George W. Bush Has Had Enough Of Ted Cruz - Psychogenic non-epileptic seizures

George W. Bush Has Had Enough Of Ted Cruz




>> OKAY, THIS TIME IT IS GEORGE
W. BUSH AGAINST ONE OF HIS
BROTHER'S OPPONENTS. WILL IT BE
MARCO RUBIO, THE GUY WHO IS
CONSIDERED THE MOST SERIOUS
ESTABLISHMENT CANDIDATE AGAINST
JEB? DONALD TRUMP,
LEADING IN THE POLLS? NO, HE IS
AGAINST TED CRUZ. THIS IS
UNEXPECTED. FIRST OF ALL, LIKE
ALL GOOD REPUBLICAN MEETINGS, IT
IS HAPPENING IN A BILLIONAIRE'S
HOUSE IN DENVER, A BILLIONAIRE
DONOR, SO HE IS TALKING TO OTHER
DONORS, ALTHOUGH APPARENTLY IT
IS EMBARRASSING, THEY COULD NOT
FILL THE ROOM SO THEY HAD TO GET
YOUNG, RICH REPUBLICANS AND
OFFER THEM SEATS FOR ONLY $250.
THAT STINGS. SO BUSH IS GIVING A
SPEECH AND ACCORDING TO POLITICO --
>> WOW, THAT IS INTERESTING. IF
YOU DIDN'T KNOW, CRUZ USED TO
WORK FOR GEORGE W. BUSH ON HIS
2000 CAMPAIGN AS DOMESTIC POLICY
ADVISOR. EVEN MORE PERSONAL. AND
BUSH SAID APPARENTLY, ACCORDING
TO THE DONORS IN THE ROOM, andquot;I
JUST DON'T LIKE THE GUY.andquot; DAMN.
BUSH IS NOT PRONE TO ATTACKING
PEOPLE OTHER THAN MIDDLE EASTERN
COUNTRIES, AND HE DOESN'T
USUALLY MAKE IT PERSONAL.
THIS IS VERY PERSONAL. ANOTHER
DONOR
SAID --
>> BY THE WAY, I THINK W.
NAILED IT ON THAT POLITICAL
ANALYSIS, THAT IS EXACTLY WHAT
CRUZ IS DOING. CRUZ IS UNCTUOUS
AND DOES NOT MIND PANDERING IN
EVERY DIRECTION, DOESN'T MIND
LYING AT ALL, IT IS AN IRONIC
COMPLAINT COMING FROM GEORGE W
BUSH. BUT THE ONE GUY THAT CRUZ
IS NOT ATTACKING HIS DONALD
TRUMP. DONALD, YOU ARE SO RIGHT,
DONALD. NOBODY WAS TALKING ABOUT
IMMIGRATION UNTIL YOU BROUGHT IT
UP. SO HE FIGURES -- AND IT IS
NOT BECAUSE HE IS A GUY WHO IS
GREASY AND JUST SUCKS UP TO THE
BOSS -- THAT IS ALSO TRUE -- BUT
IT IS ALSO BECAUSE HE THINKS AT
SOME POINT TRUMP WILL GO UNDER,
AND WHEN TRUMP GOES UNDER, I
WILL BE THE TRUMP REPLACEMENT.
YAY. AND HE IS SO OBVIOUS ABOUT
IT, EVEN THE REPUBLICANS CAN SEE
IT. SO WHEN COMPARED TO HOW BUSH
HANDLED OTHER CANDIDATES, EVEN
AT THIS MEETING, YOU CAN TELL HE
PARTICULARLY DISLIKES CRUZ.
ABOUT RUBIO, HE SAID --
>> THAT IS THE USUAL BUSH HUMOR.
LIKE, I'M TELLING YOU IT DOESN'T
MATTER. YOU KNOW WHAT I'M
SAYING? FOOL ME ONCE. OKAY. I
BELIEVE THAT HUMANS AND FISH CAN
COEXIST. I BELIEVE RUBIO AND
REPUBLICANS CAN COEXIST, BUT NOT
TED CRUZ. I DON'T LIKE THAT GUY.
JEB BUSH, YOU ARE USING THE RICH
PEOPLE, THE DONORS, TO GET
MONEY, BECAUSE THEY ARE THE ONE
GROUP THAT IS ECSTATIC ABOUT
GEORGE W. BUSH. HE GOT THEM TAX
CUTS AND BANK BAILOUTS AND WARS
THAT MADE BOTH THE FINANCIAL
PROFITEERS, WAR PROFITEERS,
AND OIL COMPANIES TREMENDOUS
MONEY SO THEY GAVE HIM MONEY,
AND THEY GOT A GREAT RETURN ON
THEIR INVESTMENTS, SO THEY CAN
BRING BUSH IN FRONT OF THOSE
GUYS ALL DAY LONG AND GET THE
MONEY. BUT ARE YOU GOING TO USE
HIM IN PUBLIC? HE IS A FORMER
PRESIDENT, TWO-TERM PRESIDENT OF
THE UNITED STATES, USUALLY
PROUD. POLITICO EXPLAINS --
>> AGAIN, A CODE WORD FOR LARGE
DONORS.
>> HE APPARENTLY SAID, andquot;YOU ARE
NOT GOING TO SEE A LOT OF ME.andquot; I
THINK THAT'S A MISTAKE. I WILL
TELL YOU WHY. BECAUSE IF YOU TRY
TO HIDE GEORGE W. BUSH, YOU WILL
NOT BE ABLE TO HIDE HIM ANYWAY.
HE'S THE ALBATROSS AROUND YOUR
NECK. THE ONLY CHANCE THE JEB
BUSH HAS IS TO SAY GOD DAMN
RIGHT, BUSH, WE GET IT RIGHT.
BECAUSE YOU ARE NOT GOING TO RUN
AWAY FROM IT, YOUR LAST NAME IS
BUSH. I DON'T CARE HOW MUCH YOUR
CAMPAIGN SAYS JEB!, REMEMBER I
AM JEB, THE ONLY REASON YOU ARE
IN THE RACE IS BECAUSE YOUR NAME
IS BUSH SO YOU MIGHT AS WELL
EMBRACE IT. SO IF HE TAKES
SWINGS LIKE THIS AT GUYS LIKE
TED CRUZ HE MIGHT DO SOME GOOD.
SO REMEMBER, GEORGE BUSH, AS BIG
AS A DISASTER HE WAS AS
PRESIDENT, WAS A PRETTY GOOD
CAMPAIGNER. HE WOULD SAY SILLY
THINGS BUT HE WOULD COME OFF AS
STRONG -- I'LL TELL YOU WHAT, I
WILL KEEP YOU SAFE. PEOPLE ARE
LIKE, I LIKE THIS GUY, HE'S A
STRAIGHT SHOOTER. I THINK THEY
ARE MAKING A MISTAKE. AND BY THE
WAY, ONE LESS THING -- HIS OWN
BROTHER IS EMBARRASSED OF HIM
AND KEEPING HIM IN A CAVE. IF HE
WAS SUCH A GOOD PRESIDENT, AND
THAT IS A GOOD ARGUMENT FOR WHY
YOU SHOULD BE PRESIDENT, WHY ARE
YOU KEEPING YOUR BROTHER CHAINED
UP IN THE BASEMENT? RIGHT? BUT
AS YOU CAN TELL FROM THIS CRUZ
INTERACTION, AT LEAST HE IS
WILLING TO HIT HIM. HE'S GOING
TO HIT SOMEBODY. UNLIKE JEB WHO'S
LIKE, WHAT IS GOING ON? I MADE A
GOOD COMMENT AT THE DEBATE AND
TRUMP ASKED ME TO HIGH-FIVE HIM.
I WOULD HIDE YOU IN THE
BASEMENT. AT LEAST THIS GUY WON
-- KIND OF WON A COUPLE OF
ELECTIONS.

https://www.youtube.com/watch?v=BIqLPHpiC6o


Psychogenic non-epileptic seizures




Psychogenic non-epileptic seizures, also
known as non-epileptic attack disorders,
are events superficially resembling an
epileptic seizure, but without the
characteristic electrical discharges
associated with epilepsy.
There is no scientific consensus as to
what causes PNES. However, many
physicians believe the condition may be
triggered by psychological problems. It
is estimated that 20% of seizure
patients seen at specialist epilepsy
clinics have PNES.
Diagnosis
The differential diagnosis of PNES
firstly involves ruling out epilepsy as
the cause of the seizure episodes, along
with other organic causes of
non-epileptic seizures, such as syncope,
migraine, vertigo, and stroke, for
example. However, between 5-20% of
patients with PNES also have epilepsy.
Frontal lobe seizures can be mistaken
for PNES, though these tend to have
shorter duration, stereotyped patterns
of movements and occurrence during
sleep. Next, factitious disorder and
malingering are excluded. Finally other
psychiatric conditions that may
superficially resemble seizures are
eliminated, including panic disorder,
schizophrenia, and depersonalisation
disorder.
The most conclusive test to distinguish
epilepsy from PNES is long term
video-EEG monitoring, with the aim of
capturing one or two episodes on both
videotape and EEG simultaneously.
Conventional EEG may not be particularly
helpful because of a high false-positive
rate for abnormal findings in the
general population, but also of abnormal
findings in patients with some of the
psychiatric disorders that can mimic
PNES. Additional diagnostic criteria are
usually considered when diagnosing PNES
from long term video-EEG monitoring
because frontal lobe epilepsy may be
undetectable with surface EEGs.
Following most tonic-clonic or complex
partial epileptic seizures, blood levels
of serum prolactin rise, which can be
detected by laboratory testing if a
sample is taken in the right time
window. However, due to false positives
and variability in results this test is
relied upon less frequently.
= Terminology =
The use of older terms including
pseudoseizures and hysterical seizures
are discouraged. While it is correct
that a non-epileptic seizure may
resemble an epileptic seizure, pseudo
can also connote andquot;false, fraudulent, or
pretending to be something that it is
not.andquot; Non-epileptic seizures are not
false, fraudulent, or produced under any
sort of pretense.
The condition may also be referred to as
non-epileptic attack disorder,
functional seizures, or psychogenic
non-epileptic seizures. Within DSM IV
the attacks are classified as a
somatoform disorder, whilst in ICD 10
the term dissociative convulsions, is
used, classed as a conversion disorder.
= Distinguishing features =
Some features are more or less likely to
suggest PNES but they are not conclusive
and should be considered within the
broader clinical picture. Features that
are common in PNES but rarer in epilepsy
include: biting the tip of the tongue,
seizures lasting more than 2 minutes,
seizures having a gradual onset, a
fluctuating course of disease severity,
the eyes being closed during a seizure,
and side to side head movements.
Features that are uncommon in PNES
include automatisms, severe tongue
biting, biting the inside of the mouth,
and incontinence.
If a patient with suspected PNES has an
episode during a clinical examination,
there are a number of signs that can be
elicited to help support or refute the
diagnosis of PNES. Compared to patients
with epilepsy, patients with PNES will
tend to resist having their eyes forced
open, will stop their hands from hitting
their own face if the hand is dropped
over the head, and will fixate their
eyes in a way suggesting an absence of
neurological interference. Mellers et
al. warn that such tests are neither
conclusive nor impossible for a
determined patient with factitious
disorder to andquot;passandquot; through faking
convincingly.
Risk factors
Most PNES patients are women, with onset
in the late teens to early twenties
being typical.
According to a study in 23 patients,
there is an elevated frequency of
childhood abuse, especially in those
with motor involvement. Such findings
have led to the proposal that PNES may
be an expression of repressed
psychological harm in response to trauma
such as child abuse. However, the
childhood abuse theory is by no means
universally accepted, and several
studies controlling for other
demographic factors have failed to find
a higher incidence of reported childhood
abuse in PNES patients than in a
comparable patient groups with organic
disease.
A number of studies have also reported a
high incidence of abnormal personality
traits or personality disorders in
patients with PNES such as borderline
personality. However, again, when an
appropriate control group is used, the
incidence of such characteristics it not
always higher in PNES than in similar
illnesses arising due to organic
disease.
Treatment
There are a number of recommended steps
to explain to people their diagnosis in
a sensitive and open manner. A negative
diagnosis experience may cause
frustration and could cause a person to
reject any further attempts at
treatment. Ten points to breaking the
diagnosis to the person and their
caregivers are:
Reasons for concluding they do not have
epilepsy
What they do have
Emphasise they are not suspected of
andquot;putting onandquot; the attacks
They are not andquot;madandquot;
Triggering andquot;stressesandquot; may not be
immediately apparent.
Relevance of aetiological factors in
their case
Maintaining factors
May improve after correct diagnosis
Caution that anticonvulsant drug
withdrawal should be gradual
Describe psychological treatment
Psychotherapy is the most frequently
used treatment, which might include
cognitive behavioral therapy,
insight-orientated therapy, and/or group
work. There is some tentative evidence
supporting selective serotonin reuptake
inhibitor antidepressants.
Prognosis
Though there is limited evidence,
outcomes appear to be relatively poor
with a review of outcome studies finding
that two thirds of PNES patients
continue to experience episodes and more
than half are dependent on social
security at three-year followup. This
outcome data was obtained in a
referral-based academic epilepsy center
and loss to follow-up was considerable;
the authors point out ways in which this
may have biased their outcome data.
Outcome was shown to be better in
patients with higher IQ, social status,
greater educational attainments, younger
age of onset and diagnosis, attacks with
less dramatic features, and fewer
additional somatoform complaints.
History
Hystero-epilepsy is a historical term
that refers to a condition described by
19th-century French neurologist
Jean-Martin Charcot where patients with
neuroses andquot;acquiredandquot; symptoms resembling
seizures as a result of being treated on
the same ward as patients who genuinely
had epilepsy.
References
External links
Epilepsy Foundation article about
non-epileptic seizures
Epilepsy.com article about non-epileptic
seizures
National Society for Epilepsy article on
Non-epileptic attack disorder â€" a
technical article aimed at health
professionals

https://www.youtube.com/watch?v=HvWimNgyJlw