Wednesday, April 16, 2014

An Empty Tomb?

Dear Family and Friends,

 A few, on occasion, will ask why I do what I and why I feel the way I feel. My answer is "Because of Him." What does that mean? The video below says it all. May each of your hearts be full of hope and joy because the "bands have been broken" and "death no longer has it's sting." He was the carpenter, the teacher, the outcast, the leader, but He is the Master Physician.  I hope that this week brings a special peace to your heart as you contemplate the meaning of Passover and the profound effect an empty tomb has on your life:

 Happy Easter!

Rise In Allergic Symptoms

This is a bad allergy season in Arizona.  I am seeing a huge surge in patients with significant allergy symptoms.  I found the reason . . .

Friday, April 11, 2014

Thoughts of the Moment

A man would do well to carry a pencil in his pocket, and write down the thoughts of the moment. Those that come unsought for are commonly the most valuable, and should be secured, because they seldom return. 

Thursday, February 27, 2014

The Media's New Role . . . Obama's Parrot

It is quite amazing and notably funny that our media has literally become a "parrot" for President Obama.  I have never seen anything like it . . .

I laughed and cried all at the same time "because, it would be funny if it wasn't so crazy."

Friday, February 14, 2014

The Gods of the Copybook Headings

One of my favorite poems by Rudyard Kipling, this poem should be read and memorized by every young American. Kipling teaches that history repeats itself in the worse possible ways, and the only way to avoid terror and slaughter is to stay bound and rooted to self-evident truths. 

A little background: A copybook was a writing exercise book used to practice handwriting. The pages were blank except for horizontal rulings and a printed specimen of perfect handwriting at the top. The young man or woman was to repetitively copy the specimen down the page. The specimens were proverbs, quotations, commonplace hortatory or admonitory sayings — the ones in the poem illustrate this kind of thing. These little thoughts and principles became known as the copybook headings.
As I pass through my incarnations in every age and race,
I make my proper prostrations to the Gods of the Market Place.
Peering through reverent fingers I watch them flourish and fall,
And the Gods of the Copybook Headings, I notice, outlast them all.
We were living in trees when they met us. They showed us each in turn
That Water would certainly wet us, as Fire would certainly burn:
But we found them lacking in Uplift, Vision and Breadth of Mind,
So we left them to teach the Gorillas while we followed the March of Mankind.
We moved as the Spirit listed. They never altered their pace,
Being neither cloud nor wind-borne like the Gods of the Market Place;
But they always caught up with our progress, and presently word would come
That a tribe had been wiped off its icefield, or the lights had gone out in Rome.
With the Hopes that our World is built on they were utterly out of touch,
They denied that the Moon was Stilton; they denied she was even Dutch;
They denied that Wishes were Horses; they denied that a Pig had Wings;
So we worshipped the Gods of the Market Who promised these beautiful things.
When the Cambrian measures were forming, They promised perpetual peace.
They swore, if we gave them our weapons, that the wars of the tribes would cease.
But when we disarmed They sold us and delivered us bound to our foe,
And the Gods of the Copybook Headings said: "Stick to the Devil you know."
On the first Feminian Sandstones we were promised the Fuller Life
(Which started by loving our neighbour and ended by loving his wife)
Till our women had no more children and the men lost reason and faith,
And the Gods of the Copybook Headings said: "The Wages of Sin is Death."
In the Carboniferous Epoch we were promised abundance for all,
By robbing selected Peter to pay for collective Paul;
But, though we had plenty of money, there was nothing our money could buy,
And the Gods of the Copybook Headings said: "If you don't work you die."
Then the Gods of the Market tumbled, and their smooth-tongued wizards withdrew
And the hearts of the meanest were humbled and began to believe it was true
That All is not Gold that Glitters, and Two and Two make Four —
And the Gods of the Copybook Headings limped up to explain it once more.
. . . . . . . . . . . . . . . . . .
As it will be in the future, it was at the birth of Man —
There are only four things certain since Social Progress began: —
That the Dog returns to his Vomit and the Sow returns to her Mire,
And the burnt Fool's bandaged finger goes wabbling back to the Fire;
And that after this is accomplished, and the brave new world begins
When all men are paid for existing and no man must pay for his sins,
As surely as Water will wet us, as surely as Fire will burn,
The Gods of the Copybook Headings with terror and slaughter return!

Thursday, February 13, 2014

Stock Market Crash in April?

Tom DeMark, the founder and CEO of DeMark Analytics, discovered a very scary trend found on the graph below, He joined Glenn Beck on radio this morning to discuss what the eerie pattern could mean for the United States that you can hear here.

This means that a 1929 like stock market crash might occur around April of this year. Tom DeMark has been in the investment business over the last 45 year and he stumbled upon this pattern at the end of 2013 when comparing patterns. 
What do you think?
“Well, we could have had it last week. There was a 10% chance that could happen. It probably won’t and the market will rally and we have seen the rally now,” Tom said. “There’s two scenarios currently: If the Dow Jones Average closes above 16,000 next Monday and Tuesday, then there’s a chance yes, we could go down. And it could be something comparable to 1987. We’re shifting things a little. Our two templates, 1929, 1987 are being adjusted. It’s possible that could happen.
“We have to have a trigger. The trigger would be we’d have to decline on the S&P average below 1762,” he continued. “We have been using that for some time… It’s so widely known right now, and we are a firm believer, that markets have bottomed because the last seller, figuratively speaking, has sold. We think a lot of people have sold based upon this comparison. So it may be premature right now, but it’s going to happen.”
This looks pretty spooky. Many experts feel a big crash is going to happen in the next 18 months, and Tom DeMark states that before a sharp decline, there is always a rally like we are having this week.

What We Know . . .

As we know, 
There are known knowns.
There are things we know we know.
We also know
There are known unknowns.
That is to say
We know there are some things
We do not know.
But there are also unknown unknowns.
The ones we don't know
We don't know.

Donald Rumsfeld

Sunday, February 9, 2014

Low Carb Cheese Cake

My amazing wife, among her many talents, makes a wonderful low carb cheese cake.  She has taken the recipe found in Maria Emmerich's "Secret Weight Loss Recipes" and modified it to our family's taste.  It has quickly become one of my family's favorites. 
Low Carb Cheesecake = 1 gram carb per serving
Individual spring-form serving pans

2 cups almond flour
1/4 cup coconut flour
1/2 cup butter melted
Pinch of salt
1/2 cup erythritol
Mix and press into spring-form pan.

5 (8 oz) packages cream cheese, softened
1 cup erythritol and 1 tsp liquid Stevia
1 TBS vanilla
1/2 cup whey Protein
1 cup sour cream
3 eggs

Preheat oven to 350F. Mix cream cheese, sweetener, protein and vanilla with an electric mixer
until blended. Add eggs one at a time, mixing on low after each until blended. Blend in sour
cream and pour over crust. Place a pan of water on the lower rack place cheesecake on rack
above. Bake for approximately 45 minutes until set. Watch carefully! 
Refrigerate overnight.
Freezes well too!

My wife will often bake them in individual sized pans (as in the picture above) so that I can pull one out of the freezer, let it thaw and cover it in whip cream and a sprinkle of berries.  Tastes fantastic!
One serving is = 1 gram of carbohydrate.

Saturday, February 8, 2014

How Your Beard Will Save Your Life

I'm a clean shaven guy.  I always have been.
 My wife hates a "prickly faced" man and she's made that loud and clear over the last 21 years of our marriage.  No reason to grow one has ever truly availed itself.  Even during "Movember," the month of growing mustaches raising awareness for prostate cancer, I've not been all that inclined to let the stubble arise.  It has always been one of those things passed from father-to-son that, "hey, the Nally men are clean shaven." Yes, there is a cleanness and trustworthiness that arises from a man who is clean shaven and well groomed.
Beard World Champion 2013
But once in a while I've wondered, if God made men grow hair on their faces, what use does it have? Is it to keep Norelco and Gillette in business and provide jobs for a growing population of men?  Is it because the the invention of Velcro might cause men further problems?  I've been shaving my five-o'clock shadow off for years.  I'd just like to know what purpose it has.  If I lived in Alaska, I know it'd keep me warmer, but I don't live in Alaska and I don't plan on moving there any time soon. 
After 40 years of wondering, I've finally come across the answer.  While learning to be more "manly" and studying self rescue techniques of falling through the ice I came across the following:
Good advise when crossing the frozen pond or lake, and well received.  
But, THERE IT box #5.

"Your beard can also freeze onto the ice and save you."

The big daddy reason for a beard.  Wait till I tell my wife. . .

Wednesday, February 5, 2014

Why I Left Facebook?

Facebook recently compiled a 62 seconds video on all of its users showing a compilation of all the most liked or viewed photos and comments posted on your page.  This video is visible to anyone who wants to see among its 1.2 billion users.  You can see the article about it here.
The concern, and what most people don't realize, is that all comments and photos uploaded onto Facebook are no longer your property, even the ones you deleted.  They are the intellectual property of Facebook with every keystroke. You and I signed them over when we accepted Facebook's disclaimer.
Sorry, Facebook, this is a little too intimate and an unacceptable invasion of privacy. You're not a trustworthy bedfellow, . . . and I am leaving.

Friday, January 31, 2014

Arizona College & Career Ready Standards ( aka Common Core)

I had the opportunity to listen to on of the valley's District Superintendents speak about the Arizona College and Career Ready Standards this evening. It was enlightening, and yet very disheartening. I attended the meeting to gain better perspective on the pro's and con's of this change in standards, and instead, I got to see a Ph.D. act as a federal cheerleader. All I heard was an endorsement for what Common Core is supposed to accomplish, a plug for "all-day" pre-K and Kindergarten, and a video of Arizona educators praising standards that have never been tested.
This is a topic fraught with political and ethical overtones and those came across loud and clear from this Superintendent. I recognize that standards are essential. I also recognize that we must come up with methods to quantifiably asses learning, however, standards based education has ruined the way we teach and learn. This has been well demonstrated over the last 10 years. Just "raising the bar" on the standard will not solve the problem. This was implemented only for bureaucratic convenience. Measurement of a mind's creativity, inspiration, and appreciation cannot be measured. We teach to free minds, to inspire and to equip. These skills are often un-measurable.
I guess I was expecting more clarification, but instead came away with none of that and was left feeling only an endorsement of the Superintendent's views.
As the adviser to young men in my church, a family physician, a health policy expert with thousands of patients affected by these standards, the President-Elect of my medical association, and more importantly, as a father who must navigate the ever darkening, murky waters of education with my children, this topic is of profound importance. I am asked about these standards regularly and must asses our youth, as their physician, and gauge their physical and mental capabilities in handling these standards when illness arises. Therefore, "I have significant skin in the game."
I have the following significant concerns about these standards and their implementation which have yet to be allayed:

  1. Common Core is a big business, politically powerful advocacy collation that formed with an attempt to correct the last 10 years of failed 2002 "No Child Left Behind" legislation putting into place new federally mandated standards.
  2. These standards were created in 2009 by the National Governors Association and the Council of Chief State School Officers in partnership with Achieve, Inc (who received $160 million dollars from the Bill and Melinda Gates foundation to create the standards). And, we know that when a private company funds standards with the government, that company will be involved in the monetary gain of testing of those standards. This is the epitome of "krony capitalism" at work.
  3. To quote the Washington Post "Because federal law prohibits the federal government from creating national standards and tests, the Common Core project was ostensibly designed as a state effort . . ." But it was, in reality, contrived by an insular group of academic testing executives with only two qualified educational assessment experts, both of which never signed off on the program. "In all, there were 135 people on the review panels for the Common Core. Not a single one of them was a K-3 classroom teacher or early childhood professional." Parents were entirely missing. K-12 educators were mostly brought in after the fact to tweak and endorse the standards--and lend legitimacy to the results."
  4. Dr. Sandra Stotsky, one of only two qualified education ESL specialists and member of the Common Core Validation Committee, recently testified against Common Core implementation before the Wisconsin Board of Education stating that it created an "empty skill set, lacking in literary knowledge"
  5. Common Core was not voted upon at the federal level by Congress, the Board of Education, or by State/Local Governments, and in the state of Arizona, its implementation could only occur through the force of Gubernatorial Executive order due to its controversy in the house and senate, after its name was changed.
  6. The measurement standards (PARCC Test) have not been fully implemented in Arizona and will require outside companies to formulate, read and grade our children's tests and thereby the teachers who are teaching those students. 

    Upon finishing the meeting, two people also in attendance approached me as I left the building, one of which currently serves as a School Principle and another who serves as a college professor. They informed me that my concerns were "unfounded ultra-conservative delusions that have no place in the argument of school standards.
    My perception of our meeting this evening is that a number of very uninformed people in our community will return home to their families with a flowery, lemming-like-acceptance of unproven, tax laden standards that, I believe, have significant potential to damage the educational and financial futures of our children.

    Wednesday, December 11, 2013

    Leadership Thoughts

    A ship, to run a straight course, can have but one pilot and one steering wheel.  The same applies to the successful operation of a business.  There cannot be a steering wheel at every seat in the organization.

    Friday, October 18, 2013

    John Wayne on "Optimism"

    Excerpts from a 1975 interview where he gives his perspective of liberal politics and political tactics sound like they could have been stated just yesterday. This is the reason John Wayne is still a true American hero. 

    "The Duke's" take on liberalism is “they never listen to your point of view, and they make a decision as to what you think, and they’re articulate enough and in control of enough of the press to force that image out for the average person.”

     "Ok, Pilgrim," you just have to be a little more optimistic . . .  (I feel like I'm sitting at my grandfather's knee while listening to this bigger than life hero give a little advise.)  Thank you.
    You just have to listen:

    Thursday, October 10, 2013

    Open Letter to Legislators on Obesity

    Dear Senators McCain, Senator Flake and Congressman Franks,
    I am a Family Physician, Obesity Specialist and Health Policy Fellow.  I had the opportunity to meet with your staff a few months ago and would like you to consider co-sponsoring S-1184 and/or HR-2415 the "Treat and Reduce Obesity Act." Obesity affects 34% of the population and 33% of the population in the US is overweight. Obesity is affecting military readiness and our economy using 21% of all healthcare costs.
    One of the challenges I find as a physician who treats obesity daily, is that medications and therapy that is effective in treatment is not covered by Medicare services.  S-1184 will allow me as a physician to use effective medications for obesity that patient's current cannot afford.
    I would love to talk with you or your staff about this bill and its effect on our treatment ability.
    Please consider co-sponsorship of this bill and feel free to contact me regarding this issue at any time.
    Adam S. Nally, D.O.
    Board Certified Family Physician & Bariatrician
    Health Policy Fellow

    Wednesday, September 25, 2013

    Open Letter to my Senators . . .

    Dear Senators John McCain and Jeff Flake,

    I am a family physician and health policy fellow, as well as a constituent in Arizona. I have a busy practice serving 5500+ patients in the Surprise, Sun City West area. I would strongly encourage you to vote to De-Fund the Affordable Care Act (Obamacare) as this bill has already increased the price of premiums 2-3 times the cost from last year and has made it nearly impossible for my Medicare patients (50%) of my practice to afford a supplemental health insurance plan. Allowing this bill to be funded will force me to lay off a minimum of 2 members of my office staff within the next year and may make it impossible to continue practicing medicine in the near future. 

    I have personally heard you make the promise to stop this bill, on multiple occasions, and that reversing this bill was one of your priorities. Please keep your promise and vote to de-fund this atrocity.

    Please stand with Senator Ted Cruz, Senator Mike Lee, and Senator Rand Paul in de-funding Obamacare!

    Sincerely, Adam S. Nally, D.O.

    Friday, September 13, 2013

    ObamaCare & Medicaid . . . On the Road to the Great Depression

    Robert Lewis Stevenson said, "Don't judge each day by the harvest you reap but by the seeds that you plant." So . . . I'm going to plant a seed.
    The Arizona Osteopathic Medical Association has been asked to contribute Political Action Funds (PAC) to those congressional members supporting Arizona’s Medicaid expansion.  I seem to find myself in the physician minority as to my point of view on this subject. Do others not see the economic damage that the Affordable Care Act has caused and will cause in the future?  Does no-one see the sadness and depression on the faces of patient’s in the exam rooms? Does no-one put two and two together to see the effect that federal and state regulations imposed upon the small businesses of America have upon the average American family?  
    I respect their points of view, however, I am very discouraged by the progressive position and mindset of many physicians around me.  Maybe I'm missing something? Maybe they see the world with a different set of spectacles? This kept me awake last night as I pondered the reasons. 
    I recognize that the practice of medicine is, to say the least, life encompassing.  Often, it is all you can do just to keep up with the many demands upon the physician each day.  Understanding how the economy effects your practice is the last thing that many physicians want to do.  But I see it as one of the most important, especially as a physician who owns his own practice. 

    Maybe this lack of interest is due to the declining physician ownership of practices. According to Becker’s Hospital Review, only 37% of physicians in 2013 have any ownership interest in their practice, down by almost 8% this year from last year.  This statistic, just over a third of physicians, seems in line with the number of physician that are opposed to expansion of Medicaid in Arizona and the Affordable Care Act or “Obamacare” in general.  
    “Obamacare” and the employer mandate has made it nearly impossible to expand my practice, and the Medicaid expansion may make it worse.
    How is Medicaid expansion bad?  Wayne Allen Root explains it better than I can: “Forget the 7.3 percent unemployment rate that is reported by the government. That’s pure fraud and propaganda. That figure goes down only because hundreds of thousands of Americans drop out of the workforce. In other words, if you stop looking for work, and go on food stamps and welfare, [our White House Administration] says the unemployment number just got better!
     “The only truth about unemployment is found in the Labor Force Participation Rate of 63 percent. That’s the lowest in four decades. For men it’s the lowest since record-keeping began in the 1940’s. What this means is 37 percent of the able-bodied, working age adults in America are not only not working, they’ve given up looking for work.
    “Even worse, an unimaginable percentage of those who are employed have only part-time jobs. Seventy-seven percent of the new jobs created since January 1st are part-time jobs. That’s not good folks. Studies show 1-in-4 part-time workers live in poverty, while only 1-in-20 full-time workers live in poverty. So millions of Americans under Obama who show up as “employed” are merely working their way towards poverty. And millions of others who have full-time jobs are working at McDonalds, or working as waiters, or bartenders, or janitors.”  The American middle class is being moved to the intensive care unit.
    “Here are the two most ironic points about this slow-motion train wreck called the Obama economy: “Obamacare” is the number one culprit destroying real jobs. Business owners are done. No smart business owner in all of America will lift a finger to create a full-time, high-paying job with benefits. It just makes no economic sense anymore. So Obama’s signature achievement has not only created a part-time economy, but all those people in part-time jobs don’t have health insurance. This should be a Saturday Night Live skit. The man has created nationalized health care so that everyone loses their jobs and no one has health care.” 
    This is pure insanity . . . unless your goal is to create an entire nation dependent on government welfare.
    Mr. Root continues, “Secondly, here’s the really sad, tragic, and ironic fact of the Obama economy . . .Obama’s policies are destroying the very people who elected and believed in him. It’s almost as if Obama is out to destroy his own voters. Let’s take a look at who is suffering the most from this Obama Great Depression.
    “Obama won the 2012 election with a razor thin 51 percent of the vote. His biggest supporters were blacks (93 percent voted for Obama), Hispanics (71 percent), single women (67 percent), young people (60 percent), and those without a high school diploma (64 percent). This is the loyal foundation of Barack Hussein Obama. This is who made him President, without a single qualification, except being a community organizer.
    “Now let’s look at how Obama repays his loyal fans. New research out just last week proves that since 2009 income for black heads of households dropped by 10.9 percent. For Hispanic heads of households it dropped by 4.5 percent. For single women head of households it dropped by 7 percent. For young people (under age 25) it dropped by 9.6 percent. For those with a high school diploma or less, income dropped by 8 percent.
    “In dollar terms the numbers are even worse. Female incomes are down by $2,300 per year under Obama; black incomes are down over $4,000 per year; Hispanic incomes are down by $2,000 per year.
    “How about actual unemployment figures for Obama’s fans? We see the same results. Reported unemployment (a bogus figure) is 7.3 percent. But among blacks (who voted 93 percent for Obama) it is an unimaginable 13.3 percent. Among Hispanics it’s 9.4 percent. Among black youth it’s 20.9 percent. Among teens it’s 23.7 percent.
    “The black middle class is being destroyed. Black home ownership has slipped to the lowest level in decades.
    “But perhaps the worst statistic of all is the unemployment plus under-employment rate for college graduates under age 25: 18.3 percent. That means new college graduates (also big supporters of Obama) not only can’t find a decent full-time job in the Obama economy, at the same time they are saddled with the highest student debt in history. That could be why we have the highest student loan default rates in history.”
    The Medicaid Expansion in Arizona will just speed up the process already occurring across the country.  Our “lemming-like” acceptance of this expansion as physicians is leading to the further destruction of Arizona’s and America’s economy. Contributing PAC funds is like putting the proverbial nail in my businesses coffin. For the reasons above, I cannot in good conscience support the expansion of Medicaid in Arizona.  

    Sunday, August 25, 2013

    First Fruits

    Today was a lesson of "first fruits."  The preservation of life lies within the basic family unit.  Preservation of the family unit requires knowledge in the application of seeds. The "first fruits" are the harvest of knowledge applied as the nutrients and fertilizer of those seeds. 
    Prior to the hybridization of seeds, our grandparents survived by taking a portion of their crops and using the seeds from them to plant crops the following year. Most of our grandparents understood this concept, however, unfortunately, most of us know nothing about it. Our grandparents used open-pollination seeds (seeds that are not genetically engineered not to reproduce).
    Hybridization has been a boon to mass production in crops, but has it's down sides.  These seeds can no longer reproduce themselves and they also have changes to their colors, size and nutrient concentrations. 
    This lesson was made clear to me today as I looked out over the expanse of a farmer's field while riding horseback with my family.  The basic unit of development in life is the family. It is where the lessons of life are taught and where knowledge is applied and becomes wisdom. Is it the only place this can occur? No. However, it is the most effective. My wife and I have been striving for more self sufficiency in our lives. We have been looking to improve the self sufficiency of our family and children. 
    This morning we got a chance to talk about those seeds figuratively with the family.  Our children our our "first fruits" and helping them to become self sufficient is a liberating feeling. 
    It was a majestic Arizona morning, the temperatures were wonderful and the horses were calm