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markpkessinger

(8,401 posts)
Sat Dec 13, 2014, 02:05 PM Dec 2014

Doctors: Rectal Rehydration Is Not A Medical Procedure (but we mustn't be sanctimonious, right?)

But hey, don't anyone get all sanctimonious now!

[font size=5]Doctors: Rectal Rehydration Is Not A Medical Procedure[/font]

Contrary to Michael Hayden's Very Serious Claim, doctors say the digestive system is a one-way street.

< . . . >

IB Times:

Two of the most brutal CIA interrogation tactics revealed in the Senate’s report on torture are little-known techniques called “rectal feeding” and “rectal hydration.” The backlash to the exposure of the techniques was swift, but former CIA Director Gen. Michael Hayden defended them Thursday as “medical procedures” necessary to get fluids into dehydrated detainees and were not used as “a method of interrogation.”

Doctors and psychiatrists, however, said they have zero medical application and are nothing more than full-bore torture methods that no medical professional should ever be a party to. More than that, they are well-documented forms of painful, humiliating torture that have been used since the Middle Ages and the Inquisition, doctors said.

“This is a variation on a medieval form of torture in which the intestines were swollen up with fluid in order to cause pain," said Dr. Steven Miles, a professor of medicine at the University of Minnesota Medical School and board member of the Center for Victims of Torture, both of which are in Minneapolis. "You can’t feed somebody this way. And so, for the U.S. government to claim that this is some sort of feeding technique, that’s just totally bizarre,” he said. “Because there is no physiological way for any nutrients to be absorbed in the colon, any medical participation in this rectal feeding procedure is medical participation in torture.”


< . . . . >
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Doctors: Rectal Rehydration Is Not A Medical Procedure (but we mustn't be sanctimonious, right?) (Original Post) markpkessinger Dec 2014 OP
In short: DIGESTION DOES NOT WORK THAT WAY! GOOD NIGHT NuclearDem Dec 2014 #1
There's a difference between hydration and feeding... PoliticAverse Dec 2014 #2
From the article... markpkessinger Dec 2014 #3
That is a paper for hydration at the end of life or advanced cancer patients fasttense Dec 2014 #8
Hydration is the same at the end of life or in illness. There is no medical use for NewDeal_Dem Dec 2014 #29
Otherwise known as an enema. Exactly. yardwork Dec 2014 #74
Exactly!!! vlyons Dec 2014 #25
That would lead to some interesting ads for Gatorade … n/t Vox Moi Dec 2014 #4
yes, the colon does resorb water while poop is on the way out. magical thyme Dec 2014 #5
+1 :( darkangel218 Dec 2014 #16
Your point? marym625 Dec 2014 #19
"only when other resources are not available." A 1/2 cup/hour. NewDeal_Dem Dec 2014 #41
Of course you are correct, they should not have used rectal hydration. PoliticAverse Dec 2014 #49
Ground nuts & hummus gives you hydration? tblue Dec 2014 #109
Press Release: Torture Survivor Rehabilitation Center Responds to Groundbreaking Senate Report proverbialwisdom Dec 2014 #6
Already enshrined in law. What is missing is prosecution under that law of torturers !! on point Dec 2014 #9
Those laws will be enforced hifiguy Dec 2014 #12
CVT: "We support Senator Feinstein’s call for legislation to ‘enshrine’ the ban into law." proverbialwisdom Dec 2014 #15
But the CIA would never lie to us! LondonReign2 Dec 2014 #7
I witnessed it precribed as a medical procedure. Thor_MN Dec 2014 #10
Here is what Physicians for Human Rights had to say about it markpkessinger Dec 2014 #11
Which is totally irrelevant to what I said. Thor_MN Dec 2014 #13
That doctor may have been mistaken about the procedure daleo Dec 2014 #23
Are you an MD? Thor_MN Dec 2014 #24
I am a retired nurse Mojorabbit Dec 2014 #27
Never seen it used? Ever? You qualified your statement... Thor_MN Dec 2014 #28
I merely made an observation that in almost 20 years as a nurse Mojorabbit Dec 2014 #32
"While rectal hydration may be used in emergency situations, it’s not the first-, second- NewDeal_Dem Dec 2014 #34
Again with the qualifications. Almost all of the time. as a first line. in a hositpal. Thor_MN Dec 2014 #35
Never as a first line in a routinely stocked hospital, because IV technique is routine in western NewDeal_Dem Dec 2014 #51
The reports had no such qualifications Thor_MN Dec 2014 #52
What reports are you talking about? NewDeal_Dem Dec 2014 #57
Uh, the OP? Or any of the hundreds of links if your google rectal rehydration. Thor_MN Dec 2014 #61
The OP is about rectal feeding. NewDeal_Dem Dec 2014 #62
Fail: Try reading the subject line. Thor_MN Dec 2014 #65
Fail: try reading (and comprehending) the actual article. NewDeal_Dem Dec 2014 #68
If one can't make it past the subject line without making an error Thor_MN Dec 2014 #72
If one doesn't realize that the subject line has nothing to do with the content of the NewDeal_Dem Dec 2014 #76
Look, your claims have all been based on what you think, not facts. Thor_MN Dec 2014 #79
Anyone can verify this claim: the article isn't about hydration, though the NewDeal_Dem Dec 2014 #83
The text of the article speaks for itself. And says you are wrong. Thor_MN Dec 2014 #86
Here's the full text of the linked article: Aside from the label, there's nothing. There's NewDeal_Dem Dec 2014 #94
See, even you can see the part about rectal hydration. Thor_MN Dec 2014 #97
More than 80% of water is removed by the time food or water hits the large intestine. NewDeal_Dem Dec 2014 #98
I've stated that digestion is not part of my argument. Thor_MN Dec 2014 #100
You saying it's irrelevant shows you don't know what you're talking about. NewDeal_Dem Dec 2014 #101
I know what I'm talking about. Thor_MN Dec 2014 #103
You clearly don't know. It doesn't matter what you say, you've already shown NewDeal_Dem Dec 2014 #104
Facts are facts and sometimes boring. Thor_MN Dec 2014 #106
Yes, facts are facts, and interesting that you bow out after I cite PubMed's NewDeal_Dem Dec 2014 #108
I can't think of any reason that a hospital would use an enema to rehydrate someone NewDeal_Dem Dec 2014 #30
What about when IVs are not possible or practical? Thor_MN Dec 2014 #31
When are IVs not possible? And in the unlikely chance, why not put in a PEG NewDeal_Dem Dec 2014 #33
Well, hot damn, if you are in a well stocked hospital, sure. Thor_MN Dec 2014 #36
The person you described was in a hospital. I've never seen a hospital without capacity to NewDeal_Dem Dec 2014 #37
Fine Thor_MN Dec 2014 #38
I didn't say anything about imagining, I talked about seeing & hearing. Where are these hospitals NewDeal_Dem Dec 2014 #43
You seem to be having some trouble with reading... Thor_MN Dec 2014 #46
Fact is, none of those possible exceptions to the general rule applied in the cases under discussion NewDeal_Dem Dec 2014 #50
Sorry, you are the one arguing from lack of knowledge. Thor_MN Dec 2014 #53
I'd be willing to bet I have more knowledge than you & your fake story. NewDeal_Dem Dec 2014 #54
You would lose. Thor_MN Dec 2014 #55
I looked at your links. They're limited and don't support your claims. NewDeal_Dem Dec 2014 #56
See, there's your problem... Thor_MN Dec 2014 #60
I doubt it. What you HAVE demonstrated is your arrogance. NewDeal_Dem Dec 2014 #63
Knowledge often appears arrogant to those who lack knowledge, Thor_MN Dec 2014 #66
Not really. Arrogance usually looks like arrogance. People who are actually NewDeal_Dem Dec 2014 #70
And people who lack knowledge should know when to admit it. Thor_MN Dec 2014 #71
So why don't you? Because you're arrogant? NewDeal_Dem Dec 2014 #77
I posted facts. You posted feelings. Thor_MN Dec 2014 #80
sure thor. NewDeal_Dem Dec 2014 #84
What's your next line? The rubber and glue thing? Thor_MN Dec 2014 #88
You say you posted facts. In fact, there are only a couple of citations in the NewDeal_Dem Dec 2014 #90
You've searched the entire medical literature? Thor_MN Dec 2014 #93
Here are the results from PubMed. None for "rectal hydration". NewDeal_Dem Dec 2014 #96
"there are only a couple of citations in the entire medical literature." Thor_MN Dec 2014 #99
There are NONE in PubMed. That's out of millions. The only two you're NewDeal_Dem Dec 2014 #102
You chose to back NEVER, remember? Thor_MN Dec 2014 #105
There are NONE in PubMed. That's a fact. NewDeal_Dem Dec 2014 #107
Don't throw the rock & hide your hand. U4ikLefty Dec 2014 #44
Huh? What exactly do you believe I am defending? Thor_MN Dec 2014 #48
Yes, the two articles on the topic out of the entire library show its widespread use. NewDeal_Dem Dec 2014 #64
Could be is enough to put the lie to never. Thor_MN Dec 2014 #67
And neither article says it *is* used, just that it *could be* used. NewDeal_Dem Dec 2014 #69
It was also used in 1986, both which make "NEVER" wrong. Thor_MN Dec 2014 #73
CITE? NewDeal_Dem Dec 2014 #75
My story, which you have claimed I'm lying about, based only on your feeling it's icky... Thor_MN Dec 2014 #81
So your citation as to it being used in 1986 is your own story? ok..... NewDeal_Dem Dec 2014 #85
What, your carefully chosen searchs didn't back facts? Thor_MN Dec 2014 #87
You're just babbling now, Thor. NewDeal_Dem Dec 2014 #89
Wow, project much? Thor_MN Dec 2014 #92
Torture. A REAL Constitutional Scholar & Peace Prize winner would know it! blkmusclmachine Dec 2014 #14
PBO should have been FURIOUS when he heard about what the CIA was doing darkangel218 Dec 2014 #17
CVT: While Pres. Obama halted use of torture & cruelty in interrogations on his 2nd day in office- proverbialwisdom Dec 2014 #18
Reread his words in his tortured press conference Oilwellian Dec 2014 #21
Burying the lede (lead)? Might you imagine that witnesses could be the only ones to lose out? proverbialwisdom Dec 2014 #47
He outsourced it to black sites is more like it. n/t markpkessinger Dec 2014 #40
When exactly has PBO ever shown himself to be "FURIOUS" in public? Hekate Dec 2014 #42
I didnt get the message that he was outraged from his comments. darkangel218 Dec 2014 #45
In other words, it's rape, not medical care. SunSeeker Dec 2014 #20
Uh,yeah...anyone over 10 years old knows that-- easychoice Dec 2014 #22
Rape Octafish Dec 2014 #26
“This is a variation on a medieval form of torture." I'm sure I'm not the only old history major... Hekate Dec 2014 #39
+1,000 malaise Dec 2014 #58
The techniques were also used by the Gestapo... SomethingFishy Dec 2014 #59
If they were going to hydrate d_r Dec 2014 #78
But what about what everyone is saying about nausea? would that Laura PourMeADrink Dec 2014 #82
Nausea would be why to I've IMHO d_r Dec 2014 #91
so...what's the real deal here, D_R ? Would it be Laura PourMeADrink Dec 2014 #111
What's everyone saying about nausea? I haven't noticed it. NewDeal_Dem Dec 2014 #95
The reason for going rectally vs. hydrating orally ...because Laura PourMeADrink Dec 2014 #110
Is someone saying that? NewDeal_Dem Dec 2014 #112
Yes...I will dig up the link for you...nt Laura PourMeADrink Dec 2014 #113
sorry - can not find - but it was a false rationale for Laura PourMeADrink Dec 2014 #114
According to others Aerows Dec 2014 #115

PoliticAverse

(26,366 posts)
2. There's a difference between hydration and feeding...
Sat Dec 13, 2014, 02:12 PM
Dec 2014

You can hydrate someone rectally apparently, for example:

(from: http://www.eperc.mcw.edu/EPERC/FastFactsIndex/ff_134.htm )

Rectal Hydration (proctoclysis) Rectal hydration is an alternative only when other resources are not available. A 22 French nasogastric catheter can be inserted approximately 40 cm into the rectum. The patient can be positioned as for any rectal procedure. Tap water can be used, and the rectal infusion increased from 100 ml to a maximum of 400 ml per hour, unless fluid leakage occurs before the maximum volume is achieved. The majority of patients can successfully tolerate this approach at a volume of 100 to 200 ml per hour.

markpkessinger

(8,401 posts)
3. From the article...
Sat Dec 13, 2014, 02:17 PM
Dec 2014
Harvard Medical School and faculty member at the school’s Center for Bioethics. “We hydrate people normally by handing them water, handing them a glass or bottle of water and you drink it. If you’re unconscious and unable to drink fluid, in those instances we would place an IV in your arm and run fluids into you that way.
 

fasttense

(17,301 posts)
8. That is a paper for hydration at the end of life or advanced cancer patients
Sat Dec 13, 2014, 02:40 PM
Dec 2014

It describes ways to hydrate people at the end of life or advanced cancer patients NOT a routine hydration procedure.

 

NewDeal_Dem

(1,049 posts)
29. Hydration is the same at the end of life or in illness. There is no medical use for
Sat Dec 13, 2014, 08:18 PM
Dec 2014

rectal "hydration," for the reason that it doesn't hydrate. The usual outcome of rectal "hydration" is diarrhea.

vlyons

(10,252 posts)
25. Exactly!!!
Sat Dec 13, 2014, 05:50 PM
Dec 2014

The only valid ways to "rehydrate" someone are to either have them drink water of with a intraveinous drip. Butt feeding is neither feeding nor hydration. It is humiliating torture, pure and simple. Now whenever I see Hayden's picture or even read his name, my bullshit meter goes off-- ding ding ding ding ding ding ding ding

He is a despicable man. There is not a rung in hell low enough for Gen Hayden. But I'm sure he knows a great deal about peoples' butts, because he probably spent a great portion of his career kissing them. He even looks like an ass kisser.

 

magical thyme

(14,881 posts)
5. yes, the colon does resorb water while poop is on the way out.
Sat Dec 13, 2014, 02:23 PM
Dec 2014

It does not absorb nutrients, however. That is done in the small intestine.

Also note the very small volume of water cited in your link. Note that if you up the volume or speed, you'll be giving an enema.

The bottom line is that this was not done as a valid medical procedure. It was sodomy with the intent to humiliate.

marym625

(17,997 posts)
19. Your point?
Sat Dec 13, 2014, 04:24 PM
Dec 2014

Any tiny benefit of hydration, which is so minimal it's a ridiculous thing to even bring up, is outweighed by the pain and humiliation. Seriously?

 

NewDeal_Dem

(1,049 posts)
41. "only when other resources are not available." A 1/2 cup/hour.
Sat Dec 13, 2014, 10:48 PM
Dec 2014

Please explain when it would be the case that the other resources weren't available. For example, in the case of those tortured, no medical justification was noted.

They were apparently protesting by refusing food or water, that's all.

There was no medical indication for buttwatering, and no advantage to it over, say, a PEG tube or an IV or a glass of water.

PoliticAverse

(26,366 posts)
49. Of course you are correct, they should not have used rectal hydration.
Sun Dec 14, 2014, 12:38 AM
Dec 2014

The point is rectal hydration itself is actually a medical procedure even though it should be only
used in rare cases.

proverbialwisdom

(4,959 posts)
6. Press Release: Torture Survivor Rehabilitation Center Responds to Groundbreaking Senate Report
Sat Dec 13, 2014, 02:28 PM
Dec 2014
http://www.cvt.org/news-events/press-releases/torture-survivor-rehabilitation-center-responds-groundbreaking-senate

PRESS RELEASE

Torture Survivor Rehabilitation Center Responds to Groundbreaking Senate Report on CIA Torture

Tuesday, December 9, 2014


St. Paul, MN & Washington, DC – The Center for Victims of Torture (CVT) issued the following statement in response to today’s public release of the executive summary of the U.S. Senate Select Committee on Intelligence’s historic and bipartisan report on the Central Intelligence Agency's (CIA) former detention and interrogation program.

“After reviewing more than 6 million pages of classified records, the Senate Intelligence Committee, under the leadership of Senator Dianne Feinstein, has produced the most thorough and comprehensive review of the CIA torture program,” said Melina Milazzo, CVT senior policy counsel.

“Initiated, adopted, and approved for public release with bipartisan support, the Senate’s CIA Torture Report is a turning point in revealing the facts about an unlawful program that was far more brutal, sweeping, and unnecessary than previously known.

“President Obama and Congress must now work to ensure that we never resort to torture and cruelty again.

“The proof of torture and cruelty found in the CIA Torture Report speaks for itself. According to Senator Feinstein, ‘the conditions of confinement and the use of authorized and unauthorized interrogation and conditioning techniques were cruel, inhuman, and degrading. I believe the evidence of this is overwhelming and incontrovertible.’

“Among the abusive tactics described in the report are waterboarding, forced stress positions, sensory overload or deprivation, and sleep deprivation for up to 180 hours – all resulting in serious and long-lasting physical and psychological pain and suffering, “said Milazzo.

“Although there is never a legal justification for torture, the CIA Torture Report supports what we consistently hear from survivors of torture: that torture produces false and misleading information because people will say anything to make the torture stop.

“Equally troubling is that the CIA’s torture program was based on widespread deception and misinformation. High-ranking government officials, Congress, and the American people were grossly misled and denied the truth.

“While President Obama halted the use of torture and cruelty in interrogations on his second day in office, a future President could overturn the Executive Order with the stroke of a pen. We support Senator Feinstein’s call for legislation to ‘enshrine’ the ban into law.

“The CIA Torture report should serve as a stark reminder of the enormous – and lingering – costs to America’s national security, foreign policy, and its ability to play an effective role globally on human rights when we entered the ‘dark side.’

“Senator Feinstein, her colleagues who have stood with her, and the highly dedicated Committee staff deserve our nation’s gratitude for their important work. But significant work remains to ensure we do not engage in torture and cruelty again.

“President Obama and Congress should ensure the prohibition against torture and cruelty – in law and practice – is firmly in place; the President should declassify the now-defunct CIA rendition, detention, and interrogation program in order for the full truth to come out; credible allegations of torture and abuse must be fully investigated, and prosecuted where necessary; and victims of torture should be provided an effective right to a remedy, including the right to rehabilitation,” said Milazzo.

The Center for Victims of Torture is a nonprofit headquartered in St. Paul, MN with an office in Washington, D.C. and healing initiatives in Africa and the Middle East. Visit www.cvt.org.

What You Can Do: http://www.cvt.org/what-you-can-do

on point

(2,506 posts)
9. Already enshrined in law. What is missing is prosecution under that law of torturers !!
Sat Dec 13, 2014, 02:44 PM
Dec 2014

I know you agree. Just saying don't need new specific laws, just need to enforce the existing ones and send these people away so that an executive CANNOT be issued to permit torture again.

 

hifiguy

(33,688 posts)
12. Those laws will be enforced
Sat Dec 13, 2014, 03:29 PM
Dec 2014

right after the heat death of the universe. Law are useless when those charged with their enforcement feel no compunction to obey, much less enforce, them.

proverbialwisdom

(4,959 posts)
15. CVT: "We support Senator Feinstein’s call for legislation to ‘enshrine’ the ban into law."
Sat Dec 13, 2014, 03:39 PM
Dec 2014

Not my field, but CVT and Feinstein appear to hold views differing from yours.

Incidentally, isn't "The CENTER for VICTIMS of TORTURE" the premier NGO on torture?

http://www.cvt.org/who-we-are/history
http://www.cvt.org/news-events/press-releases
http://www.cvt.org/news-events/in-the-news

http://cvt.org/news-events/press-releases/amnesty-international-leader-next-executive-director-center-victims
http://www.cvt.org/news-events/press-releases/douglas-johnson-leave-his-position-executive-director-center-victims
...CVT’s budget has grown from $212,000 in 1987 to more than $10 million in 2011

 

Thor_MN

(11,843 posts)
10. I witnessed it precribed as a medical procedure.
Sat Dec 13, 2014, 03:22 PM
Dec 2014

I worked as a first aid volunteer for the MS 150, a charity 150 mile bike ride for the MS Society. Near the end of a very long day, my uncle and I were asked to transport a young guy to the hospital in Moose Lake. He had neglected to stay hydrated during the ride and was no longer able to keep any fluids down. Every sip of water that he took, he promptly threw up.

At the hospital, after a quick exam, the doctor prescribed an enema to rehydrate him. It is less invasive than an IV, it does not involve making a hole in the body. Personally, I don't mind needles.

Before any one tries to twist that into what they want to read, I'm not saying anything about torture, I'm just saying that rectal rehydration is possible and a valid medical procedure, when used for appropriate reasons.

I can't think of a valid reason that a prisoner would become dehydrated enough to warrant use of the procedure.

markpkessinger

(8,401 posts)
11. Here is what Physicians for Human Rights had to say about it
Sat Dec 13, 2014, 03:28 PM
Dec 2014
[font size=5]Rectal Hydration and Rectal Feeding is Not Medically Justified[/font]

New York, NY - 12/10/2014

Physicians for Human Rights (PHR) said today that the use of rectal hydration and rectal feeding on detainees without evidence of medical necessity – which was revealed in yesterday’s U.S. Senate report – constitutes torture.

Contrary to the CIA’s assertions, there is no clinical indication to use rectal rehydration and feeding over oral or intravenous administration of fluids and nutrients,” said Dr. Vincent Iacopino, PHR’s senior medical advisor. “This is a form of sexual assault masquerading as medical treatment. In the absence of medical necessity, it is clear that the only purpose behind this humiliating and invasive procedure is to inflict physical and mental pain.”

The torture report released yesterday stated that rectal rehydration or feeding was inflicted on at least five detainees. Three additional detainees were also threatened with the procedure. PHR pointed out that three of the detainees subjected to rectal rehydration and feeds were on hunger strike, indicating that such procedures were likely used as punishment.

The Senate report confirms that health professionals were complicit in the CIA’s illegal torture program, and PHR has called for everyone involved in detainee abuse to be investigated. A team of medical, psychiatric, and psychological experts has been studying the report and expects to produce an analysis on health professionals’ complicity in CIA torture in the coming days.
- See more at: http://physiciansforhumanrights.org/press/press-releases/cia-torture-report-highlights-unnecessary-medical-procedure.html#sthash.LTonmqTh.1ZDHqfcf.dpuf

 

Thor_MN

(11,843 posts)
13. Which is totally irrelevant to what I said.
Sat Dec 13, 2014, 03:37 PM
Dec 2014

Did you read the part where I that I was not talking about torture?

What I am saying is that, in some cases, it is a valid procedure. There are literally hundreds of stories out there right now saying it is never valid. I'm addressing that aspect only. To say that is never valid, is factually incorrect.

I even added that I can not think of a reason why a prisoner would become dehydrated such that doing thos procedure would become valid.

daleo

(21,317 posts)
23. That doctor may have been mistaken about the procedure
Sat Dec 13, 2014, 05:29 PM
Dec 2014

They do make mistakes and/or follow non evidence based procedures.

Mojorabbit

(16,020 posts)
27. I am a retired nurse
Sat Dec 13, 2014, 07:59 PM
Dec 2014

and have never seen that procedure used as a first line for rehydration. IV fluids would be the most commonly used procedure.

 

Thor_MN

(11,843 posts)
28. Never seen it used? Ever? You qualified your statement...
Sat Dec 13, 2014, 08:12 PM
Dec 2014

What about situations where an IV is not possible or practical. What if you didn't have all the equipment needed for an IV?

As a nurse, you know that the intestine will absorb water. For those with no medical knowledge, you are presented with evidence every time you you don't have diarrhea... Hell, the water used doesn't even need to be that particularly clean, much less sterile.

For the record, since lots of DUers seem to like to read the garbage from their own minds into other's posts, I'm not defending the use of this procedure by the CIA, I'm only stating that there is crappy (pun intended) reporting occurring saying that rectal rehydration is NEVER valid.

People that throw absolutes around are very often speaking from emotion rather than science.

Mojorabbit

(16,020 posts)
32. I merely made an observation that in almost 20 years as a nurse
Sat Dec 13, 2014, 08:46 PM
Dec 2014

I have never seen this used as a first line of rehydration. I have never seen it used for hydration at all. One can get an IV in by one method or another almost 100 percent of the time. It is more efficient and I am sure that the CIA would have had no problem getting that equipment if they really wanted to hydrate someone using modern techniques.

 

NewDeal_Dem

(1,049 posts)
34. "While rectal hydration may be used in emergency situations, it’s not the first-, second-
Sat Dec 13, 2014, 09:49 PM
Dec 2014

or even third-best option, said Allen Keller, director of the Bellevue/New York University Program for Survivors of Torture. It’s clear in the context of the report that there were ulterior motives in the decision to use the technique, he said."


But y'know, the water just 'sloshes up' into the large intestine.

Central Intelligence Agency interrogators made clear that the practice, justified as a way to hydrate prisoners who refused to eat, wasn’t simply for their health. It was identified as a means of “behavior control” by CIA medical officers that could hasten the end of hunger strikes, according to the documents.




“While IV infusion is safe and effective, we were impressed with the ancillary effectiveness of rectal infusion on ending the water refusal in a similar case,” one of the officers wrote, according to an executive summary of the 6,000-page report, originally approved in December 2012 and now declassified.

‘Sloshing Up’

The same officer described how the procedure was carried out:

“Regarding the rectal tube, if you place it and open up the IV tubing, the flow will self-regulate, sloshing up the large intestines,” he wrote.

http://www.bloomberg.com/news/2014-12-10/rectal-feeding-of-detainees-called-abuse-with-guise-of-treatment.html

 

Thor_MN

(11,843 posts)
35. Again with the qualifications. Almost all of the time. as a first line. in a hositpal.
Sat Dec 13, 2014, 09:52 PM
Dec 2014

You conveniently neglected the situation where one does not have IV equipment.

Do you really want to make the argument that the in no situation, ever, that rectal rehydration would not be valid?

One more time, I'm not talking about the CIA's use of this procedure. just that the new's report's claims that it is never valid is wrong.

 

NewDeal_Dem

(1,049 posts)
51. Never as a first line in a routinely stocked hospital, because IV technique is routine in western
Sun Dec 14, 2014, 12:59 AM
Dec 2014

hospitals.

 

Thor_MN

(11,843 posts)
52. The reports had no such qualifications
Sun Dec 14, 2014, 01:07 AM
Dec 2014

Never is a very high standard to meet. You are willing to claim there is not a single instance, ever, in the entire world?

 

Thor_MN

(11,843 posts)
61. Uh, the OP? Or any of the hundreds of links if your google rectal rehydration.
Sun Dec 14, 2014, 04:58 PM
Dec 2014

The "doctors say" probably qualified their statements, but the reporters thought that might be too confusing for some people... and left out the qualifications. Appaerently, some people bit real hard on that hook and ignorantly insist, based only on he reports, that rectal hydration is never used...

 

Thor_MN

(11,843 posts)
72. If one can't make it past the subject line without making an error
Mon Dec 15, 2014, 08:20 PM
Dec 2014

One is in really tough shape to argue only with their emotions rather than facts.

 

NewDeal_Dem

(1,049 posts)
76. If one doesn't realize that the subject line has nothing to do with the content of the
Mon Dec 15, 2014, 09:31 PM
Dec 2014

article, we must conclude that one didn't actually read the article.

 

Thor_MN

(11,843 posts)
79. Look, your claims have all been based on what you think, not facts.
Mon Dec 15, 2014, 09:45 PM
Dec 2014

Continuing to argue will not make you correct.

 

Thor_MN

(11,843 posts)
86. The text of the article speaks for itself. And says you are wrong.
Mon Dec 15, 2014, 11:19 PM
Dec 2014

"Two of the most brutal CIA interrogation tactics revealed in the Senate’s report on torture are little-known techniques called “rectal feeding” and “rectal hydration.” The backlash to the exposure of the techniques was swift, but former CIA Director Gen. Michael Hayden defended them Thursday as “medical procedures” necessary to get fluids into dehydrated detainees and were not used as “a method of interrogation.”"

 

NewDeal_Dem

(1,049 posts)
94. Here's the full text of the linked article: Aside from the label, there's nothing. There's
Mon Dec 15, 2014, 11:51 PM
Dec 2014

a (deliberate?) confusion between rectal feeding and rectal hydration, though the article is titled as though it were about rectal hydration.


Two of the most brutal CIA interrogation tactics revealed in the Senate’s report on torture are little-known techniques called “rectal feeding” and “rectal hydration.” The backlash to the exposure of the techniques was swift, but former CIA Director Gen. Michael Hayden defended them Thursday as “medical procedures” necessary to get fluids into dehydrated detainees and were not used as “a method of interrogation.”

Doctors and psychiatrists, however, said they have zero medical application and are nothing more than full-bore torture methods that no medical professional should ever be a party to. More than that, they are well-documented forms of painful, humiliating torture that have been used since the Middle Ages and the Inquisition, doctors said.

“This is a variation on a medieval form of torture in which the intestines were swollen up with fluid in order to cause pain," said Dr. Steven Miles, a professor of medicine at the University of Minnesota Medical School and board member of the Center for Victims of Torture, both of which are in Minneapolis. "You can’t feed somebody this way. And so, for the U.S. government to claim that this is some sort of feeding technique, that’s just totally bizarre,” he said. “Because there is no physiological way for any nutrients to be absorbed in the colon, any medical participation in this rectal feeding procedure is medical participation in torture.”
 

Thor_MN

(11,843 posts)
97. See, even you can see the part about rectal hydration.
Tue Dec 16, 2014, 12:08 AM
Dec 2014

You bolded it.

Hydration OCCURS in the large intestine. That is a fact that no amount of whining and moaning can change.

The large intestine does not care what direction the water comes from. That is another fact.

Enemas are given for a variety of reasons, not just "to make people SHIT", another fact.

You have been incredibly persistent in posting falsehoods. I know your feelings are hurt, but facts don't care.




.

 

NewDeal_Dem

(1,049 posts)
98. More than 80% of water is removed by the time food or water hits the large intestine.
Tue Dec 16, 2014, 12:14 AM
Dec 2014

Furthermore, douching the rectum with water doesn't have the same effect as normal digestion through the SI & LI. In fact, it often has a contradictory effect.

 

Thor_MN

(11,843 posts)
100. I've stated that digestion is not part of my argument.
Tue Dec 16, 2014, 12:23 AM
Dec 2014

Nice try on a Hail Mary to change the topic, but it's irrelevant.

 

NewDeal_Dem

(1,049 posts)
101. You saying it's irrelevant shows you don't know what you're talking about.
Tue Dec 16, 2014, 12:33 AM
Dec 2014

The LI is designed to absorb a small amount of water only, that's the relevance.

And absorption during digestion is normal and most effective design. As opposed to absorption via enema.

 

NewDeal_Dem

(1,049 posts)
104. You clearly don't know. It doesn't matter what you say, you've already shown
Tue Dec 16, 2014, 12:48 AM
Dec 2014

you don't. And you're boring.

 

Thor_MN

(11,843 posts)
106. Facts are facts and sometimes boring.
Tue Dec 16, 2014, 12:53 AM
Dec 2014

Fantasies and railing at truth is interesting to those with no knowledge.

Good luck in your future endeavors and just keep judging the world on your feelings...

Some day, you might feel the urge to come out from that bridge.

 

NewDeal_Dem

(1,049 posts)
108. Yes, facts are facts, and interesting that you bow out after I cite PubMed's
Tue Dec 16, 2014, 01:05 AM
Dec 2014

millions of citations going back to the 1800s.

 

NewDeal_Dem

(1,049 posts)
30. I can't think of any reason that a hospital would use an enema to rehydrate someone
Sat Dec 13, 2014, 08:25 PM
Dec 2014

when they had IV technique available.

The main outcome of enema is shit; typically diarrhetic shit, which pulls water OUT of the body.

 

Thor_MN

(11,843 posts)
31. What about when IVs are not possible or practical?
Sat Dec 13, 2014, 08:45 PM
Dec 2014

Your argument from incredulity doesn't cut it. It would not pull more water out of the body than it puts in. Simple osmotic pressure easily explains why your assertion is flat out wrong.

Look, it is clearly not the first goto, it's messy and people in nice clean clothes would much rather punch a hole through one's body and inject fluids directly into your bloodstream. They are trusting that they can control any infections they caused by the invasive procedure, rather than possibly getting their nice clean clothes dirty. Besides, the materials used for an IV can be charged at a much higher rate and are less labor intensive than a tube and some water.

There ARE situations where it is warranted, making the reports that it is NEVER warranted factually incorrect. That does not say any thing about the use by the CIA. Just that the reporting is wrong in saying that it is never valid.

 

NewDeal_Dem

(1,049 posts)
33. When are IVs not possible? And in the unlikely chance, why not put in a PEG
Sat Dec 13, 2014, 09:36 PM
Dec 2014

tube? Can be done easily, without anesthesia, and much better hydration than butt feed.

You have to assume patient can't take anything by mouth, cant take anything IV, and can't tolerate a PEG. Which means they couldn't EAT, either.

And that the hydration achieved by butt-tube in that medically perilous situation would be worth it.

Maybe there's such a situation, but I can't think of it off the top of my head.

Enemas are given to make people SHIT, not to hydrate them.

 

Thor_MN

(11,843 posts)
36. Well, hot damn, if you are in a well stocked hospital, sure.
Sat Dec 13, 2014, 09:58 PM
Dec 2014

What if you aren't in a hospital? You are claiming that rectal rehydration is never valid.

I have stated that I have witnessed it prescribed. They admitted the guy, so we did not stick around ( we got about 4 hours sleep that night) but I did hear that the guy completed the second half of the ride along with every one else.

Just because you think it is icky and can't imagine things doesn't make invalid 100% of the time.

 

NewDeal_Dem

(1,049 posts)
37. The person you described was in a hospital. I've never seen a hospital without capacity to
Sat Dec 13, 2014, 10:23 PM
Dec 2014

do IVs, and certainly a place like Guantanamo would have that capacity.

If one isn't in a hospital and needs hydration, first line would be to drink a fucking glass of water.

I've never heard of a hospital doing enemas for hydration, and it has nothing to do with finding it 'icky,' more with finding it useless and possibly counter-productive.

 

Thor_MN

(11,843 posts)
38. Fine
Sat Dec 13, 2014, 10:31 PM
Dec 2014

Just because you can't imagine something doesn't make it fact.

Have you met Megan Fox? Not the actress, the conservative creationist.

http://www.rawstory.com/rs/2014/11/watch-a-home-schooler-mom-go-through-a-science-museum-and-destroy-evolution/

She likes to argue from incredulity as well.


Here's something else which just might expand you imagination.
http://www.jpsmjournal.com/article/S0885-3924%2897%2900367-9/abstract

 

NewDeal_Dem

(1,049 posts)
43. I didn't say anything about imagining, I talked about seeing & hearing. Where are these hospitals
Sat Dec 13, 2014, 10:56 PM
Dec 2014

without IV capability? Certainly not in the US or Europe.

And who are these prisoners who can't drink? There weren't any. They were hydrating them via butt because they were REFUSING to drink, not because they were medically incapable of drinking.

 

Thor_MN

(11,843 posts)
46. You seem to be having some trouble with reading...
Sat Dec 13, 2014, 11:11 PM
Dec 2014

I have repeatedly said I am not talking about the CIA's use of this procedure.

I am saying the the reporting that the procedure is NEVER valid is factually incorrect. By arguing with me, you are taking the position that rectal hydration is never, ever valid.

Your arguments have all been, I've never seen, I've never heard, it possibly. Fact is, you have not seen, you have not heard everything and that you have a lack of knowledge.

Enemas are used for a variety of purposes, one of which is hydration. http://en.wikipedia.org/wiki/Enema

Have a nice evening, go watch some of Megan Fox's videos, you would probably get along well with her.

 

NewDeal_Dem

(1,049 posts)
50. Fact is, none of those possible exceptions to the general rule applied in the cases under discussion
Sun Dec 14, 2014, 12:55 AM
Dec 2014

You seem more the megan fox type to me.

 

Thor_MN

(11,843 posts)
53. Sorry, you are the one arguing from lack of knowledge.
Sun Dec 14, 2014, 01:11 AM
Dec 2014

There exist instances where it is appropriate treatment, therefore the reports claim that it is never valid are incorrect.

Lazy, bad reporting, a simple fact.

And once more. for the context challenged, that has nothing to do with the CIA's use of the technique.

 

Thor_MN

(11,843 posts)
55. You would lose.
Sun Dec 14, 2014, 02:35 PM
Dec 2014

Several of your statements have demonstrated your lack of understanding. Don't feel bad, ignorance is simply lack of knowledge, not stupidity.

I've provided you with several links to enlighten your unawareness, I suspect that you haven't read them. Feel free to blunder on in ignorance, or check out the links I provided.

And my story is 100% fact, I do not appreciate you calling me a liar.

 

NewDeal_Dem

(1,049 posts)
56. I looked at your links. They're limited and don't support your claims.
Sun Dec 14, 2014, 03:58 PM
Dec 2014

Basically, rectal hydration is NEVER used except in very limited circumstances, none of which apply in the cases under discussion.

 

Thor_MN

(11,843 posts)
60. See, there's your problem...
Sun Dec 14, 2014, 04:54 PM
Dec 2014

NEVER, except... The report are saying NEVER. You just proved my point. Thank you.

 

NewDeal_Dem

(1,049 posts)
70. Not really. Arrogance usually looks like arrogance. People who are actually
Mon Dec 15, 2014, 12:36 PM
Dec 2014

knowledgable don't need to be arrogant.

 

NewDeal_Dem

(1,049 posts)
90. You say you posted facts. In fact, there are only a couple of citations in the
Mon Dec 15, 2014, 11:43 PM
Dec 2014

entire medical literature.

You certainly have devoted a lot of time to insisting that someone, somewhere, under some circumstance is using rectal hydration for some legitimate purpose.

But knowing, as anyone with a medical background does, that the circumstances would have to be:

1. A patient who can't hydrate themselves by drinking/swallowing
2. No access to a relatively modern hospital with IV capability (which means most hospitals in the world)
3. No access to tube feeding/PEG tube technique
4. The minimal hydration to be gained via rectal hydration is worth the tradeoff in discomfort and humiliation = classes of patients 'rectal hydration' is inappropriate for. For example, rectal hydration for terminal patients? Really? Mouth swabs and small sips are easier, cheaper, and more dignified.

So what are the useful circumstances for rectal hydration. You keep insisting they exist, but you never say what they are.

Maybe because you don't know, irregardless of your 'story' about the hospital doctor who used the technique for unknown reasons you never spelled out.

Except the doc would have had to make a 'hole' in the patient. lol.

 

NewDeal_Dem

(1,049 posts)
96. Here are the results from PubMed. None for "rectal hydration".
Tue Dec 16, 2014, 12:02 AM
Dec 2014
http://www.ncbi.nlm.nih.gov/pubmed/?term=%22rectal+hydration%22

"PubMed comprises more than 24 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites."

Not the entire medical literature, but a hefty subset.

And just fyi, PubMed includes Medline:

http://en.wikipedia.org/wiki/MEDLINE


and:

In addition to MEDLINE, PubMed provides access to:

- older references from the print version of Index Medicus back to 1951 and earlier;
- references to some journals before they were indexed in Index Medicus and MEDLINE, for instance Science, BMJ, and Annals of Surgery;
- very recent entries to records for an article before it is indexed with Medical Subject Headings (MeSH) and added to MEDLINE; and
- a collection of books available full-text and other subsets of NLM records.[4]
- PMC citations

As of 28 July 2014, PubMed has over 24 million records going back to 1966, selectively to the year 1865, and very selectively to 1809; about 500,000 new records are added each year. As of the same date, 13.1 million of PubMed's records are listed with their abstracts, and 14.2 million articles have links to full-text (of which 3.8 million articles are available full-text for free for any user).

http://en.wikipedia.org/wiki/PubMed


Now show me the vast literature on the medical uses of rectal hydration or get out of my face. They don't exist.
 

Thor_MN

(11,843 posts)
99. "there are only a couple of citations in the entire medical literature."
Tue Dec 16, 2014, 12:17 AM
Dec 2014

Changing your tune again? So which is it? Only a couple? Or none? The entire medical literature or just a hefty subset?

You are being quite inconsistent...

My argument is the same as it ever was. It is possible, it has been used and the article claimed that it is never used. You have chosen to defend the "Never" (Silly of you, absolutes rarely are) and added the bonus of it being not possible (totally laughable.) You have been proven wrong again and again.

 

NewDeal_Dem

(1,049 posts)
102. There are NONE in PubMed. That's out of millions. The only two you're
Tue Dec 16, 2014, 12:34 AM
Dec 2014

been able to come up with don't reference actual practice.

There are also a couple from around 1913.

Put up or shut up, you're boring and stupid as hell.

 

Thor_MN

(11,843 posts)
105. You chose to back NEVER, remember?
Tue Dec 16, 2014, 12:50 AM
Dec 2014

You are not only inconsistent, you are wrong.

NEVER means Never, ever. Not once ever in the entire history of the world. Hell, I even handed you a video, admittedly it didn't show the actual process. And you still claim it's never been done and can't be done.

I know I'll never be able to convince someone so committed to ignoring evidence, so I'll leave you to continue on tilting at windmills and cursing the clouds...

Have a Merry and please stay out of situations where you might get dehydrated and not have someone with IV experience and equipment or pure water. In those cases, even someone who needs both hands and a flashlight to find their ass needs only a tube and some water you wouldn't give to a stray dog...

 

NewDeal_Dem

(1,049 posts)
107. There are NONE in PubMed. That's a fact.
Tue Dec 16, 2014, 01:04 AM
Dec 2014

The situation you mention is not the situation of the CIA torturers.

And I don't believe your story about a hospital doctor doing rectal hydration either.

U4ikLefty

(4,012 posts)
44. Don't throw the rock & hide your hand.
Sat Dec 13, 2014, 11:01 PM
Dec 2014

We can read & know exactly what you are defending.

BTW, cool story bro

 

Thor_MN

(11,843 posts)
48. Huh? What exactly do you believe I am defending?
Sat Dec 13, 2014, 11:18 PM
Dec 2014

I'm not defending, I'm attacking the incredible laziness and dishonesty of the reports saying that rectal hydration is never valid. That quite simply is not true.

The CIA's use of the process has nothing to do with what I have repeatedly said. If you want to create some fantasy that I'm defending them, think again. Their use was likely not not for medical reasons (at a minimum, not for reasons that they did not cause) and therefore torture.

Try reading what I actually said, rather than what you would be to believe I said.

 

Thor_MN

(11,843 posts)
67. Could be is enough to put the lie to never.
Mon Dec 15, 2014, 02:19 AM
Dec 2014

And my links, beyond my story say that it HAS BEEN used, which makes you claim of NEVER look quite weak and untrue.

 

Thor_MN

(11,843 posts)
81. My story, which you have claimed I'm lying about, based only on your feeling it's icky...
Mon Dec 15, 2014, 09:53 PM
Dec 2014

I'm still waiting on an apology....

You probably won't make it past the warning saying that it contains material ht may be disturbing to some viewers, but Bears Grylls also says you lack knowledge...

Man vs. Wild - Pacific Island - Bear's Enema
 

NewDeal_Dem

(1,049 posts)
85. So your citation as to it being used in 1986 is your own story? ok.....
Mon Dec 15, 2014, 11:18 PM
Dec 2014

but medical citations don't show it being used in modern times.

 

Thor_MN

(11,843 posts)
87. What, your carefully chosen searchs didn't back facts?
Mon Dec 15, 2014, 11:21 PM
Dec 2014

Why am I not surprised?

Look, I know your feelings are hurt having been proved wrong so many times, but really...

 

Thor_MN

(11,843 posts)
92. Wow, project much?
Mon Dec 15, 2014, 11:45 PM
Dec 2014

Your posts have been "I don't think", "I doubt", "I can't think"...

Someone's be doing nothing but babbling from the get go...

 

darkangel218

(13,985 posts)
17. PBO should have been FURIOUS when he heard about what the CIA was doing
Sat Dec 13, 2014, 03:44 PM
Dec 2014

But he wasn't. And he isn't. Apparently, we just "tortured some folks", and "some of these folks ( the CIA ) are patriots".

Nothing to see here people. Move along.

proverbialwisdom

(4,959 posts)
18. CVT: While Pres. Obama halted use of torture & cruelty in interrogations on his 2nd day in office-
Sat Dec 13, 2014, 04:03 PM
Dec 2014

Watch the Charlie Rose interview with McCain which aired on Friday 12/12 and read the Guardian/BBC expose. Remember that resignation? Yeah, it was the affair.

Oilwellian

(12,647 posts)
21. Reread his words in his tortured press conference
Sat Dec 13, 2014, 05:04 PM
Dec 2014

He said he ended some of the enhanced interrogation techniques aka torture.

proverbialwisdom

(4,959 posts)
47. Burying the lede (lead)? Might you imagine that witnesses could be the only ones to lose out?
Sat Dec 13, 2014, 11:16 PM
Dec 2014

...if you catch my drift. The Obama DOJ chased down THIS individual despite mistrial (and vanishing witnesses like in HBO's The Wire): http://www.businessinsider.com/paul-bergrin-sentenced-to-life-in-prison-2013-9 Minuscule scale and scope, relatively speaking, to the discussion at hand except for those directly involved.

My guess is that some people (and their associates) ruthless enough to commit war crimes don't just roll over and say "Yes, you've got me," but maybe that's because I read fiction like David Baldacci (Deliver Us From Evil, The Innocent, The Hit) and Barry Eisler ( http://www.barryeisler.com/inside-out.php http://www.barryeisler.com/inside-out-sources.php http://www.barryeisler.com/faultline.php ), have very keen observational skills, and an active imagination. I also don't believe the public knows everything that's happening.

[center]http://www.barryeisler.com/inside-out-bibliography.php

[/center]

Escapist fiction writer meets the President: http://www.democraticunderground.com/10025889104#post53

Hekate

(90,779 posts)
42. When exactly has PBO ever shown himself to be "FURIOUS" in public?
Sat Dec 13, 2014, 10:50 PM
Dec 2014

So how do any of us know he's not?

Incidentally remember Valerie Plame? I think she's one of the "patriotic folks" Obama was referencing.

I think at this point, none of us is moving along. There's a hell of a groundswell beginning.

 

darkangel218

(13,985 posts)
45. I didnt get the message that he was outraged from his comments.
Sat Dec 13, 2014, 11:06 PM
Dec 2014

One doesn't have to shout and scream to be "furious". The nonchalant way he said that "we tortured some folks" is just plain wrong.

And yours only guessing he was referring to that person. Perheps it would have helped if he was a bit specific.

Gah.. never mind. I know yoh have a different opinion than me, and that's fine. To each their own

SunSeeker

(51,664 posts)
20. In other words, it's rape, not medical care.
Sat Dec 13, 2014, 04:38 PM
Dec 2014

Just like water boarding is not an interrogation technique, it's torture.

Hekate

(90,779 posts)
39. “This is a variation on a medieval form of torture." I'm sure I'm not the only old history major...
Sat Dec 13, 2014, 10:40 PM
Dec 2014

...who recognized some of these techniques as literally Inquisitorial from the moment their descriptions first hit the news during the BushCheney era.

God save us all.

SomethingFishy

(4,876 posts)
59. The techniques were also used by the Gestapo...
Sun Dec 14, 2014, 04:08 PM
Dec 2014

Apparently there is a nice long line of amoral assholes waiting their turn.

And now we watch them defend this and very few have the nerve to stand up and say what is plainly in front of our faces.

 

Laura PourMeADrink

(42,770 posts)
111. so...what's the real deal here, D_R ? Would it be
Wed Dec 17, 2014, 12:48 AM
Dec 2014

extremely painful to get fed via rectum? sounds so
horrendous - must hurt.

 

Laura PourMeADrink

(42,770 posts)
110. The reason for going rectally vs. hydrating orally ...because
Wed Dec 17, 2014, 12:46 AM
Dec 2014

of the nausea involving with taking liquids orally.

 

Laura PourMeADrink

(42,770 posts)
114. sorry - can not find - but it was a false rationale for
Wed Dec 17, 2014, 10:41 PM
Dec 2014

doing the rectal feeding - whoever was trying to justify said it
was because the people were too nauseated to take liquids
orally. However, like med professionals have said - just IV
if you are that worried about hydration.

Bottom line, it is a hideous, dehumanizing, sexually abusive
technique that is very painful. And, supposedly, no
nutrients can be absorbed by the colon.

Sick MF's IMHO

 

Aerows

(39,961 posts)
115. According to others
Wed Dec 17, 2014, 10:47 PM
Dec 2014

we need to be celebrating because politics between the US and Cuba have thawed.

That is so damn amazing, we are supposed to turn a blind eye to that icky torture thing that no one except the person that was a whistle blower went to jail for. Oh wait, TWO went to prison for it.

But hey, it's unfortunate that people have to be extraordinarily renditioned, tortured and be sent to black sites.

The US doesn't do that.

At least the US I have always believed in didn't do that, but I'm getting the naivete knocked off of me in a hard way.

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