Personal Net Form 2016-2026

Medical education is like drinking water from a fire hydrant.  As a student of medicine, the curriculum is demanding: Not only are you expected to know the minutia of our anatomical maps, but we are required to understand how to navigate each each cell, vessel, bone or tissue from birth to death, from healthy to diseased, from instrumentation to transplantation, from history to innovation.  I am now nearly 15 years remote from my medical school.  While still very much a student, my perspective on medical education has changed throughout the years.  Medical education starts with how much we know.   As students, we do not re-invent discovery, but rather start by standing on the shoulders of scientists from centuries past.  The intake is voluminous and we spend the first several years filling our minds with how far medicine has traveled.  It’s very common that early physicians coming out of medical school, armed with new knowledge and skills, are confident in their abilities to treat, cut and cure.   Practicing medicine is a different type of education and for many physicians it is a progressive path of disillusionment.  We travel from one institution to another and find one professor’s dogma is another professor’s sin.   We meet patients with familiar medical conditions for which familiar medications fail to treat.  We frequently read about well-founded therapies that are debunked by new scientific research.  We slowly learn that that often the hardest part of illness is not surviving your disease, but surviving the hazards of the hospitalization.   Inauspiciously, we open ourselves to realize how much we don’t know. My delivery of medical care is importantly shifted by this reality.  For me, having this perspective helps me to communicate more honestly with my patients and their families.  Confidence is replaced with cautious optimism or honest doubt.  I am no longer afraid of saying “I don’t know” and recognize how paradoxically powerful those words can be to instill trust into my patients and peers. Failures are no longer personal – but rather provocations to investigate the capacious gaps in medical knowledge - and begin to fill it.   If there was one thing I could add to the medical school curriculum, it would be to integrate into the cascade of information exactly where the limits of knowledge ends and how to communicate and behave when we signNow it with our patients.

As a foreigner living in Germany since 2001, I can tell you:Just Follow Hans-Christian’s recommendation: German language, first! As much as possible.Understand that nothing is like it used to be at home. Don’t suffer because things are different. You looked for that when moving to Germany.Understand that nothing is like it used to be at home (II). Learn to enjoy the good part of differences.When I go back home on vacations, I always get these questions: “What are Germans like? How do they behave?” My standard answer is: “They are human beings like you and me. Grown up in a different context, with different uses and different possibilities. With feelings and hopes.”Everything has a rule. And there’s a rule (or more) for each thing. Learn those rules. Asking about them is the best way. Following them makes your life incredibly easier. And better connected with people around you.You will not make German friends immediately. Friendship for Germans is a very special category, slightly different than in other cultures. A friendship is a great honor for Germans. To include someone and to be included. It lasts for your whole life. When you signNow the status, you’ll see there’s just a handful of persons your friend name “friends”.This doesn’t mean the rest of humanity are enemies or whatever. But the rest is not included in this strong binding.Good luck![Edit 29.03.2017]: This signNowed thousands of views and more than thousand votes. Thank you for that!I have the feeling my answer misrepresent my feelings about living in Germany, given some comments I got. I don’t complain at all. As I mention in the second topic, things are different that they were at home. This was no surprise. On the contrary, the big and best surprise was finding out how helpful people was with us all the time. In many different situations, involvement and intensities. We always had someone offering some help. (An advantage of living in a small town instead of a big city, may be.)

Oh boy. This takes some planning. So first off, I would have to budget myself. I don’t want to think of it as a lump sump. I would essentially give myself a salary of $350k after taxes for 30 years to live a very nice life, even if I eventually start a family. (That would be like earning $583k/yr before taxes for 30 years) I wouldn’t act as though I had an endless supply because then I would blow money that I wouldn’t need to. So by giving myself that nice upper class salary, I would take $10.5 million. So now let’s do the math and see how much that would set me back.WOW! I have only shortened my life span by 121 days. Honestly, that’s nothing! If all I had to do was give up not even half a year of my life to have that kind of money and never have to work a day in my life, I would gladly do it! I mean, think of how much time you’d spend at a job. That’s just time you have to do whatever you want now.Now if I don’t want to get bored, obviously I’ll pick up some hobbies. Since I’m essentially a retired and decently affluent man, I’d probably get into sailing. I have the rest of my life ahead of me with nothing to do, so lemme pick up a hobby that allows me to see the world! It would be great to learn to sail and travel the world. So the 2019 Beneteau Oceanis 51.1 is $625k. That would only take like a week off my lifespan so let’s dream bigger.Now I just looked this up and Isla Gallina is a 22 acre private island for sale off the coast of Panama. It costs $1.85 million. Not bad for a private island. Honestly thought they’d be way more. Then building a home and dock, etc. on my island would be another $2.5 mil let’s say.I’d likely settle somewhere in southern California so that I could easily sail to my private island in Panama. My house in Cali would run me maybe $2.5 mil to look something like this from some cursory research.So add all that up and we have a total around $18 million. And when you do the math, that only shortens my life by only 208 days! Not even a year is taken off my life with all of this!Now, I’m sure there are things I haven’t accounted for. Boat upkeep is expensive, and so will be traveling the world. That property tax would be pretty insane as well. My very nice budgeted salary should take care of some of that but just to ensure that I am comfortable, let’s round it out to $22.5 mil. All in all, I’ve shortened my life by 260 days, not even a full year, and I have a private island, a 51 foot sailboat, a nice house in SoCal, a budgeted yearly salary of close to $600k for 30 years, and a nice nest egg of close to $5 mil as well if set a cap of 260 days. Sounds pretty luxurious to me!But since I just felt terrible about myself after writing that post, I’d take another 2 and a half weeks off my life, donate that $1.5 mil to charity, and do loads of volunteer work to give my life purpose with all the free time I’d have. Anyway, that’s how much I’d be WILLING to spend. Of course the money is endless but I would cap it there and not let myself take anymore out after that point barring some unforeseen tragedy. And whatever I don’t spend would be donated as well.And NOW I think I’m done.

I had a pretty high IQ as a kid - I'd rather spend time indoors reading comics and other books than go out and and play. I dropped out after the 6th. Being surrounded by two very intelligent siblings meant I was often bootstrapped up. I remember learning by heart trigonometric identities in 3rd grade as I helped my brother in 8th grade by quizzing him for a test from the textbook.  In school I lived a sort of bored life because even my best friends were not capable of conversing on my level. I scored well in English, Math and Science and did the minimum effort for the remaining subjects. I think my IQ was about 120 to 130 for sure.When I was in 3rd grade, I was already programming BASIC and had a rudimentary understanding of C and assembler. The desire to make graphics onscreen meant I learnt some amount of basic trigonometry too. I and my brother would spend hours poring over encyclopedias and I gathered a lot of interest and information in the sciences. There were no rules in our house for accessing any book, so I waded through my Dad's old electronics textbooks as well as my Moms M.A. philosophy texts. I did not understand everything, but I did quite a lot.After I left to live in the Himalayas, there was nothing to do except read, so my education consisted of thinking and reading. Of course everything from forging steel to weaving baskets to working with wood, we figured out, since it was a practical requirement.We read about 200 issues of Popular Science and Popular Mechanics magazines from the 70s and 80s. That taught us almost every aspect of DIY and auto mechanics. There were a few books like "The design and implementation of programming languages", "The data compression book", "Encyclopedia C" and "The graphics programming black book" that I read and got a stronger grasp of programming. I had this book of IIT JEE entrance physics problems, that had no detailed explanation for how to derive the answers. It was quite entry level, but I derived a lot of the stuff on my own. I remember creating pages and pages of equations to derive the formula for a simple pendulum and getting an extra factor of sin(theta) every time. I gave up in disgust after a few iterations. Many years later someone explained that sin(theta) == theta for small theta, and I was like "LOL WAT! I wish I'd known that! I'm not an idiot after all"I would say that my Math, Physics and Computer Science knowledge currently is just around bachelors level or less, but I have a more fundamental view of things than most people who have been through a formal education system. I'm trying to fill up my gaps by doing MOOCs online, So I've done the edX courses for Electronics, Electricity and magnetism - I scored 80% or more, but I dare say I've forgotten every formula, because I hate memorizing stuff, and prefer to derive things on the fly from scratch.Now I'm doing a MOOC on Functional programming. My dream is to be able to understand masters level Math and Physics, I think I'll get there in a few years.  To come to the original question, I don't think school has much to do with developing intelligence. Intelligence develops when you are interacting with people much more smarter than you, you pick up ways of thinking and learning as well as information. The best teacher is one who explains how s/he thinks, so you can use that technique.To give an example - I've read scores of electronics textbooks that delve into unnecessary models to explain how a transistor works, which leads to poor understanding. in Malvino's book, he explains it simply as "In an NPN transistor the emitter voltage is always 0.6 to 0.7 volts below the base, and negligible current flows from base to emitter". This one simplified plain English model lets one analyze any transistor circuit much more easily than worrying about un-intuitive formulae. That's the mark of a great teacher, his knowledge is enlightening rather than a burden. In my case,  I have always been surrounded by brilliant people, whether my family or my co-workers and I never lost an opportunity to learn and imitate.I was born with a good brain and I made decent use of it

I was a newly divorced, 21-year-old, single mom and college student. I moved back home with my parents. They were indeed, the best free daycare for my baby girl while I attended college and cleaned houses in the afternoon. I still had to pay for diapers, food, fuel, medical insurance and car insurance.I was poor, desperate and wanted to get my own apartment. One day, my economics professor came up to me asked if I saw the ad in the school paper. I hadn’t, so I asked him what it was about.He stared at me intently and asked, “Have you ever thought about selling your eggs?”“Why no,” I exclaimed. “Isn’t that a sin?”Dr. Gholami, the economics professor, said that it depended on how I viewed it. He suggested that I could be helping couples with my fertile eggs who can’t have children. He told me that he and his wife had been trying to conceive a baby for years. He admitted that my Northern European features and light blue eyes were what he was looking for and that if I was interested, he would personally pay me $2500.I thought about it. I thought that I could never do that. I thought about it some more. That was a lot of money for a girl like me.So I went into the fertility clinic and filled out a questionnaire regarding my health history and basic genetic information. They drew some blood.I told the fertility clinic that my information was solely for Dr. Gholami and left my home phone number. (I couldn’t afford a cell phone back in 1995.)The next day, I casually discussed it with a male college friend who happened to be gay. He squealed and instructed, “Take no less than 10 grand for your eggs… You’re beautiful!”“Really?” I surprisingly asked.“Really!”Soon Dr. Gholami and his wife called and met me at the clinic. There was no convincing required. They happily agreed to pay me $10,000. and any expenses for my eggs. I even brought my bouncing, blue-eyed toddler with me! The Gholami’s fell in love.Strangely, I felt proud, not ashamed to give a cycle of my eggs.I felt like God had chosen me to help this couple. And they were helping me. I just thought, “What a blessing!”Receiving the money was sure an ego-boost after being repeatedly cheated on by my ex-husband the year prior.I actually didn’t use the money for bills. I went to a children’s store called Gymboree at the mall, and bought my gorgeous little girl some cute outfits. I also used the money to pay for my masters degree, as tuition and books were expensive.I soon graduated and began a fantastic career. My daughter has always been well-cared for and recently graduated from college herself.What a blessing!

“Rejected” is the wrong word to describe how Russians view homosexuality. It’s more nuanced.Russians are probably one of most individualist nations in the world. That also involves things we do between sheets. Yet, while we like to have as much independence and freedom as possible for ourselves and people we love and trust, we view with suspicion strangers who allow themselves too many liberties. Mavericks are tolerated as long as they are patently harmless, entertaining and silly. Lifestyles that are hard to figure out, or that indicate some hidden organized force behind them (“gay lobby”, “LGBT mafia”) cause consternation.Jews largely have abandoned Russia, CIA is too far away, oligarchs are untouchable, and Putin forbids us to hate our Muslims. That leaves a large hole in many people’s list of pet hates. Gays are a perfect fit to plug that hole.In the seeming absence of a unifying national ideology, Christian Orthodoxy tries to fill the void as best it can, eviscerating sin and depravity wherever it sees it. With Putin keeping the radical nationalist opposition down in the hole, many fiery conservative souls have migrated into the realm of religious fundamentalism where they attack Putinism on the moral grounds. They turn Putin’s tale of Russia’s spiritual revival against himself. Persisting “liberal tendencies” of his rule are said to have turned appallingly many Russian straight men into gays.Putinism has always relied on the good old recipe of “bread and circus”. Russian TV channels are chock-full with glitzy entertainment that all loyalism notwithstanding often displays stars with uncertain gender affinity. Putin’s own circle of close aides and advisors allegedly includes several gays. From which the public makes a conclusion: as long as gays are patriotic and never show signs of dissent, they must be good, government-endorsed gays.The turbulent history of Russia generally, and the last 100 years particularly have taught people an important wisdom: ménshe znáyesh, lúchshe spish (“the less you know, the better you sleep”). Which means, if in doubt, don’t ask, don’t tell. In private conversations, the typical comment from an average Russian about the whole issue would be, “I’m okay with gays, as long as they don’t rub their gayness in my face”.All of which President Putin, who is eternally attuned to the popular mood and never does anything that the public can hold against himself personally, is very well aware of. He takes the golden middle way. He decreed to consider “gay propaganda” punishable, but has never pressed the issue too hard. Public voices lambasting homosexuality are many and sometimes rather audible, but much care is taken not to cross the line of violence. President Putin doesn’t like people who “rock the boat”.Photo below: many in Russia insist—without any evidence, of course—that in this honorable congregation at least one person is gay. A couple years ago, someone invested in a guerrilla poster campaign disproving the claim.

…The disorder.Narcissists, narcissistic systems, narcissistic leaderships, and narcissistic thinking…..It's all related to the ego-centric way of thinking, taking advantage off, feeding off, consuming off, and prioritizing the self on the expense of other people's lives, emotions, well being, and energy.Who are they……….Behind the mask/the core.They want to Present and Preserve the self as good, being hungry to be seen as good, being loyal to be seen as good being consumed by being unique, special, awesome, and epic.On the surface/intentions.they want your Adoration, Affirmations, and Approval only from the elites who enforces and reflects the image of their false self that they want to have, the special and understood only by the special.Practically/actions.they want to tell you how superior they are, how bigger, and how better, how taller, how, how grandiose. Without even considering how their actions are affecting you by trauma, Deception, submission, jeopardizing, twisting, and lying compulsively.Believe half of what you see and nothing of what you hear(Edgar Allan Poe)….All that's written above is to hide the truth….The truth is:At the core: they are scared and traumatized, hiding behind that mask.At the surface: they are contradictory and inconsistent. Pretending one thing and doing another.Practically: they the ones who feel little, small, and weak. They leverage themselves by beating you down so you look little,And here is the dangerous part of narcissism, it's when they believe whom they pretend to be.What do narcissists want?They want to protect the little scared child behind the mask………. They want to bring him the candies that no one brought, the love that no one gave, the affection no one provided, the warmth no one accorded. They developed a false self and learned passive-aggressive techniques to get what they want, the way they want. And if they can collect stacks of people around to achieve that end, that would be amazeballs…What do narcissists want?As a traumatized child who had attachment disorder resulted in denying their need for attachment, but yet asking for approval, attention, and validation make you wonder seeing all these contradictionswhat do they want?They rejected love as adults …. This is how their neural pathways saw it, it's an associated trauma with fear and pain. Since they are not loved, they better be hated (part of their ego-centric thinking of being the center of everything).What do they want…….?????When they are caught hands on their lies, they try to lift themselves up by using you and telling how good they are to you, they talk about their old wounds and the attention they never had.What do they want?They will use, jeopardize, compromise, twist, and manipulate anything and anything to signNow their desired end, even if it's immoral and nefarious.Back to the question: What do they fucking want?…………..God knows what do they want, even narcissists themselves do not know what do they want.They want everything perfect, and when it's not perfect anymore they will fuck your life because they cannot be imperfect and it's your fault.I think they want disorder….. And since they are Gods, they wanted the world to be in their own image….. disordered.“If I am broken, everybody must broken too, at least I am not one in my brokenness”And this explains why the world is fucked up and heading to the worse..Bassel Chibani, Subscribe to my YouTube channel for more about narcissism and narcissists.

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