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Beware vision loss from chloroquine retinopathy
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.
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.
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…………………….
FISA Court judge had been provided official cover with a designated FBI patsy.
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…..
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.
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”?
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.
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”
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 coronavirus
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 .
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.
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?
197 nm safely abates the cornea without causing cancer
Apropos of nothing in particular
Dr. D, how have you managed not to be blocked yet?
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.
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.
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”
Have I detected a little objectivity and a turn away from the xenophobia to China exhibited on this blog recently?
Most workers in US hospitals, that is, technicians, secretaries, nurses and non-physician hospital administrators could take a lesson from Dr. D on how critical reading skills, technical writing/reading and familiarity, if not expertise, in statistical methods are essential to understanding the news and, in fact, doing their jobs. However, even among physicians, Dr. D is a rare breed many of whom are marginalized as non-team players on the healthcare team or more injurious yet, labeled bullies for asserting their intellect against the status quo which preserves the jobs.
Gotta improve the run on sentence
“Naturally, since the disease is most active in China which is notoriously opaque especially when it comes to matters that can cause a mass panic…”
And this: “Furthermore, since all of this is happening in China which is not known for making the most socially-beneficial decisions under pressure”
I was marched out of a UW hospital for correctly pointing out that an unlicensed high school grad inappropriately staffed in a management position should not be be telling concerned patients and staff made sick with respiratory illnesses during a hospital demolition/construction project to “suck it up”. Ya see since at least as long as I’ve been Dr. D even OSHA directives cite the risk for both infectious and non infectious pulmonary disease. The first medical center center I ever worked in as an MD although brand new was already colonized Aspergillus in 1988.
Fast forward to late 2019 and look at the glacially paced response, coverup and foot dragging at Seattle Children’s to guess what, Aspergillus. I suppose the opacity of the Chinese government played a role with the families and attorneys of the injured children. Then you add the conceit of purposeful ignorance to the mix.
From Seattle Times: “Aspergillus infections that happen while a patient is in the hospital aren’t widely reported or identified across the country and little is known about Aspergillus in hospital HVAC systems, according to Jeff Duchin, public health officer of Public Health – Seattle & King County.”
So yeah China and Putin should be demonized
Damn, Dr. D!
You got your finger on the pulse today.
Ponzi schemes and pyramids all around.
Paraphrasing Dr. D, Yale the gift that keeps on giving.
MacKenzie BeebeeBozos, Yale degree and all, didnt become hip to Jeffrey’s! philandering until MBS Crown Prince BoboBoneSaw tapped “I created AMZN outta my garage, I say its true” guy’s cellphone. Ok, got it. That’s a difficult image to eliminate from my mind, a Bezo Yale guy tinkering around in his garage creating AMZN outta whole cloth in a sudden burst of fabulous genius.
However, I thought we had Jeff BeBozos’s employer, the CIA/FBI/NSA, monitoring and then parallel con-structuring things to keep bozos like Bezos in his lane.
So, when is the US Gov’t gonna go all scorched earth, Joseph Nacchio/Qwest retaliatory treatment on Ol’ Jeffrey for embarrassing The Firm/NSA and being a bad steward of such fabulous wealth? Already have our answer. The U.N. is gonna step in…right in the middle of The Impeachment of President Donald Trump.
Where the author positions herself. Why else have a preface?
The Durham article should be read as a signal to the Obama Administration that the fix is in. Why else make the announcement in ominous tones the focus of the Durham inquiry goes all the way back to the beginning of time, that is January 2017?
Nah, some of us never fall for their acquisitive shit and answer back with competence another term co-opted by feckless managers and sociopaths they serve. I dont recommend choosing this path as it leads invariably to isolation and diminished self-respect no matter the inherent ego strength.
Then there is this: “”Now friggin Lion Air might need a sim to fly the MAX, and maybe because of their own stupidity. I’m scrambling trying to figure out how to unscrew this now! idiots,” one Boeing employee wrote in June 2017 text messages obtained by the company and released by the House Transportation and Infrastructure Committee.”
Lest anyone delude themselves into thinking this base rhetoric only exists buried deep within company emails, the official mishap reports not accessible by the public contain much worse operator/victim-blaming even when mechanical failure was determined to be the causal factor in the crash.
And in medicine, it’s far worse.
Dr. D drinking the high test Koolaid today
Well you finally nailed it Dr. D.
“So from their own actions, that’s why they exist, what they’ve been funded for, since they don’t make a profit. Anyone who wants peace or order is banned. That’s their weird religion.”
And currently current events support you. Soleimani was lured to his death for….wait…being a peacemaker.
“Wow….lured to peace talks in order to be murdered.
“Has anyone noticed this? Apparently Soleimani was to meet the Iraqi PM the day after he was murdered.. as an envoy with a letter responding a certain Saudi peace offer!?!
The Iraqi PM stated this himself today
Nah, Obama is the best Democrat, left-handed groove, smug smile and all that air of serenity horseshit precisely because our best-educated Constitutional Scholar president employed the tool which the great Democrats Ted Kennedy sponsored and Pres. Jimmy Carter signed into law, the Foreign Intelligence Surveillance Act of 1978.
And again there’s another USNA alumnus doing his craven, feckless thing for god, the intelligence community and his posterity’s sake.
Dr D knows former President Obama comports himself serenely (business casual) for many reasons notwithstanding tens of millions, maybe hundreds, in net worth. There appears to be a very good reason why the FISA court was “used” to go at candidate Trump and that appears to be then Pres. Obama indemnified all actors in this ongoing saga should he have presidentially authorized the FISA surveillance of Pres. Trump. Ask Joseph Nacchio/Qwest was it worth refusing to provide customer data to the NSA only to be subjected to retaliatory prosecution by the Gov’t for insider trading while being denied access to potentially exculpatory evidence because national security reasons. Ask John Murtha’s family was it worth the congressman calling out for justice in the Haditha Massacre and investigation of Lockheed/QTCs fraudulent utilization of DoD physicians for disability evaluations on active duty servicemen.
I mean who wants to go to jail or have their life, reputation and career ended on principle when the Gov’t can set loose the very same justice officials to prosecute you under false pretenses and secret evidence all indemnified by the orders of a rogue president?
For this identical reason, the Great Admiral Mike Rogers, he of 4 or 5 titles, may be most at risk for abusive prosecution when he apparently sprinted to Trump Tower to interrupt FISC authorized surveillance which carries with it a contempt of court citation and, no doubt, several IRS audits.
*****the National Security Surveillance Act of 2006 which would amend FISA to grant retroactive amnesty for warrantless surveillance conducted under presidential authority”
**** This defense was not admissible in court because the U.S. Department of Justice filed an in liminemotion, which is often used in national security cases, to exclude information which may reveal state secrets. Information from the Classified Information Procedures Act hearings in Nacchio’s case was likewise ruled inadmissible.”
****The Act provides explicit immunity from civil suit in any federal or state court for providing any information, facilities, or assistance in accordance with a directive under the Act.”
****If a provider fails to comply with a directive issued by the Attorney General or DNI, the Attorney General may seek an order from the FISA Court compelling compliance with the directive. Failure to obey an order of the FISA Court may be punished as a contempt of court”
Come on Dr. D! You would have us believe Saint Admiral Mikey Rogers sprinted to Trump Tower out of his heart’s goodness rather than to protect his deep in the MIC ass from federal prison. I’d say He of The Four Titles Rogers panicked rather than engage in some noble deed. Think about it 1. Director NSA 2. Director US Cyber Command 3. Director Central Security Service 4. 4-star Admiral all held simultaneously. The nation owes a debt of gratitude to this great man of many simultaneous titles who spied on every single freakin’ communication of the American people. Yeah, that kind of Boy Scout.
Again, a personal anecdote. Mike and I were officer contemporaries, but he fell a little behind the curve on the promotion ladder. What accounts for his meteoric rise after Captain? One of his replacements, Jan Tighe, was also a classmate whose equally meteoric rise to the admiralty is underscored by a PhD awarded by NPS. I just can’t recall her demonstrating the aptitude or academic achievement as an undergraduate which generally herald auch future achievements.
But sour grapes and all that.
The apt comparison is between CIA assets Ciaramella and Carter Page AND what appears to be distinctly different treatment/regard of these two CIA employees by the elected government officials at this saga’s forefront. As for fellow USNAer Page, the traits his IC handlers found useful, toxic levels of earnestness, copious venality and servility to authority are found in abundance at The Boat School (TBS). Distinct from academic and overall performance at TBS, I give you Admiral Stansfield Turner and his link to the CIA as a point of reference. Page “rates” as much sympathy as Ciaramella which is to say none. They both knew/know the game. The common thread is they both have yet to be arrested and subjected to pretrial confinement. I digress.
I offer my firsthand observation of these characters from communications with Sy Hersh when the Iraq War was in its infancy and Dick Cheney as recently as a little over a year ago. Sy Hersh, the person observable near the end of Netflix’s Wormwood is the real deal, whatever his deal might be with the IC. He will engage you in debate about your valid experience and correct his thinking/writing when appraised of the illogic he has been subjected to by the IC. However, when pressed to do a damn thing about it, Hersh will retreat to the same predetermined warning he have gave Frank Olsen’s son, Eric, beware the level of vicious vindictiveness the IC can and will subject your life. In the end, Hersh exists to maintain access. Glenn Greenwald it seems is auditioning to be Hersh’s heir apparent.
As for Dick Cheney, a fellow who congratulates an officer and combat veteran for helping to “defeat Russia in Iraq” during Desert Storm when he was asked do you support prosecuting the Iraq War decision-makers IS engaged in grandiose delusional thinking that is megalomaniacal in scale.
Why this enormous distraction from what is usually not a publicly viewable contest? I agree with Dr. D. It IS a massive theft, trillions of dollars again for the third time that we know since 2008, 1) 2008 Bernanke’s Big Bank Bailout, 2) Quantitative Easing under Barack/Geithner and 3) Not-QE Overnight REPO. AND to announce the disclosure of the Afghanistan Papers, again a massive transfer of wealth to DoD and military contractors, in manner which guarantees inattention by the viewing public and their elected government representatives.
Btw, I roomed across the hallway from Mike Silva, yes that right hand man of NY FEDs Tim Geithner, who fired Goldman-Sachs monitor Carmen Segara.
Who reads the New England Journal of Medicine?
When Hemingway a long long time ago insisted he was being spied on, his friends labeled him paranoid and abandoned him. Of course as it turns out, </They> were spying on him.
Two true stories. First is related to our Afghanistan trillion dollar debacle. Congressman John Murtha was deadened a few days after he wrote me a personal letter in support of my quest to halt the double dipping by military physicians who received remuneration for performing disability exams on behalf of the Lockheed subsidiary QTC. As many recognize, Murtha’s deadening occurred a few days after laparoscopic surgery gone awry. The surgery was performed at a military hospital in Bethesda. He succumbed to the injury a few days later at GWU hospital. Active duty physicians were compensated by DoD and Lockheed. Lockkheed was compensated by DoD for weapons systems and reimbursed for disability exams on personnel injured where those Lockheed weapons systems were deployed.
2nd saga: DoD sends me a laser to laser people. I say “this laser has problems and will fail” I am labeled “disgruntled”. Laser fails intraoperatively. DoD subcontractor fixes the laser, but I insist that the problem still exists and additionally the fluorine is still leaking. They label me a “disruptive physician” and I step aside to let the QTC compensated surgeon assume control. Laser fails intraoperatively. Again. However, I am the boss of Lockheed/QTC compensated surgeon, but I don’t know yet that he/she is receiving compensation from LH/QTC. So I insist to be present when company engineers “dissect” the laser. The company balks at my presence in my department in my military service’s hospital. I win that battle only to bare witness to loose nuts, bolts and washers spill out as the engineers removed the cover panel to the circuit board housing 4 large heat sink transistors. These large transistors control the XYZ offset motor system. Two of the 4 transistors were loose on their mounts.
In the end, the commander nurse relieved me for failing to meet production goals and being mean to little people. Unbeknownst to me and “beknownst” to the commander nurse, $300,000 had been diverted from the $1.2 million dollar annual operating budget for laser treatments. A colleague opined about the predicament, “the money wouldn’t have been diverted if you maintained better relations with colleagues and superiors.” I responded “True that, but how would improving my personal appeal have fixed the laser’s XYZ motor circuit board manufactured by a vendor to the excimer laser company or prevent the facilities engineer from removing the plastic packaging seals as the final installation step of the 3 HF detectors two years ago?”
Dave replied “this is why people don’t like you”.
And the human nose detects HF at much lower concentrations than Industry manufactured detectors.
Several venues are writing about Carter Page in a sympathetic light and that he is owed an apology.
However, I see it that no information shows Carter Page was NOT in on the game. His performance always seemed like poorly managed stagecraft from a fellow USNAer. Prove me wrong.
The FISA court looks to exonerate itself. Are these the same boys and girls who ran the Afghanistan war for for nearly two decades like the suddenly clueless General Douglass Lute despite his USMA/Harvard education? So now we’re supposed to accept that every branch of government which failed its duty over the past 18 years did so as a forgivable conspiracy of dunces and credulous knaves. Perhaps the FISA court is putting forth a precedent in lieu of a future impeachment trial of their members’ dereliction of duty. Statistically, the FISA court has been a rubber stamp for government investigations. The FISA court’s actions, behaviors and construction meet the definition of Star Chamber. Its decisions remain opaque and unimpeachable, but only now they express concern about being misled. From a broader view, witness multiple departments of government projecting their faults, failings and misconduct onto Donald Trump, gaslighting on an industrialized scale, while the Fed (QE and repo) steals all The People’s money that the Dept of Defense hasn’t hijacked for incompetent military adventures. Austerity and collective insanity came home. So, can war be far behind?
I’ll connect the two for you, Afghanistan papers and physicians belatedly demanding care for Assange. Nobody listens to physicians anymore. My orders have been corrupted and disrupted by nurses, nursing assistants, technicians non-licensed secretaries and their enablers from the hospital C-suites. Any physician who doesn’t abide this arrangement is labeled either ‘disruptive physician’ to be decredentialed, delicensed and sanctioned by the state for the medical board’s current cause celebre OR that doctor has already aligned with the c-suite narcissistic malignancy.
As for Afghanistan, how do you think the current crop of generals, admirals and military medical leaders made their present, lofty rank and office? Afghanistan.
None of those folk will be made or even voluntarily surrender the trappings of the office, their ill-gotten gains. And no one is going to replace them with me, one of the few uniformed personnel who stood opposed to the misconduct perpetrated over nearly two decades. I was told at the time by a fellow Captain that my “stance weakened the nation”. I was rebuked publicly that the Hippocratic Oath falls secondary to some new obligation defined as a higher ethical and moral call to justice in defense of the nation. The Hippocratic Oath is a non sequitur when Title X U.S. Code already requires military medical personnel and chaplains to adhere to the Geneva Conventions. Let that sink in for a moment.
My reply remains the same today. My stance is/was in keeping with Title X U.S. Code, the UCMJ and my oath of office.
“What I can do and say is to state in open court that it would be helpful to this extradition process that Mr Assange’s lawyers have the access to their client.”
But she is prim, proper, civil and polite as a lady of society should be. There will be no raised voices of impertinence in her court. She’s a fine example of a woman attaining the levers of power exercising them in a way that both serves her self-image reflected in the mirror of her mind and yet simultaneously signaling to The Man she is down with him. Even the smug declaration of her position’s impotence over Assange’s jailers announces her servility to The Man. I cast my vote for apparatchik of the year.