According to Doc Gurley, an Internist, doctors may opt to quit some of their patients under a pay-for-performance scheme. This happen to me for reasons other than not doing what my doctor told me I needed to do to keep myself healthy. My doctor fired me as a patient because he said he was returning to do research at UCSF Medical school.  When he told me the this I was depressed. I felt like I had developed and was developing a good patient-doctor relationship with him. I had to start all over with another primary care physician. Having a primary care physician  is a very big deal to me because I think I have a slight case of iatrophobia.

Today I have a primary care physician and I would hate to think he could fire me under this scheme.

Is it not their job to mislead? The C.I.A. is in the business of duplicity. They do it, some of us are mature enough to know they do it even to members of Congress because that's the nature of the C.I.A.. When Pelosi said she didn't get the or a full accounting of what the C.I.A. had done in regards to the human beings at Guantanamo, I believed her. I believed her because the Bush administration lied, they ginned up reports about Iraq and only God knows what else they did.

I typed this last night and waited to post it because I had to see if there was going to be any fall out. I am waiting to see what if any thing happens after this equivocation.  

This is one of the most magnificent drives in California. I have done it a few times and only a few times because the road meanders, rises and falls between the Pacific Ocean and hillsides of Northern California. The switchbacks are numerous. On my most recent trip I discovered Goat Head Rock part of Sonoma State Beach. This is the first time I ever saw Goat Head because it is usually sits under a heavy coat of fog. Apparently there are other things hidden in the fog too.

After reading Langston Hughes', I Wonder As I Wander and the Big Sea, it has been in and on my mind to go to Russia . It is still one of the biggest dreams left on my list of to-see list.