Tumgik
#ill try to call them tomorrow but its a controlled substance so i might need a whole new prescription
scramratz · 6 months
Text
Spilled nearly 3 weeks worth of T and idk if I can get a refill before I run out :o(
9 notes · View notes
starkerinlove · 4 years
Text
Is this Happiness
Tony Stark/ Peter Parker.
Part 1
( Spiderman kidnaps Tony to get the avengers to stop trying to capture him. Only then, Peter realizes how bad avengers treat Tony and vows to take care of Tony Stark, Earth's best defender and his childhood crush and hero better. This is Tony and Peter helping each other and finding the happiness they deserve.)
Tony wakes to being bound by some strange rope like substance which is soft at the same time. His head is covered in a black cloth bag of some sort and his legs were tied to the chair with the same substance. The last he remembers is fighting some bots. The now pardoned Rouge avengers had called him to the fight. They had promptly blamed him for the bots even though he would never make anything soo mindless. He had made better bots when he was 17 years old and drunk of his head colllege student.
He didn't know who had kidnapped him or how. Just as he was trying to get out of the rope or figure out a way to reach Friday, the bag covering his head was yanked off. The light was too bright, squinting his eyes he could see someone dressed in red and blue, some sort of spandex or pajamas. Oh, now he remembered, it was Spiderman, the guy Shield had been trying to 'recruit', or thats what the other avengers said anyway. They had been trying unsuccessfully to capture him for a while now. But he didn't get why this guy decided to kidnap him. Tony wasn't even part of avengers anymore, just their wallet and fire power.
"So, Mr. Stark i thought it was time, we had a little talk. Seeing how you avengers are soo eager to get me and all."
Ahh,so another problem he was gonna get blamed for that he had no control over. This day was just getting better and better. " listen here Spiderman, I'm gonna be honest. I have no hand in what the avengers do, so you might want to take your grievances to the other spandex clad hero or maybe your arachnid sibling."
Somehow Tony could see the disbelief on the guy's face though his mask. That was cool. Maybe Tony could do that to his suit too. Then he could show how unimpressed he was with the rogues without having to leave the safety of his suit. Yay, this was something he will be looking into.
"Look, i don't know how else to spell it out for you. I don't control the avengers. I m only tech, money and public face for them when things go wrong. Kinda like a sugar daddy who gets no sugar and all the contempt." Saying it out loud hurt quite a bit but Tony always knew this to be true,so he had to say it if it would get him out of this.
The guy seemed to hink for sometime before he answered, "Mr. Stark, i don't know how much i believe you. You are the best fighter among the avengers,thats why i brought you here, so we could talk and get this resolved. I'm the friendly neighborhood Spiderman, Mr. Stark. I wouldn't hurt you"
"Yay, you have a funny way of being friendly", Tony grumbled.
Again Tony could see the the guy becoming awkward and uncomfortable through his mask. He had no idea how that was possible. And his web like rope wasn't having any give. It was neither cutting into Tony nor it was loosening. Tony really really wanted to study it. And like the guy had said he was friendly neighborhood Spiderman. He doesn't harm anyone, so
"Hei, tell you what, you get me out of these ropes, let me study your suit and web and ill have a talk with the avengers and shield and try to get you immunity. How does that sound,huh?"
The guy backed a little bit, posture becoming defensive, " Why do you want to study my suit and web? "
"Well, you know me, I'm Tony Stark. Ofcourse i wanna study this engineering marvel. I have seen your webs holding more than 10 tons and still have enough flexibility and give for you to swing around, its really brilliant, spidey"
" uh, wow, You just complimented my invention. I mean you, Tony Stark, genius inventor, scientist of the century, Iron man just complimented me....yeah, this is awesome. Thank you soo much Mr. Stark. Big fan. Love your work" The guy was practically gushing at this point, bumbling on his feet like an excited puppy.
Tony couldn't help grinning. Wow this was the best kidnapping till date. It was soo long since he had someone genuinely happy and enthusiastic about his inventions.
"So what do you say spidey?, wanna let out your hero. I promise ill try help you out with the avengers."
The guy seemed to deflate on the spot. " I'm so sorry Mr. Stark. I can't do that. I really need the avengers to back off. I have tried talking to them. But they don't listen and thats why i thought if i made someone listen, this could be resolved. But, i can't let you go, now. "
" So whats the plan here. Kill me and make me an example of what would happen if they dont let you be? "
" Of course not Mr. Stark. I would never hurt anyone. I'm just going to keep you here, till they stop coming after me. But Mr. Stark you have to believe me, i will not hurt you Mr. Stark. I swear."
When Tony pointedly rocked his chair using the web binds, the kid resured Tony, " Are they hurting you Mr. Stark, they are supposed to be soft so they don't cut into skin. But, I'll even take them off if you promise not to leave. "
It was cute how the guy was so naive and also how much he cared for Tony's comfort. More than how much his teammates seemed to do. Tony was gripped by the memory of bleeding out in Siberia left to die by his so called teammate. Tony shook his head, took a deep breath.
" okay spidey, i promise to not leave. Get me out of these and get me some water if you have. "
The kid immediately got him out of the binds with some dissolvent. He had to study that too.
The guy gave him some water from a back pack which was lying on the floor of some, Tony took a good look around, floor of some abandoned warehouse. Orignal.
After drinking his fill of water, Tony looked at he guy. " So what are we doing, spidey, i hope you have a plan?"
" I already told you Mr. Stark. I just have to make the avengers listen to me. Now that i have you they will have to listen. We just wait."
Tony let out a self-deprecating laugh nad said " Yeah, real solid plan there spidey. Except you seemed to have forgotten an important part. They don't care about me. So yeah, not gonna work"
" But, you.....you are Iron man, sir and you are a hero and their friend Mr. Stark. Of course they would care about you" The guy said it like Tony was just a child with self-esteem issues, like he was preplexed by the very idea of someone not caring about Tony Stark.
Tony almost wished that were true. " Whatever. I'm telling you as it is. You can believe me or not"
Tony was just realizing how much his whole body hurt from the battle and then getting knocked out has given him a killer headache. He knew without his suit he wasn't going to be able to fight a super powered guy. Moreover he seemed sweet enough. Tony was gonna sleep and hope all of this resolves itself tomorrow. By then the guy would have realized it was futile to try use Tony as a bargaining chip and hopefully would let him leave. Or maybe Tony will try buying his way out of this. Yay he will do that tomorrow.
He dragged the chair he had been tied to, to a corner and sat leaning on a wall. His eyes were getting heavy. He was even strangely feeling safe with spidey around. Weird. Maybe he was just too drugged up. He slowly lost himself to sleep feeling someone sit near him, softly running hands through his hair.
11 notes · View notes
nerdeating · 7 years
Text
No food is bad for you!
That’s right I said it! I said it! There is no such thing as bad food. Does this statement seem controversial? Does this statement sound wrong? Do you think I have no clue what I’m talking about already? 
WE LIVE IN A DISORDERED EATING SOCIETY. 
I see it all around me and even I have fallen victim to it, even I have to battle my own self-defeating mind. 
We do not have a healthy relationship with food and we do not have a healthy relationship with our bodies. We are constantly battling ourselves to be an imaginary ideal. We buy into the marketing that we can achieve some higher level of health if we just eat this food and cut out that one because it’s “bad”, if we drink this shake, this tea, no potatoes, no gluten, no sugar, this berry from the middle of a forgotten land that holds the fountain of youth. We fight our bodies to transform into different shapes and we really honestly think that we are worth less if we don’t look a certain way or eat a certain way! 
I have been working as a Registered Dietitian for only a short time now but already the biggest trend, the root problem, with most of my patients is this: 
Balance
We are trying our best to fix imperfections in our society but we are horrible at balance. 
Health is not about perfection, it is about balance. 
There is no food that in and of itself will bring you disease and death (I mean of course no food that is properly handled. Of course there are foods that aren’t cooked or handled properly that will give you food poisoning that can be very life threatening, so I am referring to foods that are properly handled, of course). Yes, even those chicken nuggets from Mcdonalds will not bring you ill health, or make you fat, or lead to your overall demise. Rather it is the imbalance of it that will. You can have that donut and you will be just fine, maybe even better for it. Let me explain. 
As an example, I came across an article on a well known website called Goop. This is the one that Gweneth Paltrow, the great beauty, owns so you know it must be good right? Maybe even if we do the things that she does we will be just as beautiful and healthy. Weelllllllll, I found the article to be so utterly misleading. It is titled :
Tumblr media
The article goes on to interview this Steven Gundry who states that tomatoes (among other vegetables that we normally eat) are actually bad for us because they cause disease. He explains that plants protect themselves by making poisons to discourage animals from eating them. True. And that some plants have protein called lectin that is harmful to us. True. He sights an incident in which a group of medical doctors had a kidney bean salad at a conference and they all got very sick, vomiting and diarrhea, True. He states it was the lectins in the beans that made them sick. True. But he only presents part of the picture, only part of the truths. He neglects to mention that they got sick from the kidney beans because they were not properly handled. Eating raw or undercooked beans is one of the causes of food borne illness, that’s why we advise people to thoroughly cook their beans and never eat them raw, that’s why there are no dishes, in countries where beans are a staple food, that contain raw beans. He neglected to point out that if we cook beans the lectin in them is denatured and rendered inactive, passing through our guts without causing harm. 
Gundry does not share the whole picture, that while it is true plants contain substances that are harmful to us in large amounts, they also contain substances that are essential to us and bring immense health benefits. He neglects to mention the BALANCE of these plant foods. He states that “I’ve become convinced that plant lectins and the havoc they promote are the root causes of almost all diseases.” Not true! How narrow-minded and harmful this sentence is. If you scroll down to the bottom of the article it lists Gundry’s credentials as: 
Tumblr media
Sounds important, But when you look into “the international heart and lung institute” you find that it is actually an uncredited private practice that he owns. Also even further down the page of the article in very small writing it states: 
Tumblr media
Well played Goop, well played. So after many people read this article and become convinced that they should cut out grains, beans, tomatoes, peppers, goji berries, eggplant, and all types of squash (because they are all recommended by Gundry to “steer clear of” because they all contain lectins and are therefore “deadly”) basically Goop covers their tracks by essentially stating these statements are unsubstantiated and are only intended to “create a conversation” and not be followed as medical advise. Now those people have cut out yet even more food that provides essential nutrients in a cheap and accessible, sustainable way. 
Because the truth is, the whole picture is, that these plants are tremendously beneficial, that no food is PERFECTLY healthy even if it is “clean”,and that if we only ate these foods, there might be some gut issues that we experience, but if we balance these foods with others than we will have a well rounded intake of vital nutrients that are essential for our bodies including but not limited to: fiber (for our intestinal flora health and blood glucose control), a plethora of vitamins, minerals, antioxidants, phytochemical, protein, and carbohydrates (that provide much needed energy to our cells especially the brain, nervous system, and red blood cells). Phew! And that if eaten in balance, the lectin in these foods is negligible and the benefits far outweigh the cons. 
Health is about balance! 
The stress we create around food and having to only and always eat the “perfect food” will cause more damage to our bodies than the “bad” foods that we desperately try to avoid. Because that pesky cortisol you are pumping through your body due to the stress and unhealthy relationship that you have created around food is more damaging to your cells than even that evil donut. 
I’ll leave you with this statement that we read to our patients with eating disorders or disordered eating behaviors: 
“What is normal eating?
Normal eating is going to the table hungry and eating until you are satisfied. It is being able to choose food that you like and eat it and truly get enough of it, not just stop eating because you think you should, Normal eating is being able to give some thought to your food selection so you get nutritious food, but not being so wary and restrictive that you miss out on enjoyable food. Normal eating is giving yourself permission to eat sometimes because you are happy, sad, or bored, or just because it feels good. Normal eating is three meals a day, or four, or five. or it can be choosing to munch along the way. It is leaving some cookies on the plate because you know you can have some again tomorrow, or it is eating more now because they taste so wonderful. Normal eating is overeating at times, feeling stuffed and uncomfortable. And it can be under eating at times and wishing you had more. Normal eating is trusting your body to make up for your “mistakes” in eating. Normal eating takes up some of your time and attention, but keeps its place as only ONE important area of your life. In short, normal eating is flexible. It varies in response to your hunger, your schedule, your proximity to food, and your feelings.” - by Ellyn Satter.
I advise you to search for balance instead of the fountain of youth. 
I’ll also leave you with this wonderful ted talk about body acceptance:
https://youtu.be/LSMH3WABkwg
If you disagree with any of this please feel free to comment or message me and we can discuss it further. 
1 note · View note
Text
Hagarstown Illinois Cheap car insurance quotes zip 62247
"Hagarstown Illinois Cheap car insurance quotes zip 62247
Hagarstown Illinois Cheap car insurance quotes zip 62247
BEST ANSWER:  Try this site where you can compare quotes: : http://freeautoinsurance.xyz/index.html?src=tumblr 
RELATED QUESTIONS: 
Does skydiving increase insurance premiums?
I have been skydiving once (last year) and odds are that I won't do it again anytime soon. I have been told that I will now have to pay higher premiums on life insurance but ...show more
What are the insurance rates of a 2002 Chevy Cavalier Z24?
Its a 2 door 5 speed z24 cavalier with everything and the guy wants 2650 and it has 99k miles on it. Im also a 16 year old new driver.
Insurance for 18 year old girl?
My daughters just passed her test would i be as much money having her on my own car insurance as she would be if she had her own car and was the main driver thanks in advance for any answers
How much is car insurance?
For a 17 year old male in the UK, how much would car insurance be for... A Renault Mgane Convertible 2005 (I've worked it out, it's in insurance group 14) It doesn't have to be exact, I was just wondering about what price it would be""
Question about car insurance?
My husband made a dent in his car when trying to park. He now wants to fix the dent. Can car insurance cover this?
Where to get cheap insurance for 50cc geared moped?
trying to find a insurance broker that does good deals for 16 year old drivers. trying to insure a 2003 DERBI GP 50. cheapest deal iv found so far is 370 pounds. anyone know a good insurance company that can do cheaper. thanks in advance
Where can I find an affordable Orthodontist in Seattle/Kirkland/Woodinville area?
Where can I find an affordable Orthodontist in Seattle/Kirkland/Woodinville area?
Why the heck is insurance so high?
So I'm 17 trying to get insured on any car from a 1-1.2L DIESEL. I've tried practically everything and it's so expensive. I get quoted 15,000 for a MINI COOPER S and 12,000 for a corsa. The area I live in insurance is low. I passed in july and I really need a car. Any suggestions for cars or insurance?""
""I am a nursing student in California, where could I get a professional liability insurance in the amount of..?""
$1, 000, 000 per occurence/$3, 000, 000/aggregate. Please give me their internet sites so I could read on.""
Is my wife eligible to get insurance for my car? ?
She does not have a US license/SSN, but she has a valid license from India. Can my wife drive my car and will she get insurance in her current status/license?""
How much will my insurance be on a car?
I am 21 years old and I am wanting to get a 2009 dodge avenger with 21,000 miles on it. I just want to know about how much may they charge me for the insurance.""
Can employer force health insurance on me?
I currently have and paid for my own health insurance. I recently got a new job and was told that I had to elect to participate in one of my employer's health insurance plans. I politely told them that I had my own health insurance and wish to opt out of the employer's plan options. My employer told me I had to elect, participate, and pay. Can they make me do this?""
""I want a 92-97 Lexus SC 300, how much for insurance in CA.?""
I'm a 17 and 1/2 year old looking for a 92-97 manual SC 300. I was wondering how much it would cost for Insurance in California? Also can I get it California DMV legalized if I swap the engine out for a 2JZGTE, a twin turbo version of the stock SC 300?""
Cheap Uk Car Insurance?
Which car insurance company in England is cheaper?
Can car insurance cost more if you are a different race?
So I'm watching a judge show right now and the guy was like I didn't put the insurance in my name because I'm a black male, so it would be more. I put it in her name because she is a black female. What does race have to do with anything in the statement? Is it true that insurance is more if you are a different race?""
In terms of premium cost the most expensive type of insurance is?
In terms of premium cost the most expensive type of insurance is?
""My fathers paying car insurance for the car I drive, now moving?
My father pays car insurance but I'm moving will the payment go to me once I move with my car? How can I switch to my name
I want to go to school to learn about car insurance.?
How do I find courses or schooling that can teach me about car insurance
What is the average cost per mile to operate a car including depreciation maintenance gasoline insurance etc?
What is the average cost per mile to operate a car including depreciation maintenance gasoline insurance etc?
Health Insurance for Low Income?
We are looking for an affordable health insurance plan. I'm 39 and my husband is 45 living in San Francisco. Healthy and never had injuries or big illness. We used to have a kaiser plan around $600/m and $25 for every visit. Any better deals?
Why do we expect employers to provide health insurance? Why not get your own?
The republicans want to repeal the Patient Protection and Affordable Care Act, what are they offering as an alternate given that half the population does not have health insurance.""
Do i need to add my wife under my car insurance?
Allstate is my car insurance
Temporary car auto insurance in California?
Hi guys, I thought of using my friend's car for a month and half since he will be out of station. I was wondering what would it take or rather how to address the insurance issue. Is it possible to get a temporary insurance for a month or is it possible to add my name on to his insurance for a short term? Either ways, how much would it cost ! Also would be great if you guys can enlighten me on some of the providers here.""
Impact of Auto Insurance Quotes on Credit History?
I am with Geico currently and is up for renewal. I am planning to take quotes from different companies. May be they offer me a low rate. But I am scared by the fact that it will impact my credit score. Can you please advice? I have been driving for 4.5 yrs with clean record.
Used 2006 mustang v6 insurance for teens?
how much do you think insurance will be for a teen ages 16-17. (estimate) will it be cheap or expensive because it is used. and what if it is under the parent's plan? thank you
Hagarstown Illinois Cheap car insurance quotes zip 62247
Hagarstown Illinois Cheap car insurance quotes zip 62247
Ideal cheap car for beginners?
I'm looking for a used car with a cheaper insurance that would be ideal for a new driver. Any suggestions?
Why do we care about the people who have no health insurance?
they chose not to get insurance... they chose to by 200 dollar shoes over health insurance.. why do i have to pay for them?????? why am i responsible for someone elses well being? i thought adults were good on their own. i would pay taxes for sal healthcare for ALL children but the adults can go **** themselves who dont have it. its not my problem. i dont have many things that i want to get... i dont see anyone else buying the things i want...
""Insurance says case is closed, is it really?""
A little over a year ago, I was in a car wreck and due to financial responsibility laws I had to pay for the accident. (I had no insurance, of course, I've learned this lesson) Recently they've filed suit against me for more money that they didn't receive from the insurance company. I can't afford an attorney and was about to hire a bankruptcy lawyer for all of this, but I recently found out from the insurance company that the case is closed. It's also been over a year as of a couple days ago and due to Tennessee's Statute of Limitations they can't claim any more money. So my question, the insurance company says it's closed and even said the attorney settling with them has closed the case. I call the opposing attorney myself and of course they say they can't discuss the case with me, even though I'm just asking if the case still actually exists. They wont' give me a court date either so naturally, I'm a bit suspicious. Should I be ready to put this behind me, or do law offices do this sort of thing all the time? They were recently paid out $10,000 from the insurance company I'm making payments to. I really don't see where else they could find money given my situation. All answers are appreciated, thank you!""
Impaired driving conviction effects on insurance in Utah?
Okay so I was originally charged with DUI because I was pulled over for swerving a bit and failed a urine test for weed at the police station, but had no drugs in my blood, which meant I was not under the influence at the time of driving. Unfortunately, in the state of Utah there is also a charge for Driving with Any Measurable Metabolites of a Controlled Substance. This charge has the pretty much the same mandatory minimum sentencing requirements of a DUI. My charge was reduced to Impaired Driving, which does not have the mandatory SR-22 filing and enhancements upon a third conviction as the aforementioned, but I have court tomorrow morning to be convicted of Impaired Driving, and I was wondering how much my insurance may go up??? It is only $46.67 a month right now... Also, how often might my insurance company check my record? It is really pretty freakin' lame I think because dirty urine but not blood means I could of smoked weed like 29 days ago and still had the damn metabolites in my urine right? Anyway, any knowledgeable input or prior experience would be greatly appreciated... Thank you very much in advance.""
Affordable health insurance?
Dental, health.. I need to know the best way to go about it. Thanks.""
What is a car under 1000 for young drivers with cheap insurance ? ?
What is a car under 1000 for young drivers with cheap insurance ? ?
What are the pros and cons of health insurance?
health insurance why buy it
Guess our car insurance?
Primary driver: 24, perfect driving record, female, some college completed but no degree The car: Something mediocre from the late 80s to late 90s The insurance: Minnesota, metro area, daily 10-20 mile commute each way, we want all the proper liability and personal injury coverage but don't care about collision Seriously, just guess. We'll take any ideas. We completely know it varies by each of those factors and many more, and we already know the national average. If you know the state average, that's one step up on us. I'd get a quote, but my roommate is the one seriously thinking about cars right now, and I don't want to do anything in someone else's name. She'll be getting quotes soon, but right now I'm a little concerned about the insurance companies possibly running credit checks, as I'm under the impression a slew of them at a time can lower your score, and we don't know what car we're getting yet. So once that's settled, we'll check into it for real. We just want to TRY to budget before we seriously car hunt.""
Quick insurance question?
Can i put my insurance under m uncles name that way insurance would be cheaper and i drive my car? is it possible hes 45, and i'm 18""
Why can we not demand that the bozos in washinton pay for their own medical insurance?
i have cardio myopathy w/ congestive heart failure...my insurance plan???...a do not resuscitate order.
How much does car insurance cost?
I have a land rover that costed 51,120 pounds and I cannot drive it until I have insurance on it, so I was wondering how much car insurance would cost?""
Need low cost health insurance while pregnant?
I just found out I'm pregnant. I was not planning on getting pregnant but I am excited about it. My boyfriend added me to his health insurance that he gets through work. It will not start until January and it's going to cost us $500 a month.That is almost half of his monthly income after taxes. Does anyone know of cheaper plans through other company's that will cover pregnancy?
I am about to be 18 and i wont a gsxr 1000 and im wondering about the price of insurance?
I am wondering the price ranges.
I recently moved to Brooklyn and I need to find affordable car insurance for my car. Any suggestions?
I know car insurance in NY is not less expensive in general, but any suggestions would help.""
Changing address on car insurance?
hi my new car insurance is due tomorrow and i will be using the following websites to get quotes and pay: go compare money supermarket confused.com now i needed to know if i can add a different address for the documents to be sent to, so basically i will pay for it at my address but how can i send the documents over to my other address?? (i think this is known as correspondent address) thanks for any help.""
Uninsured Motorcycle Driver Question?
Recently a friend of mine wanted to purchase a motorcycle that he found a super great deal on. Because his credit is very average he asked me to purchase the cycle and he would make me payments plus interest. I agreed and took out a loan for the bike. However a few weeks later he decided it would be ok to take the bike out for a spin UNINSURED. He had a run in with several trick or treaters and their parents. Since it was an unlit road, they were in the middle, and he was going under the speed limit. The cops ruled it not his fault. However now two insurance companies are coming after me to subrogate the liabilities. Since he was the driver but I am the owner. What are my rights? Can they still blame him? Am I liable?""
What motorcycle would be cheap to insure in Greater Toronto Area?
Hello everyone! I am a new 20 years old motorcyclist living in the suburban GTA. I just got my M1 license and I've enrolled myself into a motorcycle course which would help me earn my M2 by the end of September. So, I was thinking about buying a new motorcycle around new years time or in february. I am trying to do all my research but I havent got too far with the insurance problem. I want a bike that could get me up and down the highway to my school in downtown Toronto (40 km each way). and maybe some occasional weekend rides. First question comes to my mind is what bike should I get that'll be good for commuting and would be cheap on insurance. Experience wise I am comfortable with upto most 650 sport bikes. But I do understand that insurance may vary. Another question was, which insurance provider should I chose, that is fairly cheap considering I have never had any sort of insurance policy under my name. Or, should I wait till next summer when I turn 21? Thanks for the replies in advance!""
Which company offers the best medicare qualified health and prescription drug insurance in California?
I'm trying to find the best and most affordable medicare covered health and prescription insurance option for an elderly person who receives less than 24,000.00 annually from Social Security and one pension, who lives near Sacramento, California. This person has been using HealthNet for doctor and specialist visits and it is a policy which includes a prescription drug plan. By Jan 1, 2010 HealthNet no longer will offer this policy in the Sacramento, CA area. This person uses one prescription medication daily and the total retail price for that drug is approx. 100.00 monthly and under the expiring HealthNet plan the drug costs this person only 40.00 per month..""
""If the officer did not check my insurance, will the ticket show up on my insurance bill?""
Basically what the question says. I was speeding in Virginia and when the officer pulled me over he only check my license and registration. I paid the ticket almost a month before it was due and have yet to hear if my insurance rates went up. My father pays for my insurance so, maybe he just hasn't said anything but I just wanted to ask the community if since the officer didn't check for my insurance, does that mean my rates won't increase? Preferably, I'd like a cop to answer this, but peer comments are still appreciated. Thanks!!""
Auto insurance question?
I'm going to be working for a delivering company and I need proof of insurance. I have it, but the car I'm driving is my mom's so the name on the card obviously isn't mine. The company I'm going to be working for needs proof that I have insurance and I don't know what kind of paperwork would work. Any ideas?""
Is it possible to get 3rd party insurance for an unregistered car?
I know it is pointless since being an unregistered car it would not be covered during an accident on the road, but will the insurance company approve 3rd party insurance on a car that is unregistered?""
""My car was damage in Hurricane Ike, will home insurance fix it?""
My car was on my drive way, and the fence smashed into it. in a since, if a car hit my car they have to pay, is the same concept done with a house insurance?""
California to Canada Car Insurance?
Hi, my friend just asked me how to get car insurance in Canada when he used to live in California and he has a California license and had California insurance. He asked me about a Driver Abstract, which I have no idea what that is. He really needs help, but he is not available at the moment for me to ask him for more details. Please tell me the details of how to obtain car insurance in Canada when he used to have California insurance & has a California license/ID. Thank you!!""
Question about life insurance?
I have life insurance and went to update my insurance today. In 2003 I became disabled and did not know about the disability clause. Where I don't have to pay the premiums anymore. Can I change my term life to whole life? Will I get back pay from 2003? I want to know this before my agent calls me next week with the answers. Please don't try and sell me insurance for as I won't qualify anyways just the answers please.
Should I get mortgage life and disability insurance?
I just bought a house on my own and the bank is asking me if I want to get mortgage life and disability insurance. I've got life insurance through work (plus separate life insurance on my own) and disability insurance through work which is at 75% of my pay after 4 months. The mortgage and disability insurance is $47/ month. Do most people get additional insurance on the mortgage? I don't have any kids, husband, parents or siblings living in the same country (they're in Europe).""
Hagarstown Illinois Cheap car insurance quotes zip 62247
Hagarstown Illinois Cheap car insurance quotes zip 62247
What should I do about my 19 year old sons car insurance?
I have a son who is nearly 19 years old. He may be putting in for his test soon. The problem is I am worried about the cost of car insurance. He is nagging me to go on my insurance but I don't really like that idea because I am worried if he has an accident I will lose my no claims and my insurance will go up considerably. The other option is that I buy him a really cheap car with a small engion, but only cover third party. That way he can build up his own no claims. I was wondering if anyone knows how much he would be expected to pay if he decided to do this?""
Lexus IS300 insurance rate?
Im thinking of getting an IS300 but im only 16 years old. How much do u think the insurance rate is goin to be?
Self employed health insurance?
What is the meaning of self employed health insurance
How does insurance work?
From my understanding of insurance you send money once a month, a deductible is what I believe it is called... Correct me if I am wrong SO really, you pay insurance companies a couple hundred dollars a month, and then it covers your hospital bill. ANd even if you are constantly sick and constantly visiting the ER, your insurance covers it. Then where does the money come from? Why the hell are hospital bills so expensive without insurance... ANd if it is that simple.... WHY DOESN T everyone get insurance? HOW DOES IT WORK?!?""
I am an OAP with a car and want to insure my son 17 to drive does anyone know of a cheap insurance company wit?
I am an OAP with a car and want to insure my son 17 to drive does anyone know of a cheap insurance company wit?
Need an idea of how much insurance is gonna be?
I'm 16 and am looking at purchasing a 2000 Honda Civic Si Coupe. If I buy this car, will it be considered as a sports car to the insurance? I live in central California btw. If I were to wait until I hit 18 to drive, would the insurance go down substantially? Around how much am I looking at per month?""
Cheap Car Insurance For Young Adult?
I am 19. I just bought a car that needs to be plated. Its a 2002 Daewoo. (model name Lanos). I need to know the cheapest insurance I can put on the car. Ive never had any tickets or violations or trouble with the law. Ive never even been pulled over. I live in Indiana. Any suggestions please let me know. Also, I just moved to Lake Station from Elkhart. I guess you have to go through emissions to get plates but since its an 02 I dont believe I need to do it this year. However, I may plan on going back to Elkhart & thats where my lincence is from. Could I tell the BMV that and they plate it as Elkhart? & I wont even have to go through emissions?""
How much would insurance cost for a 2003 bmw 330 ci? 17 years old?
How much would insurance cost for a 2003 bmw 330 ci? 17 years old?
Car Insurance for a 19 yr old male?
I'm going to be buying an black 03 Cadillac CTS and I was wondering about how much my insurance would be. I've been driving since I was 16 with no tickets or wrecks. Can anyone give me at least an estimate on what it might cost? I will be using it mostly to drive back and fourth to work.
How Much Is Insurance For a 16 Year Old Girl?
16 year old girl Good school attendance record.Grades could be better. Dallas,Texas. Hispanic(If that matters) Mom and Stepdad have Allstate insurance What is the general price range? And for these cars,can you estimate(I'm NOT getting these cars just curious)I am getting a used Dodge avenger though!(: 2008 Dodge Charger 2010 Chevy Camaro 2008/2009 Dodge Avenger""
What is the cheapest 7 seater car to insure for a new driver?
What is the cheapest 7 seater car to insure for a new driver?
Is there a website for health insurance quotes?
im goin 2 b 19 & my current health insurance will exp. i need to find health insurance fast as well as as dentist insurance. sum ppl told me not 2 get eye insurance cuz payin da monthly payment vs. getting da benefit isn't worth it. meanin u pay more than u get out of it. but i want ur opinion as well sum other ppl told me 2 go 2 a hospital 2 ask sum ?'s of what health i should get, meanin like find out what im cover 4. like i don't want 2 pay hidden charges. like basically i need help cuz nobody is guidin me on what 2 do after im not cover. like im on my own.""
Anyone know of a good car insurance agency in Homestead FL?
I am moving from Michigan to South Florida soon and of course I need to get car insurance down there. I go through a agency in Michigan that searched 5 different insurance companies to get me the best price.. Anyone know of a agency like this in the Homestead Florida area?
Would it be cheaper to insure a VW Golf for an 18 year old as a name driver on my parents insurance ?
I hear that a VW Golf is really expensive to insure for an 18 year old. Would it be cheaper if the car was insured for my parents and I was a name driver on that insurance ?
Car insurance?
Can you own a car and be covered legally in under your parents insurance? My wife and I purchased a car from her father and I want the title, but we are able to pay really cheap insurance through them...I don't want to lose that...can we have the title put in our name, but still have insurance through them?""
Can you stay under your parents car insurance?
As of right now I am a college student living in Ohio with my mother and my car is under my mothers car insurance. If I move out and no longer live under my mothers roof, does this mean I must pay for my own car insurance? Or am I able to stay under her name? Please help! I need to find out soon before I get my own place. Thank you so much.""
""I just got a new car, no insurance?""
My father co-signed with me on a new vehicle from Nissan yesterday. We traded in my old car. That car was on a Geico insurance policy with my mother's car. Now, she is about to cancel the old car's insurance since we no longer have it. I know it is illegal to not have insurance. But do they expect you to magically and instantly have insurance right when you get a new car? It's being purchased through financing. Do they give you like a week or something to shop around for new insurance? I'm a little confused and worried.""
When to get health insurance for your newborn?
I am in my first trimester and just wondering when do I need to get health insurance for my newborn-the health insurance is United Healthcare and offered through my job
Car insurance for married couple!?
Hey there! My wife and I both used to have our own car insurances until a few months ago when we decided to drop hers and add her to my policy to save some money. She got into an accident the other day; everyone's okay and it hasn't been determined who was at fault yet. I was wondering if this is going to affect MY driving record as well considering that we are sharing a car insurance policy? I realize that our premium might go up but I guess I want to know if the premium would go up even if we decided to get her off of this policy and find her a separate one with another insurance company. Do insurance companies look at which driver and which vehicle (we each have our own car) was involved in the accident or does it all just go by the policy number?
Will my insurance cover someone else's car that has no collision insurance?
Will my collision insurance cover someone else's car that has no collision insurance when I get into an accident while driving that car?
Why cant I find cheap car insurance?
I am 17 and just about to pass my test, I am after a 1 litre to 1.2 litre small ish car. I can afford the car which is no problem but when I look for car insurance its bringing quotes up at the cheapest 4500. Is this becuase I have not passed yet and they cant find my details on their system so they are just giving me a high quote or is this really what I will have to pay? I dont see the point in learning to drive if this is the case. Anyone have ad ideas or suggestions, all my friends seem to find cheapish insurnace but a few other people are in the same situation as me. Thanks""
Leaving for several month. what about car insurance?
I'm leaving USA for about 4 months. What should I do with my car insurance? I don't really wanna pay for insurance because I won't be in the USA. What should I do? need a good advice
How much does moped insurance cost?
i am 15 and live in new jersey. i want to attach a 49cc engine to my bicycle. i have done a lot of reading on the subject and have come to find out that this qualifies as a moped. in order to ride it on the street, one of the requirements is insurance. I just want to know how much it costs before i put any money into it. thank you for your help!""
Best Insurance Rate/Company after DUI/DWI?
I got a DUI about a year and a half ago (Yes, I know very stupid) I switched insurance companies after it happened to get a better rate. I am with Progressive now and paying about $190/month. I live in NC and drive a 10 year old Jeep Wrangler, I have an excellent driving record with no tickets or accidents, the only thing on my record is the DUI. Does anyone have any advice on which insurance company might offer the best rates or if there is anything I can do to lower my rate? Is there any way to get coverage without them checking my driving record and seeing my DUI??? Thanks""
Insurance question please?
hi i am a learner and but my partner has a car that is insured on his friends name. my question is my partner states he cannot teach me how to drive or put my name under the insurance because it would cost more and he might get into trouble with the police . i just want to know if this is true and if so like how much would it cost.
Hagarstown Illinois Cheap car insurance quotes zip 62247
Hagarstown Illinois Cheap car insurance quotes zip 62247
How Much do you pay for Car Insurance?
Im 19 and i just bought a new 07 Impresa 2.5Si non-turbo.....my insurance is 2650...i was wondering if anyone else was getting screwed Ohh ive had my liscence 2 1/2 years, no tickets, no accidents, nothing""
What to do about Young Driver's car insurance?
I'm 17 and currently looking at buying my first car with insurance sometime during next year. I've been looking around on a lot of price comparison sites and the cheapest I could honestly find was 3,000 a year. I even tried putting myself on my dad's insurance through them and it was still in the 3000's. I have tried with a number of cars, mainly from group 4 insurance as anything below that tends to be really new cars that boost up your premium. Ideally, I'd like to buy my friends Peugeot 306 off him which is a 1.9 diesel that is usually really cheap to insure compared to most other first cars . However since this huge insurance increase I'm finding it impossible to get prices below 3000. Does anyone know of anyone specialist insurance sites for young drivers that offer cheaper prices or does anyone have any tips for filling out the forms to lower the price? I've tried everything I possibly can but I may have missed some important thing. I just know I don't want to pay 3000 a year for a car that I'm buying for 400. I see no logic there, what so ever. I'd rather crash my car and then buy another 6 of them.""
Insurance For A 1999 or 2000 328CI Manual BMW And Im 18 How Much A Year And Month?
i want to get one a 1999 manual model or a 2000 manual model how much will it cost per year and monthly
I filed a claim with my insurance company and am now being charged a claim surcharge. Is this legal?
I've had a home-owner's and auto policy with Allstate for the last 4 years. The increase was labeled a claim surcharge. The surcharge is almost 500 dollars
What type of car insurance do you have? 10 points will be given!!!!!!!!?
as a sixteen year old who would like to get a used car, i would like to know what type of car insurance is the best. i have tried to do online quotes, but they always ask for too much personal information. is insurance real expensive for a sixteen year old? what type of insurance do you have or recommend? thanks""
Who gives the cheapest car insurance for a nissan skyline import?
Who gives the cheapest car insurance for a nissan skyline import?
Looking for car insurance in NY?
I am going to look around for quotes because I'm looking for a new car insurance plan. But honestly I don't really know what's out there besides Geico and State Farm. What other places should I look into? Thanks so much.
Car insurance trying to scam me?
Ok here it goes... I had insurance on my car for a year, when it ran out I decided to get a new car and didnt need the original insurance anymore. But the company automatically renewed it and then requested a copy of my driving license or they would cancel it. I thought fine I don't need it now anyway, ill ignore them and they will cancel it. So they cancelled it and a month later they have said I owe 180 for some reason. My insurance was only 50 a month and I didn't sign or agree to any credit agreement for the 2nd year. And I didnt miss any previous payments Does anybody know whats going on there?""
Can i drive with just insurance?
is it ok for me to drive with just insurance on my car for a certain amount of time?
Trampoline and home insurance question?
I would like to purchase a large trampoline. However, my boyfriend said he would have to pay more home insurance if there is one on his property. Is that true? Wouldn't that only be required if people outside of the home get injured on it? I would be the one using it mostly, the kids would too. They're young teens.""
Where can I get cheap bike insurance?
I'm having trouble getting a decent quote for my ZX7R, due to my no claims being void becase I haven't ridden for 4 years. Can you help?""
How much do you think my motorcycle insurance will be?
I am getting the CBR125R 2009 HONDA! It's going to be black. I'm a 16 year old girl, and the bike costs $3,599.00 . How much do you think my insurance will be? All together what will it possibly total up to? Thank you!""
How much will I pay for car insurance as a 17 year old in CA?
I am a 17 year old girl, who is going 2 get a nissan versa. I make about $600.00 a month at my job. My parents said they would get me the car. I have to make monthly payments, which would be $250. They have really good credit. How much would insurance cost? What is the best deal I can get? What company should I go to?""
Car Insurance?
I want to cancel my insurance or rather freeze it until the 3 November. Would i get into trouble though if i took it to the garage when i had cancelled my insurance or eve froze it..
Will my car insurance rate go up?
so yesterday, I rear end into someone car but damage at all. His car still look new and my car still remain the same. But he said he will go check up his car, if there are some damage inside. He will claim my insurance. Suppose he claim my insurance, how much will my car insurance rate go up?""
My first car notes and insurance?
i'm 16 and plan on getting A JOB BY MAY 2008. I wanna buy a USED CAR at least a 1997 model -2000 model. Do you think I can afford the car note? Could i possibly get on my mom's insurance plan to make it cheaper for my car to be insured or am I just putting myself up for a future of bad credit??????
I have a health insurance question for baby?
Hey, I was wondering if there is a type of cheap health insurance me and my husband could get since we don't have any and are wanting to have a baby? We both work and have good jobs but, no insurance. Is there and insurance just to cover the baby because as long as the baby's needs are covered I could care less about us? That includes like before the baby is born but, all the doctor visits pertaining to the baby.""
What do I need to apply for an individual health insurance?
what do I need to apply for an individual health insurance? Which one do you have? I don't know too much about it, I just need an insurance that can cover a family doctor and that can cover exams like blood test, prescriptions in case I need""
Does anyone have a moped and pay insurance for it?
I would like to get a moped when I get my driver's liscence in a few months or so. Does anyone own a moped and pay insurance for it? I've heard it's much higher than car insurance. And also, would the insurance rate be higher for a new driver, rather than one who has had a liscence for a few years?""
If you can't afford health insurance?
How will you be able to pay the $3800 fine proposed by the democrats? Also are those fines figured into the cost of the democrats insurance reform as a revenue to aid in paying for the program?
""Crashed car into the bushes, would basic insurance cover it?""
My car brakes gave up on me and i crashed into the dense bushes. The police didn't even write a report since, as they said, it was no fault of my own and i had no injuries. Since i didn't hit anybody or anything but the bush there was no fine for me to pay. I don't know how big is the damage to the car since it happened on a saturday evening (i'll have it checked out tomorrow), but the front looks bad. I have basic Florida insurance, and i just want to know if they would cover it before i call them. If they don't cover it i'd rather just get it fixed without having my insurance rate go up. So... since it was not my fault (there were witnesses who saw i did everything possible to get the car safely off the road) would it cover at least part of the expenses?""
Now that health insurance companies must give a rebate to companies for group plans?
that don't completely utilize coverage, according to an obscure audit formula, will those insured under the group plan feel guilty if they have to use it and it affects everyone in the plan's annual rebate check? And how will insurance companies make up for this loss?""
Which company can provide me good student international insurance?
student international insurance
High Risk Car Insurance in Florida?
Does anyone out there have any experience with finding coverage for high risk auto insurance in Florida? I don't have any DUI's or DWI'S ON MY record, 4 speeding tickets leading to point suspension and 3 accidents. At this point it looks like I may have to go without driving for the next 4 years.""
How much a mustang GT with red paint cost on insurance?
How much a mustang GT with red paint cost on insurance?
Hagarstown Illinois Cheap car insurance quotes zip 62247
Hagarstown Illinois Cheap car insurance quotes zip 62247
https://www.linkedin.com/pulse/fake-insurance-ryan-valdez/"
0 notes
nancygduarteus · 6 years
Text
Your Body is a Teeming Battleground
I went to medical school, at least in part, to get to know death and perhaps to make my peace with it. So did many of my doctor friends, as I would find out. One day—usually when you’re young, though sometimes later—the thought hits you: You really are going to die. That moment is shocking, frightening, terrible. You try to pretend it hasn’t happened (it’s only a thought, after all), and you go about your business, worrying about this or that, until the day you put your hand to your neck—in the shower, say—and … What is that? Those hard lumps that you know, at first touch, should not be there? But there they are, and they mean death. Your death, and you can’t pretend anymore.
I never wanted to be surprised that way, and I thought that if I became a doctor and saw a lot of death, I might get used to it; it wouldn’t surprise me, and I could learn to live with it. My strategy worked pretty well. Over the decades, from all my patients, I learned that I would be well until I got sick and that although I could do some things to delay the inevitable a bit, whatever control I had was limited. I learned that I had to live as if I would die tomorrow and at the same time as if I would live forever. Meanwhile, I watched as what had been called “medical care”—that is, treating the sick—turned into “health care,” keeping people healthy, at an ever-rising cost.
In her new book, Barbara Ehrenreich ventures into the fast-growing literature on aging, disease, and death, tracing her own disaffection with a medical and social culture unable to face mortality. She argues that what “makes death such an intolerable prospect” is our belief in a reductionist science that promises something it cannot deliver—ultimate control over our bodies. The time has come to rethink our need for such mastery, she urges, and reconcile ourselves to the idea that it may not be possible.
Ehrenreich is well equipped for her mission; she has a doctorate in biology and years of social and political work behind her, as well as decades of writing. I first discovered her in medical school, when I read her early book Witches, Midwives, and Nurses: A History of Women Healers (1973). From it I learned that my small group of nine women in the otherwise male class of 77 belonged to a long, if forgotten, tradition. I also learned that social progress is not always an upward-trending line. The author of more than a dozen books, Ehrenreich has a reputation for chronicling cultural shifts before others notice them. She delights in confronting entrenched assumptions, popular delusions, grandiose ambitions—and in teasing out their unexpected consequences.
Often she incorporates firsthand experience into her analysis. For her best-known book, Nickel and Dimed: On (Not) Getting By in America (2001), she spent a year working at unskilled jobs. In Living With a Wild God (2014), she recounted her own spiritual epiphanies in adolescence and her struggle, as a determined atheist, to understand her “furious encounter with a living substance that was coming at me through all things at once.” Before all that, in 2000, she had been diagnosed with breast cancer and begun paying special attention to surprising new science about cancer, cells, and our immune system. Now 76, Ehrenreich explores that science in Natural Causes: An Epidemic of Wellness, the Certainty of Dying, and Killing Ourselves to Live Longer. Once again, she is swept up by big questions. Not least among them is “whether the natural world is dead or in some sense alive” and behaving in unpredicted and unpredictable ways that have much to tell us about our approach to mortality.
Twelve
She starts by looking at the many preventive medical procedures we are encouraged, even badgered, to undergo—those regular physical exams, colonoscopies, blood tests, mammograms. She had always pretty much done what doctors advised (she underwent chemotherapy), figuring that it made sense to treat disease before illness overwhelmed the body. But after watching many fitness-obsessed people die early, and realizing that she herself is now “old enough to die,” she questions that premise. Where is the evidence that all the effort at prevention saves lives or delays death?
It’s hard to find, she discovers. In people who have a strong family history of heart disease, treating high cholesterol does decrease mortality, on average. But for those who don’t have that predisposition, it doesn’t. Colonoscopies have not been proved more effective at reducing deaths from colon cancer than other, cheaper, less-invasive tests. Sometimes procedures cause more trouble than they prevent. Mammograms, for instance, detect tumors that might never be fatal, and can lead to over-treatment, which carries its own risks. The insight is counterintuitive—although finding diseases early on should prolong lives, the screenings we undergo don’t seem to lower mortality rates overall—and Ehrenreich decides that she will no longer get most preventive care.
She is just as clear-eyed about other approaches to delaying our decay—exercise, diet, meditation. Though she became a “fitness devotee” herself in middle age, she finds symptoms of cultural malaise rather than health benefits in the fitness and diet obsessions of the past 40 years. Wellness programs do little to reduce companies’ immediate health-care costs, and the pursuit of fitness, Ehrenreich argues, is often simply one more “class cue.” Workouts easily become just that—work, another demand for self-discipline, competition, and control. Ironically, when she reached her 70s, her knees began giving her trouble not from age-appropriate arthritis but from overexertion.
Turning from her critique of preventive medicine and fitness culture as death-postponement strategies, Ehrenreich is even more unsettled by research indicating that our immune system is not the magical “protective cloak” she learned about in graduate school. What really gets her rethinking her scientific beliefs is the evolving story of the macrophage—the specialized white blood cell that she always thought of as her good shepherd “through the valley of the shadow of death.”
Macrophages have traditionally been understood as one of our crucial first-line defenses against disease. They are found throughout our body—in our bones, brain, lymph nodes, lungs, and breasts—and circulate in our blood. They look like the amoebas we learned about in high school, those slippery, one-celled, independent creatures that move by stretching out and contracting, and eat by wrapping themselves around their prey, invaginating and absorbing it. The usual story went like this: Whenever macrophages find threats to our well-being in our midst—bacteria, viruses, fungi, or cancer cells—they kill them and eat them by engulfing and absorbing them. Ehrenreich assumed that keeping her immune system—and valiant macrophages—strong through exercise, diet, and positive thoughts was the key to not getting sick, not getting cancer, not getting old.
But research around the turn of the millennium suggested a different view. Macrophages do not always kill our cancer cells; sometimes they even help them grow and spread. They escort certain cancer cells through the tight walls of our blood vessels, and protect them as they circulate in our bloodstream, looking for a congenial new home. When such a site is found—in a bone or breast, liver or lung—macrophages then support those cancer cells as they mature into the metastases that will go on to kill us.
Scientists are now discovering that the macrophage is as much wolf as shepherd in other diseases as well. It may play a role in auto-immune disorders, and even in the usual afflictions of aging—heart attacks, strokes, arthritis. We thought we knew the causes of those (cholesterol, cigarettes, inactivity) and therefore the recourse (diet, abstinence, exercise); but now it appears that inflammation, caused in large part by our macrophages, may be a trigger. Ehrenreich ponders the heretical question: Can it be that instead of working to keep our immune system healthy, we should all along have been doing the opposite?
Ehrenreich is not, however, an apostle of unwellness, and Natural Causes is not a how-to book. Instead she focuses on the conceptual and “deep moral reverberations” of the discovery that our immune system can aid and abet a “cellular rebellion against the entire organism.” What if our convenient “holistic, utopian” view of the “mindbody” as a “well-ordered mechanism”—kept in harmony by positive thinking and solicitous tending—is wrong?
Ehrenreich proves a fascinating guide to the science suggesting that our cells, like the macrophages that sometimes destroy and sometimes defend, can act unpredictably and yet not randomly. It is almost as if our cells can choose when and how to behave—unregulated by any deterministic mechanism. But that would mean they have “agency, or the ability to initiate an action,” as she puts it. And what would that imply? If macrophages are actually deciding which cancer cells to destroy or to preserve, “maybe, crazy as it sounds, they are not following any kind of ‘instructions,’ but doing what they feel like doing.”
Researchers are now finding this same agency everywhere, Ehrenreich reports—in fruit flies; in viruses; in atoms, electrons, and photons. Such discoveries must mean that agency, the capacity for making decisions—electrons jumping up a quantum level or not, photons passing through this hole in a screen rather than another—is not the rare, and human, prerogative we once thought.
Ehrenreich detects a paradigm shift in the making, away from holism and toward “a biology based on conflict within the body and carried on by the body’s own cells as they compete for space and food and oxygen.” This vision of the body as an embattled “confederation of parts”—the opposite of a coherent whole, subject to command and control—is “dystopian,” she writes. And yet it has liberating, humbling implications. “If there is a lesson here,” she proposes, it’s that “we are not the sole authors of our destinies or of anything else.” Of course, the struggle to win the battles within our body may be one we’ll never be able to resist. Who knows? Perhaps we’ll devise high-tech ways to induce, or persuade, our traitorous immune cells to cooperate with our health. But whatever technological miracles appear in our future, Ehrenreich hopes we can come to accept that the ultimate outcome will be, as it has always been, out of our control.
I wonder, though. Does she truly hope for that? It is, after all, only natural to try to stay healthy as long as possible, and to fight to get well when we are sick. I think Ehrenreich is really talking about herself—about her own fight for control, and her own desire to be able to give up and accept the end when the time comes. Is it possible for her to relinquish control and make her peace? Yes and no. Or rather no and yes. No, she can’t, and yes, she will.
No, because I’ve noticed, in my life as a doctor, that the truism is true: People die the way they’ve lived—even the demented and even, somehow, the brain-dead. The brave die bravely; the curious, with curiosity; the optimistic, optimistically. Those who are by nature accepters, accept; those who by nature fight for control die fighting for control, and Ehrenreich is a fighter.
Yes, because I’ve also noticed that everyone I’ve seen die does come to accept the inevitable loss of control at his or her finally unevadable death. Usually that happens over weeks or months, sometimes over years; occasionally it happens over days, hours, or even minutes. This acceptance is perhaps as developmentally determined as childhood, adolescence, adulthood, and old age. At the end, something magical appears to occur—something beautiful, something Other—that seems to heal the spirit, allay all fear, and settle, finally, the struggle for control.
from Health News And Updates https://www.theatlantic.com/magazine/archive/2018/05/barbara-ehrenreich-natural-causes/556859/?utm_source=feed
0 notes
ionecoffman · 6 years
Text
Your Body is a Teeming Battleground
I went to medical school, at least in part, to get to know death and perhaps to make my peace with it. So did many of my doctor friends, as I would find out. One day—usually when you’re young, though sometimes later—the thought hits you: You really are going to die. That moment is shocking, frightening, terrible. You try to pretend it hasn’t happened (it’s only a thought, after all), and you go about your business, worrying about this or that, until the day you put your hand to your neck—in the shower, say—and … What is that? Those hard lumps that you know, at first touch, should not be there? But there they are, and they mean death. Your death, and you can’t pretend anymore.
I never wanted to be surprised that way, and I thought that if I became a doctor and saw a lot of death, I might get used to it; it wouldn’t surprise me, and I could learn to live with it. My strategy worked pretty well. Over the decades, from all my patients, I learned that I would be well until I got sick and that although I could do some things to delay the inevitable a bit, whatever control I had was limited. I learned that I had to live as if I would die tomorrow and at the same time as if I would live forever. Meanwhile, I watched as what had been called “medical care”—that is, treating the sick—turned into “health care,” keeping people healthy, at an ever-rising cost.
In her new book, Barbara Ehrenreich ventures into the fast-growing literature on aging, disease, and death, tracing her own disaffection with a medical and social culture unable to face mortality. She argues that what “makes death such an intolerable prospect” is our belief in a reductionist science that promises something it cannot deliver—ultimate control over our bodies. The time has come to rethink our need for such mastery, she urges, and reconcile ourselves to the idea that it may not be possible.
Ehrenreich is well equipped for her mission; she has a doctorate in biology and years of social and political work behind her, as well as decades of writing. I first discovered her in medical school, when I read her early book Witches, Midwives, and Nurses: A History of Women Healers (1973). From it I learned that my small group of nine women in the otherwise male class of 77 belonged to a long, if forgotten, tradition. I also learned that social progress is not always an upward-trending line. The author of more than a dozen books, Ehrenreich has a reputation for chronicling cultural shifts before others notice them. She delights in confronting entrenched assumptions, popular delusions, grandiose ambitions—and in teasing out their unexpected consequences.
Often she incorporates firsthand experience into her analysis. For her best-known book, Nickel and Dimed: On (Not) Getting By in America (2001), she spent a year working at unskilled jobs. In Living With a Wild God (2014), she recounted her own spiritual epiphanies in adolescence and her struggle, as a determined atheist, to understand her “furious encounter with a living substance that was coming at me through all things at once.” Before all that, in 2000, she had been diagnosed with breast cancer and begun paying special attention to surprising new science about cancer, cells, and our immune system. Now 76, Ehrenreich explores that science in Natural Causes: An Epidemic of Wellness, the Certainty of Dying, and Killing Ourselves to Live Longer. Once again, she is swept up by big questions. Not least among them is “whether the natural world is dead or in some sense alive” and behaving in unpredicted and unpredictable ways that have much to tell us about our approach to mortality.
Twelve
She starts by looking at the many preventive medical procedures we are encouraged, even badgered, to undergo—those regular physical exams, colonoscopies, blood tests, mammograms. She had always pretty much done what doctors advised (she underwent chemotherapy), figuring that it made sense to treat disease before illness overwhelmed the body. But after watching many fitness-obsessed people die early, and realizing that she herself is now “old enough to die,” she questions that premise. Where is the evidence that all the effort at prevention saves lives or delays death?
It’s hard to find, she discovers. In people who have a strong family history of heart disease, treating high cholesterol does decrease mortality, on average. But for those who don’t have that predisposition, it doesn’t. Colonoscopies have not been proved more effective at reducing deaths from colon cancer than other, cheaper, less-invasive tests. Sometimes procedures cause more trouble than they prevent. Mammograms, for instance, detect tumors that might never be fatal, and can lead to over-treatment, which carries its own risks. The insight is counterintuitive—although finding diseases early on should prolong lives, the screenings we undergo don’t seem to lower mortality rates overall—and Ehrenreich decides that she will no longer get most preventive care.
She is just as clear-eyed about other approaches to delaying our decay—exercise, diet, meditation. Though she became a “fitness devotee” herself in middle age, she finds symptoms of cultural malaise rather than health benefits in the fitness and diet obsessions of the past 40 years. Wellness programs do little to reduce companies’ immediate health-care costs, and the pursuit of fitness, Ehrenreich argues, is often simply one more “class cue.” Workouts easily become just that—work, another demand for self-discipline, competition, and control. Ironically, when she reached her 70s, her knees began giving her trouble not from age-appropriate arthritis but from overexertion.
Turning from her critique of preventive medicine and fitness culture as death-postponement strategies, Ehrenreich is even more unsettled by research indicating that our immune system is not the magical “protective cloak” she learned about in graduate school. What really gets her rethinking her scientific beliefs is the evolving story of the macrophage—the specialized white blood cell that she always thought of as her good shepherd “through the valley of the shadow of death.”
Macrophages have traditionally been understood as one of our crucial first-line defenses against disease. They are found throughout our body—in our bones, brain, lymph nodes, lungs, and breasts—and circulate in our blood. They look like the amoebas we learned about in high school, those slippery, one-celled, independent creatures that move by stretching out and contracting, and eat by wrapping themselves around their prey, invaginating and absorbing it. The usual story went like this: Whenever macrophages find threats to our well-being in our midst—bacteria, viruses, fungi, or cancer cells—they kill them and eat them by engulfing and absorbing them. Ehrenreich assumed that keeping her immune system—and valiant macrophages—strong through exercise, diet, and positive thoughts was the key to not getting sick, not getting cancer, not getting old.
But research around the turn of the millennium suggested a different view. Macrophages do not always kill our cancer cells; sometimes they even help them grow and spread. They escort certain cancer cells through the tight walls of our blood vessels, and protect them as they circulate in our bloodstream, looking for a congenial new home. When such a site is found—in a bone or breast, liver or lung—macrophages then support those cancer cells as they mature into the metastases that will go on to kill us.
Scientists are now discovering that the macrophage is as much wolf as shepherd in other diseases as well. It may play a role in auto-immune disorders, and even in the usual afflictions of aging—heart attacks, strokes, arthritis. We thought we knew the causes of those (cholesterol, cigarettes, inactivity) and therefore the recourse (diet, abstinence, exercise); but now it appears that inflammation, caused in large part by our macrophages, may be a trigger. Ehrenreich ponders the heretical question: Can it be that instead of working to keep our immune system healthy, we should all along have been doing the opposite?
Ehrenreich is not, however, an apostle of unwellness, and Natural Causes is not a how-to book. Instead she focuses on the conceptual and “deep moral reverberations” of the discovery that our immune system can aid and abet a “cellular rebellion against the entire organism.” What if our convenient “holistic, utopian” view of the “mindbody” as a “well-ordered mechanism”—kept in harmony by positive thinking and solicitous tending—is wrong?
Ehrenreich proves a fascinating guide to the science suggesting that our cells, like the macrophages that sometimes destroy and sometimes defend, can act unpredictably and yet not randomly. It is almost as if our cells can choose when and how to behave—unregulated by any deterministic mechanism. But that would mean they have “agency, or the ability to initiate an action,” as she puts it. And what would that imply? If macrophages are actually deciding which cancer cells to destroy or to preserve, “maybe, crazy as it sounds, they are not following any kind of ‘instructions,’ but doing what they feel like doing.”
Researchers are now finding this same agency everywhere, Ehrenreich reports—in fruit flies; in viruses; in atoms, electrons, and photons. Such discoveries must mean that agency, the capacity for making decisions—electrons jumping up a quantum level or not, photons passing through this hole in a screen rather than another—is not the rare, and human, prerogative we once thought.
Ehrenreich detects a paradigm shift in the making, away from holism and toward “a biology based on conflict within the body and carried on by the body’s own cells as they compete for space and food and oxygen.” This vision of the body as an embattled “confederation of parts”—the opposite of a coherent whole, subject to command and control—is “dystopian,” she writes. And yet it has liberating, humbling implications. “If there is a lesson here,” she proposes, it’s that “we are not the sole authors of our destinies or of anything else.” Of course, the struggle to win the battles within our body may be one we’ll never be able to resist. Who knows? Perhaps we’ll devise high-tech ways to induce, or persuade, our traitorous immune cells to cooperate with our health. But whatever technological miracles appear in our future, Ehrenreich hopes we can come to accept that the ultimate outcome will be, as it has always been, out of our control.
I wonder, though. Does she truly hope for that? It is, after all, only natural to try to stay healthy as long as possible, and to fight to get well when we are sick. I think Ehrenreich is really talking about herself—about her own fight for control, and her own desire to be able to give up and accept the end when the time comes. Is it possible for her to relinquish control and make her peace? Yes and no. Or rather no and yes. No, she can’t, and yes, she will.
No, because I’ve noticed, in my life as a doctor, that the truism is true: People die the way they’ve lived—even the demented and even, somehow, the brain-dead. The brave die bravely; the curious, with curiosity; the optimistic, optimistically. Those who are by nature accepters, accept; those who by nature fight for control die fighting for control, and Ehrenreich is a fighter.
Yes, because I’ve also noticed that everyone I’ve seen die does come to accept the inevitable loss of control at his or her finally unevadable death. Usually that happens over weeks or months, sometimes over years; occasionally it happens over days, hours, or even minutes. This acceptance is perhaps as developmentally determined as childhood, adolescence, adulthood, and old age. At the end, something magical appears to occur—something beautiful, something Other—that seems to heal the spirit, allay all fear, and settle, finally, the struggle for control.
Article source here:The Atlantic
0 notes