Robert Hall secondfs before being beheaded by Abu Sayyaf terrorists.
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Opinions surrounding intraoperative awareness may vary, but one thing is certain, even a single case is one too many.
The clinical definition of intraoperative awareness — consciousness during general anesthesia — is a seemingly simple explanation for a complex, and controversial, phenomenon. Opinions surrounding how often intraoperative awareness, also described as anesthesia awareness, occurs, its implications for victims, as well as the best methods for prevention are varied.
But for Carol Weihrer, the issue is crystal clear. Weihrer, who claims she was conscious during a 1998 surgical procedure to remove her right eye, believes that anesthesia awareness is more widespread and debilitating than people realize. And she has the proof, she says, to back-up her claim.
“I have spoken to thousands of people with experiences similar to mine,” said Weihrer. “People like me, whose lives have been turned upside down because of it.”
As founder of the international Anesthesia Awareness Campaign, Weihrer’s goal is to educate the public about the phenomenon and to be a touchstone for other victims.
Weihrer is also lobbying for the mandated use of brain function monitors for patients undergoing general anesthesia. She believes that until these monitors become a standard of care, patients must be proactive in protecting themselves in the OR. “It’s not enough to ask whether a facility has brain function monitors or whether they use them. You must demand that they use them on you during your surgery,” she explained.
Tracking brain waves When used in the OR, brain function monitors reportedly measure a patient’s depth of anesthesia and level of consciousness. One of the most popular tools for this purpose is bispectral index (BIS) technology.
Aspect Medical’s BIS monitor involves measuring the brain’s electrical activity through a sensor placed on the patient’s forehead. The BIS value ranges from 100 (indicating an awake patient) to zero (indicating the absence of brain activity). This information is used to guide administration of anesthetic medication. Aspect’s BIS technology is available as a stand-alone monitor or as a module that can be incorporated into other manufacturers’ monitoring systems.
Irene Osborn, M.D., associate professor of Anesthesiology, Mount Sinai School of Medicine, New York, and director, Division of Neuroanesthesia, began using BIS technology in 1996 while at NYU Medical Center and currently uses it in about 80 percent of the surgeries she performs. She says it has definitely made an impact on her ability to care for patients.
“The ability to monitor the brain really helps you improve anesthetic care,” said Dr. Osborn. “There is variability in patients’ response to anesthesia — not everyone requires the same dose or concentration,” she continued. “With BIS, I can separate out the different components of anesthesia and determine how much anesthetic is needed for a particular patient.”
Dr. Osborn uses BIS technology to improve the quality of anesthesia and also to monitor for awareness. Often times Versed is administered just prior to surgery to produce amnesia. With the BIS monitor, Dr. Osborn says she can see the effects of the Versed dose and increase it if necessary.
“In the OR there is a lot of monitoring going on — heart rate, blood pressure and various body systems. With BIS, I can also monitor the brain,” Dr. Osborn said.
Not ready for prime time? The American Society of Anesthesiology’s (ASA) “Practice Advisory for Intraoperative Awareness and Brain Function Monitoring” makes several recommendations to assist decision-making for patient care with the goal of reducing awareness, but stops short of mandating the use of brain function monitors for this purpose. Instead, the ASA advises anesthesiologists to use their own discretion when it comes to using the monitors.
Although she personally chooses to use brain function monitoring, Dr. Osborn understands why many of her colleagues have yet to embrace it.
“Brain function monitoring technology is not yet good enough, it’s not real time,” explained Dr. Osborn. “What you see on the monitor reflects something that happened 15 seconds ago.”
Others may simply not want to take the time to understand the monitors. If, for example, there was no muscle relaxant administered to the patient, there may be EMG artifact on the monitor and anesthesiologists must be familiar in working around that, says Dr. Osborn. The monitor will not predict movement, rather, it tells how asleep the patient is.
At Mount Sinai, Dr. Osborn estimates that one-third of the physicians use the technology quite frequently, one-third use it for special cases and one-third refuse to use it at all. She does believe, however, that brain function monitors will become standard operating procedure in all hospitals in about 10 years.
“As the technology matures and as we train another generation of anesthesiologists and nurse anesthetists on how to use it, more will want it and the timing will be right for it to become a standard of care,” Dr. Osborn said.
Determined that this is the case — sooner rather than later — Weihrer has taken her Anesthesia Awareness Campaign on the road, speaking both nationally and internationally to physician groups and other organizations. She has performed Grand Rounds, speaking to anesthesia staff at several East Coast hospitals about her own and others’ experiences. She has worked with The Joint Commission on Accreditation of Healthcare Organizations (JCAHO), American Association of periOperative Nurses (AORN) and the American Association of Nurse Anesthetists (AANA), and says she is currently collaborating with the ASA on an anesthesia awareness victims database. MedicAlert bracelets are available through the campaign for patients who have suffered awareness in the past or have a familial disposition to anesthesia awareness.
“The Anesthesia Awareness Campaign is definitely gaining momentum,” Weihrer said. “The public is becoming more involved and demanding assurances.”
Weihrer says she will continue to advocate for change in the OR until her efforts are no longer needed — until brain function monitors are used on every general anesthesia patient and there are no more anesthesia awareness victims.
The strategists of the Islamic State are amateurs. Their aim is the destruction of Europe, but they waste dedicated fighters in suicide attacks while they could just use them as arsonists, with a realistic chance to escape.
May 17, 2010
(CNN) -- When Carol Weiher was having her right eye surgically removed in 1998, she woke up hearing disco music. The next thing she heard was "Cut deeper, pull harder."
She desperately wanted to scream or even move a finger to signal to doctors that she was awake, but the muscle relaxant she'd received prevented her from controlling her movements.
"I was doing a combination of praying and pleading and cursing and screaming, and trying anything I could do but I knew that there was nothing that was working," said Weiher, of Reston, Virginia. Weiher is one of few people who have experienced anesthesia awareness. Although normally a patient does not remember anything about surgery that involves general anesthesia, about one or two people in every 1,000 may wake up during general anesthesia, according to the Mayo Clinic. Most of these cases involve the person being aware of the surrounding environment, but some experience severe pain and go on to have psychological problems.
The surgical tools didn't cause Weiher pain -- only pressure -- but the injections of a paralytic drug during the operation "felt like ignited fuel," she said. "I thought, well, maybe I've been wrong about my life, and I'm in hell," she said. The entire surgery lasted five-and-a-half hours. Sometime during it she either passed out or fell unconscious under the anesthetic. When she awoke, she began to scream.
"All I could say to anyone was, 'I was awake! I was awake!' " she said.
The use of general anesthesia is normally safe and produces a state of sedation that doesn't break in the middle of a procedure, doctors say. The patient and anesthesiologist collect as much medical history as possible beforehand, including alcohol and drug habits, to help determine the most appropriate anesthetic.
You may think of it as "going to sleep," but in terms of what your body is doing, general anesthesia has very little in common with taking a nap.
During sleep, the brain is in its most active state; anesthesia, on the other hand, depresses central nervous system activity. On the operating table, your brain is less active and consumes less oxygen -- a state of unconsciousness nothing like normal sleep.
Doctors do not know exactly how general anesthesia produces this effect. It is clear that anesthetic drugs interfere with the transmission of chemicals in the brain across the membranes, or walls, of cells. But the mechanism is the subject of ongoing research, Dr. Alexander Hannenberg, anesthesiologist in Newton, Massachusetts, and president of the American Society of Anesthesiologists.
Patients who remember falling unconscious under the anesthesia generally have a pleasant experience of it, Hannenberg said, and the period of "waking up" is also a relaxed state, Hannenberg said. Anesthesia awareness may relate to human error or equipment failure in delivering the anesthetic, Hannenberg said.
There are patients for whom doctors err on the side of a lower dose because of the nature of their condition, Hannenberg said. Someone who is severely injured and has lost a lot of blood, a patient with compromised cardiac function, or a woman who needs an emergency Caesarean section would all be at risk for serious side effects of high doses of anesthetic.
Heart or lung problems, daily alcohol consumption, and long-term use of opiates and other drugs may put patients at higher risk for anesthesia awareness, according to the Mayo Clinic.
Weiher started a campaign called the Anesthesia Awareness Campaign that seeks to educate people about the perils of waking up during surgery. She has spoken with about 4,000 people worldwide who have also had anesthesia awareness experiences.
The American Society of Anesthesiologists is engaged in an Anesthesia Awareness Registry, a research project through the University of Washington to examine cases of the phenomenon. One of the goals of the Anesthesia Awareness Campaign is to make brain activity monitoring a standard of care.
There has been controversy about the use of brain function monitors in general anesthesia. Advocates such as Dr. Barry Friedberg, anesthesiologist and founder of the nonprofit Goldilocks Anesthesia Foundation, say brain monitoring is essential for ensuring the patient achieves the appropriate sedation so as to not wake up. The monitors use a scale of 0 to 100 to reflect what's going on in the brain: 0 is a total absence of brain activity, 98 to 100 is wide awake, and 45 to 60 is about where general anesthesia puts the patient, Friedberg said.
But a 2008 study in the New England Journal of Medicine found no benefit in using brain function monitoring to prevent anesthesia awareness. The American Society of Anesthesiology has said the monitoring is not routinely indicated for general anesthesia, but may have some value and be appropriate for specific patients. The downsides are that they are expensive, and should not be used in place of heart rate and breathing signals when regulating the anesthesia.
Research does not consistently demonstrate a benefit from using brain function monitors, and the decision to use them should be made on an individual basis, Hannenberg said.
The anesthesiologist carefully monitors the patient's breathing and blood pressure, which can rise and fall, while the person is under the anesthetic, Hannenberg said. The treatment is tailored to the patient -- a young, healthy athlete will tolerate fluctuations in blood pressure better than someone with a serious condition, Hannenberg said.
As with surgical procedures themselves, anesthesia can result in stroke, heart attack and death. Such complications are more likely in people who have serious medical problems, and elderly people. Over the last two decades, anesthesiologists have made significant strides in reducing those risks, Hannenberg said.
A 6-year-old boy in Richmond, Virginia, recently died after going into cardiac arrest during a routine dental procedure that involved general anesthesia, CNN affiliate WTVR reported. Weiher had to have subsequent surgeries, including an operation on her other eye and a hysterectomy, and the experiences were terrifying. She is still taking medication for post-traumatic stress disorder as a result of her anesthesia awareness experience.
Arson is the terrorism of the future. Attackers can buy their weapon at any gasoline station, and risk just 2 years in prison.
You probably have to look at imagery of death and dying regularly to stay focused on what really counts in life: great sex before you are gone anyway.
The Oregon Live
Portland attorneys representing 10 women who say they were sexually abused by a notorious pedophile teacher at the American School in Japan in the 1970s and '80s sent a demand letter Thursday to the prestigious Tokyo school, claiming the school ignored reports that the teacher was preying on girls for decades.
The letter claims the American School allowed teacher Jack Moyer to have unfettered access to his victims, middle-school girls, including one who now lives in central Oregon. For more than a century, the school has been attended by the children of leaders of U.S. businesses including Nike and Boeing, government officials and missionaries working in Japan.
The school couldn’t immediately be reached for comment for this story.
The Portland firm of O’Donnell Clark and Crew sent the letter. Attorney Steve Crew said the first victim he’s been able to identify told school administration in 1975 that Moyer had abused her.
“She reported it to the headmaster, and nothing happened,” Crew said. “And that was the pattern for 25 years.”
Crew said many of the 10 victims or their families reported Moyer’s alleged sexual abuse to the school, but he was allowed to continue working with children.
Moyer worked for the school from 1963 to 2000, according to the firm, and retired in 2000. He killed himself in 2004.
That was a short while after two of the 10 women confronted Moyer in emails, Crew said. Crew said Moyer wrote them back, admitted the abuse and sent them a list of the names of 11 or 12 victims, with brief descriptions of how he abused them.
According to an article in The Japan Times, in March the school sent a letter to alumni stating it had recently learned Moyer had abused students. That drew sharp criticism from some alumni, who petitioned the school to hire an independent party to investigate whether the school covered up its knowledge of the reported abuse.
The school has hired a law firm to perform an independent investigation, according to Crew’s firm.
The letter sent to the American School demands that the results of the independent investigation be made public. The letter also asks the school to compensate the 10 women and an undetermined number of other alleged victims, but the letter doesn't list a dollar amount sought.
If a lawsuit is filed, Crew said it will most likely be in New Jersey, where the American School in Japan has a “sister corporation” called Friends of the American School in Japan.
Former students who say they were victimized have reached out to each other -- particularly after former student, Janet Simmons, began writing in 2009 about Moyer in a blog titled “Thank you for holding my hand.”
Crew said nine or 10 of the women his firm represents have all been supporting each other through an email network over the past few months or years.
Islamize Europe and get women out of politics. Feminism is the root if terrorism.
I am glad that you did seek professional advice rather keeping it to yourself.
‘He told me that my vagina is big and loose’ – this is a heavy judgment laden sentence told to you by your new boyfriend. How does he know that yours is big and loose? It is well possible that his penis is smaller in girth and so he is not able to feel. It is also possible that you are well lubricated that he could not feel much of a grip (this is especially true if your boyfriend has always masturbated using his hands). Rather than jumping to a conclusion that your vagina is big and loose, you need to be confident about yourself that you previously had a mutually pleasurable sex. To some extent, vagina gets a bit loose after 2 years of sex. What is needed for you now is pelvic floor tightening exercise (Kegel’s exercise) and some medication/relaxation for your mind. There are many vaginal tightening creams/gels sold on the net but I have no recommendation for any. If you think it works and makes you feel confident, go for it (www.shycart.com). Open communication with your boyfriend is important. If he is not able to understand your position and sabotages the sexual experience due to the size, then there are few fundamental issues that you need to clarify/review with your boyfriend. Sex is part of life and in that intercourse is only a fraction of sex. Please do not let a very small aspect of your sex take control of your whole life.
Women shit and stink, most are fat and ugly. Women carry diseases that afflict good men, and when they have the opportunity, they fuck with somebody else. Time to replace women with sophisticated robots.
If we could look into the minds of hundreds of thousands (if not millions) of Islamic radicals we would likely see that many obsess over the day they can play a part in the slaying of the Great Satan, as Iranian President Mahmoud Ahmadinejad likes to calls the United States of America.
Enough terrorists have been caught and enough intelligence gathered by western governments to know that terrorists are actively seeking nuclear weapons, as well as chemical and biological weapons, and have been for several years. Rumors abound of Russian nukes making their way to the black market, as well as nuclear-armed North Korea in an alliance with Iran, helping Iranian scientists in the development of nuclear weapons. Those are the rumors anyway. Add Russian scientists to that list by the way.
The odds of a major terrorist strike aren't going away simply because more time is passing since 9-11. A smart bet, considering all the evidence, is that terrorists will strike, and America will suffer a serious set back at some point in the near future.
Every year that Radical Islam grows in global reach and people sworn to it's cause is like a game of Russian roulette, where America just keeps getting lucky. Odds are that luck is going to run out.
On the topic of survival, let's talk about this threat of biological and chemical weapons (or simply "bio-chemical weapons"). If you're like one of millions of Americans, there's a good chance you live in or near a major city that may just suffer a bio-chemical attack.
Think back to the two major world wars in the first half of the 20th century, and even back to the 19th century -- bio-chemical weapons have been used to kill enemy populations, such as Native Americans being given blankets by U.S. forces that were previously exposed to small pox. (The data appears to be mixed on whether or not this was intentional or if it even ever happened. Regardless, large numbers of Native Americans died as a result of small-pox. Was any of that exposure to small pox ntentional? We may never know for sure.)
Anthrax and Other Bio-Chemical Weapons
Then there are other types of bio-chemical weapons, such as anthrax. According to one report, the U.S. military is so concerned about the threat of anthrax that they hope to take steps to give vaccines to 2.4 million of their active troops to protect them from enemy attacks.
How Prevalent Are Bio-Chemical Weapons?
In the years leading up to World War II, nations such as America and Russia began to manufacture and stockpile bio-chemical weapons, until in recent decades these nations and others agreed to stop.
According to Wikipedia, China, Syria, Sudan and North Korea are all suspected of having stockpiles of bio-chemical weapons. See this article.
Look closely at that list of suspected nations and reflect on it for a moment.
There's always the possibility that some of these stocks could end up in the hands of terrorists, should an under-paid government worker ever decide to take a bribe. In the modern world, that almost ensures that some of these stocks are going to end up on the black market. We can safely assume that a terrorist organization has direct access to bio-chemical weapons.
But, unfortunately for America -- we are also very, very hated by many people in foreign governments, probably every single government listed above.
Much could be written -- and much has been publicized in various news articles -- that point to a clear and present danger from multiple terrorist attacks with biological or chemical weapons, which any rogue nation (such as Iran or North Korea) has the means to produce.
Rather than go into all the details, and potentially scare the pants off every reader today -- let's focus on what this article is supposed to be about -- that's survival.
The only real way to survive a bio-chemical attack is to reduce the odds of ones exposure to the bacteria / virus / chemical once the initial cries go out on the news about people getting sick, people dying.
With the advances of technology and bio-engineering, there's even the grim possibility of a rogue nation launching a bio-chemical attack, where many get sick and die, and government scientists and of course the general public have no idea what is going on. With bio-engineering it's possible that a bio-chemical could even be cloaked to look like something other that what it is. Read specifics at this link.
How to Survive a Bio-Chemical Attack
First, understand how a biological or chemical agent could be delivered. By air, by water, by food... even by clothing and other materials in our environment. They can also be spread by animals (fleas, mosquitoes, rodents, livestock). In the event of mysterious deaths suddenly taking place, it would be smart to consider that a bio-chemical attack or series of attacks was possibly being unleashed on the nation, and to immediately cease and desist all contact with major population centers... as well as other people in contact with these major population centers.
That's in the first couple days of the attack. As days progress, and potential bio-chemical agents are carried to small towns by a fleeing population, many unknowingly "infected" (in the case of a virus), or simply "carriers" in the case of a chemical, less contact with people would be a very smart move.
With advances in today's technology, who knows what the next "small pox" attack -- such as seen in centuries past -- is going to look like in the 21st century.
Outside of a terrorist attack, the public is aware by now of all the harmful "additives" that can be found in many household products, whether for cleaning the home or just for personal hygiene. China has built itself a reputation for manufacturing products that have been later found to possess harmful materials -- such as this report by the FDA in 2007 advising people to avoid toothpaste labeled as "made in China", due to dangers related to one of the ingredients. Sure, the reports of items from China with dangerous ingredients aren't the norm (China produces many safe products), but they are in a way a possible "foreshadowing" of what could take place should truly dangerous ingredients ever make their way into mass produced products -- and be "cloaked" from early-detection by simple advances in technology. Remember what happened when American scientist beat the Nazis to the first working nuclear weapon? This new technology led to America bringing Japan to a fast surrender in World War II, after we destroyed two major cities with just two bomb drops. Who's to say that can't happen to America? If foreign scientists discover a new way to hit America, America can suffer a major loss.
Surviving Widespread Death - Minimize Contact with Others
If we were to suffer an attack -- an unexpected attack -- and mysterious deaths occur around the nation, if you need to stock up on groceries, don't head to a major supermarket. There's too many people, too many chances of coming in close contact with a carrier of a bio-chemical agent (or deadly virus). Instead, make a 30 minute drive to a distant small town, grab your food and water there, grab gas for your car, then head back to your home (unless you live in a major city, you may not want to head back). Now it's time to attempt to hunker down for the next few weeks while all hell essentially breaks loose and millions die as a result of the bio-chemical agents being unleashed.
If you know someone who lives in a distant small town make plans in advance to hunker down with them -- (I suggest the small town because of the reduced risk of exposure to other people who may be carrying an active biological agent or germ without even realizing it.)
Danger of Bio-Chemical Weapons at America's Shipping Ports
It's because of tomorrow's technology that we need to fear the world's current import / export system. Homeland Security it turns out only scans a small percentage of imports, which means a lot of things can get into America undetected. Just ask any major smuggler. Our government spends a lot of money on port security -- but not enough.
With that in mind, I'm going to suggest something that may seem like an extreme step, and it is an extreme step...
Get Rid of All Soaps, Shampoos, Lotions, Toothpaste, Deodorant, Mouthwash
Why would I tell you to get rid of all these items? Because -- in a widespread bio-chemical attack, with people mysteriously dying -- lots of people -- we need to consider the ways that a foreign government could reach us. If in theory we could be attacked through our food supply, and through items that are shipped from overseas, then this needs to be considered in the event of massive deaths from mysterious causes. Does that make sense? We'll have to ask ourselves -- what is going on? Why are people dying? As theories and suspicions make the news, I suggest people eliminate all risk of product poisoning -- by getting rid of all mass produced products from their homes. This is an extreme step to take -- but when mass casualties are taking place across the nation and the western world -- it calls for an extreme response.
Dump the mass produced brand names. Stock up in advance on locally produced brands, if that's possible. Never use items just purchased off a store shelf. Instead, buy items months before you're going to use them, and then store these items on a shelf in your home. Let a few weeks or months go by, then CYCLE these items into use. As these items are used, purchase new items and put these on the back shelf for later use.
Stop Drinking Water Out of the Faucet
What if terrorist strike America's many water reservoirs, and do so with a bio-chemical agent our water companies are unable to detect? In the event of an outbreak, go immediately to bottled water. To reduce the risk that the bottled water itself has been poisoned, perhaps at the facility or facilities where it's bottled, drink water that's been sitting in your pantry for a couple months. Drinking it right off the store shelf during a time of bio-chemical attacks is taking a risk. In the end, there's always a chance that multiple shipping and product channels have been targeted. It's been reported that at one time Osama Bin Laden had even considered the idea of poisoning America's cocaine supply... the fact is, these people want to kill us, and they have had a lot of time to think of ways they can strike.
Tips for Surviving Contamination Zone
Escape Crosswind - Let's say you are in an area that's struck by a bio-chemical attack... perhaps a small plane -- a crop-duster -- drops anthrax or some other dangerous bio-chemical weapon from the air over a city and a light breeze carries it for many miles and many people are affected. Once you know something's taking place, one way to avoid contact is to head "cross-wind" -- if the wind is coming from the north or south, you'll head east or west, whichever direction leads away from the nearest population center or downtown area of a city. Practice Good Handwashing - Should you come in contact with anyone carrying something such as a new strain of the bird-flu, wash your hands thoroughly, and often. You can wash these germs right off your hands before you've even contracted the virus. Get rid of any and all clothing you were wearing at the airport, on the bus, in a supermarket, etc, where you had contact with other people. Keep bottles of hand-sanitizer close at hand, and use frequently during the initial hours and days (even weeks) of outbreak.
Boil Your Water - Boiling is said to kill most biological agents. Of course, if this is a man-made chemical we're talking about, you may not be able to "kill it". Boiling may not work in this case.
Wear Disposable Gloves - Be sure to replace / dispose of them before any possible cross-contamination with another person or object can take place.
Wear A Surgical Mask - For the same reason that doctors and nurses wear these around sick patients. If it's a new strain of the bird-flu or other lethal virus a surgical mask (worn correctly) can help you avoid breathing contaminated air (such as in a building) or out in public around other people.
Have a Plan - Be well stocked up on emergency food and water, both at home and at work, as well as in the trunk of your car, if possible. Why risk shopping for food and water after an emergency is declared? Have survival supplies well in advance (and be sure to check dates on non-perishable food and replace foods that will soon expire).
Have Several Weeks Worth of Food and Water - If you've been told to simply have three days worth of emergency food and water for every person in your home, forget you ever heard that. Think more like several weeks' worth of food and water -- if America is struck by a truly catastrophic serious of bio-chemical attacks, you need to be thinking of the long-term.
If you are still invested in the real estate of European cities, get out! A terrorist attack with chemical weapons will happen. And it won't be just one. Chemical weapons are just so easy to produce.
It is the secret dream of every Swedish or German woman to marry a black men, or at least have sex with a black man. Every smart young African man should migrate to Europe. Free money, nice house, good sex!
Describing himself as a ‘pick-up artist’, Roosh, real name Daryush Valizadeh, shot to infamy earlier this year when he was forced to cancel events in the UK.
The guy has some pretty horrendous views about women, so you won’t be surprised to hear that he’s a fan of Donald Trump.
The future president’s campaign was, of course, marred by scandal when an old tape emerged of him claiming he could ‘grab women by the pussy’.
While millions of people were disgusted, Roosh was delighted because, as he wrote in a blog, ‘if the president can say it then you can say it’.
‘When you talk like Trump, the first thought your listener will have is, ‘he sounds like the president of the United States’.’
‘I’m in a state of exuberance that we now have a president who rates women on a 1-10 scale in the same way that we do and evaluates women by their appearance and feminine attitude.’
‘Simply look at his wife and the beautiful women he has surrounded himself with to remind yourself of what men everywhere prefer, and not the ‘beauty at every size’ sewage that has been pushed down our throats by gender studies professors and corporations trying to market their product to feminist fatsoes.’
‘The president of the United States does not see the value in fat women who don’t take care of themselves, and neither should you.’
‘His presence automatically legitimises masculine behaviours that were previously labelled sexist and misogynist.’
Botox weakens muscles. They can't contract. Therefore, when Botox in small amounts is injected into the corpora cavernosa of the penis, there is vasodilation for the vital organ. The result is better, fuller, and longer lasting erections.
Fabiano Antoniani expressed frustration with his homeland shortly before triggering the lethal substance
A paralysed DJ ended his own life with the press of a button in Switzerland after a fruitless campaign for euthanasia in his native Italy.
Fabiano Antoniani died at a euthanasia facility in Forch after reportedly triggering the lethal substance.
The 40-year-old had campaigned for a change in the assisted suicide law in his homeland, but Italy's parliament had shelved the debate 11 times.
Former MEP and activist Marco Cappato, who travelled with Mr Antoniani to Switzerland, could face criminal charges after helping escort the musician to the facility.
Police have questioned him over the death, he said on Twitter.
Mr Antoniani was left blind and tetraplegic by car crash in 2014. The DJ dropped his phone while driving and smashed into the car in front of him as he tried to pick it up.
Also known as quadriplegia, Tetraplegia is paralysis caused by illness or injury that results in the partial or total loss of use of all four limbs and torso.
He appealed to Italy President Sergio Mattarella for the right to die, and shortly before his death, criticised the country for failing to pass laws allowing him to do so.
“Finally I am in Switzerland and, unfortunately, I got here on my own and not with the help of my country,” he said, in a message posted on social media shortly before his death.
“Fabo died at 11.40am. He decided to pass away, respecting the rules of a country which is not his own,” Mr Cappato wrote on Twitter, shortly after he died.
Roberto Saviano, an Italian journalist, who was a friend of DJ Fabo, also wrote: “We distinctly heard you ask for a dignified death. There is no possible justification for the silence that you’ve achieved in response.
“There is no possible justification for the lack of empathy, of attention, and humanity, from the European Parliament, and from the country, which by fate, you were born in.”
Euthanasia is illegal in Italy, a traditionally Catholic country, but the law upholds a patient’s right to refuse care.
A bill to clarify assisted suicide law has been postponed in Italy three times, but according to La Stampa, will be debated by the Chamber of Deputies this week.
Hundreds have travelled to Zurich to end their lives since the Dignitas organisation was set up in 1998.
The number of assisted suicides in Switzerland, according to statistics from Dignitas and Exit, stood at 416 in 2011 but 1,004 in 2015.
In the UK, a woman suffering from Crohn's disease last month said she will pay £10,000 to end her life in Switzerland because of social care cuts
Women, especially when they get older, shit and stink, and when they shit anyway, and they enslave men, and are ugly, and they fuck around when they have the opportunity. No such problems with sex dolls, and they don't shit. Let's invest in a future without women.
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