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It is NOT our fault

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Eleanor was twenty-four when she stopped menstruating. It happened after her first “almost” pregnancy — a stillbirth followed by fever and bleeding. The midwife said she needed a “cleansing,” done at home, roughly, using a metal instrument and hot water. It was supposed to restore balance, to “reset” her womb. Instead, the bleeding stopped completely. Months passed, and her menses did not come again. With fear, she mentioned it to her husband. He went to the bar to talk with his friends about it. Soon the rumors spread: that she had sinned. The husband, under pressure, went to the magistrate. He said his wife had changed after the birth — that her body was cold, that she had refused him. There was no trial, just a statement and a verdict. They called it infidelity . She was hanged three days later in front of the church. The official record said “moral corruption.” No one protested. Two days after the execution, a traveling physician arrived in town. He asked to examine her body. They ...

STOP

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If nature has a design flaw, it’s enthusiasm. It builds everything in excess. Each kidney holds about a million nephrons, filtering nearly 180 liters of plasma a day — far more than necessary. The lungs unfold into roughly 70 square meters of alveolar surface, enough for a small apartment, just to make sure we can survive a marathon. The liver can lose most of itself and grow back without complaint. Part of our development is learning when enough: The brain, for instance, begins life in abundance. In infancy, each neuron forms thousands of connections — some estimates say up to 15,000 synapses per cell. It’s a neural overgrowth that allows flexibility, learning, and adaptation. Then, as we mature, the brain performs an act of restraint: synaptic pruning . Unnecessary connections fade; efficiency takes shape. We become ourselves by subtraction. When this pruning process stalls or misfires, the brain remains noisy. Research into autism spectrum disorder (ASD) and ADHD increasingly points...

Little Red Riding Hood

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If you ever wanted to feel like Dr. House, this is your case. Case Number: 2026--SLE Subject: Female, 21 years old The patient was found in the house near to body of her grandmother, The red hood was teared and some breads were in the floor, the door and windows were fully closed. External examination : The body shows a distinct malar rash — symmetrical, erythematous, and sharply bordered across the cheeks and nasal bridge, sparing the nasolabial folds. Skin pallor is evident (anemia?). No external trauma identified. Musculoskeletal:  The small joints of the hands and wrists demonstrate mild swelling without deformity. On section, the synovial membranes are thickened and dull, covered by a thin fibrinous exudate. Microscopic sections reveal chronic lymphocytic infiltration and fibrinoid necrosis of synovial tissue. The cartilage remains intact, with no erosions. Hematologic:  Peripheral blood analysis reveals normocytic, normochromic anemia (yes, it was anemia), leukopenia, an...

Approach to cough

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The waiting room was full. Some patients were scrolling on their phones, others tapping on tablets, a few reading. Then, suddenly — one patient coughed. Just once. A dry cough. The silence that followed was insane. Then the discussion began. Doctor A : “That cough sounds deep. You should sit down, elevate your feet, and you will need a chest X-ray, CT scan and PET scan, immediately. I had a cough like that once — turned into a nine-month investigation. No one ever found the cause, but I still feel it sometimes. For example, right now.” Doctor B : “You need to go to the ER right now. Dry cough, possible shortness of breath — classic start of a PE, anaphylactic shock, or even cancer. I read a paper last night about a disseminated TB that started with this exact cough. Honestly, you should call your parents.” Doctor C : “Can we just relax? Maybe it’s dust, or a mild allergy, or stress. You look stressed. Are you stressed? No problem, take the day off. Wait — no, if you take the day, you’l...

The development of a King

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First stage (5 months old - Chew) : Every king has a beginning. It starts with the obsession of eating, chewing, biting. And he is very happy hearing himself while doing that. His favorite toys to bite are “Malleus” and “Incus.” And his favorite playground — the Eustachian — filled with different cells like panels of bees, where he can hide, but obviously guarded by the royal army divisions V2 and V3. The rules says that the son of the king, despite his young age, be present in the external auditorium (where the people decide about the city). This auditorium has only one entrance — no more clefts ahead. Second stage (7 years old - smile):  Then the king must learn to express himself. It’s time to train his facial expressions, giving rise to smiles, frowns, and royal tantrums. And he must smile with style — make a big, big U with his lips. Hear them stretching while doing so. It is important, because here in the palace we have rules — and some of them are very difficult to swallow a...