Dr D Rich

 
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  • in reply to: Debt Rattle March 20 2020 #55641
    Dr D Rich
    Participant

    So, Dr. D, the cytokine suppressing effects of chloroquine and plaquenil are not so theoretical???

    AND antibiotics which compete with this coronavirus for the RNA switch which turns off the host cells natural anti-viral activity DO make a difference or are they saying a Zpak effectively trests the concomitant bacterial pneumonia?
    Do you think the 30s ribosomal subunit tetracyclines will be found to be as effective as the 50s ribosomal macrolides or just another fortuitous coincidence?

    45 year old science re-emerges

    in reply to: Debt Rattle March 19 2020 #55609
    Dr D Rich
    Participant

    Our leaders cashed in an insider’s view from their secret huddle….now where did I recently hear about people huddling in order to receive that special secret information to protect us all because people might die.
    Dont make the mistake projecting your empathic concern for other people’s wellbeing onto these inhumane monsters.

    The Senate’s newest member sold off seven figures worth of stock holdings in the days and weeks after a private, all-senators meeting on the novel coronavirus that subsequently hammered U.S. equities.

    Sen. Kelly Loeffler (R-GA) reported the first sale of stock jointly owned by her and her husband on Jan. 24, the very day that her committee, the Senate Health Committee, hosted a private, all-senators briefing from administration officials, including the CDC director and Anthony Fauci, the head of the National Institutes of Health of the United States, on the coronavirus. 

    in reply to: Debt Rattle March 19 2020 #55581
    Dr D Rich
    Participant

    50% of influenza virus carriers are asymptomatic, no symptoms.
    Influenza virus “survives”, stays intact, on surfaces for 48 hours.
    What reward, incentive were those two administrative nurses given to confront a 6ft 5in 230 pound Irishman physician who has 30+ years experience, many in just these situations and in front of similar opportunists? Would my reaction matter more than their reporting of it?

    My response in 2003 alongside a like-minded Army physician (absent hospital leadership sequestered for a week long huddle) was to take care of the patients prioritized by threat to their health/survival UNTIL relieved by competent authority. We were not perfect then and our occasionally raised voices offended a few tender souls. I’d like to think we were firm and insistent, but beauty is in the eye of the beholder.

    Of course I agree with Dr. D and I appreciate his/her analogies. Watching a colleague or charge nurse sprint around “hair on fire” has no place in naval aviation or a hospital ward full of sick people, but Kryste almighty it is a sight to behold and entertaining as hell. However, at the end of the evolution and the crisis has passed, you can imagine what they the pant-shitters will do, if they’re left in charge, to the clear thinkers who carried the group, institution, or society through the turmoil. Hint: there won’t be any medals, bonuses or promotions for the sane, firm and insistent.

    And I agree, we are at war and its been obvious months before the COVID-19 crisis hit critical mass as a reason to destroy the world’s monetary/financial system. No reason to think preppers prep any different from the elite who are armed with insider information.

    Term: Acquisitive Projective Identification

    in reply to: Debt Rattle March 18 2020 #55523
    Dr D Rich
    Participant

    Inferred tone?
    A physician with 32 years experience (that is military medical, public health, veteran care, combat casualty, mass casualty/disaster preparedness, disability evaluation, high volume outpatient, high volume surgical, medical error/malpractice investigation, aviation mishap investigation, “executive” medicine qualified/experienced) was ordered to report to two nurses, two nurses who were part of the special, secret, invitation only huddle that took place durung all working hours of the past week WHILE the rest of the hospital was run by the rest of the non-invitees and me. Y’all do know the hospital still had to run while the special invitees were receiving the special message that would burn our virgin ears?
    Once enlightened from the special secret meeting information, the two nurses set forth to impose the plan, halt care and impose their authority……
    over an independent authority, a physician surgeon.
    How halting healthcare, indeed suspending clinics and surgery, serves the coronavirus hysterical fighting purpose escapes me entirely because it violates every concept of infection control, sterile procedure and communicable disease gathered over the history of man.
    The plan, if they’re not just running the exercise from an empty playbook, seems to be:
    1. Empower the most reactionary nutjob Authoritarians (located on most ICUs)
    2. Impose mass hysteria, industrial scale social isolation and an epidemic of bewildered helplessness
    3. Reward the Authoritarian Followers to greae the skids of this operation. Reward them with rank, title and land grants…worthless cash works too as in those billion dollar pallets of $100 bills air cargoed to Iraq late in 2008.

    in reply to: Debt Rattle March 18 2020 #55503
    Dr D Rich
    Participant

    It’s all inverted, sideways, chaos.
    Administrators, (read nurses, business managers, non-practicing doctors, pharmD) were nowhere to be seen and locked in closed door meetings for days. Only to emerge with two RNs giving me an order to review 8 weeks worth of scheduled patients and inversely prioritize these patient’s medical necessity. I sat down with my lead technician and determined the priorities and the tech gave the answer to the two sequestered RNs.
    What happened next exposes the game. The RNs both send a reply thru the tech back to me that “Doctor, your responsibility is to give the answers to us. Your compliance is required.”

    Simultaneously, in this small and once proud town in western Pennsylvania now ravaged by the meth/opioid epidemics, they closed the bars and gyms.

    And there you have it. This entire, massive exercise reduces down to obedience and loyalty testing.

    Right now, The Other is being identified then marginalized or eliminated. I should never be amazed but I always am as to how quickly they identify the Outliers. Sometimes I wonder if the sign is printed on our foreheads.

    in reply to: Debt Rattle March 16 2020 #55425
    Dr D Rich
    Participant

    I agree and I said the same several days ago about parallels to the run up to the Iraq War in 2002/2003.
    Here’s a vital question. Is this “candor and dissent” to the dominant narrative being monitored by Canary Mission?
    I paid the price 18 years ago while the silent “assenters” and cheerleaders were promoted, often handsomely rewarded.
    Will that aspect of the record be repeated also?

    in reply to: Debt Rattle March 16 2020 #55418
    Dr D Rich
    Participant

    I’m firmly insistent with Dr. D on this mass hysteria. The BS just doesn’t jibe with the data bring fed us.
    Telltale signs of collective delusion:
    1. Coughing in public, oh hell, for that matter in your own home elicits disdainful looks from both family and strangers.
    2. Verbally, openly disagreeing with the agenda imposed on the entire world’s mass of people results in a vicious rebuke or sideways glance. (Look askance)
    3. They closed the gyms AND bars.
    4. Banks need free money more than individuals without jobs or access to their workplace.

    in reply to: Debt Rattle March 14 2020 #55322
    Dr D Rich
    Participant

    I wonder what Roy Poses (check out his healthcare blog from UMinn) thinks about Mike Osterholm.

    When hospitals become much more crowded, literally stretched beyond capacity, if I have a heart attack, will I be able to get care? If I have an auto accident, will I get care? How do we triage that?” said Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota. “We can’t approach this like I approach a game of checkers with my 10-year-old grandson,” he added. “We have to approach this like a chess master thinking 10 to 15 moves down the board.”

    We must recall ex-President and, most importantly, 12th Dimensionalist Chess Grandmaster Barack Obama as his country and world need his chess skills more than ever. History beckons….

    in reply to: Debt Rattle March 14 2020 #55306
    Dr D Rich
    Participant

    Manufactured panic.
    From Wendell Potter: “WORD TO THE WISE>> During this coronavirus crisis, keep an eye on every move of my old industry: health insurers. Behind the PR spin, they will be doing everything they can to deny care & maintain profits, while making it look like they’re heroes.”

    I couldn’t agree more. It’s a talent, some kind, to erect a board of directors and a compensation committee that rewards UW-VMC CEO $1 2 million per year and his Chief Nurse and Superintendent more than $550,000 each while driving away their most productive surgeon, neurologist and ophthalmologist who was president of the people’s elected Board of Trustees all the while maintaining the illusion they care about patients and employees approved by WA GOV.

    in reply to: Debt Rattle March 13 2020 #55285
    Dr D Rich
    Participant

    WES: They were empty throughout Russia in 1994 too after the IMF/World Bank did their dirty deed.

    in reply to: Debt Rattle March 13 2020 #55284
    Dr D Rich
    Participant

    Btw, we found an Asian Market, fully stocked with assorted goods……the owner said “folks” were afraid to shop there.

    in reply to: Debt Rattle March 13 2020 #55282
    Dr D Rich
    Participant

    Anyhow, the file didn’t download. It’s a photo of empty shelves

    in reply to: Debt Rattle March 13 2020 #55281
    Dr D Rich
    Participant

    Here’s a pic from an LA grocery store tonight. Looks the same at Target, Ralphs, Trader Joe’s, Whole Foods etc.
    What a manipulative clusterf*ck transfer of Wealth. And still the numbers don’t add up. At least one pro golfer opined this afternoon that nothing had been “cancelled” like this since World War II. I nominate all PGA tour golfers for leadership positions in all U.S. major medical centers because without leadership there will be no hierarchy, just anarchy.

    in reply to: Debt Rattle March 13 2020 #55269
    Dr D Rich
    Participant

    What is the rate of tobacco smoking addiction throughout Italy?

    in reply to: Debt Rattle March 13 2020 #55244
    Dr D Rich
    Participant

    As if on cue, here’s a rich guy asking for a personal bailout, oops, I meant his own personal nominal GDP targeting. Why? Because saving his selfish ass will trickle down and save entire countries, perhaps the entire world. Because without his psychopathic/sociopathic leadership there would be no other alternative except anarchy. Anarchy! I say…..dogs and cats sleeping together, literally, all hell breaking loose.

    https://www.zerohedge.com/markets/appaloosas-david-tepper-says-fed-needs-conduct-targeted-qe

    in reply to: Debt Rattle March 12 2020 #55215
    Dr D Rich
    Participant
    in reply to: Debt Rattle March 12 2020 #55196
    Dr D Rich
    Participant

    U.S. is continuing with the previously announced large-scale militaey exercise in Europe after Pres Trump announced the 30 day Europe travel ban.
    So, at least two explanations account for this disconnect of cause, effect and response.
    1. The coronavirus hysteria is a massive fraud.
    2. The troops were already immunized against the threat not dissimilar to what other writers alluded to with anthrax and botulinum vaccines administered before Desert Storm.

    in reply to: Debt Rattle March 12 2020 #55194
    Dr D Rich
    Participant

    Raúl should weigh in.

    The FED’S action is not really increasing the money supply. It is just window dressing to give the appearance of such and that is why the FEDs actions continue to fail as a form of nominal GDP targeting. The money supply doesn’t increase because there is no distribution across the economy/country. Look for Failed Big Boeing to get bailed out next
    Basically, the FED is letting failed Bankers stay in their Bigl Failed Bank Houses.
    Here is a bloggers account from 2016:

    I am mostly concerned with fairness, regarding NGDP Targeting. I asked this question on a couple of econoblogs:
    …Oh, by the way, the big banks did a form of NGDP targeting in rich neighborhoods. They permitted those that defaulted to live there free, so the prices would not crash in those neighborhoods. So, even in crash cities like Reno and Las Vegas, there were people living over 5 years in houses where the mortgage was not being paid.
    Of course, the average Joe was not afforded such a break. The banks didn’t care that the prices dropped in his neighborhood because they had big clients ready with credit lines to go in and pay cash at rock bottom prices on thousands of homes. So, they got the houses they wanted back through foreclosure and credit to their wealthy clients.
    So, the question is, based on what the big banks did in the above statement, can NGDP targeting possibly be fair?
    Looking at the example in the quote above, the banks did not really increase the money supply. It was not actual NGDP targeting. Letting people stay in the houses without paying made it look like the money supply was stable, and that prices were stable.”

    in reply to: Debt Rattle March 12 2020 #55191
    Dr D Rich
    Participant

    Agreed zerosum.
    Never forget our Gov’t has unimaginable amounts of money for the rich, fortune 500 corporations, banks, and the select few to prop up ther property values and “assets”, ie. Bezos and Amazon while it hemorrhaged money for the better part of two decades or Elon Musk with Tesla in the same pattern.
    The planned demolition of America while China threw their resources at breathtaking infrastructure projects that improved the lives of their people.

    What do we get? A FED “bailing” out their few rich cronies losing their asses in the stock market stampede.

    https://www.zerohedge.com/markets/ny-fed-conduct-1-trillion-repo-over-two-days-stabilize-treasury-financing-market

    in reply to: Debt Rattle March 11 2020 #55153
    Dr D Rich
    Participant

    Yes indeed, WES!

    in reply to: Debt Rattle March 11 2020 #55152
    Dr D Rich
    Participant

    Yes indeed WES.
    Give your fellow humans the benefit of your best knowledge and experience. Treat them first with your expectations no matter how bad or innocuous the condition might be. Ignore what hospital administrators say.
    The worst diagnosis is best delivered by a loving, caring individual unafraid of their patient’s reaction. Support your patient in their hope or the depths of their despair.
    And realize, somethings like vision loss from RP measurably alter life just as adversely as paralysis, massive stroke, heart failure, dialysis for kidney failure and, yes, severe infectious diseases like coronavirus or TB.
    Thanks for sharing, Wes.

    in reply to: Debt Rattle March 11 2020 #55134
    Dr D Rich
    Participant

    They probably have an answer if it’s the “real” flu, but as stated elsewhere on this blog, you can’t afford it or you’re not part of their club.

    Dr. D can comment on the following since the human cell line immortalized for this research and multibillion dollar medical industry took place before I was born.
    You may not even need a vaccine to prevent it.

    Terms: monoclonal antibodies, monoclonal gammopathy, plasma cells, plasmacytoma, multiple myeloma

    “The producer cell line is a key component of any GMP manufacturing campaign for a gene therapy vector. … The efficiency with which our proprietary cell lines can propagate virus allows us to generate high yields of your product with the highest levels of purity.”

    The immortalized cell line circa 1953 from a dead woman’s cervical cancer. “Scientists have grown an estimated 50 million metric tons of HeLa cells,[4][12] and there are almost 11,000 patents involving these cells.”

    in reply to: Debt Rattle March 11 2020 #55124
    Dr D Rich
    Participant

    Another paranoid delusional system from a small collective of sociopaths imposed on an even more massive scale than 19 years ago.
    But once again in my country, there is no money for the people just $132 billion free money in this most recent Overnight Repo operation for the bank frauds because “liquidity crisis” . Sure

    https://www.zerohedge.com/markets/liuiqidty-crisis-getting-worse-day-fed-injects-record-132-billion-overnight-repo

    in reply to: Debt Rattle March 11 2020 #55117
    Dr D Rich
    Participant

    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.”

    in reply to: Debt Rattle March 10 2020 #55074
    Dr D Rich
    Participant

    “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?

    in reply to: Debt Rattle March 10 2020 #55068
    Dr D Rich
    Participant

    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
    this mess?

    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 CEO

    in reply to: The Virus is a Time Machine #54988
    Dr D Rich
    Participant

    Dr. D,
    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.”????

    in reply to: Debt Rattle March 8 2020 #54984
    Dr D Rich
    Participant

    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….

    in reply to: Debt Rattle March 8 2020 #54979
    Dr D Rich
    Participant

    Dr. D,
    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.

    in reply to: Debt Rattle March 7 2020 #54934
    Dr D Rich
    Participant

    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.”

    in reply to: Debt Rattle March 7 2020 #54935
    Dr D Rich
    Participant

    in reply to: Debt Rattle March 7 2020 #54931
    Dr D Rich
    Participant

    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-outbreak

    in reply to: Debt Rattle March 7 2020 #54929
    Dr D Rich
    Participant

    “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 Lines

    in reply to: Debt Rattle March 7 2020 #54926
    Dr D Rich
    Participant

    Dr. D,
    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.

    in reply to: Debt Rattle March 5 2020 #54836
    Dr D Rich
    Participant

    Dr. D
    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.

    in reply to: Debt Rattle March 5 2020 #54831
    Dr D Rich
    Participant

    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
    Or
    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.

    in reply to: Debt Rattle March 4 2020 #54801
    Dr D Rich
    Participant

    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.

    in reply to: Debt Rattle March 4 2020 #54780
    Dr D Rich
    Participant

    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.

    in reply to: Debt Rattle February 29 2020 #54629
    Dr D Rich
    Participant

    “…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.

    in reply to: Debt Rattle February 29 2020 #54606
    Dr D Rich
    Participant

    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.

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