Hemorrhoids are actually present in all individuals whether healthy or not. They are the vascular cushions which surround the general area of the rectum and anus.
The term hemorrhoids is associated with the symptoms when this part of the body becomes enlarged, inflamed, thrombosed or prolapsed.
Many people have them without suffering from any symptoms, and therefore these may be safely left alone. Treatment is usually required for those whose hemorrhoidal symptoms such as excruciating throbbing pain affect quality of life and daily living.
There are many traditional remedies and non-surgical treatments for hemorrhoids. However, if none of these work, surgical procedures may be required as a last resort.
Below are some misconceptions about hemorrhoids treatment and the truth behind each:
Misconception No. 1. All surgical procedures for hemorrhoids are very painful. Due to this reputation of a painful operation, advances in hemorrhoid surgery have focused on making it less painful. One such operation is stapled hemorrhoidectomy. Using a specially designed, single-use stapler instrument, hemorrhoids are excised and the anus repaired from the inside. The end-result is that the surgical wound is inside, and no wound is visible outside the anus. Scientific studies have proven that this is less painful than traditional surgery.
Another advanced surgical technique is transarterial hemorrhoidal dearterialization (THD). Using a Doppler ultrasound, the blood vessel supplying the hemorrhoid is identified and ligated with stitches. Deprived of its blood supply, the hemorrhoid then shrinks and shrivels. Again there is no wound outside and is therefore almost painless.
Misconception No. 2. Another more common misconception about surgery for hemorrhoids is that it can cause fecal incontinence, or the inability to control farting or defecation. Again this is not true. When hemorrhoid surgery is done properly, incontinence won’t develop.
All surgical procedures for hemorrhoids, however, whether traditional or innovative, may sometimes develop complications such as bleeding, infection and stricture. It is important therefore to see practitioners with real expertise in performing such procedures when seeking treatment.
For effective hemorrhoid relief and treatment, MEDICard, a leading HMO company, recently opened its Colorectal Specialists Clinic, a first in the HMO industry.
Located at the MEDICard Lifestyle Center at the corner of Paseo and Buendia streets in Makati City, the clinic offers the latest technology and expertise in colorectal health care.
This specialist clinic provides comprehensive, advanced and efficient care to wide range of colorectal conditions. Its expertise is in the management of colorectal cancer, diverticulitis, inflammatory bowel diseases, and other benign disorders like hemorrhoids, fissures, fistulae, polyps, constipation, fecal incontinence, sexually transmitted diseases (STDs), and other colorectal problems.
“Many people with common colorectal problems like hemorrhoids do not know where to go to,” said MEDICard president Dr. Nicky Montoya.
“We felt there was a niche for this new type of ‘convenience’ clinic where people can meet the specialists but not in the usual hospital clinic setting. Here, patients can avail themselves of experts’ straightforward advice, cutting-edge diagnostic services, and same-day colorectal procedures using the latest technology. There will be no hospitalization and the procedure will be more cost-effective and affordable,” Montoya added.
2011年12月14日星期三
2011年11月17日星期四
Too Many Toxins, Too Few Nutrients
Think back – when was the last time you had a headache? Stomach ache? Skin or rash outbreak? Felt depressed or anxious? How about itchy, watery eyes from all the seasonal allergies? Oftentimes it's easy to pinpoint patients with life-threatening or debilitating diseases such as cancer, Parkinson's or Alzheimer's and offer them additional help.
However, it's important to remember those who are just showing signs of suboptimal health. The largest part of my practice is made up of patients who suffer from the symptoms listed above. They come in seeking help for depression, chronic fatigue and allergies. And it's important to advertise that you can help!
The body is made up of essentials and non-essentials. Your heart, lungs and brain – these are all essential to life and the body will send every available nutrient and protective means to these items first. Everything else – skin, fingernails, hair, eyes, etc., you can survive without, so the body will not bother protecting and sending nutrients to these areas if either something else is going on in your body that is more urgent or you are simply taking in too few nutrients to allow the body to function optimally.
What this means is that the seemingly bothersome symptoms most of the population just "deals with" could actually be indicators of a greater problem. What's worse is that medical doctors are readily available to prescribe medication for each of these "nuisance" symptoms.
A 2005 survey found that nearly 60 percent of U.S. adults took a medication in the previous week for symptoms ranging from pain to high cholesterol to cancer.1 Anti-depressants are particularly popular with women. In 1994, 2.3 percent of women in the U.S. were on an antidepressant; by 2008 that number had jumped to nearly 13 percent. Sadly, for women between the ages of 45-64, almost one in four were on antidepressants as of 2008.2
What these individuals might not realize is that there may be a more natural option. Prescriptions are not necessarily the only answer. One of my patients came to the office for a consultation with a plethora of "nuisance" symptoms. When I entered the room, the patient looked like she was in good health – she acted very pleasant, her hair and make-up had been done and she appeared to be very well-balanced mentally. It was only after she asked for help that I discovered the following: At just 33 years old, she suffered from almost-daily mood swings, depression, hot and cold flashes, excessive hunger and weight gain, acne, low energy, frequent headaches, chronic infections and constipation. She said she felt "somewhat crazy" and "not like herself." At night she woke 3-4 times in a panic with severe night sweats. At the time of the initial visit, she weighed 144 lbs at 5'3" and her blood pressure was 100/70.
You could not tell that this patient suffered from all of the above-mentioned symptoms just by looking at her. How many of your patients appear to be in good health? Next time they enter your office, ask – you may be surprised by how many pre-existing patients could use your help for something other than a chiropractic adjustment.
Before seeking my help, the patient had been to her medical doctor, who diagnosed her with general anxiety disorder (GAD) and prescribed five different medications to control her anxiety, depression, headaches and constipation. After three months of no relief, she was ready for a second opinion. While the medical community will quickly offer drugs to mask each symptom, I chose a more inquisitive approach and ran a series of comprehensive tests to try and find what underlying causes or deficiencies were causing these symptoms. Her quality of life had been seriously altered by these issues and perhaps signalled more serious developing problems.
Her bloodwork showed an interesting trend. Tests of her kidneys, liver, metabolic panel, glucose, vitamin D, lipids, etc., were all just slightly too high or low for optimal health. While very few were outside the clinical reference ranges used by medical doctors, they were outside what I call the "healthy range," which is a stricter guideline for each test used to detect progression toward disease What this means is that she was on the verge of developing some serious medical problems.
However, it's important to remember those who are just showing signs of suboptimal health. The largest part of my practice is made up of patients who suffer from the symptoms listed above. They come in seeking help for depression, chronic fatigue and allergies. And it's important to advertise that you can help!
The body is made up of essentials and non-essentials. Your heart, lungs and brain – these are all essential to life and the body will send every available nutrient and protective means to these items first. Everything else – skin, fingernails, hair, eyes, etc., you can survive without, so the body will not bother protecting and sending nutrients to these areas if either something else is going on in your body that is more urgent or you are simply taking in too few nutrients to allow the body to function optimally.
What this means is that the seemingly bothersome symptoms most of the population just "deals with" could actually be indicators of a greater problem. What's worse is that medical doctors are readily available to prescribe medication for each of these "nuisance" symptoms.
A 2005 survey found that nearly 60 percent of U.S. adults took a medication in the previous week for symptoms ranging from pain to high cholesterol to cancer.1 Anti-depressants are particularly popular with women. In 1994, 2.3 percent of women in the U.S. were on an antidepressant; by 2008 that number had jumped to nearly 13 percent. Sadly, for women between the ages of 45-64, almost one in four were on antidepressants as of 2008.2
What these individuals might not realize is that there may be a more natural option. Prescriptions are not necessarily the only answer. One of my patients came to the office for a consultation with a plethora of "nuisance" symptoms. When I entered the room, the patient looked like she was in good health – she acted very pleasant, her hair and make-up had been done and she appeared to be very well-balanced mentally. It was only after she asked for help that I discovered the following: At just 33 years old, she suffered from almost-daily mood swings, depression, hot and cold flashes, excessive hunger and weight gain, acne, low energy, frequent headaches, chronic infections and constipation. She said she felt "somewhat crazy" and "not like herself." At night she woke 3-4 times in a panic with severe night sweats. At the time of the initial visit, she weighed 144 lbs at 5'3" and her blood pressure was 100/70.
You could not tell that this patient suffered from all of the above-mentioned symptoms just by looking at her. How many of your patients appear to be in good health? Next time they enter your office, ask – you may be surprised by how many pre-existing patients could use your help for something other than a chiropractic adjustment.
Before seeking my help, the patient had been to her medical doctor, who diagnosed her with general anxiety disorder (GAD) and prescribed five different medications to control her anxiety, depression, headaches and constipation. After three months of no relief, she was ready for a second opinion. While the medical community will quickly offer drugs to mask each symptom, I chose a more inquisitive approach and ran a series of comprehensive tests to try and find what underlying causes or deficiencies were causing these symptoms. Her quality of life had been seriously altered by these issues and perhaps signalled more serious developing problems.
Her bloodwork showed an interesting trend. Tests of her kidneys, liver, metabolic panel, glucose, vitamin D, lipids, etc., were all just slightly too high or low for optimal health. While very few were outside the clinical reference ranges used by medical doctors, they were outside what I call the "healthy range," which is a stricter guideline for each test used to detect progression toward disease What this means is that she was on the verge of developing some serious medical problems.
2011年8月3日星期三
Forces of Nature Introduces the First Medicines That Are Certified Organic
Forces of Nature(R), a pharmaceutical company and the first manufacturer of medicine that is certified organic, introduces its Control line, 14 USDA Certified Organic and FDA Registered topical medicines that target seven hard-to-treat conditions including acne, herpes cold sores (caused by herpes simplex 1 or 2) and scars. The Control line is currently available at select Whole Foods Market(R) stores nationwide, and will also be rolling out in independent natural retailers. Each Control medicine uses a two-in-one approach that merges the soothing nature of botanicals with recognized and established homeopathic drugs.
Forces of Nature's Control line features elite treatments for dermatological ailments that affect millions of people and ushers in a new category of medicine. It is the first and only line of medicines that are both USDA Certified Organic and FDA Registered. Never before has there been a natural, plant-based remedy categorized as medicine that is certified organic. Until now, consumers and professionals faced limited options for treating Control conditions. The Control medicines signal a breakthrough in the pharmaceutical and natural products industries and represent a new choice of homeopathic products for consumers and professionals.
"In order to produce medicines that are USDA Certified Organic and FDA Registered, our formulas and manufacturing facility had to undergo an extremely rigorous certification process," said Peter Klapper, founder and CEO of Forces of Nature. "All Forces of Nature medicines are manufactured in our USDA Certified Organic and FDA Registered facility to ensure the purest, most effective treatments are being produced."
The Control line offers a promise of purity. It sources its pure, organic materials directly from over 20 privately owned remote certified organic farms across the globe. By growing these potent genera of plants the old-fashioned way -- carefully tended by hand and using sustainable methods -- the soil maintains high levels of nutrients, increasing the plant's potency and efficacy.
Forces of Nature's Control line features elite treatments for dermatological ailments that affect millions of people and ushers in a new category of medicine. It is the first and only line of medicines that are both USDA Certified Organic and FDA Registered. Never before has there been a natural, plant-based remedy categorized as medicine that is certified organic. Until now, consumers and professionals faced limited options for treating Control conditions. The Control medicines signal a breakthrough in the pharmaceutical and natural products industries and represent a new choice of homeopathic products for consumers and professionals.
"In order to produce medicines that are USDA Certified Organic and FDA Registered, our formulas and manufacturing facility had to undergo an extremely rigorous certification process," said Peter Klapper, founder and CEO of Forces of Nature. "All Forces of Nature medicines are manufactured in our USDA Certified Organic and FDA Registered facility to ensure the purest, most effective treatments are being produced."
The Control line offers a promise of purity. It sources its pure, organic materials directly from over 20 privately owned remote certified organic farms across the globe. By growing these potent genera of plants the old-fashioned way -- carefully tended by hand and using sustainable methods -- the soil maintains high levels of nutrients, increasing the plant's potency and efficacy.
2011年7月11日星期一
Salvation through baffling wisdom
Zen is baffling: You find yourself wrestling with thoughts such as "It is easy to grasp body-mind. The world is like rice or flax or bamboo or bulrushes."
Zen in translation is doubly baffling. Do words like body-mind, Buddha, the Way, love, compassion, truth, impermanence — even rice and flax — mean to us in English what they mean to the Japanese in their language, or the Chinese in theirs, or the Indians, who started it all, in theirs?
The monk Dogen (1200-1253) is known as the founder of the Soto sect of Zen, which in contrast to Rinzai Zen stresses meditation above all other practices, dismissing as irrelevant such Rinzai teaching devices as the "koan," the logic-defeating puzzles ("What is the sound of one hand clapping?") that fret and frustrate the mind until finally it ceases its self-defeating quest for comprehensible truth and accepts that truth is incomprehensible and all the more marvelous for that.
Watsuji Tetsuro (1889-1960), historian and philosopher, is considered one of modern Japan's deepest thinkers — benighted by liberals because he revered the Emperor, damned by conservatives for being, all the same, a democrat. He wrote the biography "Shamon Dogen" ("Dogen the Monk") in 1926 because, he explains, "The essence of our own culture cannot be properly understood without taking such religious figures into consideration."
"Shamon Dogen" caused a great stir in its day. Though classed among Buddhist Japan's great religious innovators, Dogen had for centuries been lost from view, his vast body of writing kept hidden by his own Soto sect, apparently because of Dogen's uncompromising views on rank priestly corruption.
"Were it not for Watsuji," observes translator Steve Bein in his introduction, "it is entirely possible that neither you nor I would ever have heard of Dogen."
Watsuji wrote from motives similar to those of Dogen — in hopes of purifying a religious establishment he, like Dogen 600 years earlier, saw as having gone to seed. Hence the "Purifying Zen" of Bein's title.
Watsuji begins by confessing his own limitations. He is a scholar, not a religious adept; such religious insights as he can claim "have not caused the truth to sprout up within me." So much the better, perhaps. He and his readers are together on the outside looking in, and understand each other at least, however elusive Dogen's deeper thoughts remain.
Dogen was born in 1200 into an aristocratic Kyoto family and took to monastic life in obedience to his mother's deathbed wish. The worldliness of the monks revolted him. If wealth, power and sex were all to them, why had they become monks? The apparent answer is that monkhood had become a path to, rather than away from, those very goals. "We should feel sorry for this remote little country," he said, and at age 24 left for China, where real religion was practiced and taught.
Studying under a great Chinese Zen master, Dogen learned the value of meditation. It went on from dawn to midnight. Monks who dozed were beaten and told, "No one passes through this world in comfort." Exhaustion, hemorrhoids, hypothermia (the meditation halls were unheated) were no excuse for relaxing austerities. The Way was the Way and life was nothing. Comfort and health were less than nothing.
Such was the uncompromising practice Dogen brought back to Japan. Disgusted by the monastery monks who clung to the kingdom of this world, he moved into an abandoned temple to pursue, in solitude or with a handful of like minds, the kingdom of truth. It was a time of famine, starvation, despair. A monk named Shinran stirred shattered hearts with his message of faith in the infinite compassion and saving power of Amida, the Buddha of Boundless Light. Human effort was unavailing, Shinran taught.
Amida's "Original Vow" promised salvation to all who called upon him with sincere faith, the expression of which was a murmured repetition of the nembutsu "Namu Amida Butsu" (Homage to Amida Buddha).
Zen in translation is doubly baffling. Do words like body-mind, Buddha, the Way, love, compassion, truth, impermanence — even rice and flax — mean to us in English what they mean to the Japanese in their language, or the Chinese in theirs, or the Indians, who started it all, in theirs?
The monk Dogen (1200-1253) is known as the founder of the Soto sect of Zen, which in contrast to Rinzai Zen stresses meditation above all other practices, dismissing as irrelevant such Rinzai teaching devices as the "koan," the logic-defeating puzzles ("What is the sound of one hand clapping?") that fret and frustrate the mind until finally it ceases its self-defeating quest for comprehensible truth and accepts that truth is incomprehensible and all the more marvelous for that.
Watsuji Tetsuro (1889-1960), historian and philosopher, is considered one of modern Japan's deepest thinkers — benighted by liberals because he revered the Emperor, damned by conservatives for being, all the same, a democrat. He wrote the biography "Shamon Dogen" ("Dogen the Monk") in 1926 because, he explains, "The essence of our own culture cannot be properly understood without taking such religious figures into consideration."
"Shamon Dogen" caused a great stir in its day. Though classed among Buddhist Japan's great religious innovators, Dogen had for centuries been lost from view, his vast body of writing kept hidden by his own Soto sect, apparently because of Dogen's uncompromising views on rank priestly corruption.
"Were it not for Watsuji," observes translator Steve Bein in his introduction, "it is entirely possible that neither you nor I would ever have heard of Dogen."
Watsuji wrote from motives similar to those of Dogen — in hopes of purifying a religious establishment he, like Dogen 600 years earlier, saw as having gone to seed. Hence the "Purifying Zen" of Bein's title.
Watsuji begins by confessing his own limitations. He is a scholar, not a religious adept; such religious insights as he can claim "have not caused the truth to sprout up within me." So much the better, perhaps. He and his readers are together on the outside looking in, and understand each other at least, however elusive Dogen's deeper thoughts remain.
Dogen was born in 1200 into an aristocratic Kyoto family and took to monastic life in obedience to his mother's deathbed wish. The worldliness of the monks revolted him. If wealth, power and sex were all to them, why had they become monks? The apparent answer is that monkhood had become a path to, rather than away from, those very goals. "We should feel sorry for this remote little country," he said, and at age 24 left for China, where real religion was practiced and taught.
Studying under a great Chinese Zen master, Dogen learned the value of meditation. It went on from dawn to midnight. Monks who dozed were beaten and told, "No one passes through this world in comfort." Exhaustion, hemorrhoids, hypothermia (the meditation halls were unheated) were no excuse for relaxing austerities. The Way was the Way and life was nothing. Comfort and health were less than nothing.
Such was the uncompromising practice Dogen brought back to Japan. Disgusted by the monastery monks who clung to the kingdom of this world, he moved into an abandoned temple to pursue, in solitude or with a handful of like minds, the kingdom of truth. It was a time of famine, starvation, despair. A monk named Shinran stirred shattered hearts with his message of faith in the infinite compassion and saving power of Amida, the Buddha of Boundless Light. Human effort was unavailing, Shinran taught.
Amida's "Original Vow" promised salvation to all who called upon him with sincere faith, the expression of which was a murmured repetition of the nembutsu "Namu Amida Butsu" (Homage to Amida Buddha).
2011年4月13日星期三
Greg Lowe: How to deal with Bangkok’s illegal financial advisors
It would plain wrong to accuse all so-called “independent financial advisors” operating in Thailand of being low-life, scum-sucking, rip-off merchants; heels who divide their time between skanking people out of their hard-earned cash and selling grannies.
So let’s be fair and accurate: I’m only talking about 90 percent of the IFAs that I’ve had dealings with in Bangkok.
I’m sure there’s at least a handful of decent professional firms out there that offer sound investment advice, operate according to strict ethical standards and, as a result, have a growing list of happy clients who willingly recommend their advisors to friends. But then, they’re not the tossers who keep cold-calling you at work and refuse to take no for an answer, are they?
Almost all English-speakers who have worked in Thailand for more than three days have had run-ins with these telephone stalkers, armed with an uncanny ability to sniff out new prospects like maggots seeking rotting flesh.
The process goes something like this: First, within days of starting a new job you get a load of promotional guff sent to you by post or email that sets out compelling arguments for why you should stop thinking about actually earning a living and instead get rich quick by investing whatever savings you have into a number of “lucrative mechanisms” with “squintillion-percent guaranteed annual returns.”
After all, you’d be mad not to invest in the Footballers With Hemorrhoids GoldDust 17X, Selling Sand to Arabs or Madoff-Ponzi Surefire Fortune funds, right?
Second, after you’ve deftly consigned the catalog of needlessly slaughtered trees to the dustbin, you receive a call from your friendly advisor, checking that you’ve received said information and wanting to set up a face-to-face meeting to discuss your investment and savings plans.
Third, the process of cold calls continues month-in, month-out: like Groundhog Day without the fun of shooting yourself in the head.
For a while I thought the evil geniuses at Mordor Central who run the, ahem, “reputable businesses” that are probably located above some grimy rub shop off Sukhumvit Road, gave their boiler room merchants phones with no earpiece. That was the only logical reason why they couldn’t hear replies, such as “No,” “What part of ‘no’ don’t you understand?”, “How should I invest my monthly savings of 323 baht?” and “@#?! off.”
But now I know the truth -- most of these people are either desperate backpackers or the result of some heinous experiment to splice bad DNA from estate agents, lawyers and arms dealers and combine it with evil juice extracted from the corpses of Vlad the Impaler and Fu Manchu.
But how do you stop the incessant calls? Is it really possible?
Well, the answer is yes, probably. And if you can’t stop them then you can at least get even.
So stop dreaming of "saving, 5,000 baht, so you can 'invest'” in the local motorbike taxi driver who manages the Kneecapping Cold-Calling IFAs Fund (Bangkok), as there is a much more simple, legal solution.
Just follow these simple steps. I’ve tried them. They work.
1. When they call, say thanks and write down their name, phone number and email.
2. Tell them, “I have a policy or refusing advice from IFAs who cold-call me. If you have to hard-sell your products and services they clearly can’t be any good.”
3. Ask them what the regulations are for IFAs operating in Thailand.
The typical reply is that Thailand is an “open market.” This means they are either lying or misinformed, because the selling and marketing of all financial services is strictly regulated by the Securities and Exchange Commission.
In fact, the SEC has one really good regulation that must be followed by all financial firms: no cold-calling.
That’s right. It’s illegal. Point this out to them.
The Nuremberg Trials proved that “I’m just doing my job” doesn’t cut it as a decent excuse. So show no mercy to the snake oil merchant who insists on pestering you by phone.
So let’s be fair and accurate: I’m only talking about 90 percent of the IFAs that I’ve had dealings with in Bangkok.
I’m sure there’s at least a handful of decent professional firms out there that offer sound investment advice, operate according to strict ethical standards and, as a result, have a growing list of happy clients who willingly recommend their advisors to friends. But then, they’re not the tossers who keep cold-calling you at work and refuse to take no for an answer, are they?
Almost all English-speakers who have worked in Thailand for more than three days have had run-ins with these telephone stalkers, armed with an uncanny ability to sniff out new prospects like maggots seeking rotting flesh.
The process goes something like this: First, within days of starting a new job you get a load of promotional guff sent to you by post or email that sets out compelling arguments for why you should stop thinking about actually earning a living and instead get rich quick by investing whatever savings you have into a number of “lucrative mechanisms” with “squintillion-percent guaranteed annual returns.”
After all, you’d be mad not to invest in the Footballers With Hemorrhoids GoldDust 17X, Selling Sand to Arabs or Madoff-Ponzi Surefire Fortune funds, right?
Second, after you’ve deftly consigned the catalog of needlessly slaughtered trees to the dustbin, you receive a call from your friendly advisor, checking that you’ve received said information and wanting to set up a face-to-face meeting to discuss your investment and savings plans.
Third, the process of cold calls continues month-in, month-out: like Groundhog Day without the fun of shooting yourself in the head.
For a while I thought the evil geniuses at Mordor Central who run the, ahem, “reputable businesses” that are probably located above some grimy rub shop off Sukhumvit Road, gave their boiler room merchants phones with no earpiece. That was the only logical reason why they couldn’t hear replies, such as “No,” “What part of ‘no’ don’t you understand?”, “How should I invest my monthly savings of 323 baht?” and “@#?! off.”
But now I know the truth -- most of these people are either desperate backpackers or the result of some heinous experiment to splice bad DNA from estate agents, lawyers and arms dealers and combine it with evil juice extracted from the corpses of Vlad the Impaler and Fu Manchu.
But how do you stop the incessant calls? Is it really possible?
Well, the answer is yes, probably. And if you can’t stop them then you can at least get even.
So stop dreaming of "saving, 5,000 baht, so you can 'invest'” in the local motorbike taxi driver who manages the Kneecapping Cold-Calling IFAs Fund (Bangkok), as there is a much more simple, legal solution.
Just follow these simple steps. I’ve tried them. They work.
1. When they call, say thanks and write down their name, phone number and email.
2. Tell them, “I have a policy or refusing advice from IFAs who cold-call me. If you have to hard-sell your products and services they clearly can’t be any good.”
3. Ask them what the regulations are for IFAs operating in Thailand.
The typical reply is that Thailand is an “open market.” This means they are either lying or misinformed, because the selling and marketing of all financial services is strictly regulated by the Securities and Exchange Commission.
In fact, the SEC has one really good regulation that must be followed by all financial firms: no cold-calling.
That’s right. It’s illegal. Point this out to them.
The Nuremberg Trials proved that “I’m just doing my job” doesn’t cut it as a decent excuse. So show no mercy to the snake oil merchant who insists on pestering you by phone.
订阅：
博文 (Atom)