>g:</i> Now, there is online one may subscribe to or access. For example, I recently got a gift of the <i><u>Access Medicine</u> </i>set of neuroscience, and the illustrations and diagrams are brilliant. It is a superior way to learn and read. The online reading access has done away much with the need to buy books because, by just clicking on the URL, you may get the books or shorter reads you want on your laptop, smartphones or desktop. Most of the classic books are now free through the <i>Gutenberg Project</i> on the internet.</span></span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US"><span style="font-size: x-large;"><u><i>Pacing, Food and Stimulant</i></u> Food or drink reinforces learning and memory when reading. Coffee is useful for energy and motivation but limit it for specific motive, e.g., to make an incentive to start a difficult read.</span></span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US"><span style="font-size: x-large;"> Since full stomach induces drowsiness, do not eat too much until after a read-for-study session. And reading just before going to sleep (even a brief nap) has been experimentally shown to enhance memory and understanding of what you just read. Small bites of fruit or nuts, or cookie with tea will be stimulus and relieve hunger that can disturb reading. This is for a beginning program; once into it, you develop your own way. You may, as I do, enjoy to read while you snack and/or drink, pacing yourself to take one bite and read one page. With main meal where hands are busy with the food, I switch to a non-page-turning internet read, primarily for enjoyment rather than memory-associated learning<i>.</i><i> </i></span></span></b></span><br />
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<span style="font-family: "century";"><b><span lang="EN-US"><span style="font-size: x-large;"><i><u>The Read Session - You, An Idiot Savant</u>!</i> The above-mentioned type of read with snack can become a routine during a day as <i>read sessions.</i> I do 4 or 5 over a 24-hour. And much of that can be concentrated on your becoming what I call <i>idiot savant </i>(an expert in a localized field).<i> </i>So I have become brilliant in <i>Neuroscience </i>while enjoying my daily food and drink. You may choose your subject and during a long life it may be more than one.<i> </i></span></span></b></span></div>
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<span style="font-size: x-large;"><span style="font-family: "century";"><b><span lang="EN-US"><u><i>Re-read</i></u> when it is important for your learning. One may not get the wisdom of a book or a written explanation in single or repeat readings. You can read a good book or a section of it again and again with mounting pleasure, uncovering new understanding and more wisdom. The more one does repeat reading the more protected its memory is from loss. With each re-reading one may notice previously overlooked, important facts. </span></b></span><b style="font-family: Century; text-indent: 10.55pt;"><span lang="EN-US">For learning a difficult concept, it is best to </span></b><span style="font-family: "century"; text-indent: 10.55pt;"><b><span lang="EN-US">read in small segments and re-read for good understanding. <i>Einstein’s Relativity</i> as a single read will be hard for even a good reader. But done in short segments slowly and repeatedly it gets easier to understand.</span></b></span></span><br />
<span style="font-size: x-large;"><span style="font-family: "century"; text-indent: 10.55pt;"><b><span lang="EN-US"> Also re-read to be sure you do not mistake what the writer is actually saying. Too much have I seen a quick reader make a fool of self by responding too quickly because of not reading a writer's words carefully enough. </span></b></span></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: x-large;">With technical book I find that comparing successive edition for change and error and to critique writing style is fun and rewarding.</span></b></span><br />
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<span style="font-family: "century"; font-size: small;"><b><span lang="EN-US" style="font-size: large;"><u>Special Note for Students Reading Difficult Tomes with Illustrated Figures: </u></span></b></span></h4>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: x-large;"><span style="font-size: small;">My technique has evolved to where I do a triple read where difficult Figures are involved in the reading; that is, first I read the difficult section through without carefully inspecting the Figure; then I inspect the Figure carefully to ensure I completely understand its import; and, finally, I re-read the section integrating the Figure into the reading. </span></span></b></span></h4>
<b><span style="font-family: "century"; font-size: x-large;">With <u><i>novels and fiction</i></u>, the joy in re-reading is a sign of best quality writing or content. Fiction that merely depends on the suspense of "What will happen?" can only be read once; but fiction that has depth and beauty - like Edith Wharton's short novel <i>Summer - </i>can be read again and again with pleasure.</span></b></div>
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<b><span lang="EN-US"><span style="font-family: "century";"><span style="font-size: x-large;"><i><u>Accessories</u>:</i><span style="color: purple;"> </span>Magnifying glass is for small print and inspection, especially with poor vision. (Now that I use a magnifier, I am discovering many typo errors I passed over previously; I advise it for all proof readers & editors) For night reading with poor overhead lighting, a lamp on a clamp attached to edge of desk helps much, especially with aging; and a 15- or 20-watt bulb is best to read close-up; without glare or overheating.</span></span></span></b></div>
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<span style="font-family: "century";"><span style="font-size: x-large;"><u><i><b><span lang="EN-US">Interactive </span></b><city><place><b><span lang="EN-US">Reading</span></b></place></city></i></u><b><span lang="EN-US"><i>:</i><span style="color: cyan;"> </span>A book you think essential, should be read with no skipping. I skim table of contents, reference, and index; otherwise I read every written word and inspect Figures and tables of explanation. Any question of meaning, spelling, usage and style, or fact should be immediately checked on Internet. (Medical students quickly learn an abstruse syndrome by immediately referencing on the Internet in <i>Wikipedia</i> as they come across one.) I critique author style and content and in a paper book I may pencil-in comment in margin (Of course not in another person's book.) Finding typo error is fun. And if you are reading a successive edition that will be republished, it is useful for the book's editor to receive your list of the errors with comment – you may even end up getting paid or appointed associate editor.</span></b></span></span><br />
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<b style="text-indent: 10.5pt;"><span lang="EN-US"><span style="font-family: "century"; font-size: x-large;"> An average reader lacks full meaning of many words. For example, reading “The cowboy rode into town on a sorrel,” most readers know “sorrel” is a horse but few know it is a light brown of a certain look. Checking things may slow the reading but it makes it more interesting, and is more educative.</span></span></b><b style="text-indent: 10.5pt;"><span lang="EN-US"><span style="font-family: "century"; font-size: x-large;"><br /></span></span></b></div>
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<i><u><span style="font-size: x-large;">Books</span></u></i></div>
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<span style="font-family: "century";"><b><span lang="EN-US"><span style="font-size: large;"><u><i><span style="font-size: large;">General Knowledge</span></i></u><span style="font-size: x-large;">: H.G. Wells </span><i style="font-size: xx-large;">The Outline of History</i><span style="font-size: x-large;"> I have read with pleasure several times. (Now out of print, it is available on Internet.) As result, I am more able to interpret the world around me and predict my future correctly and to my benefit.</span></span></span></b></span><br />
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<b style="font-family: Century;"><span lang="EN-US"><span style="font-size: large;"><u><i><span style="font-size: large;">Skills</span></i></u><span style="font-size: x-large;">: Gaining personal excellence should be a goal of reading. The </span><i style="font-size: xx-large;">Lorayne and Lucas’ Memory Book</i><span style="font-size: x-large;"> made me a memory </span><i style="font-size: xx-large;">idiot savant</i><span style="font-size: x-large;">, </span><i style="font-size: xx-large;">Calculator’s Cunning</i><span style="font-size: x-large;"> published by </span><i style="font-size: xx-large;">Basic Books</i><span style="font-size: x-large;"> (Now out of print but available on</span><i style="font-size: xx-large;"> Amazon.com.</i><span style="font-size: x-large;">)</span><i style="font-size: xx-large;"> </i><span style="font-size: x-large;">made me a wiz at numbers and, because of that, it helps me to make more money.</span></span></span></b><br />
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<span style="font-size: large;"><b style="font-family: Century;"><span lang="EN-US"><u><i><span style="font-size: large;">Fiction</span></i></u><span style="font-size: x-large;">:</span><span style="color: red; font-size: x-large;"> </span><span style="font-size: x-large;">Here one should focus on a major aim: reading as substitute for life (<i>Cf</i>. Fannie Hurst’s <i>Imitation of Life). </i>We have limited time and not enough of it to make us wise enough to avoid repeating old mistakes. And an actual experience may be dangerous. In fiction we can live many lives at once and experience mistake without risk. Fiction should </span><u style="font-size: xx-large;">not</u><span style="font-size: x-large;"> just be read to pass time. It should be looked at with the question: Is it teaching me new, useful experience to make life better? Reading fiction should be a pleasure but your real reason to read should be to improve your life. In American fiction, Edith Wharton’s </span><i style="font-size: xx-large;">The Age of Innocence</i><span style="font-size: x-large;"> (and all her work) is better than Herman Melville’s murky </span><i style="font-size: xx-large;">Moby</i><span style="font-size: x-large;">. And J.D. Salinger’s </span><i style="font-size: xx-large;">Franny and Zooey, </i><span style="font-size: x-large;">and the fiction of John O’Hara, should be read before age 50. A special case is Balzac’s </span><i style="font-size: xx-large;">Comédie Humaine </i><span style="font-size: x-large;">covering lives, vocations, and professions. Set in post-Napoleon-I </span></span></b><country -region="-region" style="font-family: century; font-size: xx-large;"><place><b><span lang="EN-US">France</span></b></place></country><b style="font-family: century; font-size: xx-large;"><span lang="EN-US"> but relevant still, it gives good models for attaining an all-around wisdom for happy life. If you are lucky to be young and run across this advice, go at it and you will get pleasured by the gold you mine! And James Michener is a writer who can supply a huge depth of learning one can use to find success in life.<i> </i>And a book that will help you understand the inevitable collapse of our society is Anatole France's <i>Penguin Island</i>. (English translation unless you read French in the </span></b></span><i style="background-color: white; color: #252525; font-family: sans-serif; line-height: 12.8px;"><span style="font-size: large;">L'Île des Pingouins.)</span></i><b style="font-family: Century;"><span lang="EN-US"><span style="font-size: x-large;"> Then to make you wise in legal questions while being fascinatingly pleasured, read Louis Auchincloss, a page-turning writer/attorney. And do not forget the two Russians, Tolstoy and Turgenev, who are realistically relevant for modern life. Oh yes, I can't leave this without also admiring Thackeray's </span><i style="font-size: xx-large;">Vanity Fair </i><span style="font-size: large;"><span style="font-size: x-large;">as an all-around good preparation for life for a youth even in 2021. And</span><i style="font-size: xx-large;"> </i><span style="font-size: x-large;">the do not overlook my </span><i style="font-size: xx-large;">Slim Novels </i><span style="font-size: x-large;">which</span><i style="font-size: xx-large;"> </i><span style="font-size: x-large;">are accessible through</span></span></span></b><br />
<b style="font-family: Century;"><span lang="EN-US"><span style="font-size: large;"><span style="font-size: x-large;"> <i>http://adventuresofkimi.blogspot.com</i></span></span></span></b><br />
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<b style="font-family: Century;"><span lang="EN-US"><span style="font-size: large;"><u><i><span style="font-size: large;">Biography & Memoirs:</span></i></u><span style="color: #33cccc; font-size: x-large;"> </span><span style="font-size: x-large;">The lives of famous persons are useful to help you make decisions in your own life to avoid trouble.Recently I super enjoyed Lillian Hellman`s <i>Pentimento</i> got for 48 cents at a New York used bookstore. (Unfortunately that service --- the 48-cent, street-stall book --- has been discontinued at the Strand as of 2020.)</span></span></span></b><br />
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<b><span lang="EN-US"><span style="font-family: "century";"><span style="font-size: large;"><u><i><span style="font-size: large;">Books of Wisdom</span></i></u><span style="font-size: x-large;">:</span><i style="font-size: xx-large;"> </i><span style="font-size: x-large;">Here Socrate's Dialogs come to mind. And include </span><i style="font-size: xx-large;">The Autobiography of Benjamin Franklin,</i><span style="font-size: x-large;"> the works of Thoreau, starting with </span><i style="font-size: xx-large;">Walden. </i><span style="font-size: x-large;">B.F. Skinner's </span><i style="font-size: xx-large;">Walden 2. </i><span style="font-size: x-large;">W.S. Maugham's</span><i style="font-size: xx-large;"> The Summing Up</i><span style="font-size: x-large;">, Bernard Berenson's </span><i style="font-size: xx-large;">Rumor and Reflection</i><span style="font-size: x-large;">, and Theodore Dreiser's Memoir</span><i style="font-size: xx-large;">.</i><span style="font-size: x-large;"> And add the futuristic works of R(ichard) Buckminster Fuller: </span><i style="font-size: xx-large;">Operating Manual for Spaceship Earth</i><span style="font-size: x-large;"> (available free on internet) and </span><i style="font-size: xx-large;">Utopia or Oblivion.</i></span></span></span></b><br />
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<b><span lang="EN-US"><span style="font-family: "century";"><span style="font-size: large;"><u><i><span style="font-size: large;">Science & Math</span></i></u><span style="font-size: x-large;">: For students or readers who do not have skills in arithmetic, a good text of algebra and geometry should be reviewed. Similarly, high-school physics, chemistry, and biology texts should be reviewed, followed by organic chemistry.</span></span></span></span></b><br />
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<b><span lang="EN-US"><span style="font-family: "century";"><span style="font-size: large;"><u><i><span style="font-size: large;">Medical Self-help: Healthy longevity</span></i></u><span style="font-size: x-large;"> – living past 80 with intact mind. For that, check out</span></span></span></span></b><br />
<b><span lang="EN-US"><span style="font-family: "century";"><span style="font-size: large;"><span style="font-size: x-large;"> </span><u style="font-size: xx-large; font-style: italic;">http://physiciansnotebook.blogspot.com</u><span style="font-size: x-large;">.</span></span></span></span></b><br />
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<b style="font-family: Century;"><span lang="EN-US"><span style="font-size: x-large;"><u><i>Vocation & Hobby reading</i></u>:<span style="color: red;"> </span>Many persons have hobby or vocation. I liked science fiction as boy. Nurtured on the sci-fi of the 1940s and 50s, I recently wanted to return to my youth so I bought several hundreds old pulps. I had fun reading. And for some of those superb stories, click <i>http://adventuresofkimi.blogspot.com</i> .</span></span></b><br />
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<b style="font-family: Century;"><span lang="EN-US"><span style="font-size: x-large;"><i><u>Magazines & News</u>:</i><i> </i></span></span></b><br />
<b style="font-family: Century;"><span lang="EN-US"><span style="font-size: x-large;"><i>National Geographic </i>gives facts to keep one up to date and to help one predict future. <i>Scientific American</i> is good to keep up with progress. Both are mostly free now online. Newspapers I no longer buy because Internet news serves me better free. And <i>newyorker.com</i> keeps you up to date on cultural happenings around the world.</span></span></b></div>
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<span style="font-family: "century";"><span style="font-size: x-large;"><b><span lang="EN-US"><i><u>Computer Technology</u>:</i> </span></b><city><place><b><span lang="EN-US">Reading</span></b></place></city><b><span lang="EN-US"> from screen is good for the aged who have problem reading standard-size print. The capability of the computer to adjust alphabet-letter size and the good contrast afforded by the bright white video-screen background helps readers with poor, aging vision. And now there are computer programs for the blind to read voice-over of written text. Thus the computer should liberate the old and all-age blind person to read more. It can prolong reading for years after paper-page reading is impossible. Also note the revolution in reference material because of Internet search. Instead of looking up fact, spelling and definition by book, you can access it via <i>Wikipedia </i>and other internet on computer. And the Internet has replaced Roget’s Thesaurus. Finally to mention are the online reads. </span></b></span></span></div>
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<b><span lang="EN-US"><span style="font-family: "century"; font-size: x-large;">End Notes</span></span></b></div>
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<span style="font-family: "century";"><span style="font-size: x-large;"><b><span lang="EN-US"><u><i>Appreciating the Arts</i></u> </span></b><b><span lang="EN-US">is part of the good life. I do not admire the cult of personality and hero worship that have grown around popular performers starting with Frank Sinatra in the early 1940's and continuing through so called <i>divas </i>like </span></b></span></span><span style="font-family: "century";"><span style="font-size: x-large;"><b><span lang="EN-US"><i>Beyoncé, </i><i>Lady Gaga, Katy Perry, Miley Cyrus, et al</i>. And I condemn the terrible descent of popular music starting with 1950s<i> Rock & Roll.</i> In 2021, when entertainment celebrity is, in my opinion, not very talented, a reader or viewer or listener should refuse to subsidize such rot. Do not pay for bad movies, raw singing, or poor art. Respect yourself! You deserve a better life than these untalented so called <i>divas</i> are getting on your money! Of course, we adults must all recognize that our children and grandchildren are being conditioned to idolize this low class entertainment and as much as possible, in a reasonably cultured way, we should try to replace it in a child's life with higher class enjoyments.</span></b></span></span></div>
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<span lang="EN-US"><span style="font-size: x-large;"><span style="font-family: "century";"><b><u><i>Song & Music</i></u>, and drama either on stage or movie should stimulate good thought and should be used to rest the brain between intellectual chores. I do it for 30 minutes to an hour and play classical music or good popular</b></span><span style="font-family: "century";"><b>. </b></span></span></span></div><div style="margin: 0px;"><span lang="EN-US"><span style="font-size: x-large;"><span style="font-family: "century";"><b>The Internet now has good <i>YouTube, streaming</i> art forms and movies free.</b> <b>But avoid Cable TV and Home Box Office or <i>Netflix</i> or any commercial entertainment you are forced to pay for.</b></span></span></span><br />
<span lang="EN-US"><span style="font-size: x-large;"><span style="font-family: "century";"><b>I particularly enjoy the CDs of Gordon Jenkins—-<i>Manhattan Tower</i>—- and jazz artist Judy Barnett—-<i>Too Darn Hot</i> and Blossom Dearie’s <i>Planet</i>. These have become my brilliant boring time passers in old age.</b></span></span></span></div><div style="margin: 0px;"><br /></div></div>
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<span style="font-family: "century";"><span style="font-size: x-large;"><b><span lang="EN-US"><u><i>Pictorial Art</i></u> </span></b><span face="-webkit-standard" lang="EN-US" style="text-indent: 13.75pt;"><span style="font-size: x-large;"><span style="font-family: "century";"><b>joy </b></span></span></span><b style="text-indent: 13.75pt;">Buy the disc Amazon.</b><b style="text-indent: 13.75pt;">com. Susannah McCorckle (the below photo)</b><div style="font-family: -webkit-standard; margin: 0px; text-indent: 0px;"><br /></div><div style="font-family: -webkit-standard; margin: 0px; text-indent: 0px;"><span style="font-size: x-large;"></span><div class="a-section a-spacing-small t-prnt t-full" id="title_feature_div" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; caret-color: rgb(15, 17, 17); color: #0f1111; font-family: "Amazon Ember", Arial, sans-serif; font-size: 15px; margin-bottom: 1.3rem;"><div class="a-section a-spacing-small" data-feature-name="title" data-template-name="title" style="box-sizing: border-box; margin-bottom: 0px;"><div class="a-row" style="box-sizing: border-box; width: 386px;"><div class="a-column a-span12" style="box-sizing: border-box; float: left; margin-right: 0px; min-height: 0.1rem; overflow: visible; width: 386px;"><h1 class="a-size-medium" id="title" style="box-sizing: border-box; font-size: 1.8rem; line-height: 1.25; margin: 0px; padding: 0px; text-rendering: optimizeLegibility;">Most Requested Songs<span class="a-size-medium a-color-secondary a-text-normal" color="rgb(86, 89, 89) !important" style="box-sizing: border-box; font-size: 1.8rem; font-weight: 400; line-height: 1.25; text-rendering: optimizeLegibility;"></span></h1></div></div></div></div><div class="a-row ratingsRow" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; caret-color: rgb(15, 17, 17); color: #0f1111; font-family: "Amazon Ember", Arial, sans-serif; font-size: 15px; width: 386px;"><div class="a-column a-span12 a-text-left feature t-prnt t-full" data-cel-widget="averageCustomerReviews_feature_div" data-feature-name="averageCustomerReviews" data-template-name="averageCustomerReviews" id="averageCustomerReviews_feature_div" style="box-sizing: border-box; float: left; margin-right: 0px; min-height: 0.1rem; overflow: visible; width: 386px;"><a class="a-link-normal" href="https://www.amazon.com/Most-Requested-Songs-Susannah-McCorkle/dp/B00005MKGK#aw-udpv3-customer-reviews_feature_div" id="acrCustomerReviewLink" style="-webkit-tap-highlight-color: transparent; box-sizing: border-box; color: #007185; text-decoration: none;"><span class="a-icon a-icon-star-medium a-star-medium-5" style="-webkit-background-size: 51.2rem 25.6rem; background-image: url("https://m.media-amazon.com/images/G/01/AUIClients/AmazonUIIcon-experiment_2020_2x-dba5d92486256d99004ba5688883dfbbc340f662._V2_.png"); background-position: -9.9rem -10.7rem; background-repeat: no-repeat no-repeat; background-size: 51.2rem 25.6rem; box-sizing: border-box; display: inline-block; font-style: italic; height: 2.1rem; margin-right: 0.1rem; position: relative; top: -0.2rem; vertical-align: text-top; width: 9.5rem;"><span class="a-icon-alt" style="box-sizing: border-box; display: block; font-size: 0.1rem; height: 0.1rem; left: -999.9rem; line-height: 0.1rem; overflow: hidden; position: absolute; top: auto; width: 0.1rem;">4.9 out of 5 stars</span></span> <span class="a-size-base" style="box-sizing: border-box; font-size: 1.5rem; line-height: 1.35;">(38)</span><span id="textReviews" style="box-sizing: border-box; height: 1px; left: -10000px; overflow: hidden; position: absolute; top: auto; width: 2px;">Review</span></a></div></div><div class="a-section a-spacing-none celwidget t-part t-full" data-cel-widget="imageBlock_feature_div" data-csa-c-id="osn1ql-pjsc25-wj43ck-kpqjzm" data-feature-name="imageBlock" data-template-name="imageBlock" data-ux-touchstart="" id="imageBlock_feature_div" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; caret-color: rgb(15, 17, 17); color: #0f1111; font-family: "Amazon Ember", Arial, sans-serif; font-size: 15px; margin-bottom: 1.3rem; position: relative;"><div class="a-row a-spacing-medium" id="image-block-row" style="box-sizing: border-box; margin-bottom: 1.6rem; position: relative; width: 386px;"><div class="a-column a-span12 a-text-center" style="box-sizing: border-box; float: left; margin-right: 0px; min-height: 0.1rem; overflow: visible; text-align: center; width: 386px;"><div aria-hidden="true" class="a-begin a-carousel-container a-carousel-display-single a-carousel-transition-slide a-carousel-initialized" data-a-ajax-strategy="none" data-a-carousel-options="{"carouselClass":"mobile","minimum_gutter_width":0,"show_partial_next":false,"name":"image-block-carousel","circular":true}" data-a-class="mobile" data-a-display-strategy="single" id="image-block" style="-webkit-touch-callout: none; -webkit-user-select: none; box-sizing: border-box; margin: 0px -1.4rem; overflow: hidden; position: relative;"><div class="a-carousel-viewport a-gesture a-gesture-horizontal" id="anonCarousel1" style="box-sizing: border-box; height: 200px; overflow: hidden; transform: translate3d(0px, 0px, 0px); width: 414px;"><ol class="a-carousel" role="list" style="box-sizing: border-box; color: #111111; height: 200px; letter-spacing: -4px; list-style-type: none; margin: 0px; overflow-x: visible; padding: 0px; position: relative; transform: translateX(0px) translateZ(0px); white-space: nowrap; width: 828px;"><li aria-hidden="false" aria-posinset="1" aria-setsize="2" class="a-carousel-card" role="listitem" style="box-sizing: border-box; display: inline-block; height: 200px; letter-spacing: normal; list-style: none; margin: 0px; min-height: 100%; overflow: hidden; position: relative; text-align: center; vertical-align: top; visibility: visible; white-space: normal; width: 414px; word-wrap: break-word;"><span class="a-declarative" data-a-immersive-view="true" data-a-secondary-view="{"backButtonText":"Back","hideHeader":true,"name":"immersive-view","scrollable":true}" data-action="a-secondary-view" style="-webkit-tap-highlight-color: transparent; box-sizing: border-box; cursor: pointer;"><a class="a-link-normal" href="https://www.amazon.com/Most-Requested-Songs-Susannah-McCorkle/dp/B00005MKGK#" style="-webkit-tap-highlight-color: transparent; box-sizing: border-box; color: #007185; text-decoration: none;"><div class="a-image-wrapper hide-image" data-declarativeactionname="immersive-view" data-fling-container="true" data-imageblockcounter="imageBlockShownC" data-immersiveviewcounter="immersiveViewOpenedC" style="-webkit-backface-visibility: hidden; box-sizing: border-box; display: table; height: 200px; padding: 0px 10px; width: 414px;"><div class="image-wrapper" style="box-sizing: border-box; display: table-cell; position: relative; vertical-align: middle;"><div class="image-size-wrapper fp-image-wrapper" data-animate-image="0" data-image-height="151" data-image-sizes="[[407, 400], [468, 400]]" data-image-width="154" data-main-image-orientation="" data-mainimage-hires-pid="71ItTxV3fpL" data-mainimage-large-pid="51r2oIuq3DL" data-max-height="200" data-min-height="0" data-num-of-images="2" id="landing-image-wrapper" style="box-sizing: border-box; height: 200px;"><img alt="Most Requested Songs" class="imageLeft0 altImage" data-a-hires="https://images-na.ssl-images-amazon.com/images/I/51r2oIuq3DL._SY400_.jpg" data-a-image-name="mainImage" data-fling-asin="B00005MKGK" data-fling-refmarker="detail_main_image_block" data-midres-replacement="https://images-na.ssl-images-amazon.com/images/I/51r2oIuq3DL._SY200_.jpg" data-zoom-hires="https://images-na.ssl-images-amazon.com/images/I/71ItTxV3fpL._SL1500_.jpg" height="px" id="main-image" src="https://images-na.ssl-images-amazon.com/images/I/51r2oIuq3DL._SY400_.jpg" style="-webkit-backface-visibility: hidden; border: 0px; box-sizing: border-box; left: 0px; max-height: 100%; max-width: 100%; opacity: 1; vertical-align: top;" width="px" /></div></div></div></a></span></li><li aria-hidden="false" aria-posinset="2" aria-setsize="2" class="a-carousel-card" role="listitem" style="box-sizing: border-box; display: inline-block; height: 200px; letter-spacing: normal; list-style: none; margin: 0px; min-height: 100%; overflow: hidden; position: relative; text-align: center; vertical-align: top; visibility: visible; white-space: normal; width: 414px; word-wrap: break-word;"><span class="a-declarative" data-a-immersive-view="true" data-a-secondary-view="{"backButtonText":"Back","hideHeader":true,"name":"immersive-view","scrollable":true}" data-action="a-secondary-view" style="-webkit-tap-highlight-color: transparent; box-sizing: border-box; cursor: pointer;"><a class="a-link-normal" href="https://www.amazon.com/Most-Requested-Songs-Susannah-McCorkle/dp/B00005MKGK#" style="-webkit-tap-highlight-color: transparent; box-sizing: border-box; color: #007185; text-decoration: none;"><div class="a-image-wrapper" data-declarativeactionname="immersive-view" data-fling-container="true" data-imageblockcounter="imageBlockShownC" data-immersiveviewcounter="immersiveViewOpenedC" style="-webkit-backface-visibility: hidden; box-sizing: border-box; display: table; height: 200px; padding: 0px 10px; width: 414px;"><div class="image-wrapper" style="box-sizing: border-box; display: table-cell; position: relative; vertical-align: middle;"><div class="image-size-wrapper fp-image-wrapper" data-image-height="131" data-image-width="154" style="box-sizing: border-box; height: 200px;"><img alt="" class="a-image-wrapper a-manually-loaded carousel-img-manual-load carousel-alt-img altImage" data-a-hires="https://images-na.ssl-images-amazon.com/images/I/61E36dzZKyL._SY400_.jpg" data-a-image-name="altImage" data-a-image-source="https://images-na.ssl-images-amazon.com/images/I/61E36dzZKyL._SY200_.jpg" data-fling-asin="B00005MKGK" data-fling-refmarker="detail_main_image_block" data-zoom-hires="https://images-na.ssl-images-amazon.com/images/I/81KU9NSWvRL._SL1500_.jpg" id="" src="https://images-na.ssl-images-amazon.com/images/I/61E36dzZKyL._SY400_.jpg" style="-webkit-backface-visibility: hidden; background-position: 0px 0px; border: 0px; box-sizing: border-box; max-height: 100%; max-width: 100%; vertical-align: top;" /></div></div></div></a></span></li></ol></div></div></div></div><div class="a-row small" id="image-block-pagination" style="box-sizing: border-box; width: 386px;"><div class="a-column a-span12 a-spacing-small" style="box-sizing: border-box; float: left; margin-bottom: 0.8rem; margin-right: 0px; min-height: 0.1rem; overflow: visible; width: 386px;"><div class="a-section a-spacing-none a-text-center" style="box-sizing: border-box; margin-bottom: 1.3rem; text-align: center;"></div><div class="a-pagination a-text-center increaseSize" id="image-block-pagination-dots" style="box-sizing: border-box; line-height: 0; text-align: center;"><ul class="a-pagination a-dots" style="border: none; box-sizing: border-box; color: #111111; height: 10px; line-height: 0; margin: 0px; padding: 0px; width: 386px;"><li class="a-selected" style="background-color: #949494; border-bottom-left-radius: 2rem; border-bottom-right-radius: 2rem; border-top-left-radius: 2rem; border-top-right-radius: 2rem; border: 0.1rem solid rgb(148, 148, 148); box-sizing: border-box; display: inline-block; float: none; height: 0.9rem; line-height: 1.6rem; list-style: none; margin: 0px 0.3rem; padding: 0px 0.5rem 0px 0px; position: relative; width: 0.9rem; word-wrap: break-word;"></li></ul></div></div></div></div></div><b><span lang="EN-US"> Arts should be studied </span></b><b><span lang="EN-US">and the great works should be exhibited free and over the Internet as photos and in copies for homes. The market prices of art works are much too high.</span></b></span></span></div>
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<b><span lang="EN-US"><span style="font-family: "century";"><span style="font-size: x-large;"><u style="font-style: italic;">Amateurism</u>: I want to see a Science-Civilization future where the Arts will be dominated by Amateurs (Note that the great fictional detective Sherlock Holmes is described by his creator as being <i>Amateur </i>by which Conan-Doyle means to show that Holmes never accepted money for what he did so expertly.), meaning no commercial value given to art work; rather it should be a product of one’s leisure. (This presupposes a society where subsistence is free and money</span></span></span></b><b><span lang="EN-US"><span style="font-family: "century";"><span style="font-size: x-large;"> is devalued.) No sports heroes, No artists or geniuses, No divas, No moneyed value entertainment.</span></span></span></b></div>
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<span style="font-size: x-large;"><span style="font-family: "century";"><b><span lang="EN-US"><u><i>Garbage Reading & Wasteful Pastimes:</i></u> </span></b><b><span lang="EN-US">Nowadays there is much to learn and your time is precious so avoid garbage, e.g., almost all movies you are forced to pay for; rather, watch the good movie <i>streaming </i>free from Internet at leisure; do not pay for newspaper or magazine (Use internet or library), do not read junk like the romance-novels or young-adult novels, and do not expose your children to get hooked on video games or pop entertainers, the so called divas or on superhero anime (</span></b></span><b style="font-family: Century;"><span lang="EN-US">excepting <i>Casper the Friendly Ghost: a </i>superb anime for a kid)</span></b><b style="font-family: Century;"><span lang="EN-US"> and keep your child away, as much as is reasonable, from musical garbage entertainment like just about everything that has come out popularly since 1950 including <i>Hip-Hop</i>.</span></b></span><br />
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<b><span style="font-family: "century";"><span style="font-size: x-large;"><i><u>Paper Books - To Find, To Buy</u>:</i> Here I write of<i> books</i> as physical entities you can hold in hand as opposed to the online book that requires a computer or other reading machine. The paper book remains uniquely useful for access to reading anywhere, anytime with no need for interface machines, no cost in electricity and money in the reading itself and in having flexibility of use that can not be replaced by the machine. Where to find good books at reasonable price? </span></span></b><br />
<b><span style="font-family: "century";"><span style="font-size: x-large;"> Of course <i>Amazon.com</i> is an invaluable source to buy an out-of-print book you desperately want in its proper printing or edition at reasonable price. </span></span></b><br />
<b><span style="font-family: "century";"><span style="font-size: x-large;"> Because <i>new issue</i> books are overpriced and over hyped considering the quality, I limit my obtaining paper books for reading to public libraries and key bookstores that specialize in reselling used books at very low prices. For example, in New York City, <i>The Strand</i>, a bookstore on the northeast corner of East 12th Street and Broadway in Manhattan (Near the <i>Union Square-14th St IRT subway station)</i>, that features sidewalk stalls of used books from $3 to as low as $1 a book. Whenever I visit NYC, my first stop is <i>The Strand</i> and it is great fun exercising my skill at finding good reads by flipping through the street bookstalls. A good reader will control his impatience to get hold of a <i>new issue </i>book. By waiting a little, one can select books based on the <i>test of time</i> and also according to one's knowledge of authors. Many readers paid exorbitant prices for Stieg Larssen's <i>The Girl with the Dragon Tattoo</i> new issues,<i> </i>but I waited a few months and found used copies at <i>The Strand</i> for 48 cents. (The 48-cent books have since been discontinued.) A <i>Hemingway </i>or <i>Faulkner</i> collection of several hundred pages for 48 cents was a not uncommon thrill I experienced in the street at the <i>Strand. </i>My way to efficiently buy at <i>The Strand </i>street<i> </i>stalls is to quickly riffle through a hundred or so books in a few minutes. I look for authors like William Faulkner who I know will satisfy my literary taste, for classics like Thackerey's <i>Vanity Fair</i> that I can read and re-read with pleasure, and for <i>Pulitzer Prize </i>winners like David Halberstam's <i>The Best and the Brightest. </i>Another good used-bookstore is <i>Copper Cat Books </i>in Las Vegas's residential city, Henderson, at 1570 W. Horizon Ridge (Across from the <i>Valle Verde Post Office)</i></span></span></b><br />
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<b><span style="font-family: "century";"><span style="font-size: x-large;"><i><u>Really Good Reads from a Life-Time Experience</u>: </i>Here I want to list some magazine fiction I have read during my life-time that is so excellent it should be preserved for future reading. In <i><u>http://adventuresofkimi.blogspot.com</u></i> , my own <i>Slim Novels, </i>I have inserted, between the ending chapter of each <i>Slim Novel</i> and before the first chapter of each <i>successive Slim Novel, </i>superb short stories by authors I have run across in my lifetime. For <i>Slim Novel 1</i>, click right here </span></span></b><b><span style="font-family: "century";"><span style="font-size: x-large;"><b><span style="font-size: x-large;"><b><span style="font-size: x-large;"><a class="OAVLIQC-c-g" href="https://www.blogger.com/blogger.g?blogID=2863597421887564770#editor/target=post;postID=8082325802134578802;onPublishedMenu=allposts;onClosedMenu=allposts;postNum=1;src=postname">Return of The Saint</a></span></b></span></b> to read it. For <i>Slim Novel 2,</i></span></span></b><br />
<b><span style="font-family: "century";"><span style="font-size: x-large;"><a href="http://adventuresofkimi.blogspot.jp/2011/04/gold-blindness-by-erle-stanley-gardner.html">Gold Blindness by Erle Stanley Gardner.</a></span></span></b><br />
<b><span style="font-family: "century";"><span style="font-size: x-large;"> And so forth and so on with each successive <i>Slim Novel.</i> </span></span></b><br />
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<b><span style="font-size: x-large;"><span style="font-family: "century";"> End of Chapter. </span><span lang="EN-US">To read next now, click <a href="http://physiciansnotebook.blogspot.jp/2010/10/writing.html"><span style="color: #2288bb;">1.2
Writing</span></a></span></span></b></div>
Unknownnoreply@blogger.com11tag:blogger.com,1999:blog-4839604317339966579.post-18260449281165827142010-09-28T05:47:00.024+09:002021-10-08T09:26:03.139+09:001.2 Writing<div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-layout-grid-align: none; tab-stops: 63.0pt;">
<span style="font-size: large;"><b><span lang="EN-US"><span style="font-family: "century"; font-size: xx-small;"><i>Physician's Notebooks 1</i> - http://physiciansnotebook.blogspot.com - See <i>Homepage</i></span></span></b></span><br />
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<span style="font-size: large;"><b><span face=""ms 明朝"" lang="EN-US" style="font-size: 16pt;">②</span></b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;">Writing (Update: 08 Octr 2021)</span></b></span></span><br />
<span style="font-size: large;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;">The descending column gives subject headings in order and may be useful for <i>search & find</i> and also for giving an idea of the chapter and helping decide whether you want to read it or not at a glance.</span></b></span></span><br />
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<span style="font-size: large;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century"; font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>For most of us, writing does not come easily</u></i></span></b></span></span></b></span></span></div>
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<span style="font-size: medium;"><span style="font-family: "century";"><b><span lang="EN-US"><span style="font-family: "century";"><b><span lang="EN-US"><i><u> </u></i></span></b></span></span></b></span></span><span style="font-size: medium;"><span style="font-family: "century";"><b><span lang="EN-US"><span style="font-family: "century";"><b><span lang="EN-US"><i><u><b><span style="font-family: "century";"><i><u>Magnifying glass improves the efficiency of editing</u></i></span></b></u></i></span></b></span></span></b></span></span><br />
<span style="font-size: medium;"><span style="font-family: "century";"><b><span lang="EN-US"><span style="font-family: "century";"><b><span lang="EN-US"><i><u><b><span style="font-family: "century";"><i><u><span style="font-family: "century"; font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>What to Write</u>? </i></span></b></span></u></i></span></b></u></i></span></b></span></span></b></span></span></div>
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<span style="font-size: large;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century"; font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><i><u><span style="font-size: large;"><b><span style="font-family: "century";"><i><u><span style="font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>use size-14 Century bold font</u></i></span></span></b></span> </u></i></span></b></span></u></i></span></b></span></span></b></span></span></div>
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<span style="font-size: large;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century"; font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><i><u><span style="font-size: large;"><b><span style="font-family: "century";"><i><u><span style="font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>A major motivation to write</u></i></span></span></b></span></u></i></span></b></span></u></i></span></b></span></span></b></span></span></div>
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<span style="font-size: large;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century"; font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><i><u><span style="font-size: large;"><b><span style="font-family: "century";"><i><u><span style="font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u><span style="font-size: large;"><b style="font-size: 19px;"><span style="font-family: "century";"><i><u> concept of Amateurism in writing.</u></i></span></b></span> </u></i></span></span></b></span></u></i></span></b></span></u></i></span></b></span></span></b></span></span></div>
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<span style="font-size: large;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century"; font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><i><u><span style="font-size: large;"><b><span style="font-family: "century";"><i><u><span style="font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u><b><a href="http://www.openculture.com/2013/05/rare_1952_film_william_faulkner_on_his_native_soil_in_oxford_mississippi.html" target="_blank">rare_1952_film_William_Faulkner_on_his_native_soil</a></b> </u></i></span></span></b></span></u></i></span></b></span></u></i></span></b></span></span></b></span></span></div>
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<span style="font-size: large;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century"; font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><i><u><span style="font-size: large;"><b><span style="font-family: "century";"><i><u><span style="font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u><span style="font-size: large;"><b style="font-size: 19px;"><span style="font-family: "century";">Factors in Success to popularize a book:</span></b></span> </u></i></span></span></b></span></u></i></span></b></span></u></i></span></b></span></span></b></span></span></div>
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<span style="font-size: large;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century"; font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><i><u><span style="font-size: large;"><b><span style="font-family: "century";"><i><u><span style="font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u><span class="Apple-style-span" style="font-size: large;"><b><span style="font-family: "century";"><i><u>End Note on writing style</u></i></span></b></span> </u></i></span></span></b></span></u></i></span></b></span></u></i></span></b></span></span></b></span></span></div>
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<span style="font-size: large;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century"; font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><i><u><span style="font-size: large;"><b><span style="font-family: "century";"><i><u><span style="font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u><span class="Apple-style-span" style="font-size: large;"><b><span style="font-family: "century";"><i><u>Writing by Dictation</u></i></span></b></span> </u></i></span></span></b></span> </u></i></span></b></span></u></i></span></b></span></span></b></span></span><br />
<span style="font-size: large;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century"; font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><i><u><span style="font-size: large;"><b><span style="font-family: "century";"><i><u><span style="font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Poetry</u></i></span></span></b></span></u></i></span></b></span></u></i></span></b></span></span></b></span></span></div>
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<span style="font-family: "century"; font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>For most of us, writing does not come easily</u></i> because we do not, on first try, choose the right words. My first draft is confused and poor sounding, and as an unskilled writer I need much rewriting. Computers give us the word processor and added Internet access to quickly get facts, spelling, grammar and meaning that have made rewriting efficient, effective and time saving for <i>hackers </i>like I. </span></b></span><br />
<span style="font-family: "century"; font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"> Once you make a draft, repeatedly review your text to delete what is repetitious or not needed, to correct error of fact, to remove excessively fancy language, and to further make your text easier for the less educated or non native reader. I benefit much from being aware I have readers for whom English is not native. It makes me try to write less words, clearer and simpler. (Like Ernest Hemingway) One wants to keep an individual style and use elegant or poetic words or phrases when needed, but do not try it merely to impress.</span></b></span><br />
<span style="font-size: large;"><b><span style="font-family: "century";"> <i><u>Magnifying glass improves the efficiency of editing.</u></i> It is like subjecting your writing to microscope - you pick up error normally missed. </span></b></span></div>
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<span style="font-family: "century"; font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"> <i><u>What to Write</u>? </i>One needs something useful to write. That gets to content, aim and imagination. In my case, I wish to leave to the future my idea of living efficiently and happily so I wrote (and am still writing) the <i style="mso-bidi-font-style: normal;">Slim Novels </i>accessed through <i><u>http://adventuresofkimi.blogspot.com</u></i>. For my advice on good health and long life, I write <i>Physician’s Notebooks, </i><i><u>http://physiciansnotebook.blogspot.com</u></i>.</span></b></span></div>
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<span style="font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Do your typing using computer graphics, and internet pictures and cover design. I <i><u>use size-14 Century bold font</u></i> (You are reading in it now; but perhaps you have enlarged the size), which takes spacing into consideration as well as size of letters. The size-14 is the largest you can use without too widely spaced lines, and is easily read by persons with aging vision. K</span></span></b><b style="text-indent: 10.5pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">eep your books slim. The</span></span></b></span><b style="font-size: x-large; text-indent: 10.5pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> thicker book is apt to elicit an "Oh! Too much reading !",</span></span></b><b style="font-size: x-large; text-indent: 10.5pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> the slim book psychologically, on viewing, keeps a potential reader's interest better than a thick book. If you need to write a huge tome, break it up into many slim books.</span></span></b></div>
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<span style="font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>A major motivation to write</u></i> is to make money and get admirers. For a few it happens but many unpublished writers waste time and money on vanity and vague hopes. The literary agent today charges too much for merely receiving a manuscript. And most of the time she or he will not even try to find a publisher because the market for unpublished writers is glutted with too much material. It is OK to use fame and money to energize your starting a book; but, once you have started, continually up-edit to perfect your writing and develop a readership via an internet blog like this one,<i> www.blogger.com</i>. If your book has commercial value, you will get readers.</span></span></b></span></div>
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<span style="font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> It is important at some point in writing a book for its writer to decide on its worth to society, its value as entertainment, and its potential for commercial success. If any one of these seems valid, keep improving your book and keep pitching. </span></span></b></span><br />
<span style="font-size: large;"><b style="font-size: 19px;"><span style="font-family: "century";">Here I want to comment on my<i><u> concept of Amateurism in writing.</u></i> Too many authors take their being a writer too seriously, i.e., calling oneself, for example, an "artist", a term which ought to be reserved only for someone who paints well. One can be an amateur at a particular activity, do it uncommonly well, and not need to flatter oneself by terms like "artist" or "writer"; for example, click next on the URL--</span></b></span><br />
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<b><a href="http://www.openculture.com/2013/05/rare_1952_film_william_faulkner_on_his_native_soil_in_oxford_mississippi.html" target="_blank">http://www.openculture.com/2013/05/rare_1952_film_william_faulkner_on_his_native_soil_in_oxford_mississippi.html</a></b></div>
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<span style="font-size: large;"><b style="font-size: 19px;"><span style="font-family: "century";"> --for the following, brief film on the winner of the Nobel Prize for literature in 1950, William Faulkner. It is an interesting film to watch but also notice right at the beginning that the great writer starts off by referring to himself as "a farmer, who also writes" by which I take him to mean the concept that I have given for an <i>Amateur</i>: someone who does a thing uncommonly well but does not value his or her taking money for it. </span></b></span></div>
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<span style="font-size: large;"><b style="font-size: 19px;"><span style="font-family: "century";">Factors in Success to popularize a book. </span></b></span><br />
<span style="font-size: medium;"><b><span style="font-family: "century";"><span style="font-size: large;"> a) <i style="text-decoration: underline;">Writing talent</i>, by which I mean the ability to edit in one's head and to put together words to fascinate a reader; and to make a good story or narrative. Talent is not usually something one is born with although circumstances of birth may help (cf. W. Somerset Maugham, Edith Wharton; their European continental upbringing); it is learned, sometimes by hard study, daily writing and observing other writers' good styles.</span><span style="font-size: 19px;"> </span></span></b></span></div>
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<span class="Apple-style-span" style="font-size: large;"><b><span style="font-family: "century";"> b) <u><i>Content and imagination</i></u>, which relates to the subject(s) of a book. Certain content appeals to a reader's instinct for survival, or addresses his or her anxieties or it promises the reader big rewards. You should keep aware of your book's appeal to readers. An appeal of content may over-ride the reader's dis-incentive from its poor writing.</span></b></span><br />
<span class="Apple-style-span" style="font-size: large;"><b><span style="font-family: "century";"> c) <u><i>The power of hype, persuasion and advertisement</i></u> is a factor that can override factors of content and writing talent. For example, O.J. Simpson's writing <i>How I Killed My Wife and Got Away Free </i>would have been an automatic best seller not because of O.J.'s (or his ghost's) writing talent but simply because of his appearance on the TV news. Name recognition, e.g., "Meghan Markle", is important and, even in the absence of fame, you may get it by getting on a website that gives worldwide exposure.</span></b></span><br />
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<span class="Apple-style-span" style="font-size: large;"><b><span style="font-family: "century";"><i><u>End Note on writing style</u></i>, syntax (word order), grammar, and orthography (the use of punctuation marks). Of course, good sources exist: two books, </span></b></span><span class="Apple-style-span" style="font-size: large;"><b><span style="font-family: "century";"><span class="Apple-style-span" style="font-size: 19px;"><b><span style="font-family: "century";">E.B. White's <i>Elements of Style</i> or Donald Hall's <i>Writing Well</i></span></b></span>, ought to be read at leisure purely for the pleasure of reading the good style.<i> </i>Here I try to give a few ideas that new writers in English, especially non-native, may use to make their writing clearer and more compelling especially to those readers who have less education or for whom written English is not a first language. </span></b></span><br />
<span class="Apple-style-span" style="font-size: large;"><b><span style="font-family: "century";"><i>Writing style</i> by which I mean the feeling your writing should give to a reader is best done in what I call a <i>friendly, informative way</i>, which means paying attention in a reader-friendly way. For example, if you use a foreign language quote or a rarely understood slang expression be sure in footnote or brackets to include the standard English meaning. And neither be overly formal nor too informal, which means no use of slangy or foreshortened or show-off words, unless in context, but also relating to the reader by the not too frequent use of "You", again in context. </span></b></span><br />
<span class="Apple-style-span" style="font-size: large;"><b><span style="font-family: "century";"> Grammar and spelling should be perfect; it means using computer correction but also good knowledge based either on birth in the language or, for non-native writers in English, on previous intense study in writing the language. Do not experiment with word shortcuts or slang; it distracts the reader from his or her main attention which ought to be meaning. Above all strive for clarity and simplicity (in words and syntax). Rewriting is an absolute must and never satisfied.</span></b></span><br />
<span class="Apple-style-span" style="font-size: large;"><b><span style="font-family: "century";">A few words on the use of commas. Always keep in mind the one rule that you should never ignore: the comma (or other orthography) should never cause confusion or confuse meaning. Its purpose should be to improve clarity - , the comma is well used to separate the grammar function of words without which, if not separated, confusion may arise. Sometimes we may need to use a comma because it is strongly customary. (After an "if" clause.) and lack of its use may prove a distraction even though it is not really necessary for improving clarity. </span></b></span><br />
<span class="Apple-style-span" style="font-size: large;"><b><span style="font-family: "century";">Unless you are a Nobel prize writer like William Faulkner, avoid long, complex sentences. When you see you have written one, in rewriting, break it up into smaller, simpler sentences (See The inserted story </span></b></span><a class="K3JSBVB-c-h" href="https://www.blogger.com/blogger.g?blogID=2863597421887564770&useLegacyBlogger=true#editor/target=post;postID=423182600857806778;onPublishedMenu=posts;onClosedMenu=posts;postNum=201;src=postname" style="border: 0px; color: #00838f; display: inline-block; font-family: arial, helvetica, sans-serif; font-size: 13px; margin: 0px 10px 0px 0px; max-width: 100%; overflow: hidden; padding: 0px; text-decoration: none; text-indent: 0px; text-overflow: ellipsis; vertical-align: baseline; white-space: nowrap; width: auto;">Twilight </a><span class="Apple-style-span" style="font-size: large; text-indent: 13.75pt;"><b><span style="font-family: "century";">by John W. Campbell. To access, click on the “Twilight.”) </span></b></span><b style="text-indent: 13.75pt;"><span style="font-family: "century";">that express each idea of the complex sentence. And edit out words that really do not add anything to what you wish to express as an idea; words like "very", "much" and the like, unless of course they are truly needed for exaggerated emphasis.</span></b><br />
<span class="Apple-style-span" style="font-size: large;"><b><span style="font-family: "century";"><i><u>Writing by Dictation:</u></i> Most persons start off writing with pencil/pen and paper and then typing/computer. I did that for years; then, one day recently, I got to write by dictations. What a difference! Both have good points and I do not mean to hype dictation; however, the big benefit of dictation is, it gives you more time to think about the content and method of your writing. When you write directly off your hand or computer, your mind and body are so occupied by the direct action of the writing that you do not usually consider other aspects. But when you dictate, you become also a more slow-motion observer of an act of writing that happens to be your own, and hence a better critic and editor. I find I add alternative points of view, modify extremes of my prose and see errors better. Perhaps writing directly allows one to express high emotion better than by dictation. In a sense, writing by dictation combines writing by hand with editing your first draft, but taking the editing alone, of course, it lacks the original inspiration of spontaneous writing. In any case, dictation is useful.</span></b></span><br /><div style="text-align: center;"><br /></div>
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<span style="font-size: large;"><b style="font-size: 19px; text-indent: 13.75pt;"><span style="font-family: "century";"> To read next now, click <a href="http://physiciansnotebook.blogspot.jp/2010/10/physicians-notebooks-1-chapter-3.html"><span style="color: #2288bb;">1.3 Foreign Travel Tips</span></a></span></b></span></div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4839604317339966579.post-24322055961322368462010-09-25T07:35:00.031+09:002021-10-08T09:52:51.499+09:001.3 Foreign Travel Tips<div class="MsoNormal" style="margin: 0mm 0mm 0pt;">
<b><span lang="EN-US"><span style="font-family: "century"; font-size: x-small;"><i>Physician's Notebooks 1</i> - http://physiciansnotebook.blogspot.com - See <i>Homepage</i></span></span></b><br />
<b><span face=""ms 明朝"" style="font-size: 16pt;">③</span></b><b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century";">Foreign Travel Tips (Update 08 Octr 2021)</span></span></b><br />
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<b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century";"><span style="background-color: red;"><br /></span></span></span></b></div>
<b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century";"> The following column has the headings in order as they appear. Scan, scroll or <i>search & find</i> as you please.</span></span></b><br />
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<b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century";"><i><u>Reason for making a trip</u></i></span></span></b></div>
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<i><u><b><span style="font-size: large;">Air flight ticket-buying</span></b></u></i><br />
<i><u><b><span style="font-size: large;"><span style="font-size: small;"><span style="font-family: inherit;"><b><span style="font-family: inherit;"><i><u>Timing of Making Your Reservat</u></i><span style="font-family: inherit;"><i><u>ions</u></i></span></span></b></span></span></span></b></u></i><br />
<span style="font-size: small;"><span style="font-family: inherit;"><b><i><u><span style="font-family: inherit;">Refundable Ticket</span></u></i></b></span></span><i><u><b><span style="font-size: large;"> </span></b></u></i></div>
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<b><i><u><span style="font-size: large;">Airlines</span></u></i></b></div>
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<b><i><u><span style="font-size: large;">Travel with companions</span></u></i></b></div>
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<b><span style="font-family: "century";"><i><u>EAJ; Travel Insurance</u></i></span></b></div>
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<b><i><u><span style="font-size: large;">Travel light</span></u></i></b></div>
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<b><i><u><span style="font-size: large;">Setting out for airport</span></u></i></b></div>
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<b><i><u><span style="font-size: large;">X-ray and Body Imaging Security Scans at Airport</span></u></i></b></div>
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<b><i><u><span style="font-size: large;">Keep in mind we are now in the surveillance age</span></u></i></b><br />
<b><i><u><span style="font-size: large;"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Check for Flight Delay Constantly</u></i></span></span></b> </span></u></i></b></div>
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<b><i><u><span style="font-size: large;">Food or drink at the airport</span></u></i></b></div>
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<b><i><u><span style="font-size: large;">They announce your flight is overbooked</span></u></i></b></div>
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<b><i><u><span style="font-size: large;">Your flight gets cancelled</span></u></i></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Wheelchair Service through the Airport</u></i></span></span></b></div>
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<b><i><u><span style="font-size: large;">Sit in non premium economy class</span></u></i></b></div>
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<b><i><u><span style="font-size: large;">Do many-minute stroll on aisle</span></u></i></b></div>
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<b><i><u><span style="font-size: large;">Stowing your luggage in overhead</span></u></i></b></div>
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<b style="text-align: start;"><span style="font-family: "century";"> <i><u><span style="font-size: large;">Important health notes based on recent observations</span></u></i></span></b></div>
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<b style="text-align: start;"><span style="font-family: "century";"><i><u><span style="font-size: large;">Before you leave the aircraft</span></u></i></span></b></div>
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<b style="text-align: start;"><span style="font-family: "century";"><span style="font-size: large;"><i><u>TSA Lock</u></i></span></span></b><br />
<b style="text-align: start;"><span style="font-family: "century";"><span style="font-size: large;"><i><u><span style="font-family: "century";"><b><u><i>Specific Airport Tips & Pearls </i></u></b></span> </u></i></span></span></b><br />
<b style="text-align: start;"><span style="font-family: "century";"><span style="font-size: large;"><i><u><b style="font-family: Century;"><u>Airlines to Avoid</u></b></u></i></span></span></b><br />
<b style="text-align: start;"><span style="font-family: "century";"><span style="font-size: large;"><i><u>Compare Delta with United Airlines on Tokyo-NY route<b style="font-family: Century;"><u> </u></b> </u></i></span></span></b></div>
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<b style="text-align: start;"><span style="font-family: "century";"><span style="font-size: large;"><i><u>Airports I have known</u></i></span></span></b><br />
<b style="text-align: start;"><span style="font-family: "century";"><span style="font-size: large;"><i><u>Final End-note. Travel timing tips</u></i></span></span></b><br />
<b style="text-align: start;"><span style="font-family: "century";"><span style="font-size: large;"><i><u>Shanghai Trip Report </u><u> </u></i></span></span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>Reason for making a trip</u></i>: Give it strong preparatory thought – be sure you really need and want it, and then consider what you wish to get done and be sure you have the means and help to do it. Before you leave, check the weather at your destination.</span></b></span></div>
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<span style="font-size: small;"><span style="font-family: inherit;"><b><i><u>Air flight ticket-buying</u></i> advice here is based on <span style="font-family: inherit;">our</span> experience with United Airlines (UAL) and Delta Airlines<span style="font-family: inherit;"> <span style="font-family: inherit;">round trip between </span></span>Tokyo and <span style="font-family: inherit;">New Yor<span style="font-family: inherit;">k City areas.</span></span> For UAL, you save $25 by doing it online; for Delta, $20. These are flights that I made frequently; the reader can investigate his or her own routes. </b></span></span><br />
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<span style="font-size: small;"><span style="font-family: inherit;"><b><span style="font-family: inherit;"><i><u>Timing of Making Your Reservat</u></i><span style="font-family: inherit;"><i><u>ions</u></i><span style="font-family: inherit;">:</span></span> From a price standpoint, <span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;">United wa<span style="font-family: inherit;">s a little more expensive for a<span style="font-family: inherit;"> very early<span style="font-family: inherit;">-</span>ma<span style="font-family: inherit;">king compared to a later </span>reservation<span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;">.</span> </span><span style="font-family: inherit;">O</span></span>n Delt<span style="font-family: inherit;">a, there w<span style="font-family: inherit;">as</span> no difference in p<span style="font-family: inherit;">rice. This should emphas<span style="font-family: inherit;">ize that one should shop around by using the telephone between the various <span style="font-family: inherit;">major a<span style="font-family: inherit;">irline<span style="font-family: inherit;">s in the weeks before making the final reservation<span style="font-family: inherit;"><span style="font-family: inherit;">.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></b></span></span><br />
<span style="font-size: small;"><span style="font-family: inherit;"><b><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"> I<span style="font-family: inherit;">mportant point<span style="font-family: inherit;">: </span>Y<span style="font-family: inherit;">ou may<span style="font-family: inherit;"> specify your exact trip without buying the ticket and have the a<span style="font-family: inherit;">irline operator hold <span style="font-family: inherit;">it for you. On United Airlines, they will hold it <span style="font-family: inherit;">for 72 hours and on De<span style="font-family: inherit;">lta they will hold it for 24 hours.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></b></span></span><b> All things being equal, it is not good to schedule too early, meaning several weeks before <span style="font-family: inherit;">a </span>flight<span style="font-family: inherit;">, because <span style="font-family: inherit;">changes may occur that may cause you t<span style="font-family: inherit;">o cancel the flight for which you will have to pay a pena<span style="font-family: inherit;">lt<span style="font-family: inherit;">y</span>. On the other hand, if you schedu<span style="font-family: inherit;">le too close to your leaving date, th<span style="font-family: inherit;">e aircraft may be totally booked<span style="font-family: inherit;"> and scheduling within a day of the flight is more expensive tha<span style="font-family: inherit;">n</span> a week or two <span style="font-family: inherit;">before</span> the flight.<span style="font-family: inherit;"> Generally about 2<span style="font-family: inherit;"> to 3 </span>weeks before the flight time is a good time to make the reservation. Also, day of the week counts: midweek is usually l<span style="font-family: inherit;">east expensive</span>. Also leas<span style="font-family: inherit;">t</span> <span style="font-family: inherit;">exp<span style="font-family: inherit;">ensive </span></span>mid holiday or the week before the holiday when <span style="font-family: inherit;">most persons do not fl<span style="font-family: inherit;">y be<span style="font-family: inherit;">cause they <span style="font-family: inherit;">are planning to fly<span style="font-family: inherit;"> on the holiday. In Japan, never fly on Golden Week (First week in May) and <i>Obon (</i>Summer holiday season in Japan usually mid-August<i>). Now the Covid-19 pandemic is making international trips very problematic. That should clear up by 2022.</i></span></span></span></span></span></span></span></span></span></span></span></span></span></b><br />
<a class="Pos(r) D(ib) streamImage js-stream-content-link W(100%) js-content-viewer rapid-noclick-resp rapidnofollow" data-rapid_p="68" data-v9y="1" data-ylk="cpos:15;cposy:27;bpos:2;pos:1;subsec:27;imgt:ss;g:745ebb2b-23fa-3186-ad36-832987bbb086;ct:1;pkgt:orphan_img;grpt:singlestory;cnt_tpc:Lifestyle;elm:img;elmt:ct;r:4139916039S00001;ccode:mega_gr_hlv3_pv5_gamma_boost;" href="https://gma.yahoo.com/2-little-known-ultra-cheap-times-fly-094904838--abc-news-travel.html" id="yui_3_18_0_6_1471841338232_3295">
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Click on the below YouTube </div>
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<a class="O(n):f C($m_blue):f js-stream-content-link js-stream-item-title js-content-viewer rapid-noclick-resp rapidnofollow js-content-title C($link) C($m_blue):h Td(n) Fz(17px) Fw(b) C(gray_dark) C(gray_dark)" data-rapid_p="69" data-v9y="1" data-ylk="cpos:15;cposy:27;bpos:2;pos:1;subsec:27;imgt:ss;g:745ebb2b-23fa-3186-ad36-832987bbb086;ct:1;pkgt:orphan_img;grpt:singlestory;cnt_tpc:Lifestyle;elm:hdln;elmt:ct;r:4139916039S00001;ccode:mega_gr_hlv3_pv5_gamma_boost;" href="https://gma.yahoo.com/2-little-known-ultra-cheap-times-fly-094904838--abc-news-travel.html" id="yui_3_18_0_6_1471841338232_2588">2 Little-Known Ultra-Cheap Times to Fly</a>
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<span style="font-size: small;"><span style="font-family: inherit;"><b><i><u><span style="font-family: inherit;">Refundable Ticket</span></u></i><span style="font-family: inherit;">: </span>Most tickets on major airlines for intercontinental trips are refundable with a penalty of <span style="font-family: inherit;">c.$3</span>00. But occasionally <span style="font-family: inherit;">the t<span style="font-family: inherit;">icket may be non-refundab<span style="font-family: inherit;">le so one should check before <span style="font-family: inherit;">exhibi<span style="font-family: inherit;">ting one's<span style="font-family: inherit;"> credit card. Non-<span style="font-family: inherit;">refundable t<span style="font-family: inherit;">ic<span style="font-family: inherit;">kets are usually only on promotional flight offerings. Keep in mind that once you reserve your flight <span style="font-family: inherit;">with your credit card<span style="font-family: inherit;"> you will have 24 hours to change your mind without penalty. However, eve<span style="font-family: inherit;">n if you cancel in the first 24 hours,</span> your credit card will still be <span style="font-family: inherit;">debit</span>ed <span style="font-family: inherit;">and</span> you will get a credit card refund<span style="font-family: inherit;"> that may take months. <span style="font-family: inherit;">Th<span style="font-family: inherit;">is could badly affect your current credit <span style="font-family: inherit;">balance. Concerning credit card, it can be disconcerting to misplace it in the midst of a trip as happened to me once because I stupidly took it out of my regular set of cards and put it in to an outer jacket I had recently bought; then, at a friend's house, I mistakenly switched jackets with him and thought I had lost my credit card and immediately cancelled it by telephone only to be told a few days later by my friend about the switched jacket. So the whole thing made quite a disturbance in my trip. Lesson: Keep your credit card always together with your other important cards in your most internal pocket. </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></b></span></span><br />
<span style="font-size: small;"><span style="font-family: inherit;"><b><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></b></span></span><br />
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<b><i><u>Airlines:</u></i> Stick to major (Not smaller affiliates like <i>Germanwings</i> of <i>Lufthansa)</i> western country (Include Japan) airlines and avoid country with political unrest, or major terrorists threat. Avoid <i>Malaysia, Egypt and Indonesia Airlines</i> above all! Japanese airlines give best service for price but may cost a little more than US Airlines. </b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"></span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">If you <i><u>travel with companions</u></i> be sure of agreement on purpose and conditions of travel before you make the reservation. In general do not bring children. Traveling, especially with close companions like husband or wife or child, should ideally be, each one, in separate aircraft and each companion should get air-crash life insurance. I know that this advice is unpopular and usually is not followed but why would you want your whole family wiped out in one crash? Of course, with a large family it could be impractical, i.e., each of the 6 children on a separate flight, but you should get the idea and try to use it in a practical way when you can. </span></span></b><br />
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<b><span style="font-family: "century";"><i><u>EAJ; Travel Insurance</u></i>: For overseas trips get a<i><u> travel insurance</u></i> for each trip that will cover your medical rescue in case you get major illness on a foreign trip. Without such insurance, medical rescue may cost US$100,000 or more. For details contact<i> EAJ, Emergency Assistance Japan, Mr Ii </i>at <u><i>ii@emergency.co.jp</i></u> Note that travel insurance for persons over age 60 does not usually include a death payment. That, you must buy at the airport. </span></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Travel light!</u></i> Travel light! Travel light! Carry-on with wheels. Max size for UAL or Delta carry-on is centimeter, 55 height x 35 width x 23 thickness. (in inches, 21 x 13 x 9; and it can change so check before you trip). Mostly there is no carry-on luggage weight limit but a few airports limit to a max 7 to 10 kg (16 to 22 lbs) and readers should use 10 kg as upper limit. This size gives max capacity for traveling light and such a piece of rolling luggage fits into international airline overhead and, in the airport, may be usable as a seat when no chair or bench available. It should have a telescoped handle that can disappear when you need to carry. (Important because some airport lounges exclude travelers with rolling luggage). If you will use a hand-carry case for immediately available needed stuff, the max measurements that will fit under your forward seat are 43x32x10 cm but best not to have a separate bag because a hand-carry extra case is easily lost. What you might lug as too much baggage, you may better buy at destination. For clothes, just what you wear and one change. Keep in mind your jet aircraft will be too cool for short sleeve and short pants.</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Cell phones or iPads have built-in photo, video and clock, so no need for unattached cameras or time pieces. A mobile local smart phone is very, very useful in foreign country; with international phone the <i>roaming </i>charge can be very high.</span></span></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Setting out for airport</u></i>, be sure you know the terminal, the time for check-in, and go over all documents. Especially passport should be in accessible pocket and secured from dropping-out loss. Check well before departure date, your passport expiration date and visa stamps. As tickets are electronic, all you need is passport for check-in. Be sure not to forget your important plastic cards.</span></span></b><br />
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<b><span style="font-family: "century";"><i><u>X-ray and Body Imaging Security Scans at Airport</u></i>: Just after ticketing (or if you have boarding pass already) you must get security body check that in U.S. airports may include x-ray (Each x-ray increases risk of leukemia 10 to 20 years later) or millimeter radio wave body scan. How do you know which is which? The harmless body scans are in semi-open (glass) booths and you are asked to do a right body turn and extend both arms above head. You may avoid the x-ray by telling the TSA who checks your passport and boarding pass, after he has checked them, "I want to opt out of the x-ray." Say it in a low voice and a friendly manner. He should reply "No problem" and refer you for full body pat down, which is done right away in public or private (Your option) and takes about 1 to 2 minutes and is not bad. The radio wave scans are harmless and not worth the effort to avoid.</span></b><br />
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<b><span style="font-family: "century";">Always <i><u>keep in mind we are now in the surveillance age</u></i>. You could be stopped and questioned for hours at the airport and your electronics confiscated and data copied. In individual case it is unlikely but be prepared for the possibility and do not carry anything you do not wish copied or confiscated.</span></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Train yourself not to buy <i><u>food or drink at the airport</u></i>. If hungry before leaving, have breakfast or lunch at home and eat light. If you have lounge-privilege, keep it light and stock up on lounge foods to eat later. On aircraft, consider not eating every snack as it is set before you. I save the rolls, candies, salads or even main course in the discard bag to enjoy later on the ground. And before eating any airline foods, I inspect what is in them. I do not eat mid-flight snack. I refuse the ice cream cup and save the sandwich. And with the pre-arrival snack I save for eating later. On drinks, stick to water and tea instead of sodas and juices because these latter are loaded with salt and sugars or artificial sweetener. Do not waste money or expose credit card for in-flight alcohol drinks or other in-flight buys.</span></span></b><br />
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Check for Flight Delay Constantly</u>:</i> Upon entering the airport for your flight, make it a rule to check the overhead flight schedules and keep tab on your flight's status. Especially if you have a close-interval connecting flight, an announcement of your flight's delay that may cause you to be late for your connection should immediately trigger a call to your airline for emergency rescheduling. Good service airlines have <i>backup</i> contingency plans for just this event and the sooner you discover the delay the easier it will be to remedy it.</span></span></b><br />
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">If before boarding, <i><u>they announce your flight is overbooked</u></i> and ask for volunteers to do later flight, grab the chance unless good reason not to. Overbooked flights are high risk. Do not rush to get anywhere. Airlines should put you up in a nice motel for the night or reward you monetarily (or both). Never become obnoxious over being kicked off a flight.</span></span></b><br />
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">If you are at airport at boarding gate and <i><u>your flight gets cancelled</u></i> just before a storm, stay in the boarding gate area and try to get on a flight to another large hub airport out of the storm's way and from there get reservation to your final destination. In worst case, stay in boarding area even overnights because when flights start re-booking, you'll have first access after the storm. Conditions are best in boarding area. Do not motel overnight.</span></span></b><br />
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Wheelchair Service through the Airport</u></i> can be arranged if age 65 or over with even fairly minor disabilities. Even if you do not need it physically, it can be a great advantage when you need to speedily get through an international arrival after debarking your plane. Also in wheelchair your body and document inspection is minimal and fast. Check with your airline ahead of arrival; often you may arrange it when you buy your ticket by phone. </span></span></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Sit in non premium economy class</u></i> unless you need extra space for medical reason. Not just too expensive but in the upper class seats the food and drink is less healthy than in the economy because they overfeed with gourmet snacks and free alcohol. Also on some airlines, the upper class seat entertainment is not convenient and the strolling space is too limiting compared to economy.</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Select an aisle seat if you wish ease for getting up to stroll or to WC.</span></span></b><br />
<i><u><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><br /></span></span></b></u></i><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Do many-minute stroll on aisle</u></i> at convenient times, several times </span></span></b><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">during intercontinental flight. Sitting for many hours increases risk of blood clot in leg that may travel to lung and kill you and also ups rate of attacks of leg and foot joint acute arthritis such as gout of big toe. (A single aspirin taken before flight will prevent both if you are high risk for blood clot.)</span></span></b><br />
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<b><span style="font-family: "century";"> On<i><u> your luggage in overhead</u></i> compartment on aircraft, be sure it will not fall out and injure someone on opening the compartment or that it is not so heavy it will harm your back or cause an accident lifting into overhead bin. And on opening an overhead bin, do it very slowly. And check closely in the overhead that you do not lose anything from the luggage. </span></b><br />
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<b><span style="font-family: "century";"> <i><u>Important health notes based on recent observations:</u></i> High altitude intercontinental flight increases edema (swellings). The ankles swelling at the end of a long flight is the most frequent sign and should warn a traveler of possible weakened heart. Also the high altitude pressurized cabin air reduces your blood oxygen saturation to 90% or lower from its normal above 97%, not noticeable for a healthy young person but possibly provoking coronary heart pain or even infarction or brain stroke in traveler with coronary heart or cerebral artery disease. Be sure of your heart before flying, especially if over age 50, and do not overeat or over drink. If you can get a finger <i>oxygen pulse oximeter,</i> measure your oxygen saturation of blood (SaO2) during the flight. If it drops below 85%, notify air attendant at once; it could mean a leak in aircraft air seal and portend crash or it could mean your own problem with heart or lung that might require mask oxygen.</span></b><br />
<b><span style="font-family: "century";"> We have seen an attack of <i><u>multiple sclerosis</u></i> provoked by an intercontinental flight that caused an MS lesion to swell up and affect speech, breathing and swallowing within hours after take off. If you have multiple sclerosis (or a question of it), take a single high-dose oral corticosteroid dose under medical advice just before setting out on the flight. Also if you recently (few weeks before) had minor surgery like hemorrhoids, in vagina, tonsils, do not fly because of risk of hemorrhage in flight. Especially take care of bleeding risk if you take aspirin or are on other anticoagulant (Coumadin, heparins) to prevent blood clot.</span></b><br />
<i><u><b><span style="font-family: "century";"><br /></span></b></u></i><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Before you leave aircraft</u></i>, check seat area carefully for forgotten item and as you walk forward to debark scan other area for forgotten valuables.</span></span></b><br />
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u>TSA Lock</u><i>: </i>All luggage you check in on a flight in the U.S.A. may be opened and inspected after you have given it for the flight. Unless you have a <i>TSA Lock</i>, the lock you use will be broken beyond repair in order to inspect. The <i>TSA locks</i> can be purchased at any U.S. airport. I use no locks and carry nothing of real value in luggage.</span></span></b><br />
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<b style="font-family: Century;"><u>Airlines to Avoid</u>: This is dealt with in the accident in transportation chapter and includes most smaller country airlines. Specifically highlighted to avoid are Korean Airlines (Rowdy passengers, untrained crew; but we hear that recently things have improved), Malaysian and small German Wings Airlines (Suicidal pilots), and Yemeni Airlines (Terrorists). Airlines of Mainland China and Russia are high risk for sabotage and poor training and equipment. Best limit oneself to major western airlines and Japanese airlines.</b><br />
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<b style="font-family: Century;"><i><b style="text-align: start;"><span style="font-family: "century";"><span style="font-size: large;"><i><u>Compare Delta with United Airlines on Tokyo-NY route<b style="font-family: Century;"><u> </u></b></u></i></span></span></b></i></b><br />
<b style="font-family: Century;"><span style="font-size: large;">We frequently fly between Tokyo and NY area and were able to compare its 2 main carriers, <i>Delta </i>and <i>United Airlines</i>: First, <i>Delta</i> does not have a direct flight between the 2 destinations while <i>United</i> does; second, <i>Delta</i> caused us multiple delays due to computer problems while <i>United </i>was perfect. So the current advice for this route is: choose <i>United</i>. </span></b><br />
<b style="font-family: Century;"><span style="font-size: large;"> </span><i> </i></b><br />
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<b style="font-family: Century;"><i> Airports I have Known </i></b></div>
<b style="font-family: Century;"><i> San Francisco International (SFO) </i>Free WiFi and direct connection to the BART (Bay Area Rapid Transit). Overnights at the airport without hotel easy and pleasant. If you want a good motel, check out the <i>Dylan </i>in nearby <i>Millbrae</i>. Also note that trippers non stop from East Coast USA to Far East have one free stopover at SFO or other major airport on route if they so choose </b><br />
<b style="font-family: Century;"> <i>Vancouver International </i>is a good airport to do overnights. It has free WiFi and the Canada Line transit into the Vancouver Area is just across the street and 22 minutes from the downtown convention center.</b><br />
<b><span style="font-family: "century";"><u><i>Final End Note:</i></u> On all kinds of trips, during boring intervals (on train to airport, waiting for transport) make use of the time by reviewing what is in your pockets and bags and arranging and inventorying your possessions in convenient way.</span></b><br />
<br />
<b><span style="font-family: "century";"><b>Here is a report of a recent trip to Shanghai written by my
assistant, which may be useful.</b></span></b><b><br /></b><br />
<div class="gmail_extra">
<b>Shanghai Trip <i>(Ed: Note this is a first trip to Shanghai for tourism)</i></b></div>
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<b>On
my trip to Shanghai, I used Delta/JAL/China Eastern code share flight.
China Eastern has a strange policy of no-use of cellphones <u>even on airplane modes</u>.
Since the flight was less than 3 hours, I wasn't frustrated as much but
it can be a huge bother on far-distance flights especially for
businessmen or people who need to text. </b><br />
<div>
<b>In
the planes, they do not have separate monitors, so to some (like me)
the flight without entertainment can be a pure agony. Most of the people
were sleeping, but some were trying to sneakingly use their phones. Of
course, human life is most important, so I don't want to complain much,
but this was inconvenient. <i>(Ed: Note this was</i> <i>frequent flier freebie so she got a no frills flight)</i></b></div>
<div>
<b>Prices,
I think are not expensive and you will get a nice meal as well. You can
choose between chicken/noodles or rice and it comes with salads and
desserts. Airport in Shanghai is fairly modernized but not too
impressive. </b></div>
<div>
<b>Boarding took much time both on my way to China and on my way back. We had to get on a bus to get closer to the airplane. </b></div>
<div>
<b><br /></b></div>
<div>
<b>Trip
from airport to hotel - From airport, you can either take a taxi,
subway or Maglev. I took Maglev because that was very unique to me and
you can take subways within the city anyway. Subway is cheaper but
slower (c.60 minutes to central Shanghai cf. 8 minutes by Maglev). Maglev is
more expensive than Subway but way faster. </b></div>
<div>
<b>From the
last Maglev station, you can change to the major subways and get off at
the closest station to the hotel. Transfer is very easy and no problem
because everything is written in English.</b></div>
<div>
<b><br /></b></div>
<div>
<b>People in Shanghai are generally nice. Some things I noticed were: they spit at every corner and they can be overly loud. </b></div>
<div>
<b>Sightseeing
is easy due to a developed subway system. All the major touristy spots
could be googled. Be careful for pick-pocketing. Soliciting is not
excessive so don't worry.</b></div>
<div>
<b><br /></b></div>
<div>
<b>Language:
I'd say it's 50:50. Hotels are good, but some personnel have difficulty
with English and understanding them can come with difficulty. On
streets, people will understand you if you talk very slowly using easy
words. Some Chinese people do not understand English, and would still
continue to talk in Chinese. </b></div>
<div>
<b><br /></b></div>
<div>
<b>Eating
in Shanghai: There are a lot of local restaurants and also street food
good too. My recommendations are Chinese cuisine at an authentic Chinese
restaurant including egg tarts, dumplings, and other famous gourmet,
probably best eaten within your hotel because of safety. Chinese
traditional tea is a must gift and is good for souvenirs. </b></div>
<div>
<b><br /></b></div>
<div>
<b>Places
to go from Shanghai: I would love to know the difference between
Beijing/other cities and Shanghai, I can't say much about this because
I've never been to other places…</b></div>
<div>
<b><br /></b></div>
<div>
<b>Why
Go?: To see the modernized, developed metropolis. It will exceed all
the expectations you have. It is said to be very different from South
East Asian cities and of course very different from European cities. If
you live in Tokyo, you may not find it as different though. Three days are
more than enough to tour around Shanghai. If you want to go farther,
then I suggest having a tour</b></div></div></div></blockquote><p>Here are final endnotes with important tps: </p><blockquote class="gmail_quote" style="border-left-color: rgb(204, 204, 204); border-left-style: solid; border-left-width: 1px; border-left: 1px #ccc solid; margin: 0px 0px 0px 0.8ex; padding-left: 1ex;"><div style="line-break: after-white-space; word-wrap: break-word;"><div dir="auto" style="word-wrap: break-word;"><div><b> </b>Foreign Travel Tips Timing is everything when it comes to saving money on flying, or wasting it.)</div>The easiest way to waste your money flying is through bad timing — both booking your flight at the wrong time or flying at the wrong time of day or day of the week. So take the time to find out the best times to do your flying and booking.<br />In an in-depth analysis of plane fares, the folks at Hopper.com found that airline passengers pay about 3 percent higher fares when they book on Fridays at around 3 a.m., so they recommend you avoid late-night/early-morning ticket-shopping binges late in the week.<br />Hopper also says the cheapest day to leave for your trip is Wednesday (when relatively few people fly), while the most expensive day is Sunday (when just about everyone is flying to get back to work Monday). As for your return flight, Tuesday was found to be the best day for you to return from a domestic trip, while Wednesday was the best day to head home from an international trip. All told, Hopper says flying on the right days could save you an average of $85 on domestic flights and $120 for international flights.<br />There’s also the matter of how far ahead you book your flight. In its 2014 analysis, CheapAir.com found the best time to book domestic fares was 47 days in advance of your trip. CheapAir finds buying too late can cost you an additional $111 if you buy within 14 days of your flight, and an extra $174 if you buy within seven days. Buying too early can be expensive, too: CheapAir says tickets can be about $50 more if you jump on them when they first open for sale.<br /></div></div></blockquote><p>So in flying, time really is money — or money wasted if you time it poorly. </p><blockquote class="gmail_quote" style="border-left-color: rgb(204, 204, 204); border-left-style: solid; border-left-width: 1px; border-left: 1px #ccc solid; margin: 0px 0px 0px 0.8ex; padding-left: 1ex;"><div style="line-break: after-white-space; word-wrap: break-word;"><div dir="auto" style="word-wrap: break-word;"><div><b></b></div>
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<b>------------------------------</b><wbr></wbr><b>------------------------------</b><wbr></wbr><b>------------</b></div>
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<br /></div>
<b><span class="HOEnZb"><span style="color: #888888;">
</span></span></b></div>
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</blockquote>
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<b><br /></b></div>
<br />
<span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b> To read next now, click </b><a href="http://physiciansnotebook.blogspot.jp/2010/09/question-why-come-to-japan-answer-it-is.html"><span style="color: #2288bb;">1.4
Japan - C'mon a My House</span></a></span></span></div>
Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4839604317339966579.post-59241801904796286722010-09-24T06:33:00.085+09:002021-10-09T16:36:15.687+09:001.4 Japan - C'mon a My House<span face=""arial" , "helvetica" , sans-serif" style="font-size: xx-small;"><b><i>Physician's Notebooks 1 - </i><a href="http://physiciansnotebook.blogspot.com/">http://physiciansnotebook.blogspot.com</a> - See <i>Homepage</i></b></span><br />
<span face=""arial" , "helvetica" , sans-serif" style="font-size: large;"><b>4. Japan - C'mon a My House - Update: 09 Octr 2021. </b></span><b>The following headings in the chapters as they appear. One can access by <i>search & find </i>or just scroll down. </b><div><b><br /></b>
<div style="text-align: center;">
<span face=""arial" , "helvetica" , sans-serif"><b><i><u>Covid-19 in Japan, latest update</u></i></b></span></div>
<div style="text-align: center;">
<b style="font-family: century;"><span lang="EN-US" style="font-size: 14pt;"><u><i>Why come to </i></u></span></b><u style="font-family: century;"><i><country -region="-region"><place><b><span lang="EN-US" style="font-size: 14pt;">Japan</span></b></place></country><b><span lang="EN-US" style="font-size: 14pt;">?</span></b></i></u></div>
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<div style="text-align: center;">
<b style="font-family: century;"><span lang="EN-US" style="font-size: 14pt;"><u style="font-style: italic;">Getting to Japan</u></span></b><br />
<b style="font-family: century;"><span lang="EN-US" style="font-size: 14pt;"><u style="font-style: italic;"><b style="font-family: "times new roman"; font-size: medium; font-style: normal; text-align: start;"><span style="font-family: "century";"><u style="font-style: italic;">American Citizen Services of U.S. Embassy in Tokyo, A Gem for Amricans</u> </span></b></u></span></b><br />
<b><i><u><span style="font-family: "century";">Japanese Money</span></u></i></b><br />
<b><i><u><span style="font-family: "century";">The Japanese Numbers</span></u></i></b></div><div style="text-align: center;"><span style="font-family: century;"><b><i><u>Climate<br /></u></i></b></span>
<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><u><i>Getting Into the City from the Tokyo </i><i>Airports</i></u></span></b></span></div>
<div style="text-align: center;">
<b style="font-family: century;"><span lang="EN-US" style="font-size: 14pt;"> </span></b><b style="font-family: century; text-align: start;"><span lang="EN-US" style="font-size: 14pt;"><u><i>For sightseeing I advise</i></u></span></b><br />
<city style="font-family: century;"><place><b style="text-indent: 18.33px;"><span lang="EN-US" style="font-size: 14pt;"><u><i>How long to Stay in Japan?</i></u></span></b></place></city></div>
<div style="text-align: center;">
<b style="font-family: century;"><span lang="EN-US" style="font-size: 14pt;"><i style="text-decoration: underline;">Starting New Life in Japan</i></span></b><br />
<b style="text-align: start;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u style="font-style: italic;">The sexual psychology of the young Japanese woman</u></span></span></b><br />
<b style="font-family: century;"><span lang="EN-US" style="font-size: 14pt;"><u><i>Good Reading About Japan</i></u></span></b></div>
<div style="text-align: center;">
<u style="font-family: century;"><i><b><span lang="EN-US" style="font-size: 14pt;">Eating in </span></b><country -region="-region"><place><b><span lang="EN-US" style="font-size: 14pt;">Japan</span></b></place></country></i></u></div>
<div style="text-align: center;">
<b style="font-family: century;"><span lang="EN-US" style="font-size: 14pt;"><u><i>Transportation</i></u> </span></b><br />
<b style="font-family: century;"><span lang="EN-US" style="font-size: 14pt;"><i><u><b><span lang="EN-US" style="font-size: 14pt;">If you wish to tour </span></b></u></i><span lang="EN-US" style="font-size: 14pt;"><i><u>Kyoto</u></i></span> </span></b></div>
<div style="text-align: center;">
<b style="text-indent: 18.33px;"><span style="font-family: "century";"><u style="font-style: italic;">Creative Writing in Japan</u></span></b><br />
<b style="text-indent: 18.33px;"><span style="font-family: "century";"><u style="font-style: italic;"><b style="font-family: meiryo; font-style: normal; text-indent: 18.33px;"><span style="font-family: "century";"><i>Library Facilities in English</i></span></b></u></span></b><br />
<b style="text-indent: 18.33px;"><span style="font-family: "century";"><u style="font-style: italic;"><b><span style="font-family: "century";"><u style="font-style: italic;">You have The Weekender</u></span></b></u></span></b></div>
<div style="text-align: center; text-indent: 18.33px;">
<span style="font-size: medium;"><b><span style="font-family: "century";"><u style="font-style: italic;">Medical Care; </u></span></b></span><b style="font-family: century; text-indent: 0px;"><span lang="EN-US"><b style="font-family: "times new roman"; text-align: center; text-indent: 18.33px;"><span style="font-family: "century";"><span style="font-style: italic;"><u>Being a Patient in a Japanese University Hospital</u> </span></span></b></span></b><br />
<b style="font-family: century; text-indent: 0px;"><span lang="EN-US"><b style="font-family: "times new roman"; text-align: center; text-indent: 18.33px;"><span style="font-family: "century";"><span style="font-style: italic;"><u>Good Medical Care for U.S. & Other Foreigners</u></span></span></b></span></b></div>
<div style="text-align: center; text-indent: 18.33px;">
<b><span style="font-family: "century";"><u style="font-style: italic;">Telephone Numbers</u></span></b><br />
<b style="text-indent: 18.33px;"><span style="font-family: "century";"><u style="font-style: italic;">Lost & Found in Japan</u></span></b></div>
<div style="text-align: center; text-indent: 18.33px;">
<b><span style="font-family: "century";"><u><i>Employ a housekeeper</i></u>,</span></b></div>
<div style="text-align: center; text-indent: 18.33px;">
<b><span style="font-family: "century";"><i style="text-decoration: underline;">Applying for Japanese Nationality/Passport</i></span></b><br />
<b><span style="font-family: "century";"><u><i>End Note: A Hongkong Tailor in Tokyo</i></u> </span></b><br />
<b><i><u><span style="font-family: "century";">Birthday and Wedding Cakes in Tokyo </span></u></i></b><br />
<b style="text-indent: 18.33px;"><u>A Good Luxury Hotel</u></b><br />
<b style="text-indent: 18.33px;"><u><u>Notes on expatriate life in Japan from an old expat</u></u></b><br />
<span style="font-size: medium;"><span face="sans-serif" style="background-color: #f8f9fa; font-size: large;"><i><u>Walden in Japan</u></i></span></span><br />
<em><span style="background-color: #f8f9fa; font-family: "arial";"><b>The Prices of a Coffee</b></span></em><br />
<em><span style="background-color: #f8f9fa; font-family: "arial";"><b>Valuables found by looking down</b></span></em><br />
<em><span style="background-color: #f8f9fa; font-family: "arial";"><b>McDonald`s in Japan.</b></span></em><br />
<em><span style="background-color: #f8f9fa; font-family: "arial";"><b> Machines you don`t need to buy for home</b></span></em><br />
<em><span style="background-color: #f8f9fa; font-family: "arial";"><b>Free WiFi on the Street</b></span></em><br />
<em><span style="background-color: #f8f9fa; font-family: "arial";"><b>Point Cards</b></span></em><span style="background-color: #f8f9fa; font-family: "arial";"><br /></span><br />
<div style="text-align: left;">
<span style="background-color: #f8f9fa; font-family: "arial";"><b style="font-family: arial, helvetica, sans-serif; text-align: center; text-indent: 0px;"><i><u>Covid-19 in Japan, latest update</u></i>: - Covid-19 is a virus of t</b></span><b style="background-color: #f8f9fa; font-family: arial, helvetica, sans-serif; text-align: center; text-indent: 0px;">he family of common cold viruses. It was first noticed, apparently a mutated new form, in Wuhan China in Winter 2019, and in January 2020 the first cases appeared in Japan. It is, initially, an airborne, touch-transmitted, upper respiratory infection that is most highly transmitted in basement type, poorly ventilated, crowded cafes or any place where people gather closely and talk and eat and drink a lot. Incubation is 1 to 2 weeks and first and most important symptoms are, usually, fever and then other upper respiratory and flu-like symptoms (But note that it differs from flu in that flu starts with the flu-like symptoms <i><u>followed</u></i> by the fever.) A striking symptom of C-19, seen in no other URI and noted in acute phase in 30% to 60% of patients, is loss of smell and taste (anosmia and ageusia). A dry cough is also typical. The mortality has ranged from less than 1% in low-risk countries like Japan to nearly 5% in high-risk nations like Peru. Mortality is due to severe ARD pneumonia and widespread vascular thrombosis often with final pulmonary embolism. Old age is biggest risk factor for dying from it. Best prevention is wearing face-nose mask on all human encounters and 6-feet-apart social distancing and keeping away from mass human gatherings. The daily cases in Japan first peaked in April 2020 at c.750, dropped drastically after the Prime Minister advised masks and social distancing for everyone, and then rebounded to peak at c.1100 on 30 July after these restrictions were relaxed. It has since fallen to c.500 cases with renewal of the restrictions. By 02 March 2021, Tokyo reported 121 daily cases, the lowest since the start of the pandemic here. This is due to Japan’s culture of routinely wearing face/nose masks at the slightest suspicion of any respiratory infection. New cases as of 13 May 2021 had jumped to 6,367 with 7-day average 6,425.</b></div><div style="text-align: left;"><b style="background-color: #f8f9fa; font-family: arial, helvetica, sans-serif; text-align: center; text-indent: 0px;">Pearls are that death from Covid-19 may be made less likely by taking a daily aspirin because it will reduce the risk of thrombosis and pulmonary embolism and that the risk of catching Covid-19 may be reduced in persons who take ACE-I for medical indication, e.g., against hypertension, because the C-19 virus seems to need angiotensin-converting enzyme (ACE) in human cells for its development. Covid-19 vaccine started its availability March 2021 with priority to healthcare workers and by late April it was offered free to all elderly. As one of the elderly I signed up in April and I got my 1st shot of the Moderna vaccine 13 June 2021 along with thousands of other Tokyoites in central Tokyo. It is free of charge and I got my 2nd and final shot 18 July. No side effects noted. Now there is a PCR test from a nostril swab that tells if you caught C-190 after 2 hours of getting the swab.</b></div><div style="text-align: left;"><b style="background-color: #f8f9fa; font-family: arial, helvetica, sans-serif; text-align: center; text-indent: 0px;"><br /></b></div>
<span style="background-color: #f8f9fa; font-family: "arial";">
</span><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><u><i>Why come to </i></u></span></b><u><i><country -region="-region"><place><b><span lang="EN-US" style="font-size: 14pt;">Japan</span></b></place></country><b><span lang="EN-US" style="font-size: 14pt;">?</span></b></i></u></span></div>
</div>
<div class="MsoNormal" style="margin: 0mm 0mm 0pt;">
<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;">Answer: It is foreigner friendly and you may find fellow friends. If you plan life or work in </span></b><country -region="-region"><place><b><span lang="EN-US" style="font-size: 14pt;">Japan</span></b></place></country><b><span lang="EN-US" style="font-size: 14pt;">, first come to visit. Also Japan is a nice place to live; take it from me, an expatriate for the past 30+ years. </span></b></span></div>
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<br /></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><u style="font-style: italic;">Getting to Japan</u>: If you are a U.S. citizen, get a passport and with it alone you may make multiple, up-to-90-day stay, for 3 years. But also check<i><u> visacentral.com</u></i> . </span></b><b><span lang="EN-US" style="font-size: 14pt;">For the Tokyo/Yokohama and surrounding areas you will enter either at Narita International or Haneda International Airport, and <i>United</i> is <i>the </i> best airline for service and price. From east coast USA, the UA <i>Flight </i>is 13-hour, nonstop from Newark-Liberty Airport to Narita International Airport. (From West Coast USA 9+ hours) Alternative arrival airports are Kansai International located near Kyoto and Osaka, or Chitose International north in Hokkaido. Arriving non-Japanese passport-holders will be photo’d and fingerprinted each time on arrival from oversea, and luggage may be checked.</span></b></span><b><span style="font-family: "century";"> </span></b><br />
<b><span style="font-family: "century";"><br /></span></b>
<b><span style="font-family: "century";"><u style="font-style: italic;">American Citizen Services of U.S. Embassy in Tokyo, A Gem for Amricans</u> If you have any question on services for Americans, just telehone (03) 3224 5000 and ask for A</span></b><b><span style="font-family: "century";">merican Citizen Services. Then check the website under US Embassy Tokyo.</span></b><br />
<b><span style="font-family: "century";"><br /></span></b>
<b><span style="font-family: "century";"><u style="font-style: italic;">Japanese Money</u> is <i>Yen</i> coins in 1, 5, 10, 50, 100 and 500; and then paper bills (rare 500) 1000, (rare 2,000) 5000 and 10,000. To see what they look like, just Google <i>Japanese Money</i>. Now, the rate is 1 U.S. dollar to c.111 JPY (Very chugging, or inexpensive JY; a time to convert from your USD for bargain price.</span></b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt;">
<b><span style="font-family: "century";"><br /></span></b>
<b><span style="font-family: "century";"><u><i>The Japanese Numbers</i></u>: For 1, 2, 3, 4, 5, 6, 7, 8, 9, 10; say or write <i>ichi, ni, san, shi (</i>or <i>yon,), go, roku, </i><i>shichi</i> or <i>nana, hachi, kyu, ju.</i> When you get above 10, the system is easy to figure out once you see it. For example, 11, 12, 13, 14, 15, .... is 10-1 <i>ju-ichi, </i>10-2 <i>ju-ni</i>, 10-3 <i>ju-san,</i> 10-4 <i>ju-yon,</i> 15 <i>ju-go,</i> and so on. The number 100 is <i>hyaku</i>, 101 <i>hyaku-ichi </i>and so on. The 1,000 is <i>sen, </i>2,000 <i>ni sen;</i> and so forth but 10,000 is <i>man</i> or <i>ichi-man.</i> Next comes 100,000 - <i>ju man. </i> 1-million is <i>hyaku man, </i>10-million - <i>ju man; </i>then at 100-million, use <i>oku</i> or <i>ichi oku </i>and at 1-billion, <i>ju oku.</i></span></b><b><span style="font-family: "century";"><i><br /></i></span></b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt;"><b><span style="font-family: "century";"><i><br /></i></span></b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt;"><b><span style="font-family: "century";"><i><u>Climate</u>: in my Yokohama 8th floor flat on 01 April I recorded inside room temp. 70 degrees F (c.21 degrees C) comfortable without heating for my mostly unclothed body. On a 04 July nearly 6 AM, it was a comfortable 24.3 C (Meanwhile USA is sweating in triple digit Fahrenheit) From late Nov. the temp had fallen low enough that I needed my electric heater and it’s max. billing was from Jan. To March.</i></span></b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt;"><b><span style="font-family: "century";"><i><br /></i></span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> </span></b></span><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> <u><i>Getting Into the City from the Tokyo </i><i>Airports</i></u> <i>Haneda Airport</i> is inside Tokyo city proper and one may use a taxi or, inexpensively, the subway or train lines to get to parts of Tokyo or to Yokohama. I</span></b></span><b><span style="font-family: "century";">f you are going to a big hotel, especially from the farther out <i>Narita International Airport,</i> a </span></b><b><span style="font-family: "century";">Limo Bus is best. You'll see the bus desk immediately after exiting the customs check, and just tell your hotel name and you can purchase ticket (c. Yen 3000 from <i>Narita) </i>or you may even be able to ride a free shuttle bus to a hotel near Narita Airport. Haneda was the domestic airport but recently it has been enlarged for international flights and it is much more convenient, if your destination or take-off point is Tokyo/Yokohama, than Narita International is. Many airlines offer a choice of flight arrival and departure between the two.</span></b><br />
<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> From <i>Narita International Airport</i> the trains to Tokyo are pleasant for group conversation and sightseeing and mostly get you into central Tokyo faster than a bus. Allow me to guide from Narita International now. (Most of this is useful for any airport entry into Japan) You step off your flight with a rolling luggage and follow the signs for arrivals. This will take you through <i>Quarantine </i>and<i> </i>to <i>Passport Check.</i> Arrivals are guided to form 3 separate lines - <i>Japanese passports, foreign passports of long-term residents who have re-entry permits and foreign passports who do not have the re-entry permits</i>. Passport processing is quick. Just have your passport out with customs declaration and you will be index-fingers-printed and head and shoulders photo'd by a device on the passport-check counter. Then go down escalator, pick up checked luggage and pass custom-check for luggage and maybe body search for drugs (rare). Generally you will not be required to open luggage but it is possible. If you're over 65 or even slightly disabled, you can get a wheelchair assist which will speed you. </span></b></span><br />
<b><span style="font-family: "century";"> You are now out of the arrival-area and you go out exit doors and will see greeters holding signs. (Note: there are 2 arrival areas on the <i>Narita International </i>arrival floor so if someone has come to greet you and you do not see him or her, either check the other arrival area or use cell phone to locate the greeter) If you are going into Tokyo by train, head to the nearby escalator and go down 2 flights to lowest level and walk diagonally across to the <i>Narita Express (NEX) </i>Line to your far right. On your left you'll see the <i>Skyliner</i> that advertises 38 minutes to Tokyo via the northern<i> Nippori Station </i>but that is misleading because Nippori is almost 30 minutes from Tokyo Central.</span></b><br />
<b><span style="font-family: "century";"> If you are taking a train, before buying the ticket, check to see when the next express is leaving for Tokyo. Sometimes there is as much as a 25-minute difference in wait for one of the line's trains to leave and you can save time by choosing the train that leaves soonest. If you decide on the <i>Narita Express (Actually best for getting to Tokyo quickly) </i>you may see that the the ticket-selling counter has a long line, so long it may cause you to miss a soon-departing train<i>. </i>But those who read here can avoid the long line by walking to the turnstile entrance, and you will see on your right the automatic ticket machines built into the wall. If you have brought a Yen 10,000 bill with you, as I advise, just insert it, down and to your left as you stand facing the ticket machine and then on the screen press the 140 Yen (or lowest price, since the price goes up at intervals) ticket and the machine will deliver the ticket and produce your cash and coin change. This lowest price ticket is the minimum trip ticket that pays for one stop down the line but it will give you entry into the turnstile. (Insert the ticket or, if you do not understand how to, ask the clerk who stands nearby). The ticket gets notched and returned to you and you should not lose it because it is your ticket to enter and ride. Then you continue straight ahead and down the escalator a few meters ahead and, onto the trains platform: the <i>Narita Express</i> track is on your right and the multiple-stop <i>Airport Limited</i> train on your left. <i>The Narita Express </i>goes nonstop from Airport to Tokyo<i>,</i> a 60-minute ride for Yen c.3,500. The<i> Airport Limited</i> makes stops for a 90-minute ride to Tokyo for Yen 1,280. If you are not in a rush, do the <i>Airport Limited</i> train<i>.</i> (Warning: at night the <i>Airport Limited</i> train may only go as far as <i>Chiba City </i>where it makes a long stop<i> </i>and you must get off and change there to the the train across the way on the same platform or you will end up back at the Airport. Always ask before you chose a many-stop <i>Airport Limited </i>train into Tokyo at night)</span></b><br />
<b><span style="font-family: "century";"> On the <i>Narita Express</i> if you have not already bought a reserved seat, you will be requested to show ticket to the conductor who walks through checking tickets and, if you have the 140-yen ticket, he will sell you a full ticket and give you a paper receipt you must use at your destination. On the other, the <i>Airport Limited</i> dtrain<i>, </i>no one will ask for your ticket but you must present it at your destination and pay the balance. (If you lose the ticket, no problem; the ticket-taker will trust your word and charge from your entry point)</span></b><br />
<b><span style="font-family: "century";"> Again, on timing into Tokyo: on the <i>Narita Express </i>platform<i>, </i>you may note that the<i> Airport Limited</i> is just about to leave and the next <i>Narita Express </i>is not leaving for 20 - 25 minutes. Then it is smart to take the earlier leaving <i>Airport Limited </i> for much cheaper price and almost same time to get you into Tokyo. This is an advantage of buying a 140-yen (or lowest price) entree ticket rather than reserving a seat on <i>Narita Express. </i>A point to know if you use the 140-Yen ticket on <i>Narita Express </i>is not to seat yourself until the <i>Express </i>leaves the <i>Airport 2 Station, </i>the next from starting station <i>Airport-1,</i> because all seats are supposed to be reserved although, practically, many remain empty. So you want to wait till all reserves are seated at <i>Airport 2 Station</i> closing doors.</span></b><br />
<b><span style="font-family: "century";"> Assuming you get off at <i>Tokyo Station</i>, another pearl point is to walk along the Tokyo Station platform to pillar 16 and you'll see the elevators (or if you're British, <i>the lifts)</i> there. Take an elevator to <i>B-1 </i>and you will find yourself exactly in front of the exit turnstiles and ticket-takers. You may have a question how to take the subways or the older surface transit from Tokyo Station to your final destination - a hotel or a friend's house address. The ticket-takers may be able to answer those questions in English.</span></b><br />
<b><span style="font-family: "century";"> Tokyo Station is the biggest hub in Tokyo. From it you can get anywhere - by subway, surface transit or taxi. Best to have a written instruction that shows your destination on a map and, if you are carrying a cell phone, have your destination's phone number. If you get lost in Tokyo Station or out on the street, it is not a big problem - the friendly passers-by will offer help and everyone speaks enough English to assist.</span></b><br />
<b><span style="font-family: "century";">From Haneda Airport you simply take a city transit (train or bus) to your location in either city. Follow the signs to Tokyo or Yokohama.</span></b><br />
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><u><i>For sightseeing I advise</i></u> a morning that starts with boat from <i>Hinode </i>Peer. (Ask your hotel lobby manager how to get to Shimbashi <i>Yurikamome </i>Station). Buy a ticket to the Hinode Station and follow signs in English to the 10 AM boat. Up the </span></b><place><placename><b><span lang="EN-US" style="font-size: 14pt;">Sumida</span></b></placename><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><placetype><b><span lang="EN-US" style="font-size: 14pt;">River</span></b></placetype></place><b><span lang="EN-US" style="font-size: 14pt;">, it takes you under the many bridges ending at <i>Asakusa,</i> where you walk to the famous shrine area of hundreds of small shops for buying mementos. Best to approach the shrine leisurely browsing the stores but not buying or eating until you see the temple site and take your photos. Then, on your way back, have lunch in a restaurant and buy mementos chosen from those you looked at during your arrival walk. You should finish by </span></b><time hour="13" minute="0"><b><span lang="EN-US" style="font-size: 14pt;">1 PM.</span></b></time></span><br />
<span style="font-family: "century";"><time hour="13" minute="0"><b><span lang="EN-US" style="font-size: 14pt;"> Nearby at the next subway station from <i>Asakusa</i> - <i>the Oshiage</i> station - you can visit the Tokyo<i> Skytree Tower</i> - the newest and tallest broadcasting tower.</span></b></time></span><br />
<span style="font-family: "century";"><time hour="13" minute="0"><b><span lang="EN-US" style="font-size: 14pt;"> Then later, i</span></b></time><b><span lang="EN-US" style="font-size: 14pt;">n afternoon, see other area - </span></b><place><b><span lang="EN-US" style="font-size: 14pt;">Ginza,</span></b></place><b><span lang="EN-US" style="font-size: 14pt;"> or the Emperor's Palace in </span></b><place><placename><b><span lang="EN-US" style="font-size: 14pt;">Hibiya</span></b></placename><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><placetype><b><span lang="EN-US" style="font-size: 14pt;">Park</span></b></placetype></place><b><span lang="EN-US" style="font-size: 14pt;">. But keep away from the old </span></b><place><i><placename><b><span lang="EN-US" style="font-size: 14pt;">Tokyo</span></b></placename><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><placetype><b><span lang="EN-US" style="font-size: 14pt;">Tower</span></b></placetype></i></place><b><span lang="EN-US" style="font-size: 14pt;">, a tourist trap. One day for guided tour is enough. You may have friends or other activity for other days.</span></b></span><br />
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<b style="font-family: century; text-indent: 18.33px;"><span lang="EN-US" style="font-size: 14pt;"><i style="text-decoration: underline;">How long to stay in Japan?</i> For a first timer, </span></b><b style="font-family: century; text-indent: 18.33px;"><span lang="EN-US" style="font-size: 14pt;">I say 1 or 2 days for </span></b><city style="font-family: century; text-indent: 18.33px;"><place><b><span lang="EN-US" style="font-size: 14pt;">Tokyo</span></b></place></city><b style="font-family: century; text-indent: 18.33px;"><span lang="EN-US" style="font-size: 14pt;">, 1 for Kyoto-Osaka, and another two days for </span></b><city style="font-family: century; text-indent: 18.33px;"><place><b><span lang="EN-US" style="font-size: 14pt;">Hiroshima</span></b></place></city><b style="font-family: century; text-indent: 18.33px;"><span lang="EN-US" style="font-size: 14pt;"> in south or </span></b><city style="font-family: century; text-indent: 18.33px;"><place><b><span lang="EN-US" style="font-size: 14pt;">Sapporo</span></b></place></city><b style="font-family: century; text-indent: 18.33px;"><span lang="EN-US" style="font-size: 14pt;"> in north. A local travel agent from JTB (</span></b><country -region="-region" style="font-family: century; text-indent: 18.33px;"><place><b><span lang="EN-US" style="font-size: 14pt;">Japan</span></b></place></country><b style="font-family: century; text-indent: 18.33px;"><span lang="EN-US" style="font-size: 14pt;"> Travel Bureau) contacted at the hotel can help plan tours.</span></b></div>
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<span style="font-family: "century";"><country -region="-region"><place><b><span lang="EN-US" style="font-size: 14pt;"><i style="text-decoration: underline;">Starting New Life in Japan</i>: </span></b></place></country><b><span lang="EN-US" style="font-size: 14pt;">Jobs with sufficient pay to live well are here. Least difficult to get is teaching English but also editing, proof reading, medical assistance and even legal jobs. Check the Help Wanted in the English-language<i> Japan Times</i>. Best to establish personal relationships on a tourist trip and do interview and find living place and then go out of </span></b><country -region="-region"><place><b><span lang="EN-US" style="font-size: 14pt;">Japan</span></b></place></country><b><span lang="EN-US" style="font-size: 14pt;"> and return with working visa arranged by employer. Most foreigners work in Tokyo/Yokohama/Chiba area but outside is OK too if you can find.</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> If you are to start new life in </span></b><country -region="-region"><place><b><span lang="EN-US" style="font-size: 14pt;">Japan</span></b></place></country><b><span lang="EN-US" style="font-size: 14pt;">, study Japanese at home. (Of course, you can always buy a <i>Berlitz or other </i>conversation course) </span></b><b><span lang="EN-US" style="font-size: 14pt;">For learning Japanese reading and writing <i>The Nelson, Japanese-English Character Dictionary </i>is invaluable. The best single word for a non Japanese to know is <i>Sumimasen! (Usually spoken "sooeemasen" - "Sorry to bother you, but ....!" </i>It can be used in all cases where you want to ask question, or you inconvenience or accidentally bump someone.</span></b></span></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Once you have job and residence status, you can develop social life. The Japanese are friendly and like to practice English, the women are open to marriage proposal and other proposition, and the men find foreign women alluring.</span></span></b><br />
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>The sexual psychology of the young Japanese woman</u></i> (This section may seem very frank to non-Japanese readers but it comes from a millennial university-educated Japanese woman and could be useful especially to American men) The Japanese young woman has many things in common with the young European or American woman but differences exist. The young Japanese woman tends to be a little less free with sexual favors than young women in the U.S.A. so it is a good idea for a foreign man not to <i>rush</i> a Japanese girl into a sexual relationship. Especially do not do any guessing by trying to grope or embrace a woman for kissing. At least one preliminary date and some discussion of a close, perhaps sexual relationship is the best approach. This may be on a mutual vacation weekend at a nearby health spa. Then, in lovemaking, unless discussed ahead of time, a foreign man should not be too aggressive. At the start, best to be very straight and with good preliminary romantic petting. (Japanese women call it "cuddling") Also, especially with the first encounter, the foreign man is expected to practice good hygiene because there is much worry about foreigners spreading sexually transmitted disease, especially HIV/AIDS and now Covid-19. So, a mutual hot bath or shower and good obvious mouthwash <i><u>before</u></i> the lovemaking is <i>de requier</i> as also is the full use of a condom, which the foreign man is expected to provide.</span></span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> <u><i>Good reading about </i></u></span></b><country -region="-region"><place><b><span lang="EN-US" style="font-size: 14pt;"><u><i>Japan</i></u></span></b></place></country><b><span lang="EN-US" style="font-size: 14pt;"> starts with Lafcadio Hearn’s </span></b><country -region="-region"><place><i><b><span lang="EN-US" style="font-size: 14pt;">Japan</span></b></i></place></country><b><i><span lang="EN-US" style="font-size: 14pt;">, An Attempt at An Interpretation. </span></i></b><b><span lang="EN-US" style="font-size: 14pt;">Also to enjoy and learn Japanese life and culture are the English translations of Junichiro Tanizaki’s <i>The Key, </i>Natsume Soseki’s <i>I am a Cat, </i>Yasunari Kawabata’s <i>Snow Country, </i>and Yukio Mishima’s <i>The Temple of the Golden Pavilion. Also </i><span style="font-size: small;">Google or click <u style="font-style: italic;">http://adventuresofkimi.blogspot.com</u> .</span></span></b></span></div>
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<span style="font-family: "century";"><u><i><b><span lang="EN-US" style="font-size: 14pt;">Eating in </span></b><country -region="-region"><place><b><span lang="EN-US" style="font-size: 14pt;">Japan</span></b></place></country></i></u><b><span lang="EN-US" style="font-size: 14pt;"><u><i>:</i></u> The tourist and new employee will become most involved with the Japanese restaurant dinner: I concentrate on eating for good health. For each restaurant I choose the ideal food that does not overfill, that you will not gain weight on, that you won’t get suddenly sick from and that is good price. Japanese restaurant business lunches take c.30 to 50 minutes. Price of a meal ranges between Yen 500 and Yen 1000. First, do not order <i>a la carte </i>coffee, tea, or beverage that adds to bill</span></b></span><b style="font-family: century;"><span lang="EN-US" style="font-size: 14pt;">.</span></b><br />
<b style="font-family: century;"><span lang="EN-US" style="font-size: 14pt;"> If you are going to sample gourmet restaurants (steak house, cutlet, chops, fish & chips etc.), keep in mind that prices may vary much depending on whether you go after 5 pm, on weekends, or midday of Tues to Fridays. The best prices are weekdays between 2 pm and 4 pm. The worst and highest prices are on weekends, holidays and evenings. </span></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Noodle shop: best buy is <i>mori soba, </i>plain, thin, cool noodles, with chopsticks and dipped in mustard-spiced soy sauce. Order the regular size not the big size and get the usual price Yen c.550 (But prices go up). If you want hot, then try <i>tanuki soba.</i></span></span></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Curry Rice nice: Price in franchise take-out like <i>Matsuya</i> is as low as Yen 380. For a calorie-counting-eater, the serving may be take-out and split into two eatings. Noodle restaurants offer at higher price. And don't forget the <i>Cup Noodle</i> that you buy in </span></span></b><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">a 24-hr <i>Lawson</i> or <i>7/11 </i>store.</span></span></b> </span></span></b><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">For Yen c.160 the <i>Light</i>,
198 K-calorie size, you get a good tasting, low-calorie noodle lunch
that just needs hot water<i>.</i></span></span></b></span></span></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Sushi is popular but has raw food risk.</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Fast Food eating is best at McDonald`s<i>. Doutors (Said: “Daughters”) is too expensive!</i></span></span></b><br />
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<b style="text-indent: 13.75pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Hotel eating is expensive.</span></span></b></div>
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<b style="font-family: century; text-indent: 13.75pt;"><span lang="EN-US" style="font-size: 14pt;"> Here is a use of chopsticks, or <i>ohashi,</i> in </span></b><country -region="-region" style="font-family: century; text-indent: 13.75pt;"><place><b><span lang="EN-US" style="font-size: 14pt;">Japan</span></b></place></country><b style="font-family: century; text-indent: 13.75pt;"><span lang="EN-US" style="font-size: 14pt;">. When you eat, hold them halfway, using one as lever between thumb and index finger and the other steadied between third or fourth finger. When you put food in mouth, of course, the end you eat catches the food. But when you transfer a food from one plate to another, reverse the direction and transfer the food with the untouched upper end. And you can cut soft foods with scissor-like motion. Eating with chopsticks allows you to go slow and enjoy more.</span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><u><i>Transportation</i></u> </span></b><b><span lang="EN-US" style="font-size: 14pt;">: Ticket is sold at station via vending machine, priced for distance traveled from entrance to exit. If you do not know your destination ticket price, just put in the minimum price using 100, 50 or 10 Yen coins (Indicated on the machine; minimums are 140 to 170 or 180 Yen for subways or for JR surface it is 140 Yen or at Narita Airport 140 Yen; but the price goes up each year). The ticket gives <i>entrée</i>, and at destination you present the ticket. If you have any question, ask the station clerks, all of whom are usually cooperative and know enough English to help. Most city transit stations close a little after 12 Midnight so best reach your final destination before 12 Midnight.</span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> Taxis are safe, efficient and reasonably priced. Uber is available. Most drivers do not understand much English so, if you leave from hotel, have hotel employee tell the driver your destination, otherwise have business card or map to destination or its telephone number so driver may call by his cell phone for instruction on getting there. Do not tip.</span></b></span><br />
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<span style="font-family: "century";"><i><u><b><span lang="EN-US" style="font-size: 14pt;">If you wish to tour </span></b></u></i><city><place><b><span lang="EN-US" style="font-size: 14pt;"><i><u>Kyoto</u></i> the ancient capital</span></b></place></city><b><span lang="EN-US" style="font-size: 14pt;">, take the <i>Bullet </i>train for the 3 hours from </span></b><city><place><b><span lang="EN-US" style="font-size: 14pt;">Tokyo</span></b></place></city><b><span lang="EN-US" style="font-size: 14pt;"> Station. For other big city outside Tokyo metro, fly domestic airline</span></b><b><span lang="EN-US" style="font-size: 14pt;">.</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> Leaving </span></b><country -region="-region"><place><b><span lang="EN-US" style="font-size: 14pt;">Japan</span></b></place></country><b><span lang="EN-US" style="font-size: 14pt;"> needs only show passport at airport.</span></b></span><br />
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<b><span style="font-family: "century";"><u style="font-style: italic;">Creative Writing in Japan</u>: If you are staying in Tokyo and like to write stories or poetry, the <i>Tokyo Writers Workshop</i> meets third Sunday every month and you may find out about a meeting by telephoning (0424) 69 33 77 and speak with John or else Google it.</span></b><br />
<b><span style="font-family: "century";"><i style="text-decoration-line: underline;"><u>Library Facilities in English</u></i> The <i>Kokusai Bunka Kaikan </i>(International House URL: http//www.i-house.or.jp) located not far from the Roppongi Crossing Subway Station (even closer to the Azabu Jyu-ban Oedo line station) has an excellent English-language library with public internet that foreigners may use Mon. to Sat. 9 am to 5 pm.</span></b><b><span style="font-family: "century";"><span style="font-style: italic;"><br /></span><u style="font-style: italic;"></u></span></b><br />
<b><span style="font-family: "century";"><u style="font-style: italic;">The Weekender</u> Speaking of fine magazines for the expat, <i>The Weekender</i> is tops for fashion, sightseeing, social meetings and whatever else an expat in Tokyo might like. You may pick one up at any big hotel in lobby.</span></b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; text-indent: 13.75pt;"><span style="font-family: century;"><b>The <br /></b></span>
<b><span style="font-family: "century";"><u style="font-style: italic;">Medical Care</u> The excellent English-language Jikei<i> Medical University Library</i> with latest medical/nursing literature publications in stacks is open 8 AM till 10 PM weekdays and Saturday, and afternoons from 1 PM on Sundays. (Closed on national holidays). For info, Tel (03) 3433 1111, ask <i>"Toshokan, onegai shimasu"</i> and wait to be connected. It is near the Mita-Line Subway <i>Onarimon</i> Station; and have an ID for the library.</span></b><br />
<strong> Japanese physician offices generally do not like to have foreigners as patients but exceptions exist. Two clinics I know that cater to foreigners are KIC (<a href="mailto:info@kic.clinic">info@kic.clinic</a>) and <em>Tokyo and Medical and Surgical Clinic</em> (outside Tokyo or cellphone, call 03 3436 3028 for info; in Tokyo landphone drop the 03). The usual fee for seeing a general doctor at TMSC is 12- to 14-thousand JY. It is located acrss the street from the Tokyo Tower, nearest subway is <em>Kamiyacho Station</em> on the Hibiya Subway line.</strong><br />
<strong> Also, of course you may call or text my <em>Night&Day Medical Advisory </em>at 080 5034 9898 (Use email: edwardstim</strong><strong style="text-indent: 13.75pt;"><a href="mailto:edwardsrim-eaj@softbank.ne.jp"><em>-eaj@softbank.ne.jp . From North America digit 1 702 234 1015 to telephone or text me in Japan. </em></a></strong><strong style="text-indent: 13.75pt;">And you may call or text using the telephone numbers) for free telephone medical advice.</strong><br />
<b style="font-family: century; text-indent: 0px;"><span lang="EN-US" style="font-size: 14pt;"> If you start <i><u>non tourist</u></i> living and working in </span></b><country -region="-region" style="font-family: century; text-indent: 0px;"><place><b><span lang="EN-US" style="font-size: 14pt;">Japan</span></b></place></country><b style="font-family: century; text-indent: 0px;"><span lang="EN-US" style="font-size: 14pt;">, you should obtain a National Health Insurance (NHI) membership at your local ward office <i>(Kuyakusho;</i> you can’t miss the office because you will have to register there, if non-tourist). If you declare no earnings, only a small amount is taken from Your bank account each month. And, once you have the your NHI card, all your medical care, including prescription fees (see below) in local HMO or private office is one third the regular fee (10% the regular if over 65 and salary JPY 3.6 million or less a year). Quality of care good: I know, having used it for thirty years. Medications are dispensed by prescription (Rx) form by physician in clinic and paid for in the NHI system. If you lose an Rx <i>scrip </i>you may get it replaced by mail without a 2nd clinic visit but NHI will not pay for filling a replaced Rx. Dentistry is covered.</span></b><br />
<b style="font-family: century; text-indent: 0px;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-size: large;">Medical Care;</span> </span></b><b style="font-family: century; text-indent: 0px;"><span lang="EN-US" style="font-size: 14pt;"><b style="font-family: "times new roman"; font-size: medium; text-align: center; text-indent: 18.33px;"><span style="font-family: "century";"><span style="font-style: italic;"><span style="font-size: large;"><u>Being a Patient in a Japanese University Hospital:</u></span></span></span></b></span></b><br />
<span style="text-indent: 0px;"><span lang="EN-US"><span style="text-align: center; text-indent: 18.33px;"><span style="font-size: large;"><span style="font-family: "times new roman";"><b>Note that Japan has an excellent public ambulance system. But it would be very helpful for a foreigner to have a Japanese doctor, available by telephone, who can direct the ambulance to take you to his university hospital. In a recent experience of mine, because I am over age 65 and have a low enough salary my NHI paid 90% of the ambulance and subsequent hospital fees which relieved me of a great deal of anxiety because the total cost of my hospitalization was </b></span><b style="font-family: century;">360,000 yen a week. I was put in a hospital bed on the orthopedic ward due to fracture accident. </b><b style="font-family: century;">In the Japanese university hospital, not much English is spoken or understood. So, it is helpful to have a Japanese or foreign friend or co-worker, for interpreter, who is fluent in Japanese and your language. The hospital beds are </b><b style="font-family: "times new roman";">comfortable</b><b style="font-family: century;"> and the mattress is air-inflated to prevent pressure sores and you have hand controls that allow you to elevate and lower your bed, elevate your feet at the knee and elevate and lower your head. The room lights are turned on 6 AM and out at 9 PM but there is an overhead light over your head that will allow you to read without disturbing your </b><span style="font-family: "century";"><b>roommates at </b></span><b style="font-family: century;">night. The usual room contains 6 beds partitioned by curtains and there is not a great deal of space for visitors (visiting hours 2-8 Mon.-Sat., 11-10 Sunday but now modified by Covid-19). The hospital room and the care that goes with it is covered by the insurance, but </b><b style="font-family: century;">if you want a private, single room, you must pay a much higher fee not covered by the insurance. The food service, I found, tolerable and you can choose to have </b><span style="font-family: "century";"><b>Western</b></span><b style="font-family: century;"> style food, which means you will get bread in the morning rather than rice, and beef and pork rather than fish, and also things like </b><span style="font-family: "century";"><b>spaghetti</b></span><b style="font-family: century;"> and macaroni. Also, it is useful to know that you can delay your meals, for example, lunch is served 12 noon but it can be delayed till 2 PM and the supper is served 5:45 PM but can be delayed till 7:30 PM. </b></span></span></span></span><br />
<span style="text-indent: 0px;"><span lang="EN-US"><span style="text-align: center; text-indent: 18.33px;"><span style="font-size: large;"><b style="font-family: century;"> Unless you are on a special diet for your illness, you are free to have people bring you alternative food</b><span style="font-family: "century";"><b></b></span><b style="font-family: century;">. If you are mobile, there is a 1st floor Lawson (in Jikei Hospital, but other hospitals have similar convenience stores) where you can buy all kinds of goodies to eat. If you want coffee in the morning (in Jikei), take the elevator to floor 1, the Lawson Convenience Station which opens at 7 AM</b></span></span></span></span><b style="font-family: century; text-align: center; text-indent: 0px;"><span lang="EN-US"><b style="font-family: "times new roman"; text-indent: 18.33px;"><span style="font-family: "century";"><span style="font-style: italic;">. </span></span></b></span></b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; text-indent: 13.75pt;">
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<b><span style="font-family: "century";"><u style="font-style: italic;">Telephone Numbers</u> Inside Japan, the telephone numbers are written with brackets for area code: (03) is Tokyo; (0424) is Narita International Airport area. Calling inside the area code on land phones does not require the area code but on cell phone it does. Calling from outside Japan, use your region's international access code, then Japan country code 81 and drop the first zero of area code, e.g., from North America 011 81 80 5034 9898, you'll get me, Dr Stim.</span></b><br />
<b><span style="font-family: "century";"><u><i>Finding an address in Japan</i></u> starts with the place name, and the section name followed by three hyphenated numbers. For example in Tokyo<i> Ben's Cafe, Takadanobaba 1-29-21</i>. You need to know what is the closest station. Then you go to the station and ask at the usually obvious police box (<i>Koban</i>). The first number is the section-area, or <i>chome</i>, the second number is the block, and the 3rd number is the building number. Once you get experienced you can find it from the map located out on the street in front of every station. Most places have a Google map that may be accessed on internet under its name, e.g., "Ben's Cafe." In taxi, show the address to your driver.</span></b><br />
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<b><span style="font-family: "century";"><u style="font-style: italic;">Lost & Found in Japan</u> is very good because the Japanese are honest and the system is efficient. If you lose something important, first check ASAP where you lost it if you know (hotel, airport, department store, etc.) by calling to the local place's Lost & Found. If it's like a money card or key or other important pocket item, check with local police office or call central Tokyo police. You'll be astounded how efficient the system is. I know, first hand by 2 experiences. Several months ago my bank cash card went missing. I went to my bank, thinking to cancel the lost one and get a new one. As soon as I said "lost money card". they called the police central and the computer immediately located the card that had dropped from my pocket on the subway and been given to the police by the subway car cleaner at the end of the line. I went to the local police station where the card was found and had it back at once. For longer term lost and found, the police have a building at <i>Iidabashi</i> that you may contact through any police station. More recently, I was coming back to my office by subway and when I arrived at my office I discovered to my horror that my Japan foreigner registration card and my bank money card had dropped out of my inside pocket on the subway! This could have been a catastrophe because the foreigner card must be presented at airports for overseas trips and I planned to do a trip in a week. Since I discovered the loss immediately on arrival at my office and could locate that it must have happened on a particular subway line only in the previous hour. I immediately called the subway line through telephone information and within minutes discovered that my lost cards had been found by a subway conductor and were being kept in the station master's office at a nearby station. A good example of the super efficiency of lost and found in Japan if you know the system by reading this.</span></b><br />
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<b><span style="font-family: "century";"><u><i>Employ a housekeeper</i></u>, the pay rate is c.1500 Yen an hour. The ladies who clean the office where you work can usually be recruited. And pay cash.</span></b><br />
<b><span style="font-family: "century";"><br /></span></b><b><span style="font-family: "century";"><i style="text-decoration: underline;">Applying for Japanese Nationality/Passport</i> A non Japanese person wishing to change nationality to Japanese should first call the <i>Ministry of Justice</i> in Tokyo at (03) 3580 4111 and connect with extension 2034. If not fluent in Japanese, have a Japanese friend ask for information about how to change a foreign nationality into a Japanese one. The questioner will be directed to his or her local <i>Ministry of Justice </i>office, the Nationality (<i>) </i>Department. Then one makes a first consultation (<i>sodan) </i>appointment in which one is tested for understanding Japanese and being minimally competent in reading and writing in the <i>hiragana/katakana</i> system. The application involves: 1) An investigation by the <i>Ministry of Justice</i> for criminal activity during one's previous stays in Japan; and 2) documentation of one's family members and spouses (birth, marriage & death certificates), one's recent tax returns in Japan, and one's previous passports and bank books in Japan.</span></b><br />
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<b><span style="font-family: "century";"><i><u>End Note: A Hongkong Tailor in Tokyo</u></i>: For custom-made clothes by a master tailor using best European and English materials for good price for quality and high honesty in dealing, one should click onto <a href="http://www.himarkmartintailors.com/">www.himarkmartintailors.com</a> or call in Japan 090 6116 2965 to speak with Aroon.</span></b><br />
<b><u style="font-style: italic;">Weekend and Holiday Post Office</u>: On Saturdays, Sundays and national holidays the local post offices are closed. In Tokyo, use the Central Post Office at Tokyo Station Marunouchi South Exit, In Yokohama, use the Central Post Office at Yokohama Station, east exit. In other large city inquire at hotel or at street police box. For airmail say <i>hikoki de</i>, or for special deliver <i>sokutatsu</i> and for registered mail <i>kakitome.</i></b><br />
<b> </b><b><b><i><u><span style="font-family: "century";">Birthday and Wedding Cakes in Tokyo </span></u></i></b></b><br />
<b><b><i><u><span style="font-family: "century";"> </span></u></i></b>If you need an inscribed birthday or wedding cake custom-made, use <i>Bellas</i></b> <b>between Shirogane-Takanawa Mita Subway and Sengakuji stations. Information at <span style="font-family: inherit;">WWW.BELLAS-TOKYO.COM. and order at email ORDERS@BELLAS-TOKYO.com</span><u><br /></u></b><br />
<b><u>A Good Luxury Hotel</u>. I have experience with the <i>Tokyo Dome Hotel</i> near <i>Suidobashi Station</i>, 15 minutes from central Tokyo. (Tel. in Japan 03 5805 2111) It is a 43-story structure with striking views from its lifts and from the 43rd floor <i>Sky Bar & Restaurant (</i>also known as <i>Artists Cafe). </i>If you use a luxury hotel and want the best, try in the <i>Dome, </i>the 39th, 40th and 41st floors for the Executive rooms that come with an <i>Executive Lounge</i> that gives you a very delicious self-serve breakfast from 7 to 10 AM, a coffee time 1 to 5 PM and a drinks & snacks time after 5 PM. The Lounge has a desktop computer that is rarely used by Japanese and also good reading and pretty views. Also a seminar room is available by appointment. And you may invite non-hotel guest friends for breakfast, snack & drinks and seminar-room conference. All rooms have free WiFi as does the lobby and floors. Cost of executive floor rooms officially minimally is Yen 35,000 to 55,000, a 2 PM check-in and 11 AM check out; but ask for <i>best price</i> and you might be given room fees down to 20,000 Yen especially in slack season (Spring and Winter). Best to make reservation ahead for "<i>best price" </i>but you may also try the same day any time till 2 PM. The famous Imperial Hotel is terribly expensive and just terrible. Stay away!</b><br />
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<tr class="Header"><td class="ReadMsgHeaderCol1"> <b>The above is basically directed toward the new traveler to Japan. But from here, I wish to give my pearls as an old expat who has spent the years mostly in Tokyo. It will be about eating, shopping, meeting friends. I will keep adding; so what you read now may have a look of incompleteness.</b></td><td class="ReadMsgHeaderCol1"></td><td class="ReadMsgHeaderCol1"></td><td class="ReadMsgHeaderCol1"></td><td class="ReadMsgHeaderCol1"></td><td class="ReadMsgHeaderCol1"><br /></td><td class="ReadMsgHeaderCol1"><br /></td><td class="ReadMsgHeaderCol1"><br /></td><td class="ReadMsgHeaderCol1"><br /></td><td><br /></td></tr>
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<b><span style="font-family: "century";"> About food shopping through the supermarkets and the 24-hour stores (the <i>7/11</i>s, the <i>Lawsons, and Family Marts</i>): 1) In supermarket a lot of free samples are given out that you could almost dine on; for example, in my local supermarket, during the tangerine season, they offer plates-full of tangerine which I collect for my desserts. Also lots of spicy condiments such as pickled bits of ginger that you can sprinkle on your snack, little packages of mustard and many other like flavorings. Then for the economy-minded buyer, you can get discounts if you shop after 8 or 9 PM up to 50%. About these discounts: if you go to the store 8 to 9 PM, or about an hour or so before closing, you my see the guy pasting the discounts. And if you spot a particular snack you want, you may indicate so to the discount guy by holding the snack-pack up to him and he may accommodate by stamping "half" on it. And finally the ubiquitous point card that gives you a small credit bonus on your purchases..</span></b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; text-indent: 13.75pt;"><span style="font-family: century;"><b>Allow me to go into my experiences in my local Higashi/Nishi (E./W.) Kanagawa Yokohama area, which more or less mirror the experience throughout Japan. The two main supermarkets are <i>Aeon</i> and <i>Maruetsu</i> at or very near the immediate west exits side of the <i>Higashi Kanagawa JR Station</i>. The SMkTs, especially <i>Aeon</i>, are now highly automated and instead of having to wait on long, slow lines to pay, one may use the automated self-serve pay section which moves quickly. <i>Aeon</i> has generally lower prices for same products than <i>Maruetsu</i> with occasional exception; also it is open 7 days a week and Holidays from 7 AM to 10 PM while <i>Maruetsu</i> opens at 10 AM. Both have attached Department Stores. For after hours one may use the three chain convenience stores—-Lawson, 7/11, Family Mart—- and pay slightly higher prices for the convenience. My experience is with Lawson and my impression is that it is the best in terms of price, product and store locations. And Lawson’s, in contrast to the other two, shows local differences in price, product and type of store (Lawson’s Stations and Natural Lawson’s) I find 3 Lawson stores within walking distance from my flat, each with its own special bargains and good product availability.</b></span><br /><br />
<b><span style="font-family: "century";">On using subways and other mass transit: In Tokyo the mass transit is the JR surface trains (<i>Yamanote</i> and <i>Chuo</i>) lines, the Subways, and the buses. Of the trains, the surface lines are least expensive (Basic entry ticket today JY 140) but mostly they are big circles that may miss inside parts of Tokyo that are better accessed by the subways. Subways are a bit more expensive (JY 170/180 for basic entry) Buses are of 2 types: 1) the private buses which are larger and rather expensive, and also hard for foreigners to understand. And 2), recently, the community borough buses (Minato-ku, Bunkyo ku, etc.), which are all only JY 100 for full trip and can be very convenient but you need to understand Japanese. These community buses are instantly recognizable because smaller, and cutely painted with cartoonish designs.. A good example for foreigners who may want to find the <i>Kokusai Bunka Kaikan </i>(International House of Japan) is the Minato-ku community bus between the popular JR <i>Tamachi Station </i>and the<i> Bunka Kaikan</i>, which is in Roppongi and normally rather hard to find.</span></b><br />
<b><span style="font-family: "century";">Also a pearl: When one buys a ticket for transit on the machine at station entry, the tendency is to locate the price and then buy that price ticket. A better way is to buy the least expensive ticket to get you on the platform (JY 140 for JR) and then pay the remainder at end of trip. In addition to speeding your way you may save money because some ticket price info is overpriced. For example if you are taking <i>Hibiya Subway Line</i> from <i>Hibiya to Roppongi</i> the ticket price of the chart will be listed at JY 280, exorbitantly high because is based on a roundabout route. The direct fee is actually the lowest, JY 170.</span></b><br />
<b><span style="font-family: "century"; font-size: large;">A warning during hot, humid summer days when your 1000-JY cash notes may get moistened in a sweaty pocket and will not work in ticket or other delivery machines. Be sure to have a supply of JY100/JY500 coins because the ticket sellers are very unkind about replacing moist cash notes.</span></b><br />
<b><span style="font-family: "century";"><i>Pasmo </i>is a travel credit card you buy at subway and ticket machines. One charges the card usually up to 10,000 yen and it automatically pays for tickets until next charge. Also can be used to make purchases in many stores. If you are a long term expat, the <i>Pasmo </i>is useful and convenient but if you buy a card be sure to copy its data because you pay a 500-Yen deposit on the card and if you lose it and do not have the data where and when you bought it, you not only lose 500 Yen but somebody else may use the money you put in the card.</span></b><br /></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; text-indent: 13.75pt;">
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<span style="font-size: x-large;"><span face="sans-serif" style="background-color: #f8f9fa;"> <i><u>Walden in Japan</u></i></span></span><br />
<span style="font-size: x-large;"><span face="sans-serif" style="background-color: #f8f9fa;"> Readers may recall the classic <i>Walden</i> by Thoreau wherein one person determined the basics of living by a pond in Massachusetts in the 1840s. Here, now, I give my <i>Walden in Japan, </i>give the basics for an expat living in Japan, basing it on my own experiences and observations living in the Tokyo/Yokohama area (Japan is very uniform so this applies anywhere from Hokkaido to Okinawa). It will be in the form of subjects as they have come to mind from recent experience.</span></span><br />
<span face="sans-serif" style="font-size: x-large;"><span style="background-color: #f8f9fa;"><u>The Prices of a </u><i style="text-decoration-line: underline;"><u>Coffee</u></i>: I do not advise, nor am I, becoming a person addicted to coffee. I use it for a particular need: motivating and energizing especially in the morning. And the can of <i>Black Coffee, </i>I find, is good for that. I note the machine price varies in JY, mostly from 140 to 100, but I found in large supermarkets, not in machine, the same can of black may be as low as 68 (plus the 10% sales tax). For very low price machine coffee, if you are in Roppongi, Gaien Higashi Dori is </span></span><span face="sans-serif" style="background-color: #f8f9fa; font-size: x-large; text-indent: 13.75pt;">the wide east-west street that runs east from the Roppongi Crossing where the subway station is toward the Tokyo Tower (the Tower looms on your eastern horizon). When you come to the first big crossing underpass make an exact 90-degree right angle turn (Your right) and walk about 100 meters downhill and you should spot two machines advertising 100-Yen cans and one of the machine gives the two types of 80-Yen cans. But hold on! Since then, I discovered a 50-Yen machine sweetened UCG can that is delivered pleasantly hot from the machine, a bright white one located outside the Maeda Building, Haircut Salon in Higashi Azabu 3-chome, 7-9, on north side of the wide street and about 175 meters from the Toei Subway Azabu Jyu-ban Crossing Stn. Then cf. the cans:</span><br />
<span face="sans-serif" style="font-size: x-large;"><span style="background-color: #f8f9fa;"> <i>Pokka UCC Blended</i></span></span><br />
<span face="sans-serif" style="font-size: x-large;"><span style="background-color: #f8f9fa;"><i>JY Cost 80 50</i></span></span><br />
<span face="sans-serif" style="font-size: x-large;"><span style="background-color: #f8f9fa;"><i>Amount 190 gm 185 gm</i></span></span><br />
<span face="sans-serif" style="font-size: x-large;"><span style="background-color: #f8f9fa;"><i>K-calories 39 13</i></span></span><br />
<span face="sans-serif" style="font-size: x-large;"><span style="background-color: #f8f9fa;"><i>Sweeten Dextrin(Glucose) Ace K (Arti.)</i></span></span><br />
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<span face="sans-serif" style="font-size: x-large;"><span style="background-color: #f8f9fa;">If you buy <i>Blendy </i>coffee sticks at your local supermarket you get up to 150 mg caffeine at c.18 JpY, a drink. Best taste is to use 140- to 180-ml water). Best yet is to stop habitual morning coffee, as I did, and substitute a small chocolate 120 yen McDonald’s McShake, which will supply your breakfast calorie expense, and the chocolate has enough caffeine plus its placebo affect to satisfy your caffeine habit. (You may also empty your Blendy’s coffee powder cachet into the McShake)</span></span><br />
<span face="sans-serif" style="font-size: x-large;"><span style="background-color: #f8f9fa;">Also how you use coffee: To me coffee is only for motivation and energizing (So </span></span><span face="sans-serif" style="background-color: #f8f9fa; font-size: x-large; text-indent: 13.75pt;">caffeine coffee). I do not drink it in the street. Also do not mix black coffee with anything. I mean, have it Black! and before any food is eaten! This is to maximize the caffeine effect on the empty stomach.</span><br />
<span face="sans-serif" style="font-size: x-large;"><span style="background-color: #f8f9fa;"><i style="text-decoration-line: underline;"><u>Valuables found by looking down</u>:</i> Because of my age and a bad back I tend to walk in a stooped position and get quite a glimpse of the pavement as I go. And I have discovered many rewards, ranging from the 10,000 JpY cash note someone inadvertently dropped, to the stick of gum lost from a pack by a gum-chewer walker. (A list of recent finds: <i>unopened tissues, paper clips, valuable coins, candy in wrappers, chewing gum in wrappers, pachinko balls, Mintia-</i><i>packaged mint pills, and even a packaged dinner inadvertently dropped that I advertently ate at home with great pleasure).</i> In between I have gotten rich from the money and had good eating from the wrapped candies, and many other goodies people drop on the pavement as they rush by. I am not advising telescoping the pavement as you walk. Always be aware of what is above and beside and behind you. But keep scanning the pavement as you go and be a happier fellow. </span></span><br />
<span face="sans-serif" style="font-size: x-large;"><span style="background-color: #f8f9fa;"><u style="font-style: italic;">Kleenex Type Tissues</u> are continuously being handed out at stations in Japan (and also, the napkins given with your McDonald's order) so you should collect and not buy. And keep in mind these tissues can replace toilet paper, kitchen roll paper, napkins ... .</span></span></div><div><span style="font-size: x-large;"><span style="background-color: #f8f9fa;">And, less frequent, promotional energy drinks, as freebies v<br /></span></span>
<span face="sans-serif" style="font-size: x-large;"><span style="background-color: #f8f9fa;"><u style="font-style: italic;">McDonald's in Japan, a Source of Much Saving and Good Eating</u>: A great source of money saving and good eating ! First, the 110 JY (U.S. c. USD $1) burger is a best buy for the central part of a lunch. And if you like the custard ice cream, the small-size <i>McShake</i> --- vanilla, choco or strawberry --- is best buy for JY 120. And for morning snack: the 250-Y set of bacon&egg on hot melted American cheese in a muffin with hot coffee and free ketchup, creme and sugar really satisfies as you sit using the free WiFi.</span></span><br />
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<span face="sans-serif" style="font-size: x-large;"><span style="background-color: #f8f9fa;"><u style="font-style: italic;">Machines You Don't Need to Buy for Home</u>: Desktop or laptop computer may be replaced (in their useful for you function) by public-use computers in libraries and big hotels as I have been doing these last months. Better yet an IPad can satisfy most computer needs. And without any loss of feeling of need, as I've discovered. Home washing machine and dryer (Almost everyone buys or pays more rent for today) for a single person may be replaced by coin machine whose price for a wash&dry ranges from 400 to 600 yen, and I found one across from the Kanagawa-ku Kuyakusho for 200 yen on Mon. to Fri., 1 to 4 pm.</span></span><br />
<span face="sans-serif" style="font-size: x-large;"><span style="background-color: #f8f9fa;"> </span></span><span face="sans-serif" style="background-color: #f8f9fa; font-size: x-large; text-indent: 13.75pt;">A fridge, I have done without for years because I'm a single who quickly eats up and drinks up his food and drink</span><br />
<span face="sans-serif" style="background-color: #f8f9fa; font-size: x-large; text-indent: 13.75pt;"><b><u><i>Free WiFi </i></u></b>is now available in every public telephone booth in Tokyo.These booths are located on the street and state on the window, Free WiFi. Also many hotels and fast food places. </span><span style="background-color: #f8f9fa; font-size: xx-large;">The new iPads all have built-ins. So do not waste money on home WiFi router.</span><br />
<span face="sans-serif" style="background-color: #f8f9fa; font-size: x-large; text-indent: 13.75pt;">About accessing the free WiFi: Some places, like the Sheraton hotels give automatically free WiFi merely by being in their vicinity. But with others, like the McDonald’s, you must go to your gear icon, scroll to WiFi, and click, On. </span><span face="sans-serif" style="background-color: #f8f9fa; font-size: x-large; text-indent: 13.75pt;">Most (McDonald’s) give 1 hour. Street telephone booths give 10 minutes.</span><br />
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<span face="sans-serif" style="font-size: x-large;"><span style="background-color: #f8f9fa;"><u style="font-style: italic;">Point Cards</u> : Stores where you buy regularly, including McDonald's, offer point cards where you register points for each purchase and can usually exchange for free or discounted buys. As with all these small plastic cards, stow them carefully against loss and make sure to initially register them.</span></span><br />
<span face="sans-serif" style="font-size: x-large;"><span style="background-color: #f8f9fa;"><u style="font-style: italic;">50 JY Celery or lettuce Replacing Expensive Salads</u>: In the supers, 7/11s and Lawsons you pay over 100 to 200 JY for salads with your meal. Why not buy a large 50 JY celery stalk or lettuce that you may use - leaves and all - by scissoring it up for 3 or 4 salad replacements.</span></span><br /><br /></div>
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<b><span style="font-family: "century";">To read next now, click </span></b><b><span style="font-family: "century";"><a href="http://physiciansnotebook.blogspot.jp/2010/10/about-new-york-city-for-new-traveler.html"><span style="color: #2288bb;">1.5 New York City for New Traveler</span></a></span></b></div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4839604317339966579.post-89208124216673737732010-09-23T10:00:00.037+09:002021-10-09T09:21:45.888+09:001.5 New York City for New Traveler<div class="MsoNormal" style="margin: 0mm 0mm 0pt;">
<b><span lang="EN-US"><span style="font-family: "century"; font-size: x-small;"><i>Physician's Notebooks 1</i> - http://physiciansnotebook.blogspot.com - See <i>Homepage</i></span></span></b><br />
<b><span face=""ms 明朝"" style="font-size: 16pt;">⑤</span></b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;">New York, New York (Update 09 October 2021) </span></b></span><b style="font-family: century;"><span lang="EN-US" style="font-size: 16pt;">The descending list of contents is in order of appearance. Use it to get an idea of the chapter and for <i>search and find</i>: or scroll down.</span></b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt;">
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;">Sights & Activities</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;">Flying in: Airports</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;">City Subways and Buses</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;">Taxi or Limo or <i>Uber</i></span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><i><i><u>Getting Around on Foot in Manhattan</u></i> </i></span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-size: medium;"><i><u>Sleepovers I advise in NYC</u></i></span></span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-size: medium;"><i><u><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>Hotel-less Stayover for the Night </u></i></span></b></span></u></i></span></span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;">Eating in NYC</span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;">Public Libraries </span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;">Children, Rides, Saturday Library</span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;">Lincoln Center</span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;">Broadway Shows</span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;">Fishing in NYC</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;">Sights & Activities: </span></b><b><span lang="EN-US" style="font-size: 14pt;">In New York City one can get a Broadway show, the Metropolitan Opera & NY State Ballet Company; also the zoos (Bronx, and Central Park/63rd St in Manhattan) and Prospect Park in Brooklyn; and also botanical gardens (Bronx and Brooklyn); and ocean fishing (from City Island in Bronx and <i>Sheepshead </i>Bay in Brooklyn) and lake fishing. </span></b></span><br />
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<span lang="EN-US"> </span><span lang="EN-US" style="font-family: "century"; font-size: 14pt; font-weight: bold;">There are top museums: For starters <i>The American Museum of Natural History</i> with the<i> Planetarium </i>on 81<sup>st</sup> & Central Park West and the Metropolitan Museum of Art, 1000 Fifth Ave at 82<sup>nd</sup> St & Central Park East, and the Museum of Modern Art (MOMA) near Rockefeller Center).</span><br />
<span lang="EN-US" style="font-family: "century"; font-size: 14pt; font-weight: bold;"> And natural forest in north </span><place style="font-family: Century;"><b><span lang="EN-US" style="font-size: 14pt;">Bronx: (From <i>Grand Central</i> <i>Station</i> take Bronx IRT train #4 to end of line, <i>Woodlawn or IRT #6 </i> to end of line, <i>Pelham Bay</i>)</span></b></place><b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;">. Beyond tourism, NYC is a center of study that attracts students – from boy or girl wanting to learn English, to a musician or painter wishing to study, play or paint.</span></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Flying in; Airports: Direct non-stop international flight will be routed into JFK or into Newark-Liberty. The LaGuardia Airport, too, when your flight touches down first at an other-than-NYC area international-entry.</span></span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i>JFK Airport</i> located in SE corner of Queens NYC has <i style="mso-bidi-font-style: normal;">AirTrain</i> which connects to NYC subways at Howard Beach or </span></b><country -region="-region"><place><b><span lang="EN-US" style="font-size: 14pt;">Jamaica stations. </span></b></place></country></span><span style="font-family: "century"; text-indent: 13.75pt;"><b><span lang="EN-US" style="font-size: 14pt;">You must transfer between <i>AirTrain</i> (fee, in 2019, which may go up, $5.50 as you enter or exit an <i>AirTrain</i> at subway station; under age-5, free) and subway fare (See below) as you enter the NYC transit system from the A<i>irTrain</i> exit points. <i>AirTrain </i>takes you directly to each terminal at JFK. If you plan to go from JFK to lower </span></b><city><place><b><span lang="EN-US" style="font-size: 14pt;">Manhattan</span></b></place></city><b><span lang="EN-US" style="font-size: 14pt;"> below </span></b></span><span class="Apple-style-span" style="font-family: "century"; text-indent: 13.75pt;"><b><span lang="EN-US" style="font-size: 14pt; font-style: italic;">42</span><span lang="EN-US"><i>nd</i><span class="Apple-style-span" style="font-size: medium; font-style: italic;"> St </span><span class="Apple-style-span" style="font-size: small;"><b style="font-style: normal;"><span lang="EN-US" style="font-size: 14pt;">or to </span></b><place style="font-style: normal;"><b><span lang="EN-US" style="font-size: 14pt;">Brooklyn</span></b></place><b><span lang="EN-US" style="font-size: 14pt;">, take <i>AirTrain</i> from your terminal to the <span class="Apple-style-span"><i>Howard Beach </i><span class="Apple-style-span" style="font-size: small;"><b><span lang="EN-US" style="font-size: 14pt;"><i>Station</i> and connect with a Manhattan-going A-train or take <i>AirTrain</i> to Jamaica and get the subway E-train into Manhattan. If into mid- or upper-</span></b><city style="font-style: normal;"><place><b><span lang="EN-US" style="font-size: 14pt;">Manhattan</span></b></place></city><b style="font-style: normal;"><span lang="EN-US" style="font-size: 14pt;">, the </span></b><place style="font-style: normal;"><b><span lang="EN-US" style="font-size: 14pt;">Bronx</span></b></place><b style="font-style: normal;"><span lang="EN-US" style="font-size: 14pt;">. Queens or to connect to </span></b><place style="font-style: normal;"><b><span lang="EN-US" style="font-size: 14pt;">Long Island</span></b></place><b><span lang="EN-US" style="font-size: 14pt;"> Railroad, take <i>AirTrain</i> to the </span></b><country -region="-region"><place><b><span lang="EN-US" style="font-size: 14pt;"><i>Jamaica</i></span></b></place></country><b><span lang="EN-US" style="font-size: 14pt;"><i> Station</i> (For the Bronx, you may also use the <i>Independent</i> A-Train from <i>Howard Beach</i> with change to D train at <i>Columbus Circle</i> 59th St). </span></b></span></span></span></b></span></span></b></span><br />
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<span class="Apple-style-span" style="font-family: "century"; text-indent: 13.75pt;"><b><span lang="EN-US"><span class="Apple-style-span" style="font-size: small;"><b><span lang="EN-US" style="font-size: 14pt;"><span class="Apple-style-span"><span class="Apple-style-span" style="font-size: small;"><b><span lang="EN-US" style="font-size: 14pt;"><br /></span></b></span></span></span></b></span></span></b></span></div>
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<span class="Apple-style-span" style="font-family: "century";"><place><i><placename><b><span lang="EN-US" style="font-size: 14pt;">The LaGuardia</span></b></placename><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><placetype><b><span lang="EN-US" style="font-size: 14pt;">Airport</span></b></placetype></i></place><b><span lang="EN-US" style="font-size: 14pt;"> in </span></b><place><b><span lang="EN-US" style="font-size: 14pt;">Flushing</span></b></place><b><span lang="EN-US" style="font-size: 14pt;"> Meadows </span></b><place><b><span lang="EN-US" style="font-size: 14pt;">Queens</span></b></place><b><span lang="EN-US" style="font-size: 14pt;"> is closest to </span></b><city><place><b><span lang="EN-US" style="font-size: 14pt;">Manhattan</span></b></place></city><b><span lang="EN-US" style="font-size: 14pt;"> and </span></b><place><b><span lang="EN-US" style="font-size: 14pt;">Bronx</span></b></place><b><span lang="EN-US" style="font-size: 14pt;">. It has no direct subway connection so you rely on bus if you use NYC transit. Best bus from and to </span></b><city><place><b><span lang="EN-US" style="font-size: 14pt;">Manhattan</span></b></place></city><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><span lang="EN-US"><span class="Apple-style-span" style="font-size: medium; font-weight: bold;">is NYC M-60 (Fare is <i>MetroCard </i>and you may buy a card at the airport <i>Hudson News </i>kiosks). The M-60 stops outside arriving passenger terminals. (Travelers using the bus to get to the airport may catch it at</span><span class="Apple-style-span" style="font-size: small; font-weight: bold;"> </span><span class="Apple-style-span"><span class="Apple-style-span" style="font-size: medium; font-style: italic; font-weight: bold;">125</span><b style="font-style: italic;">th</b><span class="Apple-style-span" style="font-size: medium; font-style: italic; font-weight: bold;"> Street </span><span class="Apple-style-span"><b style="font-size: 14pt; font-style: normal; font-weight: bold;"><span lang="EN-US" style="font-size: 14pt;">in </span></b><city style="font-size: 14pt; font-style: normal; font-weight: bold;"><place><b><span lang="EN-US" style="font-size: 14pt;">Manhattan</span></b></place></city><span lang="EN-US" style="font-size: 14pt; font-weight: bold;"> next to subway station, and be sure to ask driver to announce your air terminal stop at LaG). From LaGuardia Airport, the M-60 will take you into Manhattan via scenic route over the<i> Robert F. Kennedy</i> Bridge and you get off at 125</span><span lang="EN-US" style="font-style: normal;"><b>th</b><span class="Apple-style-span" style="font-size: medium; font-weight: bold;"> Street for Lexington Avenue Subway (early bus stop in Manhattan) or <i>Independent</i> Subway (Later bus stop) which will take you up or down, respectively, the east or west side of Manhattan, or up to the Bronx. If you are going downtown to west side Manhattan it is best to stay on the M-60 from 125</span><span class="Apple-style-span" style="font-size: 19px;">th</span><span class="Apple-style-span" style="font-size: medium; font-weight: bold;"> St, to downtown west side. Also if you go to northeast Bronx, take a bus from airport to Flushing Station and get the bus to the Bronx there. </span></span></span></span></span></span><br />
<span class="Apple-style-span" style="font-family: "century";"><span lang="EN-US"><span class="Apple-style-span"><span class="Apple-style-span"><span lang="EN-US" style="font-style: normal;"><span class="Apple-style-span" style="font-size: medium; font-weight: bold;"><br /></span></span></span></span></span></span></div>
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<span style="font-family: "century";"><place><placename><b><span lang="EN-US" style="font-size: 14pt;">The<i> Newark</i></span></b></placename><b style="font-style: italic;"><span lang="EN-US" style="font-size: 14pt;"> </span></b><placename style="font-style: italic;"><b><span lang="EN-US" style="font-size: 14pt;">Liberty</span></b></placename><b style="font-style: italic;"><span lang="EN-US" style="font-size: 14pt;"> </span></b><placetype style="font-style: italic;"><b><span lang="EN-US" style="font-size: 14pt;">Airport</span></b></placetype></place><b><span lang="EN-US"><span class="Apple-style-span" style="font-size: medium;"><i> </i>may be the </span></span></b></span><span class="Apple-style-span" style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: small; font-style: normal;"><b><span lang="EN-US" style="font-size: 14pt;">best international airport in the NYC area because it is the least crowded and has the best entry. By express bus it is <span style="font-size: medium;">30 minutes (Early A.M.;</span></span></b></span></span></span></span></span></b></span><span class="Apple-style-span" style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-size: medium;"> but it may be 60 minutes in rush hours, from</span><span class="Apple-style-span" style="font-size: small;"> 41nd St</span><span class="Apple-style-span"><span class="Apple-style-span" style="font-size: medium; font-style: italic;"> & </span><span class="Apple-style-span"><span class="Apple-style-span" style="font-size: medium; font-style: normal;">8th Ave</span><span class="Apple-style-span"><span class="Apple-style-span" style="font-size: medium; font-style: italic;"> </span><span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><i>Port Authority Bus Terminal)</i> For info, call 1 908 3543330 or check website <i style="text-decoration: underline;">www.newarkairportexpress</i>. The bus was, in 2019</span></b></span></span></span></span></span></b></span><b style="font-family: century; text-indent: 13.75pt;"><span lang="EN-US"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;">, $16 one-way and $24 round trip ($9 for senior citizen; credit cards accepted and swipe on bus entry; also note the prices go up with time). You may buy ticket on the bus. For the airport-going bus in Manhattan, best to board at north side of 41st Street just west off 8th Avenue </span><span lang="EN-US"><span class="Apple-style-span" style="font-size: medium;">and pick it up every 15 minutes (30 minutes at night; leaves on the hour & half hour). But note the bus does not run between 1:45 am and 4:45 am and 1st morning bus from the 41st St pick up is 5 am. </span></span></b></span></span></span></span></span></b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-char-indent-count: .98; tab-stops: 191.4pt; text-indent: 13.75pt;">
<span class="Apple-style-span" style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span"><b><span lang="EN-US" style="font-style: normal;"><span class="Apple-style-span" style="font-size: medium;"> The alternative between Manhattan and the Airport is <i>the NJ Transit</i> train between <i>Penn Station</i> at 31st/32nd St & 7th/8th Ave and the <i>Newark Liberty</i> Airport Station, and then the airport. </span></span></b><b style="font-size: 14pt;"><span lang="EN-US" style="font-size: 14pt;"><i>Newark Airport's free AirTrain</i> takes you to and from the Terminals. The cost is about the same as the bus. I used it for senior citizen $9 one way. The conditions of traveling are better by the bus. </span></b></span></span></span></span></span></b></span><br /><br />
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">City Subways & Buses: The <i>MetroCard </i>is for fares on NYC transit train or bus or ferries. You may buy a single-ride for $3 from a machine or the ticket seller. Important! If you want to re-use your <i>MetroCard</i> by purchasing more rides, you can charge your card and pay $2.75 for each ride. Senior Citizen may buy a half-fare single ride <i>MetroCard</i> with free return trip at ticket booths; but the Senior Citizen <i>MetroCard</i> is not sold from machine (At ticket-seller booth a medicare or other senior ID is required). For city buses without card a senior-citizen half fare requires exact cash-coins. Senior citizen renewable, half fare <i>MetroCards</i> that include all buses can be obtained at 3 Stone Street, Manhattan (Near the <i>Bowling Green </i>IRT# 4,5 and 6 subway station) if you have NYC area (or close suburb) address ID (As simple as a letter addressed to you) and proof of age. For details call 1 718 3301234 from 6 AM to 10 PM. If in the city for at least a week, the 7-day-unlimited-rides bus or subway <i>MetroCard</i> is a bargain and on sale at subway ticket booths or the airport's or bus terminal's <i>Hudson News</i> shops. The ticket-selling machines have the explanations in the main foreign languages. </span></span></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Taxi or Limo or <i>Uber </i>Ride from any Airport: Be careful not to use unmarked, taxi or limo. Get driver's name and ID number. Ask price ahead of trip. Authorized taxi is yellow. An at least 15% tip is expected. To mid Manhattan from JFK should not be more than $60 to $70.</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Note: <i>Uber </i> and <i>Lyft</i> are <i>Smartphone apps</i> that allow users to order ride-shares in place of taxi's.</span></span></b></div>
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<b><i><u>Getting Around on Foot in Manhattan</u> </i>is very easy because the island is, in its main part, laid out by consecutive numbered east-west <i>Streets </i>(e.g., from the most south numbered Street<i> (1st Street)</i> to the most north numbered, <i>220s Street</i> and note that <i>1st Street</i> is not at the south tip of Manhattan but has many named streets south of it while <i>the number 220s are </i>at the north tip. <i>The Avenues </i>run north-south from the furthest east on the <i>East River (the named most easterly streets and 1st Avenue and Avenues A, B and C)</i> to furthest west, <i>10th Avenue.</i> One interesting exception to the strict north-south numbered streets is<i> </i>the famous <i>Broadway</i>, which starts high (most north) in northwest Manhattan besides <i>9th Avenue</i> and runs obliquely southeast intersecting the north-south avenues so that by <i>14th Street</i> it is just east of <i>5th Avenue</i>.</b></div>
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<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-size: medium;"><i><u>Sleepovers I advise in NYC</u></i> <span style="font-size: small;">include the</span></span><span class="Apple-style-span" style="font-size: small; font-weight: normal;"> </span><span class="Apple-style-span"><span class="Apple-style-span" style="font-size: medium; font-style: italic;">W 63</span><sup style="font-size: 14pt; font-style: italic;">rd</sup><span class="Apple-style-span" style="font-size: medium; font-style: italic;"> Street </span><span class="Apple-style-span" style="font-weight: normal;"><b style="font-size: 14pt; font-style: normal;"><span lang="EN-US" style="font-size: 14pt;">YMCA off </span></b><place style="font-size: 14pt; font-style: normal;"><b><span lang="EN-US" style="font-size: 14pt;"><i>Central Park</i></span></b></place><b><span lang="EN-US"><span class="Apple-style-span" style="font-size: medium; font-style: normal;"><i> West, </i>walking distance north from </span><span class="Apple-style-span"><span class="Apple-style-span" style="font-size: medium; font-style: italic;">59</span><i>th</i><span class="Apple-style-span" style="font-size: medium; font-style: italic;"> Street Columbus Circle </span><span class="Apple-style-span" style="font-weight: normal;"><b style="font-size: 14pt;"><span lang="EN-US" style="font-size: 14pt;">subway station. If you are coming direct from JFK, take <i>AirTrain</i> from your terminal to <i>Howard Beach Station</i>, transfer to the A-express train into </span></b><city style="font-size: 14pt; font-style: normal;"><place><b><span lang="EN-US" style="font-size: 14pt;">Manhattan, </span></b></place></city><b><span lang="EN-US"><span class="Apple-style-span" style="font-size: medium; font-style: normal;">get off at </span><span class="Apple-style-span"><span class="Apple-style-span" style="font-size: medium; font-style: italic;">59</span><i>th</i><span class="Apple-style-span" style="font-size: medium;"><i> Street/Columbus Circle </i>and walk north up 8th Ave/Central Park West to the cross-street W. 63rd St and on its north side turn in left</span><span class="Apple-style-span"><span class="Apple-style-span" style="font-size: medium; font-style: normal;"> and a few steps and you are there. From LaGuardia Airport take the M-60 bus and get off near </span><span class="Apple-style-span"><span class="Apple-style-span" style="font-size: medium; font-style: italic;">W. 63</span><i>rd</i><span class="Apple-style-span" style="font-size: medium; font-style: italic;"> St </span><span class="Apple-style-span" style="font-weight: normal;"><b style="font-size: 14pt; font-style: normal;"><span lang="EN-US" style="font-size: 14pt;">and Central Park W. (Ask the driver to announce it just before the stop) From </span></b><city style="font-size: 14pt; font-style: normal;"><place><b><span lang="EN-US" style="font-size: 14pt;"><i>Newark-Liberty Airport;</i> if you take </span></b></place></city><b style="font-size: 14pt; font-style: normal;"><span lang="EN-US" style="font-size: 14pt;">bus into </span></b><city style="font-size: 14pt; font-style: normal;"><place><b><span lang="EN-US" style="font-size: 14pt;">Manhattan</span></b></place></city><b><span lang="EN-US"><span class="Apple-style-span" style="font-size: medium; font-style: normal;"> and get off at Port Authority, either walk up </span><span class="Apple-style-span"><span class="Apple-style-span" style="font-size: medium; font-style: italic;">8</span><i>th</i><span class="Apple-style-span" style="font-size: medium; font-style: italic;"> Ave </span><span class="Apple-style-span"><span class="Apple-style-span" style="font-size: medium; font-style: normal;">or take the A-train to </span><span class="Apple-style-span"><span class="Apple-style-span" style="font-size: medium; font-style: italic;">59</span><i>th<span class="Apple-style-span" style="font-size: medium; font-style: italic;"> Street; </span></i><span class="Apple-style-span"><span class="Apple-style-span" style="font-size: medium; font-style: normal;">if you take New Jersey Transit, get on the uptown A-train at <i>Penn Station</i> and get off at <i>59th & Columbus Circle </i>then walk described as above. </span></span></span></span></span></span></b></span></span></span></span></span></b></span></span></span></b></span></span></span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b><span lang="EN-US"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b><span lang="EN-US"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b><span lang="EN-US"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-size: medium; font-style: normal;"> You may make reservation at the YMCA via Internet (</span><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-size: 14pt;"><span lang="EN-US" style="font-size: 14pt;"><a href="mailto:rsc@ymcanyc.org"><u><i>rsc@ymcanyc.org</i></u></a>) or by calling 1-212 8754273. If you want a room without reservation, inquire directly. Check-out time, 11:30 AM</span></b><b style="font-size: 14pt; font-style: normal;"><span lang="EN-US" style="font-size: 14pt;">. For two persons, a bunk-bed (double-decker) room best. Rooms as of 2017 started at $109 promo price</span></b><b><span lang="EN-US" style="font-size: 14pt; font-style: normal;">. <span style="font-size: medium;">In August 2015, I paid $119 including membership fee and tax for a 2 bunk-bed room with corridor combination-lock women's bathrooms and no lock men's bathrooms, and I was allowed to check in a companion at no extra cost and we were both satisfied with our stay</span></span></b></span></span></span></span></span></span></span></b></span></span></span></span></span></b></span></span></span></b></span></span></span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> Another place to stay is the Hampton Inn which you can check on Internet. Also the old <i>NewYorker </i>hotel is reasonably priced, and very conveniently located. </span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> These hotels are safe, clean, good; and at the Y is a healthy food and drink at <i>Gourmet Go</i> self-service at street level, dining room-lounge and internet corner </span><span lang="EN-US"><span class="Apple-style-span" style="font-size: medium;">for $2 a 20-minute session. The West 63rd street location is in mid </span></span></b><city><place><b><span lang="EN-US" style="font-size: 14pt;">Manhattan</span></b></place></city><b><span lang="EN-US" style="font-size: 14pt;"> near </span></b><place><i><placename><b><span lang="EN-US" style="font-size: 14pt;">Lincoln</span></b></placename><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><placetype><b><span lang="EN-US" style="font-size: 14pt;">Center</span></b></placetype></i></place><b><span lang="EN-US" style="font-size: 14pt;"> where you have nightly events ranging from the Met Opera to the </span></b><city><place><b><span lang="EN-US" style="font-size: 14pt;">New York City</span></b></place></city><b><span lang="EN-US" style="font-size: 14pt;"> Ballet to various musical recitals. </span></b></span><br />
<span style="font-family: "century";"><b style="text-align: center; text-indent: 0px;"><span lang="EN-US"><span class="Apple-style-span" style="font-size: medium;"><i><u><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>Hotel-less Stayover for the Night </u></i></span></b></span></u></i></span></span></b><b><span lang="EN-US" style="font-size: 14pt;"> is good for economic and adventurous types. Up until my mid-May 2019 trip, Penn Station`s (31st to 34th St and 7th to 8th Ave) Amtrak waiting area was a convenient overnight but it no longer is because they have tightened requirements and at most, with a ticket you can only get one 2-hour seating. Still, if you must hang-out all thru the night, the Penn Station and the Port Authority Bus Terminal (40th to 42nd St along west side 8th Ave) are the best places to be. PABT offers good seating on 3rd floor north side but it is closed from 1 am to 5:30 am. Then you may walk down to Penn Station and hang out. If you need to use internet for email, just lean on the Amtrak waiting area separating part and you*ll get their free WiFi. But you cannot sit anywhere except on your luggage. The best place to hangout without police harassment is the LIRR area in the NE part of the station. Food sources are plentiful from the Duane Reades and there are water fountain in the LIRR area and WC.</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;">Eating in NYC: Don’t dine in a place that is fancy; prices will be <i>enhancy (out of sight!)</i>. For midtown, note the </span></b><place><b><span lang="EN-US" style="font-size: 14pt;">West Side</span></b></place><b><span lang="EN-US" style="font-size: 14pt;"> YMCA <i>Gourmet Go</i><i style="mso-bidi-font-style: normal;"> </i>above.<i style="mso-bidi-font-style: normal;"> </i>Inexpensive takeout pizza and pasta (99-cent pizza slice) is found in mid-Manhattan and best at the 99-cent Pizza Store on south 42nd street near the SE corner with 9th Ave, just a short walk down from the PABT north side.</span><span lang="EN-US"><span class="Apple-style-span" style="font-size: medium;">. The best street hot dog, price and taste, can be got at <i>Gray*s Papaya</i> for $1.75 including all garnishings, and from 6 to 11 am they sell a good breakfast roll cheese/omelet/bacon sandwich for $2.75 or with coffee for $3</span><span class="Apple-style-span" style="font-size: medium;">. </span><span class="Apple-style-span" style="font-size: medium;">A real bargain and healthy food can be got in the many <i>24-hour Duane Reade</i> stores that dot Manhattan and a store can be found in east side underground <i>Penn Station or just outside Penn Station on east side 8th Ave between 32nd and 33rd Streets or </i> or by the aforementioned Port Authority Bus Terminal at NW corner 42nd & 8th Ave. The <i>Duane Reades</i> sell cooled plastic-container vegetarian or meat-eater chef salads with free mustard & chopsticks, enough for 2 meals, for $5.99, (Prices may change) and bottled water for $1.09.</span></span></b></span><br />
<span style="font-family: "century"; font-size: medium;"><b>Recharging electronics for free has become a bit problematic. The best place is Lowest Level north side PABT which has two good areas.</b></span></div>
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<b style="font-family: Century; text-indent: 13.75pt;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"><span style="font-size: 19px;"> </span><i><u><span style="font-size: medium;">Public Libraries</span></u></i><span style="font-size: medium;"> </span><span class="Apple-style-span" style="font-size: medium;">If you are visiting from out of town or a foreign country, you may get a library card that entitles you to take out books and free internet at the library by just exhibiting your passport and giving a reasonable explanation that you are planning a stay in New York City. </span></span></span></span></b><b style="font-family: Century;"><span lang="EN-US"><span class="Apple-style-span" style="font-size: medium;">If you are in NYC on a Saturday, the mid-Manhattan Public Library now in the Room 60 basement of the main Public Library at 42nd St and 5th Ave</span><span class="Apple-style-span" style="font-size: medium;">, is open from 12 Noon to 5 PM with public use personal computers. (But it is a temporary location and may not exist in 2021)</span></span></b></div>
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<b style="font-family: Century; text-indent: 13.75pt;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"><span style="font-size: medium;">F</span><span class="Apple-style-span" style="font-size: medium;">or children in Manhattan, a playground in Central Park is on the east part at </span><span class="Apple-style-span" style="font-size: 14pt; font-style: italic;">63</span><span class="Apple-style-span" style="font-style: italic;">rd<span class="Apple-style-span" style="font-size: medium;"> St. </span></span></span></span></span></b><b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;">The horse-carriage or bicycle ricksha rides are <i><u>not</u></i> worth the money; you do better on foot. </span></b><b style="font-family: Century;"><span lang="EN-US" style="font-size: medium;">Rather than paying for tour bus, y</span><span lang="EN-US" style="font-size: 14pt;">ou do better, walking. Also note the Central Park Zoo in its southeast part around 63rd St.</span></b><br />
<span style="font-family: "century";"><place><i><placename><b><span lang="EN-US" style="font-size: 14pt;"><br /></span></b></placename></i></place></span>
<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"></span></b><place><i><placename><b><span lang="EN-US" style="font-size: 14pt;">Lincoln</span></b></placename><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><placetype><b><span lang="EN-US" style="font-size: 14pt;">Center</span></b></placetype></i></place><span lang="EN-US" style="font-size: 14pt; font-weight: bold;"> (63</span><span lang="EN-US"><b>rd</b><span class="Apple-style-span" style="font-size: medium; font-weight: bold;"> to</span><span class="Apple-style-span"> </span></span></span><span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;">65</span><span lang="EN-US">th to 68th<span class="Apple-style-span" style="font-size: medium;"> St </span><span class="Apple-style-span" style="font-size: small; font-style: normal;"><b><span lang="EN-US" style="font-size: 14pt;">on west side of Broadway) is superb to go to at </span></b><time hour="18" minute="0"><b><span lang="EN-US" style="font-size: 14pt;">7 PM</span></b></time><b><span lang="EN-US" style="font-size: 14pt;"> or weekend afternoon matinees. One can find opera, ballet, music performance, play and, in season a circus. The night events start 7 to 8</span></b><time hour="19" minute="0"><b><span lang="EN-US" style="font-size: 14pt;"> PM</span></b></time><b><span lang="EN-US" style="font-size: 14pt;">. For ballet or opera, standing room available and I prefer it to sitting: You get a good view, you can leave early without disturbing, and the price was c.$20 in 2011. For the Met Opera, the seat or standing place has large-print read-out that translates foreign language opera lyric to English as it is sung.</span></b></span></span></b></span></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> A survey of Broadway shows can be got via Google. Don’t buy ticket ahead of time: you’ll be scalped (Charged too much for a ticket). Get it on day you go. For bargain discount tickets go to or Google TKTS Discount Booth at Times Square (7th Ave & 42nd St where the New Years Eve celebrations are held)</span></span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"></span></span></span></span></span></b></span></span></span></span></span></b></span><br />
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<b><span lang="EN-US">Fishing in NYC is a day’s activity. My ocean experience is the boat, <i>Island Current </i>that leaves mornings </span></b><st1:time hour="8" minute="0"><b><span lang="EN-US">8 AM</span></b></st1:time><b><span lang="EN-US"> and returns 4 PM or nights 6:30 from </span></b><st1:place><st1:placetype><b><span lang="EN-US">City</span></b></st1:placetype><b><span lang="EN-US"> </span></b><st1:placetype><b><span lang="EN-US">Island</span></b></st1:placetype></st1:place><b><span lang="EN-US"> to your right as you come over the bridge on the city bus (From <i>Pelham Parkway</i>, end-of-line Train #6, at IRT Station, get the Bx 19 bus to City Island 2nd stop off the bridge) or walking. (Call 1 917 4177557 for info or check the website <i>www.islandcurrent.com</i>) You do not need fishing tackle, it is all supplied under the price, as of September. 2018, $65. ($60 for senior citizen; $40 for child) You buy bait at the nearby store, one $6.50 box of worms per person is enough. (The boat will supply clam bait if you run out of your worms) And you should buy a sandwich and a drink to have on the boat. Even if you never fished before, the mate and his boys will bait your hook and help you with advice, and when you get a fish on the line they will boat it for you and extract the hook (Be sure the hooked fish is in your pail before extracting hook). In spring, flounders; in autumn, porgy, sea bass and bluefish; and in summer a wide variety including porgy, bass and mackerel. Boat fishermen are friendly and you won’t be bored even if you do not catch fish.</span></b></div>
<b><st1:place><span lang="EN-US"> Lake</span></st1:place></b><span lang="EN-US"><b> fishing is good in the city lakes from June to September. My experience is Van Cortland Lake, a 20 minute walk west from the Mosholu Parkway IRT #4 Lex train from <i>Grand Central</i> to the Bronx on Jerome Ave. With night crawler worm bait locally dug or bait homemade (dough treacle: a spoonful of powder dough and one uncooked egg from shell into which you trickle drops of water mixing until you get a treacly lump from which small roll ball), the bait will be irresistible to the local sunfish. A small hand line with float or even without float and a smallest size hook should be used. (For fishing the lake, click</b><span style="color: #2288bb;"><b> </b><a href="http://physiciansnotebook.blogspot.jp/2010/09/37.html"><span style="color: #2288bb;">8.37 Bringing Up
Baby/Child Raising</span></a> <a href="http://and/">and</a> <b>scroll to bottom; for entertaining fiction on it, click </b></span><a href="http://adventuresofkimi.blogspot.jp/2011/04/1231-monster-sun-fish-ali-makes-pet.html"><span style="color: #2288bb;"><b>12.(30-32) Monster Sun Fish - Ali Makes a Pet</b></span></a><b> .</b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;">To read next now, click <a href="http://physiciansnotebook.blogspot.jp/2010/09/prefatory-note-almost-everyone-knows.html"><span style="color: #2288bb;">1.6 Computer & Mobile Phone: Info & Advices</span></a></span></span></span></span></span></b></span></span></span></span></span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"></span></span></span></span></span></b></span></span></span></span></span></b></span><br /></div>
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"></span></span></span></span></span></b></span></span></span></span></span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"></span></span></span></span></span></b></span></span></span></span></span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"></span></span></span></span></span></b></span></span></span></span></span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"></span></span></span></span></span></b></span></span></span></span></span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"></span></span></span></span></span></b></span></span></span></span></span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"></span></span></span></span></span></b></span></span></span></span></span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"></span></span></span></span></span></b></span></span></span></span></span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"></span></span></span></span></span></b></span></span></span></span></span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"></span></span></span></span></span></b></span></span></span></span></span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"></span></span></span></span></span></b></span></span></span></span></span></b></span><br />
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<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"><br /></span></span></span></span></span></b></span></span></span></span></span></b></span>
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"><br /></span></span></span></span></span></b></span></span></span></span></span></b></span>
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"><b><span style="font-family: "century";"></span></b><br /></span></span></span></span></span></b></span></span></span></span></span></b></span>
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"><b><span style="font-family: "century";"></span></b><br /></span></span></span></span></span></b></span></span></span></span></span></b></span>
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"><b><span style="font-family: "century";"></span></b><br /></span></span></span></span></span></b></span></span></span></span></span></b></span>
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"><b><span style="font-family: "century";"></span></b><br /></span></span></span></span></span></b></span></span></span></span></span></b></span>
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"><b><span style="font-family: "century";"></span></b><br /></span></span></span></span></span></b></span></span></span></span></span></b></span>
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"><b><span style="font-family: "century";"></span></b><br /></span></span></span></span></span></b></span></span></span></span></span></b></span>
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"><b><span style="font-family: "century";"></span></b><br /></span></span></span></span></span></b></span></span></span></span></span></b></span>
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"><b><span style="font-family: "century";"></span></b><br /></span></span></span></span></span></b></span></span></span></span></span></b></span>
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"><b><span style="font-family: "century";"></span></b><br /></span></span></span></span></span></b></span></span></span></span></span></b></span>
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"><b><span style="font-family: "century";"></span></b><br /></span></span></span></span></span></b></span></span></span></span></span></b></span>
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"><b><span style="font-family: "century";"></span></b></span></span></span></span></span></b></span></span></span></span></span></b></span><br />
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<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"><b><span style="font-family: "century";"><i> </i></span></b></span></span></span></span></span></b></span></span></span></span></span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;"><b><span style="font-family: "century";"> </span></b></span></span></span></span></span></b></span></span></span></span></span></b></span></div>
<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;">
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<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-style: normal;">
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<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;"><span class="Apple-style-span" style="font-style: italic;">
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<span style="font-family: "century";"><b><span lang="EN-US"><span class="Apple-style-span" style="font-family: "times";"><span class="Apple-style-span"><span class="Apple-style-span"><span class="Apple-style-span" style="font-weight: normal;"><b style="font-style: normal;"><span lang="EN-US"><span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: 14pt; font-style: normal;">
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4839604317339966579.post-20475799324614565222010-09-23T09:59:00.046+09:002021-10-09T14:06:01.290+09:001.6 Computer & Mobile Phone: Info & Advices<div class="MsoNormal" style="margin: 0mm 0mm 0pt; tab-stops: 9.0pt 191.4pt 90.0mm;">
<b><span lang="EN-US"><span style="font-family: "century"; font-size: x-small;"><i>Physician's Notebooks</i> 1 - http://physiciansnotebook.blogspot.com - see <i>Homepage</i></span></span></b><br />
<b><span face=""ms 明朝"" style="font-size: 16pt;">⑥ </span><span face=""verdana" , sans-serif" style="font-size: 16pt;">Computer </span><span style="font-family: "century";"><span lang="EN-US" style="font-size: 16pt;">and Mobile Phone. Update: 09 Octr 2021</span><span lang="EN-US"> update)</span></span></b><br />
<b><span style="font-family: "century";"><span lang="EN-US">The following headings in order as in text and, for topical reading, use <i>search & find</i> or scrolling down. </span></span></b><br />
<div style="text-align: center;">
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>What are the Computer's truly useful functions?</u></i></span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>What Have Computers Replaced?</u></i></span></span></b> </u></i></span></span></b></div>
<div style="text-align: center;">
<b><span style="font-family: "century"; text-align: left;"><span lang="EN" style="font-size: 14pt;"><u><i>Apple Computers are Best Buys</i></u></span></span></b>
<br />
<b><i><u><span style="font-family: "century";">Warning on Buying Laptop</span></u></i></b></div>
<div style="text-align: center;">
<b><span style="font-family: "century"; text-align: left;"><span lang="EN" style="font-size: 14pt;"><u><i>Desktop vs. Laptop</i></u></span></span></b>
<br />
<i><u><span style="font-size: large;"><span style="font-family: "century";"><b>iPad</b></span></span></u></i></div>
<div style="text-align: center;">
<b><span style="text-align: left;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u style="font-style: italic;">Keyboard and Shortcuts</u></span></span></span></b><br />
<u><b><span style="text-align: left;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Keyboard and Touchpad Problems<span style="font-style: italic;"> </span></span></span></span></b></u>
</div>
<div style="text-align: center;">
<b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><u><i>The Internet</i></u></span></span></b><br />
<u><b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><i>Browsers</i></span></span></b></u>
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<b><i><u><span style="font-family: "century"; font-size: large;">Email Address - Stability & User Friendly</span></u></i></b><br />
<b><i><u><span style="font-family: "century"; font-size: small;">Email Etiquette</span><span style="font-family: "century"; font-size: large;"> </span></u></i></b></div>
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<b><span lang="EN-US"><span style="font-family: "century"; font-size: x-small;"><i><u>Malware - viruses, bad uses</u></i></span></span></b>
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<b><span lang="EN-US"><span style="font-family: "century"; font-size: x-small;"><i style="text-decoration: underline;">Phishing</i> </span></span></b>
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<b><span lang="EN-US"><span style="font-family: "century"; font-size: x-small;"> <u><i> Forgetting Password</i></u></span></span></b></div>
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<b><i><u>Twitter & Other Social Media</u></i></b><br />
<b><i><u>Facebook </u></i></b><br />
<b><i><u>Skype </u></i></b>
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<span style="font-size: small;"><b><span style="font-size: xx-small; text-align: start;"><u style="font-style: italic;">Google Wikipedia as Dictionary, Encyclopedia, Technical Knowledge </u></span></b></span></div>
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<span style="font-size: x-small;"><b><u style="text-indent: 18.33px;"><i><span style="font-family: "century";"><span lang="EN-US">A </span></span><span class="Apple-style-span"><span lang="EN-US">Flash Drive </span></span></i></u><span style="text-indent: 18.33px;"><span lang="EN-US"><u><i>Memory Clip</i></u></span></span></b></span>
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<b><span style="font-family: "century"; font-size: large;"><i><u>Glitches</u>: </i></span></b><b><span style="font-family: "century"; font-size: large;"><i><b><span lang="EN-US"><span style="font-family: "century"; font-size: xx-small;"> <span style="font-size: x-small;"><i><u>Computer Specific Glitches</u></i></span></span></span></b></i><span style="font-size: x-small;"><b><span lang="EN-US"><span style="font-family: "century"; font-size: xx-small;">, </span></span></b></span></span><span style="font-size: x-small; text-indent: 18.3333px;"><span lang="EN-US"><span style="font-family: "century";"><span style="font-size: xx-small;"><i><u>Power-Off Glitch</u>, </i></span></span></span></span><span style="font-size: x-small; text-indent: 18.3333px;"><span style="font-family: "century"; font-size: xx-small;"><i><u>Glitch from Shutting Down</u>, </i></span></span><span style="font-size: x-small; text-indent: 18.3333px;"><span style="font-family: "century"; font-size: xx-small;"><i><u>Loss of Mouse-Piece Directioning</u>, </i></span></span><span style="font-size: x-small; text-indent: 18.3333px;"><span lang="EN-US"><span style="font-family: "century"; font-size: xx-small;"><i><u>Loss of Sound</u>, </i></span></span></span><span style="font-size: x-small; text-indent: 18.7333px;"><span lang="EN-US"><span style="font-family: "century"; font-size: xx-small;">Loss of Taskbar, <i><u>Typing-key glitches (</u>See <u>common keyboard problems</u>, above), </i></span></span></span><span style="font-size: x-small; text-indent: 18.3333px;"><span lang="EN-US"><span style="font-family: "century"; font-size: xx-small;"><i><u>Internet Glitches</u>, </i></span></span></span><span style="font-size: x-small; text-indent: 18.3333px;"><span lang="EN-US"><span style="font-family: "century"; font-size: xx-small;"><u style="font-style: italic;">Browser Glitches with Accessing Web</u></span></span></span><span style="font-size: x-small; text-indent: 13.75pt;"><span lang="EN-US"><span style="font-family: "century"; font-size: xx-small;"><u style="font-style: italic;">s</u></span></span></span><span style="font-size: x-small; text-indent: 13.75pt;"><span lang="EN-US"><span style="font-family: "century"; font-size: xx-small;"><u style="font-style: italic;">ite</u><span style="font-style: italic;">, </span></span></span></span><span style="font-size: x-small; text-indent: 18.3333px;"><span lang="EN-US"><span style="font-family: "century"; font-size: xx-small;"><i><u>Email glitches</u>, </i></span></span></span><span style="font-size: x-small; text-indent: 18.3333px;"><span lang="EN-US"><span style="font-family: "century"; font-size: xx-small;"><u><i>Computer Crashing</i></u></span></span></span></b></div>
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<b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><u><i>Mobile Phone</i></u></span></span></b><br />
<b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><u><i>Texting by phone number</i></u></span></span></b><br />
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>What are the Computer's truly useful functions?</u> </i></span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">1) The <i>word processor</i> function of your computer, essentially a typewriter, with memory that allows electronic storage of writing and hugely improves editing, updating and rewriting.</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">And 2) Internet, a communications sending-receiving system in touch with the world - past, present and future, visual and literary, personal and impersonal - through email, information-facts, news and entertainments.</span></span></b><br />
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>What Have Computers Replaced?</u></i></span></span></b></u></i></span></span></b> Electronic digitals have obsoleted atlas maps; dictionaries, encyclopedias & thesaurus; alarms, personal telephone with face photo/video, game machine and more. In the case of the blind, a computer may replace and restore ability for reading and writing and emailing.</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> And the computer is replacing paper printed words in books, magazines and newspapers.</span></span></b><br />
<b><span style="font-family: "century";"><span style="font-size: medium;"> </span>It is useful to point these replacements because many computer/laptop owners still pay for cable TV, HBO & Netflix; still use separate timepiece as wristwatches or alarms; still pay to view movies instead of watching free at home; still pay for stand telephone at home, etc. But some of the <i>applications</i> (apps) are time-wasters. You can save much by not adding-on what you really do not need. But you can save even more by not redundantly buying stuff you already have in your computer.</span></b></div>
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<b><span style="font-family: "century";"><span style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 14pt;"><u><i>Apple Computers are Best Buys</i></u><i><u> </u></i> The <i>Apple Corp. </i>manufactures, licenses and markets its computers under the name <i>MacIntosh</i> (the Mac). The </span></span></span><span style="font-family: "century";"><span lang="EN" style="font-size: 14pt;"><i>Apple</i> is superior to competitors<i> </i>and not just in the machine. <i>Apple</i> sells from its own stores in major cities and the service is superior. The <i>Apple </i>way to use a computer is different from <i>the Microsoft</i> but easy to learn.</span></span></b><br />
<b><span style="font-family: "century";"><span lang="EN"><span style="font-size: x-small;"><br /></span></span></span></b> <b><span style="font-family: "century";"><i><u>Warning on Buying Laptop:</u></i> If you buy a laptop, be sure from the salesman that there are no hidden 99-day free samples of software. I bought a Microsoft laptop and was not told of a 99-day free software sample, and, 99 days later, the laptop stopped working and I had to purchase the needed software.</span></b><br />
<b><span style="font-family: "century";"><br /></span></b> <b><span lang="EN" style="font-size: 14pt;"><u><i>Desktop vs. Laptop:</i></u> </span><span style="font-family: "century"; font-size: 14pt;">In the 1980s and 90s most persons depended for a computer on a desktop, a bulky machine with separate computer box, monitor and keyboard. Today it is used mostly in offices because the portable laptop <i>(aka "Tablet")</i></span><i style="font-family: Century; font-size: 14pt;"> </i><span style="font-family: "century"; font-size: 14pt;">better</span><i style="font-family: Century; font-size: 14pt;"> s</i><span style="font-family: "century"; font-size: 14pt;">erves</span><i style="font-family: Century; font-size: 14pt;"> </i><span style="font-family: "century"; font-size: 14pt;">private user needs.</span></b><br />
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<b><span style="font-family: "century"; font-size: 14pt;"> <i><u>iPad is</u></i> a portable tablet with a tap screen replacing the keyboard, (24 by 17cm, c. 5mm thick, medium size of several choices) and it has many <i>apps. </i>I find it useful for situations where a portable comes in handy (Stuck in bed, in a car or train, free WiFi in stores or cafes)</span></b><b><span style="font-family: "century"; font-size: 14pt;">. The latest have built-in WiFi, a tremendous convenience for writers.</span></b><br />
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u style="font-style: italic;">Keyboard and Shortcuts</u><span style="font-style: italic;">:</span> Often overlooked. Be sure you get a laptop with typing-keys not smaller than 15 mm square. (Smaller keys increase typing errors) Get keyboard lighting for use in dark; it is very convenient.</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Learn<i> Keyboard Shortcuts </i>(<i>Apple's and Microsoft's differ) </i>for your computer. The<i> Shortcuts</i> speed the writing. As <i>Shortcuts </i>are so useful and so frequently unrealized by new users, let us demonstrate on our <i>Microsoft</i> computer a few of the easiest to remember and most useful. Most of the important Microsoft <i>Shortcuts </i>are done by pressing the<i> Control (Ctrl) </i>key plus a letter key at the same time. (Hold down the <i>Ctrl </i>and hit the letter key) For examples:</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> T</span></span><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">o highlight a whole tab do <i>Ctrl + A</i>. And, as I often do, if you wish to make the whole text <i>bold, </i>follow with <i>Ctrl + B</i> (Keep holding the <i>Ctrl </i>down and switch to hit the <i>B </i>key). Note that successive hits on the <i>B key</i> (or other 2nd key) reverse your shortcut.</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> In addition to <i>Bold, </i>you may <i>Italicize </i>or <i>Underline </i> with the <i>Ctrl + I key </i>or the <i>Ctrl +</i> <i>U key. </i>In these last 2 cases you do not usually wish to do the whole text so you need to locally <i>Highlight</i> only what you wish to change<i>. </i>(To <i>Highlight </i>part of a text using your computer mouse, do a left click and hold down the left click over the part you wish to <i>Highlight </i>and immediately do the <i>Shortcut</i>)<br /><i></i></span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i> </i>A common problem is receiving an email attachment document or image upside down or on its side. </span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> In that case, you need to download the attachment (How you do it depends on your email server; for G-mail you click on the Download-down arrow in the attachment and then you go to the download section in the Windows explorer, and open up the downloaded image to rotate it; for Apple MacBook, it's a different system) <i><br /></i></span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> You may reverse a Shortcut by </span></span></b><i><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i>Ctrl + Z. </i>T</span></span></b></i><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">ry it now by highlighting with Ctrl + A and immediately reversing by hitting the</span></span></b><i><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> </span></span></b></i><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Z key</span></span></b><i><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> </span></span></b></i><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">while holding down Ctrl. <i>Ctrl + Z </i>is very useful in restoring<i> </i>an<i> </i>inadvertently<i> </i>deleted text but must be used immediately following the deletion (or other previous key).</span></span></b><i> </i></span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i> Ctrl + T </i>is very useful for <i>Tab. </i>Say you are typing a text and are not sure of the spelling or meaning of a word you are about to type? Instead of going off <i>y</i>our screen by clicking on the right upper corner x and then wasting time getting back, you just hit <i>Ctrl + T </i></span></span><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">and then you can get right back to <i>y</i>our text by clicking its <i>Tab </i>along the top <i>Tab </i>line<i>. </i></span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i> </i>A useful if rarely used<i> </i>shortcut is <i>Ctrl + Esc</i>, which will restore a disappeared task bar.</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Oh yes, one of the most important shortcuts is using the <i>Enter</i> key in place of clicking on an OK for password or instruction. </span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i> </i>These are just a few shortcuts. At leisure study them through Google.</span></span></b><br />
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i>Keyboard and Touchpad Problems, </i>A common keyboard problem that develops for users who like to snack over their computer is that crumbs and fluids accumulate between keyboard keys and, literally, gum up the works. In fact just today, I stupidly brought an open can of soda to my laptop table and then, inadvertently, knocked it over and the soda got into my touch-pad clicker and ruined the machine. The best solution is never to drink over your machine. And another solution is, right from the moment of your starting a new desktop computer or new keyboard, keep the soft, transparent plastic cover of the keyboard tautly stretched over your keyboard and touch-pad. You will find it does not interfere with typing and completely protects your keyboard from the noted problems. (Note: after using a plastic cover for several months, you may get a greasy feel to the keyboard after removing the cover; but just wipe it away with a moist tissue)</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Desktop computers use the attached piece I called a <i>mouse </i>to move the cursor screen pointer and click commands but most laptops dispense with the <i>mouse</i> in favor of a touchpad centered just below the keyboard. With desktops or laptops it is important to have a replacement mouse that can easily be USB-plugged-in if the old mouse malfunctions or in laptops if the touchpad malfunctions and stops giving you a cursor on touch. </span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">I just recently suddenly lost the function of my Microsoft HP laptop's touchpad and couldn't, for the life of me, figure out how to regain it. It was quite an emergency because I was in a hospital where I depended completely on this laptop for taking care of my business. First off, if I had a replacement USB-plug-in mouse, I could have immediately plugged it in and solved my acute problem, which turned out to be a loss-of-function touchpad. A day later, my brilliant assistant who is a kind of guru, immediately repaired the function. The cause of the lost touchpad function in this case was my having inadvertently double-tapped the left upper corner of my touchpad which on my particular laptop disabled the touchpad. (To be done when one wants to substitute a mouse for the touchpad) Its solution was simply to double-tap again on the same spot which gives a light-up signal when disabled and light-off when re-enabled. This could be a life-saver for those of us who have no experience with this problem. </span></span></b></div>
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<b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><u><i>The Internet</i></u></span><span lang="EN-US" style="font-size: 16pt;"> </span><span lang="EN-US" style="font-size: 14pt;">is the worldwide web (www) of information brought to your eyes, ears, and issuing from your mouth and fingers. It is based on electronic, digitally-based memory giving a fantastically literal ability to hugely classify and sort and distribute. It is brought to your computer via telephone line, cable TV and/or wireless, and the computer re-assembles it and you can see and hear it on the screen. You may interact with the Internet by inputting search/request. </span></span></b></div>
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<b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"> The internet gives access to encyclopedic knowledge: finding childhood friend, getting the movie-cast and review of every movie ever made, summarizing biography of person in the news, every definition and piece of info you desire, finding delightful free book to read at leisure without storage problem, listening to music and song and watching good movies free at home or anywhere and viewing other video entertainment. And electronic mail (Email). But Internet also opens the door to assaults on your eyes and ears by junk; to abuse and fraud (False emergency requests to send money to stranded relative or friend), and may fray your nerves because of the irritation and stress of interacting with it.</span></span></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> The free email providers are <i style="mso-bidi-font-style: normal;">Google,</i> <i style="mso-bidi-font-style: normal;">Hotmail</i> and <i style="mso-bidi-font-style: normal;">Yahoo.</i> None charges for email address or service but you need a contract with a commercial provider for personal home access to the websites. These sites are convenient for use in the free public venues from libraries and schools on wireless, or from a friend or neighbor’s computer.</span></span></b><br />
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Browsers</u>:</i> A <i>browser </i>is an interface between your personal computer and the internet. In other words, if you turn on your computer with the intention of getting the internet - email<i>, YouTube, </i>a website<i> URL </i>address -, you will first get the opening screen, which usually contains a number of icons (small symbols you click on) along the left side or at the bottom<i>. </i>To get to the internet you will need to click on the browser icon that your computer or your network or company uses. Then you will get a screen with URL website space that allows you to access email or whatever internet application you need. The main browsers are <i>Safari</i> (Apple computers), <i>Internet Explorer </i>(the icon with the big E that is normally on <i>Microsoft Windows</i>), <i>Google Chrome</i> and <i>Firefox </i>aka <i>Modzilla. </i>The browser you use may be determined by your computer or your employer, or may have been installed after purchase. A<i> </i>browser at intervals needs update and you should not ignore that because, if you do, you may start having internet problems like long delays or inaccessibility of websites.</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Whenever you update your browser be sure to pay attention to the security setting which is usually a choice of high or low security. If you choose high security, your privacy may better be protected but at the risk of being cut off from much free WiFi at airports or hotels or other public venue. I prefer a low security setting.</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Finally, where a glitch involves inaccessibility of a formerly accessible website, suspect a browser update complication (sometimes the updating will be <u><i>the</i></u> problem or sometimes it needs updating). To check if it is a browser problem, try accessing your inaccessible website using another browser for internet entry</span></span></b><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">. The moral: be alert to your browser and its updating and tell your computer guru or whomever updates your browser to carefully check that he is not disconnecting you from your URL free accesses. </span></span></b><br />
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<b><span style="font-size: large;"><span style="font-family: "century";"><i><u>Email Address - Stability & User Friendly</u>:</i> Get an email address from each of the free email providers - <i>Hotmail, Gmail</i>, and <i>Yahoo</i> - as backup in case of email glitch even when you buy a commercial address<i>. </i></span></span></b><br />
<b><span style="font-size: large;"><span style="font-family: "century";"><i> Hotmail </i>in my experience is the best in terms of <i>user-friendly</i>. Without going into particulars, Hotmail has a superior e-mail format to both Gmail and Yahoo. It doesn't mean you should never use Gmail or Yahoo; it means, at least in my opinion, that Hotmail should be preferred as primary server. </span></span></b><br />
<b><br /></b> <b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">In your home you have choice of several routes to Internet:</span></span></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> 1) Telephone line that today is “Broadband”, which means a line for speediest, highest content internet transmission. If you have a stand-telephone at home you can call the company’s business office and order an Internet connection.</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> 2) Cable TV Line is optical laser cable, speedy with high-content capacity and eliminates glitches by telephone problem. This is arranged through your Cable TV company.</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> 3) WiFi or “Wireless Fidelity” via microwave sent out by the internet server. Depending on your location WiFi Internet may be free – at some airports or other places as amenity, and even in your home if a neighbor is kind enough or careless enough to have an unlocked WiFi service. WiFi also frees from the need for telephone or Cable TV. </span></span></b><br />
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Email Etiquette</u></i>: With persons in friendly email communication, it is good etiquette to always acknowledge receiving an email. It can be as simple as an "OK" or "Noted".</span></span></b><br />
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<span style="font-size: medium;"><b><span lang="EN-US"><span style="font-family: "century";"><i><u>Malware - viruses, bad uses</u>:</i> A computer virus originates as a program that has been put into a computer with bad intent and it takes over key commands. It may be as simple and irritating as constantly turning off your computer against your wishes. Or it may cause unpredictable loss of document from the memory or it may send hundreds of the same message you intended to send only once. Infection with computer virus means you will have to either buy a new computer or delete all the software and re-install uninfected software. Most viruses come through email attachments or website addresses to email. (Any address with http://www is website)</span></span></b></span></div>
<div class="MsoNormal" style="margin: 0mm 0mm 0pt;"><span style="font-size: medium;"><b><span lang="EN-US"><span style="font-family: "century";"> All internet providers filter out malware or classify risky email as “junk”. But none are perfect. Once you click to open a malware email or website you are hooked and may lose all your software and even your computer. Junk mailers will try to lure you into opening up the email by trick. Most often is for you to read in the <i><u>From</u></i> box something like “I am Mike not Junk.” Or “Open this dammit!” Always hit the delete. My policy is: Do not open any email unless you identify its source as safe. Any email you cannot identify should be deleted. If it is truly good for you, it will be re-sent with better identification. With website, only if sure no malicious intent should you open it. With email attachments even if you know the sender, be sure (By sending him or her an email on the question) what the attachment contains and that the sender deems it safe.</span></span></b></span></div>
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<span style="font-size: medium;"><b><span lang="EN-US"><span style="font-family: "century";"> An example I recently experienced was a change in my name as it appears on every email I send by <i>Hotmail.</i> In the <i>Hotmail </i>format, all emails you send have an identification at top line after the "<i>From" </i>(e.g., From: Edward Stim). Suddenly one morning my boss pointed out my email letters now were headed “From: <i>I like to suck dick Stim.</i>” The change had slipped by my notice and at the time it was pointed out I had sent ten such emails. Although I never determined who did it, it was someone who got into my personal<i> Hotmail, </i>either because I carelessly revealed my password or because I’d left it open on the screen in a public library when I’d gone to the WC. On the <i>Hotmail</i> Homepage in right upper corner is “Options” and, clicking that, you can immediately go to <i>Change of Name</i> or <i>Password</i>. In this case my first name had been changed from “Edward” to the obscene phrase. It could be done in less than</span><span style="font-family: "century"; font-size: xx-small;"> a </span><span style="font-family: "century";">minute. And my not being observant contributed. </span></span></b></span><span style="font-size: medium;"><br />
<span><b><span lang="EN-US"><span style="font-family: "century";"> Preventives, in addition to the obvious care of one’s password or other access to personal email page, are to check, before making an email, that one’s name is as one wants it to be and to check each email after you send it by viewing <u>Sent Item</u> box. Furthermore, your email password should be changed if you worry it is too well known. (In <i>Google, </i>for changing password, go to the Gmail page and click in right upper corner, the gear icon, go to <i>Account</i> and under it find <i>change password;</i> in <i>Hotmail,</i> go to<i> Option)</i></span></span></b></span><br />
<span><b><br /></b></span> <span><b><span lang="EN-US"><span style="font-family: "century";"><i style="text-decoration: underline;">Phishing</i> is when you get an apparent request from what seems an official source for your personal information including password but actually it is a scam to get data that can be used to defraud you or get into your personal mail.</span></span></b></span></span><br />
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<span style="font-size: medium;"><b><span lang="EN-US"><span style="font-family: "century";"> <u><i> Forgetting Password</i></u>: Simplest solution is to use one password for all your passwords and keep it simple and memorable. (I know this has risk but still it is better than troubles from forgetting passwords. In this age of surveillance better to assume big brother has your passwords and is reading all your mails)</span></span></b></span><br />
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<span style="font-size: large;"><b><i><u>Twitter & Other Social Media</u>:</i> <i>Twitter</i> started in 2006 and has become wildly popular. It is a private network that users must register for and they get a free account, and the posts were limited to 140 characters (Now doubled to 280) called <i>tweets</i>. Its great benefit is for celebrities who want to get followers - so for example, a twitter user can get on <i>Lady Gaga's </i>twitter line and read her constant, self-promoting tweets. It is also attractive for mass movements, high interest news or trendy topics - like a million Japanese sending out traditional New Year's greetings or tweeting what team won a soccer game. For simple, quick communication<i>,Twitter</i> offers no advantage over your own personal-message on cell phone. What it does offer is a massive loss of your privacy (data based on registration and usage patterns are sold by <i>Twitter or given </i>freely to government snoops)<i> </i>and also a huge cluttering up of your precious time with visual and mental trivia (It has been called <i>psychobabble). </i></b></span><br />
<u><span style="font-size: large;"><br /></span></u> <span style="font-size: large;"><b><i><u>Facebook</u> </i>is another social media website and is mainly a place where adolescents (of any age) post narcissistic self-advertisements in an attempt to make friends via the Internet. It may be useful in attracting a following for one's writing or finding a long lost buddy but should not be used as a social tool, i.e., to meet strangers. Like<i>Twitter</i>, <i>Facebook</i> is essentially <i>psychobabble</i> but also many unintelligent users reveal dangerous things about their opinions that later result in inappropriate relationships, blackmail and suicides. Avoid <i>Twitter</i> and <i>Facebook</i> unless you are a leader who wishes an audience for your product or idea.</b></span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;"><b> </b> <u><i>Skype</i></u> <b>is a computer/cellphone application (app) that allows you to carry on visual and oral conversation with others who are registered for the service. It is, essentially, a free television telephone to anyone in the world who also is registered in the service.</b></span><br />
<span style="font-size: large;"><b> </b></span><span style="font-size: small;"><span style="font-size: large;"> </span><b style="font-size: large;"><u style="font-style: italic;">Google Wikipedia as Dictionary, Encyclopedia, Technical Knowledge</u><span style="font-style: italic;">: </span></b><b><span style="font-family: "century";"><span lang="EN-US"><b><span style="font-size: xx-small;">T</span>o access <i>Google,</i> type <u><i>www.google.com</i></u> into the website URL address space and click on it. Most computers have Google's click-on name for direct access. It is valuable for getting every fact you need, from simple spelling to higher math functions. Just type what you want to know into the Google info request space at upper center of the Google screen. And for complete covering of a subject - like a biography, a famous book, a medical diagnosis - go to Google's <i>Wikipedia</i>. Following is a very technical example of information from Google:</b></span></span></b></span><br />
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<span style="font-size: medium;"><span><b><span style="font-family: "century";"><span lang="EN-US"><i><u>Calculator Function</u></i> If you need any higher calculation than you can get on your digital calculator, for example, the higher power of any number, like 132 to the 6<sup>th</sup> power (132<sup>6</sup>) or any root of any number, say the 5<sup>th</sup> root of 33 (the number multiplied 5 x by itself that gives the multiplication product 33), type the following formula into the Google info space:</span><span lang="EN-US"> </span><span lang="EN-US">Start with the number whose power or root you seek, followed by the exponent sign (^) followed by the power number, or if you seek a root, the exponent sign followed by the fraction root number in brackets, e.g., for square root (1/2). At end, put the equals (=) sign then for answer, hit the <i style="mso-bidi-font-style: normal;">Enter</i> key. So, for 132<sup>6</sup>, type 132^6= and hit <i style="mso-bidi-font-style: normal;">Enter</i>, or for 5<sup>th</sup> root of 33, type 33^(1/5)= and hit <i style="mso-bidi-font-style: normal;">Enter</i> and you will see the answer out to 6 decimal places. You cannot get this on a usual priced digital calculator. For simple calculations, the symbols that tell your computer to divide or to multiply are, for division, the slash mark, / (e.g, on Google 4/2= and hit “<i style="mso-bidi-font-style: normal;">Enter</i>” will give answer “2”) or, for multiplication, the asterisk, * (e.g., 4*2= and “<i style="mso-bidi-font-style: normal;">Enter</i>” will give answer “8”).</span></span></b></span><br />
<span><b><span style="font-family: "century";"><span lang="EN-US"> Note that this advanced computer usage can also be gotten without the access to internet by using the <i><u>Excel</u></i> function/app in your computer (All computers have it in the <i>Start</i> icon menu). The only difference in the calculation is that, in <i>Excel</i> the <i>equals</i> sign (=) comes upfront, e.g., 4 x 2 = 8 is done by typing in =4*2 and hitting <i>Enter </i>to give the correct answer, in this case 8. And with <i>Excel </i> calculation you use the <span><i>f</i></span>x top line space.</span></span></b></span></span></div>
<span style="font-size: medium;"><br /></span> <span style="font-size: small;"><b><u><i><span style="font-family: "century";"><span lang="EN-US">A </span></span><span class="Apple-style-span"><span lang="EN-US">Flash Drive </span></span></i></u><span lang="EN-US"><u><i>Memory Clip</i></u> is the shape and size of a finger's pinkie (70 mm by 15 mm) and it plugs into USB socket in side of computer. It can tap documents from a computer and transfer the material to other computer. Its memory system is called “flash memory,” because it is electronic. It is the portable library of the Future. For example you may put up to 100 books in one clip that can be carried on you or sent in the mail and be read on any computer any place. The cost is trivial.</span></b></span><br />
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<div class="MsoNormal" style="margin: 0mm 0mm 0pt;"><span><b><span lang="EN-US"><span style="font-family: "century";"><span style="font-size: medium;"><i><u>Glitches: </u></i></span><span style="font-size: large;">First, before even defining a glitch one big preventive: Look at your wall outlet plug! You see the plug-in connected to an extension cord. A major source of a power-on glitch happens because users get in the habit of winding the wire too tightly around the plug when the plug is not in use. Inevitably the connecting wire breaks and you get stuck needing a replacement. So make it a habit, if you are going to wind the wire around the plug, to do it loosely so that there is no tension at the connecting point of plug and wire.</span></span></span></b></span><br />
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<span style="font-size: x-small;"><b><span lang="EN-US"><span style="font-family: "century"; font-size: large;"> <i> <u>A glitch</u></i> is when your computer screws up. Your manual should troubleshoot but here are common problems I experienced.</span></span></b></span><br />
<span style="font-size: x-small;"><b><span lang="EN-US"><span style="font-family: "century"; font-size: large;"> <i><u>Computer Specific Glitches</u></i> : If you use more than one computer always check if your glitch is generalized to all your computers or specific to only one. For example, one day I was unable to access my subscription to the online study/read <i>Access Medicine.</i> A notice told me repairs were in progress and advised patience. But after 1 week I became impatient and checked on my laptop and - Lo! - the glitch was only on my desktop. It turned out to be due to an out of date browser on my desktop. (The usual case when a glitch is machine-specific)</span></span></b></span></div>
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<span style="font-size: x-small;"><b><span lang="EN-US"><span style="font-family: "century";"><span style="font-size: large;"><u><i>Power-Off Glitch</i></u>: One day my <i>Laptop</i> turned off and I was unable to turn it back on. Its plug was in wall outlet; it seemed there should be no power problem and I tried it on battery and it still would not turn back on when I pressed the power-on switch so I figured something had shorted out inside. I showed it to my boss. Testing it, he plugged one end of the power cord into wall outlet and the other end into laptop and pressed ON button. Nothing happened as I expected. After all, it was a hopeless glitch, or so I thought. Immediately he reached down to the rectangular box-shaped AC/DC transformer that all laptop electric power extension cords have between wall-power outlet and computer-power cord plug-in, made sure its parts were firmly plugged-together and – Eureka! – when he again pressed the ON button, the laptop turned on and lit up. Suddenly I realized my stupidity! What had happened? The connection into the transformer from the wall outlet electric-power cord had come loose, not enough to be obvious but enough to cut off power from the wall outlet. (Some models give a green on-light in the transformer or the computer plug-in that tells you its wall outlet power connection is OK but mine did not) So from the moment I turned on my <i>Laptop </i>after the loose connection I was no longer getting power from wall outlet, but I thought it was powered on, because the <i>Laptop</i> operated even without wall power, using battery power. But, after several hours of non-recharge use, the battery drained and the machine shut itself off and would not turn on again until Sir Boss checked the connection and firmly reconnected it. So an important troubleshoot is: if your power cuts out, the first thing to check is electric power cord. Is it plugged in and plugged together firmly?</span></span></span></b></span><br />
<span style="font-size: x-small;"><b><span lang="EN-US"><span style="font-family: "century";"><span style="font-size: large;"> Another power cord glitch can occur with Apple laptops because the magnetic power plug-in may suck in a metal staple or clip and block power input and you may not be aware of the blockage. So if your power plug-in end seems not to fit into the machine, look into the plug-in opening and you may see the staple and remove it.</span></span></span></b></span><br />
<span style="font-size: x-small;"><b><span style="font-family: "century"; font-size: large;"><i><u>Glitch from Shutting Down Laptop the Wrong Way </u></i> The 3 ways to shut down your laptop in order of correct choice are: 1) the standard way (in Microsoft machines) of clicking the <i>Start </i>icon at bottom left corner of screen and <i>shut down.</i> (On <i>Apple</i> laptops you follow other instruction) If for any reason your machine freezes, you 2) simply press the power-on button for longer than 4 seconds. Finally 3) you may disconnect the machine from its power source. Always try to shut down your laptop the standard way because the other ways may cause operating glitches and disable your laptop. (I lost the use of a laptop because of impatiently doing a nonstandard shutdown) If you have no choice because your computer freezes, of course you must, but never do it simply out of impatience.</span></b></span><br />
<span style="font-size: x-small;"><b><span style="font-family: "century"; font-size: large;"><i><u>Loss of Mouse-Piece Directioning</u></i> Here, your computer mouse suddenly stops controlling your screen-monitor arrow and your arrow just disappears. First check your mouse's plug-in; then, if that is OK, turn your mouse over and make sure no small object is blocking its red signal opening. Most often some crumbled piece of food gets in the red-light opening and blocks. In worst case with no seeming solution replace with new functioning substitute <i>mouse.</i></span></b></span></div>
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<span style="font-size: x-small;"><b><span lang="EN-US"><span style="font-family: "century"; font-size: large;"><u><i>Loss of Sound</i></u>: if you get no sound, check sound icon in the task bar for a mute or low-volume setting or check the Start icon on the <i>control-panel</i> to be sure that volume control is not set on Mute. Also check earplug and its connection.</span></span></b></span><br />
<span style="font-size: x-small;"><b><span lang="EN-US"><span style="font-family: "century"; font-size: large;"><i><u>Loss of Taskbar</u></i>: The taskbar is the horizontal row of icons at the bottom of your screen that includes the Start icon. If the taskbar suddenly seems to disappear, just do the keyboard shortcut <i>Ctrl + Esc </i>and it will reappear. </span></span></b></span></div>
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<span style="font-size: x-small;"><b><span lang="EN-US"><span style="font-family: "century"; font-size: large;"><u><i>Typing-key glitches</i></u> occur and are completely disabling. In a desktop computer, the keyboard is separate so you can switch over to a backup keyboard if your keyboard goes wrong but with a<i> Laptop</i> the whole machine is ruined. (Actually you can buy an accessory keyboard but it is not convenient) When you shop for a <i>Laptop</i>, check each typing key’s degree of freedom by depressing it and also type a full set of key symbols. The keys are vulnerable to dust, to tiny pieces of food or drink that fall between<u><i> </i></u>and also to too rough pounding typically by single-finger typist. Try to type gently, gently! A remediable keyboard glitch is suddenly the typing keys do not type as the label says each one should, e.g., an especially obvious one is that the @-key will not type @ but types the : (a colon) instead and then you cannot send email. This may be due to your inadvertently having depressed the <i>Number Lock</i> setting. Locate the <i style="mso-bidi-font-style: normal;">Number Lock </i>key (top row to your right) and press it once, and you may solve the problem. A common key glitch is in a bilingual Operating System, for example Japanese and English. The keyboard is usually set for one language and if you inadvertently change the setting to the other language it will be disabled. It is corrected in a second by hitting the <i style="mso-bidi-font-style: normal;">Change-Language </i>key (Usually top or next below row to your left). </span></span></b></span></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><span style="font-size: large;"><span lang="EN-US">In </span><country -region="-region"><place><span lang="EN-US">Japan</span></place></country><span lang="EN-US">, if you run into a laptop glitch, you can bring it to a Doc(k). [From “dry dock”] in an electronics store. It is a store counter where a guru quickly solves a computer glitch for free. In USA with <i>Apple/Mac </i>computer, go to one of the <i>Apple</i> stores or call.</span></span></span></b></span></div>
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<span style="font-size: x-small;"><b><span lang="EN-US"><span style="font-family: "century"; font-size: large;"><u><i>Internet Glitches:</i></u> First, always be sure your usual browser is updated when you get that notification. Then, if you click on your browser icon and get a printed screen that says you have no Internet connection, it may depend on your Internet route. If it is via telephone wire jack at home, check first that your telephone instrument is plugged-into external wall outlet, check your external modem and then check if the connection is firm. Some telephone connections are very iffy and you have to pull out the jacks and firmly reinsert them. Also be sure your phone’s receiver is on hook, and you have dial tone. If you use a telephone line, you must have functioning phone to get Internet. And unless you have your internet connected with your telephone via a circuit divider, you will have trouble because when someone else is using the line or a fax comes in, your Internet may be interrupted.</span></span></b></span><br />
<span style="font-size: x-small;"><b><span lang="EN-US"><span style="font-family: "century"; font-size: large;">An important internet glitch is when you start having difficulty seeing video broadcasts, movies and YouTube entertainment - either they won't come on or seem to block and stop and start. This is almost always due to your having overloaded your computer memory; or else it is due to using a not-broad-band internet server. Check how full the memory is and delete all unnecessary memory material and your difficulty will end. If due to a too-narrow-band internet connection, you may diagnose it by seeing what happens when you access a different internet venue. </span></span></b></span><br />
<span><b><span lang="EN-US"><span style="font-family: "century";"><u style="font-style: italic;"><span style="font-size: large;">Br</span><span style="font-size: medium;">owser Glitches with Accessing Web</span></u></span></span><span style="text-indent: 13.75pt;"><span lang="EN-US"><span style="font-family: "century"; font-size: medium;"><u style="font-style: italic;">s</u></span></span></span><span style="text-indent: 13.75pt;"><span lang="EN-US"><span style="font-family: "century"; font-size: medium;"><u style="font-style: italic;">ite</u>: A <i>browser</i> may become obsolete or just old fashioned during your computer's life and in that case you will start getting a top screen message that advises installing a new <i>browser</i> or updating. Do not ignore the message because eventually you will start having problems accessing your important websites. It is easy to ignore the message because it is not in strong advice terms. But, also, be aware that when you update or change a browser it may invalidate certain of your <i>software applications</i> or your website access. So seek advice from a <i>Guru</i>. Also a browser problem may be loss of URL address space access - You type an address and click on it but the site does not appear. </span><span style="font-family: "century"; font-size: xx-small;">This is due to an overloaded browser memory. You must delete your computer <i>Cookies</i> (Google will tell you how to delete <i>Cookies)</i></span></span></span></b></span><br />
<span style="font-size: x-small;"><b><span style="text-indent: 13.75pt;"><span lang="EN-US"><span style="font-family: "century"; font-size: large;">Finally a recent access glitch I experienced, I call the <i>temporary</i> glitch. This happened with an online book reading subscription, the kind that gives one access to read many books. One morning I clicked the access site and got into it, selected my book and got into it but when I tried to access the chapter pages, it would not go; it just stuck where it was. From previous experiences I guessed this was just a <i>temporary </i>glitch, something internal in the website that was being worked out. So I decided to wait an hour and, sure enough, after waiting, the glitch was gone. The lesson here is <i><u>not</u></i> to immediately complain to your website supervisor who may respond by shutting down your access for days while her techies work on it; but just have a little patience and, as they say, <i>tincture of time</i> may solve the problem most simply.<i> </i></span></span></span></b></span></div>
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<span style="font-size: x-small;"><b><span lang="EN-US"><span style="font-family: "century"; font-size: large;"><u><i>Email glitches</i></u> are 1) Thinking you sent an email when it did not actually get sent and, not being aware of that, losing it. Or 2) Losing a complete text of an email you are in process of typing. A preventive for the first type email glitch is to make it a rule to read the notification that tells you your email has been sent and to check in the Sent Item box; and a preventive for the second type is to be careful whenever you need to hit the A-key that you do not also hit the just-below-it Ctrl key. A combination of the Ctrl and the A key hit simultaneously will highlight your text and next key you hit will delete it all. After such loss, immediately try keyboard shortcut Ctrl + Z to reverse. Also, if you use <i>Hotmail,</i> always click on "Save draft" if you worry about losing text or being interrupted. The draft will be saved in its folder. (Some servers save draft automatically; a saved draft is also a way to check if your message has been sent.)</span></span></b></span></div>
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<span style="font-size: x-small;"><b><span lang="EN-US"><span style="font-family: "century"; font-size: large;"><u><i>Computer Crashing</i></u> (Your computer loses software program and refuses to follow orders and data get lost) is due to your rough, careless handling or to an aging computer. Do not bang on it when you are angry, do not spill fluid on it (eat far from it), keep it clean of dust by frequent vacuuming and a cover, and especially in summer be sure it does not overheat because you have it sitting by window in sun. And change your computer at latest every 5 years. A troubleshoot initially, when Glitch hits (“freezes” and you can’t type or give command with mouse), is to turn off your computer and then turn it back on, called a “re-boot”.</span></span></b></span><br />
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<b><span style="font-size: large;">Mobile Phone</span></b></div>
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<b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;">can now, in its smartphone advance, replace home phone, still camera and videocam, alarm, clock or watch, calendar, radio, TV and many computer functions like accessing Internet. Also it can be GPS earth positional finder, strobe light for use in dark, and a face mirror.</span></span></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> At store here is what to look for and inquire of: </span></span></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Check the ease of removing and replacing battery. It should be by simple flip of finger. Ask to demonstrate email and be sure letter font can be made large enough for you to easily read and has capacity enough for long-size message.</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> If you listen to portable radio, get FM. Also a visual clock-seconds indicator to get seconds rates for clocking your pulse.</span></span></b></div>
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<b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u> Texting by Phone Number</u></i> Your new cell phone should be computer compatible via USB cable and easily transmit photo by email. Smartphones like iPhone are now standard and accomplish this plus giving you additional route for messaging by texting via cell phone number alone. Texting does not involve an email; you send message direct to the cell phone number which is copied down in place of email address. Message appears on your iPhone message screen. It is a very convenient way to send a text message, especially replying to some else's telephone call to you.</span></span></span></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> </span></span></b><br />
<b><span style="text-indent: 28.1pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> </span></span></span></b><b style="text-indent: 28.1pt;"><span style="font-family: "century";"> Concerning telephone and email surveillance, keep aware that government snoops have their computers keyed to your use of certain <i>dangerous words</i> so avoid suggestive names and limit your words on internet, especially your emails. For best privacy send your secret thoughts by postal mail. Or, better yet, do not express them except directly to the person they are meant for. And remember this! When you pass through airports, you are always liable to being stopped and questioned for hours and your electronics copied.</span></b></div>
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<b><span style="font-family: "century"; font-size: xx-small;"> To read next now, click </span></b><br />
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4839604317339966579.post-83914952508412494032010-09-23T09:57:00.056+09:002021-10-13T10:25:05.874+09:001.7 Secrets of REM Sleep - Dreams - Falling Asleep Well<div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-layout-grid-align: none; tab-stops: 225.0pt 369.0pt;">
<b><span lang="EN-US"><span style="font-family: "century"; font-size: x-small;"><i>Physician's Notebooks 1 - </i>http://physiciansnotebook.blogspot.com - See <i>Homepage</i></span></span></b><br />
<b><span face=""ms 明朝"" style="font-size: 16pt;">⑦ </span><span style="font-size: 16pt;">Secrets of Sleep</span></b><b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century";"> - Update 13 Octr 2021</span></span></b><br />
<b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century";">Headings in order as each appears so you may see what is in this important, fact-packed, practical-use chapter and use <i>search & find</i> or scroll down. </span></span></b><br />
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<b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century";"><i><u>Why We Need Sleep?</u></i></span></span></b><br />
<b style="text-align: start;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u style="font-style: italic;">Why Do We Get Sleepy/Why Can't We Go to Sleep?</u></span></span></b><br />
<b style="text-align: start;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u style="font-style: italic;"> </u></span></span></b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i style="text-decoration: underline;">Sleep-Wake Rhythm - NREM & REM Sleeps</i></span></b></span><br />
<b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century";"><i><u>How Much Daily Sleep?</u></i></span></span></b></div>
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<b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century";"><i><u>Pleasure</u></i></span></span></b><i><u><span style="font-size: large;"> </span></u></i></div>
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<b style="font-family: Century; font-size: 19px; text-align: start;"><i><u>REM and NREM Sleeps; How to Control?</u></i></b><br />
<b style="font-family: Century; text-align: start;"><span lang="EN-US" style="font-size: 14pt;"> <u style="font-style: italic;">Memory Consolidation and Sleep</u>;<i><u> Advice for Test Takers:</u></i> </span></b><br />
<b style="font-family: Century; font-size: 19px; text-align: start;"><u style="font-style: italic;">How to Increase NREM Sleep</u>:</b></div>
<div style="text-align: center;"><b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century";"><i><u>Affect on Hormones & Depression</u></i></span></span></b><br />
<b style="text-align: start; text-indent: 14px;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>Advice to Sex Partners of Male Sleepers on Sleep Erections</i></u></span></span></b></div>
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<b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century";"><i><u>Sleep Positions</u></i></span></span></b><br />
<b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century";"><i><u>Relation of Position to Getting to Sleep with Dreaming</u></i></span></span></b></div>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><u><i>Body Temp, BP, HR & Brain Blood Flow</i></u></span></b>
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<b style="font-family: Century; text-align: left;"><span lang="EN-US" style="font-size: 14pt;"><u><i>Autonomic Nerves System (ANS) and Sleep</i></u></span></b>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><u><i>Danger of Low Oxygen in Sleep</i></u></span></b>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>Management of Sleep</i></u></span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>Problems with Sleeping</i></u></span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>REM Sleep Behavior Disorder</i></u></span></span></b><br />
<span style="font-size: small;"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i>Sleep Apnea </i></span></span></b><b style="text-align: start; text-indent: 14px;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i> </i></u></span></span></b></span><br />
<span style="font-size: small;"><b style="text-align: start; text-indent: 14px;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>High Altitude</i></u></span></span></b></span><br />
<span style="font-size: small;"><b style="text-align: start; text-indent: 14px;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>Snoring</i></u></span></span></b></span><br />
<span style="font-size: small;"><b style="text-align: start; text-indent: 14px;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i>Insomnia</i></span></span></b></span></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>Sleep Pill</i></u></span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>Early Waking</i></u></span></span></b><br />
<span style="font-family: "century";"><span style="font-size: 18.66px;"><b><i><u>Excessive Daytime Sleepiness</u></i></b></span></span></div>
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<b style="text-align: start;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> <u style="font-style: italic;">Tips to Fall Asleep Easily</u></span></span></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>Hypersomnia, Narcolepsy and Restless Legs Syndrome </i></u></span></span></b>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Dreaming: Is It Useful?</i></u></span></b></div><div style="text-align: center;"><span style="font-family: Century;"><span style="font-size: 21.33333396911621px;"><b><i><u>Nightmares<br /></u></i></b></span></span>
<b style="text-align: start; text-indent: 14px;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u style="font-style: italic;">Sleep and Consciousness</u></span></span></b></div>
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<b style="text-indent: 18.33px;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>Preservation of individual conscious personality beyond lifespan</i></u></span></span></b>
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<b style="text-indent: 18.33px;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i> Best Conditions for sleeping</i></u></span></span></b><br />
<b style="text-indent: 18.33px;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i><br /></i></u></span></span></b> <b style="text-indent: 18.33px;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">After first reading this chapter, </span></span></b><b style="text-indent: 18.33px;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">those wishing to learn more about brain structures involved in sleep and the chemicals and neurotransmitters, access the chapters below:</span></span></b><br />
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<li style="background-image: none; border-width: 0px; list-style: none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/brain-spinal-cord-gestalt-view-lobotomy.html" style="color: #888888; text-decoration: none;"><b>9.4 Central Nervous System Overview</b></a></li>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>Why We Need Sleep?</i></u> It is restorative, especially for motivation. </span></span></b><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">For example, waking from sleep, I am bright-eyed to write this chapter; but, deprived of sleep, I can’t bring myself to it. A brief sleep is useful for one who has an important but difficult chore to do. Sleep is also a time for the body to re)build itself, heal injuries, and solidify recent memories and learning, and wants to be creative. The practical lesson is: use short repose/light sleep right after your study session, especially if it presents a hard problem and use more prolonged sleep if you have a job that requires fine muscular coordination and high vigilance, and also when you need to heal your body, like in recovery from illness, and after injuries.</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> But it is important to know that the usual several-hour night sleep may not necessarily be a good-health necessity. For over 30 years, due to my work cycle, I have not experienced several-hour night sleep yet at age 88 now I am thriving.</span></span></b><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Here is a perhaps different view of sleep than readers are aware of. <i>Sleep is a habit that dates far back before the discovery of fire. When darkness came at night our prehistoric fore-fathers and -mothers, unable to find their way around, holed up in a cave and slept, like bears hibernate today except it was only for the night. Sleep involves resting of the consciousness. What is necessary is rest, or what might be called <u>repose</u>. And that in my experience can be accomplished in shifts, briefly 1 hour or even less at a time. A resting mind restores the brain's energy and motivation level. Our usual habit of night sleep may often be a social convenience that may be replaced by brief repose as we wish.</i></span></span></b><br />
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b style="text-align: start;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u style="font-style: italic;">Why Do We Get Sleepy/Why Can't We Go to Sleep?</u></span></span></b> </span></span></b><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">The <i>circadian rhythm factor </i>is the <i>circa</i> 24-hour, body-clock rhythm that influences all the body functions. In the case of <i>sleep-wake behavior</i>, the circadian rhythm causes one to get sleepier and, as the night/early AM wears on, to peak at around 3 AM, and the effect is similarly noted (less obviously) after the noon hour at around 3 PM. </span></span></b><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">The other sleep-provoking factor, <i>sleep deprivation,</i> is the amount of sleepless time since we last woke up. The longer we go without sleep, the sleepier we get. As a generalization for many key body functions, we can say that our need to perform a key function gets greater as the time passed since last we performed the function (When we last ate, slept, took an addicting drug, had a sex relation orgasm)</span></span></b><br />
<span class="inlineFigureImageContainer" style="display: inline;"> </span> <b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> If one arranges one's day so that <i>circadian 24-hour sleepiness</i> and <i>sleep deprivation</i> will coincide, it makes for the most powerful sleepiness and easiest to sleep. This becomes noticeable starting 11 PM and may become almost irresistible by 2 AM.</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> </span></span></b><br />
<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i style="text-decoration: underline;">Sleep-Wake Rhythm - NREM & REM Sleeps</i> Sleep is a natural behavioral state that evolved over millions of years in humans. Sleep is not a state of unconscious, as it might seem at a first glance; it is a state of fluctuating lowered consciousness ranging from the un-alert awake state, in sleep's lightest form (stage 1), to the nearly unconscious state in its deepest form (stage 4). During sleep our sensory input - from eyes, ears, skin - lessens to the extent we become unaware of sensations that would normally alert us although we still can be awakened and alerted by strong sensory input. </span><span lang="EN-US" style="font-size: x-small;">This lessening of sensory input - a key to falling asleep - is controlled in the brain stem by the ARAS<i> (Ascending Reticular Activating System),</i> a set of neurons that, during the awake state is constantly gating (opening & closing a gate) the excitatory sensory input to the thalamus and cerebral cortex (brain structures for receiving and interpreting sensory input). As we are falling asleep, a<i> flip-flop </i>switch in the ARAS turns off </span></b></span><b style="font-family: century;"><span lang="EN-US" style="font-size: x-small;">and almost cuts off the sensory input, and then, for our awakenings, the switch reverses.</span></b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-layout-grid-align: none; tab-stops: 225.0pt 369.0pt;">
<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: x-small;"> The sleep state has been observed for thousands of years. It is mostly keyed into the hours of nighttime darkness. The sleepy person, already weary from a busy daytime, closes his eyes and seems to become unconscious. But, certain responses in sleep differ from the true unconsciousness of coma. First, all persons can be awakened from sleep. Second, we continue to breathe adequately to stay alive while asleep. In sleep, like coma, we lose voluntary control of much of our muscle power and we lose conscious awareness but we still may have a sort of consciousness through dreaming. Observation of a sleeping person through the night shows c.90-minute cycles capped by brief awakenings. In 1953, 2 scientists discovered that during parts of a night's sleep the eye globes show rapid back-and-forth movements. This part of sleep came to be called <i>rapid-eye-movement </i>(REM) <i>sleep </i>and the part of sleep without the REM is called <i>NREM</i> <i>sleep. </i>Over 50 years of research has revealed that REM and NREM sleep are separate states of sleep behavior.</span></b></span><br />
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>How much daily sleep?</i></u> Surveys show on average newborns sleep 17 to 18 hours with short awakenings in between; this is almost certainly for growth of body-tissue energy-need. By age 6 this has consolidated into a single 10- to 12-hour sleep. A 10-year-old gets 10 hours sleep. Young adults average 7 hours; and over age 65 y/o's, even less. In adulthood</span></span></b><b style="text-indent: 10.5pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> the amount of sleep we need depends on type of activity we plan. At one extreme, a sports person or driver or an operator of a machine ought to get several hours of sleep before engaging in the activity. For intellectual chore, 1 hour repose is OK.</span></span></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>Pleasure</i></u><i>:</i><span style="color: lime;"> </span>Sleep can be physically pleasure-full<i>.</i> Pre-sleep inputs that give pleasure and help to fall asleep are a sexual orgasm, a hot shower, an opioid, the tricyclic anti-depression med, <i>Tofranil </i>(imipramine) and other TCA antidepressants; also certain foods/drinks that you may discover by trial and error.</span></span></b></div>
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<span style="font-family: "century";"><span style="font-size: 19px;"><b><i><u>REM and NREM Sleeps; How to Control?</u></i></b></span></span><br />
<span style="font-family: "century";"><span style="font-size: 19px;"><b> Based on the universal occurrence of REM sleep in the highest brain-developed animals like mammals and its universal absence in reptiles, amphibians and fish, REM sleep must be connected with the development of higher brain power.</b></span></span><br />
<span style="font-family: "century";"><span style="font-size: 19px;"><b> The observation that all humans start from conception with 100% REM sleep and by very old age show less than 5% REM sleep suggests that REM sleep is important in brain growth, development, neural plasticity (the memory mechanism) and higher level learning.</b></span></span><br />
<span style="font-family: "century";"><span style="font-size: 19px;"><b> A number of experiments suggest REM sleep consolidates memories, improves learning.</b></span></span><br />
<span style="font-family: "century";"><span style="font-size: 19px;"><b> So what should you do about REM sleep? How does each one of us know when we've just experienced it? Can we control it in the sense of preventing or increasing it? And should we worry about its lack?</b></span></span><br />
<span style="font-family: "century";"><span style="font-size: 19px;"><b> First, you can know you have just had a REM sleep by what you note and how you feel on awakening from a sleep. If you feel alert, good, <i>bright-eyed</i>, you have awakened from REM sleep. If you recall immediate dreaming and it is vivid, it's REM sleep. If a man, and you awake with a sleep erection and even more, are sexually aroused by that sort of dream, you just had REM sleep.</b></span></span><span style="font-family: "century";"><span style="font-size: 19px;"><b> </b></span></span><b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;">From a practical standpoint, one advice is: try to arrange your start of day awakening so that you wake up from a REM sleep. If you awake groggy, confused and feel like going back to sleep again; then, do just that unless some important reason forces you to get up.</span></b><br />
<strong> Certain drugs (e.g., the anti-depressants above) prevent REM sleep.</strong><br />
<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"> Experiments show that REM sleep awakenings make nighttime sleepers function better during the subsequent awake time with less accidents and less absent-minded forgetfulness.</span></b><br />
<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><br /></span></b> <span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> <u style="font-style: italic;">Memory Consolidation and Sleep</u>;<i><u> Advice for Test Takers:</u></i> Experiments with humans and other animals have shown that learning and memory are enhanced by getting a good night's sleep just after the memorization or learning. So, for a student <i>boning-up</i> for a test, the final one ought to be on a day starting with a rested, non sleep-deprived mind and followed by a good night's sleep and then the testing (SAT, IQ, TOEFL).</span></b></span><br />
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>Affect on Hormones & Depression</i></u>: Cortisone and epinephrine go low at sleep till awakening, then rise and overshoot. This has implication for health. The low hormone levels rest the heart and blood vessels by lowering blood pressure and heart rate but in the asthmatic it risks wheezing during sleep because of low adrenal hormone and airways obstruction. </span></span></b><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">The thyroid hormones rise in the evening until sleep-onset then drop. It explains thyroid stimulated heart fibrillation in evening. Also suggests the usefulness of sleep to stop the fibrillation. (Very important for patients who have just had electroconversion from atrial fibrillation to normal heart rhythm)</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Depression</u></i>: Too much sleeping is no good for depression, and if you are starting to feel depressed, you might try a night with little or no sleep.</span></span></b> </span></span></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>Advice to Sex Partners of Male Sleepers on Sleep Erections</i></u>: The sex hormones rise in sleep and may cause the nocturnal penis erection. So if you are a wife whose husband seems impotent while awake, get him to sleep beside you and check for sleep erection. If he gets it, he's probably fooling with someone else. (But don't ever jump to that conclusion) The blood testosterone and erection ability reach a maximum between 4 AM and 8 AM of a night's sleep. So for older men who sleep regularly and have erection problem, reserve that time for sex. In women trying to get pregnant, a good sleep is important because its rising hormone is pro ovulation.</span></span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="color: #003300; font-size: 14pt;"><u><i>Sleep Positions</i></u>:</span></b><b><span lang="EN-US" style="font-size: 14pt;"> Best is flat on back on firm but not hard mat, with arms by side and palms flat down on mat because this is the position where muscles are minimally contracting and motor nerves minimally getting excited. Occasional varying by relaxed changes is OK. Sleeping on abdomen and face may block breathing due to face in pillow and also increased pressure on bladder will cause more need to pee. Sleeping on side with back and neck bent and back tensed up is bad for the spine and prevents restful sleep.</span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> Sleeping flat may prove problematic with weak heart. For this kind of person only, elevating shoulder, upper back and head on pillow is best for this because it decreases blood congestion lungs. </span></b></span><br />
<b style="text-align: center;"><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century";"><i><u>Relation of Position to Getting to Sleep with Dreaming</u></i></span></span></b><b style="font-family: century;"><span lang="EN-US" style="font-size: 14pt;"> I have found that turning on my right side (I am left handed) with the right side of head firmly positioned on firm but not hard pillow results in my rapid sleeping with dream. I guess it may be related to my handedness that suggests a right-sided brain dominance. Would like to hear from or read others on this possibly important discovery.</span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><u><i>Body Temp, BP, HR & Brain Blood Flow</i></u><i>: </i>Body temperature falls during sleep, from ave. 98.5<sup>0</sup> to 98.0<sup>0</sup> F (37.0<sup>0</sup> to 36.6<sup>0</sup> C). It is important to women measuring body temperature daily for detection and prediction of ovulation. The time to take temperature is within 5 minutes after the waking at usual morning time.</span></b></span></div>
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<span lang="EN-US"> <span style="font-family: "century"; font-size: 14pt; font-weight: bold;">Blood Pressure and Resting Heart Rate go to a low that might cause fainting if erect. In an older person with clogging arteries it risks stroke, myocardial infarction and sudden death. </span></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><u><i>Autonomic Nerves System (ANS) and Sleep</i></u><i>:</i> The ANS is autopilot of body function (heartbeat and breathing rate, digestive secretion, sphincters and urine flow). It has opposing controllers: the sympathetic, which ups blood pressure and speeds heart, and the parasympathetic, which does opposite. Awake, there is a balance to allow us to function maximally while conscious and active. As we go deeper into sleep, the parasympathetic dominates. This is protective; it lowers blood pressure, and slows heartbeat and breathing. But, with disease or aging, this increased parasympathetic stimulation brings danger because the slowed rate and depth of breathing and dropped heart rate and blood pressure, ups risk of stroke and heart attack. And the parasympathetic constricts bronchi and favors sleep apnea, labored breathing and asthma.</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><u><i>Danger of Low Oxygen in Sleep</i></u>: Because of sleep's low blood pressure, and its slowing heart and breathing reduction, there is a fall in arterial oxygen flow to vital organs in deepening sleep. For young, healthy person in well oxygenated surrounding, this is no problem but for older person or anyone with brain, heart and lung disease, it may cause stroke, myocardial infarction (heart attack) or sudden death. Also the risk comes from low oxygen in sleeping room. This could be from space heater in winter in poorly ventilated room or at unaccustomed high altitude like in </span></b><state><place><b><span lang="EN-US" style="font-size: 14pt;">Colorado</span></b></place></state><b><span lang="EN-US" style="font-size: 14pt;"> or </span></b><country -region="-region"><place><b><span lang="EN-US" style="font-size: 14pt;">Peru</span></b></place></country><b><span lang="EN-US" style="font-size: 14pt;">, or in intercontinental jet. It ups the warning against deep, prolonged sleep. Always pay attention to the breathing environment where you sleep and keep it well ventilated (not by air-conditioning alone but by access to outside air unless on airplane) and Never forget ! Travel above 5,000 feet (c.1.5 km) is risky for heavy sleeper. A good idea is to buy a <i>pulse oximeter</i>, a small instrument that by pinch finger measures and reads out blood oxygen saturation percent. </span></b></span><b style="font-family: century;"><span lang="EN-US" style="font-size: 14pt;">Normal at sea level should be 96% or more. Below 90%, signals problem with oxygen in air or your heart or lungs and should push anxiety button.</span></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>Management of Sleep</i></u><i>: </i>Sleep is a need that when not satisfied daily will disrupt life by forcing itself on you. We need not have a set number of hours for sleep but we should be aware that social conventions, worry about overeating, boredom, pain or mental anguish make sleep sought after. Extra sleep to fill in boring time is better than excessive tobacco and alcohol or other harmful behavior, or violence by persons who have nothing good to do while awake. And a night sleep or just lying on the mat means 8 or more hours of no eating, which is healthy. Sleep will interrupt a crazy appetite that causes pig out. Note that when you awake you have lost the before-sleep appetite.</span></span></b><br />
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<span style="font-size: large;"><i><u>Problems with Sleeping</u></i></span><br />
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<span style="font-size: large;"><i><u>REM Sleep Behavior Disorder</u></i></span><br />
<b><i>Vivid and often frightening dreams during REM sleep with lack of muscle ability allowing for “acting out of dreams”: The sleeper shouts or speaks out loud, thrashes about, arising from bed and often moving about violently. </i></b><br />
<b><i>This disorder often predicts Parkinson disease even a few years later</i></b><br />
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<div class="para"><b><u><i> Sleep apnea</i></u> (cessation of breathing) is a not infrequent problem that often goes undetected. In the normal person SaO<sub>2</sub> remains near 100%, and (PCO<sub>2</sub>) remains near 40 mmHg during both rapid eye movement (REM) and non-REM sleep. In the patient with sleep apnea, reduced muscle tone during sleep allows collapse of the upper airway, resulting in obstruction and apnea. The repetitive attacks of apnea at the rate of approximately one per minute cause the patient's SaO<sub>2</sub> to fall repetitively and dramatically. During non-REM sleep the patient's PCO<sub>2</sub> increases to near 60 mm Hg. During REM sleep the SaO<sub>2</sub> and PCO<sub>2</sub> become even more abnormal, as worsening airway hypotonia causes greater obstruction. Many people with sleep apnea wake up repeatedly during the night because of the apnea, but the arousals are too brief for them to be aware that their sleep is interrupted.</b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Advice for apnea sufferers: stop smoking, lose weight and treat heart and lung diseases. Also, persons who are noted to snore should be alerted to it by sleeping companions. <u>Snoring</u> is more frequent with overweight persons and in too deep, prolonged sleep. A person who snores should avoid sleeping pills.</span></span></b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-layout-grid-align: none; text-indent: 10.5pt;"><b><u style="font-style: italic;">High Altitude:</u> Breathing becomes unstable during sleep at very high altitudes in most normal individuals. Administration of supplemental oxygen results in a rapid return to a normal respiratory pattern. This abnormal pattern disappears in most people after they have acclimated to the altitude. </b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-layout-grid-align: none; text-indent: 10.5pt;"><b><br /></b>
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> <u><i>Insomnia:</i></u></span></span></b><br />
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<b>More than half of the population experiences significant difficulties with sleep at least on occasion, and as many as one in five persons suffer from chronic sleep problems. Disruption of sleep and waking is very frequent. Falling asleep is thought to be responsible for at least 100,000 traffic accidents every year. Lack of sleep was a contributing factor in the disasters at the <i>Three Mile Island</i> and <i>Chernobyl</i> nuclear power plants.</b></div>
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<b> <a href="https://www.blogger.com/null" name="kan_ch51p83"></a><a href="https://www.blogger.com/null" name="1101683028"></a> Millions of people struggle through daily life sleepy, and many are irritable or unmotivated owing to disruptions in sleep. As a result, sleep disorders are common</b><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Keep in mind the 2 main factors that make humans sleepy: the <i>circadian time factor </i>that normally gives peak sleepiness c. 2 to 3 AM; and the <i>sleep deprivation factor </i>that causes you to become sleepier as the gap in hours from your last sleep increases. Those persons whose life situation allows flexibility of behavior can use this knowledge to solve the problem of their not being able to fall asleep when they wish to. For example, say you have a run of several days you can't seem to get to sleep at night when you think you need to sleep? Try the following experiment: Start a 24-hour day during which you take no coffee (includes decaf) or other caffeine food or drink (chocolates, many sodas and soft drinks on label), eat a normal 3 meals, and force yourself to wake up at 5 AM. During this experimental daytime, resist going to sleep or even lying or sitting in repose (near sleep). Then, at 12 midnight go to your bedroom, which should be jet black dark (cover windows tightly, turn all lights out; or else black eye-cover), have no sound (as much as you can sound-proof; or else earplugs). And in the hour before sleep do not watch TV or Internet but relax. I am certain that under these conditions once your head hits the pillow, you will sleep for at least several hours, maybe on and off, and awake refreshed.</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> This experiment should emphasize to you several factors you can work on to make all your sleeps good. Try to follow your circadian cycle (If your work & lifestyle allow), which means not trying to fall asleep before 11 PM. And cause yourself to be maximally sleep-deprived each daytime day (Don't daydream, don't nap) Most insomnia is due to ignoring these factors. Then, note the avoidance of wake-provoking factors like coffee. Each person has a different tolerance but if you are starting out with an insomnia problem, you want to make it a rule to avoid the various factors that stop sleep. You may substitute tea for coffee and other drinks. Then look at your medications. The SSRI anti depression meds like <i>Prozac </i>may prevent sleep. Substitute a tricyclic (TCA) like imipramine (<i>Tofranil)</i> if you must take medication for depression and cannot sleep.</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Then note the insistence upon jet blackness and no sounds in your sleeping room. Just closing eyelids is not good enough because light penetrates them and also the muscular exciting effect on your nervous system of trying to hold your eyelids closed. If you cannot light-proof your room then use a black visor cap over your face or black eye cover. Similarly for sounds. And keep in mind good body position for sleep (See above).</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Not being able to fall asleep at the normal time (11 PM to 2 AM) may also be because your circadian cycle has been disturbed by intercontinental travel (<i>jet lag)</i> or shift work. This should be a temporary effect (2 or 3 days) and is best either tolerated by staying up until you are sleepy or treated by the sleep pill when you wish to sleep.</span></span></b><br />
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<strong><u>Sleep Pill</u>: two effects of sleep pills are latency and sleep time. Latency is the time between your lying down to sleep and sleeping. It is the main cause of insomnia - the not falling asleep quickly when you want to. I have experimented with the two popular sleep pills, <em>Ambien (zolpidem) 5 mg pill</em>, and <i>Dalmane </i>(or <em>-mate aka flurazepam) </em>15 mgm capsule<em>.</em> My first advice is dissolve them in the mouth (under tongue) instead of the usual swallowing of the pill or capsule. It gives a more rapid effect and is less affected by food or other stomach material. Also, be in a condition that you really need to sleep (Sleep deprivation of at least several hours and circadian sleepiness) And no recent Caffeine.</strong><br />
<strong>Ambien’s latency should be not longer than 30 minutes and its peak in blood 1.6 hours and half-life 2.5 hours. It works by helping you fall asleep. </strong><strong style="text-indent: 10.5pt;"><i> Dalmate simply increases sleepiness but may not put you to sleep</i></strong><strong style="text-indent: 10.5pt;"> </strong><span style="text-indent: 10.5pt;"> </span><strong style="text-indent: 10.5pt;">At</strong><span style="text-indent: 10.5pt;"> </span><strong style="text-indent: 10.5pt;">best these sleep meds at these doses give several hours good sleep with no side effects (But only if you are well prepared to sleep).</strong><br />
<strong> <em><u>Zolpidem</u></em> aka <em>ambien</em> is said to be non-addicting and is now a particular favorite in US and Japan. Useful dose is 5 mg pill. In normal sleepers the drug has little or no effect. It is mostly good for putting can't-get-to-sleep insomniacs more quickly to sleep.</strong><br />
<strong> Do not drive or operate machinery within 12 hours after taking any sleeping pill.</strong><br />
<strong>Ambien is best for persons who have trouble falling asleep while dalmate is best for persons who do not get enough sleep at night and wish to sleep longer. A minor note about Ambien is that it stimulates appetite in some users thus causing nighttime munching. (If you must munch, have fruits or plain corn flakes, a handful will satisfy appetite)</strong><br />
<strong>The actual sleep time from the pills depends on how long you`ve been without sleep. Most sleep pills do not affect it much. All that is needed is to fall asleep quickly and then nature takes care of the sleep time. (Implies that Ambien is best for insomniacs whose main problem is inability to fall asleep)</strong><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><br /></span></span></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><span style="font-family: "times new roman";"></span><span style="font-family: "times new roman";"></span><span style="font-family: "times new roman";"></span>Early waking without going back to sleep means you slept enough:</u> Its usual cause is going to sleep too early. Other cause is loud sound, hot flash of menopause or meddlesome or otherwise disturbing bed partner, or taking a drug like alcohol which puts one to sleep prematurely and then awakens too soon. Early waking may also be inherited (Larks) in which case one should accept it as part of one's usual life. Persons with worries and depression tend to wake too early and brood. Useful in these early-waking-can't-get-back-to-sleep situations is having a jigsaw puzzle or other light activity in process on nearby table.</span></span></b><br />
<b><br />Daytime sleepiness disturbance is a symptom of several underlying sleep disorders including <i>sleep apnea</i>, <i>narcolepsy</i>, and <i>restless leg syndrome</i>. Sleep apnea and restless leg syndrome are two of the most frequent of these disorders largely through a disturbance in the quantity and quality of sleep. Narcolepsy is present in only a small part of the population but is devastating in its negative effects.</b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;">If you wake up feeling bad despite good timing and quality of sleep – a headache or other ache, lack of happy feeling, or poor energy and motivation, or just blah – something has gotten in the way of the restorative quality of your sleep: a lack of muscle relaxation or intrusion of waking stimuli. Pay attention to undue pressure or muscle tension, poor position, stale room air, overly hot or cold room, drug effect, loud sound or irritating light. And of course attend to snoring and the already discussed sleep apnea.</span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>Hypersomnia, Narcolepsy and Restless Legs Syndrome </i></u></span></span></b> </span></b></span></div>
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<b><i>Narcolepsy</i> occurs in 0.04% of the population or c.120,000 people in the United States, characterized by a breakdown in the transition between waking and sleep. Sleep, mostly REM, invades daytime, often inappropriately, and sleep at night is fragmented and disrupted by multiple awakenings. Narcolepsy is in four main symptoms, some or all of which may be seen in any one individual.</b></div>
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<b>First is excessive daytime sleepiness and irresistible "sleep attacks" during waking hours. These sleep attacks (usually less than 20 minutes) can come at any moment and sometimes are a source of embarrassment. For example, falling asleep during conversation or at work may lead to the incorrect assumption that the narcoleptic is uninterested in the conversation or in doing a full day's work. Sleep attacks are precipitated by any behavior that is relatively passive and boring such as watching television, driving a car, or studying for finals. Unfortunately, sleeping does not completely alleviate the tendency to have sleep attacks.</b></div>
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<b>Second, <i>cataplexy</i>, (Not to be confused with <i>catalepsy </i>which is a strange stiffness of the whole body while awake) occurs in approximately 70% of narcoleptic patients. Cataplexy is a sudden bilateral loss of muscle tone, typically in the knees and face and neck, leading to a sagging of the jaw and falling to the floor. Consciousness is preserved, however, and the sufferer is typically awake but feels barely able to move. The onset of a cataplexy is in seconds; the episode itself for seconds and lasts minutes. Emotion, most typically laughter or sudden anger, can provoke an attack, perhaps owing to a general decrease in muscle tone. Cataplexy is from abnormal activation of the motor inhibition that normally occurs during periods of REM sleep.</b></div>
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<b>Third, vivid dreamlike experiences may occur during the transition between sleep and waking. These events are known as either hypnagogic (sleep onset) or hypnopompic (sleep offset) hallucinations. What differs them from dreams is that the narcoleptic is not fully asleep and may be aware that he is not dreaming—the images seem real. The dreams are typically bizarre, frightening, and unpleasant; they are visual, although auditory and tactile experiences also occur. As in dreams, sensations of smell or taste are rare. Hallucinations of this type may also occur in normal people at transitions between sleep and waking. </b></div><div class="para" data-resource-id="59145874" data-resource-type="Section"><b><br /></b></div><div class="para" data-resource-id="59145874" data-resource-type="Section"><b>Fourth, <i>sleep paralysis</i>, also typically occurs in the transition between sleep and waking (either going to sleep at night or waking in the morning). Unlike cataplexy it is not triggered by emotion, and episodes last longer, sometimes up to 10 minutes. As sufferers are unable to make even the smallest of movements, such as opening their eyelids or lifting a finger, the experience is frightening and unpleasant. As with cataplexy it is assumed that sleep paralysis results from inappropriate activation of the inhibitory descending motor pathways that are normally responsible for inhibiting movement during REM sleep. Sleep paralysis also infrequently occurs in non-narcoleptics.</b></div><div class="para" data-resource-id="59145874" data-resource-type="Section"><b><br /></b></div>
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<b><i>Restless leg syndrome</i> occurs in approximately 8% of the population and is characterized by an irresistible urge to move the legs and feelings like insects crawling up the legs. This symptom occurs during the day but is usually worse at night while resting in bed. The patient may feel relief only by moving the legs either in bed or by walking about.</b></div>
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<b>Approximately 80% of people suffering from restless leg syndrome also experience periodic leg movements in sleep, when the legs move for a few seconds every 10 to 20 seconds. These leg movements result in a lightening of sleep and therefore an increase in daytime sleepiness. The prevalence of restless leg syndrome and periodic leg movements increases greatly with age.</b></div>
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<b>The final symptom of narcolepsy is disturbed nocturnal sleep. Although narcoleptics may fall asleep quickly and often immediately fall into REM sleep, their sleep is interrupted by frequent arousal. For most narcoleptics these awakenings are brief, but some may stay awake for hours at night.</b></div>
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<b>The different components of narcolepsy are treated with different pharmacological agents. The excessive sleepiness and sleep spells of narcolepsy are typically treated with central nervous stimulants such as Modafinil or amphetamines. These agents enhance the release of catecholamines and inhibit their reuptake. Cataplexy is also treated with SSRI antidepressants like Prozac, which inhibit the reuptake of norepinephrine and serotonin and are potent inhibitors of REM sleep.</b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><br /></span></span></b> <b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Having mentioned medication to help sleep we want to emphasize that most sleep ought to be natural; so in general, avoid medication.</span></span></b><br />
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> <u style="font-style: italic;">Tips to Fall Asleep Easily</u>: When I want to sleep and can't quickly enough, I shower or bathe, orgasm by masturbation and then sleep comes. Sometimes I am content just to lie awake and think pleasant, simple thoughts</span></span></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Sleeping into the normal workday (from 8 AM on) may be normal variation and is frequently seen in younger person. When it is too frequent (Owls) and hard to control, you are dealing with bad sleep habit you must break because it will limit your productive life. Prolonged, excessive sleep can be a response to unhappy life and part of depression. In that case, ask for antidepressant that has an alerting (<i>Prozac</i> and its SSRI family) rather than a sleepy side effect like the tricyclics—-Tofranil et al.</span></span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u><i>Dreaming</i></u><i><u>:</u></i></span></b><b><span lang="EN-US" style="font-size: 14pt;"><i><u> Is It Useful?</u></i> For 10 years I described my dreams on tape. I find dreams identify what I recently think and read or see on video or feel emotionally or previously experience. Often, a dream has emotional significance, relating to close relative or loved or lost friend, or it shows a recurrent anxiety theme such as losing a valuable item like car or wallet. Some dreams are sexual wish-fulfillment or remembrance of dead loved ones. Worst dream is unpleasant body state (full bladder with painful urge to pee, difficulty breathing from aspirated saliva, body cold from cover kicked off in freezing winter night and unheated room) forcing itself on dream consciousness. Body feeling intrudes into dream content: creates visuals and dialog and action, and even part of story of dream. This shows that some dreams are coming from one's partially conscious feelings in a very light sleep state that disorients our awake consciousness.</span></b></span><br />
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> Dream content is typically bizarre (Loss of logical relationships and calendar time; juxtapositions of unrelated content) and this is related to shutting off of pre-frontal cortex (part of the brain that does logical thinking) during REM sleep when most dreaming is done.</span></b></span></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Once I had a dream that gives insight into the mind's controls. At the point in the dream where I was about to get viciously punched by a tough guy, I suddenly woke up. This suggests that in the borderline unconscious state of dreaming, the mind has a reality monitor that if threatened by a terrible reality insists on consciousness. It may be the same monitor that will suddenly wake a terminal patient in coma just prior to death for “a few last words.”</span></span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> Seeing TV or reading a book, letter or newspaper before sleeping will evoke dream content. Avoiding these will reduce dreaming, especially bad dreams. I find that my habit of using opioids, specifically codeine and pentacozine evokes pleasant dreams. Other drugs that affect dreaming are alprazolam (Xanax), which stops dreaming probably by preventing REM sleep. </span></b></span></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Since many dreams occur mostly during light sleep when sleeper is faintly affected by surroundings, they must be from fleeting thoughts you are becoming aware off in the nether land between sleep and wake which get knitted into a story. For a person with insight, a dream analysis does not add to what one already knows. Excess sexual dreaming is from lack of orgasm to satisfy sex drive and can be eliminated by having an orgasm before sleep. (But this is in men only, our experiences are that women tend to have less sexual dreaming, than men do and this maybe reflection of the overall lower testosterone levels in blood compared to men) New sexual dreaming in a woman showing masculine signs (new, excessive hair growth for a female) identifies male-hormone secreting tumor.</span></span></b><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> As my life progresses I have found a dream theme may evolve. For example an old associate with whom I had once had a love/hate relationship, as I got older, changed in dreams from being a bad guy to a better guy coincident with my own successful psychoanalysis that caused me to review the relationship and realize it had not been the white/black love/hate situation I had first thought.</span></span></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> A dream may seem to predict future. (Loved one’s death, illness one gets, successful sexual seduction, an earthquake or other natural catastrophe) But this is due to one’s subliminal computing a future probability and also to coincidence.</span></span></b><br />
<span lang="EN-US"><span style="font-family: "century";"><span style="font-size: 14pt;"><b> Medications that seem to prevent or lower the </b></span><span style="font-size: 18.66px;"><b>incidence are the diazopams (Valium especially alprazolam</b></span><span style="font-size: 14pt;"><b>).</b></span></span></span><br />
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Some positive research findings: Dream content has predicted who will become severely depressed following divorce or separation (Cartwright, R,.et al, 1998, <i>Psychiatry Research 80,</i>249-255) and that could be useful in heading a depression off. </span></span></b><br />
<b style="font-style: italic; text-decoration: underline;">Nightmares </b>may occur in REM sleep. Common in children 3 to 6 years (10 to 50%) but rare (<1%) in adults where they are mostly after PTSD as recollection of the traumatic experience. Medications that provoke nightmares are L-DOPA and beta-blockers as well as stopping REM suppressant medications like tricyclics anti-depressants.<br /><div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-layout-grid-align: none; text-indent: 10.5pt;"><b style="text-indent: 10.5pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u style="font-style: italic;">Sleep and Consciousness</u>: Sleep is part of lowered consciousness that includes hypnosis and the near death experience, fainting, fit and coma, and the state before birth and near death. Its study is united with: What is consciousness? What is an absence of it and where do you exist if anywhere when not consciousness? (Click </span></span></b><b style="color: #33aaff; font-family: arial, tahoma, helvetica, freesans, sans-serif; line-height: 14.39px; text-indent: -15px;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/918-id-it-sleep-or-is-it-death-brain.html" style="color: #33aaff; line-height: 14.39px;">9.18b Consciousness, Coma and Related States</a> </b><b style="text-indent: 10.5pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">to read the chapter.)</span></span></b></div></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>Preservation of individual conscious personality beyond lifespan:</i></u> Its practical application is the low body temperature sleep of an astronaut on an interplanetary trip (See <u style="font-style: italic;">The Dream Millennium</u> by James White; available on <i>Amazon.com</i>, an excellent read on the subject), or of a person with deadly disease inside otherwise healthy body until a future when a cure for his disease will be perfected. By lowering body temp just above freezing point of tissues, and by using drug that slows metabolism and prevents cellular damage from freezing crystallization, life could be sustained at a few heartbeats a minute and without visible breathing and the body could be preserved and revived at the same physical age unchanged. (Cf. The cryogenics movement) My guess is that the stimulus of space exploration will move this idea forward.</span></span></b><br />
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</span></span></b><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i> Best Conditions for sleeping </i></u>are a Japanese floor futon because of the firm (but not hard) mat - good for back - and also, for oldsters like me today, no risk to injure self by falling off a bed. If you must have a western style bed, be sure it has taut springs, firm </span></span></b><b style="text-indent: 13.75pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">mattress to protect back</span></span></b><b style="text-indent: 13.75pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> and is not too high off floor (and a not hard floor) for hazard from fall. </span></span></b><b style="font-family: Century; font-size: large; text-indent: 13.75pt;">The mat(tress) should have a soft (like felt surface) blanket cover to promote pleasant feeling on skin back contact. </b><b style="font-family: century; font-size: large; text-indent: 18.33px;">Pillow should be small and firm without being hard and head positioned with point contact not to back of head but just below it so that head is slightly but not excessively extended on the neck by gravity.</b><br />
<span style="font-family: "century"; font-size: medium;"><b> Black darkness or good black eye cover, extreme quiet or earplugs, and not to think stressful thought; these three factors promote falling asleep.</b></span><br />
<b style="font-family: Century; font-size: large; text-indent: 13.75pt;"> The mind should not be focused on stressful, argumentative or mentally complicated thoughts. Therefore the hour before trying to sleep should be relaxed without reading hate mail, and without watching action TV or movie or listening to rap or rock or other other emotionally arousing entertainment.</b><br />
<b style="font-family: Century; font-size: large; text-indent: 13.75pt;"><br /></b> <span style="font-family: "century"; font-size: medium;"><b>Finally, do not make a fetish of sleep or dreaming. </b></span><b style="font-family: century; text-indent: 13.75pt;">Or a mystique, as Freud and Jung did. Humans are very flexible in sleep patterns. Actual body needs for sleep are much less than you will read on internet or be told by so-called experts. I sleep when and where I please; and, if I can't sleep then and there, I do something else except I try to avoid overeating. And dreams have never revealed anything I did not already know. So cool it, and enjoy your sleep and dream and do not waste money discussing it with a shrink.</b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-char-indent-count: .98; mso-layout-grid-align: none; text-indent: 13.75pt;">
<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> To read next now, click <a href="http://physiciansnotebook.blogspot.jp/2010/09/memory-practical-suggestions-to-improve.html"><span style="color: #2288bb;">1.8 Secrets of Memory/Digit Memory System</span></a></span></span></b></div>
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<span class="Apple-style-span"><b><span lang="EN-US"><span style="font-family: "century"; font-size: x-small;"><i>Physician's Notebooks 1 - </i><a href="http://physiciansnotebook.blogspot.com/">http://physiciansnotebook.blogspot.com</a><i>- </i>See<i> Homepage</i></span></span></b></span><br />
<span class="Apple-style-span"><b><span lang="EN-US"><span style="font-family: "century"; font-size: x-small;"><i><br /></i></span></span></b></span> <span style="font-size: 14pt;"><b>8. Memory - How to Use It and Not Lose it Update 13 Octr 2021. The below descending column should show what is in the chapter and be used to locate for reading. As shall be seen, the discussion under “Memory” involves learning new facts, paying attention, alertness of conscious states and techniques of recall; plus, neurological data in the Notebooks 9 chapter, <i>the Anatomy of Memory</i>. We all know what memory is from practical experience but a complete theory still goes missing. Nevertheless, much of practical use in your life will be gathered together and presented.</b></span><br />
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<b style="font-size: large;"><u><i>Use Sound to Help Recall</i></u></b><br />
<b style="font-size: large;"><u><i>Anomia </i></u></b></div>
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<b style="text-align: start;"><span style="font-size: 16pt;"><u><i>Number Memory</i></u></span></b><br />
<b style="text-align: start;"><span style="font-size: 16pt;"><b style="font-size: medium; text-align: start; text-indent: 18.3333339691162px;"><span lang="EN-US" style="font-size: 14pt;"><i><u>The System of picturing numbers</u></i></span></b></span></b></div>
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<b style="text-align: start;"><span style="font-size: 16pt;"><u><i>Pay Attention to Significant Meaning</i></u></span></b></div>
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<b style="text-align: start;"><span style="font-size: 16pt;"><u><i>Rapid Forgetting of Transient Memory</i></u></span></b><br />
<b style="text-align: start;"><span style="font-size: 16pt;"><u><i><b><span style="font-size: 14pt;"><i><u>Prevent Absent-Minded Forgetting</u></i></span></b> </i></u></span></b></div>
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<b style="text-align: start;"><span style="font-size: 16pt;"><u><i>Mnemonic Memorizing Non-Number Facts</i></u></span></b></div>
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<b style="font-size: 19px; text-align: start;"><u><i>memory disturber</i></u></b></div>
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<b style="text-align: start;"><span style="font-size: 16pt;"><u><i>Alzheimer Disease</i></u></span></b></div>
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<b style="text-align: start;"><span style="font-size: 14pt;"><u><i> Tips for Keeping Good Memory Function in Brain</i></u></span></b></div>
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<b style="font-size: 21px; text-align: start;"><u><i><span style="font-size: 16pt;"><b><u><i>Medicine that harms Memory</i>;</u></b></span> </i></u></b></div>
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<b style="text-align: start;"><span style="font-size: 16pt;"><u><i>Emotional versus Content Memory</i></u></span></b></div>
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<b style="text-align: start;"><span style="font-size: 16pt;"><u><i>Entertaining Fiction</i></u></span></b></div>
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<b style="font-size: large; text-align: center;"><u><i>This chapter should help you become a mental marvel of facts, numbers and data. I </i></u></b><br />
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<b><span style="font-size: 14pt;"><u>Anomia</u>: Almost every old person suffers from occasional inability to recall quickly a famous, well-known name or a normally familiar product or object. Sometimes it signals the start of <i>Alzheimer's Disease. </i>The following are my experiences and insights<i>. </i><span style="font-size: 14pt;"><b>Recently I needed the name of a man I once knew, a fellow whose face I visualize but whose name eludes my tongue. Finally, I give up, and a day later, at lunch in a restaurant, after tasting a spoonful of lobster soup, I almost shriek: “This soup is too thick!” No sooner does “thick” pass my lips than I suddenly have the name and it’s special spelling: “Thicke! Eric Thicke!”</b></span></span></b><br />
<b><span style="font-size: 14pt;"><span style="font-size: 14pt;"><b> In the above case, </b></span></span></b><span style="font-size: 14pt;"><span style="font-size: 14pt;"><span style="font-size: 14pt;"><b style="font-weight: bold;">a <i>chance connection</i> gives insight into the brain's use of sound to recall a seemingly forgot word, here a name I once easily recalled. The <i>chance connection</i> helps to explain the common experience of sudden recall – </b><i><u><b>often on</b></u></i><b style="font-weight: bold;"> awakening – of a lost, sought name. What happens is that a similar sound – from reading, conversation, thought, dream – has fitted like a key in a lock and opened the door to recall.</b></span><b> Also it shows your subconscious mind at work.</b></span></span><br />
<b><span style="font-size: 14pt;"><span style="font-size: 14pt;"><b> OK, that is a passive approach to <i>anomia.</i> But the following cases suggest an active technique<i>.</i> </b></span><i> </i></span></b><br />
<b><span style="font-size: 14pt;"><i> </i> </span></b><b style="font-size: 14pt;">Being a 1940's music and lyrics buff, I admire Alec Wilder songs. One day, one of his songs delights me. I recall my appreciation for Wilder but can't bring his name to my lips. I try mouthing first-names by alphabet. “Adam”, “Adelbert”, “Alexander!” Stopped by a familiar sound, I follow Alexander into its shortening: “Alex”, “Alec”, “Alec Wilder!” "Got it!"</b><br />
<b style="font-size: 14pt;"> Here one can see the use of the first (given) and last (sur-) name connection. Given names are usually more accessible to recall than surnames, so the above technique, what I call "the A to Z alphabet run", can be done quickly and is not infrequently successful.</b><br />
<b style="font-size: 14pt;"> In another case, one day I was thinking about fairly recent Irish history and suddenly I found I could not bring to mind a name that had been very familiar to me, a man who might be called "The George Washington of Ireland", the father of the independent Irish State and its first president. In my mind's eye I could see the man's face like he was in front of me but no name. Immediately as I tried to recall the name one fact came to mind: it was a Spanish surname, rather unusual for an Irishman, especially a father of his country. Thinking about Spanish surnames, it occurred to me that many such names had the equivalent of the German <i>von</i> or the Scotch-Irish <i>Mc </i>in front, which means something like "son of". In Spanish, it is <i>de</i> and as soon as that sound passed my lips the blocked recall name popped into my mind - <i>de Valera!</i> And immediately my mind connected onto the first or given name <i>Eamon - Eamon de Valera.</i></b><br />
<b style="font-size: 14pt;"><i> </i>This suggests, first, that one try to pay attention to facts connected with names, especially out of the ordinary. Then, even though you may get <i>anomia</i>, it will usually be quickly corrected to recall the familiar name. The above - A to Z alphabet run, and facts about a name - are 2 preventive techniques that will correct or prevent anomia. Use your own imagination for other techniques. Somewhat connected with this is the use of colors to recall a seemingly lost memory of a name. Recently my daughter took me to a fancy restaurant and the waiter asked if we would like an aperitif drink. I don't usually have alcohol nowadays but I fondly recalled I once had a favorite liqueur aperitif but for the life of me I could not recall its name or even what it looked like. The only thing I could remember was that I had the favorite drink and that it had a minty taste. Later that day we saw a nightclub show where waitresses, dressed bunny-fashion in black form fitting sarongs, showing much skin and big Playboy bunny ears, served drinks and right in front of me the waitress put down a red aperitif and suddenly "Campari soda!" popped into my mind. Another, related case was my <i>Braun</i> electric shaver. One morning I lost my recall of the product name but remembered it had something to do with the color brown, and ---Eureka--- my <i>Braun</i> popped onto my tongue. The lesson is: do not just remember a name, connect it with its attributes. One more example, for students of American history. A test question is: List all the U.S. presidents? I did it easily but I used to have trouble with one particular name: Millard Fillmore, the 13th president (1849-53, and the last one who was neither a Republican nor Democrat (He was a Whig party man). I no longer have trouble with Millard, not just because of the learned unusual facts attached to his name, but also because I’ve “pigeonholed” his 1st name with the very common “Miller” (“Millar-d”). So whenever I run up against that last remaining (for me) U.S. president’s memory block, I say to myself “Aha! <i>Miller</i>! And, “Pop, goes the weasel” on Millard Fillmore, and all the other facts that go with it.</b><br />
<b style="font-size: 14pt;">Recently I even retrieved a 30-year lost name in one of my dreams in which the character appeared with correct name, Dr Potter! I’ll not forget him again. (That is an interesting case where we may spot a connection between conscious mind and the unconscious via dreaming, because my conscious mind had only started searching for “Potter”, a name I had not accesses in 30 years, just the day before the dream. It would seem the name was placed into the dream to give access to it in a conscious way)</b><br />
<b style="font-size: 14pt;"> Final advice: when you have an episode of anomia, do not waste hours trying to recall the name: give it several minutes, try your techniques, and then forget about it for the moment but make a note to come back to it at intervals. In many such cases your brain will keep working at it subliminally (below your consciousness level; cf. the case of “Potter”.) and, maybe minutes to an hour, or even years, later—<i>-Pop goes the weasel!</i>—-, the name will suddenly pop into your mind when you give your recall another try.</b></div>
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<div style="margin: 0px;"><span style="-webkit-text-size-adjust: auto; font-family: UICTFontTextStyleBody; font-size: 17px;"><br /></span></div><div style="margin: 0px;"><span style="-webkit-text-size-adjust: auto; font-family: UICTFontTextStyleBody; font-size: 17px;">My research: For at least the last ten years, since age mid 70s, I have been bothered by a non-progressive anomia, a difficulty in immediately recalling person and object names that I once well knew. It does not involve very familiar names or objects; rather in-between ones, like fruits such as cantaloupe or pomegranate. And the names are mostly surnames; if I recall the given name accurately, it helps but may also mislead if my recall is inaccurate.</span><br style="-webkit-text-size-adjust: auto; font-family: UICTFontTextStyleBody; font-size: 17px;" /><span style="-webkit-text-size-adjust: auto; font-family: UICTFontTextStyleBody; font-size: 17px;"> Although nowadays we can quickly find a lost memory word by using the Internet like a Roget Thesaurus, I purposely for my research have sometimes waited weeks, and, inevitably the lost word pops up in my mind when I rethink about it.</span><br style="-webkit-text-size-adjust: auto; font-family: UICTFontTextStyleBody; font-size: 17px;" /><span style="-webkit-text-size-adjust: auto; font-family: UICTFontTextStyleBody; font-size: 17px;">Obviously a memory </span><span style="font-family: UICTFontTextStyleBody; font-size: 17px;">storage bin is in the subliminal mind. (Referred to as the subconscious but I prefer subliminal to avoid the Freudian reference; it is the part of one’s mind not immediately accessible to consciousness.)</span></div><div style="margin: 0px;"><span style="-webkit-text-size-adjust: auto; font-family: UICTFontTextStyleBody; font-size: 17px;"> Based on my research I reached the following conclusions:</span><br style="-webkit-text-size-adjust: auto; font-family: UICTFontTextStyleBody; font-size: 17px;" /><span style="-webkit-text-size-adjust: auto; font-family: UICTFontTextStyleBody; font-size: 17px;"> 1. Non-progressive anomic aphasia is due to old age deterioration of neuron-synapse in the brain but it is not a sign of early dementia.</span><br style="-webkit-text-size-adjust: auto; font-family: UICTFontTextStyleBody; font-size: 17px;" /><span style="-webkit-text-size-adjust: auto; font-family: UICTFontTextStyleBody; font-size: 17px;"> 2. One’s subliminal mind has an independent existence from one’s conscious mind. The keys to their connection may be in studies of Anomia and dreaming.</span><br style="-webkit-text-size-adjust: auto; font-family: UICTFontTextStyleBody; font-size: 17px;" /><span style="-webkit-text-size-adjust: auto; font-family: UICTFontTextStyleBody; font-size: 17px;"> It is indeed fascinating to consider that one’s subliminal mind can be set to work (e.g., recovering lost memory) and can accomplish prodigious feats without one’s self awareness.</span></div><div style="margin: 0px;"><span style="-webkit-text-size-adjust: auto; font-family: UICTFontTextStyleBody; font-size: 17px;"><br /></span></div>
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<b><span style="font-size: 16pt;"><u><i>Number Memory</i></u></span><span style="font-size: 14pt;"> </span></b><br />
<span style="font-size: 14pt;"><b> Number recall will be easier if you look for a pattern. Trying to memorize telephone # 321-1492, take note of the reverse number counting for 1st 3 digits and the year Columbus discovered America. Examples: </b></span><span class="Apple-style-span" style="font-size: 19px;"><b>Square root of 3 (1.732…) is Geo. Washington's birth year; and square root of 2 (1.414…) is 14 repeated. Sometimes a number is coded into sound in a word. For example, a medical student may be asked multiple choice: <i>The number of cervical vertebrae is (4) (7) (8) (10)?</i> The correct choice, <i>seven cervical vertebrae,</i> is not easily forgotten once learned if you connect the 1st syllable of “cervical”, which is sounded “se” to the 1st syllable of “seven.” These examples are to jog your imagination. One can have fun figuring out recall patterns. </b></span></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><u style="font-style: italic;">The System of picturing numbers</u> for recall gives sounds for the</span></b><b><span lang="EN-US" style="font-size: 14pt;"> nine digits and zero. By combining the sounds, you can recall the higher numbers almost instantly.</span></b></span></b></span></b></span></div>
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<b>The Keys to the Code:</b></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;">1 = the <i>t </i>or <i>d</i> sound A typewritten small <i>t </i>has <i>the number 1 </i>down-stroke or you can think of a <i>Tie hanging down from neck like the number </i>1.<o:p></o:p></span></b></span></b></span></b></span></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;">2 = <i>n</i>. A small <i>n </i>has <i>the number, 2 </i>down-strokes.<o:p></o:p></span></b></span></b></span></b></span></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;">3 = <i>m</i>. A small <i>m </i>has<i> the number, 3 </i>down-strokes.<o:p></o:p></span></b></span></b></span></b></span></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;">4 = <i>r</i>. The word <i>for the number 4 </i>ends with an <i>r</i>.<o:p></o:p></span></b></span></b></span></b></span></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;">5 = <i>l</i>. The <i>5 </i>fingers, with the thumb extended straight out in front of you form an L.<o:p></o:p></span></b></span></b></span></b></span></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;">6 = <i>j</i>,<i> sh</i>,<i> ch</i>, or soft <i>g</i>. The <i>number 6 </i>and a capital <i>j </i>are, except for the closed loop of the 6, almost mirror images: 6 J.<o:p></o:p></span></b></span></b></span></b></span></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;">7 = <i>k</i>, hard<i> c</i>, hard<i> g</i>. You can make a capital <i>k </i>with <i>two number 7's</i>, each turned on side and touching at the acute angle external point.<o:p></o:p></span></b></span></b></span></b></span></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;">8 = <i>f</i>, <i>v</i>, <i>ph</i>. <i>The number 8</i> and a handwritten double-loop <i>f</i> both have similar appearance<i>.</i><o:p></o:p></span></b></span></b></span></b></span></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;">9 = <i>p </i>or <i>b</i>. <i>The number 9</i> and <i>p </i>are somewhat mirror images.<o:p></o:p></span></b></span></b></span></b></span></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;">0 = The first sound <i>in the number symbol zero </i>is <i>z</i>, which can also be used for the sounds of s, and a soft c.<o:p></o:p></span></b></span></b></span></b></span></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;">When one digit represents two or more sounds, as in 6, they are variations of the basic sound and including them all under one digit gives a greater variety of word construction. Note that the sound, not the printing is the key. Thus <i>ph </i>is 8, because it is sounded <i>f.</i> And a double consonant, like the<i> tt</i> in cotton, is <i>the number </i>1, and not the number 11, because the sound is <i>t</i>. And knee is the number, 2, and not 72. And a letter like X, with many different soundings is translated as you say it: thus, x ray is “eks ray”, so the number group 704; and you may pronounce Xerxes (Ancient Persian king) “Zerkzies,” in which case it is 04700. “Condition" is,<i> kondishyon,</i> 72162. Some words have varying pronunciations, and the important thing is how <i>you </i>pronounce the word, even if your pronunciation is incorrect, because the system will be <i>your</i> system. Thus, if you pronounce bomb as “bombe”, translate to 939, but if you say it “bahm”, it is 93. You are the boss. You do it so it's understandable to you. When a word has sounds not corresponding to any number in the above, the sounds are treated as if a number and space for it did not exist. But it still can be used in the spoken sound, word or phrase for the recall. Thus 150 could be “oodles” or “tales” or other words with sounds translating to 150. Also one can use meaningless sounds or nonsense words, or perverted meanings and words.</span></b></span></b></span></b></span></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;">This system has proven very useful to me for rapid recall of numbers. </span></b></span></b></span></b></span><span class="Apple-style-span" style="font-size: 19px;"><b><b><span style="font-size: 14pt;">Think of your time wasted mistaking or trying to recall phone number or other number. Thus the importance of a way to make number recall easy! The one I show here benefits me immensely because as a physician who is on the receiving end of requests for medical contacts it has been important for me to rapidly recall telephone numbers I just heard. And, happily, I learned this way to do it. With it, I just glance at a 12-digit telephone number or a 16- or 19-digit credit card and recall it perfectly as long as I need to.</span></b></b></span></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;">Continuing comments on the <i>System</i>: It is easier to remember a distinctive sound, or meaningful word or phrase than a several-digit number. Test it out. Make no attempt to memorize either of the following words and numbers. Just make a mental note of both and continue reading. But write yourself a “Do I remember?” and put it in your pocket. Then, later, when you next look at that paper, see if you can remember the following words or number or both.<o:p></o:p></span></b></span></b></span></b></span></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;">The word: <i>BLACK</i> <i>RHODODENDRON</i> <i>FLOWER</i><o:p></o:p></span></b></span></b></span></b></span></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;">The number: 957411242854<o:p></o:p></span></b></span></b></span></b></span></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;">A <i>black rhododendron flower</i> is so distinctive in meaning and sound that you will find it rather difficult to forget, b</span></b></span></b></span></b></span><b style="text-indent: 14.05pt;"><span lang="EN-US" style="font-size: 14pt;">ut, without the <i>System, </i>unless you are a number-recall <i>idiot savant</i>, you will not correctly recall the 12-digit number.</span></b></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;">The <i>System</i> can</span></b><b><span lang="EN-US" style="font-size: 14pt;"> be used to assign numbers to names. For example, my name, Edward M. Stim, translates to 141-3-013. It can be used by a spy who wishes to mask names; also it is fun as a game to translate everyone's name to a number. Following are some practical uses of the system from experience.<o:p></o:p></span></b></span></b></span></b></span></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;">Quick Telephone Number Recall:</span></b><b><span lang="EN-US" style="font-size: 14pt;"> Very useful for us who get phone calls that require a prompt call back, e.g., your cell phone rings and you are asked to call a Mr. Brown right away at 873 3001. Immediately your mind converts the commonly encountered 87 to the obscenely unforgettable “fuck”, the oft-used 33 into the improbable “mama”, and 001 into “sister", i.e. "<i>sista</i>”. Combining it all, you construct the hard-to-forget “Fuck mama, sista!" It illustrates points from experience with the <i>System</i>: For quick creation of sounds for numbers, use 2- or 3-number groups, and note some common word suffixes like –ing (27), or for plurals the added sound –es (0), or use past tense, all added –ed (1). Make use of obscenity and outrageous phrase and be relaxed about incorrect pronunciation to make it easy to find the right word quickly for a number.<o:p></o:p></span></b></span></b></span></b></span></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;">Even nonsense, meaningless word or sound is useful (eg, 961 6399 = Pish tush, my baby!)<o:p></o:p></span></b></span></b></span></b></span><br />
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>Number as Part of Fact or Data</u></i>: Before a </span></b><b><span lang="EN-US" style="font-size: 14pt;">test where fact recall is important, the <i>System</i> is a gem. Converting sound from printed word to number often connects up an important fact. For example: a quiz question “William McKinley was the number-- U.S. President is easy for us who in memorizing the order of US Presidents particularly dote on McKi<i>nl</i>ey because the “nl” sound can stand out as a reminder of his being 25<sup>th</sup>. And Franklin Pierce was the 14<sup>th</sup> Pres., easily memorized from the connection with “Pierced tire” (tire=14). Also, even if you may not be able to see a sound-word-number translation in every name, just knowing even a few can help get the rest. If you know Teddy Roosevelt succeeded McKinley on the latter's assassination, you know Teddy was the 26<sup>th</sup>. The <i>System</i> makes memorization fun. It stimulates using imagination.<o:p></o:p></span></b></span></b></span></b></span></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;">Choosing PIN (personal identification number) or password number with an eye on t</span></b><b><span lang="EN-US" style="font-size: 14pt;">he <i>System</i> allows you to choose important many-digit number so it can be translated unforgettably. Your name translates to a number, and that number could be ideal for a secret number, or part of one. If you worry this is too obvious for a con-man, give yourself a private nickname.<o:p></o:p></span></b></span></b></span></b></span></div>
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<span class="Apple-style-span"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>Use for Engineer, Scientist</u></i>: </span></b><b><span lang="EN-US" style="font-size: 14pt;">Important physical constants can be easily recalled to 8 or 9 decimal places. Take the Greek pi, π, (circumference of a circle divided by its diameter), 3.14159265…? Since many students know the first 5 digits, all that's needed is “bone jelly” to access the next 4 decimal digits 9265. And if you want the whole 9 digits, try some delicious <i>Mad Red Lee bone jelly</i> for an unforgettable slice of pi. Many more examples of real world, practical long-digits – a product model number, a stock market big board number, etc – exist. The <i>System</i> will make you rich. </span></b></span></b></span></b></span><br />
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<b><span style="font-size: 16pt;"><u><i>Pay Attention to Significant Meaning</i></u>:</span><span style="font-size: 14pt;"> Each minute, much data is presented to our senses but not paid attention. (In the mind this is called, “filtering”, i.e., irrelevant material is filtered out.) So keep alert to subliminal impression. An important impression may literally look one in the eye without alerting, e.g., “This Tuesday, the library will be closed” sign that a library user walks by on the Monday before that Tuesday, not recognizing its relevance to his tomorrow's library trip, and, because he overlooks it, he ends up making unnecessary trip to a locked-library, a trip that could have been prevented if he paid more attention. Also pay attention</span></b><b><span style="font-size: 14pt;"> to important facts that you do not wish to forget. </span></b></div>
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<b><span style="font-size: 16pt;"><u><i>Rapid Forgetting of Transient Memory</i></u>:</span><span style="font-size: 14pt;"> Related to paying attention is when we have transient but important thought, like “Must turn off gas before starting to talk on phone,” or, “Must remember insurance card and take it for doctor visit.” I am sure every reader forgets to take important thing or overlooks doing what he thought about doing because he forgot the thought before the act. To prevent this inconvenient and sometimes dangerous forgetting make it a habit to “Do it as you think it,” and, if you cannot, then substitute “Write it down as you think it” or scribble note to yourself that will be kept in full view. I force my attention on a thing I may overlook when leaving my home by stopping at the door and saying aloud “Did you remember everything?” (Insurance card, money, credit card, key) As routine behavior, it will save inconvenient forgetting. Related to that is: not remembering you did an important act like "Did I turn off the gas?) and an hour or more later, far away from your home being bugged by the Did I? or Didn't I? question. So when you do an act you may importantly want to recall doing (like flushing your toilet after defecation) say out loud "I did it, I flushed”, or just intensely stare at what you are doing and make an outlandish mental note, e.g., I <i>flushed my shit down the toilet. </i>And I guarantee you will have no problem remembering you did it. (And see just below)</span></b><br />
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<b><span style="font-size: 14pt;"><i><u>Prevent Absent-Minded Forgetting</u></i> Relating to the above, the following two behaviors can prevent and reduce the absent-minded forgetting that causes too much trouble in one's life. First, the "fixing attention" on an object you will need to shortly remember. It could be as simple as spending an extra 15 seconds concentration on your just-bought subway ticket (in Tokyo) and the fact that you re putting it into your left-side pants pocket as you get on subway (Instead of the usual mindless shoving the ticket in a pocket and not activating your long-term memory about the ticket's location when you immediately need it on exiting) The "fixing attention" puts a time-activated red flasher in your pre-frontal cerebral cortex that goes off every time you think "subway ticket" and flashes "left-side pocket." (The technique called “</span></b><b><span style="font-size: 14pt;">pigeonholing” in recall psychology.) Another advantage of fixing attention is that it causes you to remember well that you just did something. Often it happens that we do not remember well whether we did or did not do the important action. For example, "Did I turn off the electricity or gas when I left my apartment?" or like questions which sometimes bug a person and cause him unnecessarily to go back to the apartment and check whether he did or did not do an important action that he should have remembered but did not. </span></b><br />
<b><span style="font-size: 14pt;">Another behavior to prevent your forgetting taking something with you from your office or home (like a credit card when you go out to shop) is to take the object out of your desk or out of your outer jacket pocket (which you might not wear going out) and lay it out in your close view on your desk or next to it. There you force visual feedback on the object. These two behaviors will eliminate 95% of absent-minded forgetting but you must not forget to do the behaviors in the first place. In the worst case, write a note to yourself and tie it around your wrist or just set a reminder on your phone. </span></b><br />
<b><span style="font-size: 14pt;">Then, whenever you leave a place, always take a last, scanning glance at where you occupied the space and it’s surroundings to pick up overlooked, potentially absent-mined leaving behind forgettings.</span></b></div>
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<b><span style="font-size: 16pt;"><u><i>Mnemonic Memorizing Non-Number Facts</i></u></span><span style="font-size: 14pt;"> is easy and enjoyable using already invented mnemonic and you may invent your own. Example: HOMES<i> (Huron, Ontario, Michigan, Erie, Superior)</i> for names of the North American Great Lakes; ROY G. BIV (red, orange, yellow, green, blue, indigo, violet) for the primary colors.</span><span style="font-size: 14pt;"></span></b></div>
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<span style="font-size: 14pt;"><b>The Roget’s Thesaurus has become obsolete thanks to googling; if you forget a word but know its meaning, you can Google it, for example, go to “food fruit” and its list and in seconds you'll find and recognize “cantaloupe” as the word you wanted but couldn't name. This becomes especially useful after brain stroke that affects recall of names. In today's computer age you can use <i>Google</i> as a thesaurus to find any almost forgotten name or concept.</b></span><br />
<span style="font-size: 14pt;"><b><br /></b></span> <span style="font-size: 14pt;"><b>A big <u><i>memory disturber</i></u> that we do not consider is the free floating anxiety in each person's mind due to daily worries and caused by bad living. The more one's mind is occupied with worries and fears (the <i>paranoias of life</i>, I call them) the harder it is to have a sharp memory. Of course, one cannot quickly remove one's worries but one should try hard to arrange life most simply by getting rid of the complications, by ending longstanding problems. </b></span></div>
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<b><span style="font-size: 16pt;"><u><i>Alzheimer Disease</i></u> (AD)</span><span style="font-size: 14pt;"> memory loss is typified by being slowly progressing (May not be noticed for years), global (All parts of memory deteriorate) and inexorable. Close family may have noted deterioration, but first public notice is when one who seemed normal is sitting or wandering somewhere unable to find the way home. And he is quite disturbed about this lapse of memory because at this stage of AD the memory system for most part is still functioning and one has insight. This typifies initial memory loss in AD due to a small here or there break down in nerve connection. Also, at the start, old memories remain intact; it is the recent memories and especially directions for travel that are first, worst affected. Loss of naming is common (See 1st section of this chapter on <i>anomia)</i> to all old age but in <i>Alzheimer's</i> it worsens to the point that you call everyone or everything <i>whatsisname </i>or <i>thingamajig.</i></span></b></div>
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<b><span style="font-size: 14pt;"><u><i>Tips for Keeping Good Memory Function in Brain</i></u>;</span></b><br />
<b><span style="font-size: 14pt;">First, be aware that keeping a good memory is not only preventing the physical deterioration of brain-caused aging or disease; it is also keeping up with new techniques of making memory easier for you by making recall almost automatic. Like the already given memory system for recalling multiple-digit numbers by sounds. For example, at age 88 now, I actually have a better recall than before even though my brain has undoubtedly aged, because I kept up and learned new systems to help my old-age faulty recall. So do not take a fatalist attitude toward loss of memory with aging. </span></b><br />
<b><span style="font-size: 14pt;"> In the physical sphere, central to all memory loss is the decreasing nutrition of brain cell. This can be prevented by keeping low the low-density cholesterol (LDL-C below 60 mg%, or 1.6 mMole/L), avoiding or lowering high blood pressure and keeping good cardiac output by protecting your heart from unnecessary physical stresses. Alzheimer Disease is not circulatory but it is worsened and brought on earlier when poor circulation destroys defenses and unmasks it. Another preventive is avoiding head trauma, even minor banging, and this requires being alert to it. (Wear visor cap to warn of a coming bang on forehead ahead of time) Finally, and importantly, exercising your brain by good reading and intellectual work will slow its aging.</span></b></div>
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<span style="font-size: 16pt;"><b><u><i>Medicine that harms Memory</i>; </u></b></span><span style="font-size: 14pt;"><b>The diazepam medicines, <i>Valium, Librium</i>, <i>Xanax, Solanax, Ativan and anti-depressants like Tofranil</i> may cause absent-minded forgetting. So if you take the medications, especially to sleep, be extra alert to prevent absent-minded misplacing like whenever you leave a place, stopping at the door, scanning back where you occupied the space, and asking yourself; Have I forgot anything? Or do I have everything with me? An alcohol-drunk period can have loss of memory, and heavy prolonged alcohol intake leads to a memory loss </b><i><u><b>Wernicke-Korsakoff</b></u></i><b> <i>syndrome</i>, made famous by the late great actor John Barrymore, who, to compensate, became master of the witty ad lib or humorous aside, poking fun at his own disability. (To see the master at his typical ad libs, click <a href="http://www.youtube.com/watch?v=rIbIbPyLpbo"><span style="color: #1122cc;">John Barrymore Interview 1940 - YouTube</span></a> )</b></span></div>
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<b><span style="font-size: 16pt;"><u><i>Emotional versus Content Memory</i></u>:</span><span style="font-size: 14pt;"> The content of an event and the emotional reaction to it are separately registered in your brain and are included in your full <i>declarative memory</i>, but it is adaptive and healing to forget the emotional response (push it into your <i>non-declarative memory</i> which is part of your unconscious mind and not normally accessible to your remembering), while continuing to accurately recall the content (Mother's death). Clinical depression occurs because the victim cannot seem to forget the emotional response to an event. When you note a bad emotional response to an event, go out of your way <i><u>not</u></i> to keep the memory of it intact.</span></b><br />
<b>For basics, click <a href="http://physiciansnotebook.blogspot.jp/2010/09/937-neurology-of-memory.html"><span style="color: #2288bb;">9.37 Neurology of Memory- Brain Anatomy</span></a></b> .<br />
<b><span style="font-size: 14pt;">(For <u><i>entertaining fiction</i></u> that teaches Memory, click <a href="http://adventuresofkimi.blogspot.jp/2011/04/323-seminar-4-super-memory.html"><span style="color: #2288bb;">3.24 Seminar 4; Super Memory</span></a> at <u>http://adventuresofkimi.blogspot.com</u> .</span></b></div>
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<span style="font-size: 14pt;"> To read next chapter, click <a href="http://physiciansnotebook.blogspot.jp/2010/10/chapter-to-enhance-your-life.html"><span style="color: #2288bb;">1.9 Losing, Misplacing or Accidently Breaking Valu...</span></a></span></div>
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Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4839604317339966579.post-12824564830327438252010-09-23T09:27:00.018+09:002021-10-15T08:19:27.485+09:001.9 Losing, Misplacing or Accidentally Breaking Valued Things - Prevent<div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-layout-grid-align: none;">
<span style="font-size: x-small;"><b><span lang="EN-US"><span style="font-family: "century";"><i>Physician's Notebooks 1 </i>- http://physiciansnotebook.blogspot.com - </span></span></b><b><span lang="EN-US"><span style="font-family: "century";">See <i>Homepage</i></span></span></b></span><br />
<span style="font-size: x-small;"><b><span lang="EN-US"><span style="font-family: "century";"><i><br /></i></span></span></b></span> <b><span lang="EN-US"><span style="font-family: "century";"> This is a long chapter on losses I have suffered. It is meant as a reference or source of a seminar. Read slowly and in small sections.</span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span face=""ms 明朝"" style="font-size: 16pt;">⑨</span></b><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;">Losing, Misplacing or Breaking - Update 15 Oct. 2021</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"> Descending column of headings in order as they appear; use for <i>search & find </i>or <i>scroll.</i></span></b></span><br />
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><span style="font-style: italic;">Opening Statement</span></u></span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u style="font-style: italic;">Stealing Loss -A Recent Event</u><span style="font-style: italic;"> </span></span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><span style="font-style: italic;"><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i><u>The Good Employee Loss</u></i></span></b></span> </span></span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u style="font-style: italic;">Pocket Loss</u></span></span></b><br />
<b style="font-family: Century; text-align: start;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Overhead rack</i></u></span></b></div>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>House Key and Objects Left in Slot or Plug-in</u></span></b></i>
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<i><b style="font-family: Century; text-align: start;"><span lang="EN-US" style="font-size: 16pt;"><u>Money/Paper/Plastic Card Loss at Home and Office</u></span></b></i><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>Throwing away valuables or frequent-use objects</i></u></span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>Loss in container – bag, box, briefcase</i></u></span></span></b></span></b></div>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Mail Loss</u></span></b></i>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Break-in and Thievery</u></span></b></i>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Con artist</u></span></b></i>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Travel Increases Risk of Loss</u></span></b></i>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Alertness to Finding Recently Missing Valuable</u></span></b></i>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Traveler-Check Pocket Loss</u></span></b></i>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Dropping-From-Top Pocket Loss</u></span></b></i>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Breakable Loss</u></span></b></i>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Bookcase</u></span></b></i>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Leaving House or Room and Absentmindedly Forgetting</u></span></b></i>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Not Following Through on Search for Missing Object</u></span></b></i>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Item Knocked or Dropped to Floor, Seemingly Lost</u></span></b></i>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Misplacement of Item between Pages of Book</u></span></b></i>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Missing Item That Blends into Surrounding</u></span></b></i>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Misplacement in Blanket or Sheet of Bed</u></span></b></i>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Misplacement on Body or in Recently Worn Clothing</u></span></b></i><br />
<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Personal Paper Forgotten in Public Copy Machine</u></span></b></i></div>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Sound, Feeling, Smell and Visual Should Warn of Catastrophe</u></span></b>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Medical Loss</u></span></b></i>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Cash, Check or Credit Card</u></span></b></i><br />
<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Lost ATM Card</u></span></b></i></div>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Scroll Loss or Shift to Screen's Side Edge Loss</i></u></span></b></div>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Shortchange</u></span></b>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>The Singling Out Loss</u></span></b></i></div>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Neglecting to check purchase, or actually leaving it behind</u></span></b></i>
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<b style="font-family: century; text-align: start;"><span lang="EN-US" style="font-size: 14pt;">Retrieving what you inadvertently left behind or dropped</span></b></div>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>End Notes; washing machine, eye drops in refridge, drip,drip water, and trashcan </u></span></b></i><br />
<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i>Throw-out-itis</i></span></span></b> </u></span></b></i></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u style="font-style: italic;"><br /></u></span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><span style="font-style: italic;">Opening Statement</span></u><span style="font-style: italic;">: </span>When something is misplaced or seems to disappear it usually is due to a loss or misplacement of one's attention that is often hard to control. Based on long experience with losing or misplacing there are certain situations that ought to be a <i>red flag.</i> For example putting small bags or containers on overhead racks, putting important small card documents like credit cards in pockets already crowded with small change and other bric-a-brac -- especially in the pocket of a jacket that will become separate from your body --, leaving an important small object alone on a table you will not return to, putting important, don't-want-to-lose object in your carry bag and then leaving the bag somewhere.</span></span></b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-layout-grid-align: none; tab-stops: 108.0pt;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Make it a good habit to firstly have losing or misplacing <i>on the brain</i> (Constantly be aware of the possibility and especially avoid the toxic above-mentioned situations). </span></span></b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-layout-grid-align: none; tab-stops: 108.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u style="font-style: italic;"> </u></span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u style="font-style: italic;">Stealing Loss -A Recent Event</u><span style="font-style: italic;"> </span></span></span></b><br />
<i><b>"This Saturday, Don was coming home from band practice. His friend let him out of the car, and then Don propped the outside entrance door open while he brought his 2 guitars (one worth $3000) upstairs and left them by our apartment door. He left the outside door propped open because our across-the-hall neighbor was also bringing in groceries. He went back out and brought a box to our garage. In the time it took to do that, someone came in and stole his 2 guitar</b><b>s</b></i>.<b>"</b> <br />
<b> The above is a story of losing because one is in a hurry, a bit overexcited, wants to be a too good neighbor, and makes the lazy-minded assumption "Well, it will only be a minute so no one could steal something in that short time." The result was, for Don, a negative, mind-blowing experience. With stuff you value, make no assumptions, do not be a too good neighbor and lock the stuff inside your home immediately.</b><br />
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i><u>The Good Employee Loss</u></i> is when you try to help your boss or company but your good intention causes you to lose a valuable. For examples, several years ago my company got me a local cell phone and a little later they got me an international. They forgot I had the local phone but I thought I'd be a Good Employee and save the company money so I handed in my local phone without being asked. It turned out I could have made great use of that phone but my good impulse lost it for me. In another case, I bought an expensive <i>Braun </i>Electric Shaver and, as I believe in living a communist life and the Shaver was a type that cleaned itself and could be used by my male coworkers, I left it in my company's male WC for anybody to use. No one chose to use it except me but 14 months later, someone stole it. So I lost the expensive shaver because I tried to be a good Samaritan.</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> I do not want these examples to turn the reader off to being a good Samaritan but always consider what you risk losing and if it is worth trying to be the good Samaritan, as it clearly was not in the case of the electric shaver. </span></b></span><br />
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u style="font-style: italic;">Pocket Loss</u>: An important, potentially catastrophic loss of money card and my Japan foreigner registration card happened to me because I stupidly entrusted these two very "cannot lose" cards to my inner suit jacket lower pocket made for this size card. Little did I realize how easily such cards can fall out of such pockets by merely sitting down and having the lower part of the jacket crunch up! Never again to use that type pocket for that type card!</span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> In choosing clothing, priority should be button- or zip-over, deep pocket. You ought to be able to go into side pocket to wrist, and the shirt pocket should be passport-size and button-over. In pants, baggy side-pockets. Test for hole often.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Important object, like house key, should be in small zip-over pocket.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Don’t keep a valuable apart from your body, in coat and suit or jacket or, especially in carry bag that is easily misplaced and lost.</span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Remember! Clothing one is not now wearing is where one may misplace important small item like medicine or small document or important plastic card. If these items suddenly go missing, go to your clothing rack and search pockets or recently used clothing.</span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Much loss occurs in rush to pull money, ticket, or key from pocket because as you withdraw hand it brushes out valuable(s) that fall(s) out unnoticed. Also do not handle valuable ticket, card or paper object unnecessarily (Taking them out to look at them) because such papers or cards easily fall from fingers unnoticed. Before leaving home or office, or subway train or taxicab, have necessary coin and cash change or ticket ready so you do not have to reach for it in rush. Do not carry a large-loss-in-small-volume valuable. (Large cash bill)</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Removing clothes makes high risk for loss. In public toilet next to commode where you sit, a wallet, falling out of lowered pants or from jacket draped over partition becomes large loss for you and great gain for one who cleans the toilet. </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">The wallet is an easy place to find important pocket item, but it is a bottomless pit of loss. I gave up losing wallets after losing my last and now substitute a large zipper pocket and limit what I carry.</span></span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u><i>Overhead rack</i></u>:</span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Be alert to leaving behind on overhead rack, which happens much in Japan on trains. Putting anything on a top rack is asking for loss. In commercial jet on debarking make sure no small item has fallen out of your large bag that you placed in overhead rack by actually getting a look even though it needs stepping up on your seat; don't rely on blind finger-feels. </span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>House Key and Objects Left in Slot or Plug-in</u>:</span></b><b><span lang="EN-US" style="color: lime; font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">When leaving home you lock door, and out in corridor remember you forgot something so you unlock door and rush back in to get the neglected item, forgetfully leaving key behind sticking out of door. Another scene is you returning to your flat, unlocking door, leaving key in slot because arms full of packaged goods, hurrying in to stow them and then forgetting key. You usually discover it in door at next go out, but a thief of opportunity may discover it sooner. This is a forgetting of inserted object that includes recharge plug and wire and cell phone or other battery charged electronics in office or hotel or other place where you forget and leave it charging.</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> While on cell phones allow me to tell the story of my misplacement. I really depend on my cell phone and its loss would be a catastrophe. And just the other day after going out for a McDonald's I suddenly realized my cell phone was not on me. Excitedly I searched my office desk but no phone. Then I rushed to nearby company flat where I'd stayed the night expecting I'd just left it behind in morning as I sometimes have. But no cell phone. So I sat down quietly and started to think. I was sure it was somewhere in or nearby my office desk because I had a vague memory of looking at it to see if it was 10 am. So where else could I have left it? Then I recalled going to the WC and sitting on the commode with pants down and remembered that sometimes I took my phone out of pocket for fear it might drop into the water and put it on ledge. So I went to the WC, opened the door to the commode I'd sat on and - Lo ! - my white cell phone with magnifying glass just where I'd put it and forgot it. So remember the story next time you miss your cell phone.</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Money/Paper/Plastic Card Loss at Home and Office</u></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;">:</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> My file is a bottomless pit of loss due to putting important paper in wrong folder or having it accidentally get attached to or included with other file item. A maneuver when missing a document is to review files A to Z. </span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Frequent place of loss at home is behind or under furniture or appliance. Look behind fridge and you may find that lost letter with the $5,000 pension check. Or search behind or under sofa, or bed, or dresser, or bookcase, or movable bathroom fixture. Or on desk, look underneath and beside the desk and also under things on your desk, like under a desktop computer keyboard for a lost plastic card or behind monitor-screen where common use items may get hidden from your view and presumed lost. Or in a niche just under your seat for a lost cell phone that dropped from your pocket as you slouched in your office chair. Best to make sign: “<i>Look under or behind”</i> for posting on wall near furniture. Also this points the benefit of room cleaning. So many misplaced objects are found while cleaning a room or rearranging file or drawer. (But keep in mind a room cleaning is also high risk for misplacing) With plastic card loss, especially important one like a credit card, never forget that you may have left it in an outer jacket that got separated from your body or otherwise misplaced as recently happened to me. (And don't immediately cancel the credit card. Wait a couple of days until you are really sure it's permanently lost because you'll be charged a fee for the loss)</span></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>Throwing away valuables or frequent-use objects</i></u><i>:</i> I have done it as an unthinking automatism or out of lapse of attention or in not wanting to check what may be inside a seemingly empty container. I ignorantly threw out negotiable check (the baby) in envelope (with the bathwater), my mom’s silver 25-cent coin collection in old can (Collect valuables in glass), or needed medicine<i>. </i>Keep trash as long as tolerable and review content before throwing out.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> <u><i>Loss in container – bag, box, briefcase</i></u> – is also important point of misplacement of valuable item, especially during trip when you may put small valuable in container or carry bag used for other item and then forget you put it there. (This happened with passport, specially placed in backpack and the placement there forgotten, resulting in a seeming loss of passport and in a panicked search on an aircraft about to take off on international trip) And just yesterday, I went missing medicine I had just got from my pharmacy. After searching my house an hour I finally found it; still in the white plastic bag the pharmacist gave me and which I, a little later, thought was an empty that I should throw away. Take newly purchase small stuff out of the bag as soon as you get it.</span></span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Mail Loss</u>:</span></b><b><span lang="EN-US" style="color: red; font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Send no cash by mail! Postal worker or letter-box thief looking for welfare or social security check may steal it; the one you send it to may falsely claim not to receive it in order to have you send more to cover loss; or you may be suspected of falsely claiming to have sent it and lost it for your own bad purpose. When cash is lost in mail, even if registered, you will be left holding an empty mailbag. Another loss is letter delivered in your box: it happened to me because the letter got stuck in my outside mailbox in a place normally not visible, and lay undetected for months.</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Even sending personal checks through the mail can be problematic if the check is high-cash enough to tempt a money-launderer. A good control is to forward-date your check to one week after you expect it to arrive. Then you will have time to check expected arrival and put a stop on the check (But putting a stop costs you $35). </span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Break-in and Thievery</u>:</span></b><b><span lang="EN-US" style="color: magenta; font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">My landlady in the </span></b><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Bronx</span></b></place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">, wrote me of a break-in with every room turned upside down. She was out of house 8 am to 6 pm, Mon – Fri, leaving it empty. It is 2-story in row of private homes on quiet residential block with obscuring trees. Back in </span></b><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Bronx</span></b></place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">, I found nothing taken from my room. The burglar was out for cash & carry so after entering by cutting hole in window, he emptied every drawer; overturned every mattress and rug; opened every cupboard and closet, even down to smallest cookie jar. I recently read about a chap who invited a new friend home and later had his house burgled and was himself killed because the friend, noting how easy it would be to burgle the house and suspecting much money hidden there, sold the intelligence to a gangster who promptly broke in and, because he found the occupant there who might later identify him, killed him.</span></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> We keep cash, negotiable paper and credit card lying openly around at home and rarely consider someone may get inside and steal them. We should not hoard cash at home but many do. Best way to secure your home is to be paranoid about home robbery, or as I like to say “Have burglary on brain.” Keep in mind close friend, lover, or relative, may go thief or more likely be source of info to thief, either out of greed or envy, or because of something as slight as slip of tongue. That my landlady lives alone and is at work weekdays could have been the key info that decided the burglar to hit. It could come from her talk or someone nearby noting her invariable behavior. And knowledge about inside house – window lock location – could come from repairman, meter-reader, friend, relative, boarder.</span></span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;">Secure the home:</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: magenta; font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">“To lock or not to lock?” needs to be harped on. From </span></b><country -region="-region"><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Chechnya</span></b></place></country><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> the headline: <i>Fourteen staff escape death because… lock … door at bedtime. … The terrorist systematically tried all the doors. He murdered five … who had not locked themselves in. </i>(I do not wish to obsess about locking doors; the where & when of it is important.</span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;">Street thievery:</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Minimalist principle is not to appear rich: no fine clothing, no bulging wallet, no visible jewelry, no sumptuous purse. </span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Con artist</u>:</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Use judgment before you supply anyone with personal check, credit card, or anything bearing your signature, account or card, or SS or PIN. You may unknowingly give it when you buy by check or credit card, especially over Internet, and also by leaving such easily copied info lying carelessly around home or in office desk drawer.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"></span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Travel Increases Risk of Loss</u>:</span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Luggage should always top awareness. Do not have it to lose. (Remove unnecessary stuff, leaving only single carry-on piece) If you must check-in luggage, take out of it any item you cannot tolerate losing. In my international medical practice, the most frequent emergency is losing an important, medicine mostly due to loss of luggage.</span></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Keep top of overfilled cart or bag closed to prevent fall-out loss in overhead compartment or bus bottom.</span></span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Alertness to Finding Recently Missing Valuable</u>:</span></b><b><span lang="EN-US" style="color: lime; font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">I misplace things but am saved by fast becoming aware of loss and searching it out. In searching after missed item, keep aware of what you carry with you and where you stow it. This starts with making inventory, on leaving home either for nearby chore or doing world trip. Soon as you miss anything, don’t let it slide. For every moment delay, the probability of never recovering it multiplies. </span></b></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">When you mislay important item: sit down (Before rushing around excitedly searching) and, in your mind, visually recall and think when last held in hand and then follow it up to the point where it disappears from memory. An example is missing passport. You recollect seeing it when handing to travel agent and putting it back in pant pocket. As you visualize that, you realize you have no memory of pulling passport from pocket afterwards. Here is where memory of passport winks out. And that was last night. And today you can’t find it! Suddenly, you realize you are not wearing same pants as yesterday. This morning you sent yesterday’s pants to cleaner. Red marker flares in mind’s eye! Immediately, you call the cleaner, he searches your soiled pants, and – <i>Voila! –</i> the<i> </i>passport still in pocket you forgot to remove it from.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">This may not reveal missing item, but it can localize it to particular place. Then, solution is to search room, closet, file. In searching, keep in mind the missing item may be in the open, “staring you in face,” yet you may have blind spot because it’s not where you expect. Recite, “I know it is in here, in front of me” – and search systematically, slowly and without excitement. </span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> A guide in looking for the item is to search close to its usual place. If it’s a key you keep in cup atop refrigerator, look in nearby cup or on floor below, where it may have fallen. Just recently my favorite tea or coffee cup went missing and I was about to give up and buy a new one when I said to myself, "It's got to be where I usually leave it; on my desk. And - Eureka! - I pushed aside my computer monitor screen and there it was - hidden by the screen's blocking vision at rear of desk.</span></span></b></div>
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<b><span style="font-family: "century";"> Falling of important card or paper from clear plastic folder that has open edge and is carried in hand has happened to me. First, do not put an item that may easily drop - like card or letter - in such folders that are meant for soft papers. Second, search on floors it may have fallen to.</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Also, train ticket, coin and cash bill are dropped on subway or other stair by commuter rushing from train or home. Do not take stuff out of pocket in such rush situation. Have ticket, cash ready in hand or pocket.</span></span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Traveler Check Pocket Loss</u>:</span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">When someone pays you an unsecured check, immediately cash it. A while ago I got paid with $500 blank TC and carried it on me, neglecting to write in my name and number. Even worse I did the ultimate stupidity – taking TC from pocket to look at gloatingly while walking outside and then thrusting it back in jacket to put in inner pocket but missing the pocket and it dropped to sidewalk. Bye-bye Big Buck that did not stop here!</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"></span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Dropping-From-Top Pocket Loss</u></span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">occurs from shirt in which you place item that can fall out when you bend down to fix shoe or look at fish in pond. Do not put small weighty object in top pocket (or on ledge or edge). Use top pocket button-over or zip. Similarly for open top of carry luggage.</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Breakable Loss</u>:</span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Not only dropped from pocket but also knocked off edge of furniture where you carelessly and precariously place the fragile item results in big replacement bill. Prevent by attention to securing important equipment by button-over pocket that you make sure to button-over. </span></b></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">And keep in mind glass<i> </i>breakage. I now use unbreakable clear plastic for all drinking and eating receptacles. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Another equipment breakage comes from rough handling: neglecting to grasp the piece firmly and safely by handle when picking it up, banging it against wall or furniture out of unthinking roughness, and even too violently flipping on/off toggle switch or banging typing key on keyboard – all are causes of prematurely shortening life of equipment. Just today I shut the door of a microwave oven too hard and it broke its turn-on control. Here you just have to pay attention and have breakage on your brain. Put colorful, attention-attracting <i>FRAGILE </i>warning on equipment to help. Soft floor at home (tatami or plastic tiles with bounce) is ideal prevention against damage from dropping fragile equipment Best of all stop carrying expensive item when you do not need it - like camera when cell phone can replace.</span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Bookcase</u>:</span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">I missed an indispensable prescription booklet and had to expend effort, time and money to get it replaced. Day after it arrived in mail, I found the missed booklet scrunched up between and behind books on a bookcase shelf. So when missing small soft-cover pamphlet or booklet, look between and behind books. Also make rule in Sunday cleaning to remove books from bookcase before brushing off dust.</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Leaving House or Room and Absentmindedly Forgetting</u>:</span></b><b><span lang="EN-US" style="color: red; font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">How often one leaves home and neglects item, for example, postcard you plan to drop in mailbox or credit card you need for important buy? And how often do you leave a strange room or house you do not normally inhabit (Hotel room, commercial aircraft seating compartment, hospital room) and leave behind valuable or otherwise important personal item? These fall under “neglectful, absentminded loss.”</span></b></span><br />
<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"> Prevent all these type losses by what I call “rote recitation.” When you leave house or room, at door, stop and recite (out loud if alone, or silently in your mind if others present): “Did I remember everything?” If you’re leaving hotel room or airplane seat, it should cause you to check for left-behind. If it is the daily leaving home, you add: “What my planned chore today? What item will I need on me to carry it out?”</span></b><b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"> Making this rote</span></b><b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"> would save money and make your life more efficient.</span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Not Following Through on Search for Missing Object</u> in a contained area you know must hold it.</span></b><b><span lang="EN-US" style="font-size: 14pt;"> At times </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">I misplace, and after careful consideration, come up with probable location of misplaced object (My file, a closet, my briefcase, a desk, my pockets) but, because I am excited, I perform only cursory search and overlook the missing object. Lesson: If you think you misplaced something in particular place, search that place slowly, carefully and systematically.</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Item Knocked or Dropped to Floor, Seemingly Lost</u>:</span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Your study desk is the frequent site; it also happens where you sit, and is most serious in aircraft seat because the item may be left behind and lost. Whatever you have on desk, or even in pants side pocket, may fall or get knocked to floor by movement. In this set of losing is medicine pill, pencil, pen, eraser, magnifying or eye glass, ruler, small tape recorder, wallet or clip with cash money. A search near your feet may not be successful because the dropped item tends to shift much further away from your seat than you guess and gets hidden beneath and behind other furniture. (On aircraft it shifts into other traveler floor space) And with small items like pill, it rolls beneath furniture, desk or table leg. Being aware such misplaced item can travel over floor, much more widely than you would guess, should cause you to widen search and find it. (With pill, move desk set and you'll almost always find it. On stairwell with larger object, look at bottom)</span></b></span><br />
<span style="font-family: "century";"><b><i><u>Look in Vacuum Cleaner for small missing Items Dropped to Floor like Pills, missing Jigsaw Puzzle Piece, Coin or Other Small Valuable Piece:</u></i> I have vacuumed up valuable small lost items and found them in the Vacuum Machine catch bag.</b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Misplacement of Item between Pages of Book</u> You Were Reading: </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Most often this is magnifying glass unthinkingly left inside thick book. Happens to me due to being old enough to need magnifier but it could also be an important letter grabbed unthinkingly off desk and used as bookmark then forgotten. One gets experienced in this misplacement, and now, as soon as I miss my hand glass, I quickly shake out the last thick book I used and – </span></b><city><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Eureka</span></b></place></city><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">!</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"></span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Missing Item That Blends into Surrounding</u> or is Hidden Under Other Object.</span></b><b><span lang="EN-US" style="color: red; font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">I failed to spot a searched-for item despite its “looking me in the face” because it blended in color into surroundings: Green rubber glove against green kitchen linoleum or bathroom tile! Or a sought-for item may become covered by larger object. Well do I recall time spent searching for favorite <i style="mso-bidi-font-style: normal;">Dunkin Donut </i>coffee cup! I gave it up for lost but hours later ran across it hidden beneath large saucer in jumble of drying, just-washed dishes. More serious was not being able to find microscope I had not used in a year but suddenly wanted to. It went missing because I chose to store it inside unmarked brown carton. Such cartons used to litter my house and on a cleaning, my wife put them in storage closet. If you must store in carton, mark and label.</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Another case of <i>missing item</i> happened to me recently. Suddenly I was missing my cell phone. Careful search in the vicinity of my desk where it had to be misplaced failed. Finally I made a telephone call to it and, by its ringing, located it right underneath the seat of my chair. (Note the locating of a misplaced cell phone in your vicinity by making a call to its number) While sleeping in my chair, a movement had displaced it from my side pocket and it got caught in a ridge just under the seat, hidden from view but not from hearing. When you are missing a small important article from your work area always check such seeming hidden places under seats or on desk under papers. </span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Misplacement in Blanket or Sheet of Bed</u>:</span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Missing an item one morning? Consider it may have become hidden in sheet or blanket of bed after being used the night before. Or, if you live in Japan, under your floor futon mat! It happens most with letter or book you read in bed or eyeglasses or time alarm, but has also involved tape recorder and laptop. It is found when you or someone else makes the bed but one wastes time searching, and if it happens in hotel, a maid may make off with your valuable item. </span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Misplacement on Body or in Recently Worn Clothing</u>:</span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Mostly glasses you flip back and forth over eyes to top of head and pencil stored behind ear but it can be what you shove in pocket and forget and key around neck but hidden inside shirt. Inspect your face in mirror and empty pocket in search for pocket-size object. Also, again, especially with credit card, never forget you may have left it in an outer jacket that got displaced temporarily. Recently, I stayed at a friend's home, and he had a lookalike outer jacket from my jacket and I mistakenly took his jacket and then thought I had lost my credit card which had been left behind in my original jacket. A few days later my friend discovered the loss, but I had already reported it to my credit card company so was punished by a fine. </span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Personal Paper Forgotten in Public Copy Machine</u>:</span></b><b><span lang="EN-US" style="color: red; font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Preventive is making it rote behavior to open lid of copier when done. And don’t neglect also looking on nearby table and counter for just copied sheet, which often gets left behind.</span></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Other copy machine error: Copying multiples without checking first copy page sheet and, after doing 20 or so, discovering you made wrong size or other setting and having to recopy. Or copying while wearing long hanging outer garment like coat or jacket, whose lower edge may strike copy machine control, unnoticed, and change it to wrong setting during many-page copy run, ruining the run. With a big copy job, pay attention at the start and be in comfortable, relaxed state of mind, and with outer, heavy garment removed. A particularly expensive error occurs when making color copies with a copy credit card and pressing the copy button too firmly and too long, causing repetitive copies you do not need. (Instead of the one copy you wanted, you get 10)</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Recently I did copy error because I am Good Sam. I was copying a 50-page document; suddenly an old gentleman asks if he can interrupt to make a Medicare card copy. I say OK but when he finishes I overlook that his copying had changed the size of the copy sheet and it took many wasted pages for me to discover it.</span></span></b></div>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>Sound, Feeling, Smell and Visual Should Warn of Catastrophe</u>:</span></b><b style="font-family: Century;"><span lang="EN-US" style="color: #3366ff; font-size: 14pt;"> </span></b><b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;">“We heard a sound like a plane and thought people had come to rescue us. But 15 minutes later the land began to tremble and mud and stones came down on top of us.” From survivor of mudslide in </span></b><country -region="-region" style="font-family: Century;"><place><b><span lang="EN-US" style="font-size: 14pt;">Nicaragua</span></b></place></country><b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;">. One’s senses are constantly invaded by low level sense signal - heard, felt, smelled or seen. Experience and education teach us to ignore all but a few of these signals and when just above the threshold of one’s senses, they are easy to ignore. A touch-feel signal I ignored brings me to how I nearly died one night. I was living upstairs in a 2-story wood house in </span></b><city style="font-family: Century;"><place><b><span lang="EN-US" style="font-size: 14pt;">Tokyo</span></b></place></city><b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;">: It was winter, bitter cold, so I bought an electric heater and every night turned it up full. For a month after, I noted slight warmth in wall around switch outside my door but this subliminal noting of electric circuit overload that should have kicked off red flasher of danger in my brain passed-by without my acting upon noticing it. On Christmas Eve I went to sleep as usual with heater on high. I thank the telephone for helping me to continue living because I was a light sleeper with good hearing so I got awakened by a ringing telephone downstairs. Normally, that would not have been enough to stir me out of a warm bed on a freezing night but my sense picked up a smell suggesting fire. That got me up and out into the hall where I spotted the area around the wall-switch smoking and just starting to glow from overload-circuit heating wire. I doused it with pail of water, just one second before it would have burst into flame causing the house to be consumed and me with it.</span></b></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Other warnings: Vibration of car engine predicting imminent serious engine glitch day before 1000-mile motor trip and – sticking with car – the slight extra give of foot-pedal brake that should have warned of imminent and life-ending brake failure; and in another case the so frequently reported faint rotten-egg smell of leaking gas-line an hour before violent gas explosion. Lesson: Be paranoid for warning sign; check it out immediately, and don’t use the system or machine that has given you warning until it is explained as benign or the danger removed. </span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Medical Loss</u>:</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Because of test or drug or other treatment, or even an inadvertent movement, you may experience loss of health or even of life. As 10 y/o, I got a lot of dental x-ray up into my skull. Twenty-two years later I got cancer of scalp just where the x-rays hit the top of head from below. It was cured by removal of a section of scalp. </span></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> My late wife had tuberculosis in her left lung in 1965 and needed special x-ra</span></span></b><b style="mso-bidi-font-weight: normal; text-indent: 13.75pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">ys. Because of x-ray technician error, it had to be repeated so she got double dose of the already high-dose x-ray to a field that included her heart. In 1982, she died prematurely of coronary artery occlusion probably partly provoked by the x-rays’ causing coronary artery wall damage. I do not mean to obsess you neurotically but to alert you that good health and longevity require much consideration. </span></span></b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-char-indent-count: .98; mso-layout-grid-align: none; text-indent: 13.75pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Here are some serious inadvertent causes of loss due to brain strokes in younger persons from tearing of neck arteries: A rapid and extreme rotation of neck as in turning the head to back up a car. Or with chiropractic treatments on the neck or the extending of neck to have one's hair washed or the swinging of a golf club or even a forceful coughing. Again, one should not obsess but, after all, a brain stroke in a young person is absolutely terrible so be aware and be careful and slow with movements and avoid undue exercises and massage treatments on vital parts of the body.</span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> At the time you get surgery, keep close watch on everything that is done to you. For a case where a major operation had a ruinous result because I carelessly disregarded a nursing error, click and at your leisure read</span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><a href="http://adventuresofkimi.blogspot.jp/2011/03/aging-eyes.html"><span style="color: #2288bb;">17.1a A Complication of Aging</span></a> .</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> </span></span></b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Cash, Check or Credit Card (CC)</u>:</span></b><b><span lang="EN-US" style="font-size: 14pt;"> Paying for item purchases by cash has the advantage of being able to bargain for a lower price because retailers penalize check and credit card payment by adding on to the purchase price. The reason most of us end up paying by check or CC is a combination of convenience, of multiplying buying power by borrowing on credit, and to lower the risk of carrying large amount of cash. Early on, sit down and figure out type of payment best done by credit card or best done by check or cash. Then be a bug to get the max for your cash at least risk.</span></b></span><br />
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Paying by check you may stop payment on day you make your buy if not satisfied. (<i>A check stop-payment</i> <i>may be put by telephone, usually during daytime hours only, but one must report it by check number or it will be a No go; also $35 charge is usual regardless of amount of check</i>)<i> Another protection is to date your check at several days ahead of the purchase to insure it cannot be cashed until you have had a 1-day experience with product or, if you send check by mail, date it 1-week ahead)</i> A credit card opens you to fraud. And, in addition to paying extra to the retailer, you pay interest on the money the credit card company advances for your payment. </span></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Always get and keep receipt in easily retrievable place.</span></span></b></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Avoid use of semi credit cards that do not identify by name. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Such cards are valuable cash in small plastic volume but if you lose it you lose big bucks. (If you do purchase such a card, get & keep the receipt so if you lose the card you can report it and get immediate refund)</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><b style="text-indent: 0px;"><span lang="EN-US" style="font-size: 14pt;"><i>Lost ATM Card: Recently I lost my ATM money card. I went to my bank and they ran my lost bank card on the Tokyo Police lost & found internet and - Lo! - located it at the local police station where it was brought after having been found on a subway train car where it had dropped from my overloaded pocket.</i> (Lesson: do not too immediately cancel money or credit cards after a misplacement)</span></b></span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Scroll Loss or Shift to Screen's Side Edge Loss on Computer:</i></u></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> You may sometimes not find an important instruction or application on your monitor screen. It could be at the very end of a scroll-down list because you mistakenly assume the bottom of the list is reached and neglect to try to continue to scroll down. Or the instruction may be on one side of the screen and hidden because the screen view overlaps your monitor size. </span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> So if you cannot find an item on a screen list, make it a rule, in a vertical list, to be sure you have maximally scrolled down to bottom or check especially the right side of screen for an edge shift.</span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"><u>Shortchange</u></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 18pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">is an art. James Michener’s novel <i style="mso-bidi-font-style: normal;">The Fires of Spring </i>gives delightful detail in its Part 2, “</span></b><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Paradise</span></b></place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">.” Every time you pay cash, visualize your being cheated by slight of hand or diverting attention. Also sometimes it can be an honest mistake. Best prevent by mentally estimating the bill you expect to pay while on cashier's line. When you hand a one-item cash bill for change, loudly announce its number and carefully count change while it is in front. Recently, I bought something and unthinkingly walked a few steps from the register before counting change and seeing it a dollar short. But it was too late because it became my word against another.</span></b></span><br />
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"><u>The Singling-Out Loss</u></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> is when you unaccountably find something missing, e.g., personal photos went missing. I noted it shortly after a major sorting out. I’d singled out the photos to send to friend. Always consider singling out for purpose and then forgetting you did it. Includes when you purposely store an object (like a passport) in a particular place because you consider it important and do not want to lose or misplace it, and then - later - you forget you stored it separately for the purpose and it goes missing. In such case, best to make a note about the special storing. Also when an important object goes unaccountably missing, consider this possibility and it will jog your memory.</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Neglecting to check purchase, or actually leaving it behind</u>:</span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">When you buy something, while at the counter, open the bag to see what you bought. With food it’s not uncommon for a 2<sup>nd</sup> hamburger or French-fry you paid for to not be included. <i><u>And at any store, be alert to not forgetting to take the additional bag you just bought.</u></i> Always get the receipt. Also be sure to always double- or triple-bag breakable goods like soda in bottle. Especially with heavy load a single layer plastic bag may tear a bottom as you walk on street and you bottled beverage cracks open on the pavement.</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Recently I suffered a variation of this loss. I bought a delicious lunch snack at a 7/11 store and then several foods at nearby grocer so that I was carrying several plastic bags of purchases. Finally I stopped by the supermarket to buy a dessert and inadvertently the bag with delicious lunch slipped from my finger and landed on the dessert counter. I had not noticed its slippage but did see the free bag lying on the counter and thought it was another shopper's purchase so I left the store and thereby lost my delicious lunch. A couple of lessons here: though obvious, do not carry many items in too many bags, try to single-bag them all together; but also be alert to unusual situations in a market where you see what looks like bagged food left behind, and at least check what is inside the bag. In my case I neglected to even look inside and just walked away with an incurious attitude. Always be curious and check: in the best case it may be someone's loss and your gain; in the worst case it was my loss. <span style="color: red;">(</span><span>Just yesterday I bought a McShake from McDonald`s and unthinkingly left it, well packaged, behind, on the counter of another supermarket. An hour later I realized my loss and ran back to that same counter to find the delicious McShake still uneaten and freezy cold. Only in Japan where customers do not take other purchaser`s goods could this happen. It is almost never too late to retrieve your lost goods)</span></span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span> Retrieving what you inadvertently left behind or dropped and lost: It`s happened several times that I inadvertently left behind or dropped a newly bought item on my way home. Minutes to a few hours later I realized the loss and re-imvestigated my route near my home and found the item.</span></span></b></span></div>
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<i><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u>End Notes; washing machine, drip,drip water, and trashcan throw-out-itis</u></span></b></i></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">1. Losing a button may be bad if it is one matching with others on your expensive designer suit. It happened to me once. I searched high and low. A month later, emptying my washing machine of just-wash-machined items —- Lo! —- the sought-for designer button, lost during a machine cycle and unnoticed at its bottom! So, missing an important button or even cash? First and immediately look inside washing machine and check the pockets of the wet clothing in the machine. Also empty and look in vacuum cleaner floor dust container. Speaking of the washing machine, another loss I've experienced (actually a destruction) is leaving an <span style="background-color: #f6d5d9;">important </span>insurance card in my pants pocket and inadvertently running it through a wash machine cycle that destroyed the card. Search all pants pockets when things go missing or before washing machine.</span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">2. Somewhat similar is missing my eye-drop bottles. I looked high and low for days. Then, opening my refrigerator - Lo! - the eye drops, where I'd specially placed them against deterioration from warmth and then promptly forgot I did it.</span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">3. Losing water because you did not stop the drip, drip, drip? Occasionally I inadvertently neglect to firmly tighten the stop-start turn-on water handle to my shower/bath, Once I lost more than 24 hours worth of pouring water. To prevent this loss, make a mental note of it and, if you have a system where you can switch the water tap to shower, make it rote to end your water-tap turn-off by flipping it off the tap and onto the shower. You can almost never miss a shower drip, drip, drip because the sound forces your attention; while on the other hand, sometimes an open water tap is hard to hear.</span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">4. <i>Throw-out-itis </i>is a weakness I (and maybe many others) have in which we throw out something too fast and then too late realize it is really valuable. For example, pages I had copied for reading that I did not realize I would want to reread later; or in another case, throwing out a can of old stuff from my closet without realizing that my mother had put silver quarter coins in it for storage. Or, more recently, losing my false teeth set because I unthinkingly piled it in my trashcan with dishes meant for cleaning and then forgot and it went out in the trash. The lesson is: Do everything slowly and carefully inspect and think about potentially valuable things you may be putting in your trash basket and/or throwing out as in the story about the mother throwing out the baby with the bathwater. </span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> END OF CHAPTER . To read next now, click <a href="http://physiciansnotebook.blogspot.jp/2010/10/my-most-useful-chapter-it-has-saved-my.html"><span style="color: #2288bb;">1.10 Mistakes to Avoid: This Has Saved My Life Oft...</span></a></span></span></b><br />
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4839604317339966579.post-67658834204287310672010-09-23T09:24:00.030+09:002021-10-17T07:11:08.139+09:001.10 Mistakes to Avoid: This Has Saved My Life Often<div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-layout-grid-align: none;">
<b><span lang="EN-US"><span style="font-family: "century";"><span style="font-size: xx-small;"><i>Physician's Notebooks 1</i> - http://physiciansnotebook.blogspot.com - See <i>Homepage</i>.</span> </span></span></b><br />
<b><span lang="EN-US"><span style="font-family: "century";"> Update 17 Octr 2021</span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span face=""ms 明朝"" style="font-size: 16pt;"> ⑩</span></b><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;">Minimize Mistake </span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">To avoid a mistake, it needs more than just your own decision: it needs constant attention, it should be <span style="background-color: #f6d5d9;">a joint-</span>venture (Without Marijuana) with family member(s) or close friends meeting for <i style="mso-bidi-font-style: normal;">Seminar </i>using this chapter as core and building on it from each individual experience. Above all, seek expert advice especially on money and tax matters. And follow our accepted morality of behavior towards others. Do not try to cheat ! That is where everyone falls on their faces.</span></span></b></span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i style="mso-bidi-font-style: normal;">It also needs humility. No matter how brilliant you think you are; one day you may fall on your face.</i></span></span></b> </span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"> The following column is in order of appearance in text; to read a heading use <i>search & find</i> or scroll: <i>(New, very recent additions are at top of the column)</i></span></b></span><br />
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Decisions or Ideas Made Under Fear, too Quickly</i> </u><i> </i></span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"><i><u>Do Not Jump to Conclusion</u></i></span></b></span></div>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Big Mistake – Signing Contract</i></u></span></b>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><i><u>Married You Can Always Get</u></i></span></b><br />
<b style="font-family: Century; text-align: start;"><span lang="EN-US" style="font-size: 16pt;"><u><i>For the Young Married, d</i></u></span><span lang="EN-US" style="font-size: 14pt;"><u><i>o not start joint project</i></u></span></b></div>
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<b style="font-family: Century; text-indent: 21px;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Speaking When You Are Not Sure or Too Soon</i></u></span></b>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Mistaken Lifelong Assumptions</i></u></span></b>
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<b style="font-family: Century; text-align: start;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Call-or-Check-Before-Going-or-Doing Mistake</i></u></span></b></div>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Mistaken Calendar or Timepiece</i></u></span></b>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Buying Mistakes</i></u></span></b></div>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Keeping One’s Word</i></u></span></b>
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<u style="font-family: Century;"><i><b><span lang="EN-US" style="font-size: 16pt;">Misapprehension:</span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b></i></u><b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><u><i>Misreading, mishearing, misunderstanding</i></u></span></b>
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<b><i><u><span style="font-family: "century"; font-size: large;">The Disconnect or "Wrong Door for My Key" Mistake</span></u></i></b><br />
<b><i><u><span style="font-family: "century"; font-size: large;">Mistakes of Telephoning, especially Overseas Calling </span></u></i></b></div>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><i><u>Dying/death Mistakes</u></i></span></b><br />
<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><i><u><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Management of death and disposal of body</u></i></span></span></b> </u></i></span></b>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><i><u>Missed Appointments</u></i></span></b></span>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u><i>The Not Asking Mistake</i></u></span></b>
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<span lang="EN-US"><i style="font-family: Century; font-size: 16pt; font-weight: bold; text-decoration: underline;">The “too quick” mistake</i></span><br />
<b><span style="font-family: "century";"><i><u>The "too slow" mistake (Delayed reaction time)</u></i></span></b></div>
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<b style="font-family: Century; text-align: start;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Mailing, Typing, Printing, Copying and Publishing</i></u></span></b></div>
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<b style="text-align: start;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u style="font-style: italic;">Furry or Other Large Animal Pet</u></span></span></b><span style="font-family: "century";"><span style="font-size: 21.11px;"><b> </b></span></span><br />
<b style="font-family: Century; text-align: start;"><span lang="EN-US" style="font-size: 16pt;"><u>End notes</u></span></b><br />
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<b style="font-family: Century; text-align: start;"><span lang="EN-US" style="font-size: 16pt;"><u><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Decisions or Ideas Made Under Fear, too Quickly</i></u></span></b></span></u><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"><i>: </i>Example is a person with too much money fearing the tax authority. In one case, a woman who had illegally earned the money and not reported it, put it into her underage daughter's name in a bank account. When the daughter came of age relations had reversed and the daughter realizing she owned the account refused to allow the mother access to the account while the mother helplessly, angrily stood by. From the French, it is having <i>been hoisted by one's own petard, </i>i.e., acting to fool someone else but ending up getting fooled<i>.</i> In another tax avoidance case a physician hoping to hide his unreported income decided to put it in a foreign bank and several years later the bank went <i>kaput; </i>in another case, a doctor did a similar thing and 10 years later the US passed the FATCA law that forced his foreign bank to reveal all foreign accounts and he lost loads of money on lawyer fees and IRS penalties. The lesson is: when you feel you must act under pressure of fear, especially a paranoia type fear, go very, very slow; seek the best, firstly free, advice and consider all the bad things that could go wrong if you carry out the decision.</span></b></span><u></u></span></b></div>
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<b><u style="font-style: italic;">Do Not Jump to Conclusion</u> is an advice that will prevent big mistake. Just because something seems at the moment obvious to you; that, ought to be a red flasher to look for an alternative explanation, e.g., "He's out to get me!" ought to suggest "I may be paranoid, right now!"</b></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Big Mistake – Signing Contract</i></u>: </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">I cannot emphasize enough this mistake. When you are offered a contract you are almost always euphoric because being offered something grand: a book contract for best seller and all that goes with it, a business contract that will make you lots of money. But stop! An absolute rule before signing is <i>Take it slow!</i> Think of all that may go wrong. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;">Nothing bad ever happens by <i style="mso-bidi-font-style: normal;"><u>not</u></i> signing a contract</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> at first sight. If the contract will truly benefit you, it will still benefit signing later than signing sooner<i>.</i></span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="mso-bidi-font-style: normal;"> <u style="font-style: italic;">Married You Can Always Get</u> </span>is the most important contract. Realize that marriage puts big limitations on your possibilities. First, you could get stuck with a loser and lose a chance if a gem comes along. Second, the financial cost of marriage may block education or hinder advancement. Examples of other limitations abound. A</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">s with any contract, so much can go wrong. The problem is that singles, for differing reasons at all ages, feel pressure to marry<i>. Married joys you can always get without getting married. Just say No.</i> Especially is this so for homosexuals who wish to marry same sex. Presently there is a great propaganda pushing homosexuals into same-sex marriage. Nothing is gained but a sentimental short term feel-good. But, stop and think: you lose your freedom; and once you marry, a decision to go your own way is fraught with lawsuit risks. Another situation, most common among old men is marrying in order to be allowed to have sex with a younger woman. </span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"> <u style="font-style: italic;">For the Young Married, d</u></span><span lang="EN-US" style="font-size: 14pt;"><u><i>o not start joint project</i></u> (having baby, buying home) without careful consideration. This is so often ignored I cannot overemphasize. When you start a new thing (move into a new home, buy a new car) that will call for new purchase, then wait a week (with a potential marriage partner bugging you to get married wait a year) and during that time carefully consider alternatives. </span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u><i>Speaking When You Are Not Sure or Too Soon:</i></u></span></b><b><span lang="EN-US" style="font-size: 14pt;"> CHECK FACT BEFORE OPINION<span style="color: #993300;">!</span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Or do as philosopher Wittgenstein suggests: <i>Of what one does not know, one should not speak.</i> This also extends to action or decision based on incomplete or erroneous data and is major cause of massive lifetime error. Before acting or deciding on action, get the facts and make sure they are accurate! Be a bug about it and be patient.</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Speaking too soon! For example, say you receive important, long awaited news you tell others about too quickly; then, minutes later, you get a phone call that it has been reversed. Also, do not inform or announce an important decision that will be carried out at later date. Unless there are reasons against, delay speaking until the need to give the information arises.</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u><i>Mistaken Lifelong Assumptions:</i></u></span></b><b><span lang="EN-US" style="color: #993300; font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">“Factoid” or <i>idée fixe </i>(fixed wrong idea) believed to be a sure fact when it is actually a complete mistake can be trivial, like my fixed idea that Jewish temple is spelled “synogog”, which caused me to misspell it and look stupid, and, later, to waste time looking it up and not find it in dictionary because I refused to consider it might be spelled syna--. Or, more serious, my mistaken belief at age 20 that having sexual intercourse with a woman during her menstruation is the most probable time to get her pregnant. (Actually the exact opposite of the truth!)</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> It is shocking how many persons (You too!) cling to wrong fact. Solution is to be humble about what you believe or think you know and to develop compulsiveness to check fact or belief, no matter how trivial. Get in the habit of hitting <i>Ctrl + tab </i>keyboard shortcut and checking <i>Internet Wikipedia to get your facts straight</i>.</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u><i>Call-or-Check-Before-Going-or-Doing Mistake:</i></u><span style="color: red;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">How many times have you carried out a plan to go some place only to find it closed or relocated or the person you wished to visit not available or the document you thought you would obtain not ready or been transferred to another location? For me, too many times. Always call ahead to be sure the person or place you wish to visit or the object you wish to obtain is still at the given address and still available. Be a bug. Do not leave anything to chance. Also be sure you check with the primary source. Recently I lost my bank money card. Happily, a day later I found out that my lost card was at the local police station where it had been brought after having been found on a subway car in which it had dropped to the floor from my overloaded pocket. The letter instructed me to go to the police station to pick up the lost-and-found card. It had the station's address and phone number. Without calling ahead to the primary source (the police station) I went to pick up my card as the letter instructed. But when I got to the police station I was told the card had been already transferred to the central Tokyo Lost & Found at the other end of Tokyo. I wasted several hours because I did not check with the primary source. </span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> A related mistake is choosing a wrong direction. Recently I stayed overnight in New Jersey and early morning found myself waiting on a street for express bus into Manhattan. A lady on the opposite side of street going into Manhattan noticed me standing there and shouted "Hey, you're on the wrong side for Manhattan". On an unfamiliar route never assume you are in the right direction. Ask! Ask! Ask! </span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> A related and even more serious mistake is not checking a plan or situation ahead of time and then being bitterly disappointed to the extent you must cancel or reverse an expensive, extensive plan. An example was a Japanese university student who enrolled in a 1-year foreign study course as part of her university's <i>study abroad </i>program. She paid good money and arranged for a 1-year apartment lease without visiting the location ahead of time. She arrived and was bitterly disappointed with accommodations and study environment and after a few weeks ended up canceling it all at a loss of money and dislocation of her study plans. In such situations, it is best to do an on-the-spot preliminary check visit, or at least check others' experiences on the Internet before enrolling in whatever overseas or far-away program.</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u><i>Mistaken Calendar or Timepiece:</i></u></span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Not infrequently I mistake a date because of not noticing that I had used a last year’s or last month's calendar still showing on wall or desk. Also to mistake the hour for making an overseas call because timepiece is set for wrong zone, or has 12-hr confusion of AM-PM. This is problem particular to jet-setter like I, who calls distant time zone and ends losing the international call because no one is at company desk at </span></b><time hour="2" minute="0"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">2 AM</span></b></time><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">. </span></b></span><br />
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<span style="font-family: "century";"><span lang="EN-US" style="font-size: 16pt;"><i><u>Buying Mistakes</u></i>: Neglecting to check what’s inside a product you buy,</span><b><span lang="EN-US" style="font-size: 16pt;"> like a book or magazine that seems to have the title you want: For example, I recently decided to buy the 4th edition of a medical tome, <i>Fundamental Neuroscience</i>, whose 3rd edition, I admired. So I asked my medical books store to order me <i>Fundamental Neuroscience 4th edition</i> and even showed the clerk a copy of front cover. A few days later the book arrived, It had <i>Fundamental Neuroscience</i>, in big white title letters, and just under in smaller yellow script <i>for Basic and Clinical Applications</i>, 4th Edition. I understood the yellow script not to be part of the title but an explanatory subtitle and bought the book for $125 only to too late discover that it was a completely different publication with a similar front title. Here is a mistake that could have been avoided by more carefully checking the exactness of title, publisher and content before buying. Another example occurred i</span></b></span><b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;">n the days before DVD: I gave my friend a gift of what I thought to be classic movie on video cassette because that is what it said on cover. Imagine my embarrassment when he later informed me that it turned out a porno print. A variation of this mistake is buying expensive antique magazine without leafing through it ahead of time, which would have discovered pages defaced or missing or serial page number error. From book to Video Cassette to between magazine covers, always check the title and content of product you plan to buy to be sure there has been no switching or internal damage or misleading title. If a book, open it and see that the publisher, authors and material is what you expected to get. This extends to even checking doctor's prescription (Rx). Recently my doctor wrote an Rx that included unneeded medication and it wasted my money. Read carefully before paying money for any product! Even bagged products should have the bag opened to check that nothing has been left out.</span></b><br />
<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;">Buying a large supply of an item you are not sure you will like or need. For example, I asked my doctor to prescribe a medicine I was not really sure of and mindlessly asked for 90-day supply only to discover at the pharmacy it was something I would never take. Or buying several models of an equipment that turns out to be a lemon (completely unusable). Think before you order something and if you are just experimenting around, only buy a small sample to check and see. </span></b></div>
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<b><u>Buying Mindlessly as a <i>Zombie Response</i></u>:<i> (In clinical neurology, a zombie response is a mindless action or behavior performed as a kind of programmed reflex to a particularly experienced situation)</i> Recently I was on vacation in NYC and stopped by a sporting goods store where several years ago I bought a fishing rod and reel. I was very tired from my day's activities and very hyped up to buy the said fishing gear for tomorrow's surf casting fishing expedition. When the salesman said "Sorry we no longer carry the model you are asking for" and offered an inexpensive but bulky and more complex rod and reel model I impatiently, because I was very weary but programmed to buy the product, bought it. But later at home I found it was too complex and too bulky to use and ended up throwing it in the garbage. Think before you buy! <i>Do I really want and can I actually use what is being offered.</i> Also be aware of the<i> zombie response, </i> i.e., especially if you are fatigued yet hot to go on buying a product, bend over backwards to go slow on a buy. Actually I could have got the product I wanted had I waited till the next day but my <i>zombie response </i>undid me.</b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u><i>Keeping One’s Word:</i></u><span style="color: #ff6600;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">“Her word was given, she was to be his wife though all her life she must regret it.” are from a 1925 magazine story and epitomize a life mistake, i.e., being lured into making an oral promise not in one’s best interest, and then, in making a fetish out of “keeping one’s word”, ending up ruining one’s life.</span></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">“To be willing to change one's mind and break a promise” ought to be the gold rule of preventing massive mistakes. Under normal circumstances, one tries to live up to one’s word as much as is consistent with survival. But never get carried away to the extent it becomes <i>your Golden Rule.</i> Basically it is part of the wisdom of keeping one's mind flexible and open to change even down to last minute decision-making. You may have promised to marry the guy; but misbegotten marriage is a life-sentence to misery, and if it gives you a bad intuition, break the promise. Do not give your word easily or quickly or irrevocably.</span></span></b></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Any decision can always be delayed or changed and carried out in modified form on another day if re-analysis shows it is not the right course for the moment; but getting into long-lasting legal or social entanglement because one wants to “keep one’s word” can be the height of folly and prove more immoral in its ability to involve one in evil than intelligently going back on a promise that should never have been made.</span></b></span></div>
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<span style="font-family: "century";"><u><i><b><span lang="EN-US" style="font-size: 16pt;">Misapprehension:</span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b></i></u><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><u><i>Misreading, mishearing, misunderstanding</i></u>, and misinterpreting of an event may get one into trouble. Also mis-typing and mis-dialing/digiting. I once read a magazine story in which a character is referred to by the name ‘Scoland’. It took several pages to realize his name was not ‘</span></b><country -region="-region"><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Scotland</span></b></place></country><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">’, a benign misreading, but it is one example of how a similar-sounded and -spelled word can fool one's brain. Then, there is overlooking key words. Just today at 2 PM I got a message to call a doctor in Bangkok and it read "She will be available until 6 PM" and I overlooked the "until" and assumed I should call 6 PM and missed important information. Also missing or overlooking a repeated, extra, same-number digit or mistaking a digit in a number. Mis-hearing or mis-interpretation can be a source of serious disagreement, especially if one is in a paranoid mind set and thinks it something bad about one's self when actually it’s an innocent same-sound word. And many other mistakes. Prevention starts with just being alert. And with important messages make it a habit to re-read or re check the source. If you are telephoning and digit a number and get a repeated busy sound, then you ought to start to think <i>I must be repeating or mistaking a digit somewhere in the number.</i> And whenever you read or hear or sense something you think has bad meaning against yourself, </span></b></span><b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;">use the rote of over compensation that I call “anti-paranoia” and </span></b><b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;">say to yourself, “I must be interpreting this wrongly; so let me carefully check it again to be sure what it really means.”</span></b><br />
<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;">And if you are old with failing hearing, always be alert against your own mishearing. Recently I got instructions on my mobile phone for an important address I was headed for and I heard "3 John Street". I wasted hours trying to find the "John Street" only to discover the address was actually "3 Stone Street". If you have poor hearing, try to rely as much as possible on a younger companion for aural instructions, especially when the address you think you are looking for does not seem to be in the place you expected. </span></b><br />
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><i><u>The Disconnect or "Wrong Door for My Key" Mistake</u></i> is an important variety<i>. </i> Example: when you find yourself before a door you think is your own but your key doesn't fit, immediately think <i>Wrong door because wrong floor or wrong section of building.</i> Or, as just happened to me, I was asked to get a doctor's report on a patient and noted his date-of-birth year, 1990, for a coronary heart disease case<i> </i>but the "1990" was a disconnect from the diagnosis because a too-young age patient for coronary heart disease. Next day I discovered the patient name on the request was a wrong name for the case. Or yet just yesterday, my assistant, who I only need to come work for me on a particular weekday, told me she will come at a different weekday the following week and I thought "Is she going crazy?" but then realized this week the day was a national holiday! And it was. There are many variations so use your imaginings and whenever you get a disconnect feeling, think <i>Mistake!</i></span></b><br />
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><i><b><i><u><span style="font-family: "century"; font-size: large;">Mistakes of Telephoning, especially Overseas Calling </span></u></i></b></i><b><span style="font-family: "century"; font-size: large;">are important to me because my work involves making and receiving overseas calls every day. So I am a practical expert in these mistakes.</span></b></span></b><br />
<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><b><span style="font-family: "century"; font-size: large;">First, if you are using a mobile, be sure it is not <i>low battery</i> as you start. Then check your reception signal that it is not blocked. "Elementary, my Dear Watson!" you say! But these mistakes happen and ruin a life-saving call.</span></b></span></b><br />
<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><b><span style="font-family: "century"; font-size: large;"> Calling overseas by direct digiting you start with your international access code (from North America 011-) then country code of your call (to Japan, -81-) then local area code (to Tokyo, 03). Here is where a very common mistake happens. Many local area codes in all countries start with 0 or 0's (like 03 for Tokyo). If you are calling the number there from outside the country, usually you must delete the initial 0 (If you do not, you won't get your call through). The one exception I know is to Italy where you do not delete it. What often happens is: you are given a number (like a call to Germany from USA) 011 49 0149 26000 and you digit it but all you get is a constant busy signal. Immediately you should suspect that the 0 of 0149 ought to be deleted.</span></b></span></b><br />
<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><b><span style="font-family: "century"; font-size: large;"> Also if you are calling overseas from a mobile and it seems blocked but borderline, often simply opening a window or going outside your door will unblock it.</span></b></span></b><br />
<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><b><span style="font-family: "century"; font-size: large;"> Then be sure your ring signal is maximally loud and your mobile is not set on "manner" (No ring or buzz at start). </span></b></span></b><br />
<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><b><span style="font-family: "century"; font-size: large;"> Then, if you digit a number and get a persistent busy, and it is very important to get through, try the number in the next higher or lower 1 by 1 series, i.e., if you are calling -234-5231 and get a repeated busy, try -234-5232 or -234-5230. </span></b></span></b><br />
<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><b><span style="font-family: "century"; font-size: large;"> Finally Persistence! It often happens that I need to make an important call overseas and when I digit the number, it gives a ring or busy signal many times. Sometimes that happens two or three times. But if it's important, I do not give up, and usually I succeed and eventually get the person I want who just happened to be away from his phone and did not turn it off. So like the famous Scotsman, <i>Robert of Bruce</i>; if at first you don't succeed, try, try, try again. </span></b></span></b><br />
<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><b><span style="font-family: "century"; font-size: large;"> If any reader has other advice, please comment.</span></b></span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u><i>Dying/death</i></u> Mistakes.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> This involves money and lawsuit concerning an event (death) that persons do not like to consider beforehand, i.e., disposals of property and money. I call this the <i>head-off </i>and the <i>hand-off </i>consideration: <i>Heading off</i> a dissension among heirs by dialog before the death; and if that is not possible, <i>handing off</i> the major part of the estate by the dying person. Obviously, each individual starts from a different situation and possibilities.</span></b></span><b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"> If money is involved, a simple, informal dispensing of it by the dying person, before getting into hospital is best. It can avoid lawsuits and tax if done well. Obviously, there are situations where this is difficult but I warn against the following, which I have, too often seen, get the heirs into legal problems: Trusts (attract legal looters, usually trustees, see the case of Averell Harriman and the novels of Louis Auchincloss). A bank money card to empty the account gives a person more freedom and flexibility of maneuver.</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> I am purposely vague because there are too many individual variables to make a micromanaged advice but I think if my points are followed, then a good transition of materials and living situations can be effected. Leave nothing to chance or guesswork and do not wait until the dying/death is hours away.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Management of death and disposal of body</u></i>. In many cases death will occur in hospital, nursing home or hospice. If the plan is to manage it in a way to avoid provoking a lawsuit, the dying person while still in undisturbed consciousness should make a letter of intent very specifically giving directions for action. It should be brief and direct. It should have bystander type witness and all signatures notarized at the same time. No lawyer or accountant need be contracted but, informally, those opinions may be obtained and, at times, a psychiatric consultation attesting to the dying person's state of mind may be obtained. I find living wills are worse than useless – they are usually ignored in controversial parts and tend to provoke contention, and they involve a lawyer and fee. The dying moments should be witnessed by the responsible person ideally in the presence of physician or nurse. Once the person has been declared dead, do not waste a moment. If you are entitled, request possession of the death certificate copy at once. It will be a key to getting the necessities done speedily. Do not compromise. Be insistent and even impatient. It is the right of the responsible party to get the death certificate and there should be no charge. Disposal of the body, ideally (least expensive, absence of meddlesome others) is best by cremation (burning to ashes & bones). Try to bypass the funeral home which introduces big expense and delay. Cemeteries will provide cremation and disposal of ashes for c. $500 (in USA, Year 2012) but they cannot arrange for transport of the body. So the responsible party should be prepared to transport the body by ambulance service (sometimes a funeral parlor may provide it) from hospital or nursing home to cemetery. Transport services can be accessed from <i>Yellow Pages</i> or hospital or, of course, the Internet. The sequence is: dying/death, certification and its paper in hand, ambulance transport of body to the alerted cemetery, and cremation and disposal by cemetery. Do not wait a minute because of time of day or night or other inconvenience. Approach the death with a game plan. (For useful fictional account, click<i> </i></span></span></b><a class="GLVTYVNPB" href="http://www.blogger.com/blogger.g?blogID=2863597421887564770#editor/target=post;postID=1392011270418581806;onPublishedMenu=allposts;onClosedMenu=allposts;postNum=226;src=postname" style="border: 0px currentcolor; color: #1155cc; cursor: pointer; font-family: Arial, Helvetica, sans-serif; font-size: 13.33px; margin: 0px 10px 0px 0px; padding: 0px; vertical-align: baseline;">12.(46-51): Deterioration, Death, Disposal, Denou...</a></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> </span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><i><u>Missed Appointments</u></i>:</span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">The mistaken appointment in its variations – mistaken time of day or date, of place, or even of person (Also airport arrival where plane arrives early or late or the traveler you are supposed to meet has been bumped from flight and has not informed you) – happens much and loses us time, energy, opportunity. Occasionally it leads to death from someone hurrying and having accident or heart attack. If you analyze this mistake, it could just as well fall under mistake of mis-assumption, or be due to impatience (in not taking time to confirm), or to not calling ahead or checking ahead. The most effective preventive is to have a metaphoric red flare in your mind on an appointment. And use cell phones for on-the-spot finding of missing person. Make it rule to get a meeting's exact place and time, down to the minute and also cell phone numbers and recheck the data (because origin of mistake could be the other party) by calling the party on day of appointment to reconfirm. On arrival, check airline to last minute. And when someone is meeting another at an airport be sure you both know the correct arrival terminal down to the exit point for the meeting.</span></span></b></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"><u><i>The Not Asking Mistake</i></u> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">whatever its cause, can be headed off with patience to ask.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> A case of</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> deadly impatience follows: A 45-year-old lady buys an antique 2-story house in </span></b><city><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Boston</span></b></place></city><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">. Despite being rich enough to afford hired help, she is an impatient do-it-yourself person who likes to act first and not to call ahead to ask. The house has an old shellac-finished staircase she wants to cleanup so she spends a day on her knees like a charwoman with bucket of turpentine on floor beside her, scrubbing old shellac off stair, immersed in fumes as she works without protective gas mask. Feels dizzy afterward but shrugs it off and next morning seems good as new.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Several months pass and she notes increasing fatigue, shortness of breath, and swelling ankles. A year later after time-consuming, expensive consultations and tests she is diagnosed as toxic <i>cardiomyopathy</i>, a disease due to heart muscle subjected to chemical poisoning (various organic poisons including turpentine fume) which causes individual irreplaceable heart muscle fibers to die slowly over years. And after enough of them have died, the poison victim's heart fails. The lady ended up living 5 more years, only because of expensive heart transplant that left her an invalid, dying slowly. This whole unhappy, costly, painful and financially exhausting effort was caused by a misapprehension of safety in her cleaning behavior compounded by impatience preventing what a little common sense ought to dictate everyone to do when engaged in potentially dangerous behavior: <i>Call ahead to check with authority whether an action is dangerous or not and then take precautions.</i></span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"><u><i>The “too quick” mistake</i></u></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> is a movement accident as walking into glass door. (Just happened to my assistant because she went out to buy a snack late at night just having got up from sleep and was still too unalert) Or an impulsive decision, e.g., years ago I angrily terminated an account suddenly because of bad treatment by clerk in bank. Later I realized the jackass I’d been because the account was performing invaluable service. “Too quick” also verges into “reaction mistake” i.e., strong emotional reaction to a minor event.</span></b></span><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Another variation of impulsive decision is sending money to help in what seems emergency. Recently my friend got an email that his grandson's wife was in an auto accident in a foreign country and several thousand dollars needed to be wired immediately for her surgery. He followed instructions and next day discovered it was a scam. Never respond too quickly. Always check alternative sources.</span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Howard Hughes, billionaire, made billions by taking almost forever for decision (e.g., buying Trans World Airlines, the price kept dropping while he waited). The World-War-2 General and postwar U.S. President Eisenhower’s rule was to wait 6 hours before deciding what to do in emergency. If you are not sure of a decision – call a stop in order to delay and think it out. A few years ago I was ordering eyeglasses in </span></b><city><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Tokyo</span></b></place></city><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> and the optician quoted a ridiculously high price. I could have had the glasses made free by waiting a month to go to NYC where my Medicare insurance would have paid but, impatient and euphoric, I too quickly agreed to the order. Go slow! Unfortunately, it just happened again in 2017. Intent on buying inexpensive footwear but impatient, I got a pair of shoes without testing the feel of wearing them and almost immediately after the purchase realized from the sore feeling of wearing the shoes that I'd made a And2000-Yen mistake. Go slow! Test before you buy! </span></b></span></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-char-indent-count: .98; mso-layout-grid-align: none; text-indent: 13.75pt;"><span style="font-family: century; font-size: medium;"><b>And I would have thought, as author of this advice, that I above all would not be caught in making a bad mistake because I acted too soon. But—-Lo! No! Just last week I needed to find a hotel to do an overnight in Tokyo and found myself at the front</b></span><b style="font-family: century; text-indent: 13.75pt;"> desk of the famous Imperial Hotel. Had no reservation. </b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-char-indent-count: .98; mso-layout-grid-align: none; text-indent: 13.75pt;"><b style="font-family: century; text-indent: 13.75pt;"> The clerk had arranged the room details and as a final detail she informed me the room fee: JY61,000 (c. USD $540), a ridiculously high overprice for what turned out to be shoddy accommodation and sloppy bad service (Caught in a tourist trap nightmare!) Instead of saying No! I acquiesced and, the next day, regretted it bitterly. Develop your subthalamic nucleus (The part of the brain’s subcortical basal ganglia that decides for one to suddenly say no to dangerous, stupid advice. Never a snap decision. Remember always, this voice from your past!</b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-char-indent-count: .98; mso-layout-grid-align: none; text-indent: 13.75pt;">
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<b><span style="font-family: "century";"><i><u>The "too slow" mistake (Delayed reaction time)</u></i> is at the opposite extreme<i>. </i></span></b><b><span style="font-family: "century";">If you think something that may affect your well-being has gone wrong, been neglected, been done in error, instead of reacting too slow, immediately speak up to the authority in charge.</span></b></div>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><i><u>Mailing, Typing, Printing, Copying and Publishing</u>: </i></span></b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> Lack of patience </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">is basic here. One type is seen in sending and addressing. Under the urge to too quickly get your words before other eyes, how many times have you neglected to include important additional comment and been forced to write another letter due to your too quick incomplete communication? Also, what about mistake of typing or other word mistake, which you only see on rereading just after sending fax or email and that forces you to immediately retype and resend corrected version? Or writing something under influence of strong emotion – anger, lust, etc. – that – after you send it – you regret doing and it ends up costing you friendship or love of best friend or close relative? If you have insight to admit error, the answer is: too many, too much! Slow down impatience to get message off. With postal letter I let it lie on my desk 24 hours and then review it carefully, sometimes more than once. And even after it passes my review I do not seal it into envelope until about to drop it in box. Fax and email have greatly increased this error because of ease of rapid reply. Important reply and serious correspondence should be by postal snail mail.</span></b></span><br />
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 21px;"> Publishing </span><span lang="EN-US" style="font-size: 14pt; font-style: normal;">is</span></b><b style="font-size: medium;"><span lang="EN-US" style="font-size: 14pt;"> an area of wasted time and money for writers. Basic mistake comes from impatience to get the writing in front of reader(s) and to rush writing and, while still full of error of typing, style, content and psychological intent, to print it and send it or make copies, or even spend dollars on vanity publishing a manuscript miserably error-ridden. Never pay to publish. In these last several years the free electronic publishing on sites like <i>www.blogger.com</i> have safely satisfied this desire of an unpublished author to get his work read and allowed him to correct the errors by constant up editing, as I do here.</span></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u style="font-style: italic;">Furry or Other Large Animal Pet </u>is a bad mistake via children. Parents must have plan to keep their children from the furry or other large pets. Large pets are part of the overpopulation problem afflicting Earth. Furry or other large pets divert money that could be saved to save you from salary slavery, and they waste energy you might better use for improving self, and pets are unhealthy. As an adult, having a pet for a good purpose –companionship for single person, guide for blind - may be rational; but do not get one because you get emotional or want a baby or because of your child's desire. And getting photographed with your pet - though it may satisfy your self image - causes many viewers to think <i>What a dumb dodo! </i>(And not about the pet; about you!)</span></span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>End notes</u>:</span></b><b><span lang="EN-US" style="color: red; font-size: 16pt;"> </span><span lang="EN-US" style="font-size: 16pt;">In USA, </span></b><b><span lang="EN-US" style="font-size: 14pt;">A woman contracts with builder to build house. She pays $174,000 in illegally earned cash and the builder deposits it in bank. The tax office is alerted because U.S. banks file a special currency transaction report for cash transaction more than $10,000. The woman adds to the error by hounding the builder on a final adjustment so much that he places anonymous call to tax office (He had no knowledge the bank had already alerted them) reporting she paid entirely in cash. Lesson: be aware of bank requirement for cash transactions and if you are involving someone in fishy business, at least be nice mannered.</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="color: black; font-size: 14pt;">Karma of Mistake</span></b><b><span lang="EN-US" style="font-size: 14pt;"> is the delayed error. Like 5 yrs ago you allowed a then loving wife to know you cheated on tax return; now angry over decision to divorce, she calls the tax office and informs on you. Always consider the delayed bad effect!</span></b></span></div>
To read next now, click <a href="http://physiciansnotebook.blogspot.jp/2010/10/ideas-that-work.html"><span style="color: #2288bb;">1.11 Ideas that Work/Invention/No Longer Needed/Ne...</span></a></div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4839604317339966579.post-55186439258527481802010-09-23T09:20:00.041+09:002021-10-18T09:29:50.716+09:001.11 Ideas that Work/Invention/No Longer Needed/New Systems<div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-layout-grid-align: none;">
<b><span lang="EN-US"><span style="font-family: "century";"><span style="font-size: xx-small;"><i>Physician's Notebooks 1</i> - http://physiciansnotebook.blogspot.com - See <i>Homepage</i></span></span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span face=""ms 明朝"" style="font-size: 16pt;">⑪New Ideas that Work. Update 18</span></b><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"> Octr 2021</span></b></span><br />
<b style="font-family: century;"><span lang="EN-US" style="font-size: 16pt;">Headings in order as they appear. To find the paragraph, use <i>search & find </i>or scroll.</span></b><br />
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>The Good Life - Works</i></u></span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>Spaghetti/Pasta, A </i></u></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>New Way to Make; the Ideal Snack</i></u></span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>The Ideal Bodywear </i></u></span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Prompting One's Newly Learned Good Habits and Routines</u></i></span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>flexibility of mind</u></i></span></span></b> </span></span></b></div>
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<b style="font-family: Century; text-align: start;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Perfecting Special Skill</i></u> </span></b></div>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Use Individual Eco Power to Empower a Good Idea</i></u></span></b>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Recognizing the Person Bearing You a Gift</i></u></span></b>
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<span style="font-size: small;"><b><u><i>"Encountering", a technique to aggressively change one's life</i></u></b></span></div>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Postal Works: and Other Paper Savings</i></u></span></b>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Walk for Health</i></u></span></b>
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<b><i><u><span lang="EN-US" style="font-size: 16pt;">Drink Pure Water Instead of </span></u></i><span style="font-size: large;"><u><span style="font-family: "century";"><span style="font-size: small;">Container Coffee, Tea, Juice,</span> <span style="font-size: small;">Soups</span></span></u></span></b>
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<u style="font-family: Century;"><i><b><span lang="EN-US" style="font-size: 16pt;">Reading Book Repeatedly </span></b><b><span lang="EN-US" style="font-size: 16pt;">with Pleasure and for Wisdom</span></b></i></u><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i><u>Similarly, viewing free internet movie</u></i></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i><u><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i><u>Or a relaxing set of songs to help sleeplessness</u></i></span></b></u></i></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i><u><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i><u><span lang="EN-US"> </span><span lang="EN-US" style="font-family: "century"; font-size: 16pt; font-style: italic; font-weight: bold; text-decoration: underline;">A Buying Book Policy That Works</span> </u></i></span></b> </u></i></span></b></div>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Buying Policy for Old Age:</i></u></span></b>
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<u style="font-family: Century;"><i><place><b><span lang="EN-US" style="font-size: 16pt;">Battery</span></b></place><b><span lang="EN-US" style="font-size: 16pt;"> Checker and Charger</span></b></i></u></div>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Use of Stored Heat in Boiled Water</i></u></span></b><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i><u>About Conservation of Resources</u></i></span></b></span></div>
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<b style="font-family: Century;"><i><span lang="EN-US" style="font-size: 16pt;"><u>Communist Eating</u></span></i></b>
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<span style="font-family: "century";"><span style="font-size: 21.33px;"><b><u><i>Fractioning Food</i></u></b></span></span></div>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Gifts</i></u></span></b>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Replacement Not Necessary</i></u></span></b><br />
<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Braun </i>Electric Shaver: Good Use of<i> </i></u></span></b><br />
<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u><i><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Common possessions made obsolete by comprehensive products</u></i></span></span></b> </i></u></span></b><br />
<b><u><span style="font-family: "century";">Pinhole Replacement for No eyeglasses</span></u></b><br />
<b><u><span style="font-family: "century";">Broken Field Run </span></u></b><br />
<b style="text-indent: 18.33px;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Written Wisdoms that Work for Me</u></i></span></span></b><br />
<b style="text-indent: 18.33px;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">END NOTES</span></span></b></div>
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<b style="font-family: Century; font-size: 18.88px;"><u>Live Close to Your Work</u></b>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><u style="font-style: italic;">Broken Field Run</u> (Not being creature of habit)</span></b></div>
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<b style="font-family: Century;"><i><span lang="EN-US" style="font-size: 14pt;"><u>Comparison pricing</u></span></i></b></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>House Pests</i></u></span></span></b>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><i><u>Visor Cap </u></i></span></b><b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><i><u>is a Works</u></i></span></b>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><i style="text-decoration: underline;">Getting Stuff Done</i></span></b>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><i style="text-decoration: underline;">Use of Alcohol for Cleaning Hands & Body Openings</i></span></b>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><u style="font-style: italic;">Protect our Planet</u></span></b><br />
<u><i>Compensation</i></u><br />
<b style="text-align: start;"><span style="font-family: "century";"><i><u>Communication where Persistence is Needed; Postcard Persistence</u></i></span></b><br />
<b style="text-align: start;"><span style="font-family: "century";"><i><u><b><span style="font-family: "century";"><i><u>Creative Delay in the Face of Bad News</u></i></span></b> </u></i></span></b><br />
<b style="text-align: start;"><span style="font-family: "century";"><i><u><b><span style="font-family: "century";"><i><u>I Chinese Fortune Cookie Wisdom - a Collection</u></i></span></b></u></i></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>The Good Life - Works</u></i>: Looking back over years, I identify certain activities, behaviors, acquisitions as successful in giving good health, money, or aspects of <u style="font-style: italic;">The Good Life</u>. The word I use for them is "Works". Some <i>Works</i> are trivial, some give important knowledge, and others involve time and </span></span></b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">money </span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">but all withstood the test of time in helping self or improving society harmlessly. Handing on<i> Works </i>to the future is not only to recommend; it is to show how to think about doing things that give happiness, health, and a better living also for our children and their descendants.</span></span></b><br />
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<b style="text-align: center;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i style="text-decoration-line: underline;"><u>S</u><span style="font-family: "century"; font-size: medium;">paghetti/Pasta, A New Way to Make; the Ideal Snack</span></i><span style="font-family: "century"; font-size: medium;">: Spaghetti, or more generally pasta, is a best food. Easy to cook, countable by piece, tasty, and nutritious in its mix of protein and carbohydrate enriched with vitamins and minerals in the U.S.A. Here is the system I developed and use. For my snack I count out 50, 1.7 mm spaghetti pieces, break them in 1/3rds, and boil briefly at 500 W microwave in pyrex pot or dish. I allow the boiled pasta to steep for several minutes, pour out most of the water and then either eat it solely or use a bit of tasty sauce or a piece of food. It makes a satisfying snack and will head off going to restaurants or 7/11 when you get hungry. </span></span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>The Ideal Bodywear </i></u>- All clothing should be lightweight with attention to the weather or room temperature.</span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Start with the shirt. Shirts should have full sleeves to the wrist both for protection and against too cool air. And the sleeve's buttons or snaps at the wrists should not be so tight that the wearer cannot slip his hands through when buttoned or fastened. Best is a no-button, no snap wrist band. They also should have two chest pockets and do not need side-shoulder pen/pencil pockets. A dark color is best against staining and use. The best material is a sort of plastic vinyl like silk that preserves silk's lightweight and ventilation at a lower price. The shirt should come down to near mid-thigh so that it is covering the area of excretions in order to protect or hide the outer pants against staining especially in the old person. Also if there is not already a snap or button bringing together the lower inner corners of the shirt one should sew it on for protection against staining from the toilet. Collars are a good idea and they do not need button-downs which are generally a waste of time. But the material of the shirt should be such that the collar does not get stiff with washing and drying. Once all these qualities are satisfied, a lower price is best. </span></span></b><br />
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Prompting One's Newly Learned Good Habits and Routines</u>: </i> Often a newly learned good habit or routine is intermittently forgotten or overlooked. But making a good habit to prompt the good behavior, each time you are about to behave in a good way or about to lapse into a bad way will prev</span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">ent the lapse. For example, whenever you are about to move on a decision or just about completed one, the whispering to one's self (or in one's mind) <i>Go slow, </i>or the catchy rhyming, <i>Slow motion is a good notion, </i>will keep one remembering your good choice. </span></span></b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-layout-grid-align: none; tab-stops: 144.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Note here the importance of <i><u>flexibility</u> </i>whereby no decision is immutable until its final carrying out. Say you start out to the store with the idea of buying a <i>McDonald's Hamburger?</i> It should never be fixed in your mind that you <i>must buy; and, </i>always, right up to the last minute you should have the thought <i>Maybe I'll change my mind and make a different decision, like Buy a hotdog?</i> The example here is for food but could be enlarged. It is part of <i>Slow motion is a good notion</i>, to which is added <i>And changing the motion might be a better notion.</i></span></span></b><br />
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u><i>Perfecting Special Skill</i></u> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Strive to be best in a thing that is or will be useful as near future unrolls. Examples: touch typing, or otherwise becoming a computer guru (Expert troubleshooter).</span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Use Individual Eco Power to Empower a Good Idea</i></u></span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"> M</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">oney you spend or put in a bank may be used against you or for other bad reason. As civil rights activists in Alabama U.S.A. showed in the 1950's </span></b><city><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i>Birmingham</i></span></b></place></city><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i> boycott,</i> an individual’s economic choice can be powerful. If the government or a company or an individual does something bad to you, you may harm it by <u>not</u> doing business with it. As my foul-mouth </span></b><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Bronx</span></b></place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Italian friend Nicola used to say, “If someone is out to screw me badly, I’ll at least make him pay for the Vaseline.” So, if it seems reasonable, then make a person, an organization, or the government that does you wrong, pay for his or its act and inform him or it why. </span></b></span></div>
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<span style="font-size: large;"><b>PS: Just quoting from the brothers, Paul & Percival Goodman, mid-page 68 of the 1960 edition of <i>Communitas</i>, "... the most powerful influence ... people exercise ... is the economic choice to buy or not to buy ... or to be employed" (or not). Brilliant minds think alike, I guess? </b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Recognizing the Person Bearing You a Gift</i></u> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Be alert for the one who tries to enter your life offering something good! Each of us should be critical (e.g., <i>Beware of Greeks bearing gifts</i><i>)</i>, but, at times, a gem may try to enter into one’s life. Keep looking for that.</span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> <i>Example: Jules was 14 years old, brilliant in mechanics and science and lived across the street and recognized something kindred in the little kid I was. I recall us sitting in my living room and he trying to teach me, a kid of 6, to build a crystal radio from pieces he brought to my house. I also recall my mom watching like a hawk because she thought Jules’ interest in me was abnormal. (Nothing wrong with a mom watching protectively and much good that she allowed Jules to teach me)</i></span></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> I know it is a risk<i>.</i> Maybe you will end up missing, maybe you will sometimes need to bear insults, but, also, maybe you’ll connect and your life will be better for it. </span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><br /></span></span></b> <b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>"Encountering", a technique to aggressively change one's life</u>:</i><i> "encountering" </i>is where you actively look for a person or a set up that can make your future better or where you can reveal something about yourself to someone you already know in order to start a new train of development in a relationship. For example, in 1996 I visited a big hotel in Tokyo one night and, in an elevator alone together, a woman solicited her sex. Initially, I declined the offer but after leaving the elevator, I thought it over and decided she looked and talked in a way that might make a positive future in my life. So I went back to the floor stop where she had stationed herself and found her and accepted her offer <i>not so much for the instant gratification of the encounter but for the future gratification of my social life.</i> Now in 2021, my life is enriched because of that single "encountering"<i>. </i>(In reverse, one should not forget that people may enter your life and ruin it. The point is to give these choices some considerations and don't just brush past people you meet who want to encounter you.)<br /><i></i></span></span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u><i>Postal Works: and Other Paper Savings</i></u></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">: Re-use padded envelope. And recycle postal stamps that miss getting hand stamped. It gives me a good feeling of not squandering Earth’s precious trees and also saves money. (For some countries it is difficult, but the principle is correct) So be alert to saving paper. A personal example is my efficient use of paper tissue. Instead of blowing nose once and throwing away the tissue, I keep the partly used tissue on my desk and fill it with my nose blowing. Yes! I know! One can only do that privately. But if everyone did, think how much paper could be saved and how many fewer trees killed to serve overpopulation of greedy, wasteful humans!</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u><i>Walk for Health</i></u></span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">My idea is to unite walking with functional life. So I gave up car and I walk miles when no need to hurry. It works to help keep good health at age 88 with my weight 60 kg for BMI 18. (Similarly, eat for new knowledge, combining the act of eating with reading for study.)</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "times new roman"; font-style: italic; text-decoration: underline;">Drink Pure Water Instead of </span><span style="font-family: "century"; font-size: small;"><u style="font-style: italic;">Container Coffee, Tea, Juice, Soups</u> </span></span></b></span><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">If you use tap water, since you can't be sure of its Pb-lead and other toxic metal contents, (cf. the high lead Pb water crisis in Flint, Michigan USA) collect it <i><u>after</u> </i>running the tap 15 to 30 seconds and then arrange a system whereby the collected water gets filtered before drinking. Since 2003 all my water intake has come from my workplace office purified water. I fill one-liter jars with the water and I gulp it empty each day. And I don’t at all miss drinking canned, bottled or boxed beverage but do miss, happily, the metal and other chemical poisonings, the excess sugar and the excess calories, and the excess sodium that comes in the can, bottle, and box. Works!</span></b></span><br />
<span style="font-family: "century";"><b> Especially coffee and tea that so many drink daily over a 80+ year life and that can fill you with poisons from the can's metal or from the can's additives and that you use too much money on. Recently I discovered the addiction to these drinks is not completely the caffeine or other herbals but the hot water. Next time you desire a hot drink with your snack, whether it be coffee, tea or soup, and none is available, try substituting tolerably hot purified water from your office machine. You'll live longer, healthier, richer (From not running out to buy a coffee from the machine). Works!</b></span></div>
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<span style="font-family: "century";"><u><i><b><span lang="EN-US" style="font-size: 16pt;">Reading Book Repeatedly </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;">with Pleasure and for Wisdom</span></b></i></u><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> </span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> </span></b></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">I suggest a specific book that works for you, and, when you find one, you should recognize it by the pleasure and learning it gives. </span></b><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;">In HG Wells’ <i>The</i> </span></b><b style="mso-bidi-font-weight: normal;"><i><span lang="EN-US" style="font-size: 16pt;">Outline of History,</span></i></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> I had a superb wordsmith and storyteller, a useful subject, and an unbeatable motivation – to predict future for my benefit by studying past. Another book: Richard E. Leakey’s <i>Making of Mankind</i>, 1981, I got for 25 cents at used bookstore; now on 4th read of great subject, and the author a Leakey, world-beater in his field. Another: Viscount Books <i>History of Art</i>, 1985 is a nearly 1000-oversize-page tome that by now I have read 6 times. Bought with the idea I wanted a good tome to learn about pictorial and sculpture art, and<i style="mso-bidi-font-style: normal;"> it Works. </i><span style="mso-bidi-font-style: normal;">And </span><span style="mso-bidi-font-style: normal;">The <i>Grolier's Book of Knowledge</i> 1963 set I got on eBay for $22 (It's not obsolete; they wrote them much better in those days) </span>More recently I got a free gift subscription to <i>Access Medicine </i>which allows me to read medical tomes online and which I do with my eating. It has infused my days with interest and learning. A recent addition is <i>Communitas</i> by the brothers Paul and Percival Goodman which has very stimulating ideas about community planning and the book is available on Amazon.com in its 3 editions. 1947 edition has some extra, interesting stuff, but the 1960/1990 editions are simply softcover copies of the Goodmans` latest editing. </span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><br /></span></b> <b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i><u>Similarly, viewing free internet movie</u></i>, the below movies are all hyperlinked so by clicking you should be able to watch the movie at your leisure. These are just personal examples and you may choose your own.</span></b><br />
<b><a href="http://www.youtube.com/watch?v=JgaaBYchKcc">Copacabana (1947) Carmen Miranda & Groucho ... - YouTube</a></b><br />
<b>(The wit of Groucho Marx has never been better shown)</b><br />
<b> or </b><br />
<b><a href="http://www.youtube.com/watch?v=tmdPj_XbF30" target="_blank">PYGMALION (1938) - Full Movie - Captioned - YouTube</a></b><br />
<b>(Great British play-writer GB Shaw's favorite movie of his works)</b><br />
<b>or</b><a href="http://www.youtube.com/watch?v=5ryR4oZO4p8"> <b>Sun Valley Serenade - YouTube</b></a><br />
<b>(The Great Glenn Miller and band in the Golden Years)</b><br />
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<a href="https://www.youtube.com/watch?v=sUV366AmY9E">Miss London Ltd. (1943) - Free Classic Comedy ... - YouTube</a></h3>
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(Totally witty and entertaining despite the 1943 locale)</h3>
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<a href="https://www.youtube.com/watch?v=8Dz1D7WKcn4">Zombies on Broadway - YouTube</a> (Mid 1940s Hollywood <i>camp)</i></h3>
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<a href="https://www.youtube.com/watch?v=DG4R-qI6h_s">Alfred Hitchcock | Young and Innocent (1937) [FULL] - YouTube</a></h3>
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<i> (A best Hitchcock) </i></h3>
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<a href="https://www.youtube.com/watch?v=1N7zj2bZlAI">KNIGHT WITHOUT ARMOR - YouTube</a><b> (A fascinating, historically interesting drama of two people escaping the chaos of 1917 revolutionary Russia from the novel by James Hilton the author of <i>Lost Horizon</i>. The technical quality of viewing is poor, but the content is so good that a viewer should not mind.) </b></h3>
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i><u>Or a relaxing set of songs to help sleeplessness</u></i></span></b><a href="https://www.google.co.jp/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&sqi=2&ved=0CB0QtwIwAGoVChMIpffLqfyaxwIVojKmCh3jOgUd&url=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DdwZ9G9i_uN4&ei=P73GVeXbIaLlmAXj9ZToAQ&usg=AFQjCNHn5pI-UwpZ21k6miOucnTPXa8mNg&sig2=_DSEWRpcsjATknpzhpgCbg&bvm=bv.99804247,d.dGY">: Astrud Gilberto - Jazz 'Round Midnight (1996) [full length ...</a> <br />
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All of the above - the books, the movies, the music, and song - may, with appropriate time intervals, be viewed again and again, in many cases through one's lifetime, and are a source of what I call <i>hedonic intervals, </i>the time periods that added up to make moment-to-moment life happy. They may also be fonts of learning as one peels away layer by layer of superficial enjoyment and gets to the core of wisdom.<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i style="mso-bidi-font-style: normal;"> </i></span></b></h3>
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<span lang="EN-US"> </span><span lang="EN-US" style="font-family: "century"; font-size: 16pt; font-style: italic; font-weight: bold; text-decoration: underline;">A Buying Book Policy That Works</span><b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"> I buy a limited number new books, relying on <i>Amazon.com</i> for specially desired out of prints, on the low cost used book street-side stalls, on East 12<sup>th</sup> St around corner from Broadway, the <i>Strand Books,</i> Manhattan NYC; and on the free or very cheap used books from public library, and also I read free internet books. </span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u><i>Buying Policy for Old Age</i></u> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">After age 65 (and why not before?), acquire nothing new unless true (need) and get rid of old thing as it wears out or loses your need. In my final scene, I see me at death, lying in the center of a bare room in my last, only set of clothes. Is that minimalism? Yeah! One cannot follow it totally, but when I see a thing that gives me urge to buy, I think – Hey, I am 88 – and it stops my buying impulsively. Works!</span></b></span></div>
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<span style="font-family: "century";"><place><b><span lang="EN-US" style="font-size: 16pt;"><u><i>Battery</i></u></span></b></place><b><span lang="EN-US" style="font-size: 16pt;"><u><i> Checker and Charger</i></u> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">An all-size battery checker for deciding when to throw out or to keep used battery and the charger is convenience and saving.</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u><i>Use of Stored Heat in Boiled Water</i></u></span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Instead of cooking rice by boiling for 20 or more minutes, bring it to a rapid boil </span></b></span><b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;">then turn off the heating and allow to cook to edibility by residual heat alone. With pasta, instead of usual 15 minutes or so of boiling, bring to a rapid boil then give it several minutes of steeping. The smaller the spaghetti diameter, the less heat and shorter time needed. I cook fifty 1.7 mm spaghetti cylinders in 360-ml or so Pyrex pot one third filled with hot water then brief sharp stirring and, after, steeping for 10 minutes. In boiling a potato, do small, cut-up pieces to allow the heat to be more effective. A side benefit is once you turn off heat, you can free up attention to do other things, like reading, which you can’t if you have to constantly watch and worry when to turn off heat. With hot drink, it is not necessary to bring it to boil, just heat it till it’s tolerably hot for drinking. Works in preserving our energy sources and water supply! </span></b><br />
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i><u>About Conservation of Resources</u></i>: while we're discussing saving things, here is a general statement about how to conserve products or materials at home. </span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Saving water by not always flushing your toilet: Of course, this is a sensitive issue, but if you are living alone or even temporarily staying in a room for a while, you save a lot of water with a policy of flushing only intermittently. </span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Saving paper, again if you either live alone or frequently by yourself, you should not quickly discard a tissue just because you used it once. Any kind of paper that you use at home can be often multiply used or re-used. In general a policy of re-use of materials as much as possible is good for conservation. Just think if everyone in the world did it like this, we would have no problem about global warming or about the depletion of resources or even Covid-19. So do not just think about it; do it. And teach others. </span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"><i><u>Communist Eating</u></i> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">A restaurant food order is often too much; it makes you overeat, or wastefully leave it partly uneaten on the plate or doggy-bagging it and over-eating. So what I do, if I'm in an agreeable restaurant and with an agreeable eating partner, is to split the serving by dividing it each on a separate plate, or by having each partner eat from the opposite end of the plate. With a <i>banana split</i>, if it’s your girlfriend or boyfriend, you each start at each end and finish in a kiss.</span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> <u><i>F</i></u></span></b></span><b style="font-family: century; text-indent: 10.5pt;"><span lang="EN-US" style="font-size: 16pt;"><i><u>ractioning</u></i></span></b><b style="font-family: century; text-indent: 10.5pt;"><span lang="EN-US" style="font-size: 14pt;"> is another works to reduce eats and expense</span></b><b style="font-family: century; text-indent: 10.5pt;"><span lang="EN-US" style="font-size: 16pt;"><i>.</i> </span></b><b style="font-family: century; text-indent: 10.5pt;"><span lang="EN-US" style="font-size: 14pt;">It means dividing your usual serving in half or more. Many foods that you would normally eat whole you simply cut in half and those you normally eat as multiple (4 pancakes, 2 toasts, etc.) you halve, and the rest you visually estimate before splitting. Works triply: 1) to prevent too many calories intake, 2) to multiply and prolong the pleasure of good eating, and 3) to get more pleasure out of money. For take-outs, it is easy to use scissors to cut in half or in quarters, or to alternate bites by the spoonful, and increase eating enjoyment time while reducing calories and cost of each eating</span></b></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> I can easily get coffee or tea free at work. And any beverage can be easily split between partners if shop people do not mind. A cup of usual-brewed coffee diluted by water can power two drinkers easily, and wine or other alcohol may be diluted to half by water without much loss of taste but with much saving in good health and prolonged life. In the rare times, I buy a coffee drink, I get a 150-ml bottle of coffee most consumers drink at once, but I split it into thirds and dilute each 50:50 with water. I get a good caffeine charge at 1/3rd price. Works!</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u><i>Gifts</i></u></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> (Stephen Sondheim’s musical <i style="mso-bidi-font-style: normal;">Company</i>, the lyric <i style="mso-bidi-font-style: normal;">Getting Married Today:</i> “… Thank you for the 27 dinner plates and 37 butter knives and 47 paperweights and 57 candleholders …”)</span></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Gifts borne by one (“Beware of Greeks …”) are too often junky canned foods that add to aluminum poisoning, too much cake and candy that kill from diabetes or obesity, or other stuff the receiver does not need. If you must bear a gift, try to figure out what someone needs. And keep it healthy! If food, fresh fruit; if drink, pure water. Or how about an inexpensive set of art prints you know will appeal to your recipient? From the gifts I received in my life here are a few <i style="mso-bidi-font-style: normal;">Works</i> for healthy and happy Me: As a kid, from Dad, a Chemistry Set that started me as scientist; <i>The Book of Knowledge </i>and<i> The World Almanac </i>and<i> Stamp Album with starter collection </i>also from my Dad that started my ambition to be a doctor and a collector; and the gift sub to <i>The National Geographic </i>from<i> a </i>pal that delighted my reading sensibility and gave me knowledge in anthropology and has been a better alternative to travel.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Here from Sergeant Lou about a gift that changed his life: <i style="mso-bidi-font-style: normal;">“</i></span></span></b><span style="font-family: "verdana";"><span class="ec810350417-06052008"><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: #444444; font-size: 14pt;">When I was bar mitzvah’d my parents bought me a used typewriter, which I really loved. They also bought me a manual on touch typing....Because of my typing abilities, I was able to get into administrative duties in the army and got out of the machine-gun section.”</span></i></b></span></span><br />
<span style="font-family: "verdana";"><span class="ec810350417-06052008"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: #444444; font-size: 14pt;"> Back to me: </span></b></span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">A set of bookmarks inscribed with great works of art and a magnifier with inset 10X, which has proven ideal for reading as my eye vision deteriorated. There are more but this gives the idea.</span></span></b></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;">“<u><i>Replacement Not Necessary</i></u>”</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> is about common products that when you run out of you normally replace but can substitute. Next time you run out of a coffee filter, try hand tissue in the funnel. Or replacing a band-aid on your foot-cut, try a couple of tissues over antiseptic alcohol wipe covered by a sock. Try using tap water instead of toothpaste and substitute a toothbrush pressing its individual bristles to function as a safer alternative to toothpick or floss. And for shaving cream or lubricant, substitute soap-bar suds. And do not mindlessly throw away disposable razor shaver. Before I got my <i>Braun </i>electric shaver (And see the below), I re-used disposables and got hundreds of close shaves, but you need to brush away hairs under razor blade after each stroke. And while on hair cutting, how about dispensing with the inconvenience and expense of a barber or beauty salon in favor of cutting your own? It works for me ten years now and makes me richer and happier. (But a barber may sometime be necessary and also each person may have a different idea) And even more surprising, next time you are out of coffee or tea, instead of running to the pay-for-drink machine downstairs, try just using hot purified water from the free office machine. You'll be surprised how it satisfies the same desire.</span></b></span><br />
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"><u><i>Braun </i>Electric Shaver: Good Use of:</u>I am using a <i>Braun CoolTec CT 6cc </i>and getting very good shaves for the last lustrum. Here is instruction for best use based on experience: First, do not use on a man more frequently than every other day. (I'm 86 and no family to chide me so I shave every 3 or 4 days) A single shave is good for 48 to 72 hours and within that time the shaver has no long-enough re-growing hair lengths to work on. Then, recharge after each battery use and clean and sterilize in the supplied self-cleaner being sure to change your sterilizing fluid cartridge when the red light on the stand not just goes red but starts flashing. Remember, the shaver can be used communist style (shared shaves with others) because of its self sterilization.</span></b></span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><b style="font-family: Century;"><span lang="EN-US" style="font-size: 16pt;"> In shaving, use a light touch pressure and go over face twice, alternating the direction of hand holding the base. Then in areas that tend to have soft, loose skin (front of neck, under lip and lip corners) use the shaver's longhair, clipper-on, tight-on-skin shave. Then do a final face-go-over. I find it all takes 10 minutes. And be sure you read and follow written instructions for use, cleaning and replacement parts and fluid.</span></b></span></b></span><br />
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> <i><u>Common possessions made obsolete by comprehensive products</u></i>: </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">The mobile phone has made unnecessary a separate wristwatch alarm-ring, electronic calculator, flashlight, camera, a landline telephone at home and reduced the need for home email. The Laptop has made the desk computer less necessary and replaced the home clock, telephone, TV-watching and movie-going, and paper book. And Google has made unnecessary the reference books and electronic calculators; and <i>www.blogger.com </i>has reduced my need as a writer for literary agents, for new readers of my works, for the commercial publisher and for vanity publishing.</span></span></b><br />
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<b><span style="font-family: "century";"><br /></span></b> <b style="mso-bidi-font-weight: normal;"><span style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-size: 14pt;"><i><u>Broken Field Run</u></i> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">is the habit of not always doing the same thing the same way each time. For example, one morning, instead of eating your usual breakfast, you drink a liter of water or one noontime you do not have your usual lunch with the office crew. (And see the below <i>Flitcraft Parable)</i></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u><br /></u></i></span></span></b> <span style="font-family: "century";"><span style="font-size: 18.66px;"><b><u><i>The Flitcraft Fragment from Dashiel Hammett's </i>"The Maltese Falcon"</u>: </b></span></span><br />
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The Flitcraft Parable</h3>
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The life he knew was a clear orderly sane responsible affair. Now a falling beam had shown him that, fundamentally, life was none of these things. He, the good citizen-husband-father, could be wiped out between the office and restaurant by the accident of a falling heavy beam. He knew that men die at haphazard due to such accident and live only because blind chance spared them. It was not primarily the injustice that disturbed him, he accepted that after the first shock. What disturbed him was the discovery that in sensibly ordering his affairs he had gotten out of step, and not into step with life.</div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u></u></i></span></span></b><br />
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<span style="font-family: "century";"><span style="font-size: 18.66px;"><b></b></span></span><span style="font-size: x-large;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Written Wisdom that Works for Me</u></i></span></span></b></span><br />
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<span style="font-family: "century";"><span style="font-size: 18.66px;"><b>"To achieve expert performance in all areas, ... a prolonged period of focused attention ... is required." The 2014 10th ed., <i>Adams and Victor's Principles of Neurology</i>.</b></span></span><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u><br /></u></i></span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">“The balance between the technological and the natural<span style="color: magenta;"> </span>is particularly important. One of the worst attitudes will trash technology in favor of ‘Nature’ and will avoid accurate, specific knowledge in favor of the vagueness epitomized by the word ‘holism’. Do not become a <i>Luddite</i>, a person who hates technology. Combine good technology with the best of Nature.”</span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i>Physician's Notebooks</i>, which may be accessed on the Internet by<i> clicking </i>From <u style="font-style: italic;">http://physiciansnotebook.blogspot.com</u><i>.</i></span></span></b></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><i><span lang="EN-US" style="font-size: 14pt;">Goals</span></i></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> (J. Michener in his 1976 <i>Centennial):</i> “Those committed to some goal achieve more than those reluctant to associate self with anything.”</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"></span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><i><span lang="EN-US" style="font-size: 14pt;">Grieving: </span></i></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Those who grieve loudest are usually guiltiest. (Unknown)</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"></span></b></span></div>
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<span style="font-family: "century";"><b><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-size: 14pt;">History</span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-size: 14pt;">:</span></i></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> “The history of Past is a record of the way the human animal has come but is not a guide for the way he may be going.” Robert Moore William’s <i style="mso-bidi-font-style: normal;">The Cave Where I am Hiding</i>, Thrilling Wonder Stories, October 1951.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"></span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><i><span lang="EN-US" style="font-size: 14pt;">Success </span></i></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">ala Chet Baker the famous musician of the 1950s and 60s: Find out what you like best and then learn to do it better than anyone else. (Rx for the happy life Chet missed)</span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-size: 14pt;">William James: (The scientist-philosopher of late 19th century)</span></i></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> “When one turns to the magnificent edifice of the physical sciences, and sees how it was reared; what thousands of disinterested moral lives of men (and, James should have added, "women") lie buried in its mere foundations; what patience and postponement, what choking down of preference, what submission to the icy laws of outer fact are wrought into its very stones and mortar; how absolutely impersonal it stands in its vast augustness – then how besotted and contemptible seems every little sentimentalist who comes blowing his voluntary smoke wreaths, and pretending to decide things from out of his private dream.” (<i>The Will to Believe</i>)</span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-size: 14pt;">John Dewey on Beliefs: </span></i></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">“…any movement that thinks and acts in terms of an ‘ism becomes so involved in reaction against other ‘isms that it is unwittingly controlled by them. For it then forms its own principles by reaction against them instead of by a comprehensive, constructive survey of actual needs, problems, and possibilities.” (From his Preface to <i style="mso-bidi-font-style: normal;">Experience and Education (1938)</i></span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i style="mso-bidi-font-style: normal;"><br /></i></span></b></span> <span style="font-family: "century"; font-size: medium;"><b>Famous 20th Century American Cardiologist Paul Dudley White from his 1931 edition of <i>Heart Disease: "... </i>the situation is appalling and demands some action .... the most effective move ... we can make is to call a halt to the world's mad rush ... ." </b></span></div>
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<span style="font-family: "century"; font-size: x-large;"><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-size: 14pt;">End Notes </span></i></b></span><br />
<span style="font-family: "century";"><span style="font-size: 19px;"><b><i>Live Close to Your Work (Ideally within a 15-minute walk): </i>In my last years this advice has given me success, happiness and good health: 1) Saves money on travel; 2) Saves your energy by avoiding long rides; 3) Reduces your accident potential; and 4) Gives you a flexibility of behavior, e.g., if you forget to take something from your office at quitting time, you can easily walk back to get it, (or walk home to have lunch with your wife or husband) and same in reverse, and you can go home briefly anytime during work hours.</b></span></span><br />
<span style="font-family: "century";"><span style="font-size: 19px;"><b> Paul & Percival Goodman's <i>Communitas </i>makes this an attribute of their ideal community. (Housing projects with workplace attached) </b></span></span></div>
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<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-size: 14pt;"><u>Comparison pricing</u></span></i></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Compare prices before buying.</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i>House Pests</i></u> My experience is with cockroaches and rodents in old Bronx flats. Both come through cracks or holes in floor wainscoting. In the case of rodents – mice or rats – the holes are made by the animals and they come from nesting behind the walls or pipes up from the basement or other apartment rooms. Usually, these rodent holes are hidden behind kitchen fixtures or furniture. In closing them, plaster alone is not enough because it is easy for the rodent to bite through the plaster. Use <i style="mso-bidi-font-style: normal;">Brillo</i> in the plastering. It prevents the animals’ gnawing. Also, rats, which are twice the size of mice, need larger snap-shut spring traps 5” by 6” (inch). Best bait is a slice of American or Swiss cheese and be sure to tie or fix it to the spring release platform. </span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Cockroaches thrive because of unclean kitchens. They especially multiply under old newspapers, clothing and inside unused washing machines or boxes. A small variety of cockroach lives in the refrigerator, nesting behind the rubber edging of the fridge door. The kitchen is the main focus – a good regular (weekly) cleaning with the removal of all nesting places, an insect repellent spraying, and daily cleaning and wiping down of all surfaces will work wonders. Cockroaches can never be completely disappeared but can be reduced by 99%. Refrigerator cockroaches are easy. Empty the fridge and clean it and especially scrub clean behind the rubber edging of the door. Rodents can be disappeared once you block their holes and trap and kill those inside your rooms.</span></span></b></div>
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<b>(I just heard that in Tokyo where cockroaches are not common, some older apartments are afflicted with bats; how to get rid of bats is beyond me.)</b></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"><i><u>Visor Cap </u></i></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i><u>is a Works</u>:</i> Besides blocking irritating, dangerous UV rays from forehead, cheek, nose, eye, where sunlight causes and worsens cataracts and skin cancer, a visor reduces forehead-banging that during a life adds up to early Alzheimer's. I also find that by adjusting the cap over face to block light it speeds and improves sleep in a lighted room; useful for late shift desk worker. A long (8 cm max front), thick and stiff visor is best. </span></b></span><br />
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i><u>Getting Stuff Done You Are Not in the Mood To Do But Need or Want to</u> <u>Do</u></i> At times you just do not feel like doing a thing you really need to do. For example, recently I started stamp collecting again and needed to work on an old album re-positioning the stamps. But I often feel inertia against doing it. So I just leave the stuff I need to do but don't feel like doing - Here the stamps openly on the desk next to me - so it is always in view and hence forced daily to top my attention. And inevitably there comes a moment I have nothing better to do and there is that thing I should do in front of my face so I end up doing it and get benefits galore. Works!</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><br /></span></b></span> <span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i style="text-decoration: underline;">Use of Alcohol for Cleaning Hands & Body Openings</i> is a recent innovation, promoted by good health authorities in Japan, that works to reduce all infections. I have taken to using alcohol wipes to clean my anus after passing feces. Not only is it aesthetic; it reduces oral-fecal transmission and in the long run will reduce anal cancer. If you do not have alcohol, use pleasantly hot water wipes. (Of course use alcohol spray to clean hands against Covid-19)</span></b></span><br />
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<span style="font-family: "century";"> </span><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><u style="font-style: italic;">Protect our Planet</u> In our overpopulating, over-utilizing resources and over warming world, we want to cultivate behavior that conserves resources. Many of the works I suggest are about that. Turn off lights and other electricity when not in use, use your mechanical energy rather than electric; do not use personal cars for self only, absolutely do not use motorcycles or mopeds. And know how to practice good birth control and do not oppose abortions for those who want them; and for you and partner, have only wanted babies you are prepared to care for. (But if you find yourself pregnant in an unplanned way, do not necessarily end it for that reason. It may be your only chance to replenish the Earth with your DNA; or you may give it for adoption to a couple that wants it and can raise it well) Work at using <i>Works</i> for a better Earth for all humans, animals and inanimate objects.</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> With room air-conditioning cooler/heater at home, have an edge in favor of not using it unnecessarily to heat or cool a room for one or two persons. In Tokyo in summer, I do without room cooling very well although my company installed one for me. (In Japan the government advises setting summer cooling to 28 C, and during the winter 22-23 C) In coldest winter, if you must use heating, use sparingly and efficiently.</span></b></span><br />
<b><span style="font-family: "century";"><br /></span></b> <b><span style="font-family: "century";"><u style="font-style: italic;">Compensation</u> is what one ought to do when one does not do what one ought to have done. For example, I was delaying my very late night snack to 1 AM and forgetfully ate a small piece of candy at 12:15 AM so I compensated by delaying the delay to 2 AM. Or making a rule to cut-up a piece of cake that someone gives me. In other words, always reversing some indiscretion. This can go as far as my noticing I was becoming too outspoken, and so, ahead of the outspokenness, suppressing or even excessively reversing it and being under-spoken in the particular case. And on and on, and so on and so forth.</span></b><br />
<b><span style="font-family: "century";"><br /></span></b> <b><span style="font-family: "century";"><i><u>Communication where Persistence is Needed; Postcard Persistence</u></i>: Say you try to communicate or make a request of an important person? The fact that you are not succeeding because you don't get any reply should not lead to a too easy acceptance of the <i>no reply</i> to mean that the person you are trying to communicate with either does not wish to reply or is no longer receiving messages. He may just be taking his time. On several occasions, I sent important requests, to persons I had not been in contact with for years or to well-known persons who did not know me and who often ignore such requests, and, initially, I received no reply. Had I not persisted with a 2nd or even 3rd request, which got answered, I would have lost important life-enhancing connections. If it is important to you, keep making the request with good manners after appropriate intervals. You may just hit the right moment when your request receives sympathetic acceptance. Further, here, I found that sending the requests on colorful or eye-catching postcards got results where email or fax or normal postal letter had failed. So if all else fails, try a colorful postcard! <i>Persistence</i> can also be extended to simple telephone calling. In my job, I have to make many request calls and find often that a called telephone number giving a ring signal that goes unanswered after many rings will be answered by just waiting a few minutes and trying again, and again. Just tonight I called an important overseas number and got a rather prolonged silence (going on longer than 30 seconds). Putting my connection on hold while I typed an email comment, I was pleasantly surprised when the party answered after a full minute of silence.</span></b><br />
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<b><span style="font-family: "century";"><i><u>Creative Delay in the Face of Bad News</u> </i>What I mean is: Say you get a letter in the mail that you would have preferred not to receive? e.g., a notice from the IRS saying they want to audit your tax return or a letter from someone who is looking for you for a long time to do bad stuff? Do not received it, i.e., semi-ignore it. If it's really important, it will be re-sent and who knows what might happen to you or the world by that time? Intelligent delay in such circumstances should not harm you and occasionally might help you because the party trying to give you the bad news may just assume that you may no longer be at the address or perhaps even have a change of mind or maybe got sick or died. At the worst, you'll delay bad stuff for another day and that is no harm. Above all try <u>not </u>to let it weigh on your mind and I mean by that usually by simply looking on the outside of such letters you can know that it is up to no good without opening it. By opening it and reading the letter it will just make you worry more. (And put you on record for receiving) So what you do is try to file and make like you forget the letter. And if it's important, you'll be reminded at a later date. </span></b><br />
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<b style="text-align: start;"><span style="font-family: "century";"><b><span style="font-family: "century";"><i style="font-style: italic;"><u style="text-decoration-line: underline;">Chinese Fortune Cookie Wisdom - a Collection</u> </i>Small strips of paper when you break the cookie, it has an aphorism or observation about you, a series of 6 "lucky #" and a "Learn Chinese" English word or phrase with Chinese pronunciation and character. The lucky #s have been claimed (actual experiment quoted on Internet) to win money on the Powerball Lottery compared to randomly chosen numbers in the experiment. In the below, the "Wisdoms" are</span></b></span></b></div>
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<b style="text-align: start;"><span style="font-family: "century";"><b><span style="font-family: "century";">listed alphabetically (The front articles "a" and "the" are not used to alphabetize) and an * before a "Wisdom" means it came from purchases at <i>Lucky China</i> in Henderson NV in the period Jan. - Feb. 2019 compared to all the others, which came from <i>Ming's Chinese Takeout </i>in north central Bronx NY in 2015. The cookies price in both cases was 10 for $1. Noted that in the <i>Ming's </i>group there are no duplicates while in the <i>Lucky China </i>group there were 3, noted by (Dup.) after the entry. One Ming was dup'd<i> </i>by<i> </i>a <i>Lucky Chinese.</i></span></b></span></b></div>
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<b style="font-family: century;"><i><br /></i></b>
<b style="font-family: century;"><i>All happiness is in the </i></b><b style="font-family: century;"><i>mind.</i></b><br />
<b style="font-family: century;"> Learn Chinese: Apple (hana over hei or “ping” and ta over kana or</b><br />
<span style="font-family: "century";"><b>“guo”) </b></span><br />
<span style="font-family: "century";"><b>Lucky # 10, 11, 25, 33, 34, 39)</b></span><br />
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<b style="font-family: century;"><i> A bold attempt is half of success.</i></b><br />
<span style="font-family: "century";"><b>(Roast duck kâo like Jap fire and old kanji Yaki, and yā, Jap stick up box</b></span><br />
<span style="font-family: "century";"><b>and tori kanji)</b></span><br />
<span style="font-family: "century";"><b> </b></span><b style="font-family: century;">Lucky 32, 1, 19, 53, 13, 22.</b><br />
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<span style="font-family: "century";"><b><i>*At 20 years of age the will reigns, at 30 the wit, at 40 the judgments.</i></b></span><br />
<span style="font-family: "century";"><b>18, 39, 11, 23, 1, 35</b></span><br />
<span style="font-family: "century";"><b>Dialogue, dai-hua</b></span><br />
<b style="font-family: century;"><i><br /></i></b>
<b style="font-family: century;"><i>Careful thinking will command </i></b><b style="font-family: century;"><i>respect. </i></b><br />
<b style="font-family: century;">Lucky 10, 21, 25, 30, 40, 45</b><br />
<b style="font-family: century;">Urgent (kyu or “ji” over jitsu or</b><b style="font-family: century;">“shi”)</b><br />
<i><span style="font-family: "century";"><b><br /></b></span><b style="font-family: century;">Courtesy is one of the best peacemakers.</b></i><br />
<span style="font-family: "century";"><b>8, 15, 22, 34, 42, 44</b></span><br />
<span style="font-family: "century";"><b>Father (chichi or “iu” and tatsu over roku or</b></span><br />
<span style="font-family: "century";"><b>“qin”) </b></span><br />
<span style="font-family: "century";"><b><i><br /></i></b></span>
<i><b style="font-family: century;">The current year will </b><b style="font-family: century;">bring you much happiness. </b></i><br />
<b style="font-family: century;">(Lucky number was missing) </b><br />
<b style="font-family: century;">Apple (top hana over spread </b><b style="font-family: century;">out Big with under cross, or “ping” and Ta over Moku, Japanese “ka”, or </b><b style="font-family: century;">in Chinese Mandarin “guo(u). </b><br />
<b style="font-family: century;"><i><br /></i></b>
<i><b style="font-family: century;">The difference </b><b style="font-family: century;">between ordinary and extraordinary is: that extra.</b></i><br />
<b style="font-family: century;">47, 9, 18, 48, 32, 17. </b><br />
<b style="font-family: century;"> G</b><b style="font-family: century;">ooseberry – mi hao tao.</b><br />
<b style="font-family: century;"><br /></b>
<b style="font-family: century;">*<i>Discontent is the first step in the progress of a man or a nation.</i></b><br />
<b style="font-family: century;">19, 18, 45, 67, 12, 5.</b><br />
<b style="font-family: century;">Elder brother: Ge-ge</b><br />
<b style="font-family: century;"><br /></b>
<b style="font-family: century;">*<i>Don't let unexplained situations "throw" you.</i></b><br />
<b style="font-family: century;">03, 25, 27, 31, 34, 45.</b><br />
<b style="font-family: century;">Child: er</b><br />
<b style="font-family: century;"><i><br /></i></b>
<i><b style="font-family: century;">The early bird gets </b><b style="font-family: century;">the worm, but the second mouse gets the cheese. </b></i><br />
<b style="font-family: century;">42, 21, 4, 29, 5, 2. </b><br />
<b style="font-family: century;">Curry </b><b style="font-family: century;">chicken: ka (left box ka ro) ii (left box and top left enclosure of ri) jii (left</b><br />
<span style="font-family: "century";"><b>and under mata then almost s esp. top w over-dot and no inside top).</b></span><br />
<span style="font-family: "century";"><b><br /></b></span>
<span style="font-family: "century";"><b><i>*Excellent day for dusting. Start with a few old dreams.</i></b></span><br />
<span style="font-family: "century";"><b>16, 22, 50, 48, 37,12.</b></span><br />
<span style="font-family: "century";"><b>Singing: chang</b></span><br />
<i><b style="font-family: century;"><br /></b>
<b style="font-family: century;">Good clothes open many doors. Go shopping.</b></i><br />
<span style="font-family: "century";"><b>2, 23, 24, 43, 44, 45.</b></span><br />
<span style="font-family: "century";"><b>Bean sprout (line over box over ha over line</b></span><b style="font-family: century;">or “dou” and hana over kiba or “ya”).</b><br />
<b style="font-family: century;"><br /></b>
<span style="font-family: "century";"><b><i>*Good things are coming to you in due course of time.</i></b></span><br />
<span style="font-family: "century";"><b>4, 19, 20, 43, 69, 2.</b></span><br />
<span style="font-family: "century";"><b>Flour: mian.</b></span><br />
<span style="font-family: "century";"><b><br /></b></span>
<span style="font-family: "century";"><b><i>*Great thoughts come from the heart.</i></b></span><br />
<span style="font-family: "century";"><b>7, 19, 22, 54, 16, 30.</b></span><br />
<span style="font-family: "century";"><b>Apple: ping-guo</b></span><br />
<span style="font-family: "century";"><b><i><br /></i></b></span>
<i><b style="font-family: century;">Greet the world every morning with </b><b style="font-family: century;">curiosity and hope.</b></i><br />
<b style="font-family: century;">18, 27, 29, 31, 42, 6.</b><br />
<b style="font-family: century;">To cough (box on left and on right </b><b style="font-family: century;">top above, mu continued below and hito below to right or “kou” and box </b><b style="font-family: century;">on upper left, simple Tokyo in mid and tsugi on right or “sou”).</b><br />
<b style="font-family: century;"><br /></b>
<b style="font-family: century;">*<i>Find release from your care, have a good time.</i></b><br />
<span style="font-family: "century";"><b>1, 34, 40, 29, 32, 21.</b></span><br />
<span style="font-family: "century";"><b>Head: tou (Same kanji as in Japanese)</b></span><br />
<span style="font-family: "century";"><b><i><br /></i></b></span>
<b style="font-family: century;"><i>Hope is the most precious treasure to a person.</i></b><br />
<span style="font-family: "century";"><b>10, 45, 20, 21, 26, 35.</b></span><br />
<span style="font-family: "century";"><b>Wine jiŭ (Jap. shi and west w. line thru the rectangle or shuu)</b></span><br />
<span style="font-family: "century";"><b><br /></b></span>
<span style="font-family: "century";"><b>*<i>If you can shape it in your mind, you can find it in your life.</i></b></span><br />
<span style="font-family: "century";"><b>55, 42, 31, 46, 8, 2.</b></span><br />
<span style="font-family: "century";"><b>Mr. (Title): Xian-sheng (Same as Jap.<i> Sensei)</i></b></span><br />
<span style="font-family: "century";"><b><i><br /></i></b></span>
<span style="font-family: "century";"><b><i>It is now, and in this world, that we must live.</i></b></span><br />
<span style="font-family: "century";"><b>25, 19, 55, 26, 27, 29.</b></span><br />
<span style="font-family: "century";"><b>Tomorrow: ming, (Jap. mei, and tiān, Jap. ten or heaven)</b></span><br />
<span style="font-family: "century";"><b><br /></b></span>
<span style="font-family: "century";"><b><i>*Keep your feet on the ground even though friends flatter you.</i></b></span><br />
<span style="font-family: "century";"><b>5, 18, 26, 10, 32, 45.</b></span><br />
<span style="font-family: "century";"><b>Raining: xia-yu (Jap. <i>shita, </i>or under, and <i>ame</i>, or rain kanji).</b></span><br />
<b style="font-family: century;"><i><br /></i></b>
<i><b style="font-family: century;">Leaders are like eagles, they don’t flock … you </b><b style="font-family: century;">find them one at a time. </b></i><br />
<b style="font-family: century;">13, 50, 26, 42, 18, 36.</b><br />
<b style="font-family: century;">Egg roll: chūn (3 horizontals w a hachi {Jap. fot 8} </b><b style="font-family: century;">thru it and a niche nicely fitted in the lower limbs of the hachi) and juăn (</b><b style="font-family: century;">2 horizontals with a runner that looks like kaji [Jap. fire] thru it and a wrapper </b><b style="font-family: century;">nicely nestled in its lower limbs).</b><br />
<b style="font-family: century;"><i><br /></i></b>
<i><b style="font-family: century;">Let your </b><b style="font-family: century;">intentions create your methods and not the other way around. </b></i><br />
<b style="font-family: century;">50, 14, 31, 53, 26, 11.</b><br />
<b style="font-family: century;">Chinese: TV: </b><b style="font-family: century;">dià (Jap. den and ame or rain top and den with right foot curve below) a</b><b style="font-family: century;">nd shi {113 on left} and miru).</b><br />
<b style="font-family: century;"><br /></b>
<b style="font-family: century;"><i>Love.</i></b><br />
<b style="font-family: century;"><i>4</i>2, 28, 54, 33, 24, 17.</b><br />
<b style="font-family: century;">Autumn or fall: qiū </b><b style="font-family: century;">(Jap. 115 and aki or fire and tiān, Jap. heaven, or ten).</b><br />
<b style="font-family: century;"><i><br /></i></b>
<b style="font-family: century;"><i>A master can act without doing anything, teach without a word.</i></b><br />
<span style="font-family: "century";"><b>49, 32, 28, 38, 7, 43.</b></span><br />
<span style="font-family: "century";"><b>Cherry – it uses same as cherry tree, ying táo.</b></span><br />
<b style="font-family: century;"><i><br /></i></b>
<b style="font-family: century;"><i>A merry heart does good like a medicine.</i></b><br />
<span style="font-family: "century";"><b>55, 39, 7, 17, 5, 49.</b></span><br />
<span style="font-family: "century";"><b>Dish - cai (like the kanji with a top hana and below a</b></span><br />
<span style="font-family: "century";"><b>coming, or kuru).</b></span><br />
<span style="font-family: "century";"><b><i><br /></i></b></span>
<span style="font-family: "century";"><b><i>Of all crafts, to be an honest man is the master craft.</i></b></span><br />
<span style="font-family: "century";"><b> 35, (Lost material)</b></span><br />
<i><span style="font-family: "century";"><b><br /></b></span>
<span style="font-family: "century";"><b>Old age is always 20 years older than you are.</b></span></i><br />
<span style="font-family: "century";"><b>1, 19, 25, 26, 27, 30)</b></span><br />
<span style="font-family: "century";"><b>Cherry tree: (on left 2 hito in top open head box with female below on </b></span><b style="font-family: century;">right or “ying” and tree on left with hi the negative on right or “táo”).</b><br />
<b style="font-family: century;"><br /></b>
<span style="font-family: "century";"><b><i>The only thing worse than being talked about is not getting talked about.</i></b></span><br />
<span style="font-family: "century";"><b>12, 11, 3042, 10, 33.</b></span><br />
<b style="font-family: century;"></b><br />
<span style="font-family: "century";"><b>Peach: tâo (a left moku and left reverse C w 2 horizontals </b></span><b style="font-family: century;">out of its concave and right down straight line vertical with 2 horizontals </b><b style="font-family: century;">to right).</b><br />
<b style="font-family: century;"><br /></b>
<span style="font-family: "century";"><b><i>*Someone who deserves your special attention awaits your magic voice.</i></b></span><br />
<span style="font-family: "century";"><b>54, 8, 61, 18, 19, 23.</b></span><br />
<span style="font-family: "century";"><b>Television: dian-shi (in Jap., <i>denki viewing</i>)</b></span><br />
<span style="font-family: "century";"><b><br /></b></span>
<span style="font-family: "century";"><b><i>* (Dup.) Stop searching forever. Happiness is sitting next to you.</i></b></span><br />
<span style="font-family: "century";"><b>4, 20, 13, 10, 46, 52.</b></span><br />
<b style="font-family: century;">Six: liu (Jap. <i>roku kanji).</i></b><br />
<i><br /></i>
<i><b style="font-family: century;">Pardon is the choicest flower of </b><b style="font-family: century;">victory.</b></i><br />
<b style="font-family: century;">1, 18, 19, 21, 35, 31. </b><br />
<b style="font-family: century;"><i><br /></i></b>
<i><b style="font-family: century;">People always know </b><b style="font-family: century;">what they are saying, just never listen.</b></i><br />
<b style="font-family: century;">4, 40, 31, 11, 28.4.</b><br />
<b style="font-family: century;">Husband: </b><b style="font-family: century;">Zhang l(ike na w slash in body and fu like Jap fu). </b><br />
<b style="font-family: century;"><i><br /></i></b>
<i><b style="font-family: century;">Restrain yourself from </b><b style="font-family: century;">intruding into other’s businesses.</b></i><br />
<b style="font-family: century;">4, 6, 18, 21, 23, 40).</b><br />
<b style="font-family: century;">Market: (ichi </b><b style="font-family: century;">or “shi” and soil with slanted bottom on left and fu kata on right</b><br />
<span style="font-family: "century";"><b>obliquely over 3 corner or “chang”) thing.</b></span><br />
<span style="font-family: "century";"><b><i><br /></i></b></span>
<span style="font-family: "century";"><b><i>The shortest distance between two people is a smile.</i></b></span><br />
<span style="font-family: "century";"><b>42, 8, 35, 18, 13, 15.</b></span><br />
<b style="font-family: century;">Chicken: (a mata with bird kanji on left, ji, and the niku kanji, rou).</b><br />
<b style="font-family: century;"><i><br /></i></b>
<b style="font-family: century;"><i>A smile is a curve that can get a lot of things straight.</i></b><br />
<b style="font-family: century;">37, 50, 30, 33, 53, 52.</b><br />
<span style="font-family: "century";"><b>Beverage drink: yin (double k</b></span><b style="font-family: century;">above</b><b style="font-family: century;">a and mu and jin </b><b style="font-family: century;">below, like Jap. Nomu, and liao like Japanese ryo – a bei and cross with </b><b style="font-family: century;">the NE double strokes).</b><br />
<b style="font-family: century;"><br /></b>
<b style="font-family: century;">*<i>Someone who deserves special attention awaits your magic voice.</i></b><br />
<b style="font-family: century;">54, 8, 61, 18, 19, 23.</b><br />
<b style="font-family: century;">Television: dian-shi (denki vision).</b><br />
<b style="font-family: century;"><br /></b>
<i><b style="font-family: century;">The strength of a </b><b style="font-family: century;">nation derives from the integrity of the home. </b></i><br />
<b style="font-family: century;"><i>7, 36, 51, 27, 23, 6.</i></b><br />
<b style="font-family: century;">To see a </b><b style="font-family: century;">doctor: kan (upper number 3 with no stroke thru it and lower meh and </b><b style="font-family: century;">bing (hospital ji).</b><br />
<b style="font-family: century;"><i><br /></i></b>
<i><b style="font-family: century;">Take time to relax e</b><b style="font-family: century;">specially when you don’t have time for it. </b></i><br />
<span style="font-family: "century";"><b>27, 35, 26, 14, 29, 52.</b></span><br />
<b style="font-family: century;">Pear (fruit kanji </b><b style="font-family: century;">or ii and child ko kanji or zi).</b><br />
<b style="font-family: century;"><i><br /></i></b>
<i><b style="font-family: century;">There </b><b style="font-family: century;">are no limitations to the mind except those we acknowledge. </b></i><br />
<span style="font-family: "century";"><b>16, 50, 34, 33, 4, 46.</b></span><br />
<b style="font-family: century;">Roast duck: kaou (the fire kanji on left and something like</b><br />
<span style="font-family: "century";"><b>aging on right, a do with no slash thru it above and right pointing swiggle</b></span><br />
<span style="font-family: "century";"><b>below and yaa the kanji for field ta with inside vertical extended and on</b></span><br />
<span style="font-family: "century";"><b>right the kanji for fowl).</b></span><br />
<b style="font-family: century;"><i><br /></i></b>
<i><b style="font-family: century;">There are no </b><b style="font-family: century;">shortcuts to anyplace worth going. </b></i><br />
<span style="font-family: "century";"><b>54, 13, 26, 39, 5, 32.</b></span><br />
<b style="font-family: century;">Chicken: ji (the chicken kanji) </b><b style="font-family: century;">rou (the niku kanji).</b><br />
<b style="font-family: century;"><i><br /></i></b>
<b style="font-family: century;"><i>The thing one fears most is fear. </i></b><br />
<b style="font-family: century;">8, 42, 11, 12, 32, 29.</b><br />
<span style="font-family: "century";"><b>Headache: – tou (big w 2 </b></span><b style="font-family: century;">strikes NE) tong (sick enclosure w winter inside).</b><br />
<b style="font-family: century;"><i><br /></i></b>
<b style="font-family: century;"><i>*Time is precious, but truth is more precious than time.</i></b><br />
<b style="font-family: century;">18, 34, 46, 11, 33, 17.</b><br />
<b style="font-family: century;">Here: zhei-li</b><br />
<b style="font-family: century;"><br /></b>
<b style="font-family: century;">* <i>(Dup.) The time is right to make new friends.</i></b><br />
<b style="font-family: century;">19, 4, 10, 8, 6, 28.</b><br />
<span style="font-family: "century";"><b>Bank: yin-hang (Jap. ginko).</b></span><br />
<i><br /></i>
<i><b style="font-family: century;">Treasure your good memories and you need not worry about </b><b style="font-family: century;">ending a banquette. </b></i><br />
<span style="font-family: "century";"><b>8, 45, 51, 8, 41, 53</b></span><br />
<span style="font-family: "century";"><b>Chicken (Note this was previously done in "There are no shortcuts ...): ji, (a mata before bird and ròu, in Jap. </b></span><b style="font-family: century;">niku).</b><br />
<b style="font-family: century;"><i><br /></i></b>
<i><b style="font-family: century;">Trust your intuition. The universe is </b><b style="font-family: century;">guiding your life.</b></i><br />
<b style="font-family: century;">3,8,10,14,17,19.</b><br />
<b style="font-family: century;">September: Chin (Jap. 9, or kyu). and </b><b style="font-family: century;">jiuu (jap month or getsu, or in Chinese yueh).</b><br />
<b style="font-family: century;"><i><br /></i></b>
<i><b style="font-family: century;">Try not to stand on your own </b><b style="font-family: century;">side during an argument. </b></i><br />
<b style="font-family: century;">3, 7, 17, 27, 37, 41).</b><br />
<b style="font-family: century;">Store: (Jap. tatsu </b><b style="font-family: century;">superimposed on open over box within which is mu box or Chinese “shang” and </b><b style="font-family: century;">the usual ya or top and left curved line within which is 10 atop box or</b><br />
<span style="font-family: "century";"><b>“dian” two).</b></span><br />
<b style="font-family: century;"><i><br /></i></b>
<b style="font-family: century;"><i>The hardest things to handle in life are failure and success.</i></b><br />
<b style="font-family: century;">44, 41, 49, 43, 39, 33.</b><br />
<span style="font-family: "century";"><b>July: written same as Jap. shichigatsu and pronounced qi yue).</b></span><br />
<b style="font-family: century;"><br /></b>
<b style="font-family: century;"><i>Want to learn how to love, start with the one you hate.</i></b><br />
<b style="font-family: century;">37, 5, 38, 3, 19, 41.</b><br />
<span style="font-family: "century";"><b>Quench one’s thirst: jie-kei, the jiĕ or kanji combi left horn or kaku</b></span><br />
<span style="font-family: "century";"><b>and right element top katana and bottom the nen or year element and</b></span><br />
<span style="font-family: "century";"><b>second (kĕ) or kanji left shortened mizu then on right niche top over nani</b></span><br />
<span style="font-family: "century";"><b>what enclosure with a person on horizontal line, so (jiĕ-kĕ) – gimmee a</b></span><br />
<span style="font-family: "century";"><b>drink).</b></span><br />
<span style="font-family: "century";"><b><i><br /></i></b></span>
<i><span style="font-family: "century";"><b>When both feet are planted firmly, </b></span><b style="font-family: century;">nothing can shake you. </b></i><br />
<b style="font-family: century;">6, 21, 28, 31, 40, 41. </b><br />
<b style="font-family: century;"><i><br /></i></b>
<i><b style="font-family: century;">When the moment </b><b style="font-family: century;">comes, take the first one from the right. </b></i><br />
<b style="font-family: century;"><i>18, 19, 40, 7, 15, 27.</i></b><br />
<b style="font-family: century;">Day after tomorrow: </b><b style="font-family: century;">hòu (Jap rear with iku on left and reverse on right and (tiān) or Jap ten,</b><br />
<span style="font-family: "century";"><b>heaven).</b></span><br />
<span style="font-family: "century";"><b><i><br /></i></b></span>
<span style="font-family: "century";"><b><i>When working towards the solution to a problem, it always helps if </i></b></span><b style="font-family: century;"><i>you know the answer. </i></b><br />
<b style="font-family: century;">18, 19 ,40, 7, 15, 27.</b><br />
<b style="font-family: century;">Bus gong: qi-che (Jap. koh or pukblic) gong (Jap.</b><b style="font-family: century;">yo of communist) qi (Jap steam) chē (jap vehicle). </b><br />
<b style="font-family: century;"><br /></b>
<i><b style="font-family: century;">The will to do, the soul to dare is yours for the taking if you </b><b style="font-family: century;">prepare. </b></i><br />
<b style="font-family: century;"><i>55, 4, 46, 10, 49, 15.</i></b><br />
<b style="font-family: century;">Strawberry: cao (top hana below hayai) mei </b><b style="font-family: century;">(top hana below poison or no over mama).</b><br />
<b style="font-family: century;"><br /></b>
<b style="font-family: century;">*<i>You are a bundle of energy, always on the go.</i></b><br />
<b style="font-family: century;">02, 11, 16, 25, 40, 44.</b><br />
<b style="font-family: century;">Up: shang (Jap ue kanji)</b><br />
<b style="font-family: century;"><br /></b>
<b style="font-family: century;">*(Dup.) <i>You are next in line for promotion in your firm.</i></b><br />
<span style="font-family: "century";"><b>01, 13, 18, 29, 33, 47.</b></span><br />
<span style="font-family: "century";"><b>Dog: gou (Jap. kanji for dog, or <i>inu)</i></b></span><br />
<span style="font-family: "century";"><b><i><br /></i></b></span>
<span style="font-family: "century";"><b><i>*You are sociable and entertaining.</i></b></span><br />
<span style="font-family: "century";"><b><i>1, 8, 24, 20, 49, 32.</i></b></span><br />
<span style="font-family: "century";"><b>Merely: zhi (looks like a Z with dot on upper horizontal).</b></span><br />
<i><span style="font-family: "century";"><b><br /></b></span>
<span style="font-family: "century";"><b>You can see through people or, you can see people through.</b></span></i><br />
<span style="font-family: "century";"><b><i>1, 43, 18, 16, 17, 27.</i></b></span><br />
<span style="font-family: "century";"><b>Zodiac tiger: hŭ (Jap. tiger, a top and left no with kana to top and inside a</b></span><br />
<span style="font-family: "century";"><b>nana 7 over walking feet).</b></span><br />
<span style="font-family: "century";"><b><br /></b></span>
<span style="font-family: "century";"><b>*<i>You have a keen sense of humor and love a good time.</i></b></span><br />
<span style="font-family: "century";"><b><i>2, 15, 19, 24, 35, 39.</i></b></span><br />
<span style="font-family: "century";"><b>Busy: mang (Jap. busy).</b></span><br />
<span style="font-family: "century";"><b><br /></b></span>
<span style="font-family: "century";"><b>*<i>You have a strong desire for a home and your family comes first.</i></b></span><br />
<span style="font-family: "century";"><b>1, 2, 3, 35, 8, 23.</b></span><br />
<span style="font-family: "century";"><b>To wear: chuan (Jap. roku, or 6, over 2 top horizontals w. a vertical down stroke crossed and a Jap. kana no in left lower corner).</b></span><br />
<span style="font-family: "century";"><b><br /></b></span>
<span style="font-family: "century";"><b>*<i>You have an unusually magnetic personality.</i></b></span><br />
<span style="font-family: "century";"><b>06, 11, 15, 24, 31, 36.</b></span><br />
<span style="font-family: "century";"><b>By means of: yi (Jap. upside down pickax on left and Jap. hito with left upper quad. dot on right).</b></span><br />
<i><span style="font-family: "century";"><b><br /></b></span>
<b style="font-family: century;">You seek to shield </b><b style="font-family: century;">those you love. </b></i><br />
<span style="font-family: "century";"><b>36, 35, 31, 55, 23, 4.</b></span><br />
<b style="font-family: century;">Pork: zhū (Jap dog and on left sha or persons and </b><b style="font-family: century;">ròu Jap niku).</b><br />
<b style="font-family: century;"><br /></b>
<b style="font-family: century;">*<i>You think that is a secret but it never has been one.</i></b><br />
<span style="font-family: "century";"><b>1, 9, 17, 48, 20, 30.</b></span><br />
<span style="font-family: "century";"><b>Late: wan (Jap. ban, or evening kanji).</b></span><br />
<span style="font-family: "century";"><b><br /></b></span>
<b style="font-family: century;">You will be called upon to </b><b style="font-family: century;">help a friend in trouble. </b><br />
<b style="font-family: century;">7, 14, 22, 27, 32, 45) and No word. </b><br />
<b style="font-family: century;"><br /></b>
<b style="font-family: century;"><i>You </i></b><b style="font-family: century;"><i>will become a great philanthropist in your later years.</i> </b><br />
<b style="font-family: century;"><i>52, 32, 48, 20, </i>42.</b><br />
<b style="font-family: century;">Zodiac </b><b style="font-family: century;">monkey: hóu (dog on left, kana ii in mid, and on right kata yu over arrow).</b><br />
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<span style="font-family: "century";"><b>*<i>You will do well to expand your business.</i></b></span><br />
<span style="font-family: "century";"><b>8, 30, 22, 35, 59,23.</b></span><br />
<span style="font-family: "century";"><b>Father: ba (Jap. chichi over iro, or color).</b></span><br />
<span style="font-family: "century";"><b><br /></b></span>
<span style="font-family: "century";"><b>** (Panda express only one) <i>YOU WILL SOON FIND NEW ADVENTURE IN LIFE.</i></b></span><br />
<i><br /></i>
<span style="font-family: "century";"><b><i>You(r) adventure could lead to happiness. </i></b></span><br />
<span style="font-family: "century";"><b>1, 43, 18, 16, 17, 27.</b></span><br />
<span style="font-family: "century";"><b>Toy: wán (and l</b></span><b style="font-family: century;">eft ledge with under moto and joo or jap kagu kanji).</b><br />
<b style="font-family: century;"><br /></b>
<b style="font-family: century;">*<i>Your dearest wish will come true.</i></b><br />
<b style="font-family: century;"><i>4, 7, 34, </i>22<i>, </i>5<i>0</i>, 32.</b><br />
<span style="font-family: "century";"><b>Still: hai.</b></span><br />
<span style="font-family: "century";"><b><br /></b></span>
<span style="font-family: "century";"><b>*<i>Your emotional nature is strong and sensitive.</i></b></span><br />
<span style="font-family: "century";"><b>21, 20, 32, 18, 56, 30.</b></span><br />
<span style="font-family: "century";"><b>Two pieces: liang-pian (Jap. ryo kata kanjis)</b></span><br />
<i><span style="font-family: "century";"><b><br /></b></span>
<span style="font-family: "century";"><b>Your future will be happy and productive. </b></span></i><br />
<span style="font-family: "century";"><b>19, 26, 6, 45, 42, 36.</b></span><br />
<span style="font-family: "century";"><b>Zodiac RABBIT: ku (</b></span><b style="font-family: century;">a top rectangle and radical 10 w dot inside curled front foot and rear leg</b><br />
<span style="font-family: "century";"><b>goes thru center of the rectangle, sound tù).</b></span><br />
<span style="font-family: "century";"><b><i><br /></i></b></span>
<span style="font-family: "century";"><b><i>Your (sic) maintain a sense of balance in the midst of great success.</i></b></span><br />
<span style="font-family: "century";"><b> </b></span><b style="font-family: century;">1, 2, 5, 30, 40, 45) and No word. </b><br />
<b style="font-family: century;"><br /></b>
<b style="font-family: century;">(Dup, and one is *) <i>Your present plans are going to succeed.</i></b><br />
<span style="font-family: "century";"><b>16, 17, 26, 27, 36, 37.</b></span><br />
<span style="font-family: "century";"><b>*15, 24, 20, 39, 55, 58.</b></span><br />
<span style="font-family: "century";"><b>Reporter: (on left upper brief down stroke </b></span><b style="font-family: century;">over z on right reverse 5 or “ji” and the usual sha or “zhe”).</b><br />
<b style="font-family: century;">*Electric: dian (Jap. den).</b><br />
<b style="font-family: century;"><i><br /></i></b>
<i><b style="font-family: century;">Your skills </b><b style="font-family: century;">and talents will be called on in unusual areas.</b></i><br />
<b style="font-family: century;">55, 39, 7, 17, 5, 49.</b><br />
<b style="font-family: century;">Disease: bing (</b><b style="font-family: century;">looks like the byo kanji, a boxed man in a sick place.</b><br />
<b style="font-family: century;"><br /></b>
<b style="font-family: century;">*<i>Your uniqueness is more than an outward experience.</i></b><br />
<span style="font-family: "century";"><b>18, 30, 45, 33, 20, 6.</b></span><br />
<span style="font-family: "century";"><b>Computer: dian-nao (Jap. den and a kanji w. on left getsu, month and on right top 3 <, or <<<</b></span><br />
<span style="font-family: "century";"><b>and bottom a covered x.</b></span><br />
<span style="font-family: "century";"><b><br /></b></span>
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> To read next now, click <a href="http://physiciansnotebook.blogspot.jp/2010/10/accidents-at-home-and-in-travel-gem-of.html"><span style="color: #2288bb;">1.12 Accident Avoidance/ Nuclear Meltdown Japan/Ai...</span></a></span></b></span><br />
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4839604317339966579.post-7875943117161376302010-09-23T09:19:00.031+09:002021-10-18T23:28:38.725+09:001.12 Accident Avoidance/ Nuclear Meltdown Japan/Air,Rail,Road Accident<div class="MsoNormal" style="margin: 0mm 0mm 0pt;">
<b><span lang="EN-US"><span style="font-family: "century"; font-size: x-small;"><i>Physician's Notebooks 1</i> - http://physiciansnotebook.blogspot.com - See <i>Homepage</i></span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span face=""ms 明朝"" style="font-size: 16pt;">⑫</span></b><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;">Eliminate Accidents (Note, the old <i>Eliminate Accidents</i> chapter is now the following 3 chapters: 1-12 Non-Transportation Accidents, 1-12-2 Transportation Accidents, and 1-12-3 Natural Accidents that includes Nuclear meltdown.</span></b></span><br />
<b><span style="font-family: "century";">Update 18 Octr 2021</span></b></div>
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<b>Following is a list of the headings in order as they appear. Scroll down to read the topic</b></div>
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<b style="font-family: Century; font-size: 21.11px;"> <u>Banging Head</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"><u>Bed Accident</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"> <u>Burns</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"> <u>Crowd Crush</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"> <u>Crushing Fingertip</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"> <u>Cuts</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"> <u>Dental Accident</u> </b></div>
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<b style="font-family: Century; font-size: 21.11px;"><u>Design Accident</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"> <u>Drug</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"> <u>Falls</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"> <u>Fire</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"> <u>Footwear</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"> <u>Gas</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"> <u>Lifting and Carrying</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"> <u>Needle Puncture</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"> <u>Oxygen Lack</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"> <u>Poisoning</u></b></div>
<div style="text-align: center;">
<b style="font-family: Century; font-size: 21.11px;"> <u>Sex Accidents</u></b></div>
<div style="text-align: center;">
<b style="font-family: Century; font-size: 21.11px;"> <u>Shaving Accident</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"> <u>Spills</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"><u>Step Accident</u> </b></div>
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<b style="font-family: Century; font-size: 21.11px;"><u>Stains</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"><u>Street Accident</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"> <u>Transparent Glass and Other Too-Quick Movement Accidents</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"> <u>Water Accident</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"> </b><b style="text-indent: 18.3333339691162px;"><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><u style="font-style: italic;">Surfing Spinal Cord Damage with Paralysis</u> </span></span></b></div>
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<b style="font-family: Century; font-size: 21.11px;"><u>WC, or Bathroom Accident</u></b></div>
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<b style="font-family: Century; font-size: 21.11px;"><i><u><span style="font-size: large;">Banging Head</span></u></i><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> is a rarely thought-about problem that ups risk of Alzheimer`s Disease by repeated jarring to brain. In every room and especially kitchen and WC, be alert to a jutting-out point or a too-low doorway and ceiling. Especially before buying or renting a house or a flat, check for a head-bump hazard, and, if so, say No. When you have no choice but a house with the hazard, paste a warning tickler – a flexible tube that contacts your head seconds before banging – on bumpy spot, low entrance-way and ceiling. Also wear a long-front-visor cap with top button.</span></b></b><br />
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<b style="font-family: Century; font-size: 21.11px;"><u style="font-style: italic;">Bed Accident</u> My older brother fell out of a high bed, fractured his hip and died of it. In another case, a 20-year-old fell out of a double-deck bunk-bed from the top and got a bad fracture that ruined his life. (Double-</b><b style="font-family: Century; font-size: 21.11px;">deck bed accidents are too much, too many!) The safest sleeping place is the Japanese type futon - a mat on the floor. If you use a bed, keep it low off the floor and, if you control the floor, make it Japanese <i>tatami </i>or else a soft rug attached to floor around the bed to cushion a fall.</b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; text-align: left;">
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<b style="font-family: Century; font-size: 21.11px;"> </b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><i style="text-decoration: underline;">Burns</i> </span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Mostly in kitchen from pouring hot fluid (soup, bacon fat, cooking oil), knocking over kettle and bare hand to hot surface. Best prevention is to cover skin (Heavy-duty glove, clothing of body surface, shoe or top-covered slipper to protect top of foot). Never cook a naked lunch!</span></b></span><br />
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> Forbid toddler to tour kitchen while cooking.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"></span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> Use thermometer for preventing burn. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Not only does hot food and drink cause burn but repeated hot drinking causes cancer of mouth and esophagus. Using thermometer and taste and heat judgment, here is my scale: Steaming hot, 60<sup>0</sup> C (acceptable to serve); 70<sup>0</sup> or more is too hot to serve. This can also be applied to semi-solid food like just-cooked rice, cereal, pudding, hot pie. Also from my kitchen experiment: Food and beverage cool down at 1<sup>0</sup> C per minute between 70<sup>0</sup> and 60<sup>0</sup> C.</span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> In bath, thermometer is useful to stop bad habit of dipping toe or finger in bathwater to test comfortable temperature, which is how diabetic may lose toe or foot. Safe bath temp: 42<sup>0</sup>C (107.6<sup>0</sup> F).</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Burns from coming close to source of heat and having higher threshold to feel pain: it,s happened to me twice. For one, I have higher pain threshold from my opioid habit. I read late into the night sitting at a table with nightlight clamped on its edge at level of my mouth and one time I was too sleepy and my lower lip came too close to the reading lightbulb’s heat and I got a lower lip burn. Another time on a cold winter night I was using an electric heater and, again drowsily, allowed my left knee-cap area to come too close to the heater and got a burn.</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">For scalds of the skin immediately smear corticosteroid/antibiotic cream or ointment over the scalded skin. One treatment for at least 5 minutes is enough to prevent bad burn and pain. If burned, use the ointment covered with a bandaid changing every other day until a clean scab. Corticosteroid ointment ought to be in your home first-aid kit.</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><br /></span></b></span> <span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><u style="font-style: italic;">Crowd Crush</u> </span></b></span><span class="Apple-style-span" style="background-color: white; font-family: "times new roman" , serif;"><b>Give yourself enough breathing room. Don’t fight against the flow of the crowd if you are trying to get out of it; rather, go with it, and, during lulls, try to work your way diagonally through the crowd to the perimeter. If you feel faint, grab on to someone, and, if you do fall, try to protect your head.</b></span><br />
<span class="Apple-style-span" style="background-color: white; font-family: "times new roman" , serif;"><b><br /></b></span> <span style="font-family: "century";"><b><i><u><span style="font-size: large;">Crushing f</span><span lang="EN-US" style="font-size: 16pt;">ingertip or Stubbing toe on a door</span></u></i><span lang="EN-US" style="font-size: 14pt;"> (In </span><country -region="-region"><place><span lang="EN-US" style="font-size: 14pt;">Japan</span></place></country><span lang="EN-US" style="font-size: 14pt;">, my toe got caught in sliding door): Keep it in mind whenever a door, window or other potential rock-and-hard-place closure is possible! </span></b></span><b style="font-family: century; text-indent: 13.75pt;"><span lang="EN-US" style="font-size: 14pt;">Stubbing toe due to abrupt obstruction in floor surface and walking barefoot or open-toed; especially in unfamiliar place such as hotel up into step-up bathroom, can lead to fracture or dislocated hammertoe. Use slipper with cushion tip; do not go barefoot!</span></b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-char-indent-count: .98; mso-layout-grid-align: none; text-indent: 13.75pt;">
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<b><span style="font-family: "century";"><span style="font-size: large;"><u style="font-style: italic;">Cuts</u> </span><span lang="EN-US" style="font-size: 14pt;"> </span><span lang="EN-US" style="font-size: 14pt;">Do not try to force an ice cube into a too-small drinking glass or pick up broken glass with bare-hand. A knife cut is more serious. It may slice off fingertip or may stab as one pares or cores fruit. Heavy-duty gloves protect or using a dull knife that relies more on brawn than sharp. And quickly clean and put band-aid on a cut.</span></span></b><br />
<b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><br /></span></span></b> <b><span style="font-family: "century";"><u><span style="font-size: large;">Dental accident</span></u><span lang="EN-US" style="font-size: 14pt;"> that cost me time and trouble happened because a nurse I worked with offered me sweet semi-hard <i>Jujube </i>candy. Its strong sticky chewing dislodged dental work and it cost me months of expensive dentist visits. Same with chewing hard nuts. Stop it! Another expensive accident occurred because I stupidly used my front teeth to try to pull open a tight cover stuck on a container. Use teeth only for eating! </span></span></b><br />
<b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"> Every time you brush teeth, many gum bacteria enter bloodstream. The healthy person survives without problem but someone with heart disease or with low immunity may get infection on heart valve. Before tooth brushing, do antibacterial mouthwash. With same aim, no toothpick. Pressing a toothbrush's bristles into crevices between teeth works as well with less risk.</span></span></b><br />
<b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><br /></span></span></b> <span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Design Accident</u><i>, </i>e.g., the<i> </i></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">“gap” accident on </span></b><city><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Tokyo</span></b></place></city><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> transit. Depending on station, a wide gap used to occur between edge of platform and coach entrance. I once observed a commuter fall through it onto the track. It is a design accident (i.e., inherent in poor design). Examples in airplane and car construction. Be alert to it and other design accidents.</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><br /></span></b></span> <b><span style="font-family: "century";"><span style="font-size: large;">D</span><span lang="EN-US" style="font-size: 16pt;">ulled alertness or euphoria from drugs, sleepiness or even stimulants that make one easily distracted:</span><span lang="EN-US" style="font-size: 14pt;"> Scarily, I recall where under the euphoria of caffeine from coffee I almost got killed crossing road and was only spared by hearing the screech of a car brake. Alcohol is worse; as are also Rx- and non-prescription drugs. (Almost got killed by car in Japanese side street recently going out for snack after taking recreational drug) If you take drug, be hyper-vigilant for accident. Especially in dark street crossing roadway at night. And in the 12 hours before you operate potentially death-dealing machinery or drive car do not drug.</span></span></b><br />
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<b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u><i>Falls</i></u> </span></b><b><span lang="EN-US" style="font-size: 14pt;">take toll and kill us if we live long enough. At home, a cause is getting something off high s</span></b></span><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;">helf for which we must climb up on chair. Reduce need to climb by using high shelf for storage of never-needed thing you ought to throw-out but can’t bring yourself to, and also for soft things not needing fine handling and retrieved by broomstick. </span></b></span></b><br />
<b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> Another climb on chair is to replace bulb in ceiling light fixture. Whenever you get the urge to climb on a chair, stop and think about the chair collapsing and you hurting or dying or injured. Never try to reach something too high for you by getting up on a folding chair or a frail chair or a chair piled high with papers or books. If you must stand on a chair, test the chair’s stability with your hand and other hand to steady self.</span></b></span></b><br />
<b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> And just yesterday, as I stretched out my Morris chair for a snooze, it toppled over to my left side because of old unstable wooden legs and I crushed my thigh onto a side table and nearly fractured my femur mid-shaft. If you must stretch out in Morris chair, first stand up and adjust, and then enjoy safe repose on it. Or better yet, replace it with a new chair.</span></b></span></b></div>
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<b><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> A throw-down rug or slippery vinyl on a floor increases the risk of a fall. </span></span></b></b><br />
<b><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Be alert for discontinuity where you walk: be alert at end of an escalator or a moving-way at an airport, or a sidewalk on old pavement, or dark, unfamiliar floor especially after drinking alcohol, and also step-ups or step downs into a room, like a WC at a hotel. (Cf. Primula Niven, David’s 1st wife’ s deadly fall!)</span></span></b></b></div>
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<b><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">And consider every time you walk down a stair a risk: Go slow, hold onto banister, watch step, and stay on toes. Especially as you get old, be alert to the few stairs one has to go down when coming out of places.</span></span></b></b><br />
<b> <b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">The safest walking to hype </span></span></b></b><b style="text-indent: 10.5pt;"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">prevent slipping and tripping falls is to step instead of shuffle as you walk. “Step” means lifting your foot high enough to clear an obstruction. "Shuffle" is when your feet barely clear the floor and drag or slide along, easily impacting on discontinuity and pitching the walker forward on face. In lifting a foot, it should be “up on your toes, down on your toes”.</span></span></b></b></div>
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<b><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Anther walking habit to prevent fall is walking on a wide base, not being top-heavy with load, or not running for a bus, taxi, or a train. And look where your feet go! Fall accident due to unnoticed cable, chain, rope, or a low fence can be the 3F's–Frequent, Fracture and Fatal.</span></span></b></b></div>
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<b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;">Walking Surface: </span></b><b><span lang="EN-US" style="font-size: 14pt;">strive to eliminate fall-risk floor and ground (risks being smooth linoleum, marble floor, slippery highly shellacked wood, throw-down rug), moist flooring; and replace with high-friction, obstruction-free, even-level, soft-to-impact walking surface. Outside, be alert to the increased risk of dangerous flooring or ground. At home, Japanese tatami floor is safest and stops breakage from falls.</span></b></span></b><br />
<b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;">Walking the dog has been a site of some bad falls, e.g., the following from a reader - "</span></b></span></b><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;">I was walking the dog at night and I tripped over a rock with my right foot ... ." She got a bad fracture and needed serious surgery and requires months of post-op physiotherapy.</span></b></span></b><br />
<b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;">Then her partner suffered a fall from electric motorbike he was testing by simply getting on it to sit; it collapsed on him and fractured his thigh bone (Cf. my Morris chair, just previously described accident).</span></b></span></b><br />
<b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;">Oh yes! I just remembered because it just happened to me, very serious fall injuries happen on moving vehicles that suddenly jerk one way or another and the inertia carries your body hard against the floor. On 23 March </span></b></span></b><b style="text-indent: 13.75pt;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;">2018, I was impatiently (Note this also is an accident of impatience) standing up to get out of the subway car that was about to come to a stop at my final station. Stupidly, I wasn't holding on to anything and the subway car gave a sudden jerk and I plummeted on my back and fractured my pelvis and ended up 10 weeks on my back at a hospital almost dying. Hold on when you're on a moving vehicle! Remember the law of inertia. </span></b></span></b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; text-indent: 13.75pt;">
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<b> </b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><i style="text-decoration: underline;">Fire</i> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Are your basement, attic and closet free from rubbish, oily rag, paper? No gasoline or other flammable for cleaning? Is the wall and ceiling next to heating unit or to electric switch or to hot pipe protected by well-insulated, fire-resistant material? Are heating, gas and electric units used as directed and inspected, cleaned and adjusted regularly? Is fireplace screened off and used with care against touch burns? Are matches kept in a closed container away from heat and out of reach of child? Is smoking prohibited at home? Is electric extension cord in open and not under the rug and is your home electric system latest standard? Is Christmas tree fire resistant? Do you know how to turn in fire alarm from telephone and location of alarm? How to use your fire extinguisher and is it up to date and filled? Do you have a plan of escape in case of fire, especially at night? Do you </span></b></span><b style="font-family: Century; text-indent: 10.55pt;"><span lang="EN-US" style="font-size: 14pt;">use an electric appliance if wet and without rubber gloves?</span></b><br />
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>Footwear and “feet where?”</u></i> are important in falls of walking. The first rule about footwear is not to go barefoot. ("Do as I say, not as I do!" is my aphorism because I often, in office, stupidly go bare feet) Many foot accidents and diseases occur because people insist on walking barefoot. A person knows he always needs footwear outside but thinks going bare at home is OK. It ain’t! Sharps litter a floor, foot fungus abounds, and kitchen accident from a heavy pointed knife or scissor plunging into bare feet or from hot cooking fluid scalding is a risk. Not only should it be a rule to wear footwear at home, but be sure your slipper has adequate protective cover for top part of foot and front toes because most accidents involve a thing falling on it from above or toes striking hard place. No open toes slippers! Ideal footwear (shoe) should fit comfortably but not so overly large that it shifts about on foot when walking and not so snug it causes pressure sore. Safest shoe is lightweight and string-less. Sole should be ridged, cupped or hard-gummed to stop slipping on a moist or otherwise low-friction floor. Sole and heel should be soft and springy. Front end should not present hard, thick, inflexible impacting surface; a rather slight upward curve at front, resilient with the sole flexible, in order to minimize fall due to forward impact on discontinuous obstructing point in floor or sidewalk. The best shoes – which I use – are the inexpensive, lightweight cloth top, rubber-sole shoes sold in cut-rate stores and usually made in </span></b><country -region="-region"><place><b><span lang="EN-US" style="font-size: 14pt;">China</span></b></place></country><b><span lang="EN-US" style="font-size: 14pt;">. And keep in mind how to walk safe: step up (lift leg) do not shuffle! Wide base! Do not tip-toe like Tiny Tim!</span></b></span></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-layout-grid-align: none;">
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;">Shoelace tripping accidents are frequent and can be deadly. Use no-lace shoes and live healthier and longer!</span></b></span><br />
<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><br /></span></b></span> <b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><u><i>Gas </i></u></span></b><b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><i style="text-decoration: underline;">is a problem for kitchen</i> For safety we ought to cook in a microwave. With gas, forgetting a turned-on due to your getting distracted and leaving the kitchen or even your house is a source of fire. The moment a distraction occurs you must make it a rule to turn off gas. Prolonged cooking in a big pot is the worst offender. Cut gas burner time by using residual heat of boiling water to cook. If you must use an old gas stove that lights by match, keep your head far away and use eye protection. Some old stoves explode with a wide-ranging flame at the instant of lighting.</span></b><br />
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Lifting and Carrying Accident:</u></span></b><b><span lang="EN-US" style="font-size: 14pt;"> Sadly</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> I remember a paralyzed right arm that afflicted me after a trip to </span></b><i><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Hong Kong</span></b></place></i><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> carrying a heavy shoulder bag. Where its strap pressed down on my shoulder, it crushed a motor nerve and I could not use a telephone, shake hands, or lift my arm to write for weeks. Do not overload a shoulder bag; rather, be sure the point where its strap crosses shoulder is padded and shift the bag between shoulders every several minutes.</span></b></span><br />
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"> Travel is a risk for back pain</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> because of picking up and lugging valise. Wheeled luggage is best to prevent back pain. If you must lift, do it with an assist. And lift with elbows close to body and bend knees when picking up something so that strain of lifting will be on legs rather than back.</span></b></span><br />
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<b><span style="font-family: "century";"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Needle Puncture</u> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">happens to those who hold sewing needle or who use tacks or give injections with needle syringe. A puncture may lead to blood poisoning or HIV/AIDS. Sewing-needle worker should use a thimble. The person who pushes a tack should protect finger.</span></b></span></span></b></div>
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<b><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Hypo syringe needle puncture happens to medical persons on sheathing needle after giving an injection. In the hospital, the sheathing has been replaced by dropping the used needle into a protective container. After using a needle, hold needle hub with forceps or needle clamp instead of fingers.</span></span></b></span></b><br />
<b><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Here should also be mentioned fingertip puncture from attempting to remove a staple bare-handed. Usually, this is minor but in someone with low immunity or rheumatic heart disease it could result in blood poisoning and heart valve infection. And a diabetic could lose a finger due to the infection. So think before you remove the staple. Use staple remover rather than your bare finger.</span></span></b></span></b></div>
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<b><span style="font-family: "century";"><i><u><span style="font-size: large;">Oxygen Lack</span></u></i><span lang="EN-US" style="font-size: 14pt;"> </span><span lang="EN-US" style="font-size: 14pt;">comes from space-heating while asleep. Especially in Japan in Tokyo or points north</span><span lang="EN-US" style="font-size: 14pt;">, where winter room warming depends much on gas or kerosene or electric heater. Do not heat room while doors and windows all closed. And keep in mind: a low level of Carbon Monoxide gas poisoning is undetectable but will reduce the usable oxygen to heart muscle and brain cell and could promote, after repeated exposure later, Alzheimer's or coronary artery disease. Turn off space heating before sleep and be sure of good ventilation. And if you live 5,000 feet altitude (Denver Colorado) or higher, go to a medical supply store and get oxygen with breathing mask and valve control. It could be life-saving with altitude sickness or person with chronic lung disease suddenly going to high altitude</span><span lang="EN-US" style="font-size: 14pt;">. And get a <i>pulse oximeter;</i> a SaO<sub>2</sub> readout below 90% is an indication to breathe pure oxygen.</span></span></b><br />
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u>Poisoning:</u></span></b><b><span lang="EN-US" style="font-size: 14pt;"> Just </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">after World War 2, when food was scarce in </span></b><country -region="-region"><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Japan</span></b></place></country><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">, people went hungry and quickly ate anything offered. One day a man walked into a Tokyo bank and, after discussion with employees about a loan, passed around some <i>Marzipan</i> cherry chocolates. Within minutes the employees were dead from cyanide. The alleged murderer died after life imprisonment, claiming innocence. Whether guilty or not, the lesson here is: <i>Don’t pop anything into mouth just because it is free and seems to taste good, and never start to eat, or swallow, fast.</i> (Cf. 18 July 2013 Patna India free school lunch fatal mass poisonings) Before starting food or drink, inspect appearance and odor and, after that, taste it before swallowing. And even while chewing, be alert to a sharp object. Never feel shy about spitting food out at last moment if its taste seems strange. And inspect, cook or heat all eats out of a can. (Cf. recent cases of needles in airline gourmet sandwiches)</span></b></span><br />
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> Poison Info: </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">24-hr/7-days a week and holiday the number is in NYC or Direct-digit from international access code +1-212-3404494 (Checked recently and they say, have your facts at hand as you call) and +1-800-2221222. (toll-free US; English & Spanish)</span></b></span><br />
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<b><span style="font-family: "century";"><i><u><span style="font-size: large;">Sex accidents</span></u></i><span lang="EN-US" style="font-size: 14pt;"> I have treated are a bleeding bitten penis from wife's newly learning oral sex, a vaginal heavy bleeding from a too vigorous first penis into vagina, and a 20-watt white light bulb that must have been carefully inserted into the rectum and that I just as carefully removed.</span></span></b><br />
<b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><br /></span></span></b> <b><span style="font-family: "century";"><span style="font-size: large;"><u>Shaving Accident</u>:</span><span lang="EN-US" style="font-size: 14pt;"> Men who</span><span lang="EN-US" style="font-size: 14pt;"> shave non-electrically may do a shave in which multiple tiny cuts convert face into a sea of dripping red. Every once in a while you may buy a disposable razor with razor edge defect. Prevention is alertness. On first use, test-shave small area of skin and if within seconds it bleeds, discard razor and try another. And with first-use razor shave “gingerly” (with care, not roughly or strongly). If continually getting bleeding with any blade, suspect bleeding from blood disease or medicine. Most commonly it’s from taking an anticoagulant like <i>Coumadin (Warfarin)</i> but could be too frequent aspirin. Prefer acetaminophen <i>(Tylenol, Paracetamol) </i>to aspirin to avoid the bleeding.</span></span></b><br />
<b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;">But, best of all, switch to the electric shaver. Last year I switched and I absolutely love my BRAUN CT6cc <i>CoolTec </i>model which self cleans, cools your face as you shave, and sterilizes; and thus can be used among a group of persons who need to shave. (It is more energy-saving than bare shaving because you save disposables and shaving lotion)</span></span></b><br />
<b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><br /></span></span></b><span style="font-family: "century";"><b><span lang="EN-US"><u><i><span style="font-size: 18.6666660308838px;">S</span><span style="font-size: 16pt;">pills</span></i></u></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> burn by the hot fluid on one's skin but also spills lose drink or medicine and break glass, cup or saucer. Major type involves breakage loss from tipping-over and dislodging. A spill is something one has to have “on the brain” if one is to reduce it. Whenever a container with fluid in it comes into view, the image of it spilling and you losing and hurting should come to mind. (Not only "You" but your eating or drinking partner) And follow the following “Nots”: <i>Not on a ledge – asking to be knocked off. Not out of view, – increasing probability you will knock it over. Not adjacent to or near an object like a book that is frequently reached for – asking to be knocked over. Not next to someone (human) or something (animal) that will move unpredictably – increasing the chance it will be lapped up or knocked over. Not in a risky receptacle for tipping over, a long-stem cocktail glass – an almost certain spill. Not standing directly touching tabletop; place on saucer-like container-stand so that if spilled it will be contained and not mess up desk or furniture, and if it’s valuable (drug) or tasty (drink) it will not be lost to enjoyment or will not need to be replaced. Not containing intrinsically hazardous fluid – strong acid, base, poison, scalding fluid.</i> (Note the lawsuits against fast food takeout stores for scalding coffee spills) <i>And not filled to its top.</i></span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Spill not only can harm one's body, but can mess up expensive carpet and furniture.</span></b></span><br />
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u><i><b><span lang="EN-US" style="font-size: 16pt;">Step Accident</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"> </span></b></i></u><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">can happen at home or outside: Good lighting, large-letter warning, familiarization with new living space, and careful stepping in unlit place are preventive.</span></b></span></span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Another step accident occurs at bottom of the stair. In it, a person, say a lady in the dark, unobservant and immersed in thought thinks she has reached the bottom of the stairs but actually has one or more steps to go so she steps ahead as if on level ground only to pitch forward and twist or break an ankle. Solution: watch and see where your feet are at all times. And if you can’t see, be careful in stepping forward until you have tested the ground for support. Be running scared of stairs. Go down slow! Hold banister! Stay on your toes.</span></span></b></span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><u><i>Stains:</i></u> Rules to keep in mind here in order of importance: if you have a choice use the least staining form of a product (white wine, not red; tea, not coffee), do not eat where you can make a damaging, irremovable stain (over expensive carpets, in rooms with expensive furnishings, over or near computer keyboard) or, if you must, then cover the furnishings or rug with plastic, and, finally, if you do spill a staining material on expensive rug, put warm but not hot water over it immediately; do not let it dry. Again the advantage of tatami floor: it can be washed and scrubbed without damaging its appearance.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"></span></b></span><br />
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u><i>Street Accident:</i></u></span></b><b><span lang="EN-US" style="font-size: 14pt;"> E</span></b></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">ach morning after waking while still in bed, review your going-out plan. Start with: <i>Why must I leave home today? Is it mere restlessness? Is it need that can’t be done by just making a telephone call, sending fax or email, or another alternative?</i></span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Review outside chore and ask: <i>“Have I made proper preparation? Do I have what I need? Am I protected against probable and serious accident?” </i>I know it is difficult to order one’s thinking process so; still, it is a good goal.</span></span></b></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Thing other than raindrop can fall on <i>my</i> head. (A good allegory concerning a deadly falling object is the <i>Flitcraft</i> anecdote in Dashiell Hammett’s The <i>Maltese Falcon</i>) You may fall on your head frodm a slippery street due to the slippery sidewalk from rain and slippery sole of your shoe. The other evening, on a rainy street, I set my footsteps on top of metal grill-top drain canal that runs down many sidewalks in </span></b><city><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Tokyo</span></b></place></city><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">, and suddenly slid, landing on my butt and almost fracturing a wrist in extending palm of <span style="background-color: #f6d5d9;">my hand </span>to cushion the fall. Especially when the pavement is wet, guide your steps to its most frictional part. And wet or dry, be especially alert in the vicinity of someone wheeling large boxes or other detachable heavy materials. These can suddenly collapse on you. Keep a distance.</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Recently, at 11 PM, I left my office and coming out the sliding open door from the building's lobby to sidewalk I did not pause, as I should have, to glance right and left; instead I just quickly stepped out onto the street and seconds later I felt a strong bang on the back of my legs and was knocked forward and to the ground. It was a bicycle ridden too fast and against the rules on a sidewalk and the bicyclist was too surprised by my sudden appearance to brake. Luckily I only got a bruise on the back of my leg but I could have got killed or got bone fractures. I call this <i>the encountering accident </i>due to split-second bad luck. Also, it's a <i>too-quick</i> movement accident. (And see below with transparent glass doors) Always, whenever you make a sudden appearance on a walkway from a point you cannot be seen by a rider, stop, look to left and right, and go slow.</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Slow! Slow! Slow! and you will live healthily Long! Long! Long!</span></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Alertness on street should not be limited to danger from a falling object. Every other human or animal you come near ought to receive attention to be sure she, he, they or it is not about to subject you to sudden, mad murder.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Speaking of streets brings pedestrian car accident to mind. Unconsidered is being hit while on the sidewalk at night when a drunk-driver car goes out of control and maims or kills unsuspecting sidewalk pedestrian. The scenario is you – seemingly safe position of standing on a corner. And a suddenly curb-hopping car kills you. The End!</span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> On a street corner be alert waiting for red light to change. Stand on the sidewalk with pedestrian between you and curb. If a metal barrier, stand behind it. Also, knowing of the 3 August 2013 <i>Venice California</i> boardwalk malicious car driver who killed and injured unsuspecting persons on a boardwalk, (And very recently a similar ISIS killer in west-side NYC) always be alert to the potential of moving cars near and behind you either going out of control or maliciously aiming to hit you.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><br /></span></span></b> <b><span style="font-family: "century";"><u><span style="font-size: large;">Transparent glass </span></u><span lang="EN-US" style="font-size: 16pt;"><u>accident</u>:</span><span lang="EN-US" style="font-size: 14pt;"> I saw one that disfigured its victim. It happened at a </span><city><place><span lang="EN-US" style="font-size: 14pt;">Tokyo</span></place></city><span lang="EN-US" style="font-size: 14pt;"> hotel and the victim was drunk and mistook transparent glass door panel for air and impatiently lurched into it. Another, more recent case happened when someone late at night when she ought to have been asleep decided to go out and buy a snack from a 711, but in her inattentive, sleepy mode, she walked into a glass door that she mistakenly expected would automatically open, but did not and she banged her nose, her lips, and her knee. It reminds me that an accident may be worsened because of a natural tendency to be forcefully quick. In the second case, luckily, she was not forceful or quick so she avoided serious injury but, even so, a slower motion would have saved her from the bang. Cultivating moving slowly and cautiously is the solution. (Not throwing things down but putting them down slowly and carefully) </span><span lang="EN-US" style="font-size: 16pt;">Slow motion is a good notion.</span></span></b><br />
<b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 16pt;">Additionally, wearing a long visor cap ought to prevent banging into glass accident. </span></span></b><br />
<b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 16pt;"><br /></span></span></b> <b><span style="font-family: "century";"><i><u><span style="font-size: large;">Water Accident</span></u></i><span lang="EN-US" style="font-size: 14pt;"> </span><span lang="EN-US" style="font-size: 14pt;">happens in swim pool or even bath in or outside one's home and also in an open body of water, on the ice and involving baby or toddler: Do not use a swimming pool. It poses a danger of drowning and is money and water wasting. Never walk on ice. Preventive is learning to swim, to never dive, and to stay out of depth. Also, note recent increase in spinal cord injury with paralysis from diving into shallow water. And watch out for vacation shore like </span><state><place><span lang="EN-US" style="font-size: 14pt;">Hawaii (Maui island the worst)</span></place></state><span lang="EN-US" style="font-size: 14pt;"> or Phuket </span><country -region="-region"><place><span lang="EN-US" style="font-size: 14pt;">Thailand</span></place></country><span lang="EN-US" style="font-size: 14pt;"> because of the many surf drownings, major trauma or Tsunami. A particular ocean wave accident most common on Pacific shores is the <i>sleeper wave </i>that just as well should be called <i>sneaker or sneaky or rogue wave </i>because sneaks up and catches a beach-goer or a surf casting fisherman on a jetty outside of his awareness. It is an unusually high, strong wave that suddenly appears in a moderate surf - not quite a tsunami but many times higher and stronger than its close fellow waves and it sweeps over the previous dry beach or jetty powerfully and drags persons in its path out to sea, and potential death. The best prevention is constant awareness of the danger while at the shore. Most frequently reported from the shores of northern California, Oregon, Washington, and the Canadian northwest; also south-eastern Australia. (Pacific Ocean)</span></span></b><br />
<b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><br /></span></span></b> <b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><u style="font-style: italic;">Surfing Spinal Cord Damage with Paralysis</u> is getting frequent, especially reported from Hawaii, and involves mostly first-time, or new surfers who spend too much time on the surfboard at one outing and, right after, engaged in vigorous activities. Within an hour of the surfing, there is upper back pain followed weakness-paralysis of the legs and trouble with urination. In some cases, it has been permanent. My advice is: Stop! or never start surfing. It is not worth the risk. And Christopher Reeve, the movie <i>Superman! </i> Remember him being flung forward by the horse and getting total paralysis from upper spinal cord injury! "Horse riding is worse riding"; stop it!</span></span></b><br />
<b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><br /></span></span></b> <b><span style="font-family: "century";"></span></b> <span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><i><u>WC, or bathroom Accident</u>: </i></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Dying on and around toilet seat happens much. Mostly straining at pushing out stool, which shoots up blood pressure, or the abrupt change in blood pressure due to sudden getting into and exit out of a hot bath.</span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> On toilet seat, the act of straining to evacuate constipated stool and, in older men, or urinating against enlarged prostate, is a cause of tearing an artery and of stroke in the brain. Also of causing a surgical hernia. Never strain mightily at stool. If you find yourself straining more than a little, give it up! It is not important for stool to be passed quickly; it can wait in rectum many, many hours; another day. If you must pass constipated, stool, use lubricated index finger inserted into your asshole. Men with prostate hypertrophy should sit to urinate, and use firm downward abdominal pressure above pubic bone pressing with the fist. Or pee in the bath.</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;">For a hot bath</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">, use thermometer and not above 42<sup>0 </sup>C (107.6<sup>0 </sup>F). A safe in-bath body position should be with legs stretched, not in a squat that favors blood clot in a vein. Hot water should not come above chest level for more than a minute because of overheating the heart that may cause a fatal arrhythmia. And if you have high BP and take a daily pill to lower your BP, take it after, not before your day's bath.</span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Getting out of the bath is danger point because dilated skin arteries cause the blood to pool in legs and drop the blood pressure, risking fainting and a stroke, myocardial infarct, or sudden death; or you might also hit head on side of tub fainting. In getting out of a tub, stand slowly, and reach & grasp overhead pipe and pull yourself erect. Meanwhile be pumping calf muscles to ‘one, two, button shoe’. These maneuvers are to pump (contracting calf muscle) and drain (elevating arm above head) blood back to your heart in order to increase cardiac output and prevent stroke, heart attack or sudden death.</span></b></span></div>
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<span style="background-color: white; text-align: left;"><span style="background-color: transparent;"><span lang="EN-US" style="font-family: "times new roman" , serif;">To read next now, click <a href="http://physiciansnotebook.blogspot.jp/2010/09/accidents-2-transportation-accidents.html"><span style="color: #2288bb;">1-12-2 Accidents 2 - Transportation Accidents</span></a> </span></span></span></div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4839604317339966579.post-39107147227780566392010-09-23T09:18:00.011+09:002021-10-20T18:05:15.104+09:001-12-2 Accidents 2 - Transportation Accidents<div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-layout-grid-align: none; tab-stops: 225.0pt; text-align: center;">
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-size: x-small;"><i>Physician's Notebooks 1</i> - http://physiciansnotebook.blogspot.com - See <i>Homepage</i></span></span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><i><span lang="EN-US" style="font-size: 14pt;">1.12 Accidents 2 Update 20 Octr 2021</span></i></b></span><br />
<b style="font-family: Century; text-align: center;"><i><span lang="EN-US" style="font-size: 14pt;"> </span></i></b></div>
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><i><span lang="EN-US" style="font-size: 14pt;">TRANSPORTATION ACCIDENTS</span></i></b></span><br />
<b><span style="font-family: "century";">Contents of Chapter - Use<i> Search</i></span></b></div>
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<b><span style="font-family: "century";"><u>General Transportation,</u> <u>Airplane,</u> <u>Airplane Terrorism,</u> <u>Bicycle,</u> <u>Bridge,</u> <u>Bus,</u> <u>Car,</u> <u>Ferry,</u> <u>Horse Riding,</u> <u>Motorcycle/Moped,</u> <u>Skiing,</u> <u>Taxi,</u> <u>Train.</u></span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><u>General Transportation:</u> <i>Driver, Vehicle, Route, Passenger</i> are the k</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">eys in the ground and air vehicle accidents. First, safest tested (for child too) air-bagged vehicle. Second,</span></b></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i> Driver </i>is skillful and rested age 30 – 50, healthy, drug-free, experienced, and seat belt correctly buckled. </span></span></b><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i>Safe Vehicle</i> is tried and tested, accident-free and well-maintained air-bagged model with a test of prior usage but neither too old</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">, nor too new model. <i>Safe Route </i>is </span></b></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">clear, moderate weather, quiet travel period, no crowded road, rail, or sky. The <i>P</i></span></span></b><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i>assenger </i>should be in good condition with not overfull stomach, no restrictive clothing and seat belt correctly buckled. (But if you survive the crash landing, immediately unbuckle seat belt; cf. the 06 July 2013 <i>Asiana Airlines </i>landing crash at SFO where overheated locked seat belts trapped passengers in seats of burning aircraft) Small child should be protected.</span></b></span></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-layout-grid-align: none;">
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"> <i><u>Airplane:</u></i></span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> In-flight safety? Safest place in a jet if it is going to have trouble is at center. An aisle seat is safer because of better access to an exit. Being next to door exit is less safe because of the possibility of door blowout. </span></span></b><b style="text-indent: 13.75pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">When you are seated, keep seat belt fastened, and in WC hold on to the handlebar. When getting out of your seat, pay attention to overhead bin: it may come open and cause a heavy piece of luggage to fall on your head.</span></span></b><br />
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Concerning medicine, of course, whatever your doctor prescribes, take; but avoid over-the-counter medications. In the event of trouble, it is best to be <i>unmedicated.</i></span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Stay alert when you fly and early-on read the safety booklet.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> The more packed an aircraft, the more possibility of mishap so arrange to fly on the least crowded day (Wed.) date (April) and season (Early spring), after holiday end.</span></span></b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-char-indent-count: .98; mso-layout-grid-align: none; tab-stops: 225.0pt; text-indent: 13.75pt;"><b style="mso-bidi-font-weight: normal; text-indent: 13.75pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">And pay attention to weather (also at destination) right up to last minute before boarding. Flying risk multiplies on a cold, icy, snowy, windy, wintery day, and especially at night, and much more during rain/wind/snowstorm. If your airline chooses to fly in questionable weather, be prepared to cancel and fly on another, better day. If waiting to board or boarded and announcement informs of overbooking and offers cash reward and/or free overnight airport hotel stay to anyone who changes to later flight, volunteer if not very inconvenient to schedule.</span></span></b></div>
<b><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> We can’t always control where and when we fly but at least we should be aware of increased risk we take, flying under a specific condition in a specific area. There are many more examples of bad weather accident correlated with cold, wind, rain and snow. Keep alert to weather conditions and live longest! </span></b></span></b><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> The most dangerous times in a flight are takeoff and landing. Nonstop shortest mileage flight by a major airline of a major Western nation including Japan is choice. </span></b></span><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">In choosing an international carrier, avoid airline of a country like </span></b><country -region="-region"><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">India or Russia</span></b></place></country><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> that has a major insurgency. Avoid <i>Malaysia Airline </i>and all Indonesian airlines<i>. </i>A poor<i> </i>country may have old, badly serviced aircraft and ill-trained, low-paid, unhappy, crew but often offers cheap fare that is not worth the risk to your life. (Note the 28 Dec. 2014 <i>AirAsia </i>crash in the Java Sea and the 2009 crash of the </span></b><country -region="-region"><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Yemen</span></b></place></country><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Airline in the </span></b><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Indian Ocean</span></b></place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">) Be alert to what is happening with an airline and whether an airline has labor trouble, cf. the Northwest Airlines, Oct. 2009 pilot overflight of airport destination; again 2 months later, the Xmas day terrorist over </span></b><city><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Detroit; the <i>Germanwing </i>pilot who suicide-crashed his commercial just in the French Alps, 24 March 2015: "</span></b></place></city></span><span face=""helvetica neue" , "helveticaneue" , "helvetica" , "arial" , sans-serif" style="background-color: white; font-size: large; line-height: 24.0000019073486px;">He</span><span face=""helvetica neue" , "helveticaneue" , "helvetica" , "arial" , sans-serif" style="background-color: white; font-size: 15.0000009536743px; line-height: 24.0000019073486px;"> </span><span face=""helvetica neue" , "helveticaneue" , "helvetica" , "arial" , sans-serif" style="background-color: white; font-size: large; line-height: 24.0000019073486px;">became upset about the conditions of work: too little money, fear of losing the contract, too much pressure</span><span face=""helvetica neue" , "helveticaneue" , "helvetica" , "arial" , sans-serif" style="background-color: white; font-size: 15.0000009536743px; line-height: 24.0000019073486px;">." .. .</span><br />
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A French Gendarmerie rescue helicopter flies over the debris of the Airbus A320 at the site of the<span style="font-family: "century";"><b> 2015 <i>Germanwings Airbus crash.</i></b></span></div>
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<span style="font-family: "century";"><span style="font-size: 18.6666660308838px;"><b><u style="font-style: italic;">Airplane Terrorism</u> Beyond what is already mentioned concerning national airlines, prefer not to fly at the start of a week, i.e., Mondays or Tuesdays. Almost all major airline terrorism has taken place on these named weekdays probably because terrorist planning is done on weekend and carried out a day or two after the weekend.</b></span></span><br />
<span style="font-family: "century";"><span style="font-size: 18.6666660308838px;"><b> The below excerpt from a recent news story gives very useful instructions how to survive an air-crash. </b></span></span><br />
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Expert explains how to survive "almost every" plane crash</h1>
<b><span class="attribution D-ib W-60 Ell"><span class="Provider Pend-6">Yahoo Canada</span> <span class="Timestamp">Fri, Feb 10 6:44 PM PST</span> </span>
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<b>Almost all aircraft accidents are survivable – with 87.7 per cent of incidents involving zero fatalities – but there’s one step which can massively improve your chances, an expert has explained.</b><br />
<b>Last year, crew members who were pulled from the wreckage of the plane crash which wiped out nearly an entire Brazilian football team said they had survived by "following emergency protocol’ – while other passengers stood up and screamed.</b><br />
<b>Specifically, the crew members remained seated, and huddled over to protect from the impact.</b><br />
<b>Adopting a ‘brace’ position, where passengers curl over and fasten seat belts will prevent many of the most severe injuries incurred in crashes, an unnamed plane safety expert told Mail Online.</b><br />
<b>The expert said, "When a plane crashes you have two impacts."</b><br />
<b>"The first one passengers feel is a tightening of the seat belt. But as the aircraft stops you continue to move forward.</b><br />
<b>"But it’s the secondary impact that’s critical. What will happen is that your upper torso will move forward. And in moving forward you will hit something.</b><br />
<b>"That’s certainly the case in economy class seats.</b><br />
<b>"The best position to adopt is one where you crouch down and reduce the movement of the head in a forward direction.</b><br />
<span style="font-family: "century";"><span style="font-size: 18.6666660308838px;"><b><br /></b></span></span> <span style="font-family: "century";"><i><b><span lang="EN-US" style="font-size: 16pt;"><u>Bicycle</u>:</span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b></i><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Before the car and convenient walkway existed, the bicycle was important in getting people about. In pre-1980 China, and in North Korea still today, bicycles were and are a useful alternative to fossil-fuel. But today in U.S.A. and Japan, bicycling for most is a hobby, a sport, an addiction, and a danger. With today's good walkways and efficient, inexpensive public transportation, bicycling serves little purpose and causes too much trouble. Children have up to 3 times delay in reaction time compared to young adults so they are much more prone to accident. I am surprised at seeing mothers riding infants on bicycles. If you need exercise, walk; if you need to get someplace rapidly and safely, use public transport.</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> 27 June 2018: Flash! Today I got word my best friend fractured his hip and joint in a bicycle accident. <i>Nuff said!</i></span></b></span></div>
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<b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"> <u><i>Bridge</i></u> accident entered my consciousness from </span><city><place><span lang="EN-US" style="font-size: 14pt;">Minneapolis</span></place></city><span lang="EN-US" style="font-size: 14pt;"> bridge collapse, </span><date day="2" month="8" year="2007"><span lang="EN-US" style="font-size: 14pt;">2 August 2007</span></date><span lang="EN-US" style="font-size: 14pt;">. Keep alert that every time you cross a bridge the risk to life sharply peaks. The important point is to avoid rush-hour bridge crossing or when repair is in progress because of increased risk from the added weight. Also, avoid crossing in bad weather. And ancient bridge (</span><place><placename><span lang="EN-US" style="font-size: 14pt;">Brooklyn</span></placename><span lang="EN-US" style="font-size: 14pt;"> </span><placetype><span lang="EN-US" style="font-size: 14pt;">Bridge</span></placetype></place><span lang="EN-US" style="font-size: 14pt;"> 1883).</span></span></b><br />
<b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><br /></span></span></b> <b><span style="font-family: "century";"><span style="font-size: large;"> <i><u>Bus</u></i> travel </span><span lang="EN-US" style="font-size: 14pt;">presents a similar risk, plus tripping and fall on bus stair. A bus may suddenly lurch so be sure to grab the hanging handle if you stand, and even while you sit, hold on.</span></span></b> <br />
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"> <i><u>Car</u></i></span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">is a top killer and causes injury and heart & lung disease; also it is the major cause of the build-up of CO<sub>2</sub> that is causing greenhouse global warming. </span></b></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Most drivers own a car because of “monkey see, monkey do”, due to peer pressure and advertisement. If you sometimes need a car, better to rent or hire.</span></span></b></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> My consciousness was raised about the danger of oldster behind steering wheel by my late 82 y/o cousin Ben causing a totaling accident when he did not notice another car approaching at a right angle at an intersection. He survived and the next day had a new car. Accident and death due to a too old driver are too many! Smart people give it up before it gives them up!</span></b></span><br />
<span style="font-family: "century";"><b> But, still, the motor vehicle is here and, whether private or public, to be a safe driver (applies as well to a pedestrian) is the key to no accidents. The following from <i>Volvo </i>engineer analysis of thousands of MVA (motor vehicle accidents) gives principles of safe driving. It also refers to advanced computerized self-driving vehicles: </b></span><span style="font-family: "times new roman";"><i><b>Most accidents are caused by what Volvo calls the four D’s: distraction, drowsiness, drunkenness, and driver error. The company’s newest safety systems try to address each of these. To keep the driver alert, they use cameras, lasers, and radar to monitor the car’s progress. If the car crosses a lane line without a signal from the blinker, a chime sounds. If a pattern emerges, the dashboard flashes a steaming coffee cup and the words “Time for a break.” To instill better habits, the car rates the driver’s attentiveness as it goes, with bars like those on a cell phone. (Mercedes-Benz motors go a step further: its advanced cruise control won’t work unless at least one of the driver’s hands is on the wheel) In Europe, some Volvos even come with Breathalyzer systems, to discourage drunken driving. When all else fails, the cars take preventive action: tightening the seat belts, charging the brakes for maximum traction, and, at the last moment, stopping the car</b></i>. </span><br />
<span style="font-family: "times new roman";"> <b>Have your car properly maintained a<span style="font-size: medium;">nd do not forget the airbag for your car, a type that is safe for infants: be sure it is checked regularly so that it will work when you need it.</span></b></span><br />
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><i><u>Taxi</u></i> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">has the risk of having to rely on a dangerous driver. Here, use all your senses plus intuition. A taxi driver should look, smell, sound, and drive normal. Judge him immediately, and if a negative judgment waits until you are being driven around, be prepared to call Halt and say “Hey! This is where I get off.” For those who use a taxi, a multi-passenger with a driver you know and trust is best. Always, when you get in to ride, note the cabby’s name and i/d number, and if you cannot find it, tell him to let you out. At the airport, avoid the unlicensed. Never ride in an unmarked cab. </span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> The 30 May 2015 accidental death of 1994 Nobel Prize winner John Nash and his wife (the subject of 2000 movie "A Beautiful Mind") emphasizes a number of important points here. The situation: The Nashes had just landed at Newark-Liberty Airport several hours ahead of schedule. The limousine to pick them up was not there and they chose to hail a local taxi from the airport. The taxi driver was only on his first few days driving and the Nashes also neglected to use the available seat belts. The taxi crashed as a result of poor driving and the Nashes were instantly killed because they were thrown out of the crashing car. The lessons here: prefer not to take a taxi especially from an airport and prefer to use railway or bus facilities. But if you take a taxi, be sure you have complete confidence in the driver and his or her appearance. Then always use seat belts. Finally, we must comment that this could be called a "Flitcraft" accident i.e., a result of bad timing, that is, the 5-hour early arrival caused a series of events that ended in tragic death. Of course one may say it is fate and nothing to do about it, but with knowledge of "Flitcraft" effect, a person might automatically change his schedule or his decisions in order to disappoint fate. </span></b></span></div>
<span style="font-family: "century";"><b><span style="font-size: large;"> <i><u>Ferry</u></i>:</span><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><date day="16" month="10" year="2003"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">16 Oct. 2003</span></b></date><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> saw the horrific crash of a </span></b><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Staten Island</span></b></place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Ferry (NYC, between </span></b><city><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Manhattan</span></b></place></city><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> and Staten) that killed 10 and injured 60. The boat had a history of a mechanical problem, the captain had crashed into the same dock 8 years before, and investigation revealed he was on medication that caused him to fall asleep as he docked. Be alert in using ferry (or other boats), especially to the danger of crashing into dock but also to the possibility of sinking and you being tossed into deep water. (Hong Kong ferry, 59 dead, Oct 2012; South Korean ferry, April 2014) Know how to swim. Be prepared to deal with a sinking ship and you on it.</span></b></b></span><br />
<span style="font-family: "century";"><b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><br /></span></b></b></span> <span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i><u>Horse riding</u></i>. Remember former <i>Superman,</i> the late<i> </i>Christopher Reeve! Thrown forward from a horse; Reeve broke his back and spinal cord.</span></b></span><br />
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<b><span style="font-family: "century";"><span style="font-size: large;"> <i><u>Motorcycle, moped</u></i></span><span lang="EN-US" style="font-size: 14pt;"> </span><span lang="EN-US" style="font-size: 14pt;">and the like do not even have the excuse of being exercise or nonpolluting transport. They are <i style="mso-bidi-font-style: normal;">people-perioding.</i></span></span></b><br />
<b><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><i style="mso-bidi-font-style: normal;"><br /></i></span></span></b> <span style="font-family: "century";"><b><i></i></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"></span></b></span> <b><span style="font-family: "century";"><span style="font-size: large;"><i><u>Skiing</u></i></span><span lang="EN-US" style="font-size: 14pt;"> </span><span lang="EN-US" style="font-size: 14pt;">ought to be left to suicidal and dangerous thrill-seeker. It has injured or killed too many to justify its existence other than as financial support for the orthopedic surgeon.</span></span></b></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"></span></b></span> <span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-size: large;"><i><u>Train:</u></i></span><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Worst injury happens to a standing passenger at end of the train car, at a busy travel time. Avoid rush hour, stay in mid-train, find an empty seat or be sure to hold on to handlebar or strap. Inside-train accident can occur without crash due to a sudden deceleration in a wall-to-wall, people-packed train. If you must stand in a crowded train, position yourself with the metal barrier between you and bulk of passengers to avoid crush injury. (Worst is mid-aisle) <i style="mso-bidi-font-style: normal;"><u>Also, note very high fatal train accidents in </u></i></span></b><country -region="-region"><place><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><u><span lang="EN-US" style="font-size: 14pt;">China</span></u></i></b></place></country><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><u><span lang="EN-US" style="font-size: 14pt;">.</span></u></i></b></span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><b style="mso-bidi-font-weight: normal;"><span style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-size: 14pt;">Flash! In 2015, the high profile of high-injury commuter train crashes due to car crossings mishaps in the U.S.A! And further for NY Area flash for 2016 note the below story: </span></span></b></span></b></span><br />
<i><b>HOBOKEN, N.J. (AP) — A rush-hour commuter train crashed through a barrier at the busy Hoboken station and lurched across the waiting area Thursday morning, killing one person and injuring more than 100 others in a grisly wreck that renewed questions about whether long-delayed automated safety technology could have prevented tragedy.</b></i><br />
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<i><b>People pulled chunks of concrete off pinned and bleeding victims, passengers kicked out windows and crawled to safety, and cries and screams could be heard in the wreckage at the station just across the Hudson River from New York City as emergency workers rushed to reach commuters in the tangle of twisted metal and dangling wires.</b></i></div>
<i><b> </b></i><i><b>The New Jersey Transit train ran off the end of its track as it pulled into the station, smashing through a concrete-and-steel bumper. It apparently knocked out pillars as it ground to a halt in the waiting area, collapsing a section of the roof onto the train.</b></i><br />
<i><b> </b></i><i><b>"All of a sudden, there was an abrupt stop and a big jolt that threw people out of seats. The lights went out, and we heard a loud crashing noise like an explosion" as the roof fell, said Ross Bauer, who was sitting in the third or fourth car when the train entered the historic 109-year-old station, a bustling hub for commuters heading to New York City. "I heard panicked screams, and everyone was stunned."</b></i><br />
<i><b> </b></i><i><b>The train's engineer was pulled from the mangled first car and hospitalized in critical condition. He was cooperating with investigators, Gov. Chris Christie said.</b></i><br />
<i><b> </b></i><i><b>A woman standing on the platform was killed by debris, and 108 others were injured, mostly on the train, Christie said. Seventy-four of them were hospitalized, some in serious condition, with injuries that included broken bones, bumps, and gashes.</b></i><br />
<i><b> </b></i><i><b>"The train came in at a much too high rate of speed, and the question is: 'Why is that?'" Christie said. New York Gov. Andrew Cuomo said investigators will determine whether the explanation was an equipment failure, an incapacitated engineer, or something else.</b></i><br />
<i><b> </b></i><i><b>The National Transportation Safety Board sent investigators. Among other things, they will want to know what the operator was doing before the crash and whether the person was distracted or fatigued, said Bob Chipkevich, who formerly headed the NTSB train crash investigations section.</b></i><br />
<i><b> </b></i><i><b>None of NJ Transit's trains is fully equipped with positive train control, a safety system designed to prevent accidents by automatically slowing or stopping trains that are going too fast. Positive train control relies on radio and GPS signals to monitor trains' positions and speed.</b></i><br />
<i><b> </b></i><i><b>The NTSB has been pressing for some version of the technology since at least 1990, and the industry is under government orders to install it, but regulators have repeatedly extended the deadline at railroads' request. The target date is now the end of 2018.</b></i><br />
<i><b> </b></i><i><b>"While we are just beginning to learn the cause of this crash, it appears that once again an accident was not prevented because the trains our commuters were riding lacked positive train control," said Rep. Sean Patrick Maloney, D-N.Y. "The longer we fail to prioritize investing in rail safety technology, the more innocent lives we put in jeopardy."</b></i><br />
<i><b> </b></i><i><b>But both Cuomo and Christie said that it is too soon to say whether such technology would have made a difference in the Hoboken crash.</b></i><br />
<i><b> </b></i><i><b>Over the past 20 years, the NTSB has listed the lack of positive train control as a contributing factor in 25 crashes. Those include the Amtrak wreck last year in Philadelphia in which a train ran off the rails along a curve. Eight people were killed.</b></i><br />
<i><b> </b></i><i><b>NJ Transit trains do have an alert system — a sort of dead man's device — that can sound a loud alarm and then stop a train if the engineer goes approximately 15 to 20 seconds without adjusting the controls. But it is not clear whether that would have made a difference either.</b></i><br />
<i><b> </b></i><i><b>The train was not equipped with an inward-facing camera in the cab that could give a fuller picture of the operator's actions.</b></i><br />
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<i><b>The Hoboken terminal handles more than 50,000 train and bus riders daily, many of them headed into New York City. After arriving at Hoboken, they take ferries or PATH commuter trains across the river to the city.</b></i></div>
<span style="font-size: large;">Finally, note in the Accidents-1 chapter, my terrible fall on 23 March 2018 because I stood up on a moving subway car and stupidly didn't hold on for support.</span><br />
<b><span style="font-family: "century";">To read next, Natural Accidents and Nuclear meltdown, click </span></b><b><span style="font-family: "century";"><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/1-12-3-accidents-3-natural-accidents.html">1-12-3 Accidents 3 Natural Accidents, Includes N...</a></span></span></b></div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4839604317339966579.post-72965772827021068712010-09-23T09:17:00.010+09:002021-10-24T01:00:21.578+09:001-12-3 Accidents 3 Natural Accidents, Includes Nuclear Meltdown<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-size: x-small;"><i>Physician's Notebooks 1</i> - http://physiciansnotebook.blogspot.com - See <i>Homepage</i></span></span></b></span><br />
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">1-12-3 Accidents 3 Update 24 Octr 2021</span></b></span><b style="font-family: century; text-align: center; text-indent: 10.5pt;"><span lang="EN-US" style="font-size: 14pt;"><i> <u>Accidents</u></i></span></b></div>
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Contents of Chapter in order of reading. - Use<i> Search & Find</i></span></b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><u>Earthquake,</u> <u>Tsunami</u></span></b></span><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><u><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><u>,</u> </span></b></span>Nuclear Meltdown, </u></span></b></span><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><u><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><u>Natural Catastrophe,</u></span></b></span></u></span></b></span><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><u><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><u> Water Supply Contamination,</u></span></b></span> </u></span></b></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><u><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><u><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><u>Lightning Accident, </u></span></b></span></u></span></b></span>Roller,</u> <u>Coaster Rider & Other Acceleration Brain Hemorrhage and Aerobics Spinal Cord Hemorrhage</u></span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><i><u>Earthquake (EQ)</u></i></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> seems relevant only to those living in risk area but, a</span></b></span><b style="font-family: Century; text-indent: 13.75pt;"><span lang="EN-US" style="font-size: 14pt;">s a resident of Tokyo, I experienced the 11 March 2011 EQ and aftermaths (Its strength 7 Richter in Tokyo) and I studied the 1996 Kobe EQ.</span></b><br />
<b style="font-family: Century; text-indent: 13.75pt;"><span lang="EN-US" style="font-size: 14pt;"> For anyone who lives in EQ risk: </span></b><br />
<b style="font-family: Century; text-indent: 13.75pt;"><span lang="EN-US" style="font-size: 14pt;"> First preventive to think about: Are you living on land with a history of frequent, predictable major EQ like California coastal or </span></b><country -region="-region" style="font-family: Century; text-indent: 13.75pt;"><place><b><span lang="EN-US" style="font-size: 14pt;">Turkey</span></b></place></country><b style="font-family: Century; text-indent: 13.75pt;"><span lang="EN-US" style="font-size: 14pt;"> near </span></b><city style="font-family: Century; text-indent: 13.75pt;"><place><b><span lang="EN-US" style="font-size: 14pt;">Istanbul or in Japan</span></b></place></city><b style="font-family: Century; text-indent: 13.75pt;"><span lang="EN-US" style="font-size: 14pt;">? Or also living in an area that by history and geology is targeted for a major EQ/Tsunami disaster soon like Pacific Northwest America? If you are, consider moving to a safer spot. If you cannot, then live in the safest place to be in an EQ: away from seacoast flats (and see the videos of the 11 March Tsunami sweeping 10 kilometers inland); in an EQ-proof, inspected building.</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> An EQ may strike while people sleep, so be sure to have a pillow to put over one's head And do not sleep near a window and side of a building. And, above all, be sure nothing can fall on top of you. (Even pieces of your room's overhead fastened into place, like an air conditioner or heavy closet door, which may come loose in strong EQ and fall, crushing your head or feet)</span></span></b></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Wear around the neck a toot-whistle; it will help locate you if you get buried in rubble after EQ. (In the March 2011 Tokyo EQ many cell phones were useless due to excess calls)</span></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Keep 5 days of drinking water - 1 liter or quart per person per day - and activated charcoal powder or rock to purify radioactive water later </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i>-</i> and canned or easily stored food that does not require a refrigerator or cooking to eat. In Tokyo, the food stores just after the EQ had long waits lines and shelves empty. Have batteries, portable radio, matches, flashlight, and fueled lighter. (Or quickly buy what you lack) And beforehand find out what your city planning says you should do in case of severe EQ and also work out a local plan with neighbors.</span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> The Richter EQ measurement is what we are all familiar with. it is important to be aware that each digit of Richter is on a logarithmic scale; so that means that from Richter 6 to 7 is ten-time increase and Richter 8 is a 100-time stronger than Richter 6. Most catastrophic earthquakes are Richter 7 or above. </span></span></b></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> What if EQ Strikes? </span></b><b style="mso-bidi-font-weight: normal;"><i><span lang="EN-US" style="font-size: 14pt;">At home</span></i></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">, a timing of the EQ from its shaking, start to stop (If you do not have a timepiece with seconds hand just count the seconds in your mind as "1 little second, 2 ...". Then rate it according to the following duration: 15 seconds - Richter 7, 30 seconds - mid 7's, 1 minute - high 7's, 2 minutes - low 8's, 3 minutes high 8"s, 4 minutes - 9. Also consider it serious if a hanging fixture or decoration swings, if anything is dislodged out of place. If the EQ seems strong and lasts more than 15 seconds: 1) quickly open door to your home to prevent the door's getting stuck closed and trapping you; 2) then run and turn off the main switch of gas and electricity; 3) then start a drinking-water collection by opening the tap in your plugged-drain bathtub or kitchen sink, whichever closest; and, 4) then take up protected position under desk away from window, with portable radio for news. As high priority, be alert to fire and put it out at once. From the March 2011 Tokyo EQ, aftershocks occurred from 30 minutes to 2 days after the main EQ so do not immediately relax and think <i>It's over</i>. </span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><i><span lang="EN-US" style="font-size: 14pt;"> Outside: </span></i></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">In Tokyo March 2011 on the first day all trains and buses were stopped for hours to a day and taxis very hard to get and stuck in traffic. Even 4 days later there was no petrol at the pumps so do not depend on cars driving for evacuation. If on foot outside, move away from falling-from-above things and lie on the ground till the EQ stops. If you are driving a car, drive off a bridge, overpass or elevated highway and, as soon as you are off the dangerous elevated area or out of a dangerous tsunami-prone lowland area, park on the side of the road away from cliffs or any overhead object, and sit in your car listening to radio news.</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> From Kobe 1996 and Northeast Japan March 2011:</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> Death and injury could have been prevented had resident inspected his home for falling-on-head furnishing like TV set above sleeping head (common in Japan where people sleep on the floor) and positioned it more safely. Fires caused most deaths in Kobe; 95% would have been prevented if homeowners had simple firefighting material, like buckets of water, laid away, and if, at the start, had directed attention to putting out home and building fire while still small and controllable. Relating to that was the danger of keeping easily toppled or broken container of flammable liquid fuel at home.</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Click on the following for a very updated view of the EQ risk and it might mean to you and yours: </span></b></span><br />
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<a href="http://www.newyorker.com/magazine/2015/07/20/the-really-big-one">The Earthquake That Will Devastate Seattle - The New Yorke</a>r</h3>
<b><span style="font-family: "arial";"><i><u>Nuclear Meltdown</u></i> was a particular aspect of the NE Japan EQ of March 2011. </span></b><b><span style="font-family: "arial";">Tokyo 250 Km away experienced risk-raising rises of radiation even 5 months after. So it is useful to get a practical handle on the measure of radiation risk, which is radioactivity reported in counts per minute (CPM). T</span></b><b><span face=""arial" , "helvetica" , sans-serif"><span lang="EN-US" style="color: black; font-size: 12pt;">he CPM needs to be converted into a measure you can relate to radiation risk and that measure is the<i> microSievert.</i> A Geiger counter clicking at 100 cpm is estimated to measure human exposure to 1 microSievert of potentially harmful radioactivity per hour. </span></span></b><span face=""arial" , "helvetica" , sans-serif"><b><span lang="EN-US" style="color: black; font-size: 12pt;">Normally all over Earth, the background radioactivity from natural sources will give a Geiger-counter measure of 10 to 15 cpm depending on various factors related to the location. </span></b></span><br />
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<b style="mso-bidi-font-weight: normal;"><span face=""arial" , "helvetica" , sans-serif" style="color: black; font-size: 12pt;"> On <span lang="EN-US">20 March 2011 in Tokyo, Geiger counters recorded 12 to 20 cpm from various locations. Using the above 100 cpm = 1 microSievert, a Geiger counter showing 20 cpm is showing radioactivity of 1/5<sup>th</sup> microsievert per hour.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span face=""arial" , "helvetica" , sans-serif" lang="EN-US" style="color: black; font-size: 12pt;"> Exposure to 12,500 microsievert increases cancer risk in a 1000-person population at risk by one case compared to no exposure. </span></b><span face=""arial" , "helvetica" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: black; font-size: 12pt;">Therefore a Geiger counter showing 20 cpm such as we saw in Tokyo a week after the partial meltdown, would require 7 years continuous exposure to cause one extra case of cancer per thousand at risk. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: black; font-size: 12pt;">At 5X that rate, or a Geiger counter showing 100 cpm, it would take 1.5 years to cause the extra case of cancer.</span></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span face=""arial" , "helvetica" , sans-serif" lang="EN-US" style="color: black; font-size: 12pt;"> From this estimation comes the rule that a count below 50 cpm is a low worry and a count between 50 and 100 cpm is a reason for evacuation of pregnant women and persons under age 30. Over 100 cpm is a reason to evacuate quickly before the panic hits.</span></b></div>
<span face=""arial" , "helvetica" , sans-serif"><b> As soon as a major nuclear accident has become apparent, if you have children or pregnant persons at home, consider evacuation plan (Use internet Geiger counter cpm as a panic button control) because, within days, evacuation will be very difficult due to clogged transport from road to the airport. Those who stay behind, in the large cities especially, should not panic<span face=""arial" , "helvetica" , sans-serif">.</span> If you followed my instructions, you'll already have 5 days food and water. (It is useful ahead of time also to have a supply of activated charcoal powder, to further purify water of its radioactivity)</b></span><br />
<b><span face=""arial" , "helvetica" , sans-serif"> Listen to the radio. But do not necessarily believe reassurances. (Government reassurances in March 2011 turned out mostly wrong) Finally, do not become paranoid about radioactive contamination. If you are 250 km or more away from a nuclear meltdown, the levels of increased radiation in air, food, and water will not make you sick in even the medium term (weeks to a year). The risk is for long term radiation effect - leukemia, thyroid cancer and lesser risk for other cancers after 20 years. </span></b><br />
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><u>Natural Catastrophe, Long Term Planning:</u> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i>Earthquake, cliff and mudslide, a downstream deluge from a broken dam, riverside overflow, volcano eruption, tornado, nuclear plant meltdown or accident, and global warming </i>ought to be on the mind of anyone planning home-building or living-place change. An important point ought to be putting one’s home or living place out of harm’s way. Check on Internet the major EQ-faults, find out the tornado-dense area of </span></b><country -region="-region"><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">U.S.</span></b></place></country><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> (middle-America around </span></b><state><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Mississippi</span></b></place></state><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> River), and as 21st century moves on, prefer high latitude north or south to low latitudes. If living or planning to live by the seashore, coastal flats or on a small island, consider the rising sea level. And stay at least 250 km from nuclear plants. Obviously, many cannot change where they live; just as many can. Doing it well makes for a built-in happy life. One of the safest, healthiest urban areas in the 21<sup>st</sup> century is going to be </span></b><city><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Winnipeg</span></b></place></city><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> </span></b><country -region="-region"><place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Canada</span></b></place></country><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> and its surroundings. Another is the Russian Far East around Khabarovsk<i>. </i>And Australia, New Zealand, Chile & Argentina (the Latin countries have a problem of political instability).</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">A natural catastrophe that is slow burning is <u><i>contamination of the water supply</i></u> (cf. the 2015 Flint Michigan water supply contamination with toxic lead Pb levels and other contaminants due to switching the city's supply to the Flint River for economic advantage) which also emphasizes the importance of personal & family water supply by filtered purified systems. </span></b></span><br />
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<b><span style="font-family: "century";"><i><u><span style="font-size: large;">Lightning Accident:</span></u></i><span lang="EN-US" style="font-size: 14pt;"> </span><span lang="EN-US" style="font-size: 14pt;">The most intense concentration of cloud-to-ground killing lightning occurs </span><span lang="EN-US" style="font-size: 14pt;">in central Florida USA</span><span lang="EN-US" style="font-size: 14pt;">,</span><span lang="EN-US" style="font-size: 14pt;"> rate 13 times more than the USA Pacific northwest rate, which has damp air but lower temperature and sees almost no lightning. Mountain valleys also have high risk; Mt. Blanc in the French Alps is the highest risk. Don’t stand under a tree in a rainstorm; when golfing, immediately head off the green. Caught in open, curl up on the ground on a side with legs together. A swimmer is a sitting (swimming) duck for a lightning hit, usually death-dealing. Airplane with a non-metal surface (small private type) is at risk for lightning fatality.</span></span></b><br />
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<span style="font-family: inherit; font-size: large;"><b style="text-indent: 13.75pt;"><u>Roller Coaster Rider and Other Acceleration Brain Hemorrhage and Aerobics Spinal Cord Hemorrhage</u></b><b style="text-indent: 13.75pt;"><span style="font-family: inherit;">:</span> A 44-year-old man rode one of the world's fastest roller coasters and, shortly after, started complaining of headaches. After 3 months he got CT scan of the skull that revealed previous bleeding, the result of sudden high acceleration torsion on arteries feeding the brain from the inner skull. The neurosurgeon made bilateral burr holes in the skull and took out a liter of old blood fluid that had been deforming the brain, and, following that, the chronic headaches stopped. Inside the skull, bleeding occurs in persons over 65 usually due to direct accident head-bang trauma. This case could have only been caused by the roller coaster ride. Acceleration injuries might also occur after high dives or in aircraft that are engaged in avoidance maneuvers. Particularly at risk are those <span style="font-family: inherit;">taking daily aspirin, coumadin or other anticoagulants to prevent blood clot illnesses.</span></b></span><br />
<b style="text-indent: 13.75pt;"><span style="font-family: inherit; font-size: large;"> Aerobics led to a spinal cord hemorrhage that caused a paraparesis (a right & left lower extremit<span style="font-family: inherit;">i<span style="font-family: inherit;">es</span></span> loss of power and feeling) with loss of bladder control in a 20-year-old woman. The symptoms started immediately after an aerobics session. An MRI showed the woman had an arteriovenous malformation of the spinal cord which set her up for a hemorrhage caused by the torsion of the aerobics back-bending exercise. From this case, we advise MRI of the spine <u style="font-style: italic;">before</u> starting an aerobics program. It could have picked up the AVM before the hemorrhage occurred and allowed it to be treated to prevent the future risks of hemorrhage and paraparesis. A negative MRI could reassure a person starting aerobics that no such risk exists. Anyone taking anticoagulant like Coumadin (Warfar<span style="font-family: inherit;">in) and evening occasional aspirin should avoid the above activities.</span></span></b></div>
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<b style="text-indent: 10.5pt;"><span style="font-family: inherit; font-size: large;"> Flash! The exercise-treadmill injury of <i>Facebook </i>executive Sheryl Sandberg's 47-year old husband, Dave Goldberg, points the importance of not doing that kind of exercise alone. He apparently fell off the exercise treadmill, struck his head, and over the next several hours bled to near death (and died in emergency shortly after) because nobody else was in the room to rescue him. </span></b></div>
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<span style="background-color: white; text-align: left;"> </span>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4839604317339966579.post-11633237948928844262010-09-23T09:16:00.025+09:002021-10-24T10:43:13.277+09:001.13 Traveler Stay Well/Medical Problems Abroad/Medical Repatriation.<b><span lang="EN-US"><span style="font-family: "century"; font-size: x-small;"><i>Physician's Notebooks 1 - </i>http://physiciansnotebook.blogspot.com - See <i>Homepage</i></span></span></b><br />
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><span class="Apple-style-span" style="font-size: large;"><b>⑬Travel Health - Update 24 Octr 2021</b></span></span><div>
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><span class="Apple-style-span" style="font-size: large;"><b> These are headings in descending order of appearance. Use search & find or scroll down to each.</b></span></span><br />
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><span class="Apple-style-span" style="font-size: large;"><b> <i><u>To Travel or Not</u></i> </b></span></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><span class="Apple-style-span" style="font-size: large;"><b><i><u>A Vignette of <span style="font-family: "times" , "times new roman" , serif;">Travel to Chaingmai Thailand</span></u></i></b></span></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><span class="Apple-style-span" style="font-size: large;"><b><i><u><span style="font-family: "times" , "times new roman" , serif;"><b><span face=""arial" , "helvetica" , sans-serif" style="font-size: large;"><i><u>Further About Thailand</u></i> </span></b> </span></u></i></b></span></span></div><div style="text-align: center;"><span style="font-family: times, times new roman, serif; font-size: large;"><b><i><u>But ... three cheers for Thailand<br /></u></i></b></span>
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><span class="Apple-style-span" style="font-size: large;"><b><i><u><span style="font-family: "times" , "times new roman" , serif;"><b><span style="font-family: "times"; font-size: large;"><i><u>Making Healthier Travel Choices</u></i></span></b> </span></u></i></b></span></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><span class="Apple-style-span" style="font-size: large;"><b><i><u><span style="font-family: "times" , "times new roman" , serif;"><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><i><u>Environmental Antigens Causing Illness</u></i> </b></span> </span></u></i> </b></span></span></div>
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><span class="Apple-style-span" style="font-size: large;"><b><i><u>Airport Body Scan X-ray</u></i></b></span></span><b style="font-family: times, "times new roman", serif;"><i><u>A surprisingly dangerous travel place</u></i></b></div>
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<b style="font-family: Times, "Times New Roman", serif; font-size: x-large;"><u><i>Health Information for International Travel </i>(HIFIT)</u></b><br />
<b style="font-family: Times, "Times New Roman", serif; font-size: x-large;"><u>New Dengue Fever Vaccine <span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><br /></b></span> <span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><u>Medical Advice & Insurance<i>; Emergency Assistance Japan</i></u></b></span> </u></b>
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<b style="font-family: Times, "Times New Roman", serif; font-size: x-large;"><u><i>National Difference in Healthcare</i></u></b>
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<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><i><u>Jet Flying Risks</u></i></b></span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><i><u><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><i><u>Health Problems on Intercontinental Jets</u></i></b></span> </u></i></b></span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><i><u><b><span style="font-size: large;"><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><u><i>No surgical procedures shortly before flying off on a trip</i></u></span></span></b></u></i></b></span></div>
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<b><span style="font-size: large;"><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><span style="font-size: x-large;"><i style="text-decoration: underline;">Specific Illnesses Experienced on Trips</i></span> </span></span></b></div>
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<b><span style="font-size: large;"><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><u><i>Upper Respiratory, Gastro-Intestinal , Urology, Psychiatric, Allergy & Skin Rash, Head & Face, Heart & Blood Vessel, Joint & Bone, Back & Neck, Accident & Trauma, Rectal, Obsterics & Gynecology, Lung & Bronchial, Neurological, Pediatrics</i></u></span></span></b></div>
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<b><span style="font-size: large;"><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><u><i>Special Requests for Hotel Visits</i></u></span></span></b></div>
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<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><i><u>Advice </u></i></b></span></div>
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<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><i><u>Hi Altitudes</u></i></b></span></div>
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<b><span style="font-size: large;"><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><u><i>Medical Repatriation</i></u></span></span></b></div>
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><span class="Apple-style-span" style="font-size: large;"><b> </b></span></span></div>
<b><span face=""arial" , "helvetica" , sans-serif" style="font-size: large;"><u><i>"To Travel or Not</i></u> to Travel?" The question is especially for persons who suddenly come into much money (inheritance) or oldsters who have accumulated too much money in a long life. To answer it, the following formula should be attended to:</span></b><br />
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<i><b><span face=""arial" , "helvetica" , sans-serif" style="font-size: large;">Too much money + limited life or poor education = unintelligent travel to bad-for-health places.</span></b></i><br />
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<b><span face=""arial" , "helvetica" , sans-serif" style="font-size: large;">If health justifies travel, ask: "Why a trip?" Think of alternative: "Why not spend summer to write a book or paint or study or to live in a nearby rural area observing natural life?" A trip has risks and the tripper may be an ill-informed <i>monkey see, monkey do</i>.</span></b><br />
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><span class="Apple-style-span" style="font-size: large;"><b><i><u>A Vignette of <span style="font-family: "times" , "times new roman" , serif;">Travel to Ch<span style="font-family: "times" , "times new roman" , serif;">iangm</span>ai Thailand</span></u></i><span style="font-family: "times" , "times new roman" , serif;"><span style="font-family: "times" , "times new roman" , serif;"> A young woman,<span style="font-family: "times" , "times new roman" , serif;"> with a 2-year-old child and<span style="font-family: "times" , "times new roman" , serif;"> at the start of 2015 living in New <span style="font-family: "times" , "times new roman" , serif;">Y</span>ork City, <span style="font-family: "times" , "times new roman" , serif;">came into a</span> <span style="font-family: "times" , "times new roman" , serif;">high </span>dollar inheritance. <span style="font-family: "times" , "times new roman" , serif;">S</span>uch an amount of money <span style="font-family: "times" , "times new roman" , serif;">went to her head, caus<span style="font-family: "times" , "times new roman" , serif;">ing her<span style="font-family: "times" , "times new roman" , serif;"> </span>to decide to relocate her family in Chiangmai. Actually, she had little idea about Thailand and especially Chiangmai and was going by an adventurous feeling to "try out" a<span style="font-family: "times" , "times new roman" , serif;">n</span> exotic place. In March she purchased a <span style="font-family: "times" , "times new roman" , serif;">car, and in <span style="font-family: "times" , "times new roman" , serif;">June<span style="font-family: "times" , "times new roman" , serif;"> she<span style="font-family: "times" , "times new roman" , serif;"> <span style="font-family: "times" , "times new roman" , serif;">relocated </span>with family to Ch<span style="font-family: "times" , "times new roman" , serif;">iangmai where they rented a house and <span style="font-family: "times" , "times new roman" , serif;">cheaply got servants. <span style="font-family: "times" , "times new roman" , serif;">She <span style="font-family: "times" , "times new roman" , serif;">used the car to drive into the city where she t<span style="font-family: "times" , "times new roman" , serif;">ook</span> lessons in the Thai language. <span style="font-family: "times" , "times new roman" , serif;">The major health problem, which she was not aware of, is that she had relocated to <i>the</i> most air-polluted place on Earth with part<span style="font-family: "times" , "times new roman" , serif;">iculate levels during <span style="font-family: "times" , "times new roman" , serif;">the early part of each y<span style="font-family: "times" , "times new roman" , serif;">ea</span>r 7 times above New <span style="font-family: "times" , "times new roman" , serif;">York City, <span style="font-family: "times" , "times new roman" , serif;">because <span style="font-family: "times" , "times new roman" , serif;">of </span>a combination of farm crop burning and fossil fuel burning. <span style="font-family: "times" , "times new roman" , serif;">And the Chiangmai government has advised all inhabitants against bringing in fossil-fuel bu<span style="font-family: "times" , "times new roman" , serif;">rning conveyances but here sh<span style="font-family: "times" , "times new roman" , serif;"><span style="font-family: "times" , "times new roman" , serif;">e</span> and family are, foreigners, <span style="font-family: "times" , "times new roman" , serif;">ignoring that advice and further polluting their area. <span style="font-family: "times" , "times new roman" , serif;"><span style="font-family: "times" , "times new roman" , serif;"><span style="font-family: "times" , "times new roman" , serif;"><span style="font-family: "times" , "times new roman" , serif;"><span style="font-family: "times" , "times new roman" , serif;"><span style="font-family: "times" , "times new roman" , serif;">For <span style="font-family: "times" , "times new roman" , serif;">an</span> adult, it will be ba<span style="font-family: "times" , "times new roman" , serif;">d enough but for a child, one can foresee a<span style="font-family: "times" , "times new roman" , serif;">sthma and chronic obstructive pulmonary disease. <span style="font-family: "times" , "times new roman" , serif;">There are many other problems which include the child's language acquisition, the high crime, kidnapping and <span style="font-family: "times" , "times new roman" , serif;">accident </span>rate, and the exotic and very dangerous infectious diseases but the lesson to learn here is to a<span style="font-family: "times" , "times new roman" , serif;">lways critically review your own or close family member's desire for travel from a good health point of view. And especially be careful<span style="font-family: "times" , "times new roman" , serif;"> w<span style="font-family: "times" , "times new roman" , serif;">hen a large amount of money falls into one's hands.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></b></span></span><b> </b><br />
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<b><span face=""arial" , "helvetica" , sans-serif" style="font-size: large;"><i><u>Further, About Thailand:</u></i> The sex tours to Bangkok are stimulated by the natives forced by poverty to sell themselves to tourist with the result of sexually transmitted disease led by HIV/AIDS. (Similarly Brazil, India, African countries, et al. with street crime too) And do not use the rotten reason, “Too late to change mind, I already saved up." Avoid doing a trip just because you have money. You'll do better watching an internet travel video in the inexpensive safety and comfort of home than by risking health on a dumb trip to a place you know nothing about and are not going to learn about on a few expensive tourist-trap days.</span></b><br />
<b><span style="font-family: "times"; font-size: large;"> <i><u>Making Healthier Travel Choices</u></i> What strikes me, in contemplating the preferences of trippers is how much great beauty, superb sources of Earth knowledge, and healthful bargains of vacation travel near home get missed. Americans, and others too, will enjoy more, stay healthier, get richer and become wiser, touring the cleaner, more interesting areas in the USA, while, in Japan, you can enjoy beautiful historic places without the usual risks of tourism. Don’t be fooled by prices. Visiting Bangkok may be dirt-cheap (Yeah, dirt!), but it costs more in bad health and shortened life.</span></b><br />
<span class="Apple-style-span" style="font-family: "times"; font-size: large;"><b> If you must do a foreign tour, prefer to go where a local acquaintance can be your guide. </b></span><b style="font-family: Times, "Times New Roman", serif; font-size: x-large;">Red-marked ‘No Tourism’ should be areas that have m</b><b style="font-family: Times, "Times New Roman", serif; font-size: x-large;">alaria or yellow or dengue fever (Flash! Nov. 2015! Dengue fever cases in Hawaii!), spring-summer brain fever and insect-bite encephalitis, cholera, typhoid, typhus, and infectious meningitis.</b></div><div><span style="font-family: Times, Times New Roman, serif; font-size: large;"><b> But I said some negatives that may prejudice you about Thailand. Actually it can be a fine educative trip. Two of my grand nephews recently visited and helped by my cautionary advice actually had a wonderful trip in a wonderful town (Bangkok) One found a lovely wife who is with him now in NYC and the other fell in love the country, so much so that he was willing to undergo the 14-day quarantine for his current trip. So, three cheers for Thailand. Don’t let me turn you off.</b></span></div><div>
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> <i><u>Environmental Antigens Causing Illness</u></i> Consider possibilities of environment antigen setting off an internal allergy. A 21-year-old developed a severe Rheumatoid Arthritis due to a several-month stay in India that put her in touch with RA-stimulating antigen, or a more delayed effect as in a middle-aged Japanese who developed a disease that destroyed his lungs because he spent time in Brazil where he contracted a parasite his body was not used to.</b></span><br />
<b><span face=""arial" , "helvetica" , sans-serif" style="font-size: large;"><br /></span></b> <b><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><span style="font-size: large;"><u><i>Airport Body Scan X-ray</i></u> in the USA: two types.</span></span></b><br />
<b><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><span style="font-size: large;">One is called <i>Back-Scatter Scanner </i>that looks like 2 blue boxes you pass between and stop to get scanned. The scan gives a dose of x-ray that ups the risk for leukemia and other cancers and the risk increases each time you get a fresh scan. The risk is greatest for pregnant women, children, non-pregnant, fertile women, and frequent travelers. If you want to avoid it,<i> </i>just say to the TSA checker, "I want to opt out of the body scan," in a quiet, friendly voice and they will arrange for a body pat down with no harassment.</span></span><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"></span></b><br />
<b><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><span style="font-size: large;"> The other type scan is called the <i>Millimeter Wave Scanner. </i>It looks like a round glass phone-booth with open ends at entry and exit and you are asked to stop and make a right face and raise your arms above head for the scan. It poses no risk for cancer or any other illness. But you may also opt out with no sweat.</span></span></b><br />
<b><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><span style="font-size: large;"><br /></span></span></b> <span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><u><i>A surprisingly dangerous travel place</i></u> is Hawaii, especially the island of <i>Maui</i> because of swimming accident. </b></span><b><span style="font-size: large;"><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><br />
</span><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"> </span><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"> </span><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"> </span></span></b><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><br /></b></span> <span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b>The book<i> <u>Health Information for International Travel </u></i><u>(HIFIT</u> or <i style="text-decoration: underline;">the Yellow Book</i><u>)</u> is a gem (superb on immunization and infectious disease). Updated every two years </b></span><b style="font-family: times, "times new roman", serif; font-size: x-large;">may be obtained from <i>Oxford University Press</i>.</b><br />
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<b style="font-family: Times, "Times New Roman", serif; font-size: x-large;"><u>New Dengue Fever Vaccine</u> (CYD-TDV) is a live dengue virus that is given in 3 shots at 0, 6 and 12 months with about 80% protections and is available in Indonesia, Mexico and Philippines at present. It is only useful for foreign guests or workers in a country that has endemic Dengue Fever mosquitoes. </b><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><br /></b></span> <span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><u>Medical Advice & Insurance<i>; Emergency Assistance Japan</i></u> Getting expert assistance is a trip & life saver. First, telephone in Tokyo (03) 3811 8124 or email <u><i>opstokyo@emergency.co.jp</i></u> . In major hotels, ask the lobby manager for medical referral and prefer to visit medical university emergency room rather than have a doctor in the hotel. </b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> And, last but not least - Me ! I have the 24-hour <i>Night & Day Medical Advisory</i>; just telephone me on my mobile at 080 5034 9898 (Also from USA, 1 702 234 1015), for advice or care, or text me by email <u style="font-style: italic;">edwardstim-eaj@softbank.ne.jp</u> or <i><u>valvalue@gmail.com</u></i>.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> A Tripper at risk should get travel insurance that will cover the cost of air ambulance back to home country, usually $500,000 (A one-week trip policy cost is trivial).</b></span><br />
<b><span style="font-size: large;"><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><br /></span></span></b> <span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><i><u>National Difference in Healthcare</u>:</i> The U.S., the U.K., and Commonwealth, northwestern Europe (France, Germany, Benelux, and Scandinavia), Japan and Israel give access to good medical care. In other places, the risk is high of acquiring HIV, hepatitis virus, mad cow disease by contaminated needle and surgical instrument or blood product infusion. (Because of the high rate of infected donors coupled with the low standard of training)</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> If you plan a trip to a bad place, be sure you do not have badly low red blood cell anemia (reduce the need for transfusion), try to avoid injection, be afraid of surgery and be ready to fly out at once if it becomes a possibilit<span style="font-family: "times" , "times new roman" , serif;">y</span>. Some countries you want to get out of quickly if seriously ill are Philippines, most of Central and Latin America. all of central and Sahara Africa, India and Pakistan and SE Asia except Bangkok and Singapore.</b></span><br />
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<b><span style="font-size: large;"><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"> </span><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"> </span><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"> </span></span></b><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><u><i>Jet Flying Risks:</i></u> Intercontinental jets cruise at c.3<span style="font-family: "times" , "times new roman" , serif;">6</span>,000 feet for 12 to 15 hours; </b></span><b style="font-family: Times, "Times New Roman", serif; font-size: x-large;">the cabin is pressurized equivalent to 5000 to 8000 feet altitude, which causes a drop of oxygen in arterial blood that is tolerated if you are in good health.</b><br />
<b style="font-family: Times, "Times New Roman", serif; font-size: x-large;"> But if you have chronic lung disease or types of heart disease with lowered cardiac output or fixed slow heart rate, it is a risk.</b><br />
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><i><u>Health Problems on Intercontinental Jets</u></i>: Swollen feet and ankles are frequent. The final common pathway for ankle swelling during a jet trip is low air pressure. Typically both feet swell and near the end of flight after long sitting. More in women and in older persons. It may be a sign of a weak heart or kidneys. Preventive is to take 15-minute aisle walks. For a person getting it for first time and worried about heart or kidney disease, a blood test, and an EKG and echocardiogram should be done, preferably just before travel, but if not done then, on return from the trip.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> <u>Shortness of breath</u> on assuming high altitude is a sign of heart or lung disease or anemia or sudden lowering of cabin pressure and an attendant should be called.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> </b><u><b>Sudden ear pain</b></u><b> on ascent or descent is from pressure change; a remedy is to yawn or chew gum.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> Acute arthritis attacks big toe or knee in travelers who do not get up and walk the aisle several times during a 12-or-more hour intercontinental flight.</b></span><br />
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<b style="text-align: center;"><span style="font-size: large;"><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><u><i>No surgical procedures shortly before flying off on a trip</i></u></span></span></b><b><span style="font-size: large;"><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;">: Do not have surgical procedures that could cause bleeding within at least 1 month before a trip. I have seen several cases of hemorrhage either in flight or shortly after on a trip where the patients all had had surgical procedures within a week before the trip (prostate biopsy causing rectal hemorrhage, several cases of vaginal surgery causing vaginal hemorrhages). And of course everybody should get full Covid19 immunizations!</span></span></b></div>
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<span style="font-size: x-large;"><b><span style="font-size: medium;"><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><i style="text-decoration: underline;">Specific Illnesses Experienced on Trips</i> </span></span></b></span></div>
<b><span style="font-size: large;"><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"> The below comes from my statistics on a 10-year experience with tourist medical problems.</span></span></b></div>
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><u><i>Acute Upper Respiratory</i></u>: If you have flu, cold or grippe and younger than 65 without prior medical condition arriving at a hotel, try acetaminophen (Tylenol, Paracetamol, in Japan Karinaru) and go to bed, and you may feel better in an hour or two.</b></span><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> Otherwise, seek medical advice.<br />
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><br /></b></span> <span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><u><i>Acute Gastrointestinal (GI)</i></u>: Diarrhea with nausea and vomiting caused by bad bacteria in food or by viruses makes traveler miserable but is usually better after several hrs. A diabetic should call his home doctor because GI upset is a risk for diabetic acidosis. </b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> Black tarry stool or vomit that looks like coffee grounds or is blood, a yellowing of the skin, or a severe abdominal pain needs emergency care at once.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> Inability to evacuate hard feces that seems stuck in the rectum may be due to eating foods like pizza (or taking calcium or opioids). The remedy is to use a moistened, lubricated index finger in the rectum to help deliver the stool into the toilet bowl. This<span style="font-family: "times" , "times new roman" , serif;"> type of constipation is not essentially harmfu<span style="font-family: "times" , "times new roman" , serif;">l; it just slows the flow of stool</span></span>.</b></span><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><br />
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><br /></b></span> <span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><u><i>Urology</i></u>: Female cystitis causes painful frequent urination, with or without blood. It may be an infection or anything that irritates bladder outlet and urethra; most frequently heavy sex; otherwise, irritating soap in the bath (bubble bath cystitis), contraceptive irritation (jelly, diaphragm, IUD string), recent immunization, acute viral illness, and drug (chemotherapy cystitis). Cystitis can be a bloody bother for a tourist and she should look to possible cause in the previous 24 hours and be reassured as long as she stopped the activity. Take an acetaminophen pill and sit in a hot bath and urinate in the bath for relief. If taking a prescribed antibiotic for cystitis, be sure to bring it along.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> Urethritis in Men: If one sees a white creamy discharge, it is gonorrhea from sex. Syphilis does not give discharge and cannot be diagnosed by test until <i>chancre</i> sore appears (usually on sexual organ or lips or in the mouth a week or more after initial contact).</b></span><br />
<span style="font-size: large;"><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><b> Renal tract stone pain (renal colic) is on one side from mid-back and sweeps around lowest rib down lower abdomen going into a testicle in men. The pain pattern of spread is its most distinctive identifier. It comes in waves, builds to peak then recedes. The pain-free interval between attacks lasts a minute or two. At the start, the pain is slight discomfort located in the upper part of the back, loin, and flank. It can be confused with gallbladder attack if on right, or with early appendicitis. But within the hour the pains build up to typical, severe form. At worst, a sufferer can’t sit still and is doubled up. Untreated it lasts hours. Its cause is a small, stone passing from kidney to bladder.</b></span><b style="font-family: Times, "Times New Roman", serif;"> The problem is solved by getting strong pain-killer. Usually, it will take the edge off the pain and in several hours the stone will have passed into the bladder and will cause a brief episode of urethral pain when urinated. Watch the urine and, usually, you will see the stone.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> A stuck stone patient with diabetes or renal disease should see urologist quickly because of high risk for further damage to the kidney.</b></span><br />
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> A sudden swollen testicle noted on awakening, often painless, always disturbing is usually due to virus related to mumps. Go to the emergency.</b></span><br />
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><u><i>Psychiatric Illness</i></u>: </b></span><b style="font-family: Times, "Times New Roman", serif; font-size: x-large;">Hyperventilation panic is stimulated by chest pain, usually the night of arrival and typically involves a young man. Often it starts by doing too much ("A weekend warrior") like a recent case of a robust 20-year-old who did too many morning push-ups. The sufferer breathes overly deep, causing depletion of carbon dioxide in the blood and gets pins and needles feeling and twitches especially in the hands, a feeling of oppressed breathing and a panic. Resting by lying flat on back, for an hour will cure.</b><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> <u style="font-style: italic;">Psychosis</u><i>:</i> Stress of travel causes a psychotic break in one with incipient schizophrenia or past history of psychosis or borderline character disorder. Behavior is bizarre and heralded by undue suspicion, expression of weird ideas, and odd eating or sleeping behavior. Psychedelic medication may simulate psychosis. One (Travel companion) should stop the psychedelic, terminate the trip, and fly home for psychiatric care. One has to anticipate it based on observing early odd behavior. Once a tripper acts crazy he needs force.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><i> Factitious Symptom</i> is distinctive. <span style="font-family: "times" , "times new roman" , serif;">A t</span>ripper dramatically complains most often of back or belly pain or sudden inability to walk or speak. The symptom is not as important as the circumstance. With pain, there is lots of noise and it will be in a public place, like a lobby of a hotel or airport waiting room. A doctor is called and sometimes the sufferer ends up hospitalized. For a tour leader, the key is the secondary gain involved. (Termination of an unhappy tour, end of a love affair and need for instant separation, monetary gain or to escape payment of a bill or seeking a drug) The best thing a tour leader can do is to arrange emergency medical consultation to be certain nothing serious is going on, and then – alone with the tripper – find out what is being sought by the behavior. (Not by frank questions, but by indirection) Once you know the secondary gain sought, it can often be allowed without need for tripper to act out, e.g., a tripper who wants to end his tour should be assisted, an undesired flight reservation should have medical excuse so it can be canceled or changed without penalty, or for a drug addict, a doctor can supply the needed medicine.</b></span><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><br />
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><br /></b></span> <span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><i><u>Allergy & Skin Rash</u>:</i> Hives is an itchy rash of pale red flat spots and in a tripper is due to eating raw or poorly cooked shellfish or to chemical allergy. Hives without facial swelling is a minor complaint; gone in hours and the itch is easily self-treated by a cold shower. </b></span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> Very itchy, red elevation of skin in irregular geographic like patches is contact dermatitis from soap or plants (poison ivy). A corticosteroid ointment rubbed into the warm moist skin after a bath or shower will stop the itch almost at once and the rash will fade after 24 hours.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> Herpes Zoster (HZ, Shingles): Chickenpox-like rash (red spots becoming pustular) on one side of body in localized zone (along left or right rib, strip of arm or leg, or on side of forehead; even a few isolated spots but always one-sided) preceded by day of weird subsurface pain/discomfort in area where rash will erupt; it is localized recrudescence of chickenpox virus in cranial or spinal nerve root. Not infrequent in travelers. And it may call for an end to the trip because unsightly and uncomfortable and infectious on close contact of a person who never had chickenpox. To diagnose it from its weird pain pattern on the day before rash will protect traveler against surgeon misdiagnosis of appendicitis that has been made with right-sided abdominal HZ. Early treatment with antiviral acyclovir <i>(Zovirax) </i><span style="font-family: "times" , "times new roman" , serif;">or valacyclovir</span> may stop it.</b></span><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><br />
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><br /></b></span> <span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><i><u>Head &Face</u>:</i> Vertigo (dizziness) and nausea and vomiting after jet flight from air pressure change causing inflammation of the inner ear. Tripper arrives at his 1st destination and is suddenly hit by the vertigo and he vomits. The key that separates it from similar nausea/vomiting symptom of food poisoning or of cerebellum brain stroke is its extreme vertigo related to positions of the head and its lack of other sign or s<span style="font-family: "times" , "times new roman" , serif;">ymptom</span>. Nothing much helps but it improves day after day. Dizziness may remain for weeks and one learns to live with it. The anti-histamine treatment makes one drowsy and sluggish. No reason to stop trip but 1st night can be unpleasant.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> Face-aches or headaches are a problem when a tripper is not prepared with medication and far from usual medical care. </b></span><b style="font-family: times, "times new roman", serif;"><span style="font-size: x-large;">Here, having acetaminophen or another NSAI<span style="font-family: "times" , "times new roman" , serif;">D like Ibuprofen (Advil, Motrin) </span>is trip-saver for toothaches, earaches, weird facial tic pains, and headaches. Those who suffer from migraine and cluster headaches at home should come prepared with usual medication.</span></b></div><div>
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> Eye affliction of tripper is mostly a red eye, pinkeye or bloodshot eye due to a virus, air pollutant, or foreign body.<span style="font-family: "times" , "times new roman" , serif;"> Of course, remove foreign body and the<span style="font-family: "times" , "times new roman" , serif;">n</span></span> corticosteroid with antibiotic eye drops <span style="font-family: "times" , "times new roman" , serif;">help</span>.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> Nosebleed: If it does not stop quickly on pressure over nostrils, go to emergency room.</b></span><br />
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><u><i>Heart & Blood Vessel Illness</i></u>: Chest pain should be immediately checked in the emergency room. Ask for an ambulance.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> If you have risk or history of heart failure, get heart check before deciding on an overseas trip. Avoid strenuous all-day walking tour especially at end of the trip, when the heart will be weakest. </b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> Swelling of ankles at end of the day or at end of a jet flight, shortness of breath especially worse lying flat, increasing fatigue, and rapid heart rate at rest suggests a weakened heart. Do not make a trip if you have any of these symptoms, and check at once if they develop.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> Cardiac Arrhythmia or Abnormality of Heart Rate that is new should be treated as an emergency. Most common is atrial fibrillation. With chronic, persistent fibrillation in the traveler who is stable, on medication and has been checked by a cardiologist, a foreign trip may be OK.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> Fainting should be treated as an emergency and do cardiology exam.</b></span><br />
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><u><i>Joint & Bone Illness</i></u>; Vignette: Morning after an all-day walk you awake with exquisite pain in left foot big toe. The skin over the toe is red, swollen and painful on pressure or touch – so much so, you don’t want to cover it with a sock, much less shoe. Diagnosis is <i>gout</i>, a common affliction of travelers due to high blood uric acid. Combination of a long flight, hiking, and over-eating & drinking make gout common on a trip and bring on an attack, often a day after arrival at 1st destination. Acetaminophen (Tylenol or an NSAID) as a single adult extra-strength dose dissolved under the tongue or chewed may work wonders. Also, drink lots of water to dilute the high uric acid in the blood.</b></span><br />
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><u><i>Back & Neck</i></u>: In the usual case, a tripper arrives, and in hotel bends down to open valise and – Wham – a terrible twinge of pain strikes mid to lower back on one or both sides. The degree of disability ranges from a victim who will barely move for fear of agony to one who gets around by walking gingerly on toes. Acetaminophen extra strength 500 mg pill or other NSAID will help, hot shower is good, but massage or manipulation may be terrible. Patience is called for because the pain may take weeks to resolve. X-ray is no help unless there is a history of trauma or previous back surgery. Of course, if these do not relieve immediately seek physician consult </b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> A painful neck is one reason to include soft cervical collar in trip kit.</b></span><br />
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><u><i>Accident & Trauma</i></u>: Best preventive is to read my Accident chapters. Many accidents involve a tripper not watching where his feet are going. Band-aid is the remedy for a simple laceration. Seek emergency room care if in doubt.</b></span><br />
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><u><i>Rectal Illness</i></u>: All rectal illnesses I saw were painful swelling at or near the anus. A blood clot in hemorrhoid vein (acute hemorrhoid) and pus in swollen anal gland (rectal abscess) are conditions relieved and cured for the remainder of the trip by surgical scalpel incision in hospital emergency room. Occasionally they burst or are helped by a pleasantly hot salt bath. (Dump 2 cups of the salt in the bath; sit to 1 hour repeatedly). Stuck stool in rectum just above anal opening will be relieved at once by greased finger digital extraction.</b></span><br />
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><u><i>Obstetrics & Gynecology</i></u>: Preferred time in pregnancy to travel if one must is 4th to 6th month. Better yet - do not travel if pregnant because of increased cosmic rays at high altitude and x-ray from body search machine. Hotel calls on pregnant cases were for bleeding. If you are a pregnant case, in the early stage, get to the nearest ER for an ultrasound check for tubal pregnancy or miscarriage.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> Other gynecologic complaints are a discharge from yeast overgrowth or trichomonas infection, and hemorrhage from sexual defloration. Granted that virgin bed<span style="font-family: "times" , "times new roman" , serif;">-</span>maiden is rare nowadays; still, hotel-room maidenhead hemorrhage can be dramatic. A remedy that works is to pack a hand towel firmly into the vagina and have the victim lie abed for 1 hour with thighs together. Then leave the towel in overnight and remove in the morning in a bath. Big bleeding should go to the hospital at once.</b></span><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><br />
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><br /></b></span> <span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><i><u>Lung & Bronchial Illness</u>:</i> Rare because most lung illnesses cause severe coughs or shortness of breath and even the dullest person knows better than to travel. Asthma in young and emphysema in the old made all the cases I saw. Bronchial asthma tripper should come supplied with medicine, inhalant, and adrenalin. Severe emphysema = no air travel.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> My recent data highlights pneumothorax mostly in young man who coughs hard and gets a pain under rib, typically on a jet. A chest tube must be inserted quickly so it is always an emergency. Another may be a pulmonary embolus (PE) that typically afflicts a traveler coming off an intercontinental jet flight after sitting cramped in the seat for hours <i>(Economy seat syndrome).</i> When not an acute collapse, the sign of PE is a tendency to shortness of breath, a cough and a stitch type of chest pain during or right after the flight. Get to the ER immediately.</b></span><br />
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><u><i>Neurological Illness</i></u>: Brain strokes are terminators of trip due to brain hemorrhage, from a cerebral aneurysm due to high blood pressure in the middle-age population, or cerebral artery thrombosis due to hi-cholesterol-caused cerebral and carotid artery atherosclerosis in the oldest or from emboli from heart to brain, mostly due to atrial fibrillation in the youngest group. This leads to advice that a potential traveler with any suggestion of heart or blood vessel disease should make sure that high BP is checked and under control just before trip, and that heart has had evaluation with EKG and ECHO to be sure no atrial fibrillation (Persistent AF with rate control med and on anticoagulant like coumadin with INR 2 to 3 may be OK'd if the trip is important), and that one’s carotid and cerebral arteries are checked by ECHO Doppler and MRI of brain and also that blood LDL cholesterol is under 100.</b></span><br />
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><u><i>Pediatrics</i></u> included fever, bellyache, diarrhea, infant fall, chickenpox, nosebleed, and overdose with acetaminophen. Best not to take small children on overseas trips.</b></span><br />
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<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><u><i>Special request for hotel visits</i></u> that I noted over the years may tell a tripper what he should bring to avoid paying for what is suddenly needed. In my series, replacement of lost or forgotten medicines included anti-biotic, -hemorrhoid, -pain, -malarial, -intestinal-wormer, -viral, -gout, -coagulant, -asthmatic, and –hypertensive; as well as sleep, cardiac and diuretic medication. An injection was requested by a few and included anti-allergy (Traveler bringing own desensitization shot and needing a nurse to inject), antibiotic, narcotic, diabetic, fertility hormone, tetanus immunization, and Vitamin B12. Testing was requested rarely for urinalysis, glucose, cholesterol and uric acid blood and pregnancy; also for an introduction to non-M.D. health practitioner (acupuncture, physiotherapist, and dentist). Stitch removal, dressing change from recent surgery, and morning-after contraception also requested, and one traveler got her wedding ring stuck on a finger in flight and had to have the ring cut off.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><br /></b></span> <span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b>Which Brings on the Following <u><i>Advice</i></u>:</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b>*Carry an extra set of medication in a pocket separate from luggage.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b>*Take on the trip, a urine dipstik test, diabetic finger-stick blood test kit and pregnancy test, appropriate to the situation.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b>*If you will need stitch removal or dressing change you can’t manage alone, pre-arrange with the hotel to have nearby hospital ER take care of it.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b>*If appropriate, carry contraceptive and STD protector (condom for men and women – the woman should have it in case sex partner does not) or morning-after pill.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b>*If you wear rings on fingers, check for tight fits but best not to wear rings on the trip.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b>*If you have a potential surgical condition that could become emergency (a hernia, gallstone, bleeding) don’t make the trip until you get it attended to (at least surgeon opinion). If you must travel with such condition, be knowledgeable and have a game plan what to do if it becomes an emergency.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b>*Most hotel medical calls are on the day of arrival when tripper is worn out. Try to avoid medical visit then. A symptom that worried you the night before will often be going gone (disappearing) morning after.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b>*Tripper with special susceptibility (diabetic, heart, and lung, over 65, pregnant, immune deficient, chronic illness) should seek medical advice quickly if doubtful symptom or sign; also anyone complaining of chest pain, faintness or fever above 39 degrees C. But go to an ER recommended by your hotel manager. Get immunizations, esp. flu in season and, now, Covid-19 if available.</b></span><br />
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</span><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"> </span><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"> </span><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"> </span></span></b><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><u><i>High Altitudes</i></u>: Above 8,000 feet, high the partial pressure of oxygen is low enough to cause respiratory distress even in persons with normal heart and the lungs, if they even moderately exert themselves. Up to 12,000 feet (c.3,636 meters; The Rocky Mountains highest pass) is borderline tolerable as long as no exertion and normal heart and lungs. Above 12,000 feet, high-altitude sickness gives risk to life. I do not advise it without careful consultation and consideration and oxygen tank. Headaches and shortness of breath are the first sign, immediate rest the treatment, and breathing pure oxygen the cure of serious symptom.</b></span><br />
<b><span style="font-size: large;"><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><br />
</span><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"> </span><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"> </span><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"> </span></span></b><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><u><i>Medical Repatriation </i></u>with Doctor and/or Nurse is provided by Emergency Assistance Japan worldwide (See above heading </b></span><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b><u>Medical Advice & Insurance<i>; Emergency Assistance Japan</i></u><i> for contacting EAJ)</i></b></span>. I can arrange it too; just call me at 080 5034 9898. The guiding principle is: Will remaining under foreign medical care in particular country put a patient at greater risk of death or bad result than immediate return? Acute appendicitis in Russia is a reason for instant evacuation to a country with better surgical facilities; while same illness to the same tripper in France or Japan is most safely dealt with leaving the patient in place to be operated. The Philippines has poor medical care; you do not want to be stuck there, seriously ill.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> Repatriations differ in complexity. At simplest is medical escort where the patient sits with a physician or nurse. Medicated psychotic break or orthopedic case needing rapid non-emergency surgery is good there. For tripper who gets ill in Africa: get back to one's home place if the home is Western Europe, Japan or North America and, if it needs doctor repatriation not normally called for, request it. Excepting Johannesburg and <i>Reunion</i> in the Indian Ocean, Africa is a disaster zone for medical care and a place to fly from when illness hits or is anticipated.</b></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> Next level is stretcher case: 8 to 10 seats taken out of the economy seat section (and must be paid for one-way) and stretcher substituted. Not so desperately ill that it needs ICU yet ill enough to need a bed with doctor and nurse. In this set is the recent stroke, orthopedic case that can’t sit, or case with pain, vomiting or diarrhea. </b></span><br />
<span style="font-size: large;"><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><b> The highest cost is air-ambulance, with its medical team for evacuation with myocardial infarction, coma, acute stroke with breathing and swallowing problem, or in shock. Air ambulance repatriation is often from a country with primitive medical care where even if the medical case is risky to repatriate, it is even more risk to leave for treatment. Also from an out-of-way place that has no easy commercial aircraft connections. </b></span><span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><b>The patient who will benefit is on verge of, or just needing ICU care or surgery and where home-country will improve chance.</b></span></span><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif; font-size: large;"><b> In traveler involved in sudden serious illness or accident, a window of opportunity may be recognized during which well<span style="font-family: "times" , "times new roman" , serif;">-</span>supervised repatriation can deliver the patient to hospital in home area in no worse condition than he was on leaving hospital in foreign country where he became ill; but, if quick decision is not made, the window shuts and the traveler is doomed with the choice of staying where he will get inferior care or being repatriated by air ambulance at terrific expense and risk of condition being worsened. Because it requires at least 2 to 3 days to get moving, those responsible for the patient have got to be thinking it and getting it moving from the earliest moment of illness or accident. If there is the slightest question of your health, get travel m<span style="font-family: "times" , "times new roman" , serif;">edical insurance</span> that will cover costs of air ambulance b<span style="font-family: "times" , "times new roman" , serif;">efore you travel. </span>For a patient, friend or family, one may get in touch with the medical assistance company: Emergency Assistance Japan Co. Ltd, Operation, attention Dr Kawai. Or just call me at 080 5034 9898</b></span><b style="font-family: times, "times new roman", serif;"><span style="font-size: large;"><a href="mailto:perry3505@hotmail.com">.</a></span></b><br />
<span class="Apple-style-span" style="font-family: "times" , "times new roman" , serif;"><b> To read next now, click <a href="http://physiciansnotebook.blogspot.jp/2010/10/chapter-everyone-need-read.html"><span style="color: #2288bb;">1.14 The Scientific Method - What? Why a Need? The...</span></a></b></span></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4839604317339966579.post-85993593527717889492010-09-23T09:15:00.013+09:002021-10-25T20:47:03.461+09:001.14 The Scientific Method - What? Why a Need? The Science Civilization<div class="MsoNormal" style="margin: 0mm 0mm 0pt;">
<b><span lang="EN-US"><span style="font-family: "century";"><span style="font-size: x-small;"><i>Physician's Notebooks 1 </i>- http://physiciansnotebook.blogspot.com - see <i>Homepage</i></span> </span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span face=""ms 明朝"" style="font-size: 16pt;">⑭</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century";">Scientific Method, You, and the Science-Civilization</span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">Update: 25 Octr 2021</span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">The two main sections of this chapter are the just-below example of the scientific method in action and the <u style="font-style: italic;">Relevance of the Scientific Method to your life</u>.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"><span style="font-size: large;">Readers should know the Scientific Method of establishing facts. A scientist is anyone who uses the method. A non-scientist believes what seems reasonable when received in writing or in being told by those in authority. Whether it is a belief in religion or ideology or technology or any so-called fact, the approach that separates the scientist from the non-scientist is that the scientist has to be shown and have it proven, not told. The scientist is a doubter of everything until it has been put to test by the Scientific Method.</span></span></span></b><span style="font-size: large;"><br /></span><br />
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century"; font-size: large;">I put the Scientific Method into 4 steps: </span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century"; font-size: large;">1. Observation and recording.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century"; font-size: large;">2. Within particular observation, seeing a pattern and expressing that pattern as tentative fact or rule pending testing. This is called “hypothesis.”</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century"; font-size: large;">3. Testing the hypothesis by experiment, making predictions that follow from assuming the hypothesis to be correct and comparing the experimental result with what you might expect if the hypothesis is not correct (<i>null hypothesis</i> comparison) and using statistical method to ascertain that the difference between a result based on a hypothesis's being correct and the null hypothesis is a real difference and not one due to chance.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century"; font-size: large;">4. Either discarding the hypothesis because it does not test out or confirming it by repeat testing, which may cause the hypothesis to be modified or further added to.</span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century"; font-size: large;"><br /></span></span></b> <b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century"; font-size: large;"> Once a hypothesis has been firmly proven by testing, it becomes a scientific theory, and after many years of no exception to its rule a scientific law. Take gravity? We observe repeatedly that objects fall from heights. One of us, Sir Isaac Newton, makes a hypothesis, to explain objects falling; namely, </span></span></b><b style="mso-bidi-font-weight: normal; text-indent: 13.75pt;"><span lang="EN-US"><span style="font-family: "century"; font-size: large;">that Earth, a massive body, and smaller objects exert a mutual attraction based on their respective masses and distance from each other. This hypothesis gets tested over years by taking various objects of various mass and seeing whether or not they drop to Earth and also by astronomical observations. There are almost no exceptions. Thus the theory of gravity develops. In the early 1900s Albert Einstein modifies that theory to explain small exceptions in the data and his modification, the <i>theory of general relativity</i> proves out and is the one we believe today. I leave out huge detail because I wish to make the point and show the Scientific Method, not to prove the theory of gravity within general relativity. Today, our successful technology depends on the theory of gravity according to general relativity and every day its usefulness is proven as our rockets probe deeper into outer space.</span></span></b></div><div class="MsoNormal" style="margin: 0mm 0mm 0pt; mso-char-indent-count: .98; text-indent: 13.75pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century"; font-size: large;">(To the reader: It is not necessary to read the following smaller print section unless you need to know how scientists conduct and interpret experiments)</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"> Now allow me to go into the <i>nitty-gritty</i> of scientific method so a reader can understand how to use the tools. I take an experiment any reader can perform. The question is: Will drinking a cup of caffeine coffee increase one's heartbeat rate per minute or not? The non-scientist may say “Of course it will! Everyone knows that!” But the scientist is a doubting Tom who has to be shown by proof.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"> Let us take an easily determined measure, heart rate – the number of heartbeats in 60 seconds, or one minute (bpm)? The question is sharpened to: “What affect after one cup of caffeine coffee?</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"> Before plunging into the experiment we want to consider our method of obtaining data so as to really answer the question posed by the experiment. First, we do not want to depend on one or two bpm measurements to draw a conclusion. (Also not to depend on only one experiment as I do here, but I am just using this as one example) This is basic to every experiment because errors may occur in each series of the same measurement. In measuring bpm the examiner may lose accurate count over 60 seconds, a heart may skip beats, a bpm may vary. If we rely on just a few measurements, the probability of error is high. So we do multiple-measurements – here 5 repeated bpm at one go. </span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"> To get the average, or <i>mean</i> value of the set of measurements, sum 66 + 67 + 70 + 66 + 65 = 334 and divide by number of measurements (5). The <i>mean</i> = 334/5 = 66.8. Since heartbeat is a countable unit, it cannot be expressed as a decimal fraction so we round off the mean to 67 as the baseline mean of bpm under the resting condition against which all other bpm will be compared.</span></span></b><br />
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">The Control: In setting up experimental conditions, we want to be sure the difference between the average bpm measurement after drinking caffeine coffee compared to after not drinking caffeine coffee is due to the caffeine in the coffee and not to other factors. To mention a few: the act of drinking any fluid, especially, hot; the effect of other substance in the coffee; the psychological effect of just knowing one is drinking a brown fluid that may be coffee with caffeine even though it contains little or no caffeine (decaf). We could be very rigorous and set up a series of observations to control for the effects of all factors but to keep it simple I describe 3 experimental conditions that will answer the experimental question and include a control for the most important confounding factor.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">Baseline Measurement of bpm at Rest (Its data already shown above has given an average bpm of 67 bpm): Our baseline measurement is most important because it will serve for comparison. So we want to set baseline where the experimental subject will not be affected by the many factors other than caffeine in coffee that may influence bpm. We want the subject to be at rest without worry or tension. And we want no other food or drink or drug in his body. So we choose early part of the day, shortly after awakening and while still in bed when his mind will be at ease and stomach empty for several hours.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">Setting proper conditions for measuring baseline bpm is the experimental protocol. (It is the rule of conditions for measurement, how often you shall measure bpm and the interval between each measurement) The idea is to reproduce the same conditions with each measurement so that if you have a confounding effect it will be canceled out because it is always the same. As part of the protocol, the set of bpm is taken twice: at 2 minutes and again 30 minutes after drinking 1 cup of whatever the hot fluid. The 2-minute measurement controls for the effect purely of the act of drinking of hot fluid while its contents are mostly in the stomach and not in the blood circulation, and after 30 minutes measurement should show the effect from full absorption of caffeine into the blood circulation.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"> Assuming there is little or no difference at 2 minutes, the 30-minutes-after is used as data for the experimental conclusion. If a significant effect on bpm is observed at 2 minutes, the experiment needs to be re-thought. Assuming this is not the case, follow the protocol to do 5 consecutive 60-second counts of heartbeat heard by stethoscope over left front of the chest and spoken into a tape recorder. (Assuming you do it on yourself, speaking into tape removes the potential effect due to the exercise of writing) The protocol calls for your 5 consecutive bpm counts to be initiated after at least 5 minutes lying flat and thinking calming thoughts (e.g., “I am in the best, safest place I could be and doing a good thing”).</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"> Adhering to this protocol of obtaining data, next set up the 3 measurement situations</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">1) Baseline Heart Rate after drinking 1 cup pleasantly hot water. (Shows</span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"> e</span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">ffect of the act of drinking and also of hot water on an empty stomach) For simplicity, we shall use the above control data for the hot water drinking part of the experiment.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">2) Heart Rate after drinking 1 cup of hot decaf coffee. (Shows the effect of the non-caffeine substances in coffee and the psychology of the effect)</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">3) Heart Rate after caffeine coffee.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">Note that the experimental situations cannot in practice immediately follow one another but must be done on different days (if you wish complete control for time of day). To also control for the potential effect of each different day of the experiment, we should repeat the experiment several times over days and average results and we will assume doing it.</span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"><br /></span></span></b> <b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">Also to comment here, for simplicity I am describing this experiment as being done on 1 person. But, in an actual experiment, one should have a test population of 10 or more persons to control for individual response to caffeine.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">Before dealing with the experimental result and interpretation let us consider what the range of measurement tells us. Recall we counted 66, 67, 70, 66 and 65 heartbeats for baseline bpm and calculated the average rounded off to 67. It is always useful to at a glance analyze a series of measurements to get an idea of the stability of the data. A glance at the five measurements shows a <i style="mso-bidi-font-style: normal;">range </i><span style="mso-bidi-font-style: normal;">of</span> 65 to 70. The range tells more about the accuracy of measurement than the <i style="mso-bidi-font-style: normal;">mean </i>alone. Note that a similar <i style="mso-bidi-font-style: normal;">mean</i> – 67 – could have been obtained by either of two extremes of range (e.g., very similar single measurements 66, 67, 66, 67 and 67 with range 66 to 67, or very dissimilar single measurements 60, 75, 64, 73 and 63 with range 60 to 75). The wider the range, the less useful the data because a wide range in a series of experimental measurements suggests error or a confusing effect from an unknown factor. A narrow range suggests a good set of baseline measurements. Most scientists, presented with a wide range of baseline measurements, will stop the experiment and rethink the protocol, assuming that somewhere an error factor has entered.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">In dealing with sets of measurements when an experiment is relatively simple and informal and the result is not meant to be published, the experimenter may choose to discard an extreme value in a series of measurements, assuming it involved an error. Thus, with 6 bpm measurements 66, 67, 70, 66, 65 and 92, you might be justified in assuming that the 92 was due to some error you could not control.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">Now let us go to the experiment, compare data, and draw conclusions.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">1)</span><span style="font-family: "times new roman";"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">Warm water only bpm: 66, 67, 70, 66 and 65. Range 65 to 70. Mean 67.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">2)</span><span style="font-family: "times new roman";"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">Decaf coffee bpm: 69, 70, 72, 65, and 74. Range 65 to 74. Mean 70.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">3)</span><span style="font-family: "times new roman";"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">Caffeine coffee bpm: 78, 79, 78, 80 & 81. Range 78 to 81. Mean 79.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">The preliminary conclusion seems to show that drinking decaf coffee ups bpm from a mean 67 to a mean 70, and then adding caffeine further raises the mean to 79. But a scientist would not accept this conclusion without statistical testing. Her argument would be: How do we know that these increases in HR are not due to chance variation in heartbeat rate due to fluctuation in rhythm within the heart muscle, not due to the drinking? Actually, were the experiment to be repeated many times, each time would give a different set, range and mean, and once in a rare case, even without drinking or without the caffeine, the mean bpm might go as high as 79. A test of statistical significance will answer the question: What are the odds <u><i>against</i></u> the difference between the baseline control mean and the experimental mean being due to chance alone? The simplest test for this is the<i style="mso-bidi-font-style: normal;"> Standard Deviation</i> (SD).</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">Computation of SD of the mean of a set of measurements will now be demonstrated using our bpm baseline data, and its use on drawing a conclusion on cause and effect shown. How to obtain SD from the set of measurements?</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"> a) Obtain the measurements by experiment, record the numbers in a row or column, sum them and obtain the rounded-off mean.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"> b) Referring to the same set of measurements, subtract the mean from each measurement, square each remainder, sum the squares, and obtain the mean of the sum of the squares by dividing it by the number of measurements.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"> c) Obtain the square root of the mean of the sum of the squares. This number is the Standard Deviation of the mean of the measurements, and it has both a positive and negative sign.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"> d) Finally, write the mean of the measurements with a + and – (Usually printed </span></span></b><b style="mso-bidi-font-weight: normal;"><span face=""ms 明朝"">±</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">) followed by the SD. The extreme range is then written by adding and subtracting the SD to the mean after rounding it to the same number of digits.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">Let us now run the numbers. In condition 1, we do the computation step by step so that it may serve as the model to learn its general application to all experimental numbers. In 2 and 3, we give only the numerical answers.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "times new roman";">1. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">WARM WATER ONLY</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"> a)</span><span style="font-family: "times new roman";"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">Measurements summed to the rounded mean: 66 + 67 + 70 + 66 + 65 = 334 and 334/5 = 66.8 = 67 mean of the five bpm.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"> b)</span><span style="font-family: "times new roman";"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">Mean subtracted from each measurement, squared, and the squares summed and means of the squares obtained: (66 – 67)<sup>2</sup> + (67 – 67)<sup>2</sup> + (70 – 67)<sup>2</sup> + (66 – 67)<sup>2</sup> + (65 – 67)<sup>2</sup> = 1 + 0 + 9 + 1 + 4 = 15, and 15/5 = 3 for the mean of the sum of the squares.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"> c)</span> The s</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">quare root of the mean of the sum of the squares (Use electronic calculator or computer). The square root of 3 is 1.732 and rounded off is 2 and sign it as </span></span></b><b style="mso-bidi-font-weight: normal;"><span face=""ms 明朝"">±</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">2 for 1-SD of the mean of the given set of measurements.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"> d)</span> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">Now you may write the mean and SD of the given set of measurements and by extension the range of 1-SD, 2-SD, and 3-SD. The mean and 1 SD is 67</span></span></b><b style="mso-bidi-font-weight: normal;"><span face=""ms 明朝"">±</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">2, or a 1-SD range 65 to 69; a mean and 2 SD is 67</span></span></b><b style="mso-bidi-font-weight: normal;"><span face=""ms 明朝"">±</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">4, or a 2-SD range 63 to 71 and a mean and 3 SD is 67</span></span></b><b style="mso-bidi-font-weight: normal;"><span face=""ms 明朝"">±</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">6, or a 3-SD range 61 to 73.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "times new roman";">2. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">DECAF COFFEE: Mean and 1 SD is70</span></span></b><b style="mso-bidi-font-weight: normal;"><span face=""ms 明朝"">±</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">3, range 67 to 73; and 2 SD, 64 to 76; and 3 SD, 61 to 79.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">3. CAFFEINE COFFEE: Mean and 1 SD is 79</span></span></b><b style="mso-bidi-font-weight: normal;"><span face=""ms 明朝"">±</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">1 for range 78 to 80; for 2-SD, range 77 to 81; and for 3-SD, 76 to 82</span></span></b></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">How to </span></b><place><city><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Use</span></b></city><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"> </span></b><state><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">SD</span></b></state></place><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"> for Making Scientific Conclusion? In this case How to decide whether or no the data show a <i style="mso-bidi-font-style: normal;">significant difference</i> between the number result obtained under different conditions? Here we want to know: Do the mathematical means of 70 heartbeats a minute after drinking decaf coffee and the 79 after caffeine coffee compared to the mean of 67 after only hot water allow us to draw conclusion that drinking decaf coffee is the cause of the increased bpm obtained and that the caffeine in coffee has an additional effect to further increase the bpm? The mean number data: 67 for the warm water only; 70 for the decaf coffee; and 79 for the caffeine coffee – would seem to suggest such an additive effect. But is it a true effect due to substances in decaf coffee and caffeine coffee, or is it just chance difference that happened to occur during this particular experiment, just as you may happen to occasionally throw a very unlikely 6 and 6 on a pair of dice, once in a great while without its being a result of any particular cause other than the luck of the throw?</span></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"> In trying to answer this question, the scientist always starts off with a “null hypothesis” and his experiment is an attempt to disprove it, and by doing so to prove the opposite. “Null hypothesis” means we assume that the differences in the average measurements between the various experimental conditions in our protocol (Here warm water vs. decaf coffee vs. caffeine coffee) are <u><i>not</i></u> due to an effect of any of the factors as a cause of the differences in the numerical results, and that these differences can be most probably explained as being due to chance. Stated this way the question is reduced to a probability comparison. (What are the odds, based on the numerical differences, against the null hypothesis?)</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"> Recalling that the mean for the control bpm (warm water only) was 67, it is obvious that had we obtained a mean of 67 after the experimental conditions are in effect, the odds against a null hypothesis would be so extremely small as to make an increased bpm due to caffeine an impossibility and to essentially prove the conclusion that the bpm differences are due to chance rather than effect. At the opposite extreme, if the experimental conditions resulted in a mean bpm 2X the control (134 per minute), the odds against a null hypothesis would be so huge as to not support it and to make almost certain the conclusion that the caffeine caused the bpm increase. In fact, at such extremes, we do not really need to waste effort on statistical testing because the numbers speak for themselves. (In actual experiment statistical tests are always done even when results appear obvious in order to assure a high certainty for conclusion) But in the usual case we are presented with numbers between the extremes that may impress an unsophisticated, unscientific mind but to a scientific mind need statistical confirmation. Here is where statistical analysis is best used and the question “What are the odds against the null hypothesis?” must be answered by the statistical method.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"> By general agreement, it is considered that if statistical method shows the odds against the null hypothesis is 20 to 1 or greater, the experimental difference is considered statistically significant in favor of the experimental effect. This is usually expressed as the Probability or P value of 0.05 or less, meaning an extremely low probability that the null hypothesis is valid.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"> Here is where the <i style="mso-bidi-font-style: normal;">Standard Deviation</i> is so useful. Probability mathematicians have shown by experiment with dice that each SD from the mean has a particular P value such that 1 SD includes 2/3rds or 67s% of possible throws of the dice, 2 SD includes 19/20 or 95% (the P value 0.05 of statistical significance) and 3 SD includes 997/1000 or 99.7%. Thus the importance of calculating the SD! Since scientific significance starts at 95%, a difference of 2 SD or more becomes virtual proof of a causative factor. (And the greater the SD above that, the more absolute the proof)</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">CONCLUSION OF OUR EXPERIMENT: Now with the knowledge of the tools to obtain SD from measurements and knowledge of its statistical meaning we can draw scientific conclusions.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">DRINKING PLEASANTLY HOT WATER: For 2 SD, 67</span></span></b><b style="mso-bidi-font-weight: normal;"><span face=""ms 明朝"" lang="EN-US">±</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">4, or a range of 63 to 71 heartbeats per minute includes 95% of a chance variation in bpm</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">DECAF COFFEE: For 2 SD, 70</span></span></b><b style="mso-bidi-font-weight: normal;"><span face=""ms 明朝"" lang="EN-US">±</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">6, or a range of 64 to 76. Conclusion: Since there is obviously a wide overlapping of the ranges for hot water and decaf coffee at 2 SD, we can say the null hypothesis is not contradicted by the experimental result and we have not shown an effect of decaf coffee on bpm that is any different from drinking the hot water that would occur by its own chance variation. Therefore we conclude we have not shown an effect of decaf coffee on bpm.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">CAFFEINE COFFEE: for 2 SD, 79</span></span></b><b style="mso-bidi-font-weight: normal;"><span face=""ms 明朝"" lang="EN-US">±</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";">2, a range of 77 to 81, which falls completely outside the 2-SD range of both the hot water and the decaf coffee result on bpm. This means a P value less than 0.05 and we may conclude that the null hypothesis has been successfully contradicted and we have shown that caffeine coffee significantly speeds the heart rate and that the effect is almost certainly due to the caffeine and not coffee taste or color or heat.</span></span></b></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: large;"><u><i>The Relevance of the Scientific Method to Your Life:</i></u></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: large;"> A knowledge of and fa</span><span lang="EN-US" style="font-size: large;">cility in the Scientific Method can improve your life. I do not mean you must personally test every question. My advice is to start thinking scientific. Instead of believing what you read on Internet, in newspaper, in magazine, in book, or what other authority figure says on radio, TV or in conversation; rather, start off with a null hypothesis (i.e., you do not believe that such and such is the cause of so and so until the null hypothesis has been shown to be highly improbable). Sometimes the showing is easy and does not need statistical analysis (e.g., Gambling in Las Vegas is going to cause you unhappiness unless you are very lucky) but sometimes there will be an important question of cause (e.g., Is human fossil fuel-burning causing global warming or climate change?) whose answer may impact on the quality and length of your life or of our civilization and that lends itself to testing. Many of these questions, of course, have been answered scientifically by other experimenters and published. Here is where the scientific literature comes in. The literature may be on the Internet, it may be a scientifically oriented, popular magazine like <i>Scientific American</i> or <i>National Geographic,</i> or, increasingly often for you as you become more knowledgeable and sophisticated, it will be a scientific journal you can find in University library. In using experiments done by another, still keep a seed of doubt: An experimenter can be wrong and occasionally fake. The key here is: no belief should be based on one experiment(er). If truth is a truth, and if it is important, the experiments should have been repeated and result confirmed by others repeatedly. The principle also goes for a negative experiment that seems to disprove an old tested belief. That is Science, which is to say Doubt, and you should be the Thomas.</span></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century"; font-size: large;">Let me end with the Science-Civilization. This would be an advanced society but not so different from our present, except there would be no limits to our thinking (dogmatic, ideological). For example, a government that is run purely on scientific principle. The starting basis of the laws and regulations and ideas of good behavior would be as today, our historical experience, picking out the best and discarding the worst. Some of the <i>Ten Commandments</i> would be a useful basis, not on religious grounds or unchangeable, but, rather, practical. (Does a particular law or rule work for the good of people in our advanced society, (and also for you, too!) or not work?)</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century"; font-size: large;"> Take capital punishment – the death penalty? It would be possible and practicable, in a Science-Civilization, to carry out an experiment in the U.S.A. in which the law for the punishment of what is now a capital crime could be alternately changed at 10-year intervals in a control population. The data, in the prevention of the crime, rehabilitation of the criminal, and the overall good or harm that such change of the law would do to the persons living in the society, would then be published with a recommendation for change in the law. Then the recommendation would be voted on by the electorate and, if at least 60% approved, the changes would be expressed as a new law.</span></span></b></div>
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<span lang="EN-US"><span style="font-family: "century"; font-size: large;"><b></b></span></span><span lang="EN-US" style="font-size: 16pt;"><span style="font-family: "century";"><b>END OF CHAPTER. To read next, click </b><a href="http://physiciansnotebook.blogspot.jp/2010/10/updated-chapter-on-how-to-be-free-of.html"><span style="color: #2288bb;">1.15 Money! Money! Money! How to Make/To Spend/To ...</span></a></span></span></div>
Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4839604317339966579.post-70956672099043196782010-09-23T09:13:00.013+09:002021-07-10T09:38:38.098+09:001.15 Money! Money! Money! How to Make/To Spend/To Bank<div class="MsoNormal" style="margin: 0mm 0mm 0pt;">
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: x-small;"><i>Physician's Notebook 1 - </i><a href="http://physiciansnotebook.blogspot.com/">http://physiciansnotebook.blogspot.com</a> - See <i>Homepage</i></span></b></span><br />
<b><span style="font-family: "century"; font-size: large;">15. Money! Money! Money! - How To Get It, To Spend It, To Bank It - Update 10 Juy 2021</span></b><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: x-small;">To help the reading note below in descending order as each heading appears for <i>search & find</i> or scroll to.</span></b></span><br />
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<i><u><span style="font-size: large;">Salary Slavery</span></u></i></div>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><u><i>Where to store the money? Banks</i></u></span></b><br />
<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><u><i><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><u><i>Interest and Foreign Exchange Rates </i></u></span></b></span> </i></u></span></b></div>
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<span style="font-family: "century"; font-size: medium;"><b><i><u>Limit Your Exposure to Creditors</u></i></b></span></div>
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<span style="font-family: "century"; font-size: medium;"><b><i><u>Income Taxes</u></i></b></span></div>
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<span style="font-family: "century"; font-size: medium;"><b><i><u>Education & Costs</u></i></b></span></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> <u><i>Learn the cheapskate techniques</i></u></span></span></b>
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<b style="font-family: Century; text-indent: 13.75pt;"><span lang="EN-US" style="font-size: 14pt;"><u><i>Do not marry until</i></u></span></b>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><u><i>The Increasing Value of Your Money as You Age</i></u></span></b>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><u><i>When to Stop Accumulating and How to Spend Well</i></u></span></b><br />
<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><u><i><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>A Mammon Madness</u></i></span></span></b> </i></u></span></b>
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<b style="font-family: Century;"><span lang="EN-US" style="font-size: 14pt;"><u><i><br /></i></u></span></b></div>
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<span style="text-align: center;"><span style="font-size: large;"><u style="font-style: italic;">Salary Slavery</u>: Do you suffer it</span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">? Could you live more than several months on no salary without becoming desperate? </span></span></b><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">In order to be free, one must learn to use money economically to get a comfortable surplus of cash before one is too old</span></b></span><b style="text-indent: 13.75pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i>.</i></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Learn to value money, to be efficient in your buys, to accumulate immediately accessible cash, i.e., liquidity, by your money card.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Of course, some persons have money at the start or start out poor; but, in either case, the goal ought to be: once one has enough for going long and strong without salary (esp. to tide one over one’s final years) and has learned the techniques of keeping a surplus, one stops struggling to accumulate and one healthily enjoys life creatively.</span></span></b></div>
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<span style="font-size: large;"><b>How much surplus? Ten-million Japanese yen (c.100,000 USD) in your money card account balance as a revolving minimum ought to do fine.</b></span></div>
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i><u>Where to store the money? Banks</u>:</i> Your money surplus should be in a </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">bank that is stable. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">In 2020 privacy has been reduced markedly by the <i>Foreign Account Tax Compliance Act</i> (FATCA). If you are a U.S. passport holder, by keeping a foreign account to less than USD $50,000 you may avoid the overseas bank's allowing the U.S. tax authority to view it. Inside the U.S.A. non-interest-bearing checking accounts are relatively safe from scrutiny, which should be a reason for refusing accounts that offer interest income unless you have no reasons to hide your account from tax snoops. Of course, the best of all is to be totally open and honest about your finances but circumstances may at times suggest otherwise. </span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Also to keep at top of one's attention <i>Do not put all your eggs in 1 basket! If you accumulate big savings, use more than one good, secure, bank (more than one geographic location; but keep an upper limit to banks you use to 2 or 3; ideally each account for a different foreign currency). </i>And once you have accumulated surplus cash, then work on converting it to useful-to-your-life possessions (or interest-bearing instruments on your cash) that reduce your cash holdings and expenses or at least earn money from your surplus cash.</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><br /></span></b></span> <span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><u><i>Interest and Foreign Exchange Rates </i></u></span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Knowledge about the interest on money and the related foreign exchange rates should be important to anyone who wants to safely, efficiently accumulate surplus especially expatriates. Presently (2021) we have been in a several-year period of very low-interest rate (In Japan, bank interest has been less than 1%). But depending upon monetary policy of the world's leaders, an interest rate may fluctuate remarkably; for example, in 1976 to 1980 of the Jimmy Carter US presidency, the basic interest rates fluctuated around 20%; and when I was a young boy (1945) the bank interest rate had been 5% for as long as I could remember. Obviously, with a very high-interest rate many more people will spend less money on goods, preferring to keep their very valuable money in an interest-bearing account. This is very bad for the business economy of the capitalist system and usually causes the stock market to go low. Lowering the interest rate as has been the policy for the last decade markedly stimulates the economy, ups the stock market and stimulates keeping less money in your interest-bearing account so you spend it. </span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">The related foreign exchange rates may be very important to a person who is expatriate in another country where he may want to spend his money. Foreign exchange rates like the interest rate, and affected by it, may fluctuate markedly. For example, when I came to Japan in 1954 and as late as the 1970s one could get 360 yen for a US dollar. Since the 1980s, the value of the Dollar against the Yen fluctuated from 150 yen to 90 yen. For an American expatriate living in Japan it is important to keep an eye on the exchange rate in such a period of fluctuation and buy Yen when the yen-exchange is high (more Yen for USD) and dollars when the Yen exchange is low. Especially when a bank bugs you to get into the foreign exchange market, be sure you are alert to recent fluctuations of foreign exchange rate. </span></b></span><br />
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<b style="font-family: Century; font-size: large; text-align: center;"><u style="font-style: italic;">Limit Your Exposure to Creditors</u><i>:</i> Do not</b><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> own obvious, expensive assets that can be seized (Instead, lease or rent, or, for another alternative, use an old secondhand model that no one would want to take from you), and do not have a generally known salary. (Keep your job details very private) Also not to promiscuously hand out cards (You may still have a professional card but don't use your private home address on it, especially if you own the property), or give out unnecessary employment info or other key personal-assets-locating info. And personal checks should </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">not be used to pay bills. In the U.S.A., assume any large cash transaction ($5,000 and over) may be reported to tax authorities. Also any citizen you big-mouth about your money or simply bad-mouth may report you to tax authorities. (This may happen when spouses divorce or couples quarrel or when one makes another person angry) This is not only for persons who have reason to hide from the tax authority but also you never know when you may be sued for <i>big bucks </i>and find yourself owing millions of dollars that would bankrupt you to actually pay.</span></b></span><br />
<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> </span></b></span><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i><u>Income Taxes?</u></i></span></b></span><b style="text-indent: 13.75pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> In my opinion, basically, one pays income tax because of the law, and the sure knowledge that the authorities will make trouble if you do not. </span></span></b><br />
<b style="text-indent: 13.75pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Everyone who gets a reportable salary in U.S.A. will have taxes withheld and must file a yearly tax report. Do not knowingly evade paying income tax and do not base your money philosophy on avoiding income taxes. </span></span></b></div>
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<b style="font-family: Century; font-size: large; text-align: center;"><u style="font-style: italic;">Education & Costs</u><i>: </i> G</b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">et a good education toward a post-graduate degree. In 2021 with the very high education costs, first self educate. If you must pay for the education, (for parents deciding a child’s education) choose local lower cost schools instead of famous, high reputation schools. Also, keep in mind the many great bargains that offer low-cost international degrees abroad. And it will start you on your way to becoming an expatriate - an international person. Using your special skills, get scholarships that pay your education. And do not forget the online courses. Finally, become a <i>comprehensivist (Cf Buckminster Fuller):</i> one who is a master at all skills.</span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Develop expertise in subjects that will be in demand and also develop special skills even seemingly minor ones like becoming the world’s speediest touch typist or expert troubleshooter for computers, which will make you sought after for good jobs and spotted for advancement in your current job. If you know a 2nd or 3rd language do not let the skill weaken; use it for getting a better or higher paying jobs. By improving skills you will get high cash incomes from side jobs as you go to school and later from main employment. And when you are young and full of energy and have lots of time, get the kind of job where you can study while you make money. And do not worry about school grades or school reputation; just learn the subjects well enough to pass the course and get the paper diploma.</span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><br /></span></span></b></span></b> <b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">This is the time to<i> <u>develop the cheapskate techniques</u></i> – how to shop inexpensively in supermarket, how to control your buying (s)(pl)urges (Stop costly habits like your daily buying coffee drink); how to save money by eating less and avoiding restaurants, how not to waste money on girl (or boy) and sex and healthcare. And learn how to get essential services without paying. Do not try to make big bucks quick money by gambling like stock markets<i>.</i></span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i> </i></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Now, I could spend time detailing how to pile up money but why don’t you think for yourself and do it? The principle (the idea) is there and it will produce principal (money that earns more money in the bank): Start to follow the beat of this differing drum. At the end of that rainbow are Delectable Dollars.</span></span></b></div>
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<b style="font-family: Century; text-indent: 13.75pt;"><span lang="EN-US" style="font-size: 14pt;"><u><i>Do not marry until</i></u> you have reached your <i>avoid-salary-slavery</i> goal or just <u><i>do not marry</i></u>. Marriage in our society means excess consumption and loss of surplus (plus loss of freedom plus legal & other expenses when divorce comes up). A sex companion you can always get! Do not become responsible for raising children until you reach the goal. (However; if you find yourself inadvertently pregnant it may be important to have the child despite this advice) But do not get into significant debt because of it. Of course, if the marriage means increased income or is otherwise beneficial or at the least is harmless to you and the partner is the right one, go ahead but with care to be sure you know what you are getting into.</span></b><br />
<b style="font-family: Century; text-indent: 13.75pt;"><span lang="EN-US" style="font-size: 14pt;"> Too early marriage, student loans, home-buying, and child-raising is why most persons are enslaved for life. Yes, if you can find a simple, loyal, not pretty woman or a not handsome man, a not highly educated but educable spouse who brings advantages, then an early marriage may make sense. But take time and live together to be certain of the qualities you desire. Do not marry because of physical beauty or because of sexuality or because of stupid trendiness (so-called <i>gay marriage</i> in the U.S.A.).</span></b><br />
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><u><i>The Increasing Value of Your Capital as You Age</i></u>:</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> At age 70 with one million dollars one (in USA and Japan) expects to live 10 more years today, so 1-million dollars cash capital would give a yearly income of $100,000 living off principal alone, allowing affluence even in the U.S.A. today. But the same capital in a 50-year-old, with 30 more years life expectancy, computes to little more than $30,000 a year, not sufficient for jobless leisure.</span></b></span></div>
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>When to Stop Accumulating and How to Spend Well</u>:</i> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Ideally you could be anxiety free with $US 100,000 surplus and pleasant employment based on your skills. To accumulate more is to waste life. The $100,000 plus a stable source of income to keep your money-card bank surplus should give enough freedom for a young person following the advice here.</span></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> An important part of a personal economy is culturally educating self in good tastes and artistic skills. Then when the time comes to enjoy leisure one can do interesting things – like creative writing and the other arts, or become a creative scientist or just enjoy the great heritage of our civilization.</span></span></b><br />
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>A Mammon Madness</u></i> <i>Mammon </i>is money-greed personified. What is meant by <i>the Madness</i> is the sudden, destabilizing, demoralizing effect of a large sum of money. Two cases: 1) A younger brother whose father gave him sole bank account privileges in the business account totaling millions of dollars and whose sudden ability to possess a huge amount of money caused him to withdraw part of the millions from the bank as cash and run away to live luxuriously for a while, in the process ruining his father and older brother; 2) a granddaughter who came into a 6-figure inheritance and suddenly decided to leave a quiet, healthy, not unhappy life in Queens NYC and relocate with her partner and child to <i>the </i>most air-polluted spot on Earth, and one of the most dangerous for an American, <i>Chiangmai Thailand</i>, causing a total bad dislocation to her young adopted child's life and ruining her own future.</span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">The reason events like this happen is, firstly, based on our society's overemphasis on the importance of cash money and second the poor cultural education we give our children which does not teach them how to value parts of their life equally and leaves a void filled by <i>Mammon.</i></span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Preventives are to not give persons who have not earned or are not responsible for the money the sole power over a bank account, to limit inheritances stringently and to make life insurance policies joint beneficiary type so that one person does not come into control solely of large sum of money. Best of all would be a society that supplies most of the subsistence values of life as part of a social compact, freely and removes money as a majorly important possession.<i> </i> </span></span></b><br />
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<span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;">Summing Up: “</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">To get rich is glorious!” was a stupid 1980s slogan of the Chinese. Amass money in the <i>Notebooks</i> way and you’ll be smart and can get happy following this advice. The detail is not spelled out here but if one reads and thinks it out and has seminars on money, it is not hard to see what has to be done to succeed. </span></b></span><br />
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<span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> To read next now, click </span></b></span><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><a href="http://physiciansnotebook.blogspot.jp/2010/10/new-chapter-for-physicians-notebooks-1.html"><span style="color: #2288bb;">1.16 Time//The One-Million-Hour Life</span></a></span></b></span></div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4839604317339966579.post-17000041106999839212010-09-23T09:11:00.044+09:002021-10-29T16:59:56.084+09:001.16 Time//The One-Million-Hour Life<div class="MsoNormal" style="margin: 0mm 0mm 0pt;">
<b><span lang="EN-US"><span style="font-family: "century"; font-size: x-small;"><i>Physician's Notebooks 1</i> - http://physiciansnotebook.blogspot.com - See <i>Homepage</i></span></span></b><br />
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<b style="mso-bidi-font-weight: normal;"><span face=""ms 明朝"" style="font-size: 16pt;">⑯</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"><span class="Apple-style-span" style="font-size: 16pt;">The Management of Time </span></span></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"><span class="Apple-style-span" style="font-size: 16pt;"> Update 29 Octr 2021.</span></span></span></b><br />
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "century";"><span class="Apple-style-span" style="font-size: 16pt;">Time dilation and time constriction</span></span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-family: "century"; font-size: 14pt;"> Life Time </span></b></div>
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<span style="font-family: "century"; font-size: 18.66666603088379px; font-weight: bold;"> Using the hour to prevent impulsiveness</span></div>
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<span style="font-family: "century"; font-size: 18.66666603088379px; font-weight: bold;">Einstein’s Theory of Special Relativity</span></div>
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<span style="font-family: "century"; font-size: 18.66666603088379px; font-weight: bold;">Management of boring time</span></div><div style="text-align: center;"><span style="font-family: "century"; font-size: 18.66666603088379px; font-weight: bold;"><b style="text-align: left;"><i style="text-decoration: underline;">Medication-assisted passing of boring time:</i></b></span></div>
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<b><span style="font-family: "century"; font-size: large;"> </span><span style="font-family: "century";"> The Measurements of time.</span></b><span class="Apple-style-span" style="font-family: "century";"><b> </b></span><br />
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<span class="Apple-style-span" style="font-family: "century";"><b>Time Notation</b></span><br />
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<b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-family: "century"; font-size: 14pt;">A lifetime based on the hour comes from 1-million hours being c.114 years. A human age of 114 years and higher has been achieved but all such cases have been badly affected by the aging. We here strive for the one-million-hour life that is fully achieved on one's feet with wit and wits</span></b></div>
<b><i><span lang="EN" style="font-family: "century"; font-size: 14pt;"><u>Time dilation and time constriction</u></span></i></b><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-family: "century"; font-size: 14pt;">: </span></b><span lang="EN" style="font-family: "century"; font-size: 14pt;">Here I refer to the psychological feeling that your time sense is awry. Time dilation, I note, as an immediate effect of some medications or behavior. It feels to you like more than actual time has passed maybe 30 minutes, but when you look at the clock you find it is only 1 minute. This is why people who take opioids before they get tolerant feel they are more efficient. They seem to be squeezing a lot more time to do things into their actual time. <i>Time constriction</i> is the opposite effect. Most obvious, one gets involved in some very pleasant activity like a fascinating conversation with a best friend. It seems to us that almost no time has passed but when we look at the clock we see that maybe an hour has passed in this pleasant conversation. These are interesting observations that can sometimes be manipulated to deal with boring time. The extreme is what I call "time zero". This is when an anesthesiologist injects a consciousness-losing drug. One instant you see his smiling face above you; the next it is several hours later in recovery room waking up and seeing by the clock on the wall that several hours have passed yet it seems a zero time <u>interval.</u></span><br /><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-family: "century"; font-size: 14pt;"><u>Life Time Clock</u>: Using one million hours as an ideal, one </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-family: "century"; font-size: 14pt;">can estimate a life in decimal on a life clock. So on 10 January 2013, my 80th birthday, I was 700,800 hours old or 70% ideal life or a little more than 2/3 of the clock, or you may say I had passed 4 PM of my ideal life. </span></b><br /><span style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-family: "century"; font-size: 14pt;"><b><u>Using the hour to prevent impulsiveness:</u></b></span></span><br />
<span style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-family: "century"; font-size: 14pt;"><b>The hour is a practical basic interval for chores and sleep.</b></span></span><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-family: "century"; font-size: 14pt;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-family: "century"; font-size: 14pt;">If I have a decision, I delay it by that interval. It prevents acting on impulse. Also, a repose limited to one hour by my mobile alarm prevents deep, dangerous sleep.</span></b><br />
<b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-family: "century"; font-size: 14pt;"> To start a new activity or just pass the boring time, I set my alarm for the first minute after the hour; for example, to start an evening hour interval, I do 6:01 PM. This attention to begin an hour for new activity is good for delaying a type of behavior I do too often or too impatiently immediately I feel like it. So if I feel like eating or taking a drink or a pleasure pill I set my alarm for the next hour ahead to delay gratification and to be sure I do not eat or drink or take the pill too often or too much. </span></b><br />
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<b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-family: "century"; font-size: 14pt;">We understand from <i>Einstein's Special Relativity</i> that time's passage is not a constant. Experiment confirms, at speeds approaching the speed of light (300,000 kilometers or 186,000 miles per second), the time for a clock ticking in a speeding-up vehicle (and the person's body clock in the vehicle) moves more slowly than a same-set, immobile observer's clock, and the time-slowing would get more as the moving vehicle would approach the speed of light. In actuality, at present and the near future, a man-made vehicle could not attain even 0.1% of the speed of light so this effect is not noted in our own experience. But it has been shown by the use of ultra-fine time-telling clocks in high-speed jets and in subatomic particles.</span></b><b style="text-indent: 18.33333396911621px;"><span lang="EN-US"><u> </u></span></b><br />
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<b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-family: "century"; font-size: 14pt;"><u><i>Management of Boring Time</i></u>: When time weighs on you, do necessary chores like cleaning. When you feel blah and just can’t do anything useful and healthful, it is best to sit back, set your alarm for 30 minutes or an hour and try to repose whilst thinking pleasant constructive thoughts like “What is my plan for the rest of the day, the week, the month?” In my own case, as a Bronx expatriate physician in Japan with legal, low-cost access to opioids in the form of 25 mg pentacozine (<i>Sosegon</i> in Japan; <i>Talwin</i> in U.S.A.) pills, I put a quarter pill under my tongue (tolerably bitter taste) to help my repose thinking.</span></b><div><span style="font-family: century; font-size: medium;"><b><i style="text-decoration: underline;">Medication-assisted passing of boring time:</i> I experimented with zolpidem (Ambien). I find that 2.5 mg (obtained by pill cutting) under tongue can give c.2 hours pleasant time passing, mostly in light sleep. To be effective one must place one’s self in condition for sleep or repose, in bed or on futon with eyes covered to block light. It may work (for some a 5 mg dose) within 10 minutes and no groggy side effects. One may sleep an hour and then relax for an hour in light repose, and resume preferred activity. I call it “surgical scalpel medication management” of boring time.<br /></b></span>
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<b style="text-indent: 18.33333396911621px;"><span lang="EN-US"><u>Time Passers</u></span></b><br />
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<b>In one's life, time passers can be useful, like when you have boring moments or hours or when you cannot sleep at night. Certain activities are useful. I exclude here health-harming ones like eating or drinking or harmful drug, or money-wasting ones.</b></div>
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<b><i>Jigsaw Puzzles:</i> are cut-out pieces that fit together to form a picture. They are usually sold in gift shops especially in botanical gardens or zoos. Since a jigsaw puzzle can take a year to complete, and since it takes up space, it is best to start in a place where you can come back to fairly permanently when you need to pass time. I find that setting it up on my bedroom floor (or desk for those who do not sleep on the floor as I do) is ideal. Then I can start working on it and whenever I cannot sleep I spend an hour or two on it. Doing a jigsaw puzzle is intrinsically fascinating, and most of the people will find they forget about the time in an enjoyable way. </b><br />
<b>Listening to certain melodic, tuneful, lyrical CDs—-Judy Barnett’s <i>Too Darn Hot</i>, anything by Gordon Jenkin’s, Blossom Dearie’s <i>Planet</i>.</b></div>
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<b>There are many more time-passers like good internet movies, fascinating reads but I'll stop here. Each person has an individual taste.</b></div>
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<b><span style="font-family: "century"; font-size: large;"> These effects tell that time is a complex of consciousness, a mix of sensory input and working memory and pleasure/pain effects played back against the metaphoric clock-ticking, time-telling cells in the brain. And time based on Einstein’s Theory of Special Relativity is also a mysterious relativistic dimension related to our physical world in that at accelerations of a body approaching the speed of light, time’s passage for that body slows compared to the stationary observer.</span></b><br />
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<b><span style="font-family: "century"; font-size: large;"> </span><span style="font-family: "century";"> The Measurements of time.</span></b><span class="Apple-style-span" style="font-family: "century";"><b><span lang="EN-US"> </span></b></span></div>
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<span class="Apple-style-span" style="font-family: "century";"><b><span lang="EN"><b><span lang="EN-US">Time: First, the angular system from which seconds in time derive. Take a circle: Were you to start at point A and continue around to return to the same point A, it would be 360-degree units of circle arc, written 360<sup>0</sup>. Each degree is divided into 60 minute-units and each minute into 60 second-units and the seconds-units may be made into a decimal according to metric system: <i>deci</i> for tenths, <i>centi</i> for hundreds,<i> milli</i> for thousandths, and so on.</span></b></span></b></span></div>
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<span class="Apple-style-span" style="font-family: "century";"><b><span lang="EN"><b><span lang="EN-US"> Our time measurements are based on astronomical circles made by Earth orbiting the Sun, and Earth revolving in a 360<sup>0</sup> arc around its own axis. For the former, we have 1 year, c.365 1/4 days. Note that the hour is a 15<sup>0</sup> of the arc.</span></b></span></b></span></div>
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<span class="Apple-style-span" style="font-family: "century";"><b><span lang="EN"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">The day measurement or “mean solar day” is an averaging out of the time it takes Earth to make one full revolving on its axis in relation to the astronomers observing the Sun’s fixed position in the sky. Actually, if we site by a fixed star we correct for the Sun’s movement, which is not apparent when it is used as the fixed point. The true day in terms of one complete Earth revolving turns out to be 23 hours 56 minutes. So each new day, the same time-point in the sky at night (star positions) is 4 minutes advanced. In one month, the advance computes to 2 hours, in 12 months it computes to 24 hours after bringing the sky positions a full circle back to where they were exactly 360 days before. Note that this 24-hour 4-minute difference does not affect our calendar which is set by definition to a precise 24-hr day but it does affect where astronomers see a star or planet in the evening sky, which, independent of its own movement, changes by 4 minutes each day of the month and after 1 year returns a full cycle to where it was every 29<sup>th</sup> day.</span></b></span></b></span></div>
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<span class="Apple-style-span" style="font-family: "century";"><b><span lang="EN"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">It takes Earth 365 days, 5 hours, 48 minutes, and 46 seconds (averaged) to make one revolution around the Sun. From the time-second interval to the 24-hour-day interval we deal with whole number multiple. But to get the year into scientific measurements we must make it a decimal in terms of the day, using the basic second interval. It means converting the 5 hours, 48 minutes and 46 seconds excess over 365 days into seconds and then dividing its seconds by the 23-hr, 56-minute seconds to get the decimal part of the partial 366<sup>th</sup> day. When done, it gives the year as 365.256… days</span></b></span></b></span></div>
<span class="Apple-style-span" style="font-family: "century";"><b><span lang="EN-US"> Because astronomers determined that the Earth is slowing in its revolution, <i>the second</i> has been redefined as </span></b></span><span class="Apple-style-span" style="font-family: "century";"><b><span lang="EN">the duration of 9,192,631,770 periods of the radiation corresponding to the transition between the two hyperfine levels of the ground state of a cesium-133 isotope atom. This makes <i>the second</i> not dependent on astronomical changes. So all passage of time is referenced to that <i>second. </i>It should be noted, according to that reference, there are 31,557,600 <i>seconds</i> and 8,766 hours in the year.</span></b></span><span class="Apple-style-span" style="font-family: "century";"><b><span lang="EN"> </span></b></span><br />
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<b><span lang="EN-US">The <i>Julian Day</i></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"> is a system used exclusively by astronomers to pin down date without reference to the year. Its need can be understood by considering the problems of calculating exactly how much time has passed since a particular major astronomical event that occurred in the Before Christ (BC) period. Forgetting about historical accuracy, just that there is no 0 (zero) A.D. introduces one problem. Then there is the skipping of 11 days in October 1582 when the Gregorian calendar system started. To avoid these difficulties Joseph Scaliger, suggested counting days, without reference to months or years. To make this scheme workable one had to start at an early arbitrary date and Scaliger chose 1 Jan.<sup> </sup>4713 B.C. He also suggested calling the days counted from that date, the Julian Days, not because of admiration for Julius Caesar but to honor his father, Julius Scaliger. The Julian Day for </span></b><date day="1" month="1" year="1940"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">1 January 1940</span></b></date><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"> was J.D. 2,433,283 and exactly a decade later, </span></b><date day="1" month="1" year="1950"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">1 January 1950</span></b></date><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">, it was J.D. 2,437,301. The J.D. begins at </span></b><time hour="12" minute="0"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">noon</span></b></time><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"> because that's when most astronomers are sleeping. If it began at </span></b><time hour="0" minute="0"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">midnight</span></b></time><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">, it might need changing a J.D. in the middle of an observation.</span></b></div>
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<b><span lang="EN-US">The <i>Sidereal</i> Year is the time it takes Earth to make one full revolution about the Sun as determined precisely by star sighting. In 1900 the year was determined as 365 days, 6 hours, 9 minutes and 9.5 seconds. Exactly a century later the year had shortened 0.5 sec. to 365/6/9/9. Actually this difference is within range of error of the measuring instruments so no conclusions can be drawn but a series of very exacting measurements over many years prove the Earth is slowing (Expected by gravitational friction theory) at a rate of about 0.0001 sec (1/10,000<sup>th</sup> second) each year, so slowly that it will take 10,000 more years for our Earth year to increase by merely 1 second and in 1 million years our year (If Earth still exists) will be 1 minute and 40 seconds longer than today, and in 1 billion years it will be almost 3 days longer.</span></b><br />
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<b style="text-indent: 13.75pt;"><span lang="EN-US">EndNote</span></b></div>
<b style="text-indent: 13.75pt;"><span lang="EN-US">Telling time by your body. Counting the carotid pulse rate at rest in good health normally should give around 60 per minute or like reciting "one little beat" a second. And by pacing yourself to recite "one little beat, 2 little beat, 3 little beat ..." you may count off seconds and other short periods of time rather accurately. If you do it enough, your brain will become conditioned to act as an alarm clock in your head up to one hour.</span></b><br />
<span lang="EN-US"><b><u><i>The clock in our brains</i></u>: In the hypothalamus at the base of the brain, a set of neurons called <i>the suprachiasmatic nuclei (SCM) </i>ticks time away for our bodily functions on an approx. 24-hour cycle that got originally (in early human evolution) stabilized by the light-dark intervals each day. Click </b><a href="http://physiciansnotebook.blogspot.jp/2010/09/blog-post.html"><span style="color: #2288bb;">9.(38-40) Hypothalamus -Body Clock,Glands, Sexual...</span></a><b>for details.</b></span><br />
<span lang="EN-US"><b> I have trained my brain to tell a very accurate time without constantly looking at a clock. For example, if I decide to lie down and rest for an hour at 12 midnight, I will, without an alarm, get up and, looking at my clock, it is 1:00 AM. This developed recently due to the constant setting of my cellphone alarm for short hourly</b></span><br />
<span lang="EN-US"><b> </b></span><b style="font-family: century; text-align: center; text-indent: 0px;">Time Notation: Noting the exact moment of finishing a chore is sometimes useful. I favor the following: Year.Month.Calendar Day of Month.Day of Week (Digital, e.g., 1 is Monday).Time of Day to Current Minute. So on Monday 7 Sept. 2020, right now would be, 2020.09.07.1.07:40 (And one may add the place, e.g., San Marco Cafe, Higashi Kanagawa JR Station.</b><br />
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<b><span lang="EN-US"> To read next now, click <a href="http://physiciansnotebook.blogspot.jp/2010/11/endnotes-of-physicians-notebooks.html"><span style="color: #2288bb;">1.17 Endnotes/About Author/End Physician's Noteboo...</span></a></span></b><br />
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<b><span lang="EN-US"> </span></b></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4839604317339966579.post-63020979623580044732010-09-23T09:10:00.033+09:002021-10-31T20:42:36.251+09:001.17 Endnotes/About Author/End Physician's Notebooks 1<b><span lang="EN-US"><span style="font-size: x-small;"><span face=""verdana" , sans-serif"><i>Physician's Notebooks 1</i> - http://physiciansnotebook.blogspot.com - See <i>Homepag</i></span></span></span></b><br />
<span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 16pt;">⑰</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 16pt;">EndNotes and </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-size: 16pt;">About Author - Update 31 Octr 2021</span></b></span><br />
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<span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 14pt;"><i style="mso-bidi-font-style: normal;"><u>EndNotes</u></i> is ideas for inclusion that I recall now but forgot then. So they</span></b></span><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 14pt;"> occur outside the usual <i>Notebooks-1 </i>chapters. The below descending column shows the contents<span face=""verdana" , sans-serif"> in order of appearance:</span></span></b><div>
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<span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 14pt;"><span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 16pt;"><u>Not Standing out in the Crowd</u></span></b></span></span></b></span></div>
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<span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 14pt;"><span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 16pt;"><u><span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 16pt;"><u>Taking a Break from Formal Education</u></span></b></span> </u></span></b></span></span></b></span></div>
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<span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 14pt;"><span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 16pt;"><u><span face=""verdana" , sans-serif"><span lang="EN" style="font-size: 16pt;"><b><u><i>What if you discover<span face=""verdana" , sans-serif"> </span>you have a deadly illness</i></u><i><u>?</u></i></b></span></span></u></span></b></span></span></b></span><br />
<span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 14pt;"><span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 16pt;"><u><span face=""verdana" , sans-serif"><span lang="EN" style="font-size: 16pt;"><b><i><u><span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN" style="font-size: 16pt;"><u>Hobbies I Have Something Useful to Write On</u></span></i></b></span></u></i></b></span></span></u></span></b></span></span></b></span><br />
<span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 14pt;"><span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 16pt;"><u><span face=""verdana" , sans-serif"><span lang="EN" style="font-size: 16pt;"><b><i><u><span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN" style="font-size: 16pt;"><u><b style="mso-bidi-font-weight: normal;"><span face=""verdana" , sans-serif" lang="EN" style="font-size: 14pt;">Stamp Collecting</span></b></u></span></i></b></span></u></i></b></span></span></u></span></b></span></span></b></span><br />
<span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 14pt;"><span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 16pt;"><u><span face=""verdana" , sans-serif"><span lang="EN" style="font-size: 16pt;"><b><i><u><span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN" style="font-size: 16pt;"><u><b style="mso-bidi-font-weight: normal;"><span face=""verdana" , sans-serif" lang="EN" style="font-size: 14pt;"><b style="mso-bidi-font-weight: normal;"><span face=""verdana" , sans-serif" lang="EN" style="font-size: 14pt;">Fishing or fish pet</span></b></span></b></u></span></i></b></span></u></i></b></span></span></u></span></b></span></span></b></span><br />
<span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 14pt;"><span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 16pt;"><u><span face=""verdana" , sans-serif"><span lang="EN" style="font-size: 16pt;"><b><i><u><span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN" style="font-size: 16pt;"><u><b style="mso-bidi-font-weight: normal;"><span face=""verdana" , sans-serif" lang="EN" style="font-size: 14pt;"><b style="mso-bidi-font-weight: normal;"><span face=""verdana" , sans-serif" lang="EN" style="font-size: 14pt;">Jigsaw Puzzles</span></b></span></b></u></span></i></b></span></u></i></b></span></span></u></span></b></span></span></b></span></div>
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<span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 16pt;"><u>Not Standing out in the Crowd</u>: </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 14pt;">Youth, in particular, do not realize how limiting it can be for one's life at its start to have attention called to oneself. Whether it be because you choose to show others you are Muslim or Sikh in India or Christian or Jew or whatever distinctive ethnic or religion, by the way you dress or wear a beard or a religious symbol, or to reveal self by a letter to the editor espousing a controversial, radical or conservative, unpopular cause or whatever other acts of exhibiting self to the crowd as being <i style="mso-bidi-font-style: normal;">different. </i><span face=""verdana" , sans-serif">(<span face=""verdana" , sans-serif">To tastefu<span face=""verdana" , sans-serif">lly wear a religious symbol is no problem; just don<span face=""verdana" , sans-serif">'</span>t make it too obvious</span></span>)</span></span></b></span><b style="mso-bidi-font-weight: normal;"> Try to keep beliefs private. And they should not be “beliefs,” they should be carefully thought-out ideas, a policy position, a choice of life path. Do not get caught up in politics, especially in an election year as many persons were in the U.S.A. in 2008 because of the charisma and promises of a candidate. Do not get overwhelmed by an event as many Americans were by 9/11/2001. Do not get <span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif">excited</span> because a candidate you despise wins the election<span face=""verdana" , sans-serif">, as happened to many <span face=""verdana" , sans-serif">Americans in 2016. </span></span></span>Above all, don't get caught up in trends, in being <i>with it</i>, or <i>being modern</i> (Or alternatively, being <i>old fashioned</i>), like becoming what is called <i>gay </i>(Or proudly identifying one's self as<i> </i><i>straight)</i>. Pursue your life acquiring knowledge and choose the way of life you decide is best for you; choose it slowly, tentatively, based on careful study, review, and discussions with wise older and younger friends and readings of proven wisdom like the Socratic dialogues. Above all do not choose or claim you follow a way of life, a religion, a race identity (e.g., a Black, an Asian), a sexual orientation or an ideology, a loyalty to country <i><u>only</u></i> because you were born or married into it or live in an area where everyone you respect believes in it. And be flexible, willing to modify opinions if new facts justify different conclusions.</b><br />
<span face=""verdana" , sans-serif"><b><span style="font-size: x-small;">(But one end-note to the end-note: Do not take this to mean you should have no ideas for a better society or better Earth and that you should not work for those ideas. Just do not make it so obvious that you become a moving target before you even get off the ground. And also be sure before you move that you have chosen a sensible, good path<span face=""verdana" , sans-serif">.)</span></span></b></span><br />
<span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 16pt;"><u>Taking a Break from Formal Education</u>: </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 14pt;">Anyone who wants to succeed in life should best complete college education. (Does not necessarily mean getting a degree but does mean taking the full, prescribe courses)</span></b></span><br />
<span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 14pt;">At some point, however, between high school and college completion (But not immediately after being accepted to a high-reputation school or simply to "have fun", or at latest before settling into a life, it is important to do a world trip (or at least one foreign country) to get an experience outside of one's own birth area or group or culture. Ideally, it should be a planned mix of useful experiences that include living in a big city<span face=""verdana" , sans-serif">;</span> a temporary work on a farm harvesting<span face=""verdana" , sans-serif">;</span> travels to places such as Australia or New Zealand, Japan, Calcutta to give one the flavor of India, and Addis Ababa for a touch of Africa; then Greece, Italy, Switzerland, Germany and the UK, and also Cuba for an experience under communism, and Ecuador or Argentina to experience Latin America. (Of course most persons cannot do every one of these places in the limited time) <span face=""verdana" , sans-serif">O</span>ne should try for part-time temporary work if available (in Japan teach English) and travel cheaply and unobtrusively. Before embarking on such travel, one should study and plan out and seek good advice by experienced persons on the ground in the places one will visit. I can’t explain enough how important this travel year can be in rounding out a full education, especially for a young American, and why it will be a key to successful, happy, healthy longevity. And such a trip can be the happiest most memorable year(s) of a young life.</span></b></span><br />
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<span face=""verdana" , sans-serif"><span lang="EN" style="font-size: 16pt;"><b><u><i>What if you discover<span face=""verdana" , sans-serif"> </span>you have a deadly illness</i></u><i>? </i></b></span><span lang="EN" style="font-size: 14pt;"><b>This is a question each person involved in his or her own healthy longevity should ask. A person <span face=""verdana" , sans-serif">should</span> be prepared in order to prevent a disordered self-destructive response to the realization that death is imminent. Many persons who find they have deadly cancer or another quickly fatal disease unthinkingly plunge into ill-advised attempts at treatments and <span face=""verdana" , sans-serif">harmful</span> changes of life. The conditions of each person’s life are, of course, individual; and also they are changing over time. This means each person has a different best answer to the question and also a different time of life to first ask the question. For example, it may be logical for a person age 30 to go full speed ahead for curative treatment of cancer while on the other hand, it may be stupidity in the case of an 80s-year-old whose limited life expectancy makes it more rational to avoid most medical treatments and live life under the sure knowledge of its limits and possibilities. There is a tendency for persons to impulsively react in self-destructive ways to a short term deadly event. I stop here. All I want to tell you is when you find you are going to die in a short time in a specific way, then stop your decision-making and deeply consider all your options and what, given your own individual condition at the moment, you really should (and are capable to) do in order to get the best for your life. And do not exclude healthful hedonism (pleasure for its own sake). </b></span></span><br />
<span face=""verdana" , sans-serif"><span lang="EN" style="font-size: 14pt;"><b><span face=""verdana" , sans-serif"> </span>It is the time if one has already not done it, for self-psychoanalysis.</b></span></span><br />
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<span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN" style="font-size: 16pt;"><u>Hobbies I Have Something Useful to Write On</u>: </span></i></b><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 14pt;">In usefully passing one's boring time, you want a hobby <i><u>not</u></i> to be what other boring time-passing often ends in: not terribly expensive, not dangerous or greatly harmful to self, or other animals or the environment. In the positive, beyond simply satisfying your healthy curiosity, a hobby ought to teach something or help others – and that could include other animals or forms of life. I have had two lifetime hobbies I have something useful to write about: Stamp Collecting and Fish - home pet fish and outdoor fishing.</span></b></span><br />
<b style="mso-bidi-font-weight: normal;"><span face=""verdana" , sans-serif" lang="EN" style="font-size: 14pt;"> About Stamp Collecting: (And click to read </span></b><b style="color: #33aaff; font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; line-height: 14.3999996185303px; text-indent: -15px;"><a href="http://adventuresofkimi.blogspot.jp/2011/04/108-9-stamp-collecting.html" style="color: #33aaff; font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; line-height: 14.3999996185303px; text-indent: -15px;">3.(8-9) Stamp Collecting</a> ) </b><b><span face=""verdana" , sans-serif" lang="EN" style="font-size: 14pt;">it is a good hobby to start as a kid because it will give History, Geography, Languages, Art and Scientific Classification. In the USA today, Stamp Collecting is infrequent because kids get involved in <span face=""verdana" , sans-serif">bad,</span> distracting habits, mostly electronic and entertainer idolization. If you are a parent, start your kid collecting, age 7 or so with inexpensive paste-in, or cellophane slip-in album. An inexpensive way is to collect stamps from what one’s family, friends, and businesses receive in the mail. A parent, friend or the collector should cut them off the envelope and go from there. When your friends or relatives go overseas, ask each to send you a colorful postcard with an interesting stamp. (Keep the stamp on the postcard as special postcard collection in cellophane; years later it will prove fascinating)</span></b><br />
<b><span face=""verdana" , sans-serif" lang="EN" style="font-size: 14pt;"> Once a parent gives basic, simple instructions, leave the rest to the child's interest. </span></b><br />
<b><span face=""verdana" , sans-serif" lang="EN" style="font-size: 14pt;"> </span></b><b><span face=""verdana" , sans-serif" lang="EN" style="font-size: 14pt;"><b><span face=""tahoma" , "sans-serif"" lang="EN-US" style="color: #2a2a2a; font-size: 14pt;">.</span></b> </span></b><br />
<b><span face=""verdana" , sans-serif" lang="EN" style="font-size: 14pt;"><br /></span></b> <b style="mso-bidi-font-weight: normal;"><span face=""verdana" , sans-serif" lang="EN" style="font-size: 14pt;">Fishing or a fish pet can start at age 6 or 7 too. The small tank fish called <i>Guppy</i> are good home pets because easy to keep and a kid learns the facts of life harmlessly from them You can buy 10 for a dollar in NY pet shops. (The kid buys it with his savings) and any receptacle with even as little as less than a gallon of water will suffice. Most aquariums do best with an air bubbles filter – guppies do not really need it but you may wish to keep other fish. (Bigger ones may eat up all the guppies quickly)</span></b><br />
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<span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 14pt;">About sports fishing, a kid should be taught respect for the lives of other animals – not mindlessly – but sensibly. So a parent says, When you fish, always do it for a useful purpose – to cook and eat, to study, to help spread a species to another habitat. Avoid all unnecessary suffering starting with using an appropriate size hook, extracting the hook carefully not to injure badly, and either keeping the fish to eat or as a home pet or putting the live-caught fish back in the water. Nearby lake fishing is easiest for a young kid. My experience in the northeast USA is lake sunfish <i>aka</i> "<i style="mso-bidi-font-style: normal;">punkin’ seed".</i> For simple shoreline fishing, the season starts once the outside temperatures are 70 degrees F (21 degrees C) or more; then the fish come right by the shore. A simple throw-line of Mom’s sewing thread with or without small twig or plastic float at its end and about 4-foot line with smaller than pea-size hook (A too large hook is the main reason for failure but too small size may badly injure the fish by getting swallowed). Choose a place on the shore without overhead shrubs or grass. It does not need to be deep water, even just a foot or more is OK, and all you need to is to throw the baited hook about 3 or 4 feet from shore. Best bait is a wriggling earthworm, not so easy to find nowadays. A black soil, usually by side of a small road and against rock or wall, a little moist, should reward. Pull up grass clumps or overturn small rocks. If you can, get out on a moist grass field late of a summer night, after a rain, and with a flashlight,<span face=""verdana" , sans-serif"> </span>you should find loads of night-crawler earthworms on the grass for fishing.</span></b></span><br />
<span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 14pt;"> When fishing a shore for sunfish <i>(Sunnies)</i>, you got to move and find the fish. Sometime you see them but often you just throw in your baited hook and, if a <i>Sunnie</i> is near, it will bite. No bite after a minute means to move on. Best day to fish is sunny warm and no wind. Best time is right after sun up and hour before sundown but any time on a sunny day is usually good. Have a double-bagged plastic container filled with at least a gallon of lake water nearby to keep your newly caught fish alive.</span></b></span><br />
<span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 14pt;"> OK, kid! Go from there and learn from older anglers you meet at the lake. Then you branch out to streams and rivers and ocean shore. The basic principle is to keep it (equipment) simple, inexpensive, and the fishing safe and ecologically right.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 14pt;"> </span></b></span><br />
<span face=""verdana" , sans-serif"><b style="mso-bidi-font-weight: normal;"><span lang="EN" style="font-size: 14pt;"><i><u>How to find the age of a Fish</u></i> Scrape a fish scale off the fish and with a strong magnifier or simple microscope study the pattern of rings at the base of the fish scale. You should note a set of wide and thin rings that repeats. The wide rings are the summer and then the following winter. Count the number wide rings and you have the age in years of the fish. </span></b></span><br />
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<b><span face=""verdana" , sans-serif" style="font-size: large;"><u>Jigsaw Puzzles</u>: One other simple hobby I find useful is <i>jigsaw puzzle. </i>Very useful when you cannot get to sleep at night or at other boring moments as time-passer. Do it in your bedroom. <span face=""verdana" , sans-serif">I</span>f you use a bed<span face=""verdana" , sans-serif">,<span face=""verdana" , sans-serif"> do it on the sid<span face=""verdana" , sans-serif">e table<span face=""verdana" , sans-serif">; if</span></span></span></span></span><span style="font-size: large;"><span face=""verdana" , sans-serif"> on a futon, like in Japan, use the floor</span>. Do not just fit the pieces together; analyze the technique of successful puzzle solving. Here are some tips <span face=""verdana" , sans-serif">f<span face=""verdana" , sans-serif">rom my recent experience. </span></span></span></b><br />
<b><span face=""verdana" , sans-serif" style="font-size: medium;"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif" style="font-size: large;">Adults</span><span style="font-size: large;"> should start with a 500</span><span face=""verdana" , sans-serif"><span style="font-size: large;">-piece puzzle</span><span face=""verdana" , sans-serif"><span style="font-size: large;"> to ge</span><span face=""verdana" , sans-serif"><span style="font-size: large;">t a little experience. Bu</span><span face=""verdana" , sans-serif"><span style="font-size: large;">t quickly one goes t</span><span face=""verdana" , sans-serif"><span style="font-size: large;">o 1000</span><span face=""verdana" , sans-serif"><span style="font-size: large;">-piece puzzle. Before starting and always keep in mind not to lose pieces. Typical losses are in vacuum cleaner, under bed or futon, stuck to parts of body like sole of foot. </span></span></span></span></span></span></span></span></span></span></b><br /><b><span face=""verdana" , sans-serif" style="font-size: medium;"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span style="font-size: large;">Also do not get the pieces wet because they will easily lose identifying marks. You start off by selec</span><span face=""verdana" , sans-serif"><span style="font-size: large;">ting the pieces that form the outline which are obvious because they h</span><span face=""verdana" , sans-serif"><span style="font-size: large;">ave one side com</span><span face=""verdana" , sans-serif"><span style="font-size: large;">pletely straight</span><span face=""verdana" , sans-serif"><span style="font-size: large;">. So for example</span><span face=""verdana" , sans-serif"><span style="font-size: large;">, at your leisur</span><span face=""verdana" , sans-serif"><span style="font-size: large;">e, you go through your </span><span face=""verdana" , sans-serif"><span style="font-size: large;">puzzle and find all the straight-sided pieces. Then you fit the</span><span face=""verdana" , sans-serif"><span style="font-size: large;">m together </span><span face=""verdana" , sans-serif" style="font-size: large;">in</span><span style="font-size: large;"> out</span><span face=""verdana" , sans-serif"><span style="font-size: large;">line. From this point</span><span face=""verdana" , sans-serif"><span style="font-size: large;">, there are 2 </span><span face=""verdana" , sans-serif" style="font-size: large;">paths</span><span face=""verdana" , sans-serif"><span style="font-size: large;">. If you have the typ</span><span face=""verdana" , sans-serif"><span style="font-size: large;">e of puzzle that features large solid colors, e.g., </span><span face=""verdana" , sans-serif"><span style="font-size: large;">flo</span><span face=""verdana" , sans-serif"><span style="font-size: large;">wer arrangements</span><span face=""verdana" , sans-serif"><span style="font-size: large;"> such as you might b</span><span face=""verdana" , sans-serif"><span style="font-size: large;">u</span><span face=""verdana" , sans-serif"><span style="font-size: large;">y at botanical gardens, then you work the pieces from the outline inward</span><span face=""verdana" , sans-serif"><span style="font-size: large;"> using solid colors and</span><span face=""verdana" , sans-serif" style="font-size: large;"> form as guide</span><span style="font-size: large;">.</span><span style="font-size: x-large;"> </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><span style="font-size: x-large;">But if you have a puzzle <span face=""verdana" , sans-serif">whose picture is composed of many small objects, e.g., a puzzle of stamp-collecting, you will fin<span face=""verdana" , sans-serif">d<span face=""verdana" , sans-serif"> the best appro<span face=""verdana" , sans-serif">a<span face=""verdana" , sans-serif">ch is to recognize particular areas in the puzzle picture that will form <span face=""verdana" , sans-serif">oas<span face=""verdana" , sans-serif">es of meaningful images. Then you gradually work from <span face=""verdana" , sans-serif">each one<span face=""verdana" , sans-serif"> outward. And they eventually come together<span face=""verdana" , sans-serif">. The most difficult puzzles are those with least contrast in the picture and color content, like my last one of almost the same type of fish over and over against white background. </span></span></span></span></span></span></span></span></span></span></span></b><br />
<b><span style="font-size: x-large;"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"> Another way that jigsaws get hard to do is that they make 2 or 3 pieces that fit into one same space so you have to choose the correct piece by its combination of colors and meaning that show it is not merely the spatial feature that determines correctness of the piece. Therefore, if you get stuck at the end of your puzzle with 1 or 2 pieces that don't seem to go with the pattern of all the other pieces around it, suspect that you're dealing with the case I have just described and look around for the appropriate piece that really fits the puzzle. </span></span></span></span></span></span></span></span></span></span></span></b><br />
<b><span style="font-size: x-large;"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"> A particular help in very hard jigsaws is to make enlarged copies of the fully assembled puzzle on the box cover and use them for fitting pieces together to make a full picture of the difficult object.</span></span></span></span></span></span></span></span></span></span></span></b><br />
<b><span face=""verdana" , sans-serif" style="font-size: large;"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"> I can't explain<span face=""verdana" , sans-serif"><span face=""verdana" , sans-serif"> enough how enjoyable jigsaw puzzles can be against<span face=""verdana" , sans-serif"> the <span face=""verdana" , sans-serif">boredom tha<span face=""verdana" , sans-serif">t come<span face=""verdana" , sans-serif">s whe<span face=""verdana" , sans-serif">n you can't s<span face=""verdana" , sans-serif">leep a<span face=""verdana" , sans-serif">nd you have nothing else to do and now<span face=""verdana" , sans-serif">here to go. A good 1000-piece puzzle done leisurely will <span face=""verdana" , sans-serif">give months of enjoying. And when you finish it you'll have a nice decoration for your room.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></b><br />
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<b><span face=""verdana" , sans-serif">Also, check out </span><a href="http://adventuresofkimi.blogspot.com/"><span face=""verdana" , sans-serif">http://adventuresofkimi.blogspot.com</span></a><span face=""verdana" , sans-serif"> for a fun read that not only will pleasure boring hours but to help you live long, happily and successfully</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span face=""verdana" , sans-serif" lang="EN-US" style="color: #444444; font-size: 18pt;">About the Author </span></b><br />
<b style="mso-bidi-font-weight: normal;"><span face=""verdana" , sans-serif" lang="EN-US" style="color: #444444; font-size: 18pt;">(Photo o<span face=""verdana" , sans-serif">f <span face=""verdana" , sans-serif">November </span>2016 Age almost 84)</span></span></b></div>
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<span face=""verdana" , sans-serif"><b><span lang="EN-US" style="font-size: 14pt;">Dr. Edward Stim, born 10 Jan. 1933, medical degree from Albert Einstein College of Medicine, in Bronx NY, in 1960. In </span></b><country -region="-region"><place><b><span lang="EN-US" style="font-size: 14pt;">U.S.</span></b></place></country><b><span lang="EN-US" style="font-size: 14pt;"> Army from 1952 to 1955, ln </span></b><country -region="-region"><place><b><span lang="EN-US" style="font-size: 14pt;">Japan</span></b></place></country><b><span lang="EN-US" style="font-size: 14pt;"> from 1954 to ‘55 and marrying there. With his late wife Riyo (died 1982) has two children. As a physician in</span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b><country -region="-region"><place><b><span lang="EN-US" style="font-size: 14pt;">Japan,</span></b></place></country><b><span lang="EN-US" style="font-size: 14pt;"> has been doing travel medicine</span></b><b><span lang="EN-US" style="font-size: 14pt;"> since 1983. Wrote <i style="mso-bidi-font-style: normal;">Physician’s Notebook for Foreigners in Japan</i> published by <i style="mso-bidi-font-style: normal;">The Japan Times </i>in 1990. Working on <i style="mso-bidi-font-style: normal;">Slim Novels </i>& <i style="mso-bidi-font-style: normal;">The Physician’s Notebooks</i> since 1982.</span></b></span><br />
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<a href="http://physiciansnotebook.blogspot.jp/2010/11/physicians-notebooks-2.html"><span face=""verdana" , sans-serif" style="color: #2288bb;">2.0 Physician's Notebooks 2 Intro: Eating for Long...</span></a></div>
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</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4839604317339966579.post-35146263432477106402010-09-23T09:09:00.034+09:002021-10-31T20:42:12.981+09:002.0 Physician's Notebooks 2 Intro: Eating for Long Life<div align="center" class="MsoNormal" style="margin: 0mm 0mm 0pt; text-align: center;">
<span class="Apple-style-span"><b><span lang="EN-US"><span style="font-family: "century"; font-size: x-small;"><i>Physician's Notebooks 2</i> - http://physiciansnotebook.blogspot.com - See <i>Homepage</i></span></span></b></span><br />
<span class="Apple-style-span" style="font-size: large;"><b>Welcome to <i>Physician's Notebooks 2</i></b></span><br />
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<span style="font-size: large;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 18pt;"><span style="font-family: "century";"><i>2.0: Section 1: Eating for Long Life</i></span></span></b></span></div>
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<i> <b> Update 31 Octr 2021</b></i></span><br />
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<span style="font-size: large;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"></span></span></b></span></span></b></span></span></b></span></div>
<blockquote class="MsoNormal" style="margin: 0mm -15.75pt 0pt 0mm; mso-para-margin-right: -1.5gd;"><blockquote class="MsoNormal" style="margin: 0mm -15.75pt 0pt 0mm; mso-para-margin-right: -1.5gd;"><blockquote class="MsoNormal" style="margin: 0mm -15.75pt 0pt 0mm; mso-para-margin-right: -1.5gd;"><blockquote class="tr_bq"><div style="text-align: center;"><span><span style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span><span style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span><span style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span><b> I </b></span><span style="font-family: "century"; font-size: 14pt; font-weight: bold;">offer ideas, developed from years of self experiment with observation of my eating and its outcomes. Also I reviewed the science. I measure my lifetime’s good eating at age 88 by a Body Mass Index (BMI) of 18, a blood LDL-cholesterol 58 mg% (1.5mMoles/Liter) with HDL (Hi-Density Lipoprotein Cholesterol) 50 to 60 (1.4 to 1.6 mM/L), a blood pressure that ranges from 105/55 to 135/82 with resting heart rate 55 t</span></span></span></span></span></span></span></span></span></span><span style="font-family: century; font-size: 14pt; font-weight: bold;">o 72 beats per minute, a well functioning mind and also a feeling of good health with a</span><i style="font-family: century; font-size: 14pt; font-weight: bold;"> joie de vivre</i><span style="font-family: century; font-size: 14pt; font-weight: bold;">, including sexual orgasms, plus enjoying eating, drinking and opioid and living my life to its healthy hilt. When I compare my eating in its outcome to others' outcomes, I think I offer good advice.</span></div></blockquote></blockquote></blockquote></blockquote>
<div style="text-align: left;"><br /></div><div style="text-align: left;"><b>On the circadian cycle affect on your eating: Each 24 hours by the clock one's appetite cycles to a minimum at around 8 am and a maximum in early evening at suppertime. Just pay attention to your own appetite and you'll see how noticeable the affect is. Then make use of it in arranging your eating to have less calories over the 24 hours.</b></div>
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<span style="font-size: large;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b>End Section. For next, click </b><a href="http://physiciansnotebook.blogspot.jp/2010/11/chapter-about-body-weight-gain.html"><span style="color: #2288bb;">2.1 About Body Weight Gain</span></a></span></span></b></span></span></b></span></span></b></span></div>
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<span style="font-size: large;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Scroll down from here for <i>Table of Contents </i>for <i>Notebooks 2</i></span></span></b></span></span></b></span></span></b></span></div>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2010/11/physicians-notebooks-2.html">2.0
Physician's Notebooks 2 Intro: Eating for Long...</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2010/11/chapter-about-body-weight-gain.html">2.1
About Body Weight Gain</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2010/11/more-on-losing-weight.html">2.2
More on Losing Weight/Fasting Technique, Hands...</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2010/11/more-on-eating-healthily.html">2.3
More on Eating Healthily</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2010/11/pb-lead-in-tap-water-latest-safety.html">2.4
Drink Water but Watch Out for Pb-Lead</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2010/11/safe-eating.html">2.5
Safe Eating/Avoid Toxins/Mad Cow Prion Disease...</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2010/11/note-to-daily-new-post-blogspot-reader.html">2.6a
Introduction to the Science Section</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2010/11/essential-physical-science.html">2.6b
Essential Physical Science</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2010/11/electron-arrangement-in-atoms.html">2.6c
Electron Arrangement in Atoms/Quantum/Laser</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2010/11/einsteins-relativity-and-end-of-chapter.html">2.6d
Einstein's Relativity/Time Machine/TOE and St...</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/26e-numbers-and-basic-math-for-healthy.html">2.6e
Numbers for Healthy Longevity</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2011/06/26f-temperature-calculations.html">2.6f
Temperature Calculations - Celsius/Fahrenhei...</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/life-intelligence-civilizations-in.html">2.6g
Life, Intelligence & Civilizations in Univer...</a></span></li>
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<span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/26g-measurements-in-science.html">2.6g-1
Measurements in Science</a></span><br />
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2010/11/periodic-table-of-chemical-elements.html">2.7
The Periodic Table of the Chemical Elements</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2010/12/some-important-chemical-concepts-in.html">2.8
Some Important Chemical Concepts in Medicine</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2010/12/start-of-about-food-nutrients-for-us.html">2.9a
Secrets of Healthy Food - the Carbohydrates</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2010/12/fats-or-lipids-in-foods-and-importance.html">2.9b
Fats or Lipids in Foods</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2011/01/proteins-and-amino-acids-in-nutrition.html">2.9c
Proteins and Amino Acids in Nutrition</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2011/01/introduction-to-vitamins-minerals.html">2.10
Introduction to Vitamins & Minerals</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2011/01/start-of-vitamins.html">2.11a
Start of Vitamins -Intro; Biotin and Cholin...</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2011/01/folic-acid-folic-acid-or-folate-connect.html">2.11b
Folic Acid - Why I take a Mega Dose</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2011/01/more-vitamins-b2-and-pantothenic-acid.html">2.11c
B3 Niacin and Pantothenic Acid</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2010/09/211c-riboflavin-and-thiamine.html">2.11d
Riboflavin and Thiamine</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2011/01/everything-you-need-to-read-on-vitamin.html">2.11e
Everything you need to read on vitamin A</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2011/01/secrets-of-vitamin-b6-aka-pyridoxine.html">2.11f
Secrets of vitamin B6 Pyridoxine</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2011/01/exciting-new-advice-on-vitamin-b12.html">2.11g
Exciting New Advice on Vitamin B12</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2011/01/new-uses-for-vitamin-c.html">2.11h
New Uses for Vitamin C</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2011/01/vitamin-d-parathyroid-and-calcium.html">2.11i
Vitamin D, parathyroid and calcium</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2011/01/what-about-vitamin-e.html">2.11j
What About Vitamin E?</a></span></li>
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<li style="background-attachment: initial; background-clip: initial; background-image: none; background-origin: initial; background-size: initial; border-width: 0px; list-style: none outside none; margin: 0.25em 0px; padding: 0.25em 0px 0.25em 1.3em; text-indent: -15px;"><b style="color: #33aaff;"><a href="http://physiciansnotebook.blogspot.jp/2011/01/vitamin-k-and-final-comment-on-vitamins.html" style="color: #33aaff;">2.11k Vitamin K and Omega-3 Fatty Acid</a></b></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2011/01/minerals-as-nutrients-and-poisons-first.html">2.12a
The Minerals: Introduction and Calcium</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2011/01/chromium-copper-and-iodine-nutrition.html">2.12b
Chromium, Copper and Iodine - Nutrition & T...</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2011/01/iron-nutrient-and-cause-of-disease.html">2.12c
Iron a nutrient and a cause of disease</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2011/01/magnesium-phosphorus-selenium-and-zinc.html">2.12d
Magnesium/Phosphorus/Selenium/Zinc</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2011/01/minor-metal-elements-in-nutrition-and.html">2.12e
The Minor Metals in Nutrition and Toxicity</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2011/01/water-of-our-body-internal-milieu.html">2.13a
The Water of Our Body Internal Milieu</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2011/01/blood-electrolytes-and-body-water.html">2.13b
Blood Electrolytes & Body Water</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2011/01/acidity-and-alkalinity-of-body.html">2.13c
Acidity and Alkalinity of the Body</a></span></li>
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<li><span style="color: #2288bb;"><a href="http://physiciansnotebook.blogspot.jp/2011/01/alkaline-and-acid-tides-of-your-body.html">2.13d
Alkaline & Acid Tides of Body/Respiratory C...</a></span></li>
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<li><a href="http://physiciansnotebook.blogspot.jp/2011/01/what-should-you-eat-to-keep-health-and.html"><span style="color: #2288bb;">2.14
(a & b) What To Do & To Eat for Good Health ...</span></a></li>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"></span></span></b></span></span></b><br /></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i style="mso-bidi-font-style: normal;"> </i></span></span></b> For a good, useful, passing-time read, click <u style="font-style: italic;">http://adventuresofkimi.blogspot.com</u> , the <i>Slim Novels.</i></span></span></b></div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4839604317339966579.post-80572079762564687332010-09-23T09:07:00.029+09:002021-11-01T09:01:56.128+09:002.1 About Body Weight Gain<div class="MsoNormal" style="margin: 0mm -15.75pt 0pt 0mm; mso-para-margin-right: -1.5gd;">
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<span style="font-size: x-small;"><b><span lang="EN-US"><span style="font-family: "century";"><i>Physician's Notebooks 2</i> - http://physiciansnotebook.blogspot.com - <i>See Homepage</i> </span></span></b> </span></blockquote>
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<b><span lang="EN-US" style="font-size: 16pt;">2.1: Body Mass Index and Healthy Longevity - Update 01 November 2021. The following column of topic contents.</span></b></blockquote>
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<b><span lang="EN-US" style="font-size: 14pt;"><u><i>Slimness leads to Healthy Longevity</i></u></span></b>
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<b style="font-family: Century; font-size: 18.88px;"><span lang="EN-US" style="font-size: 14pt;"><u><i>Basal Body Weight (BBW)</i></u></span></b>
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<b style="font-family: Century; font-size: 18.88px; text-indent: 120.46px;"><span style="font-family: "century";"><u><span lang="EN-US" style="font-size: 14pt;"><i>Body Mass Index (BMI)</i></span></u></span></b>
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<b style="font-family: Century; font-size: 18.88px; text-indent: 120.46px;"><span style="font-family: "century";"><u><span lang="EN-US" style="font-size: 14pt;"><i>waist circumference</i></span></u></span></b></div>
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<b style="font-family: Century; font-size: 18.88px; text-indent: 120.46px;"><span style="font-family: "century";"><u><span lang="EN-US" style="font-size: 14pt;"><i>Calorie</i></span></u></span></b></div><div style="text-align: center;"><b style="font-family: Century; font-size: 18.88px; text-indent: 120.46px;"><span style="font-family: "century";"><b style="font-family: -webkit-standard; text-align: left; text-indent: 0px;"><span style="font-size: large;"><u style="font-style: italic;">Anorexia and Bulimia nervosa and Binge Eating</u></span></b></span></b></div><div style="text-align: center;"><b style="font-family: Century; font-size: 18.88px; text-indent: 120.46px;"><span style="font-family: "century";"><b style="font-family: -webkit-standard; text-align: left; text-indent: 0px;"><span style="font-size: large;"><u style="font-style: italic;"><br /></u></span></b></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i><u>Slimness leads to Healthy Longevity</u></i> Eating that keeps an animal a little below normal weight yet contains a balance of nutrients for normal development will give longest, healthy life. (Based on experiments also involving humans.) A reason to stay alive – to wake and live daily each one day more – is expectation of body enjoyment, and the goal of rational life once a formula for its daily happiness succeeds is to experience that state longest. My first goal in eating is to stay slim (like WW2 Hollywood director’s Howard Hawks wife, <i>Slim Hawks)</i> in order to live most enjoyably, minute by minute, hour by hour, day by day, longest in good health.</span></b></blockquote>
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<span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><u><i>Basal Body Weight (BBW)</i></u></span><span lang="EN-US" style="font-size: 14pt;"><i>:</i> Morning, just after waking up, with no clothes, before putting anything into mouth and right after morning excretions, step on a body-weight scale. Be sure the scale is accurate and has been zeroed. The number you read in kilograms (kgm) or in avoirdupois pounds (lb) is BBW (1 kg = 2.2 lb and 1 lb = 0.45 kg).<br /> </span></b></span></span></span><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b><u><span lang="EN-US" style="font-size: 14pt;">Body Height</span></u><span lang="EN-US" style="font-size: 14pt;">: You or assistant m</span><span lang="EN-US" style="font-size: 14pt;">easure height at home, standing against and facing away from wall, looking straight ahead, and pencil-marking a line tangent off top of head. Adults do not change height much. Measure height in meter or inch (1 meter =39.37 inches and 1 inch = 0.0254 meter).</span></b></span></span></span> </blockquote>
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<span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;">The </span></b></span></span></span><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><b><span style="font-family: "century";"><u><span lang="EN-US" style="font-size: 14pt;"><i>Body Mass Index (BMI)</i></span></u><span lang="EN-US" style="font-size: 14pt;"> tells if your weight is healthy or not. By using BMI, one may compare body weights. Calculate </span><span lang="EN-US" style="font-size: 14pt;">BMI by dividing the BBW by Body Height times itself as </span><span lang="EN-US" style="font-size: 12pt;">BMI = W</span></span><span face=""ms 明朝"" lang="EN-US" style="font-size: 12pt;">÷</span><span lang="EN-US" style="font-size: 12pt;"><span style="font-family: "century";">H</span></span><sup><span face=""ms 明朝"" style="font-size: 12pt;">2</span></sup><span style="font-family: "century";"><span lang="EN-US" style="font-size: 12pt;">.</span><span lang="EN-US" style="font-size: 14pt;"> </span></span><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;">In calculating BMI, you either use kilogram divided by the meter times meter product to get BMI metric or you use avoirdupois pound divided by inch times inch product and the result is multiplied by 703.3 to convert your pounds per square inch to BMI metric. </span></span></b></span></span><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b>I weigh now, as BBW, 56 kilograms (kg) or 123 pounds (lb) and my body height is 1.78 meters (m) or 70 inches. I calculate my BMI 56 ÷ (1.78 x 1.78)=BMI of 17.72. Round off the BMI number to nearest double-digit; = BMI 18.</b></span></span></span></span> </blockquote>
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<b><u>Visualizing BMI</u></b> </blockquote>
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<span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b>BMI>30: Obese, fat like circus-fat women.</b></span></span></span></span> </blockquote>
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<span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b>BMI 30 to 25: “Chunky”. </b></span></span></span></span> </blockquote>
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<span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;">BMI 25 to 21: </span><city><place><span lang="EN-US" style="font-size: 14pt;">Normal</span></place></city><span lang="EN-US" style="font-size: 14pt;"> for body image but not necessarily healthy.</span></b></span></span></span> </blockquote>
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<span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b>BMI 21 to 18: Slim like me, healthy. </b></span></span></span></span> </blockquote>
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<span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b>BMI 18 to 17: Mild underweight, may be healthy.</b></span></span></span></span> </blockquote>
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<span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b>BMI 16 or lower: Moderate (BMI 16) to severe (BMI below 16) underweight and at risk for disease.</b></span></span></span></span> </blockquote>
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<span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b>BMI<14: On verge of death from starvation.</b></span></span></span></span> </blockquote>
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<span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b>The BMI correlates with long life in persons without chronic disease. To live past age 80 – on your feet, with good brain, and enjoying self – as I do now - get your BMI to 20, or even a little lower! </b></span></span></span></span><b><br /></b></blockquote>
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<b>Note: As an alternative to BMI the <u><i>waist circumference</i></u> measured at the iliac crests (top level of the pelvic bones) is easy to do and a fairly accurate predictor of good health. Using it, obesity is >102 cm (c.40 inches) in men and >88 (c.35 inches) in women. </b></blockquote>
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<span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b>In using BMI or waist circumference as guide, it is important not to use it just as the number and forget the person. Persons with BMI below 20 may be one of two sets: the healthy who achieved low BMI by eating low calorie with good mix of protein, vitamin and mineral, and vegetable fibers, simple carbohydrate and polyunsaturated fats; or, in worst cases, the unhealthy with chronic illnesses like cancer, heart failure, gastrointestinal inflammatory disease, and also heavy cigarette smoker with lung disease, who lost the weight because too ill to eat well. </b></span></span></span></span><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b>When I say: “Get down to low BMI!” it is in context of a healthy person who presently may have BMI 25 or higher and gets BMI down by eating a healthy, low calorie, high vitamin & mineral mix of food. </b></span></span></span></span> </blockquote>
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<span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b>Practically, you will want to know what should be the BBW (Your morning body weight) in pounds avoirdupois or kilograms to achieve your BMI because your adult Body Height is fixed; so, it will be your daily or weekly weigh-in that is modifiable. Staying in metric and assuming you strive for BMI 20, the </b></span></span></span></span><b style="font-family: Century; font-size: 14pt; text-indent: 14.05pt;">BMI=BBW/ (Meter Height)<sup>2</sup>; so, aiming for your BMI at 20, you should plan for a BBW in kgm=20 x (Your Height in Meters)<sup>2.</sup>. If you are a 5 foot, 9 inch, or a 1.75 m height American without chronic illnesses, you should compute a BBW of 132 lbs (60 kg x 2.2) to give BMI 20.</b> <b>(Note with this system using BMI, no difference is made between men and women)</b></blockquote>
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<span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>How to Achieve Ideal BBW and Stay There</u>:</i> You need</span><span lang="EN-US" style="font-size: 14pt;"> a rational aim (attainment of healthy longevity within the context of happy life) and a goal in BMI or, at a little lesser accuracy, an appropriate waist circumference. Also be physically active.</span></b></span></span></span> </blockquote>
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<span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;">About Slimness as Goal</span><span lang="EN-US" style="font-size: 14pt;">: In losing weight rationally, the focus ought to be on its aim and on body weight or waist circumference. One strives to get below the usual American BMI 25 first. Then over years one works towards BMI 20. Once one achieves it, one starts healthy eating to maintain weight. </span></b></span></span></span><span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b>Record your BBW weekly from early age and do not accept a BMI towards 25. And one should strive for BMI 20. It is easier to reach if one starts early, rather than what happens to most (We ignore BBW, and years later find ourselves 10, 20, 30 pounds (5, 10, 15 kilograms) overweight and crash diet to get healthy BMI).</b></span></span></span></span> </blockquote>
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<span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b>What about “<i><u>Calorie</u></i>”? Although the public uses “calorie” and sees it in most diet advice, the measurement is actually <i>KiloCalorie (Kc), or sometimes just the big C vs. the small c. </i>It gives accuracy in comparing the amount of food we eat in a snack, a meal, a day, or a week in terms of food's weight-gaining potential. For example, if in one day John ate 2000 Kc and Jane ate 1000 Kc, you should know John is eating twice the weight-gaining potential of food compared to Jane. That is the Energy Input (EI) side of calories as food unit.</b></span></span></span></span> <b>(The useful fact of calories is when you're shopping in the supermarket and you see two attractive servings at almost the same price but need to decide which you should buy, the answer ought to be, all things being equal, you should buy the serving with lower number of calories.)</b></blockquote>
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<span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b><i style="text-decoration: underline;">Factors That Affect Body Weight</i> are responsible for the world epidemic of overweight. These include the genetic and environmental causes of why we are overeating.</b></span></span></span></span> <b>You may check these factors on Internet.</b></blockquote></div></blockquote><p><span style="font-size: large;"><u style="font-style: italic; font-weight: bold;">Anorexia and Bulimia nervosa and Binge Eating</u><b> are DSM V diagnoses for an attitudinal condition that mainly affects young women who have a morbid fear of weight gain and a huge desire for an unrealistic, unhealthy slimness. “Anorexia” is a misnomer, as the patients actually have normal appetites but consciously limit their food intake. In </b><i><u><b>anorexia nervosa</b></u></i><b> the women have an abnormal eating pattern that plunges the BMI below 16 and has a significant death rate. In </b><i><u><b>Bulimia nervosa </b></u></i><b>patients lack the willpower of anorexia nervosa so they show a pattern of fasting or low calorie intake broken by binge overeating and then purging by induced vomiting or diuretic-caused excess urination and do not drop BMI much. Simple binge eaters become very obese. The best treatment is by a sympathetic counselor who is not necessarily a doctor but who uses CBT (Cognitive-Behavioral-Therapy of Aaron Beck; see Notebooks 9, Psychotherapy chapter). Note that getting involved in ballet as a child or young woman carries a 7 times risk of anorexia nervosa (plus ballerinas having very high incidence of deforming arthritis of the feet by age 40).</b></span></p>
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<span style="font-family: "century";"><span lang="EN-US" style="font-size: 14pt;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><b> </b></span></span></span></span><b>Continue Next, click </b><b><a href="http://physiciansnotebook.blogspot.jp/2010/11/more-on-losing-weight.html"><span style="color: #2288bb;">2.2 More on Losing Weight/Fasting Technique, Hands...</span></a></b><br />
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4839604317339966579.post-80856257801231474382010-09-23T09:05:00.042+09:002021-11-03T08:59:19.882+09:002.2 More on Losing Weight/Fasting Technique, Hands on Experience<div class="MsoNormal" style="margin: 0mm -15.75pt 0pt 0mm; mso-para-margin-right: -1.5gd;">
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<b><span lang="EN-US"><span style="font-family: "century"; font-size: x-small;"><i>Physician's Notebooks 2</i> - http://physiciansnotebook.blogspot.com - See <i>Homepage</i></span></span></b></div>
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<span class="Apple-style-span" style="font-weight: 800;"><span class="Apple-style-span" style="font-size: large;">2.2: Eating to Lose or Keep Healthy Weight. Update 03 November 2021</span></span><span style="font-size: large; font-weight: 800;"> - Column of topics, use </span><i style="font-size: x-large; font-weight: 800;">search & find</i><span style="font-size: large; font-weight: 800;"> or </span><i style="font-size: x-large; font-weight: 800;">scroll down</i><span style="font-size: large; font-weight: 800;"> in order.</span></div>
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<span style="font-size: x-small;"> <b><span style="font-family: "century";"><b><span lang="EN-US"><u><i>The Method</i></u></span></b></span></b></span> </blockquote>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US"><i style="text-decoration: underline;">Fasting for Rapid Weight Loss,</i></span></b></span></b></span> </blockquote>
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<b style="font-size: small;"><span style="font-family: "century";"><b><span lang="EN-US"><i style="text-decoration: underline;">Eating to Lose Excess and Maintain Low Body Weight</i></span></b></span></b></blockquote>
<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>Speed of Eating:</u></i></span></b></span></b></span><br />
<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u><span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>Reduce Quantity of Eats:</u></i></span></b></span></b></span> </u></i></span></b></span></b></span><br />
<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u><span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>Quality of your Eats – Caloric Density</u></i></span></b></span></b></span> </u></i></span></b></span></b></span><br />
<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u><span style="font-size: x-small;"><b><span style="font-family: "century";"><i><u><b><span lang="EN-US" style="font-size: 14pt;">Use Economy Motive to Maintain Low Weight: </span></b></u></i></span></b></span> </u></i></span></b></span></b></span><br />
<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u><span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>Restaurant Eating:</u></i></span></b></span></b></span> </u></i></span></b></span></b></span><br />
<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u><span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i style="text-decoration: underline;">Timing of Eating, Snacking, Conditioned Response, Vending Machine</i> </span></b></span></b></span> </u></i></span></b></span></b></span><br />
<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u><b><b><span lang="EN-US"><span style="font-family: "century"; font-size: 14pt;"><u><i>Eats in a day & type:</i></u> </span></span></b></b> </u></i></span></b></span></b></span> <br />
<b style="font-size: small; text-align: start; text-indent: 13.75pt;"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Use of Night Lie-Down to Avoid Eating</u></i> </span></span></b></b><br />
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<span style="font-size: x-small;"><b style="text-indent: 13.75pt;"><b><span lang="EN-US"><span style="font-family: "century";"> </span></span></b></b></span><span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US"><u><i>Exercise</i></u></span></b></span></b> </span></blockquote>
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<b style="font-size: small; text-align: start;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><u><i>Monitor Good Eating</i></u></span></b></span></b></blockquote>
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<b style="font-size: small;"><span style="font-family: "century";"><b><span lang="EN-US"><i style="text-decoration: underline;">Metal Toxicity</i></span></b></span></b><br />
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US"><i style="text-decoration: underline;">The Edge Against Overeating</i></span></b></span></b></span></blockquote>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US"> </span></b></span></b></span><span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US"><i style="text-decoration: underline;">Food Additive</i></span></b></span></b></span></blockquote>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US"> </span></b></span></b></span><span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US"><i style="text-decoration: underline;">Monitor of Under-nutrition</i></span></b></span></b></span></blockquote>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US"> </span></b></span></b></span><span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US"><i style="text-decoration: underline;">Preferred Food</i> </span></b></span></b></span> </blockquote>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US"> </span></b></span></b></span><span style="font-size: x-small;"><b style="text-indent: 18.73px;"><span style="font-family: "century";"><b><span lang="EN-US"><i style="text-decoration: underline;">I favor animal-rights</i></span></b></span></b></span> </blockquote>
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<span style="font-size: x-small;"><b style="text-indent: 18.73px;"><span style="font-family: "century";"><b><span lang="EN-US"> </span></b></span></b></span><span style="font-size: x-small;"><b style="text-indent: 18.73px;"><span style="font-family: "century";"><b><span lang="EN-US"><i style="text-decoration: underline;">Beverage</i></span></b></span></b></span> </blockquote>
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<span style="font-size: x-small;"><b style="text-indent: 18.73px;"><span style="font-family: "century";"><b><span lang="EN-US"> </span></b></span></b></span><span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US"><i style="text-decoration: underline;">Our Bad Eating</i></span></b></span></b></span></blockquote>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US"> </span></b></span></b></span><span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US"><u><i>Self-Experimental Approach to Eating</i></u></span></b></span></b></span></blockquote>
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<span style="font-family: "century"; font-size: medium;"><span style="font-weight: 800;"><b><u><i>Pills or Surgery for Weight Loss</i></u></b></span></span> <br />
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<span style="font-size: x-small;"><b><span lang="EN-US"><span style="font-family: "century";"><i> <u>Uncontrolled Crazy Appetite</u></i></span></span></b> </span> </blockquote>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><u><i>The Method</i></u></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i>:</i> Set a healthy (<25) BMI goal. If above it, eat less and add useful physical activity. And use your weigh-in BBT to monitor body weight. When you reach best body weight for BMI, consider the range on either side you are comfortable with. Then get down to lower border of that range and eat healthily.</span></b></span></b></span></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>Fasting for Rapid Weight Loss</u>:</i> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Fasting is the fastest way to weight loss. It can start you on Healthy Longevity. For motivation, convince self of the importance of healthy, long life and your need to achieve it. Then realize a BMI below 25 will make long life most probable and with least sickness. This is a continuous <i>must</i> to reinforce daily. At the start it may not seem to work well but keep at it day, week and month, and watch your morning weigh-in to see it work,</span></b></span></b></span></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> Fasting involves</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"> continuing decisions to go against basic human drive. It takes practice. Every fast should be begun as experiment. Never let it be looked on as contest between asceticism and <i>Miss Piggy</i>. I define a fast as starting from 8 hrs after last calorie in mouth; before then it is <i>intention to fast</i>. </span></b></span></b></span><span style="font-size: x-small;"><b><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Even a fast you stop before planned completion should be success if it cuts down food intake and loses weight and gets you closer to your BMI goal; and however you can achieve the goal – by fast or not, by use of drug or not – so long as you can see movement toward the goal, be happy. Emphasis is not on the fahyg</span></b></span></b></span></div></blockquote><p> </p><blockquote><div class="MsoNormal" style="margin: 0mm -15.75pt 0pt 0mm; mso-para-margin-right: -1.5gd;"><span style="font-size: x-small;"><b><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">st, it’s on the BMI goal. </span></b></span></b></span></div>
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<span style="font-size: x-small;"><b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> From my experience with fasting, it is best considered as tool to reverse overeating to start you on way to best BMI. Serious students of weight loss will find there will be periods during a life when fasting can be done with good effect.</span></span></b></b></span></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> Fasting </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">should occupy the opening phase of “get down to best BMI.” Psychologically it is useful to get an opening push by fasting. Once you succeed at fasting, the discipline and self-knowledge gained from it will help eating behavior in future.</span></b></span></b></span></div>
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<span style="font-size: x-small;"><b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Almost all fasts are ended by 24 hours and I do not advise longer because going past 24 hours recruits <em>anorexia nervosa </em>(Weight-losing disorder of teenage female signaled by BMI 16 or lower and inability to stop weight-losing behavior; and carrying a 6x normal mortality; needs treatment by psychotherapeutic team). The most practical is alternating 24-hr fasts. Here, you cycle the eating, starting each 24-hr at your convenience, and completing the 24 hrs, cycling back and forth between eating and fasting as long as you wish until BMI goal is reached.</span></span></b></b></span></div>
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<span style="font-size: x-small;"><b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Ideally, a fast ought to be planned to arrange the fasting environment to minimize the stimuli to eat. For some <i style="mso-bidi-font-style: normal;">wannabee </i>fasters, Weekender or vacation period is good because of the flexibility the free time gives.</span></span></b></b></span></div>
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<span style="font-size: x-small;"><b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Entering a fast and its successful completion require powerful and separate motivations that are difficult to turn on and off. At times you may find yourself motivated to start a fast at a non-ideal time. Most often this will be in reaction to an eating mistake (“pigging out”) that has caused disappointment in your self-image. Sometimes it is sudden discovery of being badly overweight. If motivation strikes, even if you have not prepared for or anticipated fasting, grab the opportunity and start fasting. At worst you’ll stop before 24 hours. At best, it might turn out the one fast you succeed in because of powerful motivation.</span></span></b></b></span></div>
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<span style="font-size: x-small;"><b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> The most stressful time in a fast is at mealtimes. It is best to plan physical chore or non-caloric enjoyment for then. Sometimes starting off with a sleep works well to get fasting going after the first 8 hours.</span></span></b></b></span></div>
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<span style="font-size: x-small;"><b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Many who fast do it as pollutant-free, drug-free, natural organic food kick to “clean system.” I advocate fasting for one purpose: To get below bad BMI ! So anything that safely helps you to not eat, like sleep pill or strong caffeine black coffee is OK.</span></span></b></b></span></div>
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<span style="font-size: x-small;"><b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Social activity, especially involving others eating and drinking is a No-No during a fast.</span></span></b></b></span></div>
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<span style="font-size: x-small;"><b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Sleep is useful against stress of fast. Easiest way to fast is to stay in bed, even with help of mild sleep pill. But be sure you are not taking medicine that stimulates eating – like antihistamines, or some sleep pills like Ambien (zolpidem) or serotonin re-uptake inhibitor anti-depression medications like <i>Prozac</i>.</span></span></b></b></span></div>
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<span style="font-size: x-small;"><b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> I find it best not to drink water during a fast because the mildly dehydrated state of the blood during a non water 24-hour fast depresses appetite compared to a more diluted blood which ups appetite by neural stimulus.</span></span></b></b></span></div>
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<span style="font-size: x-small;"><b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Fasting to achieve best BMI can cure or improve disease or conditions like diabetes, gout, and hypertension. Healthy BMI below 25 lowers cancer, arthritis and heart disease. Also, 24-hour fast is useful after an over-eating or a bad meal to “get back to healthy square one”. Also good for mental depression. I use it to keep healthy.</span></span></b></b></span></div>
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<span style="font-size: x-small;"><b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> OK. You have the info. Now, convince self you’re over the top in BMI and go at it and keep at it every day despite initial failures! Starting fasting is easy since you don’t have to count calorie and the instructions are very simple - No food at all - and your goal is right there to be seen on your weigh-in balance.</span></span></b></b></span></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 16pt;"><u><i>Eating to Lose Excess and Maintain Low Body Weight</i></u><i>:</i></span></b><b><span lang="EN-US" style="font-size: 14pt;"> </span></b></span></b></span><b style="font-size: small; text-indent: 10.5pt;"><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;">Eating for health is a way of life you carry on for life. At end of rainbow <i>see happy, healthy, long-lived you, enjoying health to hilt and living longevity lovingly.</i> And however you have lived up to the moment – if it has made you fat, you ought to be dissatisfied. Fat is not beautiful, it is ugly and so will you be as long as you are it ! To succeed in getting and keeping healthy weight, be patient, be persistent, be wily. You may not always follow the new, healthy eating pattern; when you do not, you ought to feel you are going to dog; not putting it on! Never be satisfied or content until you are at healthy BMI. What follows is attack on overeating that – instead of counting calorie – counts coup against overeating.</span></b></span></b> </div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>Speed of Eating:</u></i> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Cultivate delayed, slow eating. Slower you eat, less calories you absorb in unit time, and easier to lose fat and maintain healthy weight. Start first, by delaying eating. If you feel hungry to eat, arbitrarily set your cell phone alarm for 1 hour ahead before putting anything into your mouth. (Of course, compromise for social nicety) Then, at start, if you dine with other(s), be the last at table to take your 1st bite, which may be assisted by taking extra time to cut food into pieces on plate. Then, while other(s) shovel food into mouths, take time chewing small spoonful, savor your chewed food, and swallow slowly. Take extra time by interspersing your forkful with calorie-free fluid. (But do not do this to obvious excess like anorexia nervosa patient)</span></b></span></b></span></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> More on delaying eating: D</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">elay by becoming a finicky, picky-picky eater! Choose not to sit to eat unless everything about your eating place and food is to your liking. (A clean place, best service – if restaurant, your choice food menu) Never wait on line to eat; never eat standing up or in uncomfortable seating. Always have in your eating repertoire, the alternative of just saying <i>No thanks</i> if everything is not to your liking. Breakfast, lunch, and supper, ought to have lowest priority. It means eating only <i><u>after</u></i> you take care of all timely chores and affairs. And a snack ought to be the reward for delaying your dinner.</span></b></span></b></span> </div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>Reduce Quantity of Eats</u>:</i> F</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">ood-preparation at home should start in “rule of half or quarter”. It means halving or quartering easily fractioned or fractured portion. If you normally have 4 pancakes, go to 2 or 1; if you slice whole banana into your 2 cups of cornflakes and douse it with 2 cups milk, make one half banana and douse only 1 cup. In restaurant if offered choice of size of serving, choose smaller all other things being equal. (The <i>Quarter Pounder</i> rather the larger <i>Big Mac)</i> At home or in restaurant prefer the set meal with individual serving rather than <i>Viking </i>or <i>buffet</i>. Use scissors to cut portion. Count the spaghetti cylinders (my portion normally 50) into the boiling water; measure everything you eat. Also, a mental set attitude to be altered is the normal tendency to "eat it all", i.e., empty your plate or eat up the serving that you planned for your dinner. Instead of that, interrupt it (in your mind just before sitting down to eat) with the thought <i>I don't have to eat it all up. </i>And for those who have been taught by parents to empty a plate in order to avoid throwing the food away while the poverty-stricken starve, remember! You can always stop while your plate is half empty, and then eat the rest at your next appropriately timed meal (or doggy bag if you are in restaurant).</span></b></span></b></span></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>Quality of your Eats – Caloric Density</u></i> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">means weight-gaining power per kilogram of food. Fat and oil (lipid) has more than twice compared to protein or carbohydrate. Protein has additional advantage of reducing appetite more quickly than carbohydrate and lipid. Alcohol is a <i>No-No</i> because it has higher caloric density than carbohydrate or protein, reduces inhibition and stimulates appetite<i>.</i></span></b></span></b></span></div>
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<span style="font-size: x-small;"><b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Turning to beverage, your juice or soda or soup is loaded with salt, and, if in cans, with toxic metal. So give up canned and other container beverage; and instead drink pure water.</span></span></b></b></span></div>
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<span style="font-size: x-small;"><b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> A maneuver to reduce weight-gain food is to start off with coffee, tea or water and then fresh fruit and veg salad. In this way you fill stomach with no- or low-calorie food, leaving little room and no desire.</span></span></b></b></span> </div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><i><b><span lang="EN-US" style="font-size: 14pt;"><u>Use Economy Motive to Maintain Low Weight</u>: </span></b></i><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Restaurant and take-out food which is fattening is more expensive than less fattening homemade. So prefer low-calorie homemade. Save money and live long to enjoy your money more by eating homemade. Prefer money in pocket to food in fridge. If you live alone and don’t have to worry about other appetites or tastes, play the game of eating up every scrap of food at home before going to market to buy more. It’s a good game on a slimming spree ! Eat up, first, from all those partly used boxes of dry cereal before buying. The best policy is to buy only that much that you can eat up right away or in less than a day</span></b></span></b></span><b style="font-size: small;"><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">. And as part of economy, follow my rule of fractions: cut standard portion in half or quarters and you will halve or quarter your costs of eating the portion plus reducing its calories.</span></b></span></b></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>Restaurant Eatin</u>g:</i> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">We go to restaurant to satisfy animal restlessness, <i>monkey-see, monkey-do</i>. And we are constantly propagandized in favor of a “joy” of restaurant eating. But always before me I have vision of dying badly and prematurely in a restaurant from the unhealthful junk that goes into me there. I resist going to restaurant. If I must dine in restaurant and pay, then my selection principle is low price, low calorie, no side order, no paid for juice, soup, coffee or tea or alcohol. My ideal is “communist portion.” It means sharing serving, eating “for each according to his or her need”. But it is a rare fellow diner who is intelligent or flexible enough to see benefit in sharing, since most have been programmed for big individual portion.(Click <a href="http://adventuresofkimi.blogspot.jp/2011/03/1316-bronx-cafeteria.html"><span style="color: #2288bb;">13.16
Bronx Cafeteria</span></a> to experience the <i>communist portion)</i></span></b></span></b></span></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"> Eating in street or in public non-dining place is </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i>No-No;</i> it promotes overeating and junk-eating. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">I include in this proscription: No drinking or carrying coffee on street or soda, water and other canned, boxed/bottled beverage. Why? Because the major control gateway of food and drink is to limit intake to sitting at table. Once you open gate to eating and drinking – on street, on couch watching TV or DVD, and in movie house – the <i>Deluge</i> that Louis XIV (<i>Apres Moi Le Deluge) </i>warned would follow him will overwhelm you in slow, lingering old-age premature death.</span></b></span></b></span></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i style="text-decoration: underline;">Timing of Eating, Snacking, Conditioned Response, Vending Machine</i> : </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Most of us eat as if feeding time at zoo; when clock strikes 8, 12, 6, the person puts on a metaphoric feeding bag and becomes munch, munch, munch <i>munchkin.</i> And food is eaten while TV blares: “Buy this !”, “Buy that !”, “Eat this !”, “Drink that !” And these messages, associated with overeating, are inserted into our behavior. So we snack between meals mindlessly. To break this conditioning that is putting you into a lockstep with premature illness and death, become self-consciously analytic before putting anything into mouth, before putting money into vending machine and before sitting to eat. Eat for good health and long life. Also, be “in touch with your body.” (Be always mentally flexible to change immediate plan of doing !) Before eating, ask self “Do I really need to eat now?”, check body feeling and analyze your urge to gorge. And especially when, with a dinner just set on table before you, if you have overeaten or badly eaten at restaurant not long ago previously, wait till you are truly convinced of your need to before eating next food. And use your clock to be sure of a minimum of 6 hours from last meal before deciding on eating next one.</span></b></span></b></span></div>
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<span style="font-size: x-small;"><b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"> Avoid vending machine, which is a worst conditioner of bad eating. For snack, eat small fresh fruit or small chocolate with tea or coffee as way of delaying dinner.</span></span></b></b></span></div>
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<b><b><span lang="EN-US"><span style="font-family: "century"; font-size: 14pt;"><i><u>Eats in a day & type</u>:</i> A day's eating is of practical import in controlling weight. </span><span face=""arial" , "helvetica" , sans-serif">M</span></span></b></b><b style="font-size: small; text-indent: 13.75pt;"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">y day is broken up into 3 or 4 main read/study/relax/eat & drink sessions. A session consists of, first, hot water flavored with vitamin C powder or of tea or coffee, followed by my main writing chore; then a small snack, then a fresh fruit and then the main snack which may be as small as 198 Kcal <i>Light</i> <i>Cup Noodle</i> or 50 pieces of boiled spaghetti with herb, or a cup of boiled rice with fruit or other small snack. (I vary this formula) And I read as I eat. On that, I maintain a 55 to 60 kg range body weight for a 17-18 BMI</span></span></b></b><b style="font-size: small; text-indent: 13.75pt;"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">.</span></span></b></b></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;">Fresh Vegetable and Fruit </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">ought to be eaten every day. Get out of habit of putting salty or sweet flavoring on food. (But salty food need not be avoided if your heart condition and blood pressure do not contraindicate it) Vegetable and fruit serve a number of good purposes: they contain sitosterol, which is equivalent of taking an anti-cholesterol pill because it blocks absorption of cholesterol. Also fruit and vegetable will load you with fiber – protecting against constipation and cancer – and its lo-calorie, hi-water content in high volume will fill stomach at start. (Note in older age, as I do now at age 88 now, one may be taking anti-cholesterol pill, vitamins B complex, C and D and calcium, and the amount of pill should be based on one's eating - i.e. & e.g., an extra anti-cholesterol pill with a meaty dinner)</span></b></span></b></span></div>
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<b style="font-size: small; text-indent: 13.75pt;"><b><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Use of Night Lie-Down to Avoid Eatin</u>g:</i> If you are having trouble achieving or holding a good weight, look for the blame to your night snacking. If you have nothing to do at night from 9 PM, it is better to lie down rather than to stay up for the extra eating that too often goes with staying up at night. There will be times in life you need to stay up to do useful work or get good knowledge or enjoyment. But a lie-down repose (light sleep/awake but light-thinking, fugue-like state) or just sleep is better than overeating.</span></span></b></b> (But beware of sleep pills like Ambien that stimulate nighttime munching)</blockquote>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i style="text-decoration: underline;">Exercise</i><i>:</i> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">In the long run, to hold weight loss without starving self, you must up your energy output, which means upping your muscle activity. But artificial exercise wastes time; joining clubs wastes money. Instead, do functional exercise, anything necessary to your life. No electrical and other labor saving device, no helper(s) you presently employ; these are <i>No-Go’s</i> for losing weight. Replace: electric pencil sharpener by mechanical one, housemaid by yourself, unneeded car by your feet and public transport; and instead of elevator, walk down stairs. </span></b></span></b></span></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>Monitor Good Eating</u>:</i> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Use your body weight stimulus by weekly weigh-in. Once you get to healthy BMI, any other signs of bad eating like high blood pressure and high cholesterol should improve and that should reinforce your good health program.</span></b></span></b></span></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>Water</u>:</i> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">I can’t emphasize enough how important it is. I drink as much water as I can during my typical day. Water intake flushes the system; prevents build up of cholesterol and calcium in artery, and the formation of stone and clot internally; helps heart and kidneys function maximally; fills stomach with no-calorie fluid and alleviates hunger, reduces caloric intake and stops drinking from cans that give the metal toxicity and accelerates Alzheimer’s. So do it! In the road ! At home ! Wherever ! Whatever ! Drink Water ! Drink Water ! And then drink more water ! </span></b></span></b></span></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>Metal Toxicity</u>:</i> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">As your life goes on, your body cells fill up with metal ions (Iron, Copper, Aluminum, ...) because of high level of these metals in diet due to cans or other metal contact with fluids you drink. Once blood level rises above a critical point, the metals begin to plate out in vital organs, sometimes with horrid effects: Iron in liver causing cancer; and in pancreas (digestive anti-diabetes organ in mid abdomen), causing diabetes; and in brain, causing Parkinson disease; Aluminum in brain, Alzheimer’s; Lead (Pb) in bone marrow, anemia; and in peripheral nerves, neuropathy, and in child it causes brain retardation and low IQ; and Calcium solidifying in blood vessel worsens hardening of artery and stroke, senility and premature organ aging. Metal toxicity is a cause of degenerative disease of aging. When you see an 80 y/o looking age 50, you can bet she rarely drank out of a metal can and you will win.</span></b></span></b></span></div>
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<span style="font-size: x-small;"><b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Slow, cumulative toxicity will signal its initial bad effect by slightly high test level. This high test is a time bomb set to go off after age 65. Worst offenders are iron (eating from iron cookware) or taking unnecessary iron as part of vitamin or blood tonic; aluminum (from cookware, stomach antacid use, and aluminum can, and from kidney dialysis fluid that uses aluminum-rich fluid); also toxic Pb lead (from breathing fume of internal combustion engine, eating from ceramics glazed with lead, using old plumbing for tap water, and in inner city kid eating wall paint in old flat); Hg mercury (industrially tainted fish, e.g., <i style="mso-bidi-font-style: normal;">Minamata</i> disease); and the metal bismuth (too much stomach medicine Pepto Bismol, as single dose no problem but as habit, <i>No-No</i>).</span></span></b></b></span></div>
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<span style="font-size: x-small;"><b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Prevention: As much as possible, eat, drink, and cook out of glass container. (Glass eating ware because it is see-thru is also more efficient to wash) Use Pyrex glass cookware for boiling food or fluid. Drink purified water (Office-machine purified or by using activated charcoal at home) Take no excessive vitamin and mineral supplement; and give up owning a car because inside a private car is greatest source of direct air-polluting, toxic metal as well as of deadly carbon monoxide. And if you are a painter, then monitor your toxic metal levels by blood test. I stand witness that such prevention is possible without decreasing the joy of living and it works for Happy Healthy Longevity.</span></span></b></b></span></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>The Edge Against Overeating</u>:</i> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">It means being a bug at avoiding something not good for you by using power from personality quirk. For example, I have “cheap streak” – I get positive kick from saving penny, and my soul aches when I have not gotten my money-penny worth out of a buy. I use this quirk successfully to avoid overeating or bad eating (and many other unhealthful over-activities) by getting a jolt of positively reinforcing happiness contemplating how much money I save by not going to this or that junk food restaurant, by not buying this or that junk food, by refusing to wait on line to eat overpriced junk. Another reader may be ultra fastidious and refuse to eat at a dirty, low-class surrounding. And on and on ! Set your edge to work using power of your quirk. Having a contrary edge means, at times, to do just the opposite of what you desire at the moment. Say you see a cherry pie in the supermarket and desire it? So just because you note the desire, you make a point not to buy it. That is pure contrary edge! Cultivate it and you’ll be a most happy long lived fella or gal!</span></b></span></b></span></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>Food Additive</u>:</i> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Stop shaking salt on or putting it into cooking. You get enough in food. It causes high blood pressure, damages kidneys and stresses heart muscle. Sugar or sweetener too ! A flavoring like ketchup and mustard ought also to stop due to its salt and cancer-causing additive. Honey is the ideal flavor taste substitute.</span></b></span></b></span></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><u><i>Monitor of Under-nutrition</i></u><i>:</i> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">How do I know whether I am losing too much weight for good health? Best test is red blood cell in whole blood (development of anemia in under-nutrition) and albumin in serum (low blood test total protein in under-nutrition). Also routine vitamin levels blood testing once a year. BMI below 17 is too low.</span></b></span></b></span></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><u><i>Preferred Food</i></u><i>:</i> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Among carbohydrates – cereal, rice and potato are better than bread because less processed. A special case is matzoh, the biscuit-like unleavened bread used by religious Jews; it is a best substitute for bread. Spaghetti (also has protein) slim-size 50 pieces is best filler for meals and easiest on the digestion.</span></b></span></b></span></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;">Lipid: </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Cook with salad oil (includes olive oil). For cooking, don’t use butter or margarine. For all eating, avoid animal fat. Limit to 1 egg max a day because of cholesterol</span></b></span></b></span></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;">Protein: </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">High quality protein (amino acid mix) is in egg yolk (the yellow); but egg yolk’s cholesterol causes limitation. White of egg is pure albumin protein of lower quality but still not bad to eat. Tofu is good plant protein from beans. The less meat the better. Nutritionally, meat is source of high quality protein, iron and vitamin B12, but also gives bad dose of saturated fat, and antibiotic and hormone used to increase animal mass. Vegetarian (Allows dairy product foods) or vegan (No dairy products or eggs, pure veg. diet) lives longer than meat eater but risks vitamin B12 deficiency, which takes years of pure vegan diet and is preventable by taking adequate dose B12 pills (500 microgram) by mouth with meals. Meat is also a source of mad cow and trichinosis.</span></b></span></b></span> </div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><u><i>I favor animal-rights</i></u></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><i>:</i> We have reached the stage where it is easy for a human to exist healthily without killing another animal for food, and each of us should cultivate this fine feeling. If one believes in animal rights, one’s energy, firstly, should be involved in limiting human population by backing birth control and abortion and delaying child-making. In 2021, vegetarianism on a scale needed to protect the animal population now being slaughtered for food requires a sharply reduced human population and needs educational input on its advantages and morality. It is good for one’s own health and for the animals, among which we ought to be highest in all ways.</span></b></span></b></span></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><u><i>Beverage</i></u></span></b><b><span lang="EN-US" style="font-size: 14pt;"><i>:</i> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">Soup, juice and soda give little nutrition and are bad habit. Tea or especially coffee is useful to keep alert and motivated and as appetite suppressor and no-calorie food substitute. Tea </span></b></span></b></span><b style="text-indent: 14.05pt;"><span style="font-family: "century";"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">ought to be favored with coffee limited to time we need motivation. A 70<sup>0</sup> C temperature at serving should be max for those who like food or drink “hot”; in mouth, 50-60<sup>0</sup>C temperature is satisfying without risk of esophageal cancer. And heat in Pyrex.</span></b></span></b></div></blockquote><blockquote>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><u style="font-style: italic;">Our Bad Eating</u><span style="font-style: italic;">:</span><i> </i></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">All of us brought up in whatever Culture have been conditioned to “enjoy” bad habits. Even knowing what is good and what is bad for us, we still revert to bad habits. Eating and/or drinking what we know is bad should never cause us to give up healthy eating. Reverting to bad habit should not begin a binge. Always keep in view the goal of enjoying longest, happiest, healthiest life that one’s DNA, as well as <i>Lady Luck</i> can sustain, given some help from good health behavior. “Pick self up, brush self off, and continue the good eating and drinking program” is paraphrase of song lyric for us good-health freeks (sic).</span></b></span></b></span></div>
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<span style="font-size: x-small;"><b><span style="font-family: "century";"><b><span lang="EN-US" style="font-size: 14pt;"><i><u>Self-Experimental Approach to Eating</u>:</i> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;">We each respond to food in same ways, but there is individual variation and changing need over lifetime. Milk is excellent for baby and growing child but gradually becomes bad for adult because of its fat. (Correct that by low fat, low Na [sodium] milk at supermarket) Egg is another example, being good for growing child but in adult having too high cholesterol at more than one egg day. So when I say a food is good, always reserve judgment pending self testing (Does it cause diarrhea? Does it make you feel bad after eating? Do blood tests show it may be elevating a chemical dangerously?). This is what I mean by “self-experimental approach”, which I take to life in general.</span></b></span></b></span></div>
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<span style="font-family: "century"; font-size: medium;"><span><b style="font-weight: 800;"><i style="text-decoration: underline;">Pills or Surgery for Weight Loss</i></b><b><i style="text-decoration: underline;"> </i></b><b style="font-weight: 800;">For those who wish to try pills the following have been approved by the U.S. FDA as effective and safe: </b><i><u><b>Orlistat</b></u></i><b style="font-weight: 800;"> (Xenical), 360 mg a day, blocks the digestion of fatty foods which pass through the GI tract and make bulky foul-smelling BMs. </b><b><i><u>Sibutramine</u></i></b><b style="font-weight: 800;"> (Meridian), 10-15 mg, a phenylethylamine SSNRI, a mild stimulant that depresses appetite. <i><u>Loraserine</u></i> (Belviq), 10 mg, is selective serotonin agonist that depresses appetite,. And Phentermine-Topiramate (Qsymia), 3.75-15 mg Ph. & 23-92 To is a combination appetite depressant and anti-impulse pill. The pill should be used as long as it produces weekly weight loss and then tapered off with care to control return of appetite or other sign of overeating.</b></span></span></div></blockquote><p> Surgery is now being advised for BMI>40 or >35 plus medical complication from the obesity. The most used is gastric banding by laparoscopy, which creates a smaller stomach volume and speeds satiety, limiting food intake. </p><p> </p>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i><u>Endnotes</u>:</i> Points of restaurant eating and from convenience store are: 1) buying for lowest price and/or lowest calories, 2) splitting the single portion, 3) single-item ordering for a dinner (Low calorie, cheapest), 4) if choice, get smallest portion, 5) vegetable is better than animal meat, and 6) drink pure water instead of calorie beverage.</span></span></b> </div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";">Lowest calorie (in Japan 198 Kcalorie) <i>Light Cup Noodle </i>is a good main course eating to lose healthy weight. Why? Because with the small volume, low-calorie serving, in a very tasty format it knocks out appetite for several hours.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><u>Uncontrolled Crazy Appetite</u>:<i> </i>After 40 years of succeeding at losing weight during which my BMI dropped from then 24 to now 17,<i> </i>I am experiencing sprees of what I call <i>crazy</i> appetite. For example, I indulge in pancakes and sausage breakfast, or a steak & potato dinner, or a strawberry and ice cream parfait desert after a long time going without the food and then it seems I cannot stop repeating; it has become almost obsessive-compulsive. I think I have figured it out. There are two stimuli to appetite: one`s blood glucose and one`s imagination, which is part of the psyche, or mind and emanates from the brain and is under the control of the appetite center aka appestat in the hypothalamus at the base of the brain. The appestat seems to have an idea of what one's body weight should be and by means of secreting its hormones it keeps one at that weight (i.e., if one goes below it, the appestat stimulates appetite until it gets the weight back to its imagined normality and vice-versa). I guess in my case, my appestat has my normal weight around 65 to 70 kg (BMI c.19) and the present BMI 17, (body weight 50 to 55) is too low for it so I get runs of <i>crazy appetite.</i> The question is: how to change my appestat's setting? Crazy appetite may be caused by a medication you are taking. Check it by stopping for a week with doctor permission.</span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i style="mso-bidi-font-style: normal;"> To continue now, click </i></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i style="mso-bidi-font-style: normal;"><a href="http://physiciansnotebook.blogspot.jp/2010/11/more-on-eating-healthily.html"><span style="color: #2288bb;">2.3 More on Eating Healthily</span></a></i></span></span></b><br />
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><span style="font-family: "century";"><i style="mso-bidi-font-style: normal;"></i></span></span></b><br /></blockquote>
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