Dr D Rich
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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.“…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.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.Don’t confuse hydroxychloroquine (plaquenil) (used often for decades-long treatment of rheumatoid diseases) with chloroquine.
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.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.
Is Wall Street Behind the Delay in Declaring the Coronavirus Outbreak a “Pandemic”?
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.
Yikes!
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?Apropos of nothing in particular
https://thebaffler.com/drug-money/mad-dogs-and-medical-bills-neumann
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
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.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 todayNah, 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.
