Wednesday, August 04, 2021

I've Reached The End Of My Patience With Consensus Delusion And Nonsense...,

We are dealing with human beings – sometimes at the very worst moments of their lives. – truth is the very foundation of what we do. Without it, everything will come crashing down. I have literally thousands of former students, interns, and residents on forums that I keep up with often. They are some of the leaders of this profession. They are located in every corner of this country. It is through them that I have been able to keep a pulse on what is going on medically in this country. And it is through them that I realized early on in this pandemic that all was not as it was being presented. Fear mongering, lying, panic and hysteria were rapidly becoming the order of the day. Absolute mistruths were being told to the American people. Numbers and figures were being quoted completely out of context and historical perspective to scare people to death. More importantly, critical issues about the virus and the disease it causes were not being discussed at all. For example, as was true then and is true now, the overwhelming risk factors for bad outcomes are old age and poor health habits such as obesity, inactivity, and immunocompromised status. That was true at the beginning and is most certainly true now. But to this day, and especially since the vaccine push started, we hear ABSOLUTELY NOTHING about this from our officials. And I saw absolutely no one in the media lifting a finger to do a thing about it; rather, they were happy participants in the whole affair.


I am not now nor have ever been an investigative journalist. But I am a foot soldier on the ground and I have been trained by the best to make observations, to think of possible hypotheses to explain them, to look for critical evidence to support or falsify hypotheses, and to act accordingly. That is the very essence of the scientific method. It was hammered into my brain as a young physician in the AIDS wards, when we literally had no idea what we were doing for years on end. We had to learn to let that method flow through our veins in order to do the best we could do for patients while our whole profession was trying to figure AIDS out. And that experience was critical for me when this whole thing started. I could see that my patients were getting a horribly warped view of the whole situation, so I decided all those months ago to start putting my observations on here as comments. I have then shared with everyone hypotheses that a rational scientist/medical doctor would come to, and how I was going about falsifying or supporting them. Some of the thoughts have been critically wrong, and I have endeavored always to make sure all know that. Many of them have stood up over time. Everything I have done or said in these comments has been in good faith. I view this group of commenters as my very own.

But now, my friends, we have reached a critical juncture in this entire situation. As has always been the case in human endeavor, when you start down the road of lies, it will be no time before you have painted yourself into a corner. And that is where the medical establishment finds itself today. Along with the elite/political establishment that prodded, aided, and abetted every step of the way. This is all about to blow up in their face and they are acutely aware of that. They have two choices, admit their mistakes, ask for forgiveness and understanding, and begin the rectification process OR double down.

It is very clear to me that the elite have decided to double down. The FSMB proclamation is just but one part of doubling down. I will bring your attention to a few other things this weekend that are emblematic of the current elite thinking – The Brooks & Dionne sequence from PBS Newshour on Friday night – We have two commenters – one ostensibly from the Right – and one from the Left. Both have clearly agreed that it is high time to get nasty on the deplorables refusing to get vaccinated. There is not a comment made about all the facts that have come to light this past week – as in all the breakthrough cases, as in all the vaccinated positive patients being just as likely to transmit as the unvaccinated. I am going to make an argument right now – GIVEN WHAT WE KNOW RIGHT NOW ABOUT THESE VACCINES, WHAT EXACT PURPOSE IS BEING SERVED IN A PUBLIC HEALTH PERSPECTIVE OF FORCING THESE VACCINES ON EVERYONE? There is certainly no longer evidence that it is any safer to be in a crowded grocery store with vaccinated or unvaccinated patients. As for individual risk, I have been on my knees for months literally begging all of my high risk patients to get vaccinated. My contacts are telling me that the overwhelming vast majority of the ill in the hospitals are in these same high risk groups – OBESE DIABETIC and IMMUNOCOMPROMISED. 25 year old jocks are not in that high risk group. Outside of vaccinating every single soul that is high risk, given what we know now, what is the purpose of vaccinating every single human?

FSMB or anyone else – that is a scientific argument, based on observations and facts – please I am all ears, tell me what is wrong with that argument? Please present your own observations and facts.

Please look at the Bill Maher show on Friday when he had his roundtable. I cannot find a video of this. He had the US Rep from the Virgin Islands. And some guy who was the very essence of the elite PMC. They got around to vaccine hesitancy among blacks – and he blamed it on Tuskegee. The US Rep from the Virgin Islands was like – NOT SO FAST. THAT WAS GENERATIONS AGO. THAT IS NOT REALLY ALL THAT APPLICABLE HERE. THE PROBLEM IS THE AFRICAN AMERICAN COMMUNITY HAVE NO FAITH IN THE GOVERNMENT TO DO THE RIGHT THING. And I looked at my wife and said – PREACH IT SISTER. That is a woman who is in touch with her constituents and knows what she is talking about. I would add the following – the same exact thing is true of the majority of the Bubbas out there that are being denigrated all day by the press – THEY HAVE NO FAITH IN THE GOVERNMENT TO DO THE RIGHT THING – WHY WOULD THEY???? It has been my contention all along that Blacks and Working Class Whites have so much in common. Maybe the upcoming turmoil will make them all realize that. The best however was the PMC guy.

Mr. Maher and I are obviously marinating in the same cultural stew. After going on for a while about Bubbas and Blacks, Maher made the point that another group of vaccine holdouts were the pristine body, man bun Bernie Bros. THE PMC guy did not even acknowledge the comment. Maher said it again. And again the PMC guy was literally dumbstruck. Never had entered his mind. Maher, seeing it was hopeless moved on. THESE PEOPLE HAVE BEEN MARINATING IN THEIR OWN NARRATIVE FOR SO LONG THEY HAVE NOT A CLUE WHAT IS REALITY. It is clear they have all convinced themselves that enforced vaccine mandates are such a great idea. Why, there will be no consequences, everyone will just buckle under. THEY HAVE NO IDEA WHAT FIRE THEY ARE PLAYING WITH. I have been hearing from multiple contacts all over the country that the mass resignations in health care are just beginning. It is not the RNs and MDs. Nope it is the CNAs the front desk people, the housekeeping. They are just walking off the job – going over to the Piggly Wiggly or Kroger and getting more money and less bull shit from the boss. It is happening among police, firemen, teachers and other workers as well. WHAT KIND OF MORONS WOULD DO THESE MANDATES IN THIS ECONOMY? THEY ARE COMPLETELY OUT OF TOUCH. And again, the reason for mass vaccination for public health has literally fallen apart with the evidence coming out the past few days. WHAT PURPOSE DOES IT SERVE FROM A PUBLIC HEALTH STANDPOINT TO VACCINATE THE ENTIRE POPULATION WITH A NON-STERILIZING VACCINE?

Again, FSMB and any others, that is an argument based on observation and evidence…. Please address the argument with your own observations and evidence and let’s talk. I am all ears.

Thirdly – this little chestnut from Andrew Sullivan If you read his substack entries from early this year, several times he writes that very soon, as in this summer right now, we will be living in the Roaring 20s again. COVID will be over. All his elite friends were telling him that. Imagine his surprise when the event in the town he was in for the summer popped the lid off the narrative. Because of the incompetence of our press, there is no real reporting about how many “bears” were actually involved. I, however, have taken care of a lot of “bears” in my life. Obesity, glucose intolerance/diabetes, and sedentary lifestyles are very common in this group. As is fitting with the truth of this whole pandemic, those are all critical risk factors for bad COVID. What a perfect opportunity for the press or medical establishment to hammer this point home with this group of folks that have fallen ill. NOT A PEEP. Could that lifestyle choice be a reason why so many of them, vaccinated or not, fell ill? How many “bears” were actually involved in getting ill? And is so fitting of the whole elite attitude, Mr. Sullivan’s impulse is to blame the unvaccinated – and “let it rip”. He looks right through the habits of his friends and blames the unvaccinated for ruining his promised party summer. My favorite quote – “So the obviously correct public policy is to let mounting sickness and rising deaths concentrate the minds of the recalcitrant. Let reality persuade the delusional and deranged. It has a pretty solid record of doing just that.” Mr. Sullivan, do the delusional and deranged include the over 700 of these people who were actually vaccinated? Mr. Sullivan, are you listening to yourself? Delusional and deranged? What a perfect encapsulation of these people and how they think. He has pontificated so much in his life about all the indignities that happened in the AIDS crisis. I guess “let it rip” was actually the lesson he learned from that nightmare. I learned some lessons too. You tend to do that when you sign 8-10 death certificates every day of your intern year. All I can say is “I’ll do me. Mr. Sullivan, you can do you.”

FMSB – or anyone else – please point out to me any misinformation in the above paragraph.
I want to finally explain a very important concept that is going to become even more important the next few weeks. We clearly have a non-sterilizing vaccine. There is now continued and mounting evidence that the vaccine helps symptoms and keeps some people from becoming extremely ill. (That is why I am strongly encouraging everyone at risk in my practice to take it NOW). However, there is evidence now, the Provincetown affair being the best example, that these vaccines do nothing to stop transmission. The vaccinated and unvaccinated alike can share the wealth and harbor viruses in their bodies. Viruses do not just sit around. They replicate at literally a logarithmic rate. They are not bacteria who reproduce at a 1-2-4-8 pace. No indeed, they are replicating at a 1-1000-1000000-1000000000000 pace. Since mutations happen when replication occurs, when you have this logarithmic rate of replication you have much higher levels of mutation. You are much more likely to have viruses develop mutations that will allow them to be more transmissible, more toxic, and more vaccine evasive. And when you have a vaccine that does not clear the virus from the vaccinated but instead allows it to be replicated and spewed you have just logarithmically elevated your chances of having real problems occur. That is where we are with these vaccines folks. At least with the information we have now. I did not just make this up out of my head. These are things I read just this AM in textbooks of medicine. Latest editions. Textbooks are there not for latest research – they are the repositories of wisdom and knowledge acquired over generations. They are the foundation. This is not new knowledge. This was known during the polio pandemic. That is why there were 2 vaccines – one was nonsterilizing(Salk) and the other sterilizing(Sabin). Both were given to every patient because they understood the wisdom of not having vaccine escape viruses in the wild. This entire concept has been known for generations.

There are two big differences now –
First of all, polio viruses and their ability to mutate are like a dice roll. Coronaviruses are more like a Rubik’s Cube.
Secondly, Jonas Salk was loud and proud about donating the polio vaccine to the world. He could have been minting gold. However, he hit one out of the park for the ages. Pfizer, Moderna, and their executives are indeed minting gold – how many new billionaires have been created by these vaccines? And oh by the way – the third world can just suck it – losers. And the elite wonder why “the delusional and deranged” as Mr Sullivan puts it, have a trust issue.

FSMB – please point out any misinformation in the above paragraph. Since the discussion about viruses is directly from Mandell’s Infectious Disease – we may have problems if you believe that is misinformation.
Folks, if you are high risk, obese, old, diabetic or immunocompromised – please go and get vaccinated right now. We all need to monitor our risk factors going forward – LOSE WEIGHT, GET YOUR BLOOD SUGAR DOWN, EXERCISE, GET SUNLIGHT – GET VIT D EVERY DAY. HUG YOUR KIDS AND YOUR SPOUSE. LAUGH ALL YOU CAN.
 
From what I have heard in multiple conference discussion this past week or so is that exactly how non-sterilizing the vaccines are is now critical. If it is really true that their sterilizing activity is equal to unvaccinated status – then we have issues. If it is just allowing 5% of the viral load of a non-vaccinated patient that is a completely different story. The flu shots to some degree are non-sterilizing each and every year, but my understanding is they are nowhere close to parity.
When that article came out from the CDCs own MMWR this week that the viral load in Provincetown was the exact same as the unvaccinated, it sent chills down my spine. That is most definitely not a good finding. They need to be looking at this aggressively to confirm or not. Also, as I alluded to above – was there something unusual about that cohort of patients? If it truly was a “bear” convention – they are older, more obese and much more likely to be diabetic. Did those pre-disposing conditions possibly factor into the parity with viral loads? Furthermore, it is critical that actual virologic counting be done on the samples. cT is very suggestive but not expositive.

But the point that it is apparently so close in parity to unvaccinated status is profoundly disturbing. This was completely unexpected and concerning to every one I have talked to this week.

I am awaiting further data – assuming they will be forthcoming with it. It has the potential to be a very interesting week.

And per your quote above, “If infection with natural coronaviruses doesn’t do it, I don’t think we should necessarily expect or have the anticipation that we’ll be able to get there with the vaccine.”

I have been hearing those sentiments all this past week from many people I know and respect. Basically – we are going to have to learn to live with this virus. How are the American people going to take that?

I have multiple overarching concerns right now ——
1). There is absolute signal that this is a completely non-sterilizing vaccine. If so, there is precedent but not certainty that this could make this whole thing worse. In a normal world, I would have expected a pause and reflect moment. Instead, we are doubling down on vaccinating everyone. Is that a wise course?

2). There is all kinds of talk in the air about boosters right now. I have not spoken to a single patient – not one – many of whom lined up willingly in December – who are remotely interested in this at this time. A direct quote from my old lady neighbor from less than an hour ago – “I got vaccinated once – and I did that for my country. I will never let this clown car brigade get near me with another one. They cannot keep their lies straight.” And she is a loyal Dem – Biden signs all over her yard last year. All these people like Rachel Maddow and Sean Hannity towing the line of the official narrative never get near an actual citizen. I do so every day all day – and I am telling you that is just not going to fly.

3). The idea of mandating vaccination in this unsure environment is really a sign of the medical establishment not realizing the position they are in. I just got off the phone with the nurse taking care of my patients in the hospital. One of the CNAs told the charge nurse she would not be back tomorrow. She quit. The stress is already overwhelming and now this. My hospital has already had its little mandate attempt – and it ended in disaster for the administration. So they tried the humiliation and loss of privileges approach – and people are quitting in the droves. I am sorry to say – this could literally cripple some of our hospitals far better than a crush of COVID patients. And at this juncture, unless more evidence comes to the fore, universal enforced vaccination does not make much sense medically.

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