text:
"My home was demolished today, your arrogance will crumble tomorrow," said Kangana Ranaut to Maharashtra Chief Minister Uddhav Thackeray in a video message using "tu", not "you". She couldn't have said you because she was talking in Hindi and she couldn't have said aap because come on, who uses aap janab in a war?
The first war casualty has been Ranaut's 'Ram Mandir' in Mumbai's Bandra, which according to the "Bullywood" actor was demolished by 'Babur and his army'. Whether she considers Uddhav 'Babar' or the title went to Sanjay Raut is not immediately known. Either could be Babur.
Kangana Ranaut's demolished office. (Photo: Facebook)
"I am never wrong…" began a tweet from actor Kangana Ranaut after being proven right by Brihanmumbai Municipal Corporation (BMC) this morning. The tweet came in a series of tweets before and after her very own 'Ram Mandir' was demolished.
Babur and his army ????#deathofdemocracy pic.twitter.com/L5wiUoNqhl— Kangana Ranaut (@KanganaTeam) September 9, 2020
The Bombay High Court has put a stay on further demolition. But BMC has said there could be more trouble for Kangana because she may have to face the legal implications of 'illegal construction work'. With a stay on demolitions till September 30 in the wake of the pandemic, the BMC may also have to explain why it woke up early and hurried with its JCB machines to demolish the property. Also, why BMC, which can't even fill potholes in the city, has shown this unseen swiftness in the demolition drive.
Destruction is always easier than construction. Simple.
So all war and no work? Ranaut, who landed in Mumbai with sister Rangoli, has announced she will now work on a movie on Kashmiri Pandits even as she is working on a movie on Ayodhya.
The office has been demolished but the drama is building. There is also more drama unfolding. That is happening in the death of Sushant Singh Rajput. Rhea Chakraborty, Sushant's girlfriend, was sent to Byculla Jail today before the focus shifted to the demolition drive. We will get back to the focus on the jail later. Because for now we want to focus on what people have been focusing on since yesterday. A T-shirt Rhea wore.
The T-shirt and the message. (Photo: PTI)
There is a general sense that Rhea chose the T-shirt to convey that she is a victim of patriarchy. Rhea has neither confirmed nor denied that the T-shirt was worn with a purpose. That is because she was never asked. Investigating authorities are asking her only about drugs for now. But some chose to extend support to Rhea by taking the message on her T-shirt to their Twitter and Insta accounts in a bid to take it ahead. That of course, came after some chose to call her 'arrogant' for that slogan on her T-shirt.
Rhea may or may not be a victim of patriarchy in this case, but there is no woman who hasn't been a victim of patriarchy in one case or the other. So, the case against Rhea notwithstanding, patriarchy needs to be smashed on all days, including Sundays. For that we need to know what patriarchy is.
Patriarchy, the Word Of The Day, literally means 'the rule of the father'. It comes from the Greek word 'patriarkhēs', which means 'father or chief of a race'. Let's break the compound word to get to its core. Patria means 'lineage or descent' and arkhy means 'domination, authority, sovereignty'.
Historically, patriarchy as a term has been used to refer to autocratic rule by the male head of a family. Since the late 20th century, however, it has also been used to refer to social systems in which power is primarily held by men – men in houses, men in offices, men in public places, men on Earth, men in water, men in air, you name it. The result of a patriarchal society is women raped, molested, paid less, denied opportunities, denied freedom and also blamed for the vices of their male partners. In a patriarchal society, women are also blamed after being raped for provoking men to have done it.
You can debate whether Rhea wore the T-shirt to convey a message or just for comfort, but there is no debate over the need to smash patriarchy.
Where is Rhea? In Byculla Women's Jail, a jail known for being a hell hole. Rhea's bail plea will be heard tomorrow so for today at least, she will have to stay in that hole.
It is the same jail in which 45-year-old Manjula Shetye was killed after she found out that only 200 eggs, instead of the mandated 300, were being provided to the inmates. It was Shetye's death that lifted the veil off the hell that the jail was. On June 23, 2017, just a few months before her sentence was to end, Shetye, who was made jail warden because of her good behaviour, was distributing food to the inmates at 9 am. She noticed two eggs and five slices of bread were missing and learnt that 100 eggs were being taken away from the share of the inmates every day.
She went to jailer Manisha Pokharkar's office to ask about the missing food. What inmates heard next were only Shetye's screams. She was dragged back to her cell with a scarf tied around her neck. Eyewitnesses said that female constables held Shetye's legs apart while the male ones inserted their lathis into her vagina. She was left bleeding in the cell. In the evening she was taken to the washroom where she fell unconscious. The staff rushed her to hospital, where she was declared brought dead.
Subsequent probe found how badly women in the jail were treated. Inmates were given one soap bar to wash utensils, clothes and themselves. Only six sanitary napkins were given to each inmate. You dared not say you need more. The food had worms in it. Anybody who spoke up was beaten.
Next time you see people fighting over eggs in the Bigg Boss house, you do not need to recall Shetye. There is no comparison between the two.
Contestants move into the Bigg Boss House next month. Omar Abdullah is moving out of his house, which was a government house, before next month ends. He would be out and about by October end because he wants to do it and not because someone served him a notice to do it. So Omar is house hunting and would leave the government accommodation as soon as he has hunted the house.
Omar Abdullah's letter to the J&K authorities. (Photo: Twitter/@OmarAbdullah)
My letter to the J&K administration. I will be vacating my government accommodation in Srinagar before the end of October. The point to note is that contrary to stories planted in the media last year I received no notice to vacate & have chosen to do so of my own accord. pic.twitter.com/dWjDacVoHn— Omar Abdullah (@OmarAbdullah) September 9, 2020
Sourav Ganguly, meanwhile, has left India and landed in the UAE to take stock of the preparations for the Indian Premier League that kicks off on September 19 amid a raging pandemic.
With some players testing positive, some choosing not to join their teams and some returning from UAE, the IPL has hit some roadblocks, which Ganguly needs to clear now.
Sourav Ganguly before leaving for UAE. (Photo: Instagram/souravganguly)
But who will clear the roadblock that the vaccine trials have hit? AstraZeneca Plc has said it has paused a late-stage trial of one of the leading Covid-19 vaccine candidates after an unexplained illness in a study participant. AstraZeneca and University of Oxford researchers are working on the vaccine in collaboration. The work will resume when it is safe to resume work on the vaccine; that is, after scientists have figured out why the participant developed the illness.
That will take some time, but tomorrow Florence Parly, Minister of the Armed Forces of France, will land in India and be the chief guest at the event organised to formally induct the Rafale aircraft into the Indian Air Force. The event will have two chiefs with Indian Defence Minister Rajnath Singh as the other chief guest.
From Himachal to Maharashtra wars are breaking out, but we do hope the need to use Rafale in a war doesn't arise. Talking of war, however, US President Donald Trump has been nominated for the 2021 Nobel Peace Prize after helping broker a peace deal between Israel and the United Arab Emirates.
One of the outcomes of the peace deal has been that an Israeli brand has shot a pyjama ad in Dubai. Peace is the freedom to shoot pyjama ads in each other's country.
A pyjama ad being shot in Dubai.
On that peaceful note, we will take your leave on a war-torn day, with a hope that tomorrow there will be news of some truce.
Have a peaceful day, or what remains of it.
Now get the all new DailyOh in your mailbox. Click here to subscribe.


text:
Idaho offers some spectacular controlled hunt opportunities. Randy talks about what it takes to get your name in the hat for these amazing hunt opportunities.
Wyoming is one of those states that you will eventually want to hunt. It boasts some of the best deer and pronghorn hunting in the states! In this video, Randy breaks down how to apply for deer and pronghorn in Wyoming.
Randy Newberg explains how you can have a chance to hunt in Nevada for 2022! Nevada has some of the best hunting in all of the west. Getting a tag, well, thats the hard part. The good thing is, if you apply, there's always a chance to get a tag!
Everyone wants to hunt moose, mountain goats, and sheep! Here's your chance to have an opportunity to do that. Montana and Idaho allow non-residents to hunt for the "Big 3" unguided and at a much lower cost compared to going on a guided hunt. While the chances of getting a tag are extremely low, ...

subset: commoncrawl


text:
If you are one of those who carries a mobile phone and keys in the same pocket, you will not like this DxOMark study.
There are many of us who put a cover and a protective screen, however, we rarely pay attention to what happens with his glasses. This is because they are protected as standard with a special coating made of glassIn addition, covering the cameras of our mobile is not exactly a good idea ...
In any case, where we want to get to is that, no matter how hard one tries to protect their mobile, it is almost inevitable that the camera ends suffering. After all, with today's bulky modules, it's one of the most exposed parts Of the device.
Despite the coating on the camera, it can end with some other scratch caused by daily use, something that makes us wonder to what extent these "marks" can affect the quality of our photos. How careful do we have to be? Well, a weeks ago the people at DxOMark published the results of a experiment the sea of interesting to find out how shots deteriorate when the camera is not in good condition, showing comparative images and analyzing the effects in depth.
This reduces the quality of your photos with a scratched camera
To begin with, the main consequence of a scratch at the sensor level will be the sparkles, small entrances of light that will sneak into our photographs. Of course, these flashes are not exclusive to scratches, as can be caused by other factors (such as dirt or a misalignment of the lens), but they will be accentuated as our camera becomes "scratched".
The good part is that, according to the results presented by DxOMark, a scratched camera "only" will most glaringly affect shots taken in difficult lighting conditions. We are talking about photographs taken against the light, situations with great clarity or with artificial lighting.
In addition to the sparkles, you can see a certain fuzziness in some areas of photography as well as lack of detail, something that also affects the final colors of the shot, since the flashes end up impacting the contrast calibration.
On the other hand, while in photographs with bokeh effect and telephoto lenses the effect is not particularly serious (beyond producing a general dimming of the color), it is in the videos where more headaches can give us a bad scratch.
Finally, it should be noted that functions such as the autofocus are not affected by scratches, being the flashes and the lack of contrast and colors the main victims. For that very reason, it is recommended to keep the chamber clean, free of dust and small particles.
You can see the entire experiment with all the before and after shots on the DxOMark website
Related topics: Photography and editing on Android, Mobile
Follow us on Instagram @ andro4allcom
Join our Telegram channel @ andro4all


text:
Contact Name: Artie Scott
West Winfield, New York
Contact Name: Arnold Pasternack
West Winfield, New York
Contact Name: Austin Smith
West Winfield, New York
Contact Name: Amanda Quick
West Winfield, New York
Contact Name: Gary Brooks
West Winfield, New York
Contact Name: Mike Strong
West Winfield, New York
Process Servers travel throughout West Winfield, New York and are available to assist you immediately.
Service of process services performed in or near West Winfield, NY include, but are not limited to, delivering subpoenas, demand letters, orders, notifications, and serving lawsuits to people and businesses. Process Servers in or near West Winfield, NY offer lowest fee quotes and guarantee results.
To discuss and confirm service of process of your documents or plan the delivery of your subpoena in West Winfield or anywhere in New York Please contact one of the private Process Servers listed in our directory.
All Process Servers in West Winfield, New York are experienced with all types of process serving services in and near West Winfield. Legal document and subpoena delivery services are guaranteed to be on time anywhere in West Winfield, New York.
To get a quote, please click on the "Get a Quick Quote" Link above. You should receive a response within minutes, not hours.


text:
On 20.09.16 19:32:34, Hanjun Guo wrote:
On 09/20/2016 06:43 PM, Robert Richter wrote:
Unfortunately either your nor my code does fix the BUG_ON() I see with
the numa kernel:
kernel BUG at mm/page_alloc.c:1848!
See below for the core dump. It looks like this happens due to moving
a mem block where first and last page are mapped to different numa
nodes, thus, triggering the BUG_ON().
Didn't triggered it on our NUMA hardware, could you provide your
config then we can have a try?
Config attached. Other configs with an initrd fail too.


text:
Tag: Amol Lalzare
Mumbai Demands End to Corruption
Amol Lalzare / October 28, 2011
Residents of Mankhurd, Mumbai came together to protest kerosene price hikes.
Slums Affected By Rampant Corruption
Amol Lalzare / September 14, 2011
Corruption in kerosene distribution is widespread in Mumbai slums, cutting down rations considerably.
Tyrant Principal Caught on Candid Cam
Amol Lalzare / August 19, 2011
Amol, our CC from Mumbai was refused admission in school for non-existent reasons.
Resisting Exploitation In The Maximum City
Amol Lalzare / July 26, 2011
In Mumbai, workers employed by the biggest biomedical waste treatment factory are on strike, demanding better work conditions.
Fighting For A Home In Mumbai Slums
Amol Lalzare / July 12, 2011
In Mumbai, slum dwellers are unremittingly struggling to secure housing.
Mumbai Slums Fight For Water
Amol Lalzare / May 13, 2011
Slum dwellers demonstrate to protest the lack of water facilities.


text:
- #1
Ivan Seeking
Staff Emeritus
Science Advisor
Gold Member
- 8,010
- 1,010
Editor's Note: Major Keyhoe has been writing about Unidentified Flying Objects (UFO's) for over 15 years. [written in 1967.Vangard] From the outset he has insisted that flying saucers are real and interplanetary, and many authorities have come to agree with him. Now he claims that control over gravity itself is the only explanation for the astounding maneuvers which saucers are said to make. Some physicists dismiss this theory as fundamentally erroneous. But, as you will read, there are others who find Major Keyhoe's latest chapter in "The Great Flying Saucer Story" important and plausible.
http://www.debshome.com/Keyhoe_Antigravity.html [Broken]
Last edited by a moderator:


text:
My Latest 5 Vlogs on Mr.RK Subscribe Now for more updates:
ISKCON Delhi Shree Krishna Janmashatmi 2019
SPEND A DAY WITH Swiggy Boy As Swiggy Boy
Dudheshwar Nath Mandir, Ghaziabad (Sawan Special)
National Rail Museum, New Delhi
AIIMS Delhi #Vlog | Things To Know
Thank you for your time 🙂
Awesome gameplay of Color Bump 3D game. It's amazing and addictive game on Play Store and app Store. In this game you will have one Ball and you have to move ball on path but have not collide with other color game object. Hope you will like it . SUBSCRIBE AND PRESS well icon to watch our video 1st. Like this video ,Let us know in comment box what do you think about this game. If you're at initial level of game development and want to make this kind of game comment below. I love to teach you.you can visit my playlist I also teach how to make games 2D and 3D.
#ColorBump3D #ColorBump #BallGame #Ball #BallRolling #BallBalance
Enjoy Below Too:
2019 Upcoming Games in Android / iOS | 2019 मे आने वाले मोबाइल गेमस | Coming Soon to Google Play :
LIGHT IT UP Game Play [Android / iOS]:
Rise Of Civilizations Game Play in Android / iOS:
Smash Hit Hilarious Game Play
Dancing Line Game Play
Tenkyu (VOODOO) Hilarious Game Play [Part:1]
Hill Climb Racing
Benji Bananas Monkey Action and Adventures for #Kids
Sniper 3D Gun Shooter – FPS
Wind Rider Game Play [Android/iOS] ( ZPLAY Games)
Missile Shooting Battle Tank Attack War [Part:1]
Art of Conquest : Sylvanib Spring Game play (Android / iOS)
Command & Conquer : Rivals PVP Game Play (Android / iOS)
Dead Target Zombie Game play ( Android / iOS)
Sniper Fury : Top Shooting Game – FPS Best Game In Android / iOS
War Machines : Tank Shooting Game
Tiles Hop : Forever Dancing Ball (Trap Hip Hop)
Tunnel Trouble 3D – Space #Game | Jet In Space #ScienceFiction
1 Line – One Stroke Puzzle Game| A Brain Training Puzzle
Darkness Rises Android /iOS Game
Mr Gun Hilarious 🎮 Game Play #KetchappGame 🎮
*Popular Playlist On Nested Mango****
Hilarious Gameplay Of Games:
Kids Fun:
Science And Technology:
Augmented Reality In Unity:
Wings Of Fire By Dr. APJ ABdul Kalam Audio Book [Hindi]:
Magic Valley (Waichin) Malana Himalay Pradesh Trip
Product Unboxing :
Unity3D/2D Game Development:
Game Developer Unity Interview Q & A:
Version Control with Unity IDE:BitBucket
Version Control with Android Studio:GitHub
Thank you so much for watching 🙂
Nguồn: https://behereonline.com
Xem thêm bài viết khác:
Xem thêm Bài Viết:


text:
As Harvey Weinstein serves his 23-year sentence at the Wende Correctional Facility, a maximum-security prison in Alden, NY, the disgraced movie mogul now faces a new sexual assault charge. Yesterday, the Los Angeles County District Attorney's Office filed an additional charge against Weinstein after a corroborating witness claimed the convicted rapist sexually assaulted her at a Beverly Hills hotel in May 2010.
Aside from the new sexual battery charge, Weinstein now faces a total of five felony charges in Los Angeles, including "forcible rape, sexual penetration by use of force, sexual battery, and forcible oral copulation." The original charges are based on allegations that Weinstein sexually assaulted two women in separate incidents in 2013.
Weinstein's latest victim was a corroborating witness who was assisting prosecutors in their case. Last month, however, she provided new information about her encounter with Weinstein, including when the alleged assault occurred, which fell under the 10-year statute of limitations.
"We are continuing to build and strengthen our case," Los Angeles County District Attorney Jackie Lacey said in a statement. "As we gather corroborating evidence, we have reached out to other possible sexual assault victims. If we find new evidence of a previously unreported crime, as we did here, we will investigate and determine whether additional criminal charges should be filed."
While Weinstein serves his sentence in New York, Los Angeles prosecutors are working on the extradition process and have requested temporary custody. However, there's no date as to when a judge will approve Weinstein's transfer to Los Angeles. When Weinstein arrives in Los Angeles, he will then be formally arraigned.
Los Angeles prosecutors also said that two other potential cases against Weinstein were declined because the victims did not want to testify against him. Weinstein has denied the allegations made in the Los Angeles case, and he has yet to provide a comment about the latest charge.
In late March, New York state corrections officers reported that Weinstein had contracted the coronavirus but had not shown any symptoms. Prison officials placed him in isolation at Wende Correctional Facility.
"As of now, it's been 14 days since reports of concern from people inside the prison, and he has no symptoms and no issues," Weinstein spokesman Juda Engelmayer told Reuters.
Arthur Aidala, a lawyer for Weinstein, also told Reuters last week that he's been in contact with him and that he sounds "fine."
Related Content:


text:
Today, we are delighted to present part 2 of our 3-part interview with Rebecca Maizel, author of Infinite Days, our September Book of the Month! See Part 1 here.
It seems like everyone who writes about vampires has their own take on them. What can you tell us about the ones in Infinite Days? How are they different? (Why are they in such constant pain?)
I knew more than anything that Lenah would need a reason to want to be human. The stakes would have to be high – if she didn't desire it more than anything else in the world, more than eternity with Rhode, it wouldn't pay off for the reader why she was at Wickham in the first place. So I asked myself: what is the worst thing about Lenah's existence? What is the one thing she wants more than anything else that is specifically human? To feel emotions and to touch. So I took that away from her as a vampire. By deadening the senses it only added to her isolation from the rest of the world.
If you met someone in a bookstore, and they were thinking about buying your book, what would you say to convince them?
Infinite Days is a story about coming back to life. Haven't you done something in your past that you regret? Don't you wish you could forgive yourself? Lenah is a 500 year old vampire and she's just woken up mortal at a Boarding School. This book is about her second chance at life.
At Novel Novice, one of our main goals is encouraging teens to read. What would you say to reluctant teen readers to convince them to pick up a book (any book)? Why do you think reading is so important?
Reading takes you away, immerses you in a world where the characters can be as real to you on the page as the people in your life. Reading makes you smart. Think about all the wonderful places in time and space you can go! Reading can change your life, if you let it. Was that cheesy? Probably but I completely meant it.
Tell us about an educational experience you had that changed your life.
I had a tutor in high school who met with me in the library every week. I was a really scattered teen (still am) and didn't know how to time manage very well. Also, I was completely moronic in math. Duringmy senior year, I was talking to her one afternoon and told her that I wanted to write films. That I was applying to colleges and I wanted to study screenwriting and film. This was something I really believed in at the time and writing in general was important to me. As our tutoring sessions came to a close, and I was accepted to a university, she bought me a bunch of books, all about film making and screenwriting. It was the first time an adult (outside of my parents) supported my dreams. She handed them to me, like, "hey, I bought you these because I know you'll need them." It was a formative experience in my life. That kind of encouragement, especially from someone outside of your family unit is very important to a teenager. It makes you feel like "wow, maybe I can do this!" Sadly, she died in a plane crash in 2005 – I was absolutely heart broken. I wish I had gotten a chance to thank her.
What question do you always wish someone would ask you during an interview?
I haven't done enough to answer that question! I never know what I should be asked. Anything!


text:
In Collaboration With The
Go Back
What Doctors Are Saying About
Gut Feelings: The Patient's Story
"Gut Feelings – The patient's story" follows and expands the previous book of Dr. Drossman and Ms. Ruddy, on "Disorders of Gut-Brain (DGBI) Interaction and the Patient-Doctor Relationship". The first book presented important perspectives on the doctor-patient relationship in Disorders of Gut-Brain Interaction, illustrated by the Ms. Ruddy's personal patient experience.
In this follow-up book, the focus is on the individual narratives of eight patients, who experienced a difficult journey through the healthcare system after presenting with chronic symptoms of DGBIs. Unfortunately, they experienced a lack of understanding, patience or time commitment when presenting to different healthcare providers, only leading to further aggravation of the disease impact. Each case is well-described, and then put into perspective by Dr. Drossman, a world-renowned expert on these disorders and on physician-patient communication, and by Ms. Ruddy, a well-known and experienced patient advocate.
Most healthcare professionals are motivated by the fascination for the functioning of the human body in health, the rapidly evolving science on how dysfunction causes illness and the ability to reverse disease and the prospect of making a difference in other people's lives. The time pressures and busy schedules of a professional healthcare provide can be so overwhelming that the key aspect of taking care of patients, which includes sufficient time and commitment for interaction, can get lost. The book, both in the patient narratives and Dr. Drossman's comments, offers multiple learning and introspection opportunities for the "too busy" clinician. In addition, it includes clinical/scientific pearls and illustrations on disease concepts, symptom generation, patient-centered management and the use of neuromodulators when treating DGBIs.
The book also provides relevant first-hand experience to patients with DGBIs, who can learn from these testimonies how to look for and how to communicate with the healthcare provider to obtain good and appropriate medical care. This is summarized in five key-take aways for patients in the Epilogue of the book.
Healthcare providers and patients with DGBIs, but also with other difficult to manage chronic conditions, will benefit from reading this book, which will improve their mutual interaction and understanding, leading to better health outcomes.
Jan Tack, M.D., Ph.D.
President of the Rome Foundation for Disorders of Gut Brain Interactions (DGBIs)
Head, Division of Gastroenterology and Hepatology, Leuven University Hospitals
Professor of Medicine, Translational Research Center for Gastrointestinal Disorders (TARGID)
Department of Chronic Diseases and Metabolism, University of Leuven
Visiting Professor, Institute of Medicine, University of Gothenburg, Sweden
As a gastroenterologist, I have been managing patients with functional abdominal disorders for years. In the field of functional abdominal disorders, Dr. Douglas Drossman, one of the founding fathers of Rome Foundation, needs no introduction. We often refer to Rome criteria for making a diagnosis of irritable bowel syndrome, functional dyspepsia, or myriad of other disorders of gut-brain interaction (DGBI). However, reading about DGBI in the first Gut Feelings book, the concepts of biopsychosocial model and about how to achieve and maintain a good patient-doctor relationship through effective communication was an eye opener.
The latest Gut Feelings: The Patient's Story, is based on the personal experiences of eight patients with DGBI. Each story is unique and takes the readers through these patient's long and difficult journey from onset of symptoms to diagnosis and the frustrations they experienced and finally, how with the help of Dr. Drossman and his team, they learned to cope and manage their symptoms. At the end of each story, Dr. Drossman, systematically describes the patients' medical journey and takes us though the thought process behind choosing a treatment plan. He explains in detail about what gut-brain neuromodulators were suggested and why. Finally, the patients' experiences are further highlighted by the co-author, Johannah Ruddy, who is a strong patient advocate. Her own medical journey as a patient with DGBI is narrated in one of the book chapters. She aptly, helps explain the patients prospective and points out the common communications errors that we often, unknowingly, tend to commit. Overall, this book will tremendously help both the healthcare providers as well as the patients who goes through similar experiences on daily basis and can learn to better understand DGBI and even more importantly, better communicate for a successful outcome.
Ajay Rana, MD, MCTR
Associate Professor
Pediatrics Gastroenterology
University of Rochester Medical Center
Rochester, NY
It is not every day that one finds a rare book - equally suited and equally beneficial for both patients and clinicians alike.
"The Gut Feelings: The Patient's Story" is more than case-based learning.
Each chapter's center is an uninterrupted, uncensored patient story. Storytelling, often discouraged in modern medical practice yet essential for "good medicine," provides invaluable diagnostic and therapeutic clues. Simultaneously, the experience of telling and receiving the story builds the patient-clinician therapeutic relationship. This relationship is essential for the patients to get better and clinicians to experience job satisfaction.
I do not doubt that reading this book is therapeutic for the patient reader, who can associate with others' stories, feel validated, and gain knowledge and hope. Perhaps less obvious is that a clinician reading the book can also experience unexpected therapeutic benefits from reading patients' narratives. The narratives can renew empathy and reconnect clinicians with the meaning of the medical profession, effectively offering an antidote to ever-so prevalent burnout.
Apart from its therapeutic effects, the book is unique in bringing together a three-fold perspective – the patient, clinician, and patient advocate, thus promoting thought-provoking in-depth learning. This approach allows us to appreciate the complexities of the illness experience and the multilayered, yet achievable therapeutic approach needed to improve patients' lives.
Following Dr. Douglas A. Drossman's, therapeutic decision-making, a leading expert in DGBIs is remarkable. Imagine spending a day with a master clinician and communicator in his exam room, learning clinical pearls one cannot find in GI textbooks. At the end of each chapter, Mrs. Joahannah Ruddy's insightful comments bring us back full circle to what matters- the patient illness experience as a perfect closing.
An excellent book for anyone who would like to learn about the patient experience of IBS or other disorders of gut – brain interaction and for the clinicians who aspire to master the science and art of treating DGBIs
Albena Halpert, MD
Harvard University Health Services
Cambridge, MA
Pardon my excitement, but this is a terrific sequel book that meets a real unmet need. Coming on the heels of the first book, which was more informative in nature, this book is experiential and moving. The patients who provided their stories are remarkable in their willingness for total exposure including photographs and voice recordings, which make their story real, personal, and compelling. These are in depth reflections of what patients feel and go through as they navigate the healthcare system with symptoms and test results that are often disparaged by doctors and other providers rather than legitimized. It always amazes me that doctors can tell patients who suffer so much that "nothing is wrong with them" just because their test results are "normal."
Following the in-depth narratives come the superb comments by Dr. Drossman, who not only treated and is treating these specific patients but has devoted his entire professional career to legitimizing them. He finds these patients challenging, in the best sense of the word, rather than difficult and derives great satisfaction from working with them toward the shared aim of improved function and quality of life. Indeed, he cares for the patient who has a problem, not just the problem. Then we get the special insights of Mrs. Ruddy who has the triple perspective of a patient (in fact she is one of the patients presented in the book), a patient advocate, and Rome Foundation Executive Director. All doctors should benefit from these insights.
This is a unique and special book and I highly recommend it to patients and their friends and families, and doctors and other healthcare providers.
Ami Sperber MD, MSPH
Professor Emeritus of Medicine
Faculty of Health Sciences
Ben-Gurion University of the Negev
Beer-Sheva, Israel
I pause in awe after having read these 8 patient accounts of their gut disorders and abdominal pain in Gut Feelings: The Patient's Story. I wish I had realized earlier what Johannah has seamlessly described here in my medical practice as it would have undoubtedly improved many interactions with my similarly courageous patients who experience chronic gut symptoms impacted by their traumatic life experiences.
To fully embrace Dr. Drossman's very deliberate teaching in this book, one must drink it in slowly as you would the finest of wines. You need both time and experience to perfect his art, but I feel this book has already transformed me into a better clinician. Moving thru this book's chapters challenges me to see things from the patient's viewpoint and to better understand the kaleidoscope of each patient's biopsychosocial construct. The disconnect between patients' symptoms and diagnostic testing is cleared up beautifully in this monumental work embarking on us to let the patient talk and thereby lead a patient-centered practice of medicine despite all the time constraints put forth by our dysfunctional healthcare system.
Baha Moshiree MD
Professor of Medicine and
Director of Motility
Division of Gastroenterology
Wake Forest University – Atrium Health
Charlotte, MC
Dr. Doug Drossman's and Ms. Johannah Ruddy's earlier book, Gut Feelings: Disorders of Gut-Brain (DGBI) Interaction and the Patient-Doctor Relationship—A Guide for Patients and Doctors, nicely sets the stage for this sequel. The initial book provided the important understanding for physicians and patients about what DGBI represents. It focused on the conceptual, physiological, and medical aspects of DGBI, at the same time underscoring the central role of communication and establishing the clinician-patient relationship. To achieve the latter, they effectively used a focus on Dr. Drossman's and Ms. Ruddy's highly successful relationship as doctor and patient, respectively.
This new book responds to many readers' desires for more stories of patients with DGBI. It provides detailed descriptions of 8 other patients of Dr. Drossman. Their stories feature diagnoses varying from irritable bowel syndrome to constipation to anxiety to interstitial cystitis to fibromyalgia to migraine to sexual (and other types of) abuse—often with many diagnoses occurring together. And these problems had become disabling not only from the disorder itself but also from the uncertainty of their diagnoses and from the strained, often stigmatizing relationships that sometimes evolved with earlier providers.
Each patient's case begins with their own rendition of it. Dr. Drossman's and Ms. Ruddy's commentaries follow. The former includes some easily understood diagnosis issues and explanations of the biological mechanisms underlying the problem. He then emphasizes treatment principles, reassuringly highlighting that his care is not unique, rather that it follows biopsychosocial principles available to all clinicians. Ms. Ruddy's comments merge her personal understanding from a patient's perspective with a very informed professional perspective she has developed as a result of her work in DGBI as a patient advocate.
The often poignant patient stories and their eventual successful resolution—although often without actual cure—provide the highlight, especially for the lessons they learned, the importance of hope, and the central role of a strong doctor-patient relationship to their well-being.
An added benefit from this wonderful book is a link to a digital recording of each patient recounting their story, in some instances conducting a conversation about their illness with Ms. Ruddy and Dr. Drossman.
While this book will have great appeal to patients with complex problems, it also will be of value to clinicians caring for these patients, not only to appreciate the travails their patients experience but also to identify some treatment measures they might themselves embrace in the future.
Robert C. Smith, MD, MACP
University Distinguished Professor of Medicine and Psychiatry Emeritus
Michigan State University, College of Human Medicine
Dr. Drossman and Ms. Ruddy have done it again. Gut Feelings: The Patient's Story: Personal Accounts of the Illness Journey affords patients and practitioners alike a window into the complex roads patients often travel to obtain appropriate care. In this book, eight patients experiencing disorders of gut brain interaction with complex overlapping medical and psychosocial conditions provide honest, real, and raw details of resilience in their quests to obtain appropriate medical diagnoses and care. These testimonials, free of medical jargon, provide insight into their journeys focusing not only biological symptoms but the impact of these symptoms on their perceptions of themselves and the medical community. Importantly they also offer a window into the impact of these disorders on their daily functioning, quality of life, and relationships with family and friends. Ultimately, through regular interactions, interdisciplinary care, and relationships forged with Dr. Drossman, common threads are identified—a strong need for self-advocacy, never settling for the status quo, a sense of personal empowerment, the need to see individuals not as illness but biopsychosocial entities, and a renewed belief in the medical system. Another key facet of this book which will resonate with individuals with disorders of gut brain interaction is the commonality of experiences and a realization that they are not alone in this process. There is hope for improved care and recovery.
Gut Feelings: The Patient's Story: Personal Accounts of the Illness Journey is also a superb resource for practitioners who see and/or shy away from these patients due to feelings of frustration and/or an inability to appropriately intercede. Dr. Drossman and Ms. Ruddy walk us step-by-step through every-day care techniques ranging from open-ended history taking to identification of important patient-centric outcomes unifying common goals through established trust and collaborative decision making. The reviews of the patients' histories by both Dr. Drossman and Ms. Ruddy are presented in a concise manner with commentary and discussion supported by clinical evidence presented in easy to review tables and figures and further substantiated via online links to enduring educational content. Gut Feelings is a quick but poignant read that I would strongly recommend for all practitioners.
Darren M. Brenner, MD, FACG, AGAF, RFF
Associate Professor of Medicine and Surgery
Irene D. Prtizker Foundation Research Scholar
Director—Northwestern Neurogastromotiliy Program
Northwestern University Feinberg School of Medicine
As a specialist on DGBI, I often hear my patients recount their difficult and challenging healthcare experiences with chronic illness. After reading "Gut Feelings: The Patient's Story", I am sad but also impressed by these patients' stories: the bitterness of their illness journey and the need for physicians to take the time to listen and not be so quick to dismiss their patient's symptoms. Indeed, physicians would be inspired to do better for DGBI patients after reading the stories from this remarkable book.
Xiucai Fang MD
Department of Gastroenterology
Peking Union Medical College Hospital
Beijing, China
For more than 30 years I've followed the works of Professor Douglas Drossman. I read them and I use them in my practice and teaching activities. Among these, the papers and books focusing on the improvement of the relation between healthcare providers and patients are innovative and useful. After reading with attention the first volume "Gut feelings", I was impatient to browse through the second volume.
"Gut Feelings: The Patient's Story: Personal Accounts of the Illness Journey " is the logical sequel of the previous one. In the first book, patients and health care providers could find a syllabus on the disorders of gut-brain interaction. We also learned through Johannah Ruddy, the co-author of the book information her illness experience and the value of communication skills and the patient-doctor relationship .
The present new book is dedicated to and for the most part written by patients. Professor Drossman, in collaboration with Johannah Ruddy, reassembled the stories of eight patients with different disorders of the gut-brain interaction and complicated medical issues. The narratives provided by these patient remind me of the excellent videos produced by Drossman Center, where we can learn how to approach and improve the care of these patients. Indeed, reading each of the stories and the following comments and explanations, by Dr. Drossman and Ms. Ruddy, we can better understand the patients illnesses and better approach their care.
This book is not simply a collection of stories, but a must-read textbook for all healthcare providers wishing to truly understand and to do more for their patients who suffer with digestive and somatic functional disorders,.
Prof Dan L Dumitrascu
2nd Dept. of Medicine, Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca; Cluj County Clinical Emergency Hospital, Romania
President EAGEN
Chairman National Societies Committee UEG
The patient-physician experience is unique. During this encounter the patient is asked to describe symptoms leading to the visit, some of which may be mildly bothersome while others are worrisome or even life-altering. These symptoms may cause not only physical discomfort but emotional distress as well. This privileged conversation is confidential, allowing the disclosure of intimate details. During this conversation, a high level of trust must be present from both parties. The patient must trust that the health care provider is listening and comprehending their story, while the practitioner must trust that the full story, with all relevant details, is being told. Theoretically, this privileged conversation should be easy, with a bidirectional flow of information that leads to the correct diagnosis and a personalized treatment plan. However, these conversations are increasingly less than ideal, leading to frustrated patients and disgruntled providers. The reasons why patient-provider interactions are not uniformly positive is multifold, but include increased patient volumes, decreased time allotted for the patient visit, increased requirements for time-consuming administrative tasks and documentation, and greater patient expectations regarding testing and treatment. Given these multiple potential issues, it is not surprising, but still disappointing, that the patient-physician experience can be less than ideal for some patients.
Improving the patient experience is critical, however, as a better patient experience leads to better patient care, improved patient outcomes, and a reduction in healthcare stress and burnout. In this new book, "Gut Feelings: Patient Stories" Drossman and Ruddy provide critical information on ways to improve the patient-provider experience. Using a series of artfully crafted patient vignettes the authors provide essential information on ways to improve communication, listen more carefully, appreciate the patient perspective, sort through complex diagnoses, understand the impact of disorders of gut-brain interaction (DGBI) on patients, and understand the role of early life stressors and events. Understanding the journey of these eight patients, and using lessons learned from their interactions with the health care system, Drossman and Ruddy provide sage advice on how to better explain the underlying complex pathophysiology of DGBIs, discuss conflicting diagnoses and overlapping diagnoses, and review the array of currently available treatment approaches, all the while using an interactive shared decision making model.
This book fills an important void in the medical literature for both health care providers and patients. It provides valuable information from the patient perspective and thus will be instructive to health care providers of all specialties. Just as importantly, patients will find a wealth of critically useful information to help make their visits more effective and to understand the complexity of diagnosing and treated disorders of gut-brain interaction.
Brian E. Lacy, Ph.D., M.D., FACG
Professor of Medicine
Mayo Clinic, Jacksonville
"Gut Feelings: The Patient's Story" by Dr. Douglas Drossman and Ms. Johannah Ruddy is a first of its kind publication that takes us through journeys of patients with complex neurogastrointestinal disorders. The work provides a "personal dimension" of the suffering experienced which is often hard to appreciate in conventional biomedical literature. This writing is only possible in the hands of an expert like Doug who has provided biopsychosocial care to complex patients for over four decades and Johannah who has personally suffered from post-infection irritable bowel syndrome and is leading the Rome Foundation, the largest international organization for research and care for patients with disorders of gut-brain interaction (DGBIs).
The stories are a powerful reminder of how these disorders evolve and wreck our patients' lives. They are also a reminder that our conceptual understanding can often be over-simplistic and quite often, 3-4 disorders and concomitant psychosocial dysfunction are experienced by our patients. From my perspective, it was instrumental to see how the patients understood these disorders and how they articulated what matters to them the most. It is instructive to see that providers' empathy, validation of symptoms and relationship with the patient remain the pillars for care for our patients.
The stories also brought home the unmet need for more effective treatments. As we further design mechanistic studies and clinical trials, we need to take these stories in perspective as they educate us a lot about what is important for the patients and tell us to be more pragmatic in our approach. I believe this book should be a must read for us who care for these disorders and for regulatory and funding agencies that make critical decisions that will guide how the future landscape of DGBIs will look like. The authors are to be commended in their efforts in bringing out patients' perspectives and patients to be thanked for their openness.
Madhusudan Grover MD
Associate Professor, Departments of Medicine and Physiology
Consultant, Mayo Clinic
Rochester, MN
Following the publication of "Gut Feelings: Disorders of Gut-Brain Interaction (DGBI) and the Patient-Doctor Relationship", Dr. Douglas Drossman and Mrs. Johannah Ruddy, are publishing the book "Gut Feelings: The Patient's Story-Personal Accounts of the Illness Journey". Dr. Douglas Drossman is a worldwide expert in DGBI and probably the father of this field, and Mrs. Johannah Ruddy a patient herself and a patients advocate.
The book includes stories told by eight patients who have transitioned from suffering diverse DGBI, to health. Their accounts are a testament of the difficulty in navigating through the healthcare systems, trying to find a healthcare provider that really understands DGBI, validate their symptoms and be able to help them; a story that I experience every day in my clinical practice. Each case is complemented with a clinical commentary by Dr. Drossman, interpreting and explaining the case from a medical standpoint, usually including a cartoon depicting the underlying mechanism for the subject's symptoms. In addition, Mrs. Ruddy's includes a commentary from a patient's point of view, giving some important points to learn.
Although I live and work in Mexico City, I usually recommend the first book to my English-speaking patients, and when consulting them next, they return very excited because: "for the first time they read something serious that explains what they have…". With that experience, I am sure that this new book will be as helpful as the previous one, as they will find that they are not alone. Also, learning from other patient's experiences, will help them to realize what they need to know about their illness, what to ask and research when they are diagnosed with a DGBI, and how they can help themselves.
Max Schmulson, MD
Professor of Medicine
Faculty of Medicine, Universidad Nacional Autónoma de México (UNAM)
Mexico City
The patient narratives featured in Gut Feelings: The Patient's Story, Personal Accounts of the Illness Journey, provide a unique perspective on the suffering and challenges that face individuals living with disorders of gut-brain interaction (DGBI). The in-depth look at each patient's illness journey combined with Dr. Drossman and Ms. Ruddy's perspectives on the cases provides valuable education for providers working with DGBI patients and is a reminder of the healing effect of a strong patient-provider relationship. I appreciate the authors' honesty regarding the complexity of these conditions and even though many of these cases did not have a simple solution or complete resolution of symptoms, they all moved towards a place of healing and improved quality of life. This book has tremendous value for patients as well. Individuals with DGBI often feel alone in their suffering due the stigma associated with these conditions and the negative treatment experiences they often encounter in the healthcare system. These stories provide hope and connection for those suffering from similar conditions and encourages patients to continue to advocate for themselves and partner with providers that will work collaboratively in their care.
Sarah Kinsinger, PhD, ABPP
GI Psychologist
Associate Professor of Medicine, Loyola University Medical Center
The patent perspective is critical in medicine. Patients' lived experiences with their symptoms define not
only the names of different disorders of gut-brain interaction and how we treat them, but these
experiences play directly into patients' ability to enjoy quality-of-life.
"Gut Feelings: The Patient's Story, P
ersonal Accounts of the Illness Journey"
is an outstanding example to build trust in healthcare by bring
readers along on the patient journey and shedding light on the experiences that patients go through to
build shared understanding.
Eric D. Shah, MD, MBA, FACG
Director, Center for Gastrointestinal Motility, Esophageal, and Swallowing Disorders
Assistant Professor of Medicine and The Dartmouth Institute
Section of Gastroenterology and Hepatology
In the well-known hymn "Amazing Grace", the lyric, "I once was lost but now am found" speaks of a religious experience familiar to many. This could also serve as the over-arching theme of the 8 patients who are the subject of this uplifting and inspiring book written by Dr. Douglas Drossman and Johannah Ruddy, MEd. These patients had been lost in the thicket of our current health care system-their symptoms often minimized or dismissed by numerous health care providers who appeared to lack the knowledge, understanding or perhaps the time necessary to understand and manage their illnesses which were not associated with disease markers. Their physicians could have been characterized by what Dr. Drossman described, as those "who do not know what they do not know", or those "who know what they do not know" and who were able to direct them to Dr. Drossman's clinic in North Carolina. Their outcomes after referral were transformative using the knowledge and principles of care detailed in this book.
Not all patients will be fortunate enough or have the resources to be referred to a physician who is as knowledgeable, dedicated and humane as Doug Drossman. He has been at the forefront of a scientific movement to understand chronic gastrointestinal symptoms which have no disease marker and are now re-named as disorders of gut brain interaction. These disorders are very real and legitimate and it is important to listen to and validate them in order to establish a strong and effective patient-provider relationship, as is illustrated repeatedly by these stories. Through his research, writings, interactions and leadership with like-minded professionals on an international scale, he has had a profound effect on our understanding of these often poorly understood conditions. Doug Drossman is included among certain gastroenterologists who are a "must read" for me; my interactions with Doug and other investigators have made me a more complete and knowledgeable health care provider for patients with gastrointestinal disorders. This is also true for the many educators, clinicians and other providers who have been influenced by Dr. Drossman's scholarly contributions in this area. As clearly shown in this and other publications, Doug's work has been immeasurably influenced and enhanced by Ms. Ruddy who, in each case, provides important observations from the patient's perspective.
This book should be read by anyone in the health care profession who provides care for patients with chronic disorders of brain gut interaction. This recommendation also applies to any health care provider who wants a template for the provision of knowledgeable, dedicated, and compassionate care to patients with complex medical problems. As shown in this book, this often begins with validating symptoms, establishing a strong patient-provider relationship and employing appropriate therapeutic modalities combined with realistic expectations.
Arnold Wald MD
University of Wisconsin School of Medicine and Public Health
Madison, WI
In their new book, Gut Feelings: The Patient's Story, Doug Drossman and Johannah Ruddy offer an important new resource for the gastroenterology community. Focused on profiling the personal stories of patients with disorders of gut-brain interaction (DGBIs), Gut Feelings offers a wealth of insights about biopsychosocial wellbeing, the opportunities and limits of modern medicine, and the importance of strengthening patient-provider communication. The book profiles eight patients with DGBIs and explores how their illness experiences affect not only physical health, but also psychosocial health. It's a valuable resource not only for patients with DGBIs, but just as importantly, for their clinicians seeking to improve the care of these common and impactful conditions.
Brennan Spiegel, MD, MSHS
Professor of Medicine and Public Health
Director of Health Services Research, Cedars-Sinai
Director, Master's Degree Program in Health Delivery Science
Cedars-Sinai Site Director, Clinical and Translational Science Institute (CTSI)
This book should be required reading for any health care provider who treats patients with chronic abdominal symptoms, as well as any person who suffers from them. By focusing on the personal account of the illness journey for eight individuals whose gut often malfunctions, Drossman & Ruddy bring a perspective often missing in such books. That is, instead of relying on "normal" scopes, scans, biopsies and other procedures or tests to conclude that "nothing is wrong" with a patient's gastrointestinal track, they suggest that a professional obtains a patient's detailed story in an interactive, collaborative patient-centered care partnership to determine what is wrong and how to fix it. In the process we learn about the importance of language (e.g. neuromodulators more accurately describes medicines marketed as anti-depressants) and of focusing on each patient's strengths and positive attributes, as well as their symptoms.
Flipping the traditional biomedical model on its head and labeling this array of problems as Disorders of Gut-Brain Interaction (DGBI), associated psychosocial factors are seen as downstream impacts rather than upstream causes. Blame, fault-finding and guilt have no role in the care of any patient. Through eight case studies, each including detailed personal observations by the person who is also the patient, the authors describe how some health care providers may stigmatize, misdiagnose or be unable to "see the forest for the trees". Their emphasis, however, is on detailing alternative health care provider behaviors that improve patient satisfaction and optimize patient-centered care. In so doing they integrate cutting-edge science and the art of healing captured almost a century ago in the axiom "the secret of the care of the patient is in caring for the patient."
Richard E. Kreipe, MD, FAAP, FSAHM, FAED
Professor Emeritus
University of Rochester School of Medicine & Dentistry
Drossman and Johannah Ruddy have developed a comprehensive "resource" and insightful book called Gut Feelings: Disorders of the Gut-Brain Interaction and the Patient-Doctor Relationship. Outside of providing knowledge on the key concepts that underpin disorders
of Gut-Brain Interaction, the provider and patient benefit from the insight that exposes the often frustrating gaps in interpersonal communication within clinical practice.
comprehensive, the content is easy to read and I am most delighted that the patient and provider are armed with practical communication tools that serve to empower and improve the clinical experience thus improving patient-centered care and inevitably clinical
have sincere gratitude for Dr. Drossman and all participants involved in the creation of the book, who shared openly and vulnerably. I have observed firsthand the powerfully positive impact of implementing the practices and will share this book with my peers
and patients for years to come.
Lynda Griparic
Gut Health & Weight Loss Health Professional
Naturopath | Nutritionist | Yoga Teacher
Foreword by Joel J. Heidelbaugh, MD
"I've been told that it's all in my head, I'm making up my symptoms, to stop complaining, to eat right, and even that I should see a psychiatrist about my bowels". How many times have we heard elements of these statements from our patients? Relative to the myriad of functional disorders and disorders of gut-brain interaction (DGBI) that we encounter, these sentiments should drive healthcare providers to reflect on the nature of the human condition through suffering, disability, pain, and uncertainty. Until now, clinicians have had to rely solely upon their integrated knowledge and experiences in treating patients with DGBI. The literature and lay press are bereft of an adequate account of patient perspectives of diseases that make a sufficient impact to drive innovation in care models.
The most important point this book demonstrates is the power of listening to our patients. Research has embarrassed clinicians by highlighting that on average, we will interrupt a patient in under a minute. The patient vignettes herein are both powerful and truthful. They guide us to be open-minded, non-judgmental, and to create an environment of trust for our patients. Reading this book and the unique personal details of each patient story force me to be introspective about how my language, my tone, and my non-verbal cues can have an impact on a patient. These traits are what drive how a patient will trust me to treat them, or to even come back for another visit.
As a family physician approaching a quarter century of clinical experience in academic medicine, I cherish the ability to always learn from patient stories and perspectives. I am privileged to have co-authored guidelines on irritable bowel syndrome treatment and have lectured to diverse audiences across the country on DGBI. While the scientific literature allows us to understand disease, it is the information outside of what we learn from research and textbooks that allows us to best understand the human elements of people and how to care for them. We often order too many tests, we refer patients around to too many specialists, and we search for cures. Perhaps now we can focus with greater intent on the patient-doctor relationship.
Dr. Drossman and Ms. Ruddy have created a niche in medicine through this book that should garner significant attention. I am indebted to Dr. Drossman for his mentorship through the years and especially of his understanding of how primary care providers can play a significant role in the treatment of DGBI. I am also highly indebted to Ms. Ruddy for her courage in telling her amazing story as a patient, and for challenging me to be a better listener and communicator in my daily practice of medicine. The patient stories herein are more than heartfelt - they are real. This is the angle of education that we clinicians all need to best understand if we are to optimize healthcare for our patients. For premedical and medical students, this book should be a requirement for a foundation in humanism in medicine. While DGBI can't be cured, they can be validated. And most importantly, our patients can be heard and know that they are not alone.
Joel J. Heidelbaugh, MD, FAAFP, FACG
Clinical Professor, Departments of Family Medicine and Urology
Director of Medical Student Education, Department of Family Medicine
University of Michigan Medical School
Ann Arbor, MI
Gut Feelings – The Patient's Story: Personal Accounts of the Illness Journey by Dr. Drossman and Ms. Ruddy is a book unlike any other. It is a deeply insightful piece that serves as an incredible resource for both patients who struggle with disorders of gut-brain interactions and the clinicians who seek to help them. To understand the experience and perspective of another, it is crucial to hear their story uninterrupted. In Gut Feelings, patients are given a voice. They share the stories of their illness journeys as well as their origins, their struggles, their fears, and the steps they took to find a path towards healing. Each personal account is complemented with commentary by Dr. Drossman and Ms. Ruddy. Dr. Drossman provides important clinical context and explains his approach to evaluating and treating the individual using a patient-centered model. Ms. Ruddy extends on the patient's story to provide a deeper understanding of the patient's experience and the unique factors and traits that helped them overcome the worst of their illness through the lens of a person who has been on "both sides" of the journey; her input is exceptionally valuable and enriching.
The book will serve as an invaluable tool for clinicians from all specialties as well as a source of inspiration and hope for patients. It is a special combination of patient and provider perspectives. The text is filled with high-yield medical knowledge and guidance on how to understand, identify, evaluate, and effectively treat complex disorders of gut-brain interaction. Simultaneously, the patient is recognized as central and whole. I feel strongly the book will empower both patients and clinicians to bridge their gaps, align their goals, and find the path towards recovery.
Andrea Shin MD
Division of Gastroenterology
Indiana University School of Medicine
As clinicians, one of our most powerful tools for healing is the patient-provider relationship. The foundation of this relationship is the patient's story: their experience and perspective of living with a chronic condition. However, we can often feel limited by time constraints and the biomedical focus on diagnostics and treatment. Gut Feelings: The Patient's Story—Personal Accounts of the Illness Journey provides us with multiple perspectives on how we can use the valuable time we have to truly collaborate with our patients.
The authors, Dr. Douglas Drossman and Johannah Ruddy, have both made tremendous contributions to the field of gastroenterology, particularly in disorders of gut-brain interaction. This book, a follow-up to Gut Feelings: Disorders of Gut-Brain Interaction and the Patient-Doctor Relationship, is another such contribution. Offering compelling and honest patient stories, we gain a deeper understanding of patients' worlds and the impact of our clinical communication styles. These lessons are augmented by Dr. Drossman's biopsychosocial perspective to medical management, and Ms. Ruddy's viewpoint as a patient advocate. This book will surely be impactful for clinicians and patients, helping improve our understanding of DGBIs and helping advance our skills in patient-centered care.
Meredith Craven PhD
Stanford University Medical Center
When I began reading, Gut Feelings: The Patient's Story, I was instantaneously engaged, and I remained engaged and craving more until the very last page. As a gastroenterologist who treats patients with Disorders of Gut-Brain Interaction (DGBI), I have heard many patients echo similar sentiments and have struggled with the management of patients with complex gastrointestinal symptoms in my own practice. Hearing perspectives from the patient, Dr. Drossman and Ms. Ruddy, adds unique depth and allows both patient and physician readers to better understand the many nuances involved in the approach to caring for patients with DGBIs. Although we all know that the patient-physician relationship is fundamental to the successful care of patients with DGBIs and truly any illness, modern medicine has, unfortunately, shifted its focus away from effective communication to laboratory, imaging and endoscopic testing. This eloquently written book underscores in plain sight, all the reasons why careful and open-minded listening by the physician and effective communication between patient and physician leads to more successful clinical outcomes and allows patients to lead happier and healthier lives.
Dr. Drossman is an internationally renowned gastroenterologist who has focused his life's work on caring for patient's with DGBIs. The clinical pearls he includes in this book, which are couched in individual patient stories, provide a scaffold for treating patients with various DGBIs and an opportunity for physicians to learn from the expertise Dr. Drossman has garnered over the past 40 years. Although complex pathophysiology and therapeutic management strategies are discussed in this book, the read still remains effortless. Dr. Drossman's kind, empathic, compassionate and skillful approach to the care of his patients will inspire any physician who reads this book.
Ms. Ruddy's perspective on each patient's story implores physicians to re-focus their attention on the patient experience. Through her words, she reminds us of our own humanity and brings us back into the room with the patient. The strength and courage she consistently portrays throughout this book and her passion for pursuing a career in patient advocacy is an inspiration for patients and physicians alike.
I will leave you with a final comment…read this now!
Olga C. Aroniadis, MD, MSc, FACG
Associate Professor of Clinical Medicine
Chief, Division of Gastroenterology and Hepatology
Renaissance School of Medicine at Stony Brook University
The heart of the consultation is the interaction between the patient and the doctor. Even as medical knowledge becomes democratized through information and access to the latest thinking on the Internet, the real challenge for the clinician is to retain the confidence of the care-seeker towards a good co-produced outcome. Whilst knowledge, evidence and experience are valuable commodities the central aspect of the care itself is a caring, open and transparent relationship between the patient and their doctor. In this book Doug Drossman, as a clinical expert, and Johanna Ruddy as an expert on herself illustrates how to foster and facilitate a positive and meaningful dialogue with those with DGBIs. DGBIs are an important, frequent and challenging set of disorders for both sufferers and their clinicians. As doctors we often fail such patients and this book commendably and clearly provides help in how to do better.
Pali Hungin
Emeritus Professor of Primary Care and General Practice, Newcastle University, UK
Committee Member, European Society for Primary Care Gastroenterology
Go Back
© COPYRIGHT 2022, DrossmanCare
Sutton Station
5826 Fayetteville Road, Suite 201
Durham, NC 27713 USA


text:
Jamaica and the Substitute Teacher
Illustrated by:
Jamaica and Brianna are excited about their new substitute teacher. And Mrs. Duval doesn't disappoint — she inspires and engages all the children. So much so, that even when Jamaica makes a bad choice, she decides to confess to Mrs. Duval. Wise and calm, Mrs. Duval helps Jamaica learn from her mistake.
Age Level: 3-6
Book Theme: My School: Books for Young Children
Language: English


text:
Hungarian-English dictionary
Hungarian-English open and publicly listed dictionary
I am anonymous user in this dictionary
Request for "kellemetlen dolog"
- Open
- Assigned
- Published
kellemetlen dolog
deletedasshole æshoʊl
How to proceed?
Only editors of this dictionary may resolve this request. If you want to participate, contact the administrators of this dictionary: admin, evirag, Péter Pallinger.


text:
It is not what I remembered
You could see the sand bar encircling the island. It was a white curved line and if you weren't paying attention you'd run aground.
coffee i roast for developer
You could see the sand bar encircling the island. It was a white curved line and if you weren't paying attention you'd run aground.
It was early in the day, I was walking the path. The sun was in the sky, the water and wind were welcoming me. The path was soggy, it must
For a few months I have been posting images to my instagram feed that I put (reimagined landscape) in part of the description. I began putting these words next to
i've been toying with tri chromes, or tri chrome-esque photographs for a few years now. i first learned about trichromes after reading and seeing the photographs made by the russian photographer
Continue reading…making color where there is only black and white
i thought i posted a link to this but i guess it got away from me. i was interviewed by emulsive.org a little while ago about film and emulsion and
my last entry i mentioned i had finished exposing about 36 sheets of film. it was more than that .. 4 bag-mags filled with a variety of tmx ( 100
the last few days i have been using a graflex slr ( series D ) .. just moments ago i exposed my last 12 exposure " bag mag " full
again with my paper negative tests my dektol tests my dektol + sumatra coffee developer split development tests today i loaded film holders up and exposed the negatives in
some people hate paper negatives. they have trouble with them because they don't realize how they need to be exposed and treat them like film. they develop them like regular prints,
i am a little rusty at making paper negatives with anything but ansco 130 with the 130 i used to leave a tray out till it turned black and was still
i loaded up a graflex series d plate holder yesterday and filled it with 6 coated plates. i exposed them heavily hoping my dead emulsion would like extra light and
from time to time i get asked what kind of camera i have or use or like or like to use or … my current favorite is a cyclone #3.
sometimes i run on inertia, i just am on autopilot and don't really stop and think if i am doing something right or wrong &c. the colors were added by
sometimes i put a piece of glass or something out in the sun, on a sheet of photo paper i did this yesterday with some glass plates i exposed and
Continue reading…recent LUMEN prints from glass plates ( The Dream )
i haven't' coated plates with hand made emulsion yet, that will happen soon enough … but i have been coating plates on and off since the mid 1980s … there


text:
With so many selections available online, it can be difficult to decide which is the best malware software for you personally. Norton, Avira, and Bitdefender are only a few of the choices. Many individuals have strong opinions about their requirement of antivirus software, https://aviraantivirusreviews.com/how-to-choose-a-finra-approved-data-room-solution which makes it even more complicated to choose. Fortunately, there are some suggestions that will make your decision much easier. Read more to discover which antivirus software is right for you. You will be able enjoy the very best security for your computer!
The McAfee antivirus engine is not really the best obtainable, with blended results from individual testing labs. Despite these kinds of problems, the program is light in weight and only takes up 15MB of the hard drive. Another bonus is that it defends your i . d, so you can keeping it safe. The McAfee Total Protection Family is a more extensive solution, with support for up to 10 gadgets. It also gives parental regulators for children.
Most antivirus packages come with a annually subscription version that gives you access to the most recent versions and free updates. Though free antivirus software is effective, it lacks the features made available from paid versions. Additionally , prime antivirus program often incorporates firewalls, pass word managers, and VPNs, along with identity fraud protection. Because of this , so many people choose the premium versions of these courses. Hence what's the best antivirus application? Read on to find out how to make a strategy decision and choose the best safeguard for your PERSONAL COMPUTER.


text:
Just follow the below 3 steps:
Step 1: Follow @mouthshut on Twitter
Step 2: Tweet <Why you need a Laptop> mentioning #MouthShutReviewMatters "India's Largest Review Platform"
Step 3: Tag two of your friends in the same tweet and Submit
Example: About a year ago we were all forced to get into our houses when the pandemic hit us. It's electronic after all it started malfunctioning. Sometimes the buttons didn't work sometimes the trackpad wasn't responsive. Difficult to manage WFH with a machine like this. #MouthShutReviewMatters, "India's Largest Review Platform"
Note: Once you are done with the process just DM us on Twitter.
The best, creative and genuine tweet will be the winner.
1) Chances of winning the laptop can be more if you write a review. While on the other hand keeping it as genuine as possible. . Highlighting the major points will surely boost the chances of winning the prize.
2)Another way of boosting the chances to win it is to write the review and share it with family and friends. So even if you don't get it, the chances of others not getting it too are slim to none. (edited)
*Conditions Apply


text:
Page One Board Member Application
Founded in 2000, Page One works during the academic year to foster a love of reading in community youth by collaborating with school and local partners. The organization's student-led board is made up of a president, treasurer, programs coordinator, one-time events coordinator, and social media coordinator.
For Spring 2021, the Page One Board is looking for a new Programs Coordinator (Paid Position), President, and Outreach Coordinator! Descriptions of each role is below.
Programs Coordinator (CCE Paid Position):
The Page One Programs Coordinator is the official liaison between the volunteers, our board, and the CCE. The Programs Coordinator is primarily responsible for the logistical components of Page One ongoing programs, including assigning volunteers to programs and providing confirmed volunteers with more detailed information about their programs. In conjunction with the board, the Programs Coordinator is responsible for checking in with volunteers to make sure that they have the support they need throughout the semester. This may mean visiting programs, organizing supplies, or helping out with board meetings.
Throughout the semester the program coordinator holds 3 paid office hours/week in the CCE to fulfill their responsibilities. During the first few weeks of the semester, the Programs Coordinator is expected to answer emails and troubleshoot any issues with programming outside of their office hours. If you are great with logistics and want to help make Page One an awesome experience for our volunteers, this could be the job for you!
The President of Page One is responsible for coordinating the communications between the other chairs on the board and assisting other board members as they see fit. This aid involves working closely with the treasurer to coordinate finances, the programs coordinator to plan volunteering scheduling and craft-kit building, the social media chair as to what gets posted to advertise the club, and the one-time-events coordinator to plan annual events, such as the halloween event. The president fills out administrative Presence forms and reserves spaces for the club members to meet and complete volunteering duties. The president leads board meetings and ensures all ideas are being heard and included in the mission of the club to create a welcoming space open to all.
Outreach Coordinator:
The Outreach Coordinator is responsible for outreach and recruitment of volunteers and participants for Page One events. They coordinate website postings and the Page One social media campaigns, submit events to the CCE newsletter, create Canva graphics, and connect with campus partners to spread the word about upcoming events. This individual works closely with the CCE photography intern to publicize our awesome work. If you are creative and organized, this could be the job for you!
If you are interested, please complete this application. Email
, or
if you have any questions!
Sign in to Google
to save your progress.
Learn more
* Required
Your answer
Email Address
Your answer
Graduation Year
Your answer
How many semesters (if any) have you volunteered with Page One?
Your answer
Which position(s) are you interested in applying for?
Programs Coordinator
Outreach Coordinator
Describe your experience with Page One (if applicable)
Your answer
Why are you applying for this position? (1-2 short paragraphs)
Your answer
What could you bring to the board? (1-2 short paragraphs)
Your answer
Do you have any ideas about improving Page One? (1-2 short paragraphs)
Your answer
Clear form
Never submit passwords through Google Forms.
This form was created inside of Middlebury.
Report Abuse


text:
Published March 15, 2017 at 10:00 a.m.
The Golden Blazers Girls Soccer Team practices every Saturday at the Shelburne Field House. All are welcome.
The original print version of this article was headlined "Game Changer"
Showing 1-2 of 2
Comments are closed.
Since 2014, Seven Days has allowed readers to comment on all stories posted on our website. While we've appreciated the suggestions and insights, the time has come to shut them down — at least temporarily.
While we champion free speech, facts are a matter of life and death during the coronavirus pandemic, and right now Seven Days is prioritizing the production of responsible journalism over moderating online debates between readers.
To criticize, correct or praise our reporting, please send us a letter to the editor. Or send us a tip. We'll check it out and report the results.
Online comments may return when we have better tech tools for managing them. Thanks for reading.


text:
SYNTHETIC ALTERNATIVE TO MARIJUANA – Marijuana|Cannabis|Effects|Thc|People|Cbd|Weed|Plant|Alternatives|Drug|Pain|Health|Plants|Products|Lotus|Smoke|Cannabinoids|Tea|Alternative|Time|Cultures|Research|Way|World|Substitute|Drugs|States|Inflammation|Effect|List|Symptoms|Years|Damiana|Patients|Body|Substitutes|Quality|Brain|Strain|Herb|Medical Marijuana|Marijuana Alternatives|Wild Dagga|Blue Lotus|Marijuana Alternative|Siberian Motherwort|United States|Botanical Shaman|Blue Lotus Flower|Psychoactive Effects|Herbal Smoke|New Jersey|Chronic Pain|Cbd Oil|Natural Plants|Legal Substitute|Marijuana Substitutes|Marijuana-Like Effects|Alternative Weed Therapy|Synthetic Marijuana|Natural Herbs|Cannabis Plant|Marijuana Substitute|Psychoactive Properties|Many Cultures|Green Tea|Edible Marijuana|Medical Marijuana Laws|Psychoactive Effect|Long Time
Do 'Legal' Weed Alternatives Really Work? – Lifehacker
While there are numerous advantages and disadvantages of utilizing medical cannabis, it is very important to comprehend that the usage of cannabis is not without possible adverse effects. For instance, conventional or "street" cannabis may include harmful fungi and/or pesticides, which can show specifically harmful for patients with a compromised immune system.
Patients who have never smoked previously, or those getting other treatments that can hinder their ability to smoke, may find cigarette smoking marijuana difficult or merely difficult. I discovered that to be a case with a patient with lung cancer and COPD. He experienced persistent bone discomfort, queasiness, and severe weight loss.
When I pertained to see him, he held a joint but didn't know how to utilize it. It was right away clear that since of his lack of experience and because he was using oxygen and was already struggling with a strong cough, smoking a marijuana cigarette would not be the very best method for him.
They recommend that individuals do not use THC vaporizers and to view thoroughly for any signs if they continue to vape. Discovering the Option That Works for You Ultimately, it is possible to discover much healthier or preferable options to smoking cigarettes marijuana, as my abovementioned client did. He explored with edible marijuana and discovered that he took pleasure in the cannabis brownies he had the ability to get at a cannabis club, but as his cravings subsided, he discovered it challenging to stomach the abundant chocolate taste.
Medical Marijuana May Be A Healthy Alternative To Other …
Through the people he fulfilled at the cannabis club, he was able to strike an offer with another medical marijuana client and split the expense of a vaporizerwith the arrangement that the other patient would acquire the gadget after his death. It was an uncommon arrangement, to be sure, but it enabled him to continue utilizing medical marijuana for several more weeks.
How Marijuana Functions Cannabis acts on the cannabinoid receptors in the brain. Natural cannabinoid chemicals in the body control feelings of pleasure, thinking, concentration, hunger, pain, and memory, according to the National Institute on Substance Abuse. Cannabinoids are also discovered in the cannabis plant. They belong to the THC in cannabis and responsible for the feeling of being high that is produced when cannabis is smoked.
CBD is likewise a cannabinoid, however it does not get individuals high in the method THC does. CBD items are not useful for recreational purposes since they do not produce the intoxicating effects that THC does. CBD is utilized to reduce discomfort and inflammation, and to manage seizures. What Can It Treat? The FDA has actually approved a liquid medication called Epidolex that consists of CBD and is used to treat epilepsy in kids.
Natural herbs and plants have been used for centuries to treat numerous conditions and to supplement health in other methods. Some herbs likewise contain natural cannabinoids that can act on the same cannabinoid receptors in the brain as marijuana. The National Center for Complementary and Integrative Health provides details on many various natural compounds that are used to treat a number of the exact same symptoms and conditions in which cannabis is utilized.
What Is Delta-8-thc?: The Hemp Derivative That's A Hot Seller
The research study has actually not constantly been conclusive on a few of these substances. These have actually been checked out as prospective remedies for the very same signs and conditions that cannabis is utilized for. Herbs that can be used as possible substitutes consist of: Kava-kava. This botanical is a substance that can cause relaxation, calm stress and anxiety, and relieve stress.
This is a blooming plant that is available as an organic supplement to treat insomnia and stress and anxiety, however the proof related to it is inconsistent. It is generally safe however can cause headache or dizziness, itching, and stomach upset Ginger. This herb can be utilized as a natural nausea treatment, and it has been used to treat stomach upset for centuries – SYNTHETIC ALTERNATIVE TO MARIJUANA.
It might have some interactions with blood thinners Turmeric and black pepper. This frequently used spice combination can be taken as an oil or natural supplement and utilized as an anti-inflammatory representative. The 2 substances are more reliable when integrated and have actually been utilized for arthritis, gallbladder problems, liver, skin, and stomach conditions.
This blooming plant is typically utilized to enhance the immune system. It can relieve arthritis, swelling, migraines, and anxiety. It is safe to take, however research study has actually been undetermined about its efficiency. Non-prescription or prescription treatments include: Acetaminophen or ibuprofen for pain relief. Since medical marijuana is frequently used to deal with discomfort, non-prescription painkiller can be replaced to decrease pain in a lot of cases.
Five Pot-smoking Alternatives That Are Herbal And Legal
Choosing the finest substance to utilize always involves a balance in between the risks and advantages of use. Risks are increased with extended usage. Many compounds are just suggested to be taken for short time periods because the risks collect the longer you take the drug. Even natural supplements can connect with other drugs or medications, so it is necessary to consider any possible interactions.
It includes a few of the very same risks for tolerance and reliance as other drugs. Marijuana stays unlawful in many states and at the federal level, so people might face legal repercussions as a result of marijuana possession. There are legal alternatives available in many drug stores and pharmacies that deal with much of the symptoms that marijuana-based products can relieve.
There are always private factors to consider, including your action to particular medications or your individual and household health history. Talk about the threats and advantage with your treatment service providers prior to making a decision about which options are best for you.
When some individuals think about smoking cigarettes and its effects, people believe smoking cigarettes marijuana or other herbs is simply as damaging as cigarettes. Regardless of there being continuous debates about cigarette smoking pot, health masters agree that although smoking cigarettes anything is not healthy, there are benefits and options to smoking cigarettes marijuana. These herbs all have their benefits and health properties when smoked.
Natural Alternatives Marijuana Dispensary
With its relaxing aroma, lavender produces the very same feeling when the user smokes it alone or blends it with other herbs. Lavender is outstanding for those who have a difficult time falling or staying asleep. According to Breather, lavender can help somebody stopped nicotine without experiencing many of the undesirable withdrawal symptoms.
Roses are not just for romantic circumstances. This flower can be broken down and ground up for smoking and work as something to roll other herbs. Rose assists with swelling, sore throats and can ease headaches. Whether somebody chooses to put it in some tea, utilize it to roll or smoke, increased petals will leave smokers with a raised spirit and a sense of balance.
Mullein is the herb of choice for not just relaxation however great lung health. No matter what the herb of choice is for smokers, each plant has its own homes, benefits and physical impacts. Whether someone is trying to find sleep, a method to destress and relax, there are lots of safe herbs for everybody to try.
Our selection of award winning flowers speak for themselves. Natural Option's growers utilize natural, natural approaches to produce clearly various, leading rack internal strains.
Delta-8 Offers A Legal Alternative To Marijuana – Nebraska.tv
Partner Content By Lauren Healey// January 12, 2022 When choosing the very best medication for your specific ailment, you may be questioning if the tablets you were prescribed are really your best treatment plan or if a more natural alternative like medical marijuana could help. Never be scared to get a second viewpoint.
"I had Lyme disease and was in a wheelchair – SYNTHETIC ALTERNATIVE TO MARIJUANA. Physicians prescribed me narcotics that were exceptionally habit-forming and had bad prospective side results like cardiovascular disease and stroke you call it. While cannabis does have some negative effects, none are almost as frightening as the ones with pharmaceuticals. At the end of the day, the pain relievers were simply making me stoned and weren't actually benefiting me.
"It didn't treat me, however it gave me the chance to get the rest I required to recover, and I was able to function at a much higher level than with the painkillers, that made me awaken foggy every day," he stated. "With marijuana, I can consume it in the evening and wake up with a clear head."Cannabis is a particularly efficient treatment for individuals who need help with pain management, in addition to those with sleep disorders or anxiety; however, "there are hundreds of conditions that it deals with," Rinella stated.
Medical decisions must not be made based upon marketing. Seek advice from a doctor on the benefits and threats of specific medical cannabis items (SYNTHETIC ALTERNATIVE TO MARIJUANA).
What Is Delta-8-thc?: The Hemp Derivative That's A Hot Seller
The results of an online survey, comprising 95 participants, featured in the Journal of Alternative and Complementary Medicine in 2014. The scientists found that individuals chosen indica strains for pain management, sedation, and sleep while they would go with sativa stress to enhance energy and state of mind. Regarding pain management, individuals reported a statistically considerable result when using indica for: It is, however, important to note that this study had numerous constraints.
Participants did not utilize the marijuana in a regulated setting, potentially leading to distinctions in drug composition, dosage, and potency. Another study taken a look at using naturally grown sativa and indica strains in the treatment of numerous medical conditions. Simply over half of the participants were utilizing marijuana to deal with HIV.
The outcomes suggested that indica pressures are most likely to improve energy and hunger, while both sativa and indica stress can ease nausea to a similar degree. Cannabis consists of compounds that may alleviate pain, nausea, and other signs – SYNTHETIC ALTERNATIVE TO MARIJUANA. The elements of cannabis that a lot of studies focus on for pain relief are cannabidiol (CBD) and tetrahydrocannabinol (THC).
CBDTHC resembles the cannabinoid chemicals that take place naturally in the body. When individuals ingest or inhale THC, it the brain's cannabinoid receptors. This triggers the brain's benefit system and reduces discomfort levels. THC is a psychedelic compound as it binds to cannabinoid receptors and produces an elevated frame of mind, known as a high.
Alternative Treatment Centers – New Hampshire Department …
What the research study states, Over the last few years, lots of studies have actually taken a look at the effects of cannabis for persistent pain. Some studies used parts of the cannabis plant and some have used the entire plant so more research is needed. Using parts of the marijuana plant (like CBD oil) assists research study specific actions of that component, however when the entire plant is used there is what is called an entourage effect, where the parts work together to have more result.
Smaller research studies have reported benefits for other types of chronic discomfort. : Of about 17,000 individuals with cancer, 70 percent apparently experienced an enhancement in pain and basic well-being after marijuana usage. SYNTHETIC ALTERNATIVE TO MARIJUANA. People with chronic migraines a decline in migraine episodes after using the drug. Nevertheless, there is still a requirement for more research study into the location of marijuana use for chronic discomfort, particularly into using various stress, does, and approaches of shipment.
The explain that these are not cannabis, they are not safe, and they are not advised for any function. The negative effects of these drugs can be fatal. Synthetic cannabis attempts to replicate the effects of the components in the plant. There is theory that the whole plant has a more profound effect with the various active ingredients working together to have an entourage impact.
In addition, 97 percent said they agreed or highly agreed that they could reduce their opioid use when taking marijuana. Some research study has suggested that cannabis is as effective as opioids for persistent pain relief. Several research studies report the advantages of marijuana use for chronic pain. According to some research, it is as effective as opioids, which are amongst the most potent pain-relieving drugs – SYNTHETIC ALTERNATIVE TO MARIJUANA.
Get High & Feel Effects Of Marijuana Without Smoking Weed
However, due to absence of policy for a lot of cannabis-based treatments, the exact structure and quality of a product can not be ensured. This proof shows that marijuana may be helpful for persistent pain relief. There are several pressures of marijuana available, so even if one stress does not lower symptoms, another may.
Those who want to use medical marijuana needs to discuss the threats and benefits in more detail with their doctor and guarantee they acquire their medications legally and from a trusted outlet.


text:
EU Ministers Agreed on Further Actions Seeking to Manage Migrant Crisis
2015 09 15
Lithuanian Minister of Interior Saulius Skvernelis together with Deputy Minister Elvinas Jankevičius have participated in the Extraordinary Justice and Home Affairs Council on 14 September 2015. The meeting was devoted to the European Union's response to the current unprecedented levels of migration and the refugee crisis it is currently facing.
The Extraordinary JHA Council has established a general agreement in principle on the major actions to follow in dealing with the crisis and by large majority of countries confirmed the conclusions of the Council Presidency.
In his remarks after the meeting, Minister Skvernelis stated that together "with the colleagues ministers we accentuated the necessity to strengthen external borders of the Union and enhance the actions of Frontex. Therefore, the Council urged the Commission to draft clear legal proposals in order to strengthen Frontex's role in EU external borders management". Minister correspondingly greeted the adoption of formal decision "concerning the mechanism that confirms the relocation within the EU of 40,000 asylum seekers who have arrived in Greece or Italy."
According to Minister Skvernelis, successful relocation process is inseparable from the full implementation of functioning hotspots that would ensure effective processes of identification and registration altogether with gathering of biometrical data. Furthermore, the hotspots should play a key role in the successful implementation of the common EU return policies.
During the Extraordinary JHA Council Meeting a large majority of countries have reached an agreement in principle concerning the relocation 120,000 people through a temporary relocation mechanism. The confirmation of final decision is expected in the ordinary JHA Council Meeting the following month in Brussels.
The EU ministers have also reached a decision to take action for a more effective return and readmission policies introduction, which would be formally confirmed in the following meeting of JHA Council. Moreover, the decision to review the EU's safe countries list was achieved.
In their remarks concerning the roots of migration crisis and the EU's response to it, the members of the Council emphasized the essentiality of strengthened fight with migrant smugglers groups as the present migration flows are directly linked to the illegal actions of smugglers. Effective actions are vital to solving the issue as according to the statistics produced by Europol, over 1400 investigations were started that identified 29,000 people taking part in the illegal smuggling businesses.