Sexphonia (sexophonia) – an interview –

Sexophonia

Interviewer: Hallo, everybody! Welcome to this episode of “medical views”. Today, we would like to run a conversation about “sexophonia” with the person who coined it. Mr. Physician 21, welcome to our program!

Physician 21: Thank you very much. I am so glad to be here today.

Interviewer: Before discussing your view about sexophonia, let’s start with two questions that seem relevant to this topic: who are you and what is your medical philosophy?

Physician 21: I am a physician by learning and training and interested in languages, cooking and sports. About my medical philosophy, I would say I am a rational and logical person and respect the different medical schools because, in my opinion, they complete one another.

Interviewer: Will you try to present your idea about sexophonia as for the meaning and the resonance?

Physician 21: Well. The idea is about the working and interaction of environment, people and individual (ecology, society and physiology). In my present view, the very variable crosstalk between the individual and the surroundings including people is the factor that would influence one’s health and productivity. In this process, the words sex and creativity may be greatly interchangeable as they may have common routes and paths. Accordingly, I wish that my idea is not seen as one more theory of physical sex centrality but rather a concept that intermingles physical sex and life willingness in one homogenous and consolidated continuum.

Interviewer: I may have got the concept. However, how would you defy the apparent high sexuality-orientation in your idea, for example, if you would agree that a pleasant thing could be described as sexophonic?

Physician 21: Well. Here can be a great deal of misunderstanding and confusion, because the implementation of sexual-orientation should not include undetermined or irresponsible views or talks about sexuality. The latter is being essentially private and personally defined.

Interviewer: Okay. You mean that the abstractive generalization of life willingness under sexophonia does not necessarily mean the demolition of the sensitivity and privacy of the sexuality as a scientific and ethical topic.

Physician 21: That’s it, thank you.

Interviewer: And what about the name?

Physician 21: The name includes the suffix “phonia” which means acoustic. This would be a suitable vehicle for the meaning, because the hearing may be the most important among all the human senses. For example, through the hearing we perceive the tunes and convey the feelings.

Interviewer: Tell us a few examples of the echoes of your view.

Physician 21: Well. The concept of sexophonia may be very relevant in managing diseases. This can be explained as social maneuvers, environmental modifications, learning motivation, etc. The physician should pay attention to such elements that can greatly influence the individual’s willingness to life as quite serious as to common medicines and regimens.

Interviewer: Thank you so much for this interesting information.

Physician 21: Thank you too.

The physician’s guide

the physician's guide

The physician’s guide is an indispensible tool to summarize basic medical and clinical knowledge and experiences. It should be concise, easily demonstrable, regularly updated and greatly physician-specified (self made).

Here is a personal view of such important medical tool.

The Hippocratic Oath

Section 1: normal values (pediatrics: growth milestones or curves, caloric and fluid requirements and calculations; CBC; hemoglobin electrophoresis; plasma electrophoresis; liver function; kidney function; urine; stools; semen; hormones; electrolytes; arterial boold gases; and ECG findings).

Section 2: preparation-oriented drug index (topical formulas: skin, eye, ear, and nose; tonics and food supplements; antimicrobials: antiseptic, antibiotic, antifungal, antiprotozoal, and antihelimenthics; analgesics and antipyretics; antihistaminics; corticosteroids; skeletal muscle relaxants; antispasmodics; antihypertensives and cardiac agents; hemostatics, hypoglycemics; neuropsychiatric agents (sedatives and hypnotics, anticonvulsants, brain stimulants, antidepressants, antiparkinsonians); and beauty preparations (shampoos, cosmetics, soaps, etc.).

Sections 3: natural foods and herbs – sorted alphabetically – and their uses (basilica, chamomile, garlic, green tea, onion, thyme, etc.).

Section 4: medicines’ doses and instructions tables (neonate, child, and adult).

Section 5: crude models of medical prescriptions (orthopedic, eye, ear, nasopharyngeal, dermal, gynecologic, oral, cardiac, digestive, liver, renal, respiratory, and neuropsychiatry).

Section 6: medical algorithms (pediatrics: infant of diabetic mother, muconial aspiration, low birth weight, prematurity, neonatal jaundice, respiratory distress, etc.; adults: HTN, DM, bronchial asthma, cardiac asthma, DVT, diabetic ketoacidosis, hypoglycemia, stroke, etc.).

The physician’s bag

the physician's bag

In alignment with the order needed for a well resolved physician a competent and feasible preparation of the physician’s bag should be realized. This process entails a thorough understanding and mastering of the commonest medical problems that may be a matter of urgency or emergency. Here are some of these cases arranged according to their relative frequency rather than their emergency level:

  1. Fainting or syncope: – let the person feel that he/she is attended, e.g. hold the arm and ask about how he/she is now, while feeling the radial pulse. – apply the ABC scheme (air way, breathing, and circulation). – notice the colors, odors, sweating, tremors or special positions, if any. And – take the vital data (pulse, blood pressure and temperature). Manage accordingly.
  2. Anxiety bouts (attacks): – reassure the person that he/she is attended, i.e. appropriate care can be available. – notice pulse rate, hand sweating and temperature. – try to encourage the person to talk about some topics like the type of food, sports, books he/she likes and if he/she have certain fears or current personal problems. – discuss the possibility of immediate treatment, e.g. with a beta blocker (nonselective), and outline a management plan that can multidimensional, e.g. physical, dietary and/or medical.
  3. Hammering headaches: – reassure the person that the case is not serious. – take the vital data (pulse, blood pressure and temperature). – ask the person if he/she is taking any medications or if there is (are) some chronic illness (es). – encourage the patient to drink normal water after making sure there would be no risks (e.g. the person can swallow normally, no intoxication by a corrosive substance for example, no water restriction, etc.). Manage accordingly.
  4. Fever: – reassure the person that the case is not serious. – ask about specific pain or other complaints, e.g. diarrhea or colic. – if this would seem conservative and neutral, encourage the person to drink normal water, fresh juice like lemonade and orange that have the same temperature as that of the environment. – take the vital data and notice the colors, odors, sweating, tremors or special positions, if any. Manage accordingly.
  5. Renal colic: – reassure the person. – the typical renal colic follows the course of the renal system on either right or left side, i.e. the loin region, the ureter and the urethra. – ask for a precipitating factor, e.g. drinking water problem, unbalanced food intake, exposure to cold, or stress. – take the vital data and notice the colors, odors, sweating, tremors or special positions, if any. Manage accordingly.
  6. Chemical intoxication: – reassure the person. – take the vital data and notice the colors, odors, sweating, tremors or special positions, if any. – after withdrawal or avoidance of the intoxicating agent the condition resolves gradually and steadily over time. Manage accordingly.
  7. Difficult breathing (asthma): – reassure the person. – ensure good ventilation of the room, e.g. open the windows. – notice the colors, odors, sweating, tremors or special positions, if any. – assess for ABC. – notice lower limb edema, abdominal enlargement and or tenderness, neck vein pulsations. – auscultate the chest for abnormal inspiratory or expiratory sounds. – consider possible heart and or lung diseases. Manage accordingly.
  8. Bleeding nose (epistaxis): – reassure the person. – let the person breath by his/her mouth and then compress the nasal cartilages against the nasal septum from outside. – ask the person to raise his/her head little up while still closing the nose. – after the condition has stabilized, the person is advised to avoid the precipitating factors, e.g. avoiding sun burns. – notice the colors, odors, sweating, tremors or special positions, if any. And – take the vital data (pulse, blood pressure and temperature). Manage accordingly.
  9. Cut wound: – control the bleeding site by compression with clean and sterile gauze. – special wound healing plaster and or surgical stitching may be used as required.
  10. Chest pain: – reassure the patient. – risk factors include family history of coronary heart disease, hypertension, diabetes and smoking. – under medical supervision , e.g. by an ambulance, and while explaining it as being absolutely precautionary, refer the person to the nearest hospital or an intensive care unit for best medical care.

The physician’s bag contents include:

  1. Physician’s guide.
  2. Physician’s stationary: a prescription or note-block, pen, plastic ruler (about 10 cm length).
  3. Medical disposables: 3- 5 plastic examination gloves, 2-5 sterile scalpels, 2-5 sterile plastic syringes (1, 3, and 5 ml), 1-3 i.v. canulas (small and medium), medical cotton and gauze, and 2-5 tongue depressors and sterile surgical needle.
  4. Medicines and medical stuffs: ampoules and tablets (atropine, theophylline, antihistamine, NSAID, corticosteroid, hyoscine, nonselective beta blocker), and surgical betadine.
  5. Apparatuses and instruments: stethoscope, sphygmomanometer, torch, thermometer,  needle holder and arm tourniquet.