ECP – pictorial story

Questions foremost in my mind were

1. ECP on non-symptomatic (no angina) getting 50+? Anybody that old begins to tire on stairs and long walks. Performance on these two before and after using ECP has never been done! There are many anecdotes of one treatment from 2.5 min to 10min and 20 stairs(2 floors) to 40(4 floors).
   stats
2. ECP on young? Athletes use it for legal increase in endurance!
3. Non-medical ECP? Can be done. Initial doc paper certifies the person is non-symptomatic! Chance of dying from heart disease eventually is 50%! Improved QoL is worth it and very welcome gift givable to sisters. Cousins, kids and friends. Every body gets something from free ECP.
4. Advisability (non-symptomatic):
   The reason to explore ECP is utility of procedures to non-symptomatic relatives and friends. By refusing treatments of symptomatic people, the entire number of practicing medicine without license goes away. If angina, go to a doctor! Appears that ECP benefits not just angina but all! Fully non-invasive.
5. Range of benefits?
   unlike drugs, very non-specific. China did the real use after Harvard invented in sixties Their data are simply glowing. Is provable, can envisage Treadmill level usage in 20-30 years!
6. Can a small outfit run without hospital tie-up to moronic OIE heart docs of India? After long, hard work YES.
   Run pictues
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   Every body but us
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   stats

7. Heart Disease Statistics

   1. General Facts: You are likely to die from it, if not otherwise

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8. over 616,000 people died of heart disease.
9. I heart disease caused almost 25% of deaths—almost one in every four—in the United States.
10. Heart disease is the leading cause of death for both men and women. More than half of the deaths due to heart disease were in men.
11. Coronary heart disease is the most common type of heart disease. 405,309 people died from coronary heart disease.
12. Every year about 785,000 Americans have a first coronary attack. Another 470,000 who have already had one or more coronary attacks have another attack.
13. coronary heart disease alone was projected to cost the United States $108.9 billion. This total includes the cost of health care services, medications, and lost productivity.
14. Source: Centers for Disease Control and Prevention
15. 
    

    1. Women and Heart Disease – despite gene advantage in age of death

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16. More than 42 million women are currently living with some form of cardiovascular disease.
17. More than 8 million women have a history of heart attack and/or angina.
18. Five and a half million women will suffer angina.
19. Heart disease is the leading cause of death of American women, killing more than a third of them.
20. 35.3% of deaths in American women over the age of 20, or more than 432,000, are caused by cardiovascular disease each year.
21. More than 200,000 women die each year from heart attacks- five times as many women as breast cancer.
22. More than 159,000 women die each year of congestive heart failure, accounting for 56.3% of all heart failure deaths.
23. 48% of adult women have a total cholesterol of at least 200mg/dL.
24. 50% of Caucasian women, 64% of African-American women, 60% of Hispanic women, and 53% of Asian/Pacific Islander women are sedentary and get no leisure time physical activity.
25. 58% of Caucasian women, 80% of African-American women, and 74% Hispanic-American women are overweight or obese.
26. Women with diabetes are 2.5 times more likely to have heart attacks.
27. More women than men die of heart disease each year.
28. 23% of women and 18% of men will die within one year of a first recognized heart attack; 22-32% of women and 15-27% of men heart attack survivors will die within five years.
29. 12-25% of women and 7-22% of men heart attack survivors will be diagnosed with heart failure within five years.
30. Women are less likely than men to receive appropriate treatment after a heart attack.
31. Women comprise only 27% of participants in all heart-related research studies.
32. Percent of women 18 years and over who met the 2008 federal physical activity guidelines for aerobic activity through leisure-time aerobic activity: 44.6%
33. Percent of women 18 years and over who currently smoke: 16.5%
34. Percent of women 18 years and over who had 5 or more drinks in 1 day at least once in the past year: 13.6%
35. Percent of women 20 years and over who are obese: 35.9% (2007-2010)
36. Percent of women 20 years and over with hypertension: 32.8% (2007-2010)
37. Source: WomenHeart and Centers for Disease Control and Prevention

39. Risk Factors for Heart Disease

    1. Overweight/Obesity

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40. Percent of adults age 20 years and over who are obese: 35.9% (2009-2010)
41. Percent of adults age 20 years and over who are overweight (and not obese): 33.3% (2009-2010)
42. Percent of adolescents age 12-19 years who are obese: 18.4% (2009-2010)
43. Percent of children age 6-11 years who are obese: 18.0% (2009-2010)
44. Percent of children age 2-5 years who are obese: 12.1% (2009-2010)
45. In 2008, medical costs associated with obesity were estimated at $147 billion; the medical costs for people who are obese were $1,429 higher than those of normal weight.
46. Non-Hispanic blacks have the highest age-adjusted rates of obesity (49.5%) compared with Mexican Americans (40.4%), all Hispanics (39.1%) and non-Hispanic whites (34.3%)
47. Among non-Hispanic black and Mexican-American men, those with higher incomes are more likely to be obese than those with low income.
48. Higher income women are less likely to be obese than low-income women.
49. There is no significant relationship between obesity and education among men. Among women, however, there is a trend—those with college degrees are less likely to be obese compared with less educated women.
50. Between 1988–1994 and 2007–2008 the prevalence of obesity increased in adults at all income and education levels.
51. Source: Centers for Disease Control and Prevention
52. 
    

    1. Diabetes

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53. Diabetes affects 25.8 million people of all ages (8.3% of the U.S. population)
54. 18.8 million people in the U.S. are diagnosed with diabetes.
55. 7 million people in the U.S. have diabetes but remain undiagnosed.
56. Among U.S. residents ages 65 years and older, 10.9 million, or 26.9 percent, had diabetes in 2010.
57. About 215,000 people younger than 20 years had diabetes—type 1 or type 2—in the United States in 2010.
58. About 1.9 million people ages 20 years or older were newly diagnosed with diabetes in 2010 in the United States.
59. In 2005–2008, based on fasting glucose or hemoglobin A1C (A1C) levels, 35 percent of U.S. adults ages 20 years or older had prediabetes—50 percent of adults ages 65 years or older. Applying this percentage to the entire U.S. population in 2010 yields an estimated 79 million American adults ages 20 years or older with prediabetes.
60. Diabetes is the leading cause of kidney failure, nontraumatic lower-limb amputations, and new cases of blindness among adults in the United States.
61. Diabetes is a major cause of heart disease and stroke.
62. Diabetes is the seventh leading cause of death in the United States.
63. Source: National Diabetes Information Clearinghouse (NDIC), National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), National Institutes of Health.
64. 
    

    1. High Blood Pressure

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65. About 1 in 3 U.S. adults—an estimated 68 million—has high blood pressure.
66. High blood pressure is a major risk factor for heart disease, stroke, congestive heart failure, and kidney disease.
67. High blood pressure was listed as a primary or contributing cause of death for more than 347,000 Americans in 2008.
68. In 2010, high blood pressure was projected to cost the United States $93.5 billion in health care services, medications, and missed days of work.
69. About 1 in 2 U.S. adults with high blood pressure has it under control.
70. Almost 30% of American adults have prehypertension—blood pressure numbers that are higher than normal, but not yet in the high blood pressure range. Prehypertension raises your risk for high blood pressure.
71. Source: Centers for Disease Control and Prevention
72. 
    

    1. Smoking

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73. Smoking causes cancer, heart disease, stroke, and lung diseases (including emphysema, bronchitis, and chronic airway obstruction).
74. For every person who dies from a smoking-related disease, 20 more people suffer with at least one serious illness from smoking.
75. Worldwide, tobacco use causes more than 5 million deaths per year, and current trends show that tobacco use will cause more than 8 million deaths annually by 2030.
76. In the United States, tobacco use is responsible for about one in five deaths annually (i.e., about 443,000 deaths per year, and an estimated 49,000 of these smoking-related deaths are the result of secondhand smoke exposure).
77. On average, smokers die 13 to 14 years earlier than nonsmokers.

    Percentage of U.S. adults who were current smokers in 2010:9

78. 19.3% of all adults (45.3 million people)
79. 31.4% non-Hispanic American Indian/Alaska Native
80. 25.9% non-Hispanic multiple race
81. 21.0% non-Hispanic white
82. 20.6% non-Hispanic black
83. 12.5% Hispanic
84. 9.2% non-Hispanic Asian

    Thousands of young people begin smoking every day.

85. Each day, more than 3,800 persons younger than 18 years of age smoke their first cigarette.
86. Each day, about 1,000 persons younger than 18 years of age begin smoking on a daily basis.

    Many adult smokers want to quit smoking.

87. Approximately 69% of smokers want to quit completely.
88. Approximately 52% of smokers attempted to quit in 2010.
89. Source: Centers for Disease Control and Prevention
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    other uses
    
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Philosophy of definitions

Why do I consider my essays on distinction such an important part of my contributions to aaqgs, i.e. my whole life and belief system? Once you master a subject, the first realistic summation of the entire work of life is a definition that only a master can provide that correctly delineates “what is” and “what is not”. So hard is this that one can simply ask the unbelieving nut to define a human. A famous stoic joke goes the victim was Sir Aristotle himself while the tormentor was a stoic. After lengthy deliberations, Sir defined a human as a bipedal animal without feathers. Next morning he was amazed to see a plucked chicken strutting in his garden.

It is my belief that definitions are very hard, i.e. semantics is very hard absent a category theoretic viewpoint and mastery of philosophical fallacies – avoidable and intrinsic. Most people are unfamiliar with Godel impossibility proof and often employ second order logic for its conciseness. They can be easily emfubarred! Lawyers don't emit as many, but do so from experience, not knowledge and can be severely emfubarred with some patience. In general, people avoid second order thinking in area of expertise, but ARE second order outside often from efficiency reasons, likely to think their expertise extends outside their area, and can be severely mauled with some patience. Trick is to move them away from expertise.

This is a general trick, works in general. I am in fact an excellent author of “How to make enemies and annoy every one” and have slowly learned that not many are influenced by your winning arguments but every victory generates a long term enemy. Sugar coated pills are absolutely required in life. You must understand the other argument and defeat it by pointing out its shortcomings, some are NOT considered by other side.

Having broadly considered argumentation, why did Sir Aristotle feel trapped, i.e. what did the stoic do? Create a distinct object not found in nature. What Sir Aristotle was doing is a qualified generality definition, where qualification were placed on general idea of biped animal. Every such definition is lot easier if made as distinction in likely confusing circumstances. There is NO reason at all to make qualification so specific that ONLY the thing being defined satisfies them! Sir could have defined human as biped+no feathers+Delhi courts. The plucked chicken would be considered as the exception While not all judges in Delhi are sane enough, there is always high and supreme court. It is unlikely they would let ANY judge who ruled Sir chicken as human, stand!

FIDO alliance

https://fidoalliance.org/us-commission-on-enhancing-national-cybersecurity-calls-for-an-end-to-password-based-breaches-by-2021/

Three modes of verification (called factors of authentication) are what-you-know, what-you-have and who-you-are. Canonical respective are password, key and bio-metric. A key can be private-public with private not extricable. Here, one may set (private-public) map such that knowing even half of maps has negligible effect on decoding the map. Then strong two factor security is possible without password. Its like a bank locker, you must be authorized to operate and have the key. No password is needed.

Indeed one may require biometric identity to even enable the key. It is like a lock opened only when many bankers insert the keys at once. Or two people enable launch of nuclear weapons. Collusion can be defeated so. Never in history of banking or nuclear weapons have securities been breached, always very close at best.

India has aadhaar. All phones starting 10 K cost ban have fingerprint readers. Iris-print readers have started and can be easily added to any mobile. Using aadhaar as base, very rich set of unhackable defenses can be built simply using what-you-have and who-you-are. The last is used to enter mobile bio-metrically. This 2 factor destroys all hacking, including extreme social engineering or theft/loss etc.

USA target is 2021. India can realistic by end 2017. Cash economy can be demolished. All the opposing emfubar, pretending to oppose only the evil effects can be permanently retired from public life. In most states in USA, felons are not allowed to vote or run. By law, opponents can be nailed! Even here, jailed can not vote but still run! Time to fix to permanently retire Sir Lalu!

https://en.wikipedia.org/wiki/Felony_disenfranchisement

Longevity aspects of ECP

Clearly, I am not a physician and age-effect-control is the life-blood of many gerontology physicians. It is clear that if the procedure was straight-forward on extension of their practice, they would have discovered it. What is my add – a procedure considered as out of box thinking and still not so far away that its effectiveness require major departure from practice. Best would be a procedure that increased the quality of life even while life-extension was being researched and debated. At that point, the newly advanced procedure has pragmatic value independent of the effectiveness of procedure.

This is not the first time I have tried to influence my own care. As a heart patient, I kept a sharp watch on medical chemistry of drugs related to heart disease. Strong support for statin class, including members of my own university UMN where I was visiting scholar. I talked to medical faculty, collected reference, used software to build a strong presentation and went to my cardiac specialist. He was taken aback by prep of a non-medico and consented on the grounds it cannot hurt! Of course now every moron prescribes to every moron, even dogs!

To keep fit, I must keep LDL low, HDL high, no fats, vit K high. Empirically found were improvements from less stress. By 2015, it was found that diet had no relation to heart events or severity, attacks, angina or strokes. Eliminated Niacin's. Also loosened food restrictions. Safe view was same as diabetes – fat is the tell-tale sign.

Another tell-tale sign of many diseases, paricularly heart and gerontological is density of blood flow. Even on bypass operation, I was warned on thin India racial arteries and advised medical non-surgical method when bypasses finnished 20-25 year life. From regular exercise regimen, I have survived well do far. 20 years elapsed in 2013. 25 will in 2018, already tiring out fast. Need a second procedure now.

I don't trust drugs and side-effects they will bring. ECP beckons, either at place or my own machine.

In the birth lottery, I drew bad diabetes genes, but crushing them is my responsibility. They have caused bad teeth (two multi-implants), eyes (operated twice for cataract), liver (med), pancreas and soles(bagbaum). Still I live, one conquest at a time and deal with hand as dealt. Some times you discover things which will help you everywhere in background. Cessation of smoking was one, 25 years ago. Exercise was 10 years ago, also red meat. Now the latest – blood flow. Idea in angina-genesis is growth of new blood channel – heart also every where including brain. Its my cardiac-doc again – can't hurt! Symptomatic or not! Improvement if any measurable. People age and lack of flow means slowdown in muscles and brain. Better flow can't hurt! No symptomatic patient's will be taken! Get a certification from a heart doc prior to start – catch cheaters and some dawdling patients so! Hospitals and EECP lose to my competition. Plenty of scope to ethical grow. Post-doc settles the improvement, if any, medically, not just our tests.

Data we collect is primarily on increase in stamina. A count of number of steps measures 1 kind. Run/walk another. For a level chosen by the customer mentally, we can objectively measure the achievements. It is not hard to see some benefits will arise from sheer regularity of exercise, but more dramatic effects are expected, especially if initial is poor. A 100% improvement is expected fairly common.

Nurse/principal call

I am US citizen, ex-wife US doctor, back in India and 10 years later free from physical effects of auto-accident, but not psychic.

I believe that ECP machines are good for heart patients because of angio-genesis, just being made mandatory before heart surgery US/China, not in India yet, benefit Most 50 to 60, cans be offered non-medico centers at 25% price at hospitals.

Willing to buy a machine and space. Thinking of using apartment I own for stay and feed 6 patients and a nurse. Don't need a nurse long term - great way to start. Idea is to collect data for future FDA, and advertising use.

Willing to negotiate sweat capital percent, salary, or mix, If interested - willing to provide one room in a furnished apartment, Cook+driver and E-rickshaw to the nurse - ferrying in people from the air port and back.

If interested, write up requirements resume and deal interested in, I am only interested in fired up new nurses(no needed experience, get on job, ready to manange, apply to own later)..

Roman history relevant to stoics

Current art of history and I are deadly enemies, only when historians are largely unanimous does it count, all involved in controversies are emfubar. Fortunately, the deadliest enemy of mine are pea-brained stupid grossly subanimal historians who interpret history for they are routinely caught in controversies, are not distinct animals, and can be safely ignored.

Stoic history introduces Cato the younger, denounced by Cicero himself. Rome had a senate of aristocrats after this just before Julius Caesar crossed the Rubicon (ie point of no return) and eliminated the popular democratic senate for 1500 years. After Nero, Romans had 5 great emperors, last was the greatest stoic ever – Marcus Aurelius himself. The five great had strange democracy thrust on them – never had sons and were forced to look in family for the wisest! Aurelius was unlucky, his son survived and lost the empire. Secret democracy brings on the worst but even they are forced to appear good and people recall by election loss. There is no legal definition of lying in the extreme and democracy is a blunt weapon that works.

O tempora o mores , the famous oratorical phrase is Cicero on First Oration against Catiline, means Oh the times! Oh the customs! Interesting because Catiline was a stoic, all against aristocratic Cicero and charged with conspiracy, flew, caught and died fighting with his body and soldiers wounds only on front. He was the last citizen of Rome which led to aristocratic lamp on Italy for 1500 years till Galileo. Another person was Cato the younger, true libertarian.

Today USA has think tank for Cato. I launch one today dedicated to Catiline, with membership of 1. To it, I dedicate my work on proper demonetization. It will be one the many aaqgs-groups on social media dedicated to aaqgs-economics. It is our goal to consider economics consistent with aaqgs-religion, a market-dead-hand vibrant Scylla and Charybdis compromise between self-interest ethics and democratic law a la aaqgs-recognised dilemma..

Contemptuous attitude to modern medicine

I begin by saying that mm is considered foolish and less effective , but unconventional medicine is positively criminal! Never let unconventional doctor or shaman treat you beyond emergency medicine and clear prohibition on all procedures of any long duration. Hold your horses though.

Our Distrust Of Modern Medicine Is Making Us Sick http://www.huffingtonpost.com.au/dr-nikki-stamp/our-distrust-of-modern-medicine-is-making-us-sick/

What is wrong with mm that I consider them absolutely efficient at some things and disaster in others? Even more important than the different philosophies is discrimination IE. One but not other. Basic issue is modified FDA. I am asking the FDA role to be expanded in many area, curtail in others, massive changes in how it functions, and its powers.

The expertise in medicine is increasing from experience, decreasing with education of procedures, medicine and patient knowledge. In the ideal world, the patient knowledge will exceed that of Physician leading to self-medication and correctness-debates. Failing this ideal, another achievable one is physician-less model where the statistics of cures are in a cloud, which instructs a number of symptom taker robots of what to do next, including procedures to do and medicine to give. It is silly to have a robot play the role of a wise doctor.

For coming centuries, a number of tasks, related to law and medicine will move away from centralization to cloud based distribution. It is NOT likely to be cost effective to automate all tasks, particularly those involving intelligent quizzing to extract the meaning. It them makes sense to automate the upper class tasks as well as middle class tasks. There is one particular task where human will always excel, namely trust. Every machine performs identically for a thug as for a saint, without discrimination, and hacking is always possible. Even in the cyborg scenario, no opinion but that of another cyborg can count!

The number of task requiring a minimum trust is enormous and current systems work in advanced societies because moral discipline is installed and encouraged life long, not because people are any more just! Singapore success is shining proof of that.

It is a consequence of this that wealth developed, if so, will be used

1. Fund an FDA test of non-usual practices like stevia, cur cumin (haldi) and neem etc.
2. Support politician that promise to have FDA judges like legal judges. They will be paid to do own tests, especially in non-drug company areas. A proper FDA, free of all politician influences, is vastly MORE useful than a supreme court, which will be converted to administrative court, farming out ALL individual cases to a sub-supreme court.
3. Process of elections is vastly more important than current supreme court and deserves its own special court.