Tuesday, November 30, 2010

I failed as I thought doing good

Last Saturday I went to buy rye bread at the organic bakery stand of a weekly market in Cologne, buy groceries in the Turkish supermarket, and to go to the bank to print out the statements of my account. I rushed past a beggar on my way to the bank, who was asking for money inside a roofed passage. Coming back I had decided to give my small change to him. I did it, he thanked me, and I went on, only to hear some words of blessing, some well wishing, and some other greetings following my stride. I shouldn't have left him as in a hurry. I should have given him the time necessary for his thanks und well wishings. Yes, he needed the money, but more he needed appreciation of his dignity, which I failed to give him.

Monday, November 15, 2010

Freude

Die Traurigkeit lies nach
Als ich im Traume hörte
Kristallne HarfenKlänge
Von Engeln selbst geschlagen

Und wenn dies enden wird
Kommt auch mein Ende bald
Werd's dann erkennen doch
Dass nichts ein Ende hat

Wednesday, November 3, 2010

Fibromyalgia: Multimodal Therapy

Fibromyalgia: Multimodal Therapy at the Rheinische Rheuma Zentrum

Multimodal doesn't simply mean to add different therapies. Our team has worked a long time together and regularly meets to discuss the needs of the patients. The team consists of a nurse, physical therapist / physical education teacher, at times an occupational therapist, a psychologist (behavioural therapist, pain specialist), and a rheumatologist. The success of the therapy depends on the cooperation of the Department of Psychology and the Department of Rheumatology, and in the orientation at behavioural therapeutic principles of the team.
The therapy is change oriented; patients should be enabled to increase their self-help capacity.

Patients must fulfil certain requirements as no pending social welfare lawsuit, command of the German language, motivation to change, no medication that affects the central nervous system (like benzodiazepines, tilidin, and others), and no other disease needing special attention at the same time, able to take part in a group therapy.
We had patients with migratory background (Turkey, Poland, Italy, Russia, Kazakhstan, Croatia ...), but were fluent in German. We had patients with concomitant inflammatory rheumatic diseases, but these were in remission at the time of the therapy. We also had one patient with both hips replaced within a year, but half a year after the last operation she was able to take part in the therapy.

Patients are in the day clinic, meaning weekends and evenings they're out of the hospital. ..., but they get homework. They apply, what they learn, in real life. They agree to stop talking about pain.

Day starts with rounds: group with rheumatologist and nurse, sometimes the psychologist joins. The nurse records non-verbal pain behaviour. Then the patients do aquatic training or aqua jogging, training therapy, gymnastics, walking (activities change). The pivotal point is: not every patient is alike, some are depressive avoiders, who need to be activated, and some are merry sustainers, who need to restrained, sometimes like in ice hockey 2 minutes on the penalty bench.

Later in the day they train progressive muscle relaxation (Jacobson). But the two sessions with the psychologist per day are the core of the therapy. They use stress coping and problem solving techniques.

We started with this therapy about 12 years ago. It isn't something mystical; you could find the ingredients elsewhere as well. Save, you must be very consequent, fill in loop holes, and look also that no other disease will get too much attention (e.g. a common cold).

Instant pain relief isn’t our goal; we look for less pain constantly in and over longer periods of time. We monitor with a battery of psychological tests and the FIQ.

We had a long waiting list, so that we had to close it. We'll be through with our list be next year and await the patients. We expect too many patients for our capacity, but there won't be a lottery like for green cards.

Written 03.11.2010, revised 19.11.2010 2.0

Monday, August 23, 2010

Lustig ist die Jägerei / Piff! Paff!

Lustig ist die Jägerei / Piff! Paff!

Es war noch früh im Jahr, aber schon ein warmer Tag, als ich In der Issel (Meerbusch – in der Nähe von Düsseldorf bzw. der A44) durch die Auen schritt. Da hörte ich es: „Piff! Paff!“ Die Jäger übten sich im Waidwerk. Weiter stapfte ich durch die feuchten Wiesen – da schreckte ich etwa ein- bis zweihundert Wildgänse (Kanadagänse) auf, die sich erhoben und über den Rhein das Weite suchten. Ich aber ging weiter und traf auf die beiden Jäger, die sich hinter Buschwerk und Tarnnetz versteckt hielten. Am Feldrain erblickte ich die erschossene Krähe, im ihrem Blute lag sie am Boden – tot. Mit der Flinte in der Hand machte man den Vorschlag, ich solle woanders weitergehen, welch gute Idee! Schnell hätte es wieder „Piff, paff!“ machen können und ich mochte nicht auch blutend am Boden liegen – neben der Krähe. Warum aber steht 200-300 m entfernt ein Schild, man solle vorsichtig fahren – der Kinder zuliebe? http://bit.ly/bqdwoP
Wer schon inmitten eines Naherholungsgebietes jagt, sollte auch für Absperrungen sorgen, wie z.B. bei der Kölner Philharmonie, wo grün gekleidete Ordner aufpassen, dass niemand während einer Aufführung auf dem Dach steppt. So könnte man das Terrain sichern und Arbeitsplätze schaffen. Oder ganz und gar mit dem Blödsinn aufhören!
Wenn auch die Jäger in Wort die Krähe als Raubzeug abwerten, so sehe doch darin ein überflüssig beendetes Leben. Oder hatten diese Jäger In der Issel nur Hunger. Ja, dann: „Wohl bekomm´s!“

Tuesday, June 22, 2010

Lodotra - my problems with the new miracle weapon against rheumatoid arthritis

Lodotra can´t adapt as well to different dosages as prednisone. It is a drug predominantly for a fixed dosage level and not easy to be tapered. E.g. half mg steps are impossible. Treatment goal is remission and afterwards maintenance with minimum of medication. The first step should be the tapering of glucocorticoids.
Depending on the dose, the price of Lodotra varies between four to sixteen times the price of prednisone.
I think it inappropriate, if the chief investigator of the pivotal study, F. Buttgereit, is a member of the EULAR Committee for recommendations on glucocorticoids in the treatment of rheumatoid arthritis at the same time. Study at: http://bit.ly/9KkkcA. EULAR recommendations see: http://bit.ly/aJvZX0.
But perhaps there are even patients, who might benefit from Lodotra; it would be detrimental, however, if only the manufacturer would be profiting.


(Text originally in German. Calculations on German basis – Rote Liste 2010.)

Lodotra – meine Probleme mit der neuen Wunderwaffe gegen die rheumatoide Arthritis


Lodotra lässt sich nicht so gut in der Dosis adaptieren. Es ist eher ein Präparat für eine feste Dosis und nicht zur Dosisreduktion. Halbmilligramm Schritte sind unmöglich. Das Ziel in der Therapie der rheumatopiden Arthritis ist die Remission und dann der Erhalt mit möglichst geringer Menge an Medikatien und als erste Maßnahme sollten Glukokortikoide reduziert und abgesetzt werden.
Je nach Dosis liegt der Preis zwischen dem 4-16fachen von Decortin.
Ich finde es unpassend, wenn der federführende Rheumatologe der Studie (Chief Investigator), F. Buttgereit, auch gleichzeitig Mitglied des EULAR Komitees für die Empfehlungen zur Glukokortikoidtherapie ist. Studie unter:
http://bit.ly/9KkkcA. EULAR Recommendations unter: http://bit.ly/aJvZX0.

Die Weltneuheit ist meines Wissens immer noch nur hier in Deutschland erhältlich. Warum eigentlich, wenn es so ein wichtiges Medikament ist? http://www.finanznachrichten.de/nachrichten-2009-04/13617042-weltneuheit-lodotra-r-ab-sofort-in-deutschland-erhaeltlich-007.htm
Aber vielleicht gibt es ja Patienten, die von Lodotra profitieren, denn es wäre fatal, wenn der Profit nur beim Hersteller läge.



Leicht geändert und ergänzt am 09.05.2012

Wednesday, May 19, 2010

Secret - or how to loose money

In case you want to loose money contact him - otherwise have a hearty laugh!


Von: DAVID RICHARD [mailto:david.richard@btinternet.com]
Gesendet: Dienstag, 18. Mai 2010 23:19
Betreff: DEAREST ONE.

Hi,
I am a British soldier currently in Afghanistan. I am with the 40th Regiment Royal Artillery in Afghanistan. We hijacked a suspected Van painted black between the border of Pakistan and Afghanistan. The Door gunners sitting behind machine guns in the Black Van tried shooting at our direction but we lunched a combat backup attack on the Black Van none of the Taliban survived the attack.

We discovered other currencies including US dollars of about $ 16 million loaded inside the Black Van with so many types of machine guns. We want to move this money out of this place, before we declare other items in the van to the international press. This place is a war zone you will keep our share pending the end of our assignment here in Afghanistan.
We will take 70%. You take 30%. No strings attached, just help us move it out of Afghanistan, Afghanistan is a war zone. We plan to use secured logistics courier to ship the money out in a large box.
If you can help to receive the box for us, I will send you the full details. Kindly send me an e-mail signifying your interest including your most confidential telephone/fax numbers for quick communication also your contact details. This should be a secret and must be a secret between us.

Respectfully,
Gen Sir David Richards (right)

Wednesday, April 7, 2010

Disclaimer

Disclaimer
The information provided on this website is for the general information of the reader and to help patients become better informed to consult with their own physician. It does not constitute a doctor-patient relationship, and it is not a substitute for professional medical advice. Similarly, comments submitted in response to these posts should not be considered professional medical advice even if the commenter states that he or she is a doctor. You should not use the information on this website for diagnosing or treating a medical or health condition. You should consult a physician in all matters relating to your health, particularly with respect to any symptoms that may require diagnosis or medical attention. All patients have unique circumstances that require the judgment of a professional medical provider. Do not modify your treatment of any condition based on the information provided on this site without consulting with your doctor. You should follow the advice of your doctor at all times, as your doctor is responsible for managing your condition. Medical practice changes regularly. While we strive to be accurate, the information provided may not be comprehensive, and it is possible that medical practice has changed since the time this information was posted. Be sure to consult with your own doctor regarding current practices and procedures. Readers assume responsibility for the use of any information provided herein. This Blog is not responsible for any claim, loss, or damage resulting from the use of this information.

Thursday, March 18, 2010

The secrets of personalized medicine:

We ask ourselves, what might be the hidden message behind this term. It’s easy! Treatment of rheumatoid arthritis (RA) is so complex that algorithms only work as setting a frame, in which personalized medicine is applied.
The idea, that genetics or serologic factors determine a preferable choice of drug, aren’t new. During the last ten yearsmuch work has been invested, however, we aren’t yet able to make choices on the basis of such parameters.

Friday, February 19, 2010

Genetic Engeneering and Factory Farming

I’ve just readin the New York Times:
Not Grass-Fed, but at Least Pain-Free By ADAM SHRIVER
Recent advances in neuroscience suggest it may soon be possible to genetically engineer livestock so that they suffer much less.
"If we cannot avoid factory farms altogether, the least we can do is eliminate the unpleasantness of pain in the animals that must live and die on them. It would be far better than doing nothing at all."
Read the whole story at: http://www.nytimes.com/2010/02/19/opinion/19shriver.html?th&emc=th
Great, create bulls who don't suffer in a bull fight! What you call this? I call it bull shit!
Far better for our earth and individual health would be closing/banning all factory farms.

Sunday, February 14, 2010

Homeopathy and Traditional Chinese Medicine as believe systems

Recently I exchanged some tweets with @ChineseMedicine:
To @
ChineseMedicine True, NSAIDs aren't the only way to treat Ankylosing spondylitis (AS),there are also biologics .... 你推特的这编文章只关一个病人,不能说是研究。
To
@
Rheumatologe NSAID drug is not only way to treat Ankylosing spondylitis (AS).... 中醫師:服藥針灸治療僵直性脊椎炎 http://bit.ly/9IDbXl
To @Rheumatologe Neither I, nor the article said this was a research study. 請您再次看清楚這篇新聞的内容沒有任何文字提到"研究."
To
@
ChineseMedicine The artikel is about one individual - what does it prove? What is it good for? #AS (sorry for the Germanism artikel should be article)
To
@
Rheumatologe It suggests a possible treatment that might be successful in treating #AS for patients w. special conditions #ChineseMedicine
To @ChineseMedicine It suggests a possible treatment that might be successful in treating #AS ... #ChineseMedicine // Yes, it does, but ...
To @
ChineseMedicine #AS #ChineseMedicine // Yes, it does, but it warrants further inquiery and after that studies.
To
@
ChineseMedicine TCM has a long history, but inductive synthesis cannot come up with reproducible results as causal analysis.
To @
ChineseMedicine In order to give TCM its palce in medicine, you need to prove your hypothesis or it stays being a belief system.
To
@
ChineseMedicine Homeopathy isstill in the state of being a belief system (and that after 200 years) - but that wont change.
To
@
ChineseMedicine You can compare homeopathy to a taoistic charm that's burnt and the ashes ingested (belief system).
To @ChineseMedicine But a scientific study is always possible. // I might write a little more on my blog soon.

And that’s, what I just did:
Homeopathy (in whole) and Traditional Chinese Medicine (in larger proportions) are believe systems instead of modern medicine. They both have produced a large set of theories and volumes of written material, but so did Astrology. To make this clear, Western Medicine also isn’t free of believe. Science, however, comes to reproducible insights.
The basis of Homeopathy and Traditional Chinese Medicine is inductive synthesis, as described by M. Porkert (Porkert, Manfred (1974). The Theoretical Foundations of Chinese Medicine: Systems of Correspondence. MIT Press.
ISBN 0262160587). Western science follows causal analysis, which has produced a system of rules, which leads to reproducible studies. Such a system doesn’t exist in inductive synthesis.
There’s nothing wrong with following a believe system, if there wasn’t a but. You will find some sad cases, where followers of Christian Science didn’t want to use any medicine and the prayers weren’t insufficient to treat meningitis or diabetes for instance (good overview:
http://whatstheharm.net/christianscience.html) – leaving the kids dead.
As Mao Zedong said: „Chinese medicine is a great treasure-house!“ (中国医药学是一个伟大的宝库) But I think that there’s a lot of fool’s gold next to the treasures.

To sum it up: to treat diseases and not discomforts/disorders nowadays, patients should be able to judge treatments – and that can only be done, if treatments are scientifically studied.

Saturday, February 13, 2010

NSAIDs - a German observation

I've made a strange observation, quite a lot of both patients and physicians think that ibuprofene has less side effects than diclofenac, but think that diclofenac is the more potent NSAID.
I think it has something to do with dosage. Ibuprofene comes in a multitude of dosages 200, 300, 400, 600, 800 mgs and others. Diclofenac is mostly prescribed in the 50 mg or 75 mgs dosage, though other dosages exist as well. With 150 mgs diclofenac being the upper dosage, you reach this level with 2x75 mgs. If you start with 3x300 mgs ibuprofene, you'll have a long way to reach 2400 mgs, which is the upper level.
All in all diclofenac and ibuprofene have an equal share of side effect or efficacy given at comparable dosages.
If one has to take aspirin for vascular reason, diclofenac is the better choice, as ibuprofene which couteract the effect of aspirin.

PS.: This is internet and not a medical practice - don't change your medication unless you've asked your physician.

Fasten

Nun steht wieder die Fastenzeit an. Wahrscheinlich haben alle Religionen Fastenzeiten. Hierbei dient das Fasten einer spirituellen Erfahrung. Ja, auch glücklich kann man während des Fastens werden (Ausschüttung von Serotonin). Wahrnehmungen können intensiviert werden. Die gerne hervorgehohene Entschlackung findet allerdings nicht statt.
Beim Fasten nimmt man ab, aber nach den Kohlenhydratspeichern wird zunächst das Muskelgewebe und nicht die Fettreserve zur Energiebereitstellung verbraucht. Warum das? Die Muskulatur verbraucht mehr Energie als das Fettgewebe. Im Hungerzustand aber muss der Körper sich schützen, also vermindert er den Hauptverbraucher. Zusätzlich wird der Stoffwechsel heruntergefahren. Deshalb eignet sich Fasten auch nicht zur dauerhaften Gewichtsreduktion.
Kranke, schwangere/stillende Frauen, und weitere sollten überhaupt nicht Fasten. Das ist z.B. im Islam explizit geregelt ("Nur wer das Fasten, so wie es im Islam vorgeschrieben ist, ohne gesundheitlichen Schaden durchführen können, ist zu diesem Gebot verpflichtet. Deshalb sind Kranke, Altersschwache, Schwangere, stillende Mütter, Frauen in der Menstruation und ähnliche Personengruppen von dieser Pflicht ausgenommen." siehe: http://www.al-sakina.de/inhalt/bibliothek/fasten/fasten.html#5).
Einzelne Fastenkuren sind in der aktuellen Ausgabe (02/2010) der Zeitschrift Schrot & Korn nachzulesen: http://www.schrotundkorn.de/2010/201002w01.php. Zu häufigen Fragen berät die Webseite: http://www.heilfastenkur.de/tth_Haeufige_Fragen_zum_Heilfasten.shtml. Und selbstverständlich hat Wikipedia auch einen Artikel zum Thema: http://de.wikipedia.org/wiki/Fasten.

Monday, February 1, 2010

Fibromyalgie and Stem Cells?

A couple of minutes ago, a patient asked about stem cells to treat Fibromyalgia. Someone in the South of Germany proposed this to her. There's neither study nor rationale for such a treatment. Maybe someone takes the FDA move to enable a study on ALS (Lou Gherig's disease) with stem cells to tell peple to use it in Fibromyalgia. The FDA permitted 12 patients suffering from ALS to be treated under study conditions. More at: http://www.cnn.com/2010/HEALTH/01/21/stem.cell.spine/index.html As with all unproven claims and therapies: don't be a paying guinea pig!

Fibromyalgie und Stammzellen?


Gerade berichtet mir eine Patientin, ihr sei eine Therapie mit Stammzellen bei Fibromyalgie empfohlen worden. Dafür gibt es keine Studie und auch kein Rationale für die Durchführung einer solchen Studie.
Wahrscheinlich werden hierbei Berichte zum Einsatz bei der Amytrophen Lateralsklerose unverantwortlicherweise benutzt. Und selbst bei diesem Einsatz hat die amerikanische Aufsichtsbehörde nur einem Versuch bei 12 Patienten zugestimmt. Siehe: http://www.cnn.com/2010/HEALTH/01/21/stem.cell.spine/index.html  .
Ansonsten gilt (wie bei allen nicht erprobten Therapien): seien Sie nicht zahlendes Versuchskaninchen.

Friday, January 29, 2010

Rauchen und Rheuma

Merkblatt
Rauchen und Rheuma
Das sollten Sie wissen

Neuere wissenschaftliche Studien haben klar gezeigt, dass

Raucher deutlich häufiger an entzündlich-rheumatischen Erkrankungen leiden als Nichtraucher
Raucher höhere Rheumafaktor-Werte haben und mehr Rheumaknoten entwickeln
Raucher eine schlechtere Prognose haben. Das Rheuma (z.B. chronische Polyarthritis, z.B. Bechterew-Krankheit) führt schneller zu Gelenkzerstörungen und die Therapie schlägt weniger gut an
Raucher einen gestörten Knochenstoffwechsel haben (erniedrigte Vitamin D – Werte im Blut) und daher häufiger als Nichtraucher eine Osteoporose entwickeln (Knochenschwund)
Raucher häufiger an Thrombosen leiden als Nichtraucher.

Ihre Chance

Wenn Sie es schaffen, von den Zigaretten und anderen Tabakwaren wegzukommen, können Sie damit rechnen, dass

Ihre Therapie besser wirkt und weniger Nebenwirkungen verursacht
Die Entzündung abnimmt
In manchen Fällen die Gelenkschwellungen auch ohne Basistherapie zurückgehen

Ihre Möglichkeiten

Hilfreich dabei sind:

Rauchfrei-Angebote der BZgA (Bundeszentrale für gesundheitliche Aufklärung): Telefonische Beratung unter der Ruf-Nummer 01805 31 31 31 (14 Cent/Min.) / Ausstiegsprogramm
http://www.rauchfrei-info.de / START-Paket zum Nichtrauchen mit einem umfassenden Selbsthilfeprogramm und zahlreichen Informationsbroschüren, das START-Paket und die Informationsmaterialien können kostenlos unter folgender Adresse bestellt werden: Bundeszentrale für gesundheitliche Aufklärung, 51101 Köln, Fax: 0221-8992257, e-mail: order@bzga.de, Online-Bestellsystem: http://www.bzga.de/?id=medien&sid=77)
(zusammen mit Dr. med. habil V. Nehls erstellt)

Monday, January 25, 2010

Killing of dolphins

I received the following email:

Subject: World SHAME - add your name and pass it on please.........

Denmark is a big shame The sea is stained in red and in the mean while its not because of the climate effects of nature. It's because of the cruelty that the human beings (civilised human) kill hundreds of the famous and intelligent Calderon dolphins. This happens every year in Feroe iland in Denmark. In this slaughter the main participants are young teens. WHY? To show that they are adults and mature.... BULLLLsh In this big celebration, nothing is missing for the fun. Everyone is participating in one way or the other, killing or looking at the cruelty “supporting like a spectator”
Is it necessary to mention that the dolphin calderon, like all the other species of dolphins, it’s near instinction and they get near men to play and interact. In a way of PURE friendship They don’t die instantly; they are cut 1, 2 or 3 times with thick hocks. And at that time the dolphins produce a grim extremely compatible with the cry of a new born child. But he suffers and there’s no compassion till this sweet being slowly dies in its own blood
Its enough! We will send this mail until this email arrives in any association defending the animals, we won’t only read. That would make us accomplices, viewers. Take care of the world, it is your home!
Sign Against this cruelty: 1.- Ana kARINA Rivas (m) Mexico DF2.- Carlos Enrique Bulle-Goyri. DF3.- Alejandra Nabarro ( Mexico Cuernavaca )4.- Esteban criz mejia. Mexico DF5.-ANDREA GONZALEZ ALVAREZ ( MEXICO ) 6.-González Alvarez Victor Rodrigo 7.-Ines Garcia Perez (México)8.-Stella Morales (México)9.-lgarcia (México)10.-Leticia Cuéllar (México)11.-Salma Urbina Aguilar (Quintana Roo, México)12.-DIANA LUCELLY POOT PUC (quintana roo, mexico )13.-Josue Acero Gonzalez ( Quintana Roo , Mexico )14.-Micaela Medina ( Argentina )15.-sofia bidondo( Argentina )16.- Ma. Marta Soruco ( Argentina )17.- Cyntia Mariela Roitman ( Argentina )18.-Aldana Martínez ( Argentina )19.- Adriana Salomon ( Argentina )20.-fernando valussi( argentina )21.-MARIANELA SANCHEZ( ARGENTINA )22.- Leyes Alberto Fabian ( Argentina ).-23.- Augusto Patricio Mateos ( Argentina - Chaco )24.- Maria Alejandra Bury ( Argentina - Chaco )25.- Claudio Alexis Agnesio ( Argentina - Chaco )26.- Cesar Abel Falcon(Argentina-Chaco)27-MARIANA GOMEZ MARTINEZ28-SILVIA CLAUDIA GIMENEZ29-NELIDA BEATRIZ MARTINEZ 30-MARIA ESTHER URSU 31- NATHIA JUDKEVICH ( Argentina )32-MARINA JUDKEVICH ( Argentina )33-MARIANA JUDKEVICH (Aregentina)34- Bogado Espinoza, Lorena Abi ( Argentina )35- Ortiz, Natalia Muriel ( Argentina )36- Marcelo Rodrigues de Rezende (Sorocaba-Brasil) 37- Thais Chenchi Santana (Sorocaba-Brasil)38- Lilian Yoshie Kato ( Sorocaba - Brasil)39 - DIOGO CRISTO ( Sorocaba - Pindorama - Gaya ) 40 - DANILO GOMES ( Sorocaba - Cidade de Mentiras)41- Tiago Holtz Guerreiro (Sorocaba- Brasil)42 - Laura Nunes Garcia Vieira ( Sorocaba - Brasil)43 - Anderson Schmitt Junkes (Jandira - Brasil)44 - Eronides Santos Filho (Jandira - Brasil)45 - Suzana Lopes Ribeiro ( Jandira - Brasil )46 - Paulo Henrique Ferreira (Cotia/SP Brasil)47 - André Luiz da Fonseca Roberto ( Carapicuiba/ Brasil )48 - Jean Paulo Camargo Costa (CARAPICUIBA/ BRASIL)49 - Rodrigo de Jesus Ferreira (Jandira - Brasil)50- Bárbara Tabain Seslija de Sá (Jandira - SP - Brasil)51 - Ana paula Morina Ferreira (Barueri - SP - Brasil)52-Bárbara Louise (São Paulo-SP-Brasil)53-Diego Lima (Carapicuíba-SP-Brasil) 54 – Wanda leila de Oliveira marra ( Osasco – SP –Brasil ) 55 – Joilva Duarte (Osasco-Brasil) 56 - Patricia M. Dias ( São Paulo - Brasil)
57- Eduardo M. Dias ( São Paulo - Brasil)58 – Wagner R. Franco (São Paulo – Brasil) 59- Ruth Cristina Serafim (São Paulo - Brasil) 60- Thiago Silva (São Paulo - Brasil) 61 - Cristiano S. de Moraes (Rio de Janeiro - Brasil) 62 - Kelly Lopes Dias (São Paulo - Brasil) 63 - Fábio Ferreira / São Paulo - Brasil 64- Fábio Araujo / São paulo - Brasil 65- Marcia Stevaux/ São Paulo - Brasil 66 - Débora Gisele Ferraz - Brasil 67- Andrea Alexandre de Carvalho 68 - Adilson dos Santos Pinto (Cruzeiro SP) 69 - Francisco ReZende (Lorena-SP) 70- Mislane Souza Prates( São Paulo-Brasil) 71 - Janderson Dutra (Rio de Janeiro-RJ - Brasil) 72 - CECÍLIA SANTOS (SÃO PAULO) – BRASIL73- KÁTIA I. SANTOS ( SÃO PAULO ) - BRASIL74- Maria L Lima - (Rolândia - Brasil)75 – Marilise G.Z. Solle (Rolândia-Brasil) 76- Luis Fernando Silva de Almeida (Rolândia Pr- Brasil) 77- Adriana Amaral de Souza (Rolândia Pr - Brasil)78 – Carlos Alberto Ferreira do Amaral (Rolãndia PR – Brasil)79 - Lilian Carla de Souza Gonzalez ( Londrina - Pr. - Brasil)80 – Ailton Valdivino da Silva - (Uberlândia – MG - Brasil) 81 - Heliza Piosiadlo (Uberlândia - MG – Brasil82 - Patrícia Cordeiro ( Joaçaba-SC-Brasil)83 - Danielle Argenton (Herval D' Oeste - SC - Brasil)84 - Valdirene Soares ( Joaçaba - SC - BRASIL )85 - Luiz Sérgio Belló - Joaçaba SC Brasil86- Eduardo Wieser -SC- Brasil87- Julio Pancera (Navegantes, SC - Brasil)88- Fredi Goede (Pomerode, SC Brasil)89 – Mario L.Fanton90 - Valério Littig (Curitiba - Brasil )100-cassia cavalheiro101 - Paulo Terumitsu Ishii [Curitiba - Paraná - Brasil]102- Caroline Niro ( Curitiba - Paraná - Brasil103-Alexandre Batista(Londres-Inlaterra)104-udson bergues de almeida 105 - Inês Calazans, Alemanha 106 - Anabela Martins - Portugal107 - Luisa Sequeira - Silves /PORTUGAL108 - Alzira Rodrigues - Silves / Portugal109 - Cremilde Ribeiro - A. de Pêra / Portugal110 - Augusto Miguens - Elvas / Portugal111 - Natália miguens - Elvas / Portugal112 - Manuela Santos - Carcavelos / Portugal113 - Carla Santos - Oeiras / Portugal114 - Maria Carlos Barreto de Carvalho - Carcavelos / Portugal115 - Eliete Mendes - Lisboa / Portugal116 - Conceição Oliveira - Lisboa / Portugal117 - Mariana Domingues - Portugal118 - Joana Murtinha - Portugal119 - Filipa Almeida - Portugal120 - Iolanda Fontes - South Africa121 - Kalen Viljoen - South Africa
122 – Wendy Golding – South Africa
123 – Inge Strugnell – Botswana
124 – Philippa Lee - Botswana
125 - Ilse Swart
126 - Miche de beer
127 - Celeste Smit
128 – Esmé Venter
129 – Nathan Seidler – South Africa
130 – Julie Seidler – South Africa
131-Sellandene Louw
132 – Belinda Nienaber – South Africa
133 – Elma Grobler – South Africa
134 – Charlene Kotze
135 – Mytle Kotze
136 – Kobus Campher
137 – Leana Kotze
138 – Deon Kotze
139 – Danie Kotze
140 – Yolindi Kotze
141-Marco De Bruin (Dubai)
142 - Irene de Klerk (Dubai)
143-Nicky Liguori
144-Julian Liguori
145 - Michelle Christie - Dubai
146 - Warren Christie - Dubai
145 - Marie' Henning - South Africa
146 - Wendy Hayden - London
147- Craig Manson South Africa
148 – Kim Hendricks – South Africa
149- James harms - south africa
150-Lorraine Roberts, Northern Territory, Australia
151- Sherice Lange, perth, western australia
152 - Kristen Letton, Perth, WA, Australia
153 – Bev Letton – Perth WA
154 - John Boundey - Alice Springs NT
155 - Rod Crush - Murray Bridge SA
156 - Val Crush - Murray Bridge – SA
157 – Suzie Davies – Nairne SA
158 – Jeremy Davies – Nairne SA
159 - Annette Boehm - Brighton South Australia
160 - Kim Boehm - Brighton South Australia
161 - Courtney Boehm - Brighton South Australia
162 - Georgette Boehm - Brighton South Australia
163 - Kristen Hemingway, France
164 - Tony Greenwood - France
165 - Oliver Greenwood - France
166 - Charlie Greenwood - France
167 - Andree Hemingway - Sydney, Australia
168 - John Hemingway - Sydney, Australia
169 - Nick Hemingway - Sydney, Australia
168 - Jolie Hemingway - Sydney, Australia
169 Nina van Doornum, Amsterdam
170 Mirjana Vukusic, Australia
171 Svenja Petry, Australia

Tuesday, January 12, 2010

Verstorben - neues Gedicht

Verstorben

Wenn die Zeit stirbt
Und den Ort verläßt
Nichts überDauert
Alles zerFällt

In die Schatten gePressT
Das Schweigen
Der ÜberWurf aus Entschuldigungen

Und hämmert im Dunkel
Das Schwarz noch samtener