Dr D Rich
Forum Replies Created
March 11, 2020 at 3:26 pm in reply to: Debt Rattle March 11 2020 #55117
Posted elsewhere in response to the question is this a pandemic exercise testing the response of the U.S. healthcare system and the answer almost sounds like Dr. D:
“A very similar experiment ran in 2001, first the anthrax letters, a week or so after 911 then Colin Powell’s fraudulent anthrax vial testimony at the UN in 2003 just before the Iraq War inception.
Local trustees in and out of the armed forces were engaged and mobilized under the Urban Shield program, you know, police chiefs, mass casualty/disaster planners, small town mayors, paramedics etc. They were all promised “first access, insider” information about impending doom (I meant) attacks.
Tom Ridge at DHS initiated the color coded threat levels almost exactly 18 years ago in March 2002. The press played along and ratcheted up emotions. Anthrax was the boogeyman threat used to excite the masses who never really developed an appetite for war that was SUPPOSED to be stoked by 911 alone.
And my god, they were in a hurry. In 2002, Mitchell and Jessen started torturing under CIA contract to the tune of $81 million dollars. By 2003, you could no longer find open access (without barriers and strict security) military bases and federal buildings most of which were not heavily fortified, as you can see today, even a year after the “stimulus” of 911.”March 10, 2020 at 3:46 pm in reply to: Debt Rattle March 10 2020 #55074
“Leadership”, it’s a mantra. Just repeat it often enough to let some sociopath or malignant narcissist soak up most the credit for other people doing things that the leader could never do even in their wildest dreams. Don’t fall for the seduction by these masters of “acquisitive projective Identification”.
Btw, telling a doctor what do, isn’t that engaging in the practice of medicine?March 10, 2020 at 1:22 pm in reply to: Debt Rattle March 10 2020 #55068
Is there any better example of the fascistic, authoritarian madness than Pence and Trump touting
the CEOs of hospitals and healthcare companies with whom they are going to meet as the leadership source to lead us out of
Ain’t no self-respecting doctor waiting to be told what do.
Use to be doctors functioned independent of this leadership cult/madness, but to do so now just results in the state Medical Boards labeling that physician a disruptive employee suitable or summary dismissal by the Compensation Committee which just approved a 7-figure package for the nonphysician CEOMarch 8, 2020 at 8:39 pm in reply to: The Virus is a Time Machine #54988
Hatchett has it about right when he says “…”because of the combination of infectiousness, and a lethality that appears to be many-fold higher than the flu.”” This comment and the conditional phrases it contains would be true for any disease including flu.
Except where are the numbers that show the “infectiousness” is “many-fold higher than the flu.”????March 8, 2020 at 6:25 pm in reply to: Debt Rattle March 8 2020 #54984
Where the lawyers and MBAs don’t fail, leave it to the At Will work statutes to cull the herd.
We’re all gonna die!
Or not….March 8, 2020 at 2:41 pm in reply to: Debt Rattle March 8 2020 #54979
perfect description of the healthcare Con Game. I’m curious though as you always leave out Nursing’s role in the Game since unbeknownst to most patients and quite a few hospital administrators they, the Nurses, play the bully role in hospital bed scarcity. Oops, I meant bed availability determines decisions to “close” hospitals for new admissions. The last time the “Senior Nurse Executive or SNE” closed the medical center to new admissions occurred during that one-in-5-trillion series of events that fortuitously fell in my lap. Of course, the lay public doesn’t know that none of the medical problems in the occupied beds are prioritized against severity of patients in the queue waiting to be seen, treated, admitted. In other words, triage is thrown out the window and first come first served rules decisionmaking.
Btw, that SNE made $550,000 per annum in 2017. Its publicly available data.March 7, 2020 at 11:19 pm in reply to: Debt Rattle March 7 2020 #54934
Dr. D, you are genius intimating this hysteria reflects something is going on quite other than coronavirus.
Now police are following orders of public health officials to force a neighborhood to shelter in place while keeping the residents subjected to home detention in the dark as to the reason.
“The Placer County Health Department issued a brief statement shortly after the police presence, stating: “Law enforcement partners are currently responding to enforce a health officer’s order. We cannot share any additional information to protect patient confidentiality.”March 7, 2020 at 11:19 pm in reply to: Debt Rattle March 7 2020 #54935March 7, 2020 at 10:18 pm in reply to: Debt Rattle March 7 2020 #54931
Don’t trust sh*t from UW Medicine, King County Public Health, or WA DOH. They as self-annointed experts will follow the standard gameplan of blaming one or two workers in the trenches.
https://www.zerohedge.com/geopolitical/its-awful-situation-washington-moves-take-over-nursing-home-epicenter-outbreakMarch 7, 2020 at 9:24 pm in reply to: Debt Rattle March 7 2020 #54929
“we will work aggressively with government to further develop and strengthen all necessary protocols for prevention, for detection and for care”
Good leadership, soothing words from Carnival Cruise LinesMarch 7, 2020 at 7:35 pm in reply to: Debt Rattle March 7 2020 #54926
I figured out the apt analogy. No need to thank me.
You’re the Tenth Man that semi-saved apartheid Israel in Brad Pitt’s World War Z.
Keep on countering the panic, propaganda and hysteria.March 5, 2020 at 10:09 pm in reply to: Debt Rattle March 5 2020 #54836
We can blame Alain Enthoven for this predicament and his personal war on physician/MD autonomous authority. It took 50+ years, but we’ve been reduced to technicians, opportunists capitalizing off the sick, frail and wounded.March 5, 2020 at 6:02 pm in reply to: Debt Rattle March 5 2020 #54831
So Dr. D, what you’re saying is the statistics for this “new disease” do not correspond to the hyperbole and hysteria. Btw, what follows in no way detractsfm from the fact that each individual’s major illness or death is a catastrophe.
The con man or alternately the betting man says “let’s just wait and see what happens”.
Here’s a genuine example of how probability and statistics establish the “rigged” game in medicine, but from the other direction.
Patient X arrived in specialty clinic with undiagnosed condition of which most humans are familiar that occurs 50 out of 100,000 times in the adult population. The expression of this not-so-uncommon condition in the specialists bodily area of expertise occurs in 2% of cases. The expression of this condition signifies a survival for the patient of 7.9 weeks, yes, as in 1.9 months.
While counseling the aforementioned patient about the diagnosis, implications and prognosis, a second patient awaits counseling for another previously undiagnosed condition that has already resulted in irreparable sensory loss in the affected organ. This condition occurs in 1 out of 5,000 people.
So far, what are the chances these two patients, indeed these two unrelated events happened consecutively? Well, it’s crudely the product of the individual chances Or:
50/100,000 x 2/100 x 1/5,000 = 100/50 billion
1 out of 500 million (rarer than winning a qPowerball lottery)
But the story doesn’t end there. While counseling those first two patients, a very junior hospital administrator interrupts the specialist and informs her that her immediate attention is required elsewhere in the medical center to address a sensory threatening postoperative complication in a patient operated on by two other surgeon’s, a complication that occurs about 1 in 10,000 cases.
Other than astronomical, what is the chance these 3 unrelated events landed on the same specialists lap at the same time/consecutively? A product of the chances, Or:
1/500,000,000 x 1/10,000 = 1/5,000,000,000,000
One out of 5 trillion
That’s the definition of a rigged game.
In a master stroke of logic in this scenario, the employer retained the pulmonologist who failed to order a chest CT, the neurologist who never ordered an MRI of the brain, the surgeons who failed to respond to their patient’s postop emergency, and family practitioner chief of the medical staff who failed to fill the call schedule.
How do you think the leaders of a medical system capable of that recklessness are going to handle a bonafide crisis? They’re going to use marketing slogans, propaganda and political posturing to bamboozle their patients, patrons and general public.March 5, 2020 at 5:20 am in reply to: Debt Rattle March 4 2020 #54801
Yeah, decontaminate it like an operating room. You mean like an operating room at Children’s Hospital in Seattle.
So many of the procedures we go through in a hospital under the probing supervisory eyes of the Joint Commission are just rituals. Ask a nurse how many times handwashing and BLS (basic cardiac life support) “standards” changed over the years.March 4, 2020 at 5:49 pm in reply to: Debt Rattle March 4 2020 #54780
What good is a home nurse visit when all that profession is interested in today is “leading and managing and policing” physician behavior?
Do folks genuinely believe the nursing profession still represents the soul of compassion in healthcare?
Where’s the proof?
Here comes the warnings and admonishments that a physician better treat the nurses well because they can get you 6 ways from Sunday if you don’t.March 1, 2020 at 12:32 pm in reply to: Debt Rattle February 29 2020 #54629
“…child-of-alcoholic constant belief in known liars that will stop the system and kill hundredfold more people than the disease.”
Another exceptionally accurate and insightful observation from Dr. D, but it doesn’t end there. It being the damage done by a veritable army of credulous ‘children-of-alcoholics’. This legion crowds out the clear thinkers almost reflexively. In many cases this Army will subject these nonbelievers (and almost never the alcoholic) to the most horrific abuse and isolation usually accorded heretics in the old church. Eric Berne labels this position The Antithesis in his description of The Alcoholic Game.March 1, 2020 at 3:34 am in reply to: Debt Rattle February 29 2020 #54606
As I wrote earlier, i watched Fauci argue with Robert Gallo one afternoon in Bethesda as to who deserved credit for discovering HTLV-3 as the causative agent for AIDS. They were both wrong and Luc Montagnier was correct with LAV which was renamed HIV. And Luc Montagnier has been expert in resident at a major Shanghai university in the past few years.
The game is being rigged and the numbers do not justify the panic and propaganda, as Dr. D continues to intimate.February 28, 2020 at 3:34 am in reply to: Debt Rattle February 27 2020 #54503
Don’t confuse hydroxychloroquine (plaquenil) (used often for decades-long treatment of rheumatoid diseases) with chloroquine.February 27, 2020 at 11:36 pm in reply to: Debt Rattle February 27 2020 #54496
And of course President Trump just shut up Anthony Fauci……..no small taskFebruary 27, 2020 at 11:34 pm in reply to: Debt Rattle February 27 2020 #54495
Yes, the flu is an apt comparison and the statistics are comparable……especially when considering the case fatality ratio of the Spanish Flu. And it’s most applicable to this question about “bringing the troops home” because that’s how the Spanish flu moved from Europe to America where certain minority communities were completely wiped out.
The whole concept of inverted isolation came from the military’s experience with the Spanish Flu during WWI. There’s nothing quite like the dual dangers of dysentery and respiratory illnesses to bog down and defeat an army more effectively than bullets and bombs.February 27, 2020 at 5:32 pm in reply to: Debt Rattle February 27 2020 #54484
Beware vision loss from chloroquine retinopathyFebruary 27, 2020 at 3:43 pm in reply to: Debt Rattle February 27 2020 #54480
Drilling down into Moto’s referenced article, it reveals that Mr. Bradley Simmons as interim CEO UC Davis is being paid $732,000+ a year up from his ordinary salary of $592,000 to tell people who are expert in healthcare what do when he is unqualified to practice any aspect of healthcare.
By comparison, I treated the most patients, the sickest patients and performed the most surgery in my specialty at a comparably sized university hospital in Washington and I was paid a fraction of what Brad is being paid taking credit for supposedly telling physicians/surgeons/doctors like me what to do. The neurologist who last protested such arrangements as Brad’s at UW was run out of town but not before the executive committee of the medical staff (ECOMS) labeled him a disruptive physician.
These folks are the ppl leading your coronavirus response and they will be paid first.February 27, 2020 at 12:16 am in reply to: Debt Rattle February 26 2020 #54457
Always, another personal anecdote.
I was front row at a nearly vacant Bethesda Maryland auditorium in early-mid 1980s as two titanic egos debated for credit over identifying the causative viral pathogen of the as-yet–to-be named disease characterized by opportunistic infections such pneumocistis carinii, oral thrush (candida) and unusual vascular neoplasias like Kaposi’s sarcoma. The two men, Robert Gallo and Anthony Fauci, settled on HTLV-III as a name for the virus was ncorrectly identified as AIDS causative agent which fell away to Luc Montagniers (currently full professor in Shanghai) Pasteur Institutes team correct Identification of LAV which we know today as HIV.
And here’s Fauci in the spotlight again.
But once again let Whitney Webb clarify things in a non-hysterical way and link it to the Great Economic Game.
Is Wall Street Behind the Delay in Declaring the Coronavirus Outbreak a “Pandemic”?February 26, 2020 at 4:57 pm in reply to: It’s The Virus, Stupid #54437
Probably counter propaganda pissing on this propaganda parade, but here goes.
GENEVA, Feb. 25 (Xinhua) — China has changed the course of the COVID-19 outbreak, Bruce Aylward, an epidemiologist who led an advance team from the World Health Organization (WHO), said here on Tuesday, noting a rapidly escalating outbreak in China has plateaued and come down faster than previously expected.
It’s a unanimous assessment of the 25-member team which has conducted a nine-day field study trip to China’s Beijing, Guangdong, Sichuan and Hubei, stressed Aylward.
Recalling details of the study trip in China, Aylward said he was impressed by China’s pragmatic, systemic and innovative approach to control the COVID-19 outbreak.
China has taken “differentiated approach” for different situations of sporadic cases, clusters of cases, or community transmission, which makes a massive scale of epidemic control work without exhausting its response, said Aylward.
Moreover, the WHO expert praised Chinese phenomenal collective action, stressing “it’s never easy to get the kind of passion, commitment, interest and individual sense of duty that help stop the virus.”
“Every person you talked to (in China) has a sense that they’re mobilized like in a war against the virus and they are organized,” said Aylward, who was particularly impressed by thousands of health care workers volunteering to go into Wuhan, the epicenter of the novel coronavirus outbreak…………………….February 25, 2020 at 4:10 am in reply to: Debt Rattle February 24 2020 #54349
FISA Court judge had been provided official cover with a designated FBI patsy.
https://www.washingtonexaminer.com/news/fbis-case-agent-1-stephen-somma-primarily-responsible-for-fisa-failuresFebruary 23, 2020 at 3:37 pm in reply to: Debt Rattle February 23 2020 #54268
You are correct, Dr. D.
Harkens back to the sad musings of my Hungarian great grandfather, Laszlo, whose younger brother was turned away at Ellis Island, refused entry by immigration officials because he was “too sick”. Repatriated to Hungary I suppose and never seen by family in America again.
And Laszlo’s first daughter, a toddler age 2, died in 1919 during the middle of Spanish Flu epidemic. He blamed himself for “bringing the flu home” from the bar he frequented at the end of his shift underground in a 3.5 foot coal seam. Somehow the health authorities restrictions on public movement made it to his small mining town of 75 people and only served to cement his sense of guilt. We’ve made substantial progress in curbing the social stigma associated with infectious disease.
So, yeah Dr. D, our peers are in it the money. If not for money, they/we fear losing their/outr jobs in the At Will workplace to Leadership who don’t have a clue that bacterial super-infection associated with viral pneumonia is a likely causative factor for the high death rate.
But war, social upheaval and panic always help…..February 23, 2020 at 3:29 am in reply to: Debt Rattle February 22 2020 #54250
I suppose it’s the banks operating with World Bank, IMF impunity. I remember receiving my passport near the IMF Wash DC hdqtrs in 1985. I pointed out these monumentally arrogant shits blocking the sidewalk and not one of my fellow military medical students recognized the significance of the IMF in their lives. Here we are 35 years later.February 20, 2020 at 3:26 pm in reply to: Debt Rattle February 20 2020 #54129
Come on, DrD. Explain to us common folk here at TAE how the average individual acquires the “seasonal flu” without ever being aware of exposure to any other person with flu-like symptoms?
Then please describe what supportive care really means in the treatment for viral pneumonia and contrast it with the distinctly different diagnostics and treatment for community acquired pneumonia.
Maybe close with an analysis of just how far the Covid treatment cost is beyond most people’s ability to pay, especially the price of these “test kits”?February 16, 2020 at 12:26 am in reply to: Debt Rattle February 15 2020 #53983
In France the old Chinese lady “walked around free”. Imagine that, free.
Xi locked down Wuhan and indefinitely extended the New Year’s holiday free from work obligations but he’s a damn communist, secretive propagandist. However he didn’t do enough with the suddenly magical :test kits” (must be a European term) to personally halt a pandemic.
And those European officials are behaving like Chinese officials by failing to be candid about the gender of the dead Chinese woman/man who roamed free in France.February 15, 2020 at 3:31 am in reply to: Debt Rattle February 14 2020 #53944
And I will repeat the answer to my question about how their families are coping back in China. This is the answer from the Chinese woman:
““We are not afraid, dare to face everything”February 15, 2020 at 3:24 am in reply to: Debt Rattle February 14 2020 #53943
Wes: The focus, as I maintain it, should be to help and support China. The flu statistics posted by ‘zerosum’ are pertinent to this discussion. I spent Chinese New Year’s Eve in the company of my Chinese immigrant friends at a Hunan restaurant in Pittsburgh 10 to 12 ppl per table and I shared dinner with them once a week since then. I’m only avoiding my asshole American friends pretending as if they are immune to coronavirusFebruary 14, 2020 at 4:57 pm in reply to: Debt Rattle February 14 2020 #53930
Yeah! What are you doing confusing people with facts and pertinent statistics? Helping people to understand scale and scope is part of ongoing education. Even nurses understand the importance of ongoing education and they label it CEUs as distinct from a physician’s CME. Lest the weak minded become distracted. The message remains China .February 13, 2020 at 6:28 pm in reply to: China Cedes Virus Control #53905
Oversight by a lawyer, nursing assistant, nurse, social worker or businessman while placing a physician unable to pass National Boards Parts I, II, or III OR his specialty boards doesn’t remotely solve problems of “antibiotic overprescribing” as an unnecessary distraction to this discussion. No wonder what these Leadership folk have to fall back on are issues of decorum, civility being the current trigger term for overly sensitive leaders who are far too conscious of their inadequacy.
We should be helping and supportive, nothing more, nothing less.February 13, 2020 at 1:12 pm in reply to: China Cedes Virus Control #53894
This is what you get when the system places nursing assistants, social workers, nurses, technicians, attorneys and businessmen in “leadership” over physicians with 10, 15, 30 years of experience; and then labels any physician resistant to these sick arrangements ‘disruptive’, the new Scarlet Letter A of the healthcare industry. Or near and dear to my heart, a bottom dweller classmate who managed to be Chinese and never pass the National Boards and specialty boards was just named CEO of Beebe Healthcare in Delaware. So, ask each other and then consult Dave as to how to distinguish the radiological differences between atypical pneumonia caused by a virus and, let’s say, Mycoplasma pneumoniae.
I mean damn, just where is the sympathy and empathetic assistance for a country and people under duress, and if true as to the scale and scope, of unprecedented proportions? Y’all do know when they say the treatment is “supportive” that means there is no cure and all they can do is offer “support”, right?
And perhaps it already occurred to many that this crisis is a manifestation of war by other means, right?February 10, 2020 at 12:02 am in reply to: Debt Rattle February 9 2020 #53740
197 nm safely abates the cornea without causing cancerFebruary 9, 2020 at 10:15 pm in reply to: Debt Rattle February 9 2020 #53737
Apropos of nothing in particular
https://thebaffler.com/drug-money/mad-dogs-and-medical-bills-neumannFebruary 7, 2020 at 8:40 pm in reply to: Corona Lockdown Fallout #53665
Dr. D, how have you managed not to be blocked yet?February 2, 2020 at 5:12 am in reply to: Debt Rattle February 1 2020 #53328
Well, I think the battle of the viral narratives reached critical mass today. On one hand, ZeroHedge posts an article citing Sen. Tom Cotton as the source of information which condemns a level 4 virology lab in Wuhan as the creator and responsible party for release of weaponized coronavirus. On the other hand, Aletho News credits DARPA (no surprise there) with recent work on weaponizing coronavirus. Even today a reader can easily find “expert” posts reportedly from Chinese scientists/authorities credibly undermine the pandemic hysteria narrative while “western” sources ratchet up the emotion.
In the meantime, the rest of us will be left to choose sides in warring narratives (false dichotomy) and then be condemned by our society’s Betters should we demonstrate anything less than fealty to our side.
Knowing what it’s like to be ostracized by my people and profession, i feel comfortable putting my money on the “man in arena” where the situation and patient acuity demands a compassionate, selfless, analytical mind.February 1, 2020 at 9:48 pm in reply to: Debt Rattle February 1 2020 #53320
Christ almighty zerosum, I spit my vitamin C dose across the treadmill.
“Harken! The ol’ Nayvee stands ready to fashion a few pair of glasses for U.S. coronavirus victims!”
Talk about an expansion of optometric scope of practice. You’re gonna have the American Academy of Ophthalmology hounded your ass for thinking optometrists should be doing cataract surgery AND on the front line fashioning new spectacles for coronavirus patients.
But that’s what we need, thinking outside the box.January 31, 2020 at 4:48 pm in reply to: Debt Rattle January 31 2020 #53258
When I expressed concern to my Chinese immigrant friend for the mounting danger from the rising hysteria, here’s her response, eloquent and simply elegant:
“We are not afraid, dare to face everything”