Monday, August 12, 2013

Martial Arts Tips - The Best Places to Punch Someone For a Fast Knockout


In order to understand and identify the best places to punch someone for a fast knockout we need to first understand what is the physiological cause of percussion knockouts. The fastest way to achieve an effective knockout involves inducing a rapid drop in the pressure of the blood supply to the brain.

Two very effective methods of achieving this are:

1) A rapid and forceful strike to the head such that the skull is rotated rapidly. The inertia of the brain contained within the skull causes it to lag behind in the rotation and this appears to cause a drop in blood pressure that produces unconsciousness.

2) Interrupting the blood flow to the brain by striking the carotid artery or heart.

Before we look at these methods in depth should also consider extending the definition of punch to other striking methods as the term punch is most often related to the fist. A punch is any thrusting movement and will include the use of palm heel strikes, elbows and even knees. Now, with this assumptions in mind, let us consider the best places to punch someone for a fast knockout by firstly examining the forceful rotation of the head.

The skull is basically a sphere and needs to be struck at points that will bring about a violent movement of the skull such that the brain cannot keep pace with the movement due to its inertia or is bounced against the inside of the skull resulting in a sudden drop in blood pressure.

The best target is the jaw as it provides a very good lever for spinning the head. Striking the chin sideways, upward or downward will produce a very strong and fast rotation. This can be executed with the fist, palm-heel, elbow and even the forearm. By far the most powerful way with the arms is the use of the elbow.

Two of the most powerful striking methods with the elbow strike is either horizontal or downward diagonally striking with the elbow to the head at such an angle that it brings about a rapid twisting jolt of the
head.

If we include knees in our definition of punches then the knee is the best followed by the elbow. Striking the skull upwards at the rear under the occipital lobe with a palm-heel will also produce a rapid knockout.

Another method that sometimes bring about a knockout although, in my experience, not as reliable when used on a strong or very fit subject is the strike to the heart or side of the neck. This momentarily interferes with the flow of blood to the brain, again causing a drop in blood pressure that brings about unconsciousness.

When the side of the neck or the heart is struck with either the side of the hand or fist respectively a change in blood pressure can be also be produced that will produce a knockout. While the strike to the heart is more likely to bring about a knockout the strike to the neck is less likely.

This strike is often the strike used in the so called pressure and nerve point knockouts that are promoted by members of the pressure point knockout community. I have been the recipient of one of these supposed attempts by one of their leading practitioners, George Dilman, and it failed to knock me out, I was not even stunned. The method also required my cooperation for the set up, a situation that is not available in a real fight.

Upon consulting with my physiology professor it was suggested that the method being used would have simply resulted from a back pressure wave being produced by the strike to the carotid artery that was relayed back to the pressure sensors in the atrium of the heart. The feedback nerve loop to the brain would have resulted in the ventricle reducing the pumping pressure in response to a potential rise in bold pressure.

This in turn results in a drop in pumping pressure and resultant drop in blood pressure that produces a potential for unconsciousness. No fancy combinations of nerve strikes, blockages of Chi, death touches or secret techniques; just basic physiology.

So, in summary, the best place to punch someone for a fast knockout is skull in a manner that produces a rapid rotation or jolt, with the best specific target being the jaw because of it's lever potential.

Sunday, August 11, 2013

California's Ban on Driving With Cell Phones - A Slap in the Face


Have you ever wanted to slap a police officer in the face? Or your kids? Or another driver on the road? Here's your chance to do it...at least, metaphorically. Stay tuned and I'll tell you how.

But, first, let me start by saying I was out running this morning. Okay, jogging. Okay, ambling, really. I was safely on the sidewalk racing towards an intersection...okay, plodding towards an intersection. I had the green light to cross, but a Lexus waiting to turn right on the red was blocking the crosswalk. At the wheel of the Lexus was an otherwise intelligent looking thirty-something woman who had absolutely no idea I was coming. Now, most people who don't want blood, skin and other traceable human DNA samples splattered on the grill of their luxury cars take the time to look up and down the sidewalk before accelerating through a crosswalk. Not this bird. I couldn't blame her for not seeing me, though. After all, she was quite busy talking on her cell phone. Not, by the way, handsfree. She was chatting away while holding the phone up to her ear. That logs her at the top of my list of bottom dwellers, especially since anyone who runs, bikes, walks, drives or breathes encounters these people on a daily basis. My typical calm, cool, mature reaction would be to run right up to the car, not quite in front of it and, when she takes off without looking, I would knock on the fender and scare the gossip out of her. I didn't do that this morning for one simple reason. I couldn't take the chance she would actually hit me because I wasn't wearing clean underwear. Yes, despite the fact that I'm a grown man with three kids of my own, I couldn't bear to hear my mother say "I told you so" when she arrived at the hospital and heard the nurse and doctor talking about my dirty drawers. So, I let this woman go...and she never once looked my way. Never had the slightest clue that if I had been a less attentive eight year old or a passive aggressive adult with clean underwear, she could have easily ended a life.

Six miles later...okay, half a mile later...I was approaching another pedestrian danger zone-the dreaded homeowner blindly backing out of their driveway. Now, these people don't get my fender rap. For no-look driveway backer-outers, I reserve the "arms thrown up in the air" and the "what the f" look. They seem to respond to it. Not always amicably. In fact, never amicably. But, I wasn't going to employ that tactic in this case, because the driver about to back out was an elderly woman who looked like she should have had her license revoked for senility eight years ago. I didn't want a heart attack on my hands. Plus, I would have had to wait around for the paramedics and miss my son's school play. But, guess what? I didn't need the look anyway. This woman peered down the street both ways...and saw me. Before even taking her car out of park, she smiled and politely waved me on, then waited until I safely passed until she proceeded to back out of her driveway.

So, what gives? How is it that a senile woman who's probably shaking off a long night's sleep courtesy of Ambien with a morning dose of Xanax chased down by two cups of Maxwell House coffee turns out to be a better, more vigilant, safer driver than a healthy, active, professional woman in her prime? It's the cell phone. And that brings me to my point.

As of July 1, 2008, California drivers were banned from using cell phones without a handsfree device while operating a moving vehicle.

The plan was to save lives. Not a bad plan. The problem is, it didn't work. A recent study by the National Institute For Highway Safety determined that the law has had no effect whatsoever in reducing crashes. Before the ban, California had 8 crashes per 100 vehicles. A year after the law went into effect, we had 7.5 crashes per 100 vehicles. Now, I'm not trying to negate the value of that half a person whose life might have been saved in that half a crash reduction. In fact, it could have been me. After all, my wife would be eager to tell you I'm half the man I was twenty years ago. The thing is, the half a crash reduction corresponded to a similar reduction in accidents in neighboring states that didn't enact a cell phone law. So, the statistics show that the cell phone ban had no impact whatsoever.

What's the deal? Some would say people are just ignoring the law. They'd be right. And, let's face it, with a $20 fine for a first offense, no one is waking up in a cold sweat at 3:00 a.m. worried the fabric of their family's financial foundation will be torn asunder by a cell phone fine. I mean, $20 will barely buy you two iced coffee drinks at Starbucks. Or a gallon of gas once the Gulf oil spill works it's way through the economy.

And process this-you can be fined up to $1000 for a first time littering offense. Apparently a gum wrapper on the side of the road is more of a threat to society than a distracted, reckless featherbrain behind the wheel of a two ton moving vehicle. (Wipe that smug smile off your face, litterers of all things non-biodegradable, your day of reckoning is coming in a future blog.)

There's a story told by Nasreddin Hodja, the ancient Turkish mystic, that sums up our law perfectly. Hodja was standing in the marketplace when a perfect stranger slapped him in the face. Hodja took the stranger to the Qadi-a judge ruling in accordance with Islamic religious law-and demanded compensation. As the proceedings unfolded, Hodja began to suspect that the stranger and the judge were friends. His suspicions were confirmed when the stranger admitted guilt and was handed down a fine of one piaster. Further, the judge granted the defendant the leeway to go get the piaster and bring it back to Hodja at his own convenience. The defendant left and Hodja waited...and waited...and waited. After a length of time had passed, Hodja approached the Qadi and asked, "Do I understand correctly that one piaster is sufficient payment for a slap?" The judge answered, "yes." Hodja then slapped the judge in the face and said, "You may keep my piaster when the defendant returns with it."

Hodja's humorous wisdom aside, that's the California cell phone law. The fine is so minimal that drivers would rather slap police officers, their fellow drivers, the State of California and their passengers in the face than put down their phones in the name of safety. These people either just don't realize the danger...or they just don't care. Either option places them squarely in the beans for brains category.

Now, I have my own opinions of those who ignore the law, but I'll keep my thoughts to myself because I'm sure they're all very nice people (self-centered, arrogant posers.) They're probably all outstanding citizens (who drown puppies for pleasure.) I doubt any of them would ever harm a fly (only a carload of babies.) And besides, who amongst us hasn't held a cellphone up to their ear during the most pressing of meaningless conversations? (Me and millions of other drivers.)

So, yes, I'll keep my opinions of those who flaunt the law to myself (I bet they kiss with their eyes open.) But, I would argue for the usage of hands free devices from an entirely different point of view. Not a legal one. A practical one.

We all know that anyone can drive with one hand. But, if one hand is tied up holding a phone to your head, then you unequivocally give up your ability to use your other hand for the important things in safe driving-like drinking coffee, turning up the radio, throwing water bottles at the kids in the back seat, applying make-up, eating tacos, sending a car fax or flipping off the driver next to you who almost sideswiped you because he was holding a cell phone up to his ear. All of these are rights and privileges we've earned as drivers but, so help me Buddha, we flush every one of them down the toilet when we tie up one hand with a cell phone. (Yes, I know most California drivers can use two hands to eat a Double-Double Burger and drink Diet Coke while steering with their knees-but, for legal liability reasons, I'm going to avoid that recommendation here.)

So you see, I'm not dismissing the fact that we live in a car culture and require access to a full array of amenities in our vehicles. If you think about it, most people spend more time in their cars than in church. But you wouldn't carry a ticking time bomb into church. That's what you do when you hold a cell phone up to your ear while driving. You know who you are, people. What you don't know is when the crash is going to happen. But, as sure as Justin Bieber will join the forgotten ranks of Shaun Cassidy and Leif Garrett, it very likely is going to happen. It's just a matter of time.

So, for the love of runners, bikers, walkers and wide-eyed babies everywhere, I'm asking all of you common sense challenged chatty-cheetahs to put your phones down and get a handsfree device once and for all. Do it today. If that's too much of an effort for you, then remember this. When you do finally cause that accident, whether a fender bender or major pile-up, the rest of us law-abiding drivers will take great satisfaction in knowing that your cellphone bill will prove irrefutably that you were trading party dip recipes over the cellular network at the exact time of the accident. When a gum wrapper tossed out a car window can do that, I'll slap myself in the face.

Starting a Running Program Like Knee Surgery Recovery


My husband is now recuperating from knee surgery. I've been watching him go through his therapy and taking walks with him. As we've been walking, come to realize something. His working on walking again is very similar to someone who is starting a running program. Read on to find out why I think this is true.

When first started walking, we went just a little way - actually to the end of the driveway and back. We did this for so many days. Then we walked a little farther. He and I walked this distance for so many days before adding on more distance.

My husband and I have been going a little farther a little at a time. He understands the concept of not doing too much too soon. If he tried to go too far when he first started walking - he stood a very good chance of doing something to his knee that would hinder his healing process. Or possibly damaging it permanently. Adding distance a little at a time is a smart way to grow stronger - and keep from getting re-injured.

Starting a running program is exactly like that. Many people will start off just running out the door. I've even heard of those that have tried to run over a mile the first time they run. This is definitely doing too much too soon - especially if they have not been doing any type of exercise at all.

Those that try to start out too fast have a good chance of getting injured and getting frustrated and then never attempting to run again. Then they talk about all the negative things about running.

The correct way to start is to start slowly. You want to get your body used to moving if you haven't been doing anything. Start by walking. Then, you want to walk so long and run for so long. Then, eventually work up to running without walking. That is the correct way to start a running program.

Running is so great for you. It's important to start out correctly so that you will keep running and enjoy the healthy lifestyle that comes with it for many years to come!

History of Toilet Tissue Paper


Just in case you are not happy to live in the twentieth century and take for granted the simple amenities we enjoy in everyday life, like for example, general grooming items like soap, toothpaste and toilet tissue paper. How would you manage without them? Did you ever wonder, for instance, who invented toilet paper and what was used before its invention? We can go back in history to the ancient Greeks, for instance, whose idea of using stones or pieces of clay was a bit rougher than the Romans, who used sponges on the ends of sticks that were kept in jugs filled with salty water. Mid Easterners commonly used the left hand, which is supposedly still considered unclean in the Arabian region.

But who first thought about using paper for personal hygiene? If we could travel back in time to 1391, we would encounter a Chinese emperor who demanded the first paper sheets sliced to be placed in his outhouse. The first "official" toilet paper was introduced in China measuring a whopping 2 ft X 3 ft each.

In early American years, one common alternative happened to be... corncobs. If you lived in early rural America, you would find a corncob hanging from a string in the outhouse for purposes of personal hygiene. The string, as it turns out, was to permit the cob to be reused. While in coastal regions, the cob might be replaced by a mussel shell, the preferred method became plant leaves and magazines. In fact, Sears received significant complaints when they switched to color coated shiny paper.

As history would have it, an important move towards the production and distribution of modern toilet tissue paper came from a teacher in Philadelphia in 1907. Concerned about a mild cold epidemic in her classroom, she blamed it on the fact that all students used the same cloth towel. A very smart, ahead of her time teacher proceeded to cut up paper into squares to be used by her class as individual towels, a revolutionary idea.

Who invented the "modern" type of toilet paper? In 1871, the first U.S. Patent for perforated paper was awarded to Seth Wheeler of Albany, becoming the official "inventor" of toilet paper. Unable to make a go with the production of a thin tissue toilet paper, the assembly eventually was mastered by the Scott brothers, who founded the Scott Paper company in Philadelphia.

During the Victorian Era, when only proper etiquette was accepted, it was unmentionable to talk about any "toilet paper or rolls of tissue" product in society. When a desire for better hygiene flourished and improvements to indoor plumbing came about, the first significant use of toilet paper began to develop. Today, the average American uses 57 sheets of toilet paper a day or more than 20,805 sheets a year, making it a $ 2.4 billion dollar industry.

More fascinating than the history of toilet paper was the clever ways invented to hide the tissue toilet roll. Since the Victorian Era called for concealing "unpleasant" products like toilet tissue paper, a great selection of distinctive Tissue Toilet Roll holders or covers were found. One such holder was called "Madam's Double Utility Lace Fan". This witty item had a hidden compartment in the handle with 150 sheets of toilet paper cut to conform to the shape of the fan.

Although today's toilet paper and its use are natural parts of life, using roll covers to delicately conceal toilet tissue paper rolls has developed into a hot trend in decorating.

Truck Drivers Turn to Chiropractic Care for Back and Knee Pain


Many truck drivers suffer with back or knee pains. They are prone to develop back pain, knee pain, injuries and stiffness due to some of the conditions of their jobs. This is an occupational risk of truck driving. The mere fact that truck drivers are confined to the driver's seat for hours on end certainly has an impact on their spine. It definitely causes strain and puts stress on the spine. Likewise, drivers can injure their knees. Many of them suffer with ligament and cartilage injuries. Truck drivers who suffer with back or knee pains, stiffness or injuries don't necessarily have to resort to prescription medications or surgery to get pain relief. Many desire to resolve their conditions without the use of prescription drugs or surgery.

Fortunately, many cases of back and knee problems can be treated with other methods. This is where chiropractic treatments come in. Chiropractic treatments are non-invasive and gentle. They have a proven track record in helping those suffering with back and knee pains. Chiropractors use various methods to help each patient heal as well as helping them to maintain a healthy back and knees. Many former sufferers of back and knee pain are now able to live their lives virtually pain-free.

Chiropractic treatment is a method of complementary and alternative medicine. One treatment method focuses on realigning the spine by performing a series of adjustments to joints in the back. Chiropractors are skilled practitioners and are able to use their hands to apply a sudden force to a joint to extend it beyond its normal range of motion. Chiropractors also use massage, stretching and other techniques.

Chiropractic care is often the treatment of choice of many truck drivers. More and more drivers are regularly turning to chiropractors for help. A significant reason for this is their desire to be treated with a non-surgical technique. Also, many of them don't want to take prescription medications as all prescription medications have side effects. One side effect of many pain medications is their ability to cause drowsiness. Obviously, drowsy drivers don't need to be on the roads and highways. It is vitally important that truck drivers be alert at all times while driving. Furthermore, pain medications only provide temporarily relief and don't resolve the reasons for the pain.

The knee is one of the most common joints in the body to become injured. It is also the largest as well as one of the most complex joints in the body. A majority of knee problems involve mechanical issues which cause an enormous amount of stress to soft tissues (tendons, ligaments and cartilage) of the knee. Chiropractors typically obtain wonderful results resolving these and other problems.

Chiropractic care is covered by most insurance policies. Chiropractors have for years successfully treated back, knee, leg, neck and many other health issues. There are many medical conditions which require surgery. However, when surgery is not necessary, chiropractic care is often a good solution to the problem. People continue to seek chiropractic care because it works.

Medical Malpractice - Examples of Malpractice - An Experienced NY Med Mal Lawyer Explains


Is it malpractice if a doctor ignores an abnormal computerized EKG result?

Is it malpractice if a doctor fails to inform a patient that their MRI result is abnormal?

Is it a departure from good and accepted practice if a radiologist misreads a chest x-ray, that in hindsight shows a malignant mass that turns out to be lung cancer?

Is it wrong for a doctor to put surgical clips across the common bile duct when doing a laparoscopic gallbladder removal?

What do you think of a doctor who takes cash for a procedure, does a "half-baked" job, and refuses to return the money to the patient? Would it sound better if I told you the doctor gave up his license to practice, abandoned his patients, and now each of his patients with "sub-standard" treatment must get corrective treatment at the going rate, which is double or triple than what this doctor originally charged?

What about the case of a man who collapses at home, is rushed to the emergency room, has emergency surgery on his intestines and he comes out of surgery needing to have his hand amputated days later.

Maybe this one will catch your attention:

A woman goes into the hospital for a total knee replacement. The surgery goes well. In the recovery room a drain in the knee is attached to a tube for drainage. Unfortunately, the nurse who attached the drain tube attached it to an oxygen line instead of a suction line. Instead of fluid being pulled out of the knee space, air was being pumped INTO the knee. Since the knee was a closed space, the air blew into the space directly under the skin and muscles, travelled up her entire leg, inflating her leg like a balloon, then going up to her belly, causing her belly to become as large as a pregnant woman's. The doctors were eventually alerted to this inexplicable condition and rush the woman into the operating room where they had to perform emergency surgery to find out why her belly was inexplicably becoming larger and larger.

Immediately upon opening her belly, a huge amount of air was released- like a balloon that is quickly deflated. Turns out, there was nothing wrong with her belly. Working backwards, the doctors were able to figure out that the drainage tube had air going into her knee which then travelled up to her belly, causing her to look like a hot-air balloon. The failure to recognize the mistake led this woman to have emergency abdominal surgery--something that she did not need. Her anticipated hospital stay of one day turned into a week-long stay with complications following the belly surgery.

What about the man who had eye surgery to repair a drooping eyelid and came out of surgery being blind? Turns out that the eye surgeon cut his optic nerve during surgery, and only realized the horrible mistake a day later- too late to fix the problem. The man is now permanently blind.

What common recurring theme is found in each of these cases?

Carelessness by a doctor or nurse. Naturally, the doctors and nurses did not intentionally make these mistakes and errors, yet they occurred because of inattention and carelessness. Each of the cases discussed above are real cases that happened in New York. Each victim had a story to tell. Each injury was different and affected each person differently. When asked, every injured victim would rather have their health than have to resort to a medical malpractice lawsuit seeking compensation.

Thanks for becoming informed.

Why Knee Replacement and Weight Training Can Work Together


So, you are finally home after your total knee replacement. Your leg is swollen, you are in pain, and you may even have a slight post-operative temperature. You are having trouble just getting to your feet with the help of a walker. Weight training as part of your rehabilitation plan seems like an impossibility. And, in fact, at this stage of your recovery, you should be concentrating on simple movements and giving your body the rest it needs to heal. Most doctors will advise against the use of any weight lifting exercises for quite an extended period of time after your surgery.

In the initial weeks following your knee replacement surgery, you will be asked to slowly perform various exercises to ease into using your new joint. At first, you will likely try stretching exercises that you can do while you are in bed. As soon as you are able, you should be doing sitting exercises to increase the flexibility of the knee. Later you can move on to exercising with your walker. This is a natural progression to improve your mobility without overdoing it and causing damage to your knee. While you might not be doing formal weight training, you are working with the weight resistance of your own body.

As you move further into the rehabilitation process, you will be encouraged to participate in more activities that work the knee. You should try to get back into your normal routines and household chores as you feel ready. It may be at this point you can introduce weight training in your recovery plan. However, you must avoid any exercise that will put too much pressure on your new joint.

Even if you are feeling well, you need to seek the approval of your physician and your physical therapist before you undertake any new exercise following a total knee replacement. Just like your natural knee, an artificial joint can show signs of wear. You want your knee to last as long as possible, so stick to the advice of your doctor to keep your knee at its healthiest. Your goal is to have a pain-free joint, not to be a marathon runner. If the activities you once loved are on the list of things to avoid, work with your physical therapist to find ways to participate safely.

While there have been great advances in medical technology, a successful outcome is determined by the patient's attitude and willingness to do the necessary therapy. It is up to you the patient to find and follow an exercise program that has already shown proven results. Equally important is finding a trainer or mentor who has a positive attitude toward recovery from knee surgery and who can teach anyone the same mindset. Believing it can be done and working with someone who has already achieved the desired results is the key to returning to normal activities and remaining free from pain.