Fifth knowledge

Happy Labor Day - the city is quiet with all the sleeping bodies getting ready for parades and beer filled baseball afternoons. Pedro Martinez makes his 75 pitch return today in Cincinnati, a truly exciting day. The Caribbean parade will bring three million people to Crown Heights. No matter, though, where one is today there is always knowledge to learn.

Diagnostic notes:

Cerumen is the medical term for earwax.
Floaters are sometimes found in your eye.
The doc might hear a sound from your heart. It might be mitral regurgitation, abnormal leaking through the mitral valve in your heart. Chronic mitral regurgitation can be asymptomatic.

Supplements:
It is sometimes unclear what vitamins one should add as supplement to a general diet.
A, D, E, and K are fat soluble vitamins and are dangerous in access.

The following are essential amino acids:
isoleucine, leucine, lysine, threonine, tryptophan, methionine, histidine, valine and phenylalanine. (Wikipedia remembers them like this: I Like Licking Toads That Make Hallucinations Very Possible). These amino acids can not be synthesized in your body and should be ingested as part of your diet.

A joke at every end:

What do you call a man who never farts in public?
A private tutor.