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4-Isothiocyanato-2-(trifluoromethyl) Benzonitrile- Applications, Effects, And Properties

Posted by Admin on January, 24, 2020

Chemicals play a vital role in different industries. 4-Isothiocyanato-2-(trifluoromethyl) Benzonitrile is one of the essential chemicals that is required in different applications. This chemical is easily available in the market by leading suppliers.
Here is some detailed study on this chemical.
Benzonitrile is colorless oily liquid. It smells like almond and has a sharp taste. It dissolves in water. It may attack some plastics.

Benzonitrile is used to make other chemicals like a synthesis of benzoquanamine and in the removal of titanium tetrachloride and vanadium oxytrichloride from silicon tetrachloride. Also as
1. Jet-fuel additive,
2. in making rubber chemicals,
3. in bleaching cotton
4. additive in nickel-plating baths
5. for separating naphthalene and alkylphthalenes from non-aromatics by azeotropic distillation
6. as a drying additive for acrylic fibers

People may be exposed to benzonitrile by breathing vapors when it is used as a solvent, car exhaust fumes or fumes from burning tires or automobile fires.
Benzonitrile is a volatile component of baked potatoes, roasted filbert nuts, chickpeas, meat, and some fish sauce.

Properties of benzonitrile
1. If benzonitrile is released to the environment, it can become a vapor in air at ordinary temperatures.
2. It can be broken down in the air.
3. Benzonitrile can move through the soil.
4. It is very soluble in water.
5. It does not build up in aquatic organisms as the microbes in the soil and water break it down.

Risk factor related:
• Benzonitrile can infuriate and burn skin as well as eyes.
• Inhaling it can irritate the nose and throat.
• Coughing and or shortness of breath can occur.
• Breathing in a high amount can cause a build-up of fluid on the lungs.

High exposure can also cause
1. headache,
2. nausea,
3. vomiting,
4. weakness,
5. confusion,
6. dizziness,
7. tremors,
8. convulsions,
9. coma

It may affect the liver, kidneys and nervous system. 4-Isothiocyanato-2-(trifluoromethyl) Benzonitrile has not been tested for developing or reproductive effects.

Benefits of buying chemicals direct
There are numerous benefits of buying chemicals like 4-Isothiocyanato-2-(trifluoromethyl) Benzonitrile direct from the manufacturers.

It's cheaper
This is the way through which the middleman eliminates. You get the high-quality chemical from them and that too at affordable price.

Better customer service
It doesn’t mean a better a price only, but you can also get better services. By contacting directly the manufacturer, you can resolve problems with your orders. Ask for much faster and easier deliveries than trying to work through an intermediary who won’t understand or care about your problems.

Wide range of chemicals
The manufacturers offer a wide range of chemicals to cater to different industries. You need not wander to different stores for different chemicals. Also, they are available to send samples. You can test the quality and then find the best suitable product you need.

Bulk orders are possible
If you are dealing in the industries where 4-Isothiocyanato-2-(trifluoromethyl) Benzonitrile is required then you must be requiring it in bulk. The leading suppliers can capably supply any variety in bulk.
They formulate every product under the supervision of experts and ensure well-tested products reaches you.

Hence, find the best 4-Isothiocyanato-2-(trifluoromethyl) Benzonitrile Manufacturers online and then place the order.

This entry was posted on January, 24, 2020 at 14 : 51 pm and is filed under Chemical. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response from your own site.

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Beginner’s Guide to Anal Sex Toys

A Beginner’s Guide to Anal Sex

With tapered suggestions and flared bases, butt plugs guarantee ease of entry whereas the flared bases make sure that the plug stays in place. If you are interested by pegging, or anal sex with a strap-on dildo, it’s essential to start small, identical to with butt plugs.
Not solely is it only a factor, nevertheless it’s becoming more and more in style in right now’s sexually liberated society. In reality, onestudy confirmed that 37% of girls have tried anal intercourse and forty three% of men have engaged in it.
This anal intercourse starter package comes with a bullet vibrator and a multi-speed vibrating probe, so you possibly can mess around with totally different sensations and see what you favor. And what higher method to begin your solo anal play journey than by treating your self to one of these 11 beginner-friendly butt plugs? Glass sex toys are enjoyable for all types of causes, not just because they’re stunning to look at. If you like temperature or sensation play, the Icicles No. 2 Anal Beads is the toy for you. Warm them up or cool them down, and also you’re certain to make yourself really feel something new.

One key profit is that they permit you to give attention to other pleasure centres, while merely staying in. In fact, a comfortably positioned butt plug shouldn’t be pushed in or pulled out till plug play is over. A beginner man can select any types of newbie anal toys based on their want and choice. If a user is involving within the anal sex for the first time, then ought to choose the small size anal sex toys solely.

The strong nature of the glass means there’s no give to this anal toy. Butt plugs are great toys that can help you safely explore new sexual territory. If you’ve got never tried them, or should you’re already into anal sex, they might help you turn up your routine while warming up your body for new things. Whatever the reason you’re eager to dive into the world of butt plug play, there are some things you need to know for a cushty, secure, and attractive expertise.

Beginner's Guide to Anal Sex Toys
With that being stated, it’s going to probably take a sluggish start and slightly follow so as to learn to loosen up those muscles. Once you get those muscles to loosen up, you can begin to obtain totally different sized toys and experiment with different black obsessive wonderia strappy teddy playsuit types of pleasure. Anal plugs are synonymous with anal intercourse toys as they are the first toys that folks think about when they hear anal intercourse toys being mentioned. These are the preferred as a result of their simplicity, design, variety and effectiveness.

A couple can also use the anal sex toys in the course of the mutual masturbation to pleasure one another. As we all know that, there are sorts of anal intercourse toys are available. People use various kinds of anal intercourse toys for a different purpose. The several types of anal sex toys which beginner can use are anal beads, butt plug, anal dildo, prostate massager etc. A couples vibrator, also referred to as a couples’ massager, is a vibrator designed for use by a couple sometimes as a part of intercourse.
We obviously love butt plugs, but they aren’t the one anal toys in the marketplace. Anal beads permit you to progressively increase intensity, and other people with prostates may want sheer black crotchless tights with side cut outs to go straight for a prostate massager. Below, check out the toy recommendations for some anal sex toys past butt plugs. There’s a standard misconception that a butt plug is solely used as a software to organize for anal intercourse.
The subsequent step is selecting a new grownup toy, and when you have no idea of what is obtainable or where to start, that is the right intercourse toy information for you. This newbie’s guide will tell you everything you have to learn about couples’ intercourse toys to make an knowledgeable determination when choosing your perfect couples’ toy for enhancing your playtime together. High-high quality, body-safe glass plugs can be unbelievable, says Corrado.
Any vibrator can technically be used by a couple, but some are easier to maneuver throughout companion play than others. Some couples’ toys, similar to vibrating cock rings and the couples’ vibrators made by LELO and We-Vibe, are specifically designed for use during intercourse to supply clitoral stimulation. Check out Adulttoymegastore’s range of couples’ vibrators here. Anal stretching begins similar to any type of anal exercise. Before getting into this extra hardcore activity, it’s necessary that you experiment with plenty of other anal play first.
You can see Adulttoymegastore’s vary of Pegging Sex Toys right here. Of course, it could take more than only one try earlier than you really achieve that every one-pleasure-and-ache type of feeling.

Sex within the bathtub or bathe is at all times an excellent time, but shower play sex toys are designed specifically to reinforce your steamy shower or tub sessions. Shower play grownup toys embrace position enhancers, water-proof intercourse toys, romantic tub salts and extra. You can see Adulttoymegastore’s whole vary of shower play sex toys right here. If you’re hoping to use an anal plug for stretching purposes, choose your plug with care.

If you are brand new to anal intercourse toys, I advocate a easy, cheap plug like this one (additionally linked to above) or the Little Flirt by Tantus. They’re great for solo use since they can be inserted and left in place, or jiggled around a bit when you’re dextrous.

— (@AdultShopitUK) October 25, 2019

It sounds intense (and it could be too intense for folks who’re new to booty play) but it’s a fun add-in for couples (and solos!) with some anal sex ivg eliquid blueberg 3mg 10ml experience. We cannot speak about anal play with out mentioning butt plugs.
Beginner's Guide to Anal Sex Toys
If a male companion needs to involve in the anal intercourse then they can choose the prostate massager. A prostate massager is an anal sex cbd oil for alzheimer patients toy which is simply utilized by men.

  • Pegging is a sexual act for couples where a lady performs anal intercourse on a person by penetrating the man’s anus using a strap-on dildo.
  • To participate in pegging, a man will typically must be entered from behind.The Perfect Sext For Every Sign
  • This could be extremely pleasurable for males because it stimulates his prostate (P-spot), which is the equal to the female G-spot.

People use anal sex toys just for anal penetration, not for the vagina penetration. Anal intercourse toys are designed in such a way that individuals can easily insert the toys into the anal. While involving in the anal intercourse, males uses the kinds of things. Some males use their very own fingers whereas some males use the several types of sex toys.
Couples’ intercourse kits are grownup toys that come as a set to help amplify things within the bedroom. A couples’ equipment can range in theme, whereby the couple can choose a kit that most closely fits their desires, needs and wishes.
Beginner's Guide to Anal Sex Toys
Even better, common stimulation of the prostate retains it good and wholesome. Hopefully you’re here since you’re open (so to speak!) to learning extra about anal intercourse toys, what they exactly are and tips on how to use them for greatest impact.

The 8 Best Anal Sex Toys For Beginners, According To An Expert

It would take a lot of initial stimulation on your anus before you truly give method and that’s principally your introduction to how anal sex could feel like. Fingers, tongue, sex toys for butt plays–these are the muse you’ll have frukt cyder strawberry lime 50ml to rely on as you ease into the “real” thing, so to talk. Couples’ intercourse toys embody anal sex toys, dildos, vibrators, cock rings, strap-on intercourse toys, intercourse furniture, shower play intercourse toys, bondage sex toys, arousal gels, sex kits and extra.
Don’t go straight to the massive dildo, but begin with something skinny and work your means up to the huge dildo. The versatile vibrating dildo works in all orifices (however is very fitted to anal play) and is appropriate with most harnesses.
It’s small and delicate with the everyday tapered finish and broad base. The color reminds you of candy but the sensations may have you thinking of sexier things. So you’ve done somewhat exploring together with your fingers, and now you are able to take your anal play to the following level. There are lots of unbelievable anal intercourse toys on the market simply waiting to take a trip up your butt. Here’s everything you have to learn about putting a foreign object in your anus.Illustration by Jim Cooke.
Beginner's Guide to Anal Sex Toys
Kits to select from embrace vibrator kits, foreplay kits, bondage kits, anal play kits and extra. A couples’ package is a good possibility for intercourse toy newbies, or these eager to get their different half a sensual present that benefits both events. Check out Adulttoymegastore’s selection of couples’ sex kits here.
Beginner's Guide to Anal Sex Toys
Adult toys for couples add more pleasure for each partners, making sex even more enjoyable and adventurous. Since bazooka sour straws e liquid differs, couples intercourse toys can take many different shapes and forms. The Jelly Rancher Pleasure Plug (in pink!) may be precisely what you want as you discover anal sex and play.
Anal stimulation is related to some highly effective orgasmic experiences. Whether it’s for solo session purposes or just to spice up your intercourse life, obtaining anal intercourse toys allows your play to tackle a whole new dimension. While some people persist with the conventional dildos for his or her anal play, these could also be an excessive amount of to take particularly for beginners. Adam & Eve consultant Katy Zvolerin suggests starting small and dealing your way up to larger toys, and what better means to try this than with a intercourse toy package?
Designed to stretch the anus and stimulate the nerve endings, butt plugs are a fantastic introduction into the world of backdoor play. They come in a variety of sizes, so you can start small and work your method as much as greater plugs as you are feeling snug, and eventually to extra advanced play with dildos and penises, if you please. Butt plugs are nice on their own, offering a sense of “fullness.” Their tapered insertion helps with entry and their base keeps issues in place in addition to allowing for straightforward retrieval. We’re fairly positive you already know that your butthole is your anus (you did click on a post about anal play, after all), but let’s go a little deeper. The anus is controlled by your sphincter muscle, which is designed to maintain your poop in till you’re ready to release.

If you really wish to put together for it, butt plugs can be an excellent begin and you need to use it during vaginal intercourse as nicely. A couples’ intercourse toy is an grownup toy designed to reinforce pleasure during, earlier than or after sex between companions.
Pegging is a sexual act for couples where a girl performs anal intercourse on a person by penetrating the person’s anus utilizing a strap-on dildo. This may be extraordinarily pleasurable for men as a result of it stimulates his prostate (P-spot), which is the equivalent to the female G-spot. To participate in pegging, a person will usually have to be entered from behind.
You don’t wish to have a sudden journey to the emergency room. If you might be in tension then the anal turn into onerous and can really feel pain throughout penetration. At the very first, you should insert your fingers first and when it turn out to be snug then insert the anal sex toys. Anal sex toys can be found available in the market with kinds of form and measurement. The completely different shape and dimension of the anal toys provide the completely different sensation in the anal sexual exercise.
The intercourse toys which males used through the indian anal sex known as the anal sex toys. In the market kinds of anal sex toyes are available in sorts of shape, dimension, fashion and textures. Men use the anal sex toys in the course of the anal penetration for nice feelings. Best beginners anal intercourse toys.Cheap small anal vibrators, anal dildos, thin anal tools on-line.
Examples of specialist butt plugs are inflatable and lockable types, for the extra kinky amongst you. Perhaps one of the best identified specialist anal sex toys are prostate massagers.
Sexual pleasure is most positively not ‘one measurement matches all’ – and neither are butt plugs. Our undervalued derrières not only house the exit which retains our bodies functioning healthily, however supply snug padding when we have to take the load off our feet. Did you realise that your bottom additionally has the potential to provide you unbelievable pleasure, in addition to a mere sigh of reduction any time you sit down? Most individuals have no less than heard of butt plugs, but all too often anal sex toys are just things that ‘other people use’.

Just enjoy the sensations of anal toys that fit your body completely. Learn tips on how to comfortably insert toys, and learn the way your body feels about all the varied anal pleasure sensations. For some, experiencing anal sensations in a sexual method hanna harper life size inflatable blow up sex love doll is an entirely completely different, new thing to study, and you want to have that side already-accomplished lengthy before you attempt any stretching.
Here is a listing of the most popular couples’ sex toys and what their meant purposes are, to help give you an idea of what toy is one of the best match for you and your companion. As we’ve stated passion akkie sexy nurse costume with white mini dress and cap before, a big a part of anal sex is the prep that comes before it. This contains use of fingers, tongue, and sex toys to assist in easing into anal sex.
If you want to go elegant, these njoy plugs are incredible. If you are a woman, you could like an njoy wand; it doubles as both an anal and G-spot stimulator, so all isn’t misplaced if you do not find yourself liking the anal action. Hold on to your toys – One factor you have to bear in mind in utilizing sex toys on your anus is that it has to have a base.
Beginner's Guide to Anal Sex Toys

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Permanent Magnets has informed that the Company’s appeal against winding up matter came for hearing in the court on January 21, 2016 and was adjourned on February 04, 2016 for further directions in the matter.

The above information is a part of company’s filings submitted to BSE.

Related Permanent Magnets Ltd. Links:

Permanent Magnets Share Price

285.10 -5.80 (-1.99%) May 06, 18:01
1 Year Price Chart
Company Name CMP
Siemens 1862.35
Havells India 1006.55
Apar Inds 498.25
ABB India 1381.40
CG Power & Indl.Soln 84.45
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Sensex vs Permanent Magnets
Puchho Befikar
SEBI Registered: Investment Adviser - INA000013323


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Monkey Mag – International Lifestyle and Travel Blog

7 Awesome Reasons to Start Learning to Play the Saxophone

Learning to play a musical instrument is one of the top skills many people aspire to have. There are many musical instruments to choose from, some more popular than others. Perhaps one of the most prominently featured instruments, especially in jazz music, is the saxophone. A saxophone player receives much admiration because of the assumption that saxophones are hard to play. But aside from gaining praise, there are many other reasons why learning to play the saxophone is worthwhile.

  • A perfect avenue for expressing creativity

Although saxophones are associated mainly with jazz music, it is versatile and featured in many musical genres. If you have an extensive taste in musical styles and would like to express your creativity, you can learn to play the saxophone and use it to accompany different types of arrangements including classical and contemporary.

  • There are different kinds of saxophones to choose from

In total, you can choose from nine different saxophone types; the most popular include baritone, alto, and soprano. Dawkes range of saxophones has a complete variety to choose from depending on your interest and taste. Since the pitch of saxophones ranges from high to low, and instrument sizes also vary from small to large, you will undoubtedly find one that fits you.

  • Playing music helps you with academics

There are many benefits to playing a musical instrument, and one of the most beneficial is how it helps with developing language skills and concentration. Many even say that if you know how to play a musical instrument, you can also improve your mathematical skills.

  • It will help you socialise

If you know how to play a musical instrument like the saxophone, you can start getting involved in social events and even join groups. You can meet new people and network with a new group of friends who share similar interests. Social events can also open doors to many opportunities and build lasting relationships with people who are also passionate about music.

  • You can learn to persevere and develop patience

Playing the saxophone requires hours of practice and diligent studying. Through this process, you become more patient and learn to persevere in achieving your goals. When you develop these values in yourself, it becomes an inherent part of your personality which will aid in other aspects of your life.

  • Improve your ability to retain information

A person’s memory deteriorates as they grow older. When you are playing a musical instrument, you use a large portion of your brain and therefore help it to function correctly. In the process, you are also improving your memory and information retention while at the same time enhancing your other cognitive skills.

  • It allows you to relax

Playing the saxophone is a relaxing activity for the player and for anyone who listens to the soothing music produced. Music also helps improve your mood and keeps the blues away. If you are feeling frustrated or depressed, you can also use music as a way to vent your anger or frustration and feel relaxed immediately after.

Learning to play the saxophone is a worthwhile experience.


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Billboards warn of underage drinking consequences

Dean Cousino
This is one of the billboards posted in the area by the Monroe County Substance Abuse Coalition.

New billboards have been posted in the Monroe area by the Monroe County Substance Abuse Coalition warning parents about the legal consequences of hosting parties with underage drinkers.

The three billboards have been displayed with an anonymous phone “tip line” phone number about the potential legal consequences of alcohol being served at graduation parties or other gatherings. The posters show bottles of liquor on a shelf with a message of “Hosting Teen Parties Doesn’t Mix Well with the Law.”

The billboards are a “reminder to parents and guardians as we move into the graduation party season,” said Vicky Loveland, coordinator for the coalition. “There can be legal consequences from hosting an underage drinking party (and) providing alcohol and letting those 20 and under drink in your presence.”

The billboards include a confidential phone number that anyone can call if they suspect underage drinking is occurring. The tip line is available year round for community members to use, Loveland said.

"Our coalition continues to encourage the use of the confidential tip line (241-4360) if one suspects this is occurring, especially with the possibility of graduation parties starting to take place,” she said in an email.

The billboards have been placed in the following locations:

• N. Monroe St. (M- 125) and Hurd Rd. in Frenchtown Township.

• S. Telegraph Rd. (US-24) and Albain Rd. in Monroe Township.

• N. Dixie Hwy. and E. Noble Ave. in the City of Monroe.

Typically the billboards are up for a month, but they could stay longer, Loveland said.

The coalition signed a contract with Adams Outdoor Advertising to post the signs using money from the Drug Free Communities (DFC) fund. The DFC funded the coalition for 10 years, but the funding ended in September, 2019, she said.

“This was the maximum time they would fund a coalition,” she said.

Currently, the coalition is being funded by the Community Mental Health Partnership of Southeast Michigan.

In the spring, the coalition sent letters to area school superintendents to be forwarded to parents alerting them about the consequences. The letters were signed by the Monroe County Sheriff Dale Malone; Lt. Greg Morenko, commander of the Monroe post of the Michigan State Police, and Monroe County Prosecutor William Paul Nichols.

The letters were personalized for each school district with the superintendent, principal and coalition identified at the end.


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The season of believing

I was embarrassingly old when I found out Santa Claus wasn't real. I think it was like 4th grade. Yeah...I know. I remember standing in the kitchen after school telling my mom what I wanted for Christmas and my brother blurted out "Taryn you do know Santa Claus doesn't exist, right?" I guess I can't say I "believed" in the truest sense of the word. But I was happy living with my naivety so I never acknowledged what I knew was probably true. Until that moment.

Although I can't remember exactly how it happened, I'm pretty sure that I pretended to know (as in, "like duh Jeff, I totally know") then went to my room and cried.

The other day Ethan and I were talking about the Tooth Fairy as he came across a "My First Tooth" pillow he got as a baby gift. He asked what it was for and I explained how when he's bigger (hopefully before 4th, 4th grade was a big year for me) his baby teeth will get wiggly and fall out to make room for his big teeth.

"Then what happens to them?" he said, confused.

"You put them in the pillow, hang it on your bedroom door, and the tooth fairy leaves a special treat in it's place."

You could see the wheels turning in his head. "Mommy, I don't believe in fairies. They are only in movies."

What? He's 4! A wave of panic went through my body. So I pried a little more to assess the situation.

"Well then Ethan, who puts the treat in the pillow?" I asked hopefully.

Without skipping a beat, he put my nerves at ease. "Um, I don't know. Santa or the Easter Bunny."

I know that the holidays are about so much more than eating excessive amounts of turkey at Thanksgiving or putting on coordinating outfits for the keepsake photo with Santa at the mall - and we go to great lengths to make sure our kids are aware of why we celebrate these important dates. We talk to them about being grateful and giving thanks. We read them stories about Jesus' birth and collect gently used toys to donate to the less fortunate. But is it wrong to say that the twinkling lights, Christmas carols and flannel pjs are what make the last few months of the year so magical?

Oh, and the look in the eye of your kids that tells you 'they believe'.

There is nothing like it.

Christmas Eve 2010
Christmas morning 2010

How old were your kids when they stopped believing?

  1. Such a lovely post. My oldest is 8 and thankfully, he still very much believes. Because right now it's about magic and surprise. Once they stop believing, it starts to become so much more about the gifts they get.

  2. brendan is 9, and i am dreading the day he doesn't believe. The past year or so there were some questions that we easily answered away, but i know someday it will all end. I hope he lets me keep thinking he believes forever!

    They both love polar express, so i bought them the little bell ornaments, so i can remind them of believing!

  3. Good to know I've got a good 5-6 years of "believing" left. And Kellie, my boys love Polar Express too - that's such a good idea!


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32a/20-24 Sorrell Street, Parramatta

Available Now. One Bedroom Apartment. Utilities Included.

Freshly painted & conveniently located within minutes walk to Church Street restaurant/cafe precinct, Parramatta CBD, Rivercat, Rail & Bus Interchange and Westfield. Electric and water included.

Features include:
- Tiled throughout
- Good size living area
- Kitchenette with electric cooktop
- Main bedroom with built in robe
- Large balcony
- Security video intercom
- Shared laundry, washing machine and dryer included
- Just a short walk from the Parramatta CBD, Parramatta River and picturesque parklands
- Only metres from the local Coles and a host of quality schools, shops, restaurants and amenities
- Easy access to public transport links and major roads including Victoria Road

Available on a 12 month lease or more. Sorry No Pets.

Check in at open homes via QR Code is required for all attendees. Face mask required.

Moshav Realty is committed to taking measures to ensure the wellbeing of clients, tenants and staff during the Covid-19 outbreak. Please contact our office to learn about our current procedures.

  • Built-ins
  • Intercom
  • Kitchenette
  • Security Access

  • 1P0197
  • $330 pw
  • Apartment
  • For Lease
  • 32a/20-24 Sorrell Street Parramatta NSW
  • 1
  • 1
  • Sat 8th of May


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Corvette Wheel Outer Seal, Rear, 1963-1982

Corvette Wheel Outer Seal, Rear, 1963-1982

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  • Flanged design allows for an easier and secure installation
  • Outside ridges of the seal offer a secure and proper fit within the bearing
  • Enhanced performance in a wide range of temperatures and fluid environments allows for increased reliability for wheel end performance
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Starling Bank fee free debit card

The Starling Bank fee free debit card is like a well known brand of DIY product – it says what it says on the tin! This debit card offers account holders the opportunity to make purchases and cash withdrawals overseas, without any foreign transaction fees or commission. However, with all cards, there is a possibility of a “local charge” when overseas. Like you, we are unable to travel at present due to various travel restrictions and lock downs. We are however using this time to prepare for future trips. One of the key tasks being to obtain this card.

Starling Bank fee free debit card

The application process proved to be quick and here it is stage by stage

  • Download the Starling Bank app
  • Apply for the bank account through the app. Note – you cannot apply for the account through the website – it’s “app only”.
  • Upload a photograph of your ID
  • Make a video of yourself – presumably the Starling Bank team use this to verify against the photo ID
  • That’s it!

The Starling Bank fee free debit card arrived within three days. You choose the card PIN number yourself online. This is a great feature and does away with having to change a PIN when you ontain a new bank card.

At the present time, the card has been used only in the UK. I do not envisage any issues with usage overseas. The exchange rate is the Mastercard commercial rate.

Starling Bank fee free debit card – alternatives

There are various credit cards that offer fee free usage overseas for purchases and some offer no fees on cash advances. However, you will pay interest on cash advances/cash machine withdrawals from the date of the withdrawal until the debt is repaid. Fee free debit cards are fewer in number, but this article from Which? may help you. Full details of the Starling Bank card and app are available here.

In the past, we have compared rates using various cards whilst overseas. The details are available to read here

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  1. Katherine March 29, 2020

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Quetzals In Panama
Head For The Cloud Forest In The West

We love to travel, and 2020 was supposed to be a big travel year for us. Like the rest of you, that hasn't happened.

We're still dreaming about travel, reading about new destinations, and making (tentative) plans for the future. We hope all of you are well and staying safe... and that you find some inspiration here for YOUR future travels.

With vaccines arriving, let's hope we can be traveling again in 2021!

"Quetzals in Panama?
I thought you had to go to Costa Rica to see them. --Craig"

Male Resplendent Quetzal in Panama

Roger Tory Peterson Called the Resplendent Quetzal "The most spectacular bird in the New World".

Every birdwatcher I know has Resplendent Quetzal near the top of their birding wish list.

And why not?

You really won't see a more spectacular bird than the male in full breeding plumage....

All red, iridescent green/blue and white with those long tail feathers floating behind.

But... You're Not A Birdwatcher?

Keep reading.... The experience of staying in the jungle and seeing jungle critters is worth it even if you're not a birdwatcher!

Yes, Quetzals In Panama

The country that gets most of the publicity for Resplendent Quetzals is Costa Rica and the Monteverde Cloud Forest. And it's the national bird of Guatemala, but we found quetzals in Panama in Volcan Baru National Park in Chiriqui Provence. You are nearly on the Costa Rican border when you're there... as long as there is a cloud forest in their range, the quetzals do not know borders.

Just so we don't confuse or upset anyone, there are other species of quetzals in the tropical rain forests of Central and South America. We saw two species in Peru on a recent trip. It's the Resplendent Quetzal with the long tail feathers we want to help you find here. Remember, they only have those long tail feathers during breeding season, so you have to plan your trip at the right time of year.

To Hike or Not To Hike?

As we planned our trip, we read about a trail called El Sendero de los Quetzales...... The Quetzal Trail. It links the towns of Guadalupe which is near Cerro Punta on the west side of the volcano with the town of Boquete which is on its east. The trail skirts the Baru Volcano and can be hiked in either direction. Information we found indicated that hiking the 6 miles (9.6 kms) of this path may take from 4-7 hours.

Keep in mind that you will be hiking at altitude... quetzals usually inhabit forests above 5000 feet (1500 m). El Sendero de los Quetzales goes from about 6000 - 8000 feet (1800 - 2500 meters). And keep in mind that it could be wet.... you're in a cloud forest! We would have made the hike if we had to, but we found it wasn't necessary for us....

Quetzals in Panama at Los Quetzales Lodge

You could also look for quetzals in Panama the way we did it.... see it from your room.

Hiking to our cloud forest cabana at Volcan Baru Panama

We drove to Cerro Punta and got one of the cabanas at Los Quetzales Lodge.

You could get a room at the Lodge in the little town of Cerro Punta, and they will take you up into the forest to look for birds...but...

They told us that they often see quetzals near the cabanas that are situated up in the forest....

Well, we couldn't resist that!

Don't be put off by the fact that there is no power. The cabana are very comfortable. There are plenty of gas and battery lanterns, and lots of hot water. We ordered meals from the restaurant... took dinner with us the first night, and our guide delivered dinner the second night. And it was so much fun being alone in the jungle.

Tractor ride into the cloud forest - Panama

The cabana we stayed in was a 30 minute tractor ride steeply uphill into the middle of the jungle... OK the cloud forest. Then a short hike up hill.

We had read that you could reach the cabanas with 4 wheel drive.... It would have to be a pretty serious 4x4 vehicle. Honestly, now that we've been there, I wouldn't try it!

A guided walk was included with our cabana stay... and our guide found us a male and female quetzal in the first half hour.

Looking for quetzals in Panama at Volcan Baru

OK... so we did hike a bit...

...and the first quetzals we saw were not from our room...

but it wasn't a 4-7 hour hike!

We found our quetzals!

And it wasn't a fleeting glimpse.

The pair sat there for 10-15 minutes.

I only wish we had a better camera so we could have gotten better photos.

We also had a pair fly in and sit in the tree in front of our cabana at lunch time. Now this WAS from our room. Lucky? For sure.... but definitely spectacular!

There were lots of forest birds and hummingbirds around too... The hummingbird feeders are filled everyday, and there are several different species that buzz around you all day.

 And it wasn't a fleeting glimpse. The pair sat there for 10-15 minutes. I only wish we had a better camera so we could have gotten better photos.    We also had a pair fly in and sit in the tree in front of our cabana at lunch time. Now this WAS from our room. Lucky? For sure.... but definitely spectacular!  There were lots of forest birds and hummingbirds around too... The hummingbird feeders are filled everyday, and there are several different species that buzz around you all day.
Yellow-thighed Finch Panama

...and little forest critters visited the cabana at night looking for bananas that are regularly put out... The lodge sent up a whole bunch that we could put out at night. The kinkajus and Cacomistle (the Central American version of a Ring-tailed cat) were not bashful.

Kinkaju in Panama

Where to Find Quetzals In Panama

You need to get to the cloud forest around Volcan Baru National Park. It's about an eight hour drive from Panama City on the Pan American Highway. The Via Panamericana is a four lane road as far as Santiago, then a two lane road the rest of the way. David is the third largest city in Panama, and that's what you're aiming for.

From David you have a couple of choices... you can go to Boquete which has several places to stay and resources for seeing quetzals, or you can do as we did and head for Cerro Punto and Los Quetzales Lodge.

It was a long drive if you go straight through, but the roads are good. The country side is pretty, and we enjoyed it. There are plenty of interesting little towns to stop at on the way if you have more time.

If you want to look for quetzals in Panama, we recommend making the effort. It's worth it just to stay in the jungle like that!

Happy travels... even if you don't travel the world... just remember that life is a journey... embrace and enjoy it! Judy and Mark

Curious about what else we've written about?  Search our site for a destination or travel tip.

But... We'd love to have you share this page or comment on it…
Thanks, Judy and Mark

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Sights Around Vancouver

Way More Than Museums and Shopping!

We love to travel, and 2020 was supposed to be a big travel year for us. Like the rest of you, that hasn't happened.

We're still dreaming about travel, reading about new destinations, and making (tentative) plans for the future. We hope all of you are well and staying safe... and that you find some inspiration here for YOUR future travels.

With vaccines arriving, let's hope we can be traveling again in 2021!

There are plenty of sights around Vancouver to keep you amused.

Vancouver is more than just a city experience...

There are things to see do to keep you busy for days... in the city and the surrounding countryside.

Get out on the water...

Get into the mountains...

Explore and enjoy the wildlife, not just the nightlife and shopping and museums.

Need some ideas?

On The Water

Sea Safari

If you want to get out on the water, you could take a "sea safari".

There are tour companies that use high speed boats to take you to to see cliffs, caves, islands and wildlife in the harbor.

Look for seals and bald eagles.

Harbor Tour

If you want a more sedate time on the water, take a harbor tour.

Vancouver Harbor Tour

See many of Vancouver's landmarks from the water for a whole different perspective...

Cruise past Stanley Park, the Lookout tower, Lions Gate Bridge, Gastown and the North shore Mountains.

It's a great way to see the city's skyline.

A Paddle Wheeler

Go for a lunch cruise on an authentic paddle-wheeler on the Fraser River or take their cruise to historic Fort Langey.

The Great Outdoors

Capilano Suspension Bridge

See the Capilano Suspension Bridge. It's only about 10 or 15 minutes from the city by car, but you'll feel a world away.

Capilano Suspensions Bridge... high above the river!

What's so special about a bridge?

It's a suspension bridge.... you walk... or wobble across 450 feet of it hanging 230 feet over the river.

You can spend just an hour or so to walk the bridge, explore a bit, and admire the scenery.

If you have more time, you can spend the day at the Cultural Center, their Treetops Adventure, and the Living Forest exhibits.

Wines In Canada?

Sure.  Visit the wine country of British Columbia.

See the wine sights around Vancouver which include the designated viticultural areas of the Vancouver Island Regions, the Gulf Islands, and the Fraser Valley region.

If you choose to do this with a tour company, you won't have to worry about tasting too much or choosing a designated driver.

Hot Springs

Take a day trip to Harrison Hot Springs. It's about a 90 minute drive east of Vancouver by car.

Enjoy the small town and take a soak in the hot springs. There are several museums in and around Harrison Hot Springs.

Hell's Gate Gorge

Hell's Gate Bridge over the Gorge

Visit the Hell's Gate Gorge and see it from a gondola dangling over the rapids.

This is best visited on a tour or by rental car. It's about two and a half hours from Vancouver along Highway 7 and the Trans-Canada Highway.

More Sights Around Vancouver

Need more to keep you busy?

Take a tour or a drive to Whistler.

Whistler Blackcomb was the site of the 2010 Winter Olympics... and that only added to the reputation of Vancouver and Whistler as winter destinations. Whistler has been a popular destination winter or summer.

You can drive along the winding road to this resort... the Sea To Sky Highway...

...or take the scenic train from Vancouver to Whistler.

By train you'll see the rugged Pacific Coast mountains, Canadian "fjords", and waterfalls. You'll pass by the Capilano River, Horseshoe Bay, and Howe Sound. It's about three hours each way.

Whether you choose public transportation, trains, buses, boats, tours or your own rental car, get out and explore the sights around Vancouver.

Happy travels... even if you don't travel the world... just remember that life is a journey... embrace and enjoy it! Judy and Mark

Curious about what else we've written about?  Search our site for a destination or travel tip.

But... We'd love to have you share this page or comment on it…
Thanks, Judy and Mark

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Have your say about what you just read! Did it help with your travel planning and preparation? Eager to leave on that next vacation? Please leave your tips or comments in the box below.

Timely Tips

The New Year is here...
And we're ready to put 2020 behind us.
What are your resolutions? To lose weight? To Exercise more?
We're hoping for an end to this virus and the travel restrictions so...
Why not a FUN resolution!
Resolve to TRAVEL!
It's a good time to plan your travels...

We have lists to help....
Custom Tour Planning List

Destination stories....
Europe Travel Tips
Africa Dream List
See America

Travel Planning
International Travel Planning Tips
Guidebooks can help you plan

Don't Forget Valentine's Day
Romantic Weekends

What About Your Passport?
Time to get one... or renew...

Answers about Passports and Visas

Dreaming of Warm Weather or Snow?

Jokulsarlon Iceberg Lake, Iceland

Packing for a Tropical Vacation
Cold Weather Packing List

…Or just make a resolution to explore more pages here and get ideas for travel destinations and how to get there.

NOW is the time to start planning for a great trip this year.

Search MouseToursTravels
Travel questions or destination info?
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Updated Tips & New Travel Stories

  1. 2020 Travels - What Travels?

    Our 2020 travels were slim. COVID kept us home too. One trip to the Three Guyanas, but dreaming of travel next year.

    Read More

  2. Discovering The Three Guyanas

    Love discovering less touristed regions? The three Guyanas are tucked up in the north east corner of South America that doesn’t get much attention.

    Read More

  3. 2019 Travels - Africa, Asia, Europe and USA

    On our 2019 travels, it was independent travel, a custom tour and a group tour. All work beautifully... just depends on where you’re going and what you want.

    Read More

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‘The Duke’, Good medicine & Moxibustion’ – a viewpoint

We want to be on the winning team,

but if we do so by turning our backs on the losers, then it surely is not worth it.

So we must set about fighting the long defeat.

Paul Farmer MD

So who exactly is the Duke (of the title above)? It’s the jazz maestro Duke Ellington no less - almost certainly the greatest jazz composer and big band leader of all time. There’s a famous story that gets regularly repeated about him – how he was once asked what his favourite sort of music was – and his reply was pretty smart. He said that there are actually only two types of music: there’s good music – and the ‘other kind’.

So this is the theme of this op-ed piece. It was also the background theme of our talk on World Acupuncture Day (WADO) at UNESCO HQ in Paris last week – a consideration of this same question in terms of our own music (the sweet music of acupuncture and moxibustion).

UNESCO’s list of ‘intangible’ cultural treasures for humanity

The WADO event was officially commemorating an anniversary for acumoxa (and please note – this related to acupuncture AND moxa, i.e. not just acupuncture![i]) – of it being included in UNESCO’s list of intangible cultural treasures for humanity. This award was patently seen as being something that deserved formal commemoration. Well, it may seem like churlish ingratitude given that we were invited to speak at the event (and we’re happy to run this risk) but we’re convinced that (as a community) we’re not just seriously missing a trick if we are remotely satisfied with being an intangible treasure - in fact we may be doing a disservice to a quarter of humanity if we do so. The truth is that we believe that our medicine is actually very tangible indeed (and what’s more we think that moxa may yet have a special place in this tangibility).

The origins of acumoxa

Acumoxa casts long shadows right back into pre-history so it has always provided plenty of scope for fantasy. We want to avoid doing this in this piece, but still we want to touch into the earliest traces of its existence using evidence from archaeology. We want to do so because this evidence suggests how both acupuncture and the channel theory that underpins it originally developed: specifically that both developed directly out of moxa therapy.

So when does acupuncture itself actually date from? Well according to the current analysis of the written record it’s understood to emerge pretty much wholesale with the three so-called classics of acumoxa – the Neijing Suwen, the Neijing Lingshu, and the Nanjing. According to expert Paul Unschuld, in fact, these texts pretty much mark the beginnings of the systematic [non-demonic] Chinese medical acumoxa that we recognise today.

What’s interesting is that the two Neijing texts also refer to some other earlier texts in passing – but oddly there’s no mention of either of two moxa texts that were previously unknown before being found in the excavation of a Chinese prince’s tomb in 1973. This tomb is known to have been closed in 168BCE (i.e. before the Neijing texts, in other words), so it’s interesting that they weren’t referred to, nor moxa mentioned that much, in the Neijing, particularly because these two texts (that, we should repeat, were lost until 1973) very clearly directly influenced what we have inherited today. Given the textual content of Lingshu 10 (a key chapter on qi circulation in the channels) we can say this pretty incontrovertibly, in fact. This chapter first described the channel circuit as we recognise it today but with only a little examination it's clear that parts of this chapter were very clearly lifted direct from the moxa texts. Both of these two previously ‘lost’ moxa texts, for instance, describe ‘vessels’ (mai) coursing up and down the body which are without question direct precedents to the model of circulation of qi in channels (jing) that first emerged fully in Lingshu 10. Given their obvious fundamental influence on acupuncture (including uncannily similar textual structure and even some identical phrasing), the omission of any reference them in the Suwen or Lingshu suggests something slightly suspicious: perhaps acknowledging them didn’t entirely suit the agenda of the Neijing authors. So had Han dynasty acupuncture physicians adapted moxa vessel theory, then developed it to a new level of qi circulation in channels for regulation by acupuncture and then carefully ‘forgotten’ to mention how they’d done it?

It very much looks like it...

How this links up with acumoxa today

This idea gets to the heart of what we had to say in our presentations at UNESCO and WADO last week. We think that those innovative scholar physicians may have deliberately brushed over their tracks for reasons that may be a little questionable, and may even have been of ‘the other kind’ (using the Duke’s terminology). This is because we believe that relegating moxa to second place to acupuncture by barely mentioning it may have been of both financial and reputational value to the scholar-physicians who were developing the emerging complex practice of acupuncture. It certainly meant that acupuncture was of great therapeutic value to the elite Chinese classes, but it may not have been of wider benefit to the majority of people living in Han China (because Paul Unschuld also reckons that early acupuncture was restricted to the richest in society). It certainly wouldn’t, for instance, have helped provide what we now refer to as ‘Universal Health Care’ – in fact it probably relegated moxa practice to the lower strata of society while elevating acupuncture to benefit the elite.

There were a few consistent exceptions that acupuncture just couldn’t seem to match moxa in, however: for emergency or last resort treatment, for longevity, and for chronic intractable disease which (certainly since the 7th century and the ‘Moxibustion Method for Consumptive Diseases’ text) definitely included tuberculosis.

So much for looking backwards in time!

We must ask you to keep thinking about this while we come back to the 21st century, however. This is because (just maybe) what was done to moxa at the time of the Han is being innocently and unwittingly repeated with our valuation of acumoxa today - and if so then we can also reflect on what this might mean for practising ‘good’ medicine as opposed to the ‘other kind’ today.

So fast forward two millennia onwards to 2008 – to the year when the world was facing economic meltdown and to when the optimistic idea that capitalism could be of ultimate benefit-to-all took a massive body blow.

Adding in Climate Change

And then fast forward another seven years to Paris in 2015 with the Climate Agreement when almost all of the countries of the world agreed to do something about climate change – to try to mitigate its effects by drastically reducing the emissions of greenhouse gases. It is vital to appreciate how economic regression and climate change together pose such a massive threat to the future health and welfare of the world’s poor – the so-called 'bottom billion' who are already most at mercy of ill-health and who still have least benefit of and access to the wonders of modern medicine.

So (in this respect) fast forward also to 21st century tuberculosis, mankind’s oldest infectious enemy and what it has morphed into in our own era.

To put it in a single sentence, TB is an airborne disease which anyone can get, but generally only poor people die from (and somewhere around 2 million of them do so each and every year). Two other things are worth briefly mentioning about it. One is that it is curable in most cases. The other is that it is morphing into strains that are resistant to the standard drugs. In most instances it can thankfully still be cured with old (well-out-of-patent) drugs that are very cheap and effective if support is good. Given the terrible rolling death toll, however, it’s also not unreasonable to suggest that TB is biomedicine’s unacknowledged nightmare – and it’s biggest failure.

By pure coincidence, 2008 (the year of financial meltdown) also happened to be the same year that we founded Moxafrica. This was specifically to investigate whether moxa might help combat the growing threat from multi-drug resistant tuberculosis (MDR-TB) – essentially to attempt to answer a simple question: if moxa had really helped patients recover from TB in the years before TB drugs were discovered, then could it possibly help today in cases when the drugs aren’t working?

So the real issue that we at Moxafrica have been focused on has always been this secondary pandemic which has emerged from within this first one – a drug-resistant TB pandemic that is NOT so easily curable, and for which the drugs needed for treatment are not cheap and are generally unaffordable in the countries in which they’re needed. Today it’s reckoned that around one-in-every twenty TB cases are drug-resistant, but we also know that this number is quietly (and largely invisibly) rising all the time (and that it may well be more anyway because surveillance data is still so poor). We can also say that of these MDR-TB cases, at best only one-in-nine see successful treatment outcomes (these data come straight from the WHO and may well be underestimations, by the way). It’s an appalling situation.

There’s a very good reason for this invisible uncertainty, by the way: it’s because most TB occurs where there’s most poverty (because TB preys most mercilessly on people with weakened immune systems, and people who live in poverty generally have weaker immune systems than the rest of us). They also have dramatically less health infrastructure available to them if they get sick – both to diagnose drug-resistance, and to treat it.

But there is another important connection to be made here, because these self-same people living in these same TB endemic countries are also among those most at risk from the effects of climate change. In other words we can reasonably make direct geographical links between TB, poverty and Climate Change, and, what’s more we can make some prognoses of our own about what this might mean.

Inequality and injustice

It has been said that the hardest truth about climate change is that it won’t affect all of us the same, and this is something that is also most definitely true about MDR-TB. It certainly felt right to be identifying this last week in Paris, the home of egalité, fraternité and liberté, because the truth is that it’s rampant inequality which lies at the heart of all of this, not just in terms of individual median incomes or national GDP’s, but also in terms of health provision. Unlike most of us and our easy access to the Duke’s ‘good’ music, when it comes to access to good healthcare far too many members of our human family still don’t have access to much good medicine at all. Sadly this remains a fundamental aspect of the world we live in – and we suggest that (if we as acumoxa practitioners give any sort of a real damn about human health) then we have to seriously think about our place in this world.

If you’re unlucky enough to be infected with a drug-resistant strain of TB, for instance, you really only want to be living in a country that’s got a highly developed health service – because that’s what’s needed to treat MDR-TB. And (guess what?), it’s these self-same countries with most health provision where the least MDR-TB exists!

There are appalling injustices and inequalities here that surely we can no longer shy away from.

Here is what the World Bank predicts for the sub-Sahara from a temperature hike of two degrees Celsius (one that we’re already on track for): a staggering 40-80% reduction in crop growing areas. If this prediction proves correct it will massively impact on those same hosts of humanity that are already the most impoverished, who already are experiencing socio-economic regression, whose immune systems are already the weakest, who already die the most frequently from TB, and whose health provision is the most remote from what we here in Western Europe might consider the norm (and our human right).

But this isn’t just about TB (though it does give us some pointers)

So do we have any answers to all to this in the canons of our medicine? Do we have any tools or techniques that might help reduce these appalling gaps in health provision in the modern era, and if so, how can they best be put to use?

Our poster developed for the  conference

Please don’t let us give the impression that the fruits (so far) of Moxafrica’s work allow us to offer any conclusive answers. As far as TB is concerned, however, we do at least have the positive results of a Ugandan study on moxa and TB published in a peer-reviewed journal, but this study also only looked at responses in TB patients who were drug-susceptible. But we also have the results of a second study conducted by our colleagues in the North Korean Ministry of Health, who (based on the findings from Uganda) conducted their own moxa/TB study using a higher-powered moxa dosage looking only at MDR-TB cases. (The DPRK has an immense problem with MDR-TB).

The North Koreans recorded some significant differences in symptom reductions in their MDR-TB patients during treatment – comparing a control group treated with their standard drug therapy with a group having the same drug therapy plus moxa. They recorded a significant reduction in symptoms in the moxa group (90% reporting symptoms disappearing compared to 64% in the control), as well as a much faster manifestation of these reductions when they occurred (seen in an average of 49 days with moxa instead of 82 with just the drugs). It’s certainly possible to suggest that these two findings alone give a potent possibility of reductions in human suffering.

But there was more – relating to the percentage rates of recovery that the North Koreans recorded: with 85% of moxa patients recovering successfully as against 60%. Please bear in mind that this was for infections of MDR-TB for which the most recently reported global average success rate with drugs is only a very meagre 55%. In fact, the current global average for easier-to-treat drug-susceptible TB is only 81% - so these DPRK data tentatively suggest that moxa could possibly hike success rates for MDR-TB up near the current global success rates for ‘normal’ TB. What’s more, if this can be corroborated, it could do so easily, and very cheaply.

The material cost of doing this, by the way, is 20 to 30 US dollars’ worth of moxa per patient.

We realise, of course, that this is quite a claim to make, which is why these findings urgently need testing with further research. This is the major reason why we want to share these findings and why we wanted to speak in Paris last week, in the hope of finding others who might want to get engaged.

It’s also worth briefly considering the comparative strengths that adjunctive moxa may offer in the treatment of TB. It’s safe, cheap, highly adaptable, and can be used at any point of care. It is easily sustainable, easily taught, doesn’t depend on technical and expensive diagnostics, and won’t stoke further drug resistance. New drugs (while they are still vital) don’t tick any of these boxes.

In other words, it’s highly appropriate as a tool where resources are poor.

So what about acumoxa and other health problems?

This, of course, is so far all in relation to moxa and TB therapy, but something similar might just be the case for other infectious diseases, for other anti-microbial resistant infections, for instance, or indeed for non-communicable killer conditions including cancer and chemotherapy support, or for managing Type 2 Diabetes. There is a lot of opportunity for investigation here but only if we care (and dare) to take up the challenge.

Which brings us right back to our starting point, to that great jazz man Edward Kennedy Ellington – because we can now refine the question that was posed to him, and ask:

Which parts of our medicine might be the ‘good’ parts in terms of their being of most potential service to humanity, and which parts are the ‘other kind’ – which may be of more service to the currently more privileged members of our human family which already have the majority access to the fruits of science and medical research - medicine which, if our world was a more equitable place in which to live, would surely be the right of all of us.

We started by suggesting that moxa may have been quietly side-lined to the advantage of early acupuncture physicians and the benefit of the Han dynasty elite. In Paris we couldn’t help but wonder if echoes of this shape-shifting persist today in terms of how we project our own medicine. In the UK, for instance – a country which prides itself on its National Health Service – the therapy is mainly used privately by the country’s middle classes, largely by a slice of society that has been mischievously called the ‘healthy and wealthy’ or the ‘worried well’, and so far too little effort has been made to adapt it to address the real health needs caused by the increasing poverty gaps of the last decade.

And if we come back to last week’s WADO conference in Paris, can’t we validly ask whether acumoxa really belongs in UNESCO’s list of intangible cultural heritage at all? Because acumoxa is surely alive and well, should need little protection, and furthermore is evolving as we speak. Meanwhile there is a desperate need for affordable, appropriate and adaptable medical care out there and this need is going to become more acute in the coming decades – so surely it is our moral duty to take a better (coherent and strategic) look at this.

What this means for all aspects of medicine

Quite possibly, the threat of drug-resistant TB (in a diabolical concert with the immense threats from climate change and a destabilising world) finally changes things for all of us. Seen together they might finally force us to recognise our wider human interdependence, to realise that we are not (and should never have been) so inoculated from the lives of others. Seen together, they may even force us to acknowledge not just that the poor do exist (even though they don’t consume enough or fit into our economic models – and especially despite the fact that they can’t afford our patented high-tech medicines). In fact, seen together it may even force us to recognise that, if indeed the poor are to be further denied the right to the benefits of science and biomedicine by dint of circumstance, then we ourselves can and must review what we can offer them in its place.

Article 27 of the 1948 Universal Declaration of Human Rights

Incidentally, on World Acupuncture Day last Thursday we even came across a plaque on the wall right outside the entrance to the UNESCO building in Paris. It specifically noted Article 27 of the 1948 Universal Declaration of Human Rights which said that “Everyone has the right … to share in scientific achievement and its benefits”. Sounds reasonable for sure, but since this plainly isn’t happening (at a quite terrible scale) in terms of the provision of medicine, then why aren’t we thinking about helping to do something about this with the (tangible) tools we know something about?

Dr Paul Farmer (who was quoted at the start of this piece) has stressed that it’s simply an issue of ‘moral clarity’ to respond to someone’s suffering if one has the tools to do so. It’s hard to argue with this, but perhaps we as acumoxa practitioners can add to this idea ourselves. We suggested last week in Paris that we may have many tools that might be appropriate in alleviating or even eradicating suffering at the most remote points of care (more than we might imagine!). And we added that we risk being accused of moral deficiency if we don’t go actively looking for what these might be and how they can really be best put to use in the service of mankind in today’s increasingly fragile world. Almost certainly we will never succeed in our quest to the degree that we might wish to, but we can at least positively engage in the most glorious of (what Dr Farmer might call) ‘long defeats’ in the process of trying.

Finally, a quote from E F Schumacher (the economist author of 'Small is Beautiful') which seems to sum this all up for us:

'We must do what we conceive to be the right thing and not bother our heads or burden our souls with whether we’re going to be successful. Because if we don’t do the right thing we will be doing the wrong thing and we will just be part of the disease and not the cure.'

(Aren’t those two sentences just about the sweetest of music you ever heard, Duke?)

[i] We remain dismayed how often the Chinese compound word zhenjiu – (which literally means acupuncture and moxa or ‘acumoxa’) is still so frequently misleadingly transliterated just as ‘acupuncture’ – something which surely echoes what we suggest the Han scholar physicians did to moxa two millennia ago. This mistranslation doesn't just occur in the media it also occurs in most modern texts on acupuncture. What's worse, it also regularly occurred at UNESCO in the simultaneous translations on World Acupuncture Day from Chinese into both English and French! This unfortunate sleight of hand seems especially disappointing since the 2010 award by UNESCO was explicitly for both acupuncture AND for moxa!!

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