SOME PEOPLE HAVE TO SHOW US HOW MUCH THEY ARE PAINED, SADDENED, OR DESPAIRED BECAUSE THEY DON’T HAVE THE WORDS TO DESCRIBE, OR CAN’T EFFECTIVELY USE THEIR WORDS TO DESCRIBE THE MAGNITUDE AND INTENSITY OF WHAT THEY FEEL OR WHAT THEY HAVE EXPERIENCED.

Expression of such strong emotions may lead to equally strong expressions:

Graffiti

Piercings

Tattoos

Mood disorders, anxiety disorders, personality disorders

Self harm

Substance abuse

High risk behaviors

Violence

Charles Tadros, M.D.

August 10, 2022

Saint Louis, Missouri

PSYCHOTHERAPY, PSYCHIATRY, AND PSYCHOLOGICAL TESTING INVOLVE EXPERTLY LISTENING, OBSERVING, ASSESSING, CATEGORIZING, AND DIAGNOSING CLIENTS AND PATIENTS. TOO OFTEN WHAT IS NOT SHARED WITH THESE CLIENTS AND PATIENTS ARE: THE THOUGHT PROCESSES, ALGORITHMS, DIAGNOSTIC CRITERIA, CONFLICTING RESULTS, AND ACTUAL CONCLUSIONS WHICH GUIDE THEIR THERAPIES.

Charles Tadros, M.D.

August 9, 2022

Saint Louis, Missouri

WHEN MANY OF US USE ALCOHOL, OFTEN IT IS IN ASSOCIATION WITH POSITIVE EVENTS SUCH AS:

CONNECTING WITH SPOUSE/PARTNER,

CONNECTING WITH FRIENDS,

REWARDING OURSELVES AFTER MOWING THE LAWN/DOING YARD WORK,

RITUALS OF BARBEQUING,

COOKING DINNER,

RELAXING ON WEEKENDS and DURING VACATIONS,

SHARING TEAM SPIRIT AND ENJOYING SPORTS,

RELAXING AND UNWINDING AFTER A HARD DAY’S WORTH OF WORK, AND

PARTIES: BIRTHDAYS, ANNIVERSARIES, GRADUATIONS, WEDDINGS, SHOWERS, HOLIDAYS, COMING OF AGE CELEBRATIONS

ALL OF THESE ARE POSITIVE ACTIVITIES, WORTH REPEATING. WHAT BECOMES PROBLEMATIC IS THAT WE ATTACH ALCOHOL USE, WHICH, BY ITSELF, HAS THE POTENTIAL OF BECOMING PHYSICALLY, PSYCHOLOGICALLY, AND SOCIALLY HARMFUL.

THE LOGIC OF WHAT FOLLOWS IS THAT IF WE REMOVE ALCOHOL USE, WE POTENTIALLY REMOVE ALL THE POSITIVE ASSOCIATIONS, AND FOND MEMORIES (AND POTENTIALLY RUIN FUTURE MEMORIES, YET TO BE MADE).

WHAT MANY OF US HAVE NOT EXPERIENCED, AND THEREFORE FIND IT HARD TO BELIEVE, IS THAT WE CAN HAVE ALL THESE POSITIVE EXPERIENCES AND ASSOCIATED FOND MEMORIES, WITHOUT INVOLVING ALCOHOL, AT ALL.

http://notyourdoc.blog/2022/04/21/how-we-drink-alcohol-what-when-where-how-much-the-reasons-for-drinking-and-how-alcohol-affects-us-are-more-telling-than-we-realize/

https://notyourdoc.blog/2021/07/14/alcohol/

Charles Tadros, M.D.

August 1, 2022

Saint Louis, Missouri

WHEN IT COMES TO PHYSICAL CONFLICT, POLICE ACTION, OFFICIALLY RECOGNIZED WARS, UNOFFICIAL WARS, AND PROXY WARS, WE NEED TO BE ABLE TO PRAISE OUR HEROES, DEVELOP LIFE-LONG COMRADERIES, RECOGNIZE SACRIFICE, AND COMMEND EXCEPTIONAL LEADERSHIP WITHOUT SUCH HISTORICAL VIOLENCE, LOSS, DESTRUCTION, AND BLOODSHED. PEACE BE WITH ALL WHO ARE AT WAR.

Avoiding battle does NOT mean:

devaluing extensive, multifaceted, coordinated military intelligence, or

naively believing that diplomacy is a tool to be used in isolation, or

underestimating the value of political will, or

undervaluing economic strength, or

underspending tax dollars on military equipment and personnel, or

being unprepared for physical conflict

Charles Tadros, M.D.

July 24, 2022

Saint Louis, Missouri

WHEN IT COMES TO OUR OWN HEALTH AND HEALTHCARE, HOW “FOOLISH” ARE WE ALLOWED TO BE?

Apple’s Steve Jobs, during his bout with islet cell tumor (or gasteroenteropancreatic neuroendocrine tumor [GEP-NET]), despite his intelligence and his access to the best advice and care anywhere in the world, made poor choices ( https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4924574/#__ffn_sectitle ) which shortened his life.


As with Jobs, we have a right to irreversibly screw up our lives. This is one consequence of, even we’ll informed, autonomy.


However, Jobs made these choices, uncoerced, and as he had lived his life: forcing his will and his vision to achieve goals via what others had warned him were unwise choices during exceedingly difficult situations.

The question is how does such autonomy affect everyone else (family, friends, caregivers, neighbors, coworkers, citizens, the medical system, etc.), and how much of a burden does one person’s autonomy affect these other people (eg, Jobs used a scarce resource, an urgent liver transplantation, once it was found that his neoplasm had metastasized to that organ)?

We all have cognitive biases, fears, hopeful/magical thinking, and difficulties understanding all the nuances behind the statistics of applicable studies (let alone if these were well designed studies which produced useful results).


My hope is for us to work toward a definition of autonomy to mean: uncoerced (from external and internal sources), values-driven, well informed, evidence based personal choices and actions.

Charles Tadros, M.D.

July 14, 2022

Saint Louis, Missouri

CREATIVE PEOPLE HAVE TO, AT SOME POINT, LEAVE BEHIND THE COMMON, THE COMFORTABLE, THE EXPECTED, THE TRIED AND TRUE, THE ACCEPTED, AND WHAT WORKS. THEY ARE EITHER TRYING TO DO SOMETHING THAT THEY HAVE NEVER DONE BEFORE OR TRYING TO DO SOMETHING THAT HAS NEVER BEEN DONE BEFORE.

Charles Tadros, M.D.

July 24, 2022

Saint Louis, Missouri

SOME PEOPLE NEED TO LEAVE THEIR COUNTRY IN ORDER TO BE ABLE TO:

leave their pasts

distance themselves from their family

make different friends

experience new environments

improve their socioeconomic, educational, political, personal, and religious conditions

improve their mindsets

Charles Tadros, M.D.

July 6, 2022

Saint Louis, Missouri

SCIENCE, SCIENTISTS, PHYSICIANS, AND PROFESSIONAL EDUCATORS ARE MISSING AN UNPARALLELED, REAL-WORLD EDUCATIONAL EXPERIENCE FOR US ALL, DURING THE SARS-CoV-2/COVID-19, ONGOING PANDEMIC. IN ADDITION TO GOVERNMENT DICTUMS AND NEWS MEDIA SOUND BITES, THIS THIS IS AN EXCEPTIONAL TIME TO TEACH THE AMERICAN PUBLIC ABOUT: U.S. AND WORLD HISTORY, GEOGRAPHY, NEWS AND OTHER INFORMATION MEDIA, INTELLIGENCE GATHERING, POLITICS, MANUFACTURING, SUPPLY CHAIN, SHIPPING, AIR TRAVEL, TRANSPORTATION, INTERNATIONAL TRADE, U.S. AND INTERNATIONAL LAW, INTERNATIONAL COOPERATION, U.S. AND INTERNATIONAL FINANCE, BIOLOGY, ANIMAL SCIENCE, VIROLOGY, MICROBIOLOGY, GERM/BIOLOGICAL WARFARE, IMMUNOLOGY, PRIMARY CARE, CARDIOLOGY, NEUROLOGY, NEPHROLOGY, PULMONOLGY, CRITICAL CARE, EMERGENCY MEDICINE, HOSPITAL MEDICINE, INFECTIOUS DISEASE, HOSPICE, MENTAL HEALTH, GENETICS, CHEMISTRY, BIOCHEMISTRY, AND STATISTICS (just to name a few areas affected by the pandemic)

People glean from the internet and social media what is put before them and what search engines give as the top search results.

With the internet of rapidly available information, anyone can rapidly check an official’s or a specialist’s word, work, current and previous statements, and with opinion blogs, obtain contrarian information and other viewpoints.

Scientists, physicians, educators, and politicians need to stop shying away from the (long-form) discussions and explanations of difficult concepts and difficult situations. Education has never been just in the classroom. During this pandemic, the entire world has become a classroom.

It is important for the rest of us to understand that, often, our leaders, and experienced specialists in all these different domains of knowledge, are: not sure, don’t know, misspeak, have insufficient information, and make wrong assumptions…all while learning by the hour, and modifying their statements as the pandemic rapidly evolves over the last 2.5 years.

Now, more than ever, scientists, educators, public officials, and media commentators need to explain their thinking, their sourcing of information, the implications and consequences of the stated information and stated policies, as well as how public officials, scientists, physicians and educators plan on adjusting policies and recommendations in the face of newer and better information.

Charles Tadros, M.D.

July 5, 2022

Saint Louis, Missouri

IT IS NOT AUTOMATICALLY TRUE THAT ONCE ONE STOPS HAVING A NEGATIVE SELF-IMAGE AND NEGATIVE SELF-TALK, THAT WHAT FOLLOW ARE ONLY UPLIFTING POSITIVES. OFTEN, INSTEAD OF FINALLY EXPERIENCING THE SUPPRESSED POSITIVE SELF-IMAGE, AND POSITIVE SELF-TALK, THERE IS NOTHING…NO SENSE OF SELF, NO SENSE OF JOY, OF PURPOSE, OF GOALS, OF ACCOMPLISHMENTS, OF SPIRITUALITY, OR OF COMMUNITY. THERE IS ONLY EMPTINESS. TO MOST OF US, THIS EMPTINESS IS MORE LONELY AND MORE FRIGHTENING THAN ANY NEGATIVE SELF-IMAGE OR ANY NEGATIVE SELF-TALK.

We wonder why people hold onto negativity… it’s because the unknown, the untested is much more anxiety-provoking, energy draining, and frightening than the known effects and costs of the negative self-image, and negative self talk.

Charles Tadros, M.D.

July 2, 2022

Saint Louis, Missouri

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