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Made by Kristen Ramenda Individually

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Post #1 Title: Assignment 1
Post #1 Title: Assignment 1
Made by Kristen Ramenda Individually
Post # 2: Reason for Belief- Patternicity (Image)
Post # 2: Reason for Belief- Patternicity (Image)
Definition: The tendency for individuals to naturally look for patterns in every day life. (Ex. Clouds that look like animals)

Connection: This picture relates to patternicity because it is a rose that appears to look like a skull. People could take this and relate it to death or whatever a skull means to them. There is an image in this plant that could be part or everyday life.
Post # 3: Reason for Belief- Unexplained (video)
Post # 3: Reason for Belief- Unexplained (video)
Definition: An experience or event that occurs that is not explainable logically to that person, but the human mind tries to come up with its own explanation.

Connection: A magic trick is relevant to this because when witness by the human eye, that person does not know what is happening but their own explanation is made up. Here is an example of a magic trick that is hard to explain but does have a logical explanation.
Post # 4: Red Flag- Ancient Wisdom (Website)
Post # 4: Red Flag- Ancient Wisdom (Website)
Definition: Ancient wisdom refers to the traditions, beliefs and practices of ancient cultures. This could include, objects, written passages and information passed on through generations. 

Connection: This ancient wisdom tradition includes bloodletting which is an ancient belief that having blood drawn from the body will cure illness. The article goes more into depth on the insight of this ancient tradition.
Post #6: Red Flag- Appeal to Authority (Video)
Post #6: Red Flag- Appeal to Authority (Video)
Definition: Appeal to authority is the influence of people with authoritative figure, fame or fortune on others that worship or look up to them. An example can include a celebrity telling their fans who to vote for; naturally the fans will listen because they are being influenced by someone they respect.

Connection: This video connects to appeal of authority because it demonstrates a celebrity (Demi Lovato) telling her fans who she is voting for in the presidential election in a very persuasive way. Indirectly telling her fans to vote for Hillary Clinton in the 2016 presidential election.
Post # 5: Red Flag- Confirmation Bias (video)
Post # 5: Red Flag- Confirmation Bias (video)
Definition: Confirmation bias is information that people choose to believe whether it be true or false, to prove a theory they would like to be true.
Connection: Here is a video about people believing that the earth is flat exclaiming confirmation bias. They are using facts that they do not know to be true for sure just to prove a theory they want to be confirmed and they want to believe. 
Post #10- Critical Thinking Review
Post #10- Critical Thinking Review
Post #9: Reason for Belief- Emotional Connection
Post #9: Reason for Belief- Emotional Connection
Definition: Emotional connection can be a weakness for humans to want to connect to the dead or to try and reunite with something that they love. This can include going to she psychics about connecting with a passed on love one. 

Connection: This website is a link to a famous medium that is very well known across the world for recognizing peoples passed on loved ones without even having to talk to them. People pay mediums and psychics lots of money in an attempt to reconnect with loved ones.  
Post #7: Red Flag- Suppression by Authority (Image)
Post #7: Red Flag- Suppression by Authority (Image)
Definition: Suppression by Authority means for someone of fame, fortune or authoritative figure to disapprove of something and advertise against something publicly.

Connection: This is an example of suppression by authority because Taylor Swift as a celebrity is advising her fans not to smokes marijuana. This female authoritative figure that a lot of girls look up to is suppressing against this type of drug. 

Post #8: Red Flag- Ideology
Post #8: Red Flag- Ideology
Definition: Ideology is the idea that beliefs values and traditions that are believed to work for certain situations and are correct.

Connection: This video relates to ideology because it goes over the christian (religious beliefs) about life after death. The video goes into depth about what Christians believe happens after an individual passes on.
 

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Post # 2: Reason for Belief- Patternicity (Image)

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Post # 2: Reason for Belief- Patternicity (Image)

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Definition: The tendency for individuals to naturally look for patterns in every day life. (Ex. Clouds that look like animals)

Connection: This picture relates to patternicity because it is a rose that appears to look like a skull. People could take this and relate it to death or whatever a skull means to them. There is an image in this plant that could be part or everyday life.

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Post # 3: Reason for Belief- Unexplained (video)

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Post # 3: Reason for Belief- Unexplained (video)

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Definition: An experience or event that occurs that is not explainable logically to that person, but the human mind tries to come up with its own explanation.

Connection: A magic trick is relevant to this because when witness by the human eye, that person does not know what is happening but their own explanation is made up. Here is an example of a magic trick that is hard to explain but does have a logical explanation.

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Post # 4: Red Flag- Ancient Wisdom (Website)

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Post # 4: Red Flag- Ancient Wisdom (Website)

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Definition: Ancient wisdom refers to the traditions, beliefs and practices of ancient cultures. This could include, objects, written passages and information passed on through generations.

Connection: This ancient wisdom tradition includes bloodletting which is an ancient belief that having blood drawn from the body will cure illness. The article goes more into depth on the insight of this ancient tradition.

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With a history spanning at least 3000 years, bloodletting has only recently-in the late 19th century-been discredited as a treatment for most ailments.

The practice of bloodletting began around 3000 years ago with the Egyptians, then continued with the Greeks and Romans, the Arabs and Asians, then spread through Europe during the Middle Ages and the Renaissance. It reached its peak in Europe in the 19th century but subsequently declined and today in Western medicine is used only for a few select conditions.

Humors, Hippocrates, and Galen
To appreciate the rationale for bloodletting one must first understand the paradigm of disease 2300 years ago in the time of Hippocrates (~460-370 BC). He believed that existence was represented by the four basic elements-earth, air, fire, and water-which in humans were related to the four basic humors: blood, phlegm, black bile, yellow bile.

Each humor was centred in a particular organ-brain, lung, spleen, and gall bladder-and related to a particular personality type-sanguine, phlegmatic, melancholic, and choleric.[ 1]

Being ill meant having an imbalance of the four humors. Therefore treatment consisted of removing an amount of the excessive humor by various means such as bloodletting, purging, catharsis, diuresis, and so on. By the 1st century bloodletting was already a common treatment, but when Galen of Pergamum (129-200 AD) declared blood as the most dominant humor, the practice of venesection gained even greater importance.[ 2]

Galen was able to propagate his ideas through the force of personality and the power of the pen; his total written output exceeds two million words. He had an extraordinary effect on medical practice and his teaching persisted for many centuries. His ideas and writings were disseminated by several physicians in the Middle Ages when bloodletting became accepted as the standard treatment for many conditions.

Methods of bloodletting
Bloodletting was divided into a generalized method done by venesection and arteriotomy, and a localized method done by scarification with cupping and leeches. Venesection was the most common procedure and usually involved the median cubital vein at the elbow, but many different veins could be used. The main instruments for this technique were called lancets and fleams.[ 3]

Thumb lancets were small sharp-pointed, two-edged instruments often with an ivory or tortoise shell case that the physician could carry in his pocket. Fleams were usually devices with multiple, variably sized blades that folded into a case like a pocketknife.

Localized bloodletting often involved scarification, which meant scraping the skin with a cube-shaped brass box containing multiple small knives, followed by cupping, which involved placing a dome-shaped glass over the skin and extracting the air by suction or prior heating.[ 4]

Leeches used for bloodletting usually involved the medicinal leech, Hirudo medicinalis. At each feeding a leech can ingest about 5 to 10 ml of blood, almost 10 times its own weight. The use of leeches was greatly influenced by Dr François Broussais (1772-1838), a Parisian physician who claimed that all fevers were due to specific organ inflammation. He was a great proponent of leech therapy along with aggressive bloodletting. He believed in placing leeches over the organ of the body that was deemed to be inflamed.[ 5]

his therapy was very popular in Europe in the 1830s, especially France, where 5 to 6 million leeches per year were used in Paris alone and about 35 million in the country as a whole. By the late 1800s, however, enthusiasm for leech therapy had waned, but leeches are still used today in select situations.

Famous bleedings
When Charles II (1630-1685) suffered a seizure he was immediately treated with 16 ounces of bloodletting from the left arm followed by another 8 ounces from cupping.[ 6] Then he endured a vigorous regimen of emetics, enemas, purgatives, and mustard plasters followed by more bleeding from the jugular veins. He had more seizures and received further treatment with herbs and quinine. In total he had about 24 ounces of blood taken before he died.

After riding in snowy weather, George Washington (1732-1799) developed a fever and respiratory distress. Under the care of his three physicians he had copious amounts of blood drawn, blisterings, emetics, and laxatives. He died the next night of what has been diagnosed retrospectively as epiglottitis and shock.[ 6] His medical treatment aroused significant controversy, particularly the bloodletting.

Warring physicians
The practice of bloodletting aroused deep emotions in both practitioners and detractors, with intense argument about the benefit and harm of venesection. Drs Benjamin Rush, William Alison, and Hughes Bennett exemplify this conflict.

Dr Benjamin Rush (1745-1813) was one of the most controversial physicians in his time. He was arrogant and paternalistic but dedicated to eradicating illness wherever he saw it. He worked tirelessly during the yellow fever epidemics in Philadelphia in 1793 and 1797 and devoted much time to the problem of mental illness.[ 7]

Unfortunately he had a very simplistic view of disease and thought that all febrile illnesses were due to an "irregular convulsive action of the blood vessels." Therefore in his mind all therapy was directed at dampening down this vascular overexcitement. He was a great proponent of "depletion therapy," which meant aggressive bloodletting and vigorous purging.

He was known to remove extraordinary amounts of blood and often bled patients several times. "It frequently strangles a fever... imparts strength to the body... renders the pulse more frequent when it is preternaturally slow... renders the bowels, when costive, more easily moved by purging physic... removes or lessens pain in every part of the body, and more especially the head... removes or lessens the burning heat of the skin, and the burning heat of the stomach..."[ 8]

In addition he held a firm belief in his calomel purgatives, which were loaded with mercury and which he called "the Samson of medicine." In numerous articles he boldly proclaimed the benefits of his therapy.

He aroused both extremely positive and negative reactions in those around him, including many physicians. Some doctors referred to his practices as "murderous" and his prescribed doses as "fit for a horse." He had a long-running feud with his college of physicians, which forced him to resign, and his application to the faculty of Columbia Medical School in New York was denied. However, Rush Medical College in Chicago was named in his honor and gained its charter in 1837.

At the Edinburgh School of Medicine Dr William Alison (1790-1859) and Dr Hughes Bennett (1812-1875) were a study in contrasts. The former was a dignified old-timer and strong believer in bloodletting, while the latter was an arrogant newcomer and resolute debunker of bloodletting. Whereas Dr Alison followed the old tradition of clinical experience and empirical observation, Dr Bennett believed in the new methods of pathology and physiology supported by the microscope and the stethoscope.[ 9]

Central to their debate was the observation that the improved outcome of patients with pneumonia paralleled the decreased usage of bloodletting. While Dr Alison ascribed this to a "change in type" of illness which had gone from sthenic (strong) to asthenic (weak), Dr Bennett believed it due to diminished use of a dangerous therapy.

Both were implacable in their point of view, thereby underlining the significant gap between their beliefs in empirical observation versus scientific verification. Dr Bennett had the advantage of the latest techniques and "grounded his rejection of bloodletting on pathologic concepts of inflammation and pneumonia derived from microscopic studies of inflamed tissues."[ 9]

The tide turns
In Paris Dr Pierre Louis (1787-1872) was another scientific-minded physician who wanted to assess the efficacy of bloodletting. He examined the clinical course and outcomes of 77 patients with acute pneumonia taken from his own and hospital records.

He compared the results in patients treated with bloodletting in the early phase versus the late phase of the illness. In his conclusions he did not condemn bloodletting but concluded that the effect of this procedure "was actually much less than has been commonly believed."[ 10]

Subsequent studies by Pasteur, Koch, Virchow, and others confirmed the validity of the new scientific methods, and the use of bloodletting gradually diminished to a few select conditions.

Bloodletting today
Today phlebotomy therapy is primarily used in Western medicine for a few conditions such as hemochromatosis, polycythemia vera, and porphyria cutanea tarda.[ 11]

Hemochromatosis is a genetic disorder of iron metabolism leading to abnormal iron accumulation in liver, pancreas, heart, pituitary, joints, and skin. It is treated with periodic phlebotomy to maintain ferritin levels at a reasonable level so as to minimize further iron deposition.

Polycythemia vera is a stem cell bone marrow disorder leading to overproduction of red blood cells and variable overproduction of white blood cells and platelets. Its treatment includes phlebotomy to reduce the red blood cell mass and decrease the chance of dangerous clots.

Porphyria cutanea tarda is a group of disorders of heme metabolism with an associated abnormality in iron metabolism. Phlebotomy is also used to decrease iron levels and prevent accumulation in various organs.

In the last 25 years leech therapy has made a comeback in the area of microsurgery and reimplantation surgery. Hirudo medicinalis can secrete several biologically active substances including hyaluronidase, fibrinase, proteinase inhibitors, and hirudin, an anticoagulant.

The leech can help reduce venous congestion and prevent tissue necrosis. In this way it can be used in the postoperative care of skin grafts and reimplanted fingers, ears, and toes. Because of concern regarding secondary infections a "mechanical leech" has been developed at the University of Wisconsin.[ 12]

Why did it persist?
We may wonder why the practice of bloodletting persisted for so long, especially when discoveries by Vesalius and Harvey in the 16th and 17th centuries exposed the significant errors of Galenic anatomy and physiology. However as Kerridge and Lowe have stated, "that bloodletting survived for so long is not an intellectual anomaly-it resulted from the dynamic interaction of social, economic, and intellectual pressures, a process that continues to determine medical practice."[ 9]

With our present understanding of pathophysiology we might be tempted to laugh at such methods of therapy. But what will physicians think of our current medical practice 100 years from now? They may be astonished at our overuse of antibiotics, our tendency to polypharmacy, and the bluntness of treatments like radiation and chemotherapy.

In the future we can anticipate that with further advances in medical knowledge our diagnoses will become more refined and our treatments less invasive. We can hope that medical research will proceed unhampered by commercial pressures and unfettered by political ideology. And if we truly believe that we can move closer to the pure goal of scientific truth.

References

1. Magner LN. A History of Medicine. New York: Marcel Dekker, Inc; 1992:66-74.
2. Magner LN. A History of Medicine. New York: Marcel Dekker, Inc; 1992:86-96.
3. McCormic S. Blood and magic-the evolution of phlebotomy. www.associatedcontent.com/article/959576/blood_and_magic_the_evolution_of_phlebotomy.html?cat=37 (accessed 4 April 2009).
4. Seigworth GS. Bloodletting Over the Centuries. New York State Journal of Medicine 1980;Dec:2022-2028. www.pbs.org/wnet/redgold/basics/bloodlettinghistory.html (accessed 4 April 2009).
5. Adams SL. The medicinal leech. Ann Intern Med 1988;109:399-405.
6. Parapia LA. History of bloodletting by phlebotomy. Brit J Haemat 2008;143:490-495.
7. North RL. Benjamin Rush, MD: Assassin or beloved healer? Proc Bayl Univ Med Cent 2000;13:45-49.
8. Rush B. A Defence of Blood-letting, as a Remedy for Certain Diseases. In: Medical Inquiries and Observations. Vol 4. Philadelphia, PA; 1815. Available online at: Arnebeck B. Benjamin Rush's A Defence of Blood-letting, as a Remedy for Certain Diseases. www.bobarnebeck/defence.html (accessed 4 April 2009).
9. Kerridge IH, Lowe M. Bloodletting: The story of a therapeutic technique. Med J Aust 1995;163:631-633.
10. Morabia A. P.C.A. Louis and the birth of clinical epidemiology. Clin Epidemiol 1996;49:1327-1333.
11. Lee GR, Foerster J, Lukens J, et al. Wintrobe's Clinical Hematology. 10th ed. Baltimore, MD: Williams & Wilkins; 1999:1063,1079,1539.
12. Whitaker IS, Rao J, Izadi D, et al. Historical Article: Hirudo medicinalis: Ancient origins of, and trends in the use of medicinal leeches throughout history. Br J Oral Maxillofac Surg 2004;42:133-137.

Dr Greenstone is a family physician in Surrey, BC.

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With a history spanning at least 3000 years, bloodletting has only recently-in the late 19th century-been discredited as a treatment for most ailments. The practice of bloodletting began around 3000 years ago with the Egyptians, then continued with the Greeks and Romans, the Arabs and Asians, then spread through Europe during the Middle Ages and the Renaissance.

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Post #6: Red Flag- Appeal to Authority (Video)

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Post #6: Red Flag- Appeal to Authority (Video)

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Definition: Appeal to authority is the influence of people with authoritative figure, fame or fortune on others that worship or look up to them. An example can include a celebrity telling their fans who to vote for; naturally the fans will listen because they are being influenced by someone they respect.

Connection: This video connects to appeal of authority because it demonstrates a celebrity (Demi Lovato) telling her fans who she is voting for in the presidential election in a very persuasive way. Indirectly telling her fans to vote for Hillary Clinton in the 2016 presidential election.

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demi lovato: i'm voting for hillary clinton  - cnn video

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Demi Lovato: I'm voting for Hillary Clinton - CNN Video

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Singer and actress Demi Lovato introduces presidential candidate Hillary Clinton at organizing event in Iowa City, Iowa.

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Post # 5: Red Flag- Confirmation Bias (video)

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Post # 5: Red Flag- Confirmation Bias (video)

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Definition: Confirmation bias is information that people choose to believe whether it be true or false, to prove a theory they would like to be true.
Connection: Here is a video about people believing that the earth is flat exclaiming confirmation bias. They are using facts that they do not know to be true for sure just to prove a theory they want to be confirmed and they want to believe.

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Why do people still think the Earth is flat? - BBC News

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Post #9: Reason for Belief- Emotional Connection

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Post #9: Reason for Belief- Emotional Connection

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Definition: Emotional connection can be a weakness for humans to want to connect to the dead or to try and reunite with something that they love. This can include going to she psychics about connecting with a passed on love one.

Connection: This website is a link to a famous medium that is very well known across the world for recognizing peoples passed on loved ones without even having to talk to them. People pay mediums and psychics lots of money in an attempt to reconnect with loved ones.

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The show is about my world, how I balance family, clients and spirit.
Many people ask how it all began. My friend Victoria Woods felt that I was made for TV and this was the perfect way to share my gift with everyone. Her sister Courtney Mullin and friend Jonathan Partridge both producers helped make that a reality. Between TLC, Magilla Entertainment and my incredible crew I've been able to share my life and amazing gift with the world. People ask, "How has your life changed since the show?" I say the only thing that changed is that I have both cameras and spirit following me now. LOL

At the end of the day I'm just Theresa Caputo a medium, wife, mother, daughter, sister and friend from Hicksville.

Faith, love and happiness to you always!!!!

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Theresa's Fan Club Members receive exclusive benefits not available to the general public. 1FanFamily 2Live TheExperience 3Giving BackTo The Fans Connect With Fellow FansExclusive ContentChat ForumsWatch Along Live! Fan Club Exclusive Pre-salesVIP TicketsMeet & Greet ContestsAll Pre-sale Passwords and Links CanBe Found In The Tour Section.

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Post #7: Red Flag- Suppression by Authority (Image)

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Post #7: Red Flag- Suppression by Authority (Image)

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Definition: Suppression by Authority means for someone of fame, fortune or authoritative figure to disapprove of something and advertise against something publicly.

Connection: This is an example of suppression by authority because Taylor Swift as a celebrity is advising her fans not to smokes marijuana. This female authoritative figure that a lot of girls look up to is suppressing against this type of drug.

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Definition: Ideology is the idea that beliefs values and traditions that are believed to work for certain situations and are correct.

Connection: This video relates to ideology because it goes over the christian (religious beliefs) about life after death. The video goes into depth about what Christians believe happens after an individual passes on.

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2 1 Christian beliefs about life after death