Wednesday, December 29, 2010

Funny Wedding Card Messages It

There are days ...

There are days when you can not stop the little brain to work again on the same subject, the days when you'd need to talk constantly about the same thing, dissecting every detail, every single cut possible hidden corner, every perspective, even if nothing changes, so, just to let off steam ...
There are days when you take the fear and disappointment to the throat, forming a node which is struggling to melt, the days when put on big sunglasses among people or hang your head playing hide and seek with her hair to camouflage THAT 'hint of tears erupted suddenly without you I wanted to, no one has said anything special, just for a breath on her face ...
There are days when you pretend to be happy, relieved, happy and recite a part because everyone is already solved and they can not know everything that was and that meant ...
There are days in which to continue to sleep all day and all night again and again the next day and so on ...
There are days when you do not want to see people who just agree with you and having to explain, speak, say, correct, or simply to talk bullshit as if nothing had happened in front of a pizza or a sandwich .. .
There are days when Serb resentment for those who are happy to see you so when your path is shattered and dreams fly elsewhere ...
There are days when you would like for someone to hug you and try to understand that you do not want to stop thinking or reacting o buttarti a capofitto in altro o fare tutte le cose sensate che si dovrebbero fare, ma avresti solo bisogno, nella più perfetta delle incoerenze, di piangere, piangere fino a sfinirti e a non aver più lacrime per poi non piangere più...
Ci sono giorni in cui semplicemente sei stanca di tutto e vorresti solo ritrovare la persona entusiasta e fiduciosa che eri, in cui hai nostalgia delle nottate sveglia a inventare soluzioni...
Ci sono giorni in cui maledici di essere qualcuno che non ha saputo smettere di credere in ciò che faceva nonostante le badilate in testa e in cui vorresti che il menefreghismo cosmico ti rivestisse e ti ammantasse come una coltre calda...
There are days when you want it even had started, where you would like Essert not trusted those who pursued only their own interest and where you want that pride did not exist ...
And then there are days like this, you realize the treasure you have at your side and when you try to be careful not to spoil everything for the idiot of the moment and it will pass next urtandoti too strong and making you waver ...
Then wrap you in a plaid blue sky, you get comfortable, open a book and travel in another story ready to unleash a truly peaceful smile on his return.


Wednesday, December 22, 2010

Jet Li's Unleashed Streamimg

You change! Incanto

My freedom is my strength. And for me, being free means not being subjected to what I do not consider ethical and proper. Do not be an accomplice or as a source of mistakes applied to others upon request, or be blackmailed by this and become a bargaining chip for negotiations becere.
I pay my fair? That's fine. In bed with my conscience at night I'll go.
If so I need to step back I'm ready.
Sometimes it means taking a step back, in fact, make ten back and recover peace and health.
Today I made a choice (not bowing to a request from my new business but more than that does not believe that I have to respect the character for me as a Nazi), which changes significantly the last ten years of work and turns five of the last job, returning, at least apparently, back. No more free weekend and no more independent organization of working time. It 's true, it remains my responsibility to organize the work of others and the shifts in the spot, but shifts in organization and will return to join in a reality far different from what was little in the last five years.
E surely this will change the management of my private.
Maybe that's what scares me most.
strike a balance, to recreate undermine not know if it will be easy and I'll need all the support and confidence that I'll find.
Besides fighting with windmills, breaking with anguish, twisting the stomach for tension, manage anxiety attacks I was taking away health.
I expect a new adventure, not entirely unknown but certainly difficult, at least in terms of human and personal.
It seems to me that life is made of many rounds where at times it goes back off sometimes and sometimes we meet again already seen.
If nothing in life is a chance and everything needed to grow and give us a turn to what is wrong, perhaps even now be read in this key.
I try to leave the sad thoughts and longings and to look into the future.
In this socio-economic situation I can not possibly be said to be unlucky and I still have in hand the tools to try to improve many situations.
It changes and moves on.
My new top is right: no one who loves people mobbed to get respect and I'm proud.



Friday, December 17, 2010

Optimist Sailboat Kit

crystal

Today, when leaving work, I found myself wrapped in a dance of enchantment: a flood of large flakes of snow that enveloped me completely.
I felt free, light, dare I say almost happy.
E 'was great!
In these days a bit 'dark gray and full of thoughts all of this wonderful white made me smile and I was thrilled as it happens very rarely.
I could not resist, once home, the temptation to retrieve my camera.
Although not tropical I took her to enjoy the view: wrapped in a bag proof of luck, we venture into the glare of light and peace.
A balm for the soul today. The snow has silenced my thoughts.



Monday, December 13, 2010

Best Free Driver's License Templates

Mary Bishop, a scientist in "wizard" for saying no to embryonic stem


martedì 7 dicembre 2010

E’ uno dei pochi scienziati che il mondo ci invidia. E ha fatto in fretta, per essersi laureato in biologia iscrivendosi a un corso universitario serale, mentre di giorno lavorava al mercato per tirar su qualche lira. Da lì al Canada, Calgary University,  dove per caso, si fa per dire, scopre la possibilità di isolare cellule cerebrali umane, e comincia a studiare tutte le prospettive  che si aprono alla medicina. La cura che viene da dentro, come spiega il titolo di un suo libro. Vescovi parla alle Accademie USA come ai ragazzi dell’Università di Milano Bicocca, con la stessa scioltezza, sincerità. Controcorrente. Da quando ha preso dichiaratamente posizioni pro life l’intellighenzia nostrana lo ascolta con sufficienza, lo guarda con sospetto, soprattutto gli lesina passerelle e riconoscimenti. In Italia si passa rapidamente dallo status di genio a quello di fanatico, da libero pensatore a oscurantista servo del Vaticano.
Vescovi dirige l’Istituto Casa Sollievo della Sofferenza di San Giovanni Rotondo e la Biobanca delle staminali cerebrali di Terni. Sono cellule di grado clinico, ci dice, certificate GMP secondo i parametri più selettivi al mondo, che una volta prodotte possono essere trapiantate nei pazienti, e in linea di principio sono applicabili a qualunque malattia nervosa. “Abbiamo chiesto all’ISS il permesso di sperimentare sui pazienti di Sla, per poi allargare ad altre sperimentazioni. Se abbiamo i soldi…”. Al Congresso mondiale di Neuroscienze di san Diego, il 16 novembre, ne è stata data notizia. “Qualche giorno dopo  sul  Sole 24 Ore  è uscito un articolo che ci definiva una sorta di stregoni, che trattano gli uomini come cavie…Ci hanno chiesto i dati. Hanno fatto due interrogazioni parlamentari. I dati, sotto responsabilità penale, vengono presentati all’ISS che ce li ha chiesti, com’è ovvio!”.

Continua su  il sussidiario


Sunday, December 12, 2010

Mario Salieri Streaming

Venice is always Venice! Clouds


romantic trip to Yesterday Venice.
I brought my new camera and I started with the intent to do, as well as many beautiful photos, shopping unbridled comfort to a cooling down period blackest pitch.
But fate comes out against me: my own finger killer has taken many beautiful shots literally burning up the colors!
Result: crap to throw away!
As for shopping ... well, apart from having sacked the Lush buy anything of note ...
I think I have a good reason to replicate the sortie in the lagoon ...
After Venice is always Venice.

Thursday, December 9, 2010

Meralgia Paresthetica

Legend Legend black or pink?


Among N. Eymerich, Inquisitor's Manual, a. D. 1376


by Rino Cammilleri

The "black legend" on the Inquisition has long been destroyed by professional historians, with a reduction of such proportions as to cause concern to one of the leading specialists Italian, Adriano Prosperi (in fact by far the most cited in the following pages), the transition to a legend rose. " The fear is that we end up not emphasize enough that the intolerance of ecclesiastical court which sought to unify all the ideas in a single movement, the sua. Prosperi: “La scoperta che i giudici di quel tribunale agivano sforzandosi in buona fede di fare correttamente il loro lavoro e che spesso riuscivano ad arginare ondate di sospetti e d’intolleranza, che la loro procedura era rigorosa, che non desideravano far soffrire gli imputati, non significa sostituire alla “1eyenda nigra” una “leyenda rosada”" (Inquisizione: verso una nuova immagine?, in “Critica storica” n. 25, [19881). Già. Ma il lettore comune quanto sa di tale “scoperta”?
Comunque, qui si ricade nel solito problema del “revisionismo” storico, termine d’origine marxista che postula una verità ` ufficiale” da salvaguardare to avoid the risk that someone could, by dint "revision", be nostalgic influence. But we are convinced that today, as today (but tomorrow and tomorrow) only a visionary could think of the restoration of a Ancien Régime where the Inquisition held the count of those who confess and receive communion . Therefore, we prefer to be supremely democratic temptation to let everyone know, even the average reader, what academic historians are well aware for some time. Because the reader (the only owner and employer of those like us, the only, therefore, of the opinion that we care) of a thorny issue as the Inquisition should continue to have only the picture provided by the novels "Gothic" as The Pit and the Pendulum or The Name of the Rose? It has yet to perpetuate the unpleasant distinction between high culture for the elites and "low" for the common people? Catholics in our country are many, and are certainly interested in the truth about a "skeleton in the closet of their history, even if some prelate or intellectual property rights may be annoyed by the reopening of old wounds.
However, the free market has a way - in this case wonderful: one is master or not to buy this book without Inquisition the processes for doing so.
The material on the Inquisition is now truly immense, and it is why the following pages will be mentioned only the most representative works in our opinion, reluctantly dismissing - ponderous but important things such as the five volumes of the History of the Inquisition in Italy by Romano Canosa and authors favoring anything but soft against the Inquisition. The decision to propose and comment on Directorium Eymerich of sixteenth-century version of the sentence was suggested by the remarkable revival of the medieval inquisitor suffers today, it is transformed into the star of science fiction novels by an author of Urania, Valerio Evangelisti. In this way there was the possibility of offering a kind of "summa" on the subject using a character that young people know, a manual by medieval inquisitors with an update of two centuries later, a brief overview of what the modern historiography has established . Who wants to get a feel "faster" than it really was the Inquisition, did not have to do is read this book.

* * * However, you just tell the reader, our lord and master, who would be making a big mistake if you read the words of Eymerich and Peña with glasses of the late twentieth century. For two reasons. The first is that the "tolerance", which today means thinking in "weak" and politically correct, five hundred years ago (time of Peña) and - even more so - seven hundred years ago (time of Eymerich) was instead taken in its literal sense of "tolerance." Enlightenment on "religious tolerance" meant indifference to any creed, religious or not, arguing that, if religion leads to wars and massacres, it is best relegated to the private sector. Unfortunately, the Jacobins did not find other means we insist on this idea with their wars and massacres, which brings us back to the starting point. Or rather, off the road because of a history book is a book of history you read it and then, if you will, expresses an opinion, that opinion is more polished if you had the chance to hear all the bells.

* * * Another error to avoid, read this in the Inquisitor's Manual , you think that the directives of the compilers of such texts would follow readily applied. The inquisitors consult this manual for the procedure. The daily practice of those who were still of the priests - and never ceased to be the fact that you are wearing a heavy and often dangerous - can generally be summarized in the formula "lightning from the pulpit and mercy in the confessional." Indeed, because his contemporaries could not bear the clericalis mollities and between control and being obeyed, in those days, there was running, Eymerich for him and who were seen forced to make matters worse, hoping that by the increase in verbal threats grew out of at least one ' acceptable success rate.
"demonized by the Protestant controversy, attacked vigorously by the Illuminati to defuse the link with the" secular arm ", the Inquisition and then drew the romantic fantasies." So Prosperi ( Introduction, p. XVII) in a volume that the reader will find mentioned in galore: courts of conscience. Inquisitors, confessors, missionaries, Einaudi, 1996. Centuries later there are those who publish books which shows another aspect of Nero; nothing wrong therefore to say that the interrogators were in fact the last hope of the offender, who is wanted as a subversive by the "secular arm" , that the civil power. If he repented and showed a desire to return to the Church, she protected him and saved his neck. Otherwise, rejected the last chance of salvation, it was forced to "abandon the secular arm", that is a fate that the offender had voluntarily and persistently pursued.
*
This point, of paramount importance, it should be noted se si vuol comprendere il linguaggio crudo ed esplicito di Eymerich (e di Peña; del quale tuttavia, per non pesare troppo sui lettori, abbiamo preferito riportare solo i passi essenziali). Certo, oggi siamo abituati a ben altra prudenza da parte degli ecclesiastici.
Ma al tempo di Eymerich non c’era timore di venire equivocati. Anzi, una certa apparente spietatezza era quasi d’obbligo per non confermare A potere civile (e lo stesso popolo) nel sospetto che la Chiesa fosse di suo troppo indulgente con colpevoli del delitto più alto: lesa maestà, il crimine peggiore nel mondo antico, la cui pena fin dai tempi di Diocleziano era il rogo. La Chiesa aveva dovuto lottare a lungo e duramente per sottrarre l’eresia alla giurisdizione marital status: if he had shown too keen to save the heretics, that court (always periclitante) would have been subtracted el'eretico had no mercy. Were in fact the divergent interests of the two "arms": the spiritual, tend to fall into the fold of Peter the heretic, the secular, to eliminate any threat of subversion.
*
phantasmagoria Another entry for all in our imagination is that he sees on the heretics of innocent martyrs of free thought. " "Now, as long as the literature on the Inquisition was mostly Protestant origin (...) it has been quietly demonizing that institution (an instrument of the Antichrist, it was said) and enhance the victims as martyrs of the truth. A concept schematic and superficial "( The Inquisition: towards a new image? , cit., Pp. 141-142). From the pages that follow you will see that the heresy was the subject of the Inquisition cares only minimally and at times limited. Most of the time devoted to the inquisitors the fraudsters posing as priests, bigamy or trigami, witches denounced by disappointed customers. Not only that the heretics themselves, especially during the fight against Protestantism, were almost all monks and priests. In addition, properly so-called heretics were a thousand miles away from the claim "tolerance" or equivalence of faiths. Able, they would behave (and where were the majority behaved) as the inquisitors, and even worse.
course, for contemporary sensibilities freedom is worth much more than the truth. Indeed, it is the only value, where the notion of "truth" we came up with the suspicious attitude of Pilate ("Quid est veritas?") Or, worse, with the condemnatory of Umberto Eco's The Name of the Rose, the whose main character declares in no uncertain terms that the only insane passion which is necessary to rid the truth is precisely that. Those who believe that truth exists is a sognatore (secondo Pilato) o un pericoloso fanatico (secondo Eco).
Beh, la Chiesa crede alla verità, e anche l’Inquisizione ci credeva. Girando il problema all’ultimo grande inquisitore vivente, il cardinale Joseph Ratzinger (che è prefetto della Congregazione per la dottrina della fede, ex Sant’Uffizio) centra il tema in un suo libro:  La via della fede. Le ragioni dell’etica nell’epoca presente  (Ares, 1996). E ribatte: già, ma che cos’è la libertà? La definizione di libertà non deve essere completata mediante il legame con la ragione, pena la caduta nella tirannia dell’irrazionalità? Per esempio, il marxismo presented himself as a liberator but was resolved in the largest system of slavery in history. The French Revolution began as a constitutional democratic idea, in fact made her the idea of \u200b\u200bRousseau's individualistic anarchy, and became a bloody dictatorship and centralized. The Protestant Reformation "liberated" the individual from the church hierarchy and dogma, created the national churches and ended up strengthening the power of the state. Reading Sartre
we realize that the radical freedom, total, the individual does not lead nowhere, a failure is distressing and senseless. The old temptation ("... you like ...") is repeated the desire for independence from everything and everyone by law, by, from reality itself, as havens drogastici promise. In short, the problem is still and always theological, because only God can enjoy absolute freedom, whereas the man is all the more free the more freely accept the truth, the force of gravity up. Only by accepting the laws of physics, in fact, you can fly, if he refuses, one smashes.
Without adherence to the truth, says St. Augustine, there is no structural difference between a state and a well-organized band of robbers. And there can be no freedom without responsibility. But in what sense the responsibility today is determined by consensus. Only that the consent is manipulated, and myths are more attractive than the truth.
Ratzinger says: "The pathology of religion is the most dangerous disease of the human spirit. It is given in religion, but there is proper even where religion is dismissed as such and shall be given a role in overall assets relating to: the atheistic systems of the modern age are the most frightening examples of a religious passion alienated from his essence. " Moral: if the truth does not exist, there is not freedom. As the Gospel says, only the truth sets us free. This concept was very clear and peaceful for everyone at the time of the Inquisition.
* * *

And let us further consideration. The recent sectarian follies of fanatics (The mass suicide in Guyana, the Swiss-Canadian Solar Temple, and U.S. Internet, and then "Satan" Manson, Waco or the nerve gas in the Tokyo subway) cause to suspect that perhaps the 'inquisitorial attention has really, in centuries past, saved the brains of European and postponed the possible disasters operated by utopias, ideologies and cults inhuman. Maybe. And, of course, history is not made with the "if." But, thank God, not even with moralism.
In any case, the player who dispute the legends of black or pink no matter nothing can enjoy reading this Manual, a cross-section of medieval life (and Renaissance) which is not always given to see directly the sources.

* * * One last thing. The Vatican has recently opened archives to scholars of the Inquisition. They ran on this strange urban legends archive, which "closure" was attributed to some secret to hide. Things, as usual, were easier. Almost five hundred years of documents represent a huge amount, a frightening jumble of cards that requires rating by experts. Finally, this work has been completed and a scholar interested can usefully ask that the document, knowing that the store is now able to find them in reasonable time the volume that contains it. Why did it take so long? Again, the answer is simple: the politics and the humanities. A pope dies, if he makes another (time passes), the archivist expert dies, there is not one that can replace it immediately, there is a war of half, and there is the pope, there is the 'archivist and there is no war, but the situation is strongly anti-clerical, better then postponed. And so on. There is another aspect to consider: the majority of scholars are curious of heresy trials, but these are only a tiny part of the archives of the Inquisition, as it is formed by the great theological controversies of the sixteenth century, the phenomena of false mysticism of the next century, the spiritual movements of the following year, the comparison with the Enlightenment in the seventeenth century with liberalism, Marxism, positivism, evolutionism in the nineteenth. He added that between 1816 and 1817 the entire stock was seized and brought to Paris by Napoleon, which caused the almost total loss of documents relating to the processes. At the Restoration, very little could be recovered (number of documents were used as a paper fire, others were found in the stalls of the fishmongers, who used them per avvolgere la merce), anche perché il governo francese non volle accollarsi le spese del trasporto a Roma. Nella vicenda rimasero coinvolti anche i documenti riguardanti i processi di Galileo e Giordano Bruno.
Le carte messe a disposizione degli studiosi arrivano fino al 1903. Qualche teologo sospeso a divinis se ne è lamentato, insinuando, anche qui, “cose da nascondere”. Ma la storia del XX secolo è nota, e l’attività inquisitoriale del Novecento al massimo riguarda Padre Pio o beghe di monaci. In quel tempo il pontefice san Pio X rimaneggiò completamente l’istituzione, preparando il terreno alla riforma di Paolo VI. Dunque, gli ultimi novant’anni sono di scarso interesse laico”.
* * *
Il famigerato  Indice dei libri proibiti ? E’ sempre stato, per ovvi motivi, a disposizione di tutti. Copie d’antiquariato possono reperirsi agevolmente sulle bancarelle dei Navigli a Milano. Tale Indice – è bene ricordarlo – serviva solo ai devoti obbedienti: a volte passavano quaranta, cinquant’anni prima che un libro venisse inserito nell’Indice. Infatti occorreva prima leggerlo, magari tradurlo, esaminarlo, sottoporlo agli esperti. Nel frattempo, quanti lo volevano leggere avevano avuto ogni agio per farlo. Non solo. Le censure dovevano essere apposte a mano, copia per copia, coprendo di inchiostro nero le righe censurate. Insomma, l’Indice aveva, di fatto, only one value, in fact, indicative for the believers.

* * * Here we are in this Manual. Eymerich's work was one of the most popular reference books, with the margin even greater than that, though celebrated, Bernardo Gui. One interrogator, because of the meticulousness with which the procedure should be applied, almost could not help it. Divided into parts, chapters and sections (even with on certain points, a digital scan-to-answer question that makes us easily imagine the inquisitor finger scroll on the rows looking for the answer that will work for her), assembled in one convenient volume a vast patchwork of the most disparate provenienti da bolle, concili, decreti, canoni. In più, metteva a disposizione per una vastissima gamma di situazioni la consumata esperienza di un inquisitore rinomato per dottrina e precisione. La sua validità sfidò i secoli, tanto che, mutati i tempi e le eresie, non si stimò necessario provvedere alla confezione di un nuovo manuale; fu sufficiente incaricare Francisco Peña di aggiornarlo qua e là nelle parti divenute obsolete. Così, un manuale concepito in tempi di catarismo poté essere tranquillamente utilizzato anche per far fronte al protestantesimo. In fondo, come ha detto qualcuno, le posizioni eretiche sono come quelle erotiche: combinazioni monotonamente diverse all’interno di una gamma tutto sommato rather narrow.
However, the discourse on the Inquisition (which is basically what we are interested) are likely to remain incomplete. The reader, in fact, he would have to have to do with a reference book designed to church seven hundred years ago, and the commentaries that made sense only in the sixteenth century. It was therefore necessary to provide a "third hand" of paint on everything, to show the reader a picture of the millennium as far as possible all-round phenomenon of the Inquisition. Where appropriate, like a modern lawyer (but this time with intent advisers), I added examples, explanations, comparisons, quotes, historical facts, hoping that the resulting mix of comments and documents delivers a general overview of what is not allowed to see the works that speak but do not speak of the Inquisition's inquisitors.

* * * And now, I apologize for too many details and brackets, pass the word to the book. But I wonder: who cares, after all, the true story of the Inquisition? Legitimate question, given that a large spread of Italian newspaper (The Unit), give notice of the opening of archives in the Inquisition, dated to 1442 the Lutheran Reformation, Pope Paul III and the Council of Trent. Which, as noted columnist Socci Il Giornale, "is set in 1848 as World War II and the atomic bomb." In short, l’Inquisizione? (Forse) molto rumore per nulla.
AVVERTENZA L’Inquisizione non fu affatto un’istituzione monolitica, ed è più corretto parlare non d’Inquisizione ma delle Inquisizioni. Sommariamente, esse furono: Inquisizione episcopale (sec. XII); Inquisizione legatizia (sec. XII-XIII); Inquisizione papale-monastica (sec. XIII-XV; Inquisizione romana (dal 1542 in poi), diventata nel 1588 Congregazione del Sant’Uffizio. Abbiamo poi quella dogale veneziana (1249-1289), quella règia francese (1251-1314) e quella règia spagnola (1478-1834). In più, quelle laiche e governative dei vari principati, repubbliche, signorie, ducati, eccetera, and those in the Protestant countries (Netherlands, England, Scotland, the English colonies of America, etc.)..
Here we are concerned about the Catholic Church.
It is also worth stating that the use of the term "Inquisition" is correct, in substance, by the Protestant regions, but not in form. In fact, the repression of heresy, there was entrusted to the clergy (a concept very vague and rough in the composite galaxy Protestant), but to the regular courts. It was a result of the merger of church and state, generated by the rise of "national churches". As in England, was the de facto head of state summit of the religious community.


Saturday, December 4, 2010

Small Estate Affidavit Florida

Those "stories" constructed table


of Assuntina Morresi

For a proper public debate must call things by their name. The controversy surrounding the episode of "Come away with me" when they spoke of Welby and Eluana have arisen because these stories are two steps to introduce euthanasia in Italy. Welby wrote in the letter to the President of the Republic: "My dream is now in my mind more clear and precise than ever: being able to obtain euthanasia." An impossible request, which is prohibited by law. But the question directly identified from the outset the goal. His battle has continued with a request legally legitimate: the renunciation of care. In Italy a person aware - as was Welby - may refuse treatment, even life-saving: Luca Coscioni, for example, died because he refused a tracheotomy, without any controversy posthumously. The "case" arises because Piergiorgio Welby would not only suspend the treatment, but do so in a well-defined: making it clear that a doctor had performed step by step in his will.

has mapped out a path to the limits of the law, the purpose of which euthanasia was clearly evident when he consulted Dr. House, the association Antea per le cure palliative: Casale accettò di sospendergli la ventilazione, con una modalità precisa. Welby sarebbe stato sedato solo per lenire la sofferenza e non per accelerare la morte: dopo la sedazione non si sarebbe neppure più nutrito, e in breve sarebbe arrivato in prossimità della morte.

A quel punto Casale gli avrebbe tolto la ventilazione artificiale, e Welby sarebbe morto, senza mai provare dolore. Ma Welby rifiutò e fece addirittura ricorso contro Casale e l’associazione Antea: voleva essere sedato e subito staccato dal ventilatore. Casale spiegò che si era opposto perchè «qualora avessi agito in tal senso, comunque contro la mia volontà e la mia etica di medico e di uomo, il mio nome, quello di Antea, e quello di tutte le cure palliative sarebbe stato strumentalizzato nella battaglia mediatica e politica condotta in nome dell’eutanasia».

Welby, insomma, voleva un’interruzione di cure che somigliasse il più possibile a un atto eutanasico. Voleva dimostrare che i medici devono eseguire le volontà dei malati, come fossero impiegati o dipendenti qualsiasi, senza mettere in gioco scienza e coscienza. Per questo, anche se la sua richiesta era legalmente legittima (il dottor Riccio che l’ha messa in atto non è stato condannato dalla magistratura), il senso della sua battaglia era tutto eutanasico.

la stessa Mina Welby, leggendo il suo «elenco» nella trasmissione di Fazio, said her husband wanted to "fight for euthanasia with the radicals, which should also participate in other 'must go on after his death Eluana's story was different, because its vegetative state would not allow to give any consent care. The judges at the request of his father, had established that his will had to be rebuilt

And in retrospect, based on evidence or even "lifestyle." Eluana But it was not to terminate medical treatment, but food and artificial hydration, does not "cure" vegetative state, more than they do personal hygiene and mobilization to prevent sores. For

clarify: a person in a vegetative state in which you suspend artificial nutrition and hydration does not die in a vegetative state, but hunger and thirst. Likewise, a person in a vegetative state that is not washed or mobilized, died of infections, due to carelessness, not vegetative state. In short, the food and water, however, administered not cure any disease, but life support, that is keeping people alive, and anyone who is healthy or sick, stop eating or drinking, dies. Ask to withdrawing nutrition means then ask to lead to death. Beyond the differences in the tragic events of Welby and Eluana at stake was the "right to die ', a' death Medically assisted. " Two steps towards euthanasia, done in the name of the most legitimate freedom of treatment and informed consent.

SAFE


Friday, December 3, 2010

Cervical Position Period

Welby and the specialist palliative care



Having recently returned to the fore the "Welby case, it seems useful to publish this wonderful open letter to Dr. Giuseppe Casale . The doctor of the late Welby shows how he has been - at the same time - the victim and architect of a battle instrumental in all complain but really trying at all costs.

Mi sono trovato di fronte un uomo malato che vive in un appartamento di una periferia romana, al quarto piano con un ascensore stretto. E' in una piccola stanza, di fronte a lui solo un televisore. L'unica finestra è lontana dal letto, per cui non riesce a guardare fuori. L'unica persona ad assisterlo giorno e notte è la moglie, supportata da un'assistenza sociale attivata dal Comune per poche ore a settimana.
Ho visto il Sig. Welby solo due volte. Lui è attaccato dal 1997 al respiratore e dal 2002 ne è completamente dipendente. Non ha una nutrizione artificiale e nemmeno un sondino nasogastrico, come erroneamente è stato riportato da un esponente del partito radical in the TV show "Focus." It feeds a few months with only semi-liquid diet.
In the second and last visit I made on 25 November, whereas the underlying disease (muscular dystrophy), I found that his physical condition would not be of such gravity as to suppose that he was dying. Mr. Welby urinated course. Evacuate only by emptying every two or three days, aided by his wife. The assessment of physical pain that he reported was very mild, not taking medication for this symptom.
I certainly detected a lot of psychological pain and anger and even more profound spiritual pain. When I speak of the pain I do not mean a spiritual pain that concerns their faith, but a pain in intimate, deep and existential gripped can any of us, believer and atheist. 'S when you can not give more meaning to life as such.
The Mr. Welby was addressed by the Luca Coscioni all'Antea. I've seen as I mentioned only twice.
Given the situation I proposed the clinical and social care at our medical facility Hospice Antea, but it is refused. So I suggested to assist in the home, as we usually do with our Palliative Care Unit of home, assuring a strong presence of our operators, which also includes psychological and spiritual leaders. Mr. Welby could not grant this motion.
So I proposed an anxiolytic and antidepressant therapy, inasmuch as only a mild tranquilizer in the evening, but he refused.
At this point the only solution was to offer sedation, also because this was his request, but mainly because it was l'unico strumento in mio possesso per curare la sua sofferenza.
Lui aveva molta difficoltà a deglutire e le vene superficiali erano difficilmente reperibili e sclerotizzate, per cui ho proposto una sedazione per via sottocutanea, ma la richiesta del Signor Welby diventò molto specifica : "Voglio essere sedato e contemporaneamente staccato dal respiratore".
Ho risposto che non potevo in quanto la sua era una vera e propria richiesta di eutanasia, e che comunque le modalità che gli avevo offerto erano una valida alternativa alla sofferenza. Gli ho assicurato che gli sarei stato vicino quando la morte lo avrebbe raggiunto naturalmente and I accompanied him until the last minute, and that he would die peacefully.
addition, the medical point of view, I believed that during the sedation would be the death which occurred in a few days, for the normal development of the disease, and also because He rejected any form of aggressive treatment, including the use of needles for intravenous nutrition and nasogastric tube for enteral feeding, .
sedation carried out by me, I repeat, would be administered not only to make him suffer and not to accelerate or even cause death.
In this way the artificial respirator would have had if not a small part of the irreversible process that would face. This would have been made respecting the right to self-determination and at the same time would be prevented by any form of therapeutic obstinacy on his person, as well, his refusal to accept any means of artificially prolonging his life. I remember however that the sedation is not a definitive measure, but is reversible since the patient can be awakened if and when the need arises, although in this case would have been enough unlikely that this could happen.
I am convinced that if Mr. Welby had approached us before accepting palliative care, we would have had the opportunity to ensure better quality of life, helping him to reconsider life more worth living, even as a patient.
After my proposal Mr. Welby reiterated what was already said: "I want to be sedated and immediately be disconnected from the respirator."
I should point out that if I had done so, though against my will and my medical and ethical man, my name, doors, and that of all palliative care would have been exploited in the media and political battle waged in the name of euthanasia. Battle of why I consider that Mr Welby is now the creator and the victim at the same time.
And this can not and do not want to happen ever. I am opposed to euthanasia, as well as for ethical reasons, no man can and must take the life of another man, also because there are means to help people not feel alone, abandoned, not to suffer. Means likely to help avoid any suffering to enhance every moment of life: palliative care, palliative care physician and that I, I proposed that are considered most appropriate. If implemented in their deeper meaning and trained personnel, will cancel the request for euthanasia. And do not say this as an axiom, but based on experience gained through the assistance provided to the ante more than 10,000 terminally ill patients not only with cancer.
remember that the World Health Organization Palliative Care considers the most appropriate way to care for patients undergoing terminale.per accompany those who are suffering with dignity alla morte. Le Cure Palliative, mi piace sottolineare, sono contro qualsiasi forma di accanimento terapeutico e contro l'eutanasia.
Purtroppo bisogna rilevare che nella società attuale si fa evidentemente prima a parlare di eutanasia,  che  prendersi cura  degli oltre 140.000 malati terminali stimati in Italia ogni anno, quindi  investire sulla formazione del personale e sulla realizzazione di centri  e reti socio-sanitarie per le Cure Palliative.
Mi dispiace, come medico e uomo, che mentre scrivo il Sig. Piergiorgio Welby stia soffrendo, e insieme a lui la wife Mina. I just feel sorry that he could not help, as I do every day, for many people, from children to the nineties, under similar conditions and sometimes more severe than his, with the team through dell'Antea and Palliative Care.

Giuseppe Casale
Coordinator Palliative Care Unit ANTEA