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суббота, 29 октября 2011 г.

WMDs -- World Medical Doctors – now being produced in Venezuela (WMDs Part 2)

WMDs -- World Medical Doctors – now being produced in Venezuela (WMDs Part 2)

Jonas, left, with his brother and his father

Jonas lives on a tiny dairy farm on the hill above Monte Carmelo. His father is intensely proud that his son is studying to be a medical online pharmacy viagra. “He’s only in his second year,” he said, “and already he sees patients.”

“Remember, Papá,” cautioned Jonas, “we do see the patients and talk to them, but we don’t treat them yet. We’re just there to observe and assist our teachers and ask questions.”

“I know that,” his father responded. “What I mean is that it’s important that all of you are learning to talk to the patients, treating them like friends and fellow human beings.”

Jonas is not the first person in his extended family to attend medical school, according to his father. He tells the story of his niece, who many years ago dreamed of being a doctor. Her mother, who was very poor, worked constantly to save every penny and told her daughter to study hard. The extended family pitched in to help the mother.

“She really did go to medical school,” explained Jonas’ father, “at one of the big city universities. Then she her got her training in a specialty, and now sees lives and sees her patients in a rich neighborhood of Caracas. Of course, now, as far as she’s concerned, I don’t exist. In fact, my niece doesn’t want to associate with anyone in the family and doesn’t talk to any of us.”

This is why the government has introduced a totally new system of teaching doctors. The old system, centered around elite universities where only a tiny minority of poor and working class students are enrolled, has continued to turn out professionals who want to work in the urban centers and enjoy a fairly rich, upper-middle class lifestyle. These kinds of universities, home to many of the students who are currently protesting against the constitutional reforms, are not unique to Venezuela, for their counterparts exist all over the world.

The Venezuelan government has avoided the temptation to abruptly seize control of these older universities and force them to operate in a manner that serves the poor majority. Instead, it has simply bypassed them and constructed a new kind of university.

Where is this university? All over Venezuela, because it exists in the realm of ideas, not in a particular set of buildings. The Mission Sucre school of Integral Community Medicine trains students where they live, utilizing the local medical facilities and doctors in their towns and neighborhoods as the campus and professors. The students enter with the expectation that they are choosing a vocation that involves serving the people and their home communities after they finish their training.

This unique form of education could not exist without Cuban doctors. They arrived by the thousands to staff the Barrio Adentro neighborhood medical offices that sprouted up all over the country in 2003 and 2004 and brought free health care to poor barrios and rural areas that had neglected for many decades. The Cubans are helped by a four or five thousand Venezuelan doctors who were trained in the old system, but for reasons of social commitment and political conviction have chosen to work with the poor.

Party time for medical students
After dancing, Doctor Barbara, takes a break at the feet of her students, Magale, Antonio, and Luisa.

About a month ago Jonas invited me to walk up the mountain to his house where I joined him and his fellow students for a little rest and relaxation. It was Sunday, time for a little music and dancing, plus sitting and chatting and enjoying the view over the valley below. Barbara, the dynamic Cuban physician who holds the students to a rigorous schedule the other six days of the week, took charge of the family kitchen and prepared a big pot of tasty stew.

All of the students are residents of some part of the municipality surrounding Sanare (comparable to a county in the U.S.) and are enrolled in the second or third year of the Mission Sucre medical program (also see earlier article, Fidel’s WMDs) Their Cuban and Venezuelan teachers work in local “ambulatorios” (free public walk-in facilities in various neighborhoods and villages) or in the Barrio Adentro 2 Diagnostic Clinic in the middle of Sanare.

The medical career is demanding. After completing six months of classroom preparation to make sure everyone is starting out on an equal footing, the students commit themselves to a six-year program. The first year is devoted totally to classroom study, but by the second year, the students are spending half the day with patients in medical settings. They spend their mornings accompanying doctors as they see patients and offer treatments, looking after medical records and medications, weighing and measuring babies and children while the doctors attend to the rest of the family. Their afternoons are spent in the classrooms. Nights are for study, reviewing CDs of lectures from Cuban universities, and some sleep.

The first year serves to sort out the serious students, the ones who truly have a vocation for medicine, and the less committed drop out. Jonas thinks that the students who come from the rural villages and farms are most likely to stick with the program, perhaps because they are used to hard work. His fellow student Luisa comes from La Bucarita, an isolated coffee-growing village more than two hours out of Sanare by Jeep. She’s living with an elderly relative in Sanare and really misses the company of her large family, but she’s determined to get her medical degree.

Jonas had been out of high school for a number of years before the new integral community medical program began. During the early years of the Bolivarian Revolution, he and other recent high-school graduates were teaching as temporary rural “maestros,” even though they didn’t have college degrees. They served as literacy volunteers who went to the more isolated areas of the county to work for Mission Robinson, the basic education program that taught illiterate adults to read and now helps them and others to complete their elementary schooling. At the same time, he also continued helping his father with farm work and building a new house for the family.

Doctora Edita is a Venezuelan physician who was serving the poor before the Cubans arrived.

Some Venezuelans, like Doctor Edita Goyo, who trained as a pediatrician in the big city of Barquisimeto, were committed to providing health care to everyone before the Chavez government came to power. The Barrio Adentro program was the answer to Edita’s dreams. It has allowed her to practice medicine for the last three years with dedicated Cuban professionals in the walk-in medical office in Palo Verde, a village just outside of Sanare. Currently she’s works in the same room with the Doctor Barbara, who arrived five months ago and replaced the previous Cuban doctor. (The Cubans generally sign up for a two-year tour of duty, and many re-enlist for another round of service.) They and their six medical students make a formidable team.

Antonio and Luisa bring records and medications as Dr. Barbara consults with a family.Dr. Barbara served in four other countries, including Angola, before coming to Venezuela.

Each doctor has a desk, one on each side of the room, where they receive a steady stream of patients while the students perform various tasks. One mother arrived with four little children, two on her knee and two standing and clinging to her. The medical students moved in and entertained the children one by one, then managed to measure them and examine their eyes, ears, and throats. Meanwhile Doctor Barbara took extensive notes on the medical history of the woman, for she was the one who was ill.

The files on individuals and families are extensive and allow the doctors and students to review the various trends within the community. They use this information to create wall charts describing the predominant health care problems in Palo Verde. This provides them with a comprehensive view of the most pressing local needs that “integral community medicine” must address. One important component of the medical team’s work is educating the public about preventative measures. Many of the common maladies enumerated on the wall charts – such as diabetes, asthma, and hypertension – are combated by introducing exercise programs and changing diets.

I saw the wall charts below three years ago in a Barrio Adentro office in Caracas. Volunteers from the local Health Committee had helped the Cuban doctors gather information on every family in the neighborhood. The charts showed exactly how many local residents (and the numbers were high) suffered from preventable afflictions such as malnutrition, hypertension, and asthma.
The medical students were having good luck entertaining most of the kids, but this baby simply did not want to get weighed by Jonas. Fellow student Vanesa is amused by the proceedings.




























понедельник, 23 мая 2011 г.

Eating for a Better Bate: Bone Food

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A Special BateLife Health Series



You may not think much about how food can affect your bate, but what you eat can definitely have an effect on your meat. In this special BateLife health series, Eating for a Better Bate, we're going to explore what foods can make your dong harder, your bate longer, and your entire bate experience better. Enjoy and bate on!



Coffee

That morning cup of joe may be waking up more than just your brain. The caffeine kick from a cup of Java boosts your metabolism, gets your blood pumping to your nether regions and could also enhance endurance by releasing fat stores, giving you the energy 
to last all night.



Chilies

When your face flushes after eating a spicy dish, that’s the blood vessels expanding thanks to the effect of the chillies. And it’s not just the blood vessels in your face that get the boost. Biologically speaking a hard-on is simple hydraulics: more liquid (blood) being forced into little tubes (blood vessels) in your penis – so what you need is a strong heart and smooth, healthy pipework.





Cherries

Cherries are packed full of anthocyanins–colorful plant chemicals which protect your artery walls, helping prevent the fatty plaques that lead to clogged arteries. Clean pipes help blood pump effectively. Don’t fancy cherries? Berries, or brightly colored fruit such as peaches, nectarines and plums, will all keep your arteries flowing free.











Salmon

The omega-3 fatty acids in oily fish make the blood less sticky, enhancing blood flow to the parts that matter. Eat fish like salmon, mackerel, trout and fresh tuna twice a week to keep your arteries well-oiled.



Oatmeal

It’s not sexy, but the soluble fiber in oatmeal mops up cholesterol, helping keep your blood vessels smooth and stretchy, allowing blood to flow efficiently through all of your pipes, including your cock, since a boner requires 10% more blood than a limpie.



Bananas

Hard men have healthy hearts, so eat bananas for potassium, which is great for your heart and circulation. Getting enough potassium helps keep your sodium levels under control, stopping your blood pressure from hitting the roof and reducing your risk of heart problems. If you eat too much salt and don’t like bananas, get your potassium from oranges or jacket potatoes (the mineral’s in the skin).



Onions & Garlic

The phytochemical allicin in onions and garlic thins the blood and enhances your circulation, as well as making it less likely to clot and clog. Avoid unsexy onion breath by chewing parsley or peppermints.

















Oysters

Yes, there is a reason for their sexy reputation. Oysters are rich in the mineral zinc and vitamin B6, both of which are vital for testosterone, without which you’d have the sex drive of a dead slug. If the thought of grey shellfish gloop sliding down your throat makes you gag, boost your testosterone with nuts and seeds instead.





Wine

Wine–especially red wine–is a great source of the antioxidant phytochemical resveratrol, which helps open the arteries by enhancing the production of nitric oxide. Nitric oxide allows the blood vessels to expand, and this is how viagra works. But while the little blue pill only works on tiny blood vessels, resveratrol helps your main arteries too. Make sure you stop at one or two glasses–too much alcohol leads to the dreaded droop.



Pork

To make your own porker stand at full mast, your neurons must be coordinated with military precision. You need thiamine, aka vitamin B1, for a healthy nervous system, so eat pork to help fire your swimmers in the right direction. Can’t or don’t eat pig? Get your B from beans and whole-grain bread.















(With material from Men's Health UK)

вторник, 3 мая 2011 г.

I Don't Need Validating

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Validating used to be what you had done to your parking ticket when you saw your lawyer downtown. Seems women need validating now. Article by Robert Leahy, director of the American Institute of Cognitive Therapy leads with the question "Why do men find it so hard to validate women?" Perhaps it's carrying around that stamp? Or punch? Maybe there's a new drug opportunity here - like that hourly order cialis stuff - that would allow men to be ready to validate women at will. I looked up validate: to make legally valid, to grant official sanction by marking (here we are at the parking ticket again), to substantiate, to confirm, to support or corroborate on a sound or authoritative basis. I know there perhaps is a counseling definition for this word that Leahy meant us to understand, but I don't know what it is. I do know I don't need to be validated. I do need my voice heard.

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