We’ll fight in dry Afghanistan,
To keep the peace in foreign lands.
Learn the real soldiers’ way,
Go over the hills and far away!

Come and join the infantry,
Where the real soldiers fight, you’ll see.
Our comrades we will not betray,
Over the hills and far away.

It’s safe at home; we’d rather stay,
Watch our children grow and play.
We owe the crown, so now we’ll pay,
We’re over the hills and far away.

Over the hills we’ll march today,
And The Queen has called so we obey.
We’ll stand our ground and here we’ll stay.
Over the hills and far away!

The politicians sleep at night,
While out here we will stand and fight.
English, French, we’re brothers all,
Remember us if here we fall?

Over the hills we’ll march today,
The Queen has called so we obey.
We’ll stand our ground and here we’ll stay..
Over the hills and far away!

Over the hills we’ll march today,
The Queen has called so we obey.
We’ll stand our ground and here we’ll stay.
Over the hills and far away!

Murphy

II. Arrest
A. Occur after a violent struggle
1. After the arrest, combination of stress and drugs
2. Struggle, subdued, quiet, not breathing
3. Minor, if any injuries
4. Drugs
a. alcohol
b. P.C.P.
c. cocaine
5. Handcuff injuries

B. Mechanism
1. Catecholamine release
2. Increase heart rate, contractility, O2 demand
3. Overdrive heart, cause arrhythmia
4. After arrest
5. People complain of retribution

C. Physiologic effects
1. Cardiac arrhythmia
2. Lucky, enlarged heart
3. Really lucky, toxicology

III. Hogtie/chokehold/tazer
A. Hogtie
1. Wrists tied/cuffed to ankles
2. Rope around neck
3. Positional asphyxia
a. Ruled out

B. Chokehold
1. Bar-arm
a. Forearm to compress windpipe
b. Dangerous, not taught
c. Sudden death
2. Carotid sleeper hold
a. Moderately safer
C. Tazer
1. Shoot barbs electric charge
2. Cardiac arrythmias

IV. Police shootings
A. Tremendous controversy
B. Lawsuits

V. Jail/Prison
A. Jail vs. Prison
1. Jail, short term confinement
a. Minor offenses
b. Awaiting trial
c. Farmed out for space
d. Less professional staff
e. Lake County Cases
i. Smuggled drugs and jewelry
ii. Hanged

2. Prison long term
a. Worse folks
b. Tougher crowd
c. Interpersonal violence

B. Initial stages of confinement
1. Adjustment difficult

C. Prison violence
1. People don’t know how to behave
2. Poor impulse control

D. Disease
1. Ageing population
2. TB, Hepatitis, HIV
3. Confining authority responsible
a. Guard “slow code”

VI. Hospital/nursing home
A. Psychiatric hospitals
1. Suicide is a risk
2. Determined people can find a way
3. Choking on toilet paper

B. Dementia
1. Escape
2. Poor quality of care
C. Restraints

VII. Techniques
A. Photography
B. Incise wrists and ankles
C. Filet back
D. Analogue of child abuse

II Types of rape
A. Rape is a crime of power and control
B. Rapists not “oversexed”
1. Many have regular partners
2. “Power rush when rapists realize they have total physical control over someone weaker; that joy at degrading and terrorizing another human being for the sexually expressed thrill of it.”—Alice Vachss
C. Types of rape
1. Power-assertive
a. 40%
b. Values
i. Machismo
ii. Aggression
iii. Traditional sex roles
iv. Cop wanna-bes
c. Random victims
d. Humiliation, trauma
e. Ejaculation on victims/urination on victims

2. Power-reassurance
a. 28% of perps
b. “Gentleman rapist”
c. Characteristics
i. of average intelligence
ii. not physically aggressive
iii. insecure about his masculinity
iv. socially-deficient
v. unable to develop relationships
d. Knows the victim
i. stalking
ii. erotomanic component
e. “Relationship
i. emulate foreplay
ii. give victim phone number
iii. set up second date
vi. fantasize about relationships

3. Anger-retalitatory
a. 28% of perps
b. Substance abuse
i. impulsive
ii. anger towards victim
iii. dumb
c. Anger related
d. spontaneous attacks to hurt
e. Leave evidence

4. Amger-excitiation
a. 5% of rapes
b. Charming, intelligent and elusive
c. Enjoys inflicting pain and humiliation
i. Anal eroticism
ii. Oral-genital contact after ano-genital contact
iii. Urinate upon victim
d. Murder for the thrill of it.

III Defenses to rape
A. Three defenses
1. It never happened
2. It was consensual
3. It wasn’t the defendant
a. “SODDI” Some Other Dude Did It

B. It never happened
1. Cast aspersions on the mental status of the victim
2. Vulnerable victims
a. Mental illness
b. Retardation
c. Incarceration
3. “Reasons to lie”
a. Misattributed paternity 5-14%
b. Pregnancy
4. Put victim on trial
a. Jokes about rape
b. Burden of proof

C. It was consensual
1. Drugs and alcohol
2. People will lie.

D. It wasn’t the defendant
1. “SODDI” Some Other Dude Did It

IV. Date rape etc.
A. Date rape
1. Use of alcohol or drugs to lower inhibitions

B. Statuatory rape
1. Intercourse below age of consent (16)
2. Intercourse between persons >4 years apart

C. Abuse of power
1. Quid pro quo—tit for tat
2. Power differentials
a. Student-teacher
b. Prisoner-guard
c. Doctor-patient

V. “Rape kit”
A. External examination
1. Look for abrasions, contusions, lacerations
B. Forensic evidence
1. Pubic hair, DNA, Spermatazoa
2. Sperm lasts days
3. DNA Male inside, female inside

VI. Sex homicides
A. Asphyxial games
1. Choking

B. Homosexual homicides
1. Overkill
2. Multiple stabbings

Secondly, there was a schedule change that I wasn’t made aware of, and for the next two weeks, I’m double booked for the exact same time. Yep. Two places at once. I have to disappoint one group or the other, and so I did, but I really feel bad that I didn’t catch it sooner.

I. Introduction
Chemical and environmental hazards
Environments
Heat
Cold.

II. Heat
A. Summer
Heat and Humidity
Compromised individuals
1. Children
2. Elderly
a. Don’t drink
3. Breathing disorders
4. Maine nursing homes
5. W. Jones, Atlanta GA, 115.7 F. Endothelal damage, DIC, shock

B. Microenvironment
1. Automobiles

C. Bodies attain temperature of the environment
Be careful with a body in a 120 deg. car.

III. Cold
A. Conditions
1. Not confined to outdoors
2. Aged, infirm, young
3. 50’s, draughts, damp clothing,
4. Depression, hypothyroidism

B Temperatures
1. 37-32 feeling cold
2. 32-24 LOC, bradycardia, hypotension
3. record 60.8F

C. Frostbite
1. First degree—cold erythema
2. Second degree—blisters
3. Third degree—freeezing gangrene

C. Autopsy findings
1. Pinkness of livor
2. Gastric ulcers
3. Pancreatitis
4. Strips of hemorrhageing in iliopsoas
5. Acetonemia

D. Paradoxical undressing
1. Hide and die

IV. Starvation
A. Elderly, Infirm, Young
1. People who can’t take care of themselves
2. Dependency is bad
3. Children aren’t small adults
a. They have different nutritional needs.
b. No one-size fits all diet
i. Vegan cat
ii. Elderly tea-and-toast
iii. Headache in 8-year-old

B. Bottom line
1. 1500-2000 calories to maintain weight
2. 40% weight loss life threatening
3. 50-60 days no food BUT with water
4. 10 days without water

C. Conditions
1. “Failure to thrive”
a. Poor feeding
b. Depression (adults)
c. Dementia
2. Situation
a. At home vs. in institution

D. R/o Natural disease

It is interesting that I now get questions that aren’t just about histology or medical school applications, but more about life in general. To day is was “Do you think I should study abroad?” I forebore the obvious straight line, but I said I have rarely regretted trying something, that not everything works, but most things are worth a shot.