AdamSmith

Trump Calls Jeff Sessions ‘Mr. Magoo’ And Twitter Can’t Get Over It https://www.huffingtonpost.com/entry/donald-trump-mrmagoo_us_5a978f40e4b09c872bb11c21

Some analogue to B. Franklin's previously cited notes on sweetening the divine afflatus?

You meant 'cheesy'.

Oh, I think you can imagine.

What a human frailty! If you must.

Well, we are all waiting on you, with baited breath. We have all made our own contributions here. Where are yours? I don't believe any of us are standing in your way.

I was thinking of the more fundamental concepts. https://en.m.wikipedia.org/wiki/Scientific_method https://en.m.wikipedia.org/wiki/Occam's_razor

Rules are the opponent of discovery and learning. 'If we knew what we were doing, it would not be called reseaerch, would it?' Einstein

MY OB/GYN TOLD ME THAT KEEPING THE CERVIX IN PLACE MAKES THE SURGERY SAFER THAN REMOVING IT. IS THAT TRUE? No. The comparative studies clearly showed no increase or decrease in complications of the surgery, recovery, or readmission to the hospital, whether or not the cervix was removed. There are no medical or sexual advantages to keeping the cervix in place. There can be some disadvantages, as listed below. Vaginal bleeding can occur from the retained cervix after the procedure on a monthly basis in up to 11 percent of patients. Pap smears need to be performed due to potential for pre-cancerous or cancerous conditions of the cervix. Surgical removal of the cervix may be necessary due to bleeding, pre-cancerous or cancerous conditions, or pain. In summary, removal of the cervix has no disadvantages when compared to retaining the cervix in patients if the surgery is performed by an experienced, well-trained laparoscopic surgeon. There are disadvantages, however, to keeping the cervix in place. Supracervical hysterectomy, therefore, is NOT a better approach to removal of the cervix, and can lead to bleeding, continued evaluation of the cervix for pre-cancerous conditions, and in some cases the need for an additional surgical procedure to remove the cervix. https://innovativegyn.com/procedures/hysterectomy/

TECHNIQUES FOR HYSTERECTOMY There are different ways hysterectomy can be performed, from least invasive to most invasive. It is always better for the patient to have a minimally invasive hysterectomy, as recovery is faster than open. Each method has its own limitations. Look carefully at the advantages and disadvantages of each technique, the total incision length, and the recovery time. WHAT ABOUT THE CERVIX? The cervix is the lower portion of the uterus. It is part of the uterus and is not a separate organ from the uterus. Anatomy of the Pelvis WHAT IS THE FUNCTION OF THE CERVIX? The cervix functions to allow for delivery of the baby during childbirth. As the uterus contracts, the cervix “dilates”, or opens up, to allow the baby to pass from the uterus to the vagina. The cervix has no other known function, and is not essential for lubrication of the vagina. DOES A HYSTERECTOMY MEAN REMOVAL OF THE CERVIX? Yes. A hysterectomy refers to removal of ONLY the uterus and the cervix. The ovaries and the tubes are not removed during this procedure. The ovaries continue to make estrogen and function normally, so menopause or “the change” will not occur. A partial hysterectomy refers to removal of the uterus and cervix. A complete hysterectomy refers to removal of the uterus, cervix, tubes and ovaries. IS THERE A BENEFIT TO KEEPING THE CERVIX AND REMOVING JUST THE TOP OF THE UTERUS? No. Unfortunately, there is much incorrect information about the cervix on the internet, or from OB/GYNs that believe keeping the cervix is better than removing it. In general, the OB/GYN may promote keeping the cervix – also known as a “supracervical hysterectomy” – because it is easier to perform and avoids complication rates. This is especially true for OB/GYNs that do not perform much laparoscopic surgery. It is not acceptable for the OB/GYN to leave the cervix in due to his or her lack of experience or discomfort with the procedure. Patients should seek out the expertise of an experienced laparoscopic surgeon to remove the cervix during the surgery. There are no advantages to leaving the cervix in place when a skilled laparoscopic surgeon is performing the procedure. There are some disadvantages, however. The real story about the cervix is outlined below, and is supported by references at the end of this article. DOES REMOVAL OF THE CERVIX DECREASE LUBRICATION DURING INTERCOURSE OR CAUSE PAIN WITH INTERCOURSE? No. Removing or keeping the cervix has no effect on lubrication during intercourse, according to several comparative studies that have evaluated these issues. (These studies looked at patients who underwent supracervical hysterectomy (retaining the cervix) or partial hysterectomy (removal of the uterus and cervix), and compared the results.) DOES REMOVAL OF THE CERVIX LEAD TO PROLAPSE OR “DROP DOWN” OF THE BLADDER, VAGINA, OR RECTUM? No. Comparison trials have shown that removing the cervix does NOT increase the rate of prolapse of the bladder, rectum, or vagina. WILL REMOVAL OF THE CERVIX LEAD TO LESS SEXUAL SATISFACTION THAN IF I KEEP THE CERVIX? No. There were no differences in these trials in sexual satisfaction, pain with intercourse, or sexual function. (56,66)

WHAT IS THE FUNCTION OF THE UTERUS? The uterus is necessary to allow for the growth of a pregnancy. It is, in essence, the chamber in which the pregnancy grows. The uterus does NOT make eggs and does NOT make hormones. WHAT IS THE FUNCTION OF THE OVARIES? The ovaries produce eggs and release the hormones estrogen and progesterone. During the first half of a woman’s monthly menstrual cycle, estrogen prepares the lining of the uterus for pregnancy. Midway through the cycle, the egg is released from the ovary. The ovary then starts to produce progesterone, which matures the lining of the uterus for implantation. If intercourse occurs, and the sperm meets the egg to form the embryo, the embryo travels down the tube and implants into the matured uterine lining. If this occurs, the pregnancy develops and a menstrual cycle will NOT occur. If intercourse does NOT occur, the sperm does not meet the egg, an embryo does not develop, there is no implantation of the embryo into the lining, and menstruation occurs (a period). Normal Reproductive Cycle As you can see from these events, the ovary is responsible for all hormone production. At menopause, the ovaries stop producing eggs and stop producing hormones. The symptoms of loss of hormones include hot flashes, night sweats, mood sweats, anxiety, depression, vaginal dryness, and development of osteoporosis, all of which are due to lack of estrogen. PARTIAL VERSUS COMPLETE OR TOTAL HYSTERECTOMY A hysterectomy is a GYN surgery procedure, which simply refers to the removal of the uterus, including the cervix. The terms “partial hysterectomy” and “total hysterectomy” are commonly used by non-medical people but are not technically accurate. Partial hysterectomy usually refers to removal of only the uterus. The ovaries are detached from the uterus and kept in place. Menopause does NOT occur even though a menstrual cycle does not happen. Removal of the uterus will stop menstruation, but the ovaries continue to function as usual. Complete or total hysterectomy refers to the removal of the uterus, tubes, and ovaries. The removal of the ovaries WILL lead to menopause in patients who are still having periods. Removal of the ovaries in menopausal patients will not lead to menopause. These patients have already gone through menopause, and have experienced menopausal symptoms that occur when estrogen is no longer produced, such as hot flashes, night sweats, mood swings, etc. In these menopausal patients, removal of the ovaries will have no effect since they are no longer making estrogen.

HYSTERECTOMY AND BILATERALSALPINGO-OOPHORECTOMY From the Latin hyster (uterus) ectomy (remove), bilateral (two) salpingo (tubes) oophor (ovaries) ectomy (remove); Removal of the uterus, tubes, and ovaries; Also known as a “complete” or “total” hysterectomy; Complete or total hysterectomy = hysterectomy and bilateral salpingo-oophorectomy.

I was thinking of the Presidential election cycle.

Well, I agree with that too.