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Now that the US Government has mandated COVID-19 infection & mortality figures from hospitals be sent directly to the Trump Administration, rather than to the CDC, can this be considered suppression of information?
Hey Edward!While every other government in the world does its stinking best to suppress the virus, the Trump regime will now be suppressing information about the virus.That’s what is basically going on here. Rest assured that Team Klanrunt aka administration will be more than tempted to manipulate the coronavirus statistics from this day on.Why, you ask? The Covid-19 numbers and other information was previously sent to the CDC or Center for Disease Control and Prevention and they released it to the public.Those days are gone. From the New York Times:The HHS database now positioned to collect daily Covid-19 information from hospitals “is not open to the public, which could affect the work of scores of researchers, modelers, and health officials who rely on CDC data to make projections and crucial decisions.”“Centralizing control of all data under the umbrella of an inherently political apparatus is dangerous and breeds distrust.”—Dr. Nicole Lurie“Health and Human Services said that going forward, hospitals should report detailed information on a daily basis directly to the new centralized system, which is managed by TeleTracking, a health data firm with headquarters in Pittsburgh,” Trump Administration Strips C.D.C. of Control of Coronavirus DataThe Trump Crime Syndicate’s new directive came in the form of a document (pdf) quietly posted online last week by HHS, headed by former pharmaceutical executive and Trump appointee Alex Azar.“As of July 15, 2020, hospitals should no longer report the Covid-19 information in this document to the National Healthcare Safety Network site,” the directive states, referring to the CDC’s data-gathering system. https://www.hhs.gov/sites/default/files/covid-19-faqs-hospitals-hospital-laboratory-acute-care-facility-data-reporting.pdfThis move is an overt, public attack on the CDC with the only goal of covering up the recent surge of coronavirus infections we’re seeing in particularly southern states like Florida, North and South Carolina and obviously Texas and Arizona.That is why the Trump pirate ship is now muzzling, bypassing, and kneecapping the CDC. Hospitals should ignore this directive and continue sending their data to the CDC regardless.However, there’s a serious, ominous catch. Hospitals and states that do not comply with this change will lose access to one of the very few, and therefore vital COVID-19 drugs: Remdesivir, according to the thinly-veiled threat in a new directive the Trump clown administration car issued:“This data will be used to inform decisions at the federal level, such as allocation of supplies, treatments, and other resources,” the 13-page directive reads. “We will no longer be sending out one-time requests for data to aid in the distribution of Remdesivir or any other treatments or supplies. This daily reporting is the only mechanism used for the distribution calculations, and the daily is needed daily to ensure accurate calculations.” https://www.hhs.gov/sites/default/files/covid-19-faqs-hospitals-hospital-laboratory-acute-care-facility-data-reporting.pdfTrump and his minions are not only engaged in an all-out war with science just to undermine all of local, state, and the federal response to this pandemic, but they’re also threatening to withhold much-needed medication to patients who’ll need it.This is beyond shameful and revolting!
Was Teddy Roosevelt shot in the chest?
Yes, he was.Teddy Roosevelt was a badass’s badass. On October 14, 1912, he was shot in the chest and still managed to deliver a campaign speech to a waiting audience.Before he began his speech at the Milwaukee Auditorium, he asked the audience to please be quiet; then, he dropped a bombshell on them.“I don’t know whether you fully understand that I have just been shot.”** The bloodstained shirt TR was wearing that day.He unbuttoned his vest to reveal the blood-soaked shirt shown above and said:“It takes more than that to kill a bull moose.” (Bull Moose was the name he gave to his newly formed political party)Not surprisingly, some in the audience gasped.He continued to pull out the fifty-page speech he had stuffed in his breast pocket. The speech absorbed much of the bullet's energy; had it not been there, Roosevelt would have likely been killed.** Roosevelt’s eyeglass case took a good bit of the impact as well.Explaining to his audience what happened, Roosevelt continued:“Fortunately, I had my manuscript, so you see I was going to make a long speech, and there is a bullet—there is where the bullet went through—and it probably saved me from it going into my heart. The bullet is in me now, so that I cannot make a very long speech, but I will try my best.”Roosevelt then spoke for 90 full minutes, and only when he was done with his speech did he allowed himself to be taken to the hospital for treatment.The shooting occurred earlier as Roosevelt entered his car in front of his hotel. He stood up in the convertible and waved his hat to the crowd. As he did this, a would-be assassin fired a shot from a Colt revolver at a distance of five feet.Roosevelt’s stenographer grabbed the shooter by the arm and preventing him from getting off a second shot. The angered crowd began punching and kicking the man, and many shouted, “Kill him!”.TR emplored the crowd:“Don’t hurt him. Bring him here; I want to see him.”The crowd complied.President Roosevelt asked the shooter directly, “What did you do it for?”. The man said nothing. Having no time for this, Roosevelt next said, “Oh, what’s the use? Turn him over to the police”.The former President patted down his large overcoat and found a dime-sized hole where the bullet had entered. He then coughed forcefully into his hand to see if there was any blood present.There was not.Understandably, Roosevelt’s doctor told the driver to immediately take the president to the hospital, but TR gave him different orders.He said, “You’ve got to get me to that speech.”The rest is history.
As a doctor, have you ever seen anyone outside the hospital who made you think, “You need to go to the hospital now”?
This wasn’t something I saw, but something I heard over the telephone about 15 years ago.I had signed up with a service that provided one-on-one coaching. This was to help with personal growth, investing and financial management. It came in the form of a weekly phone conversation with a coach, each call lasting about one hour. The coaching was programmed to last for 12 weeks. (BTW, the company had no financial instruments to sell. They weren’t brokers or salespeople.)My coach was very personable and knowledgeable, and we hit it off right away.Things went smoothly until about the 6th or 7th weekly call, during which he didn’t sound quite like himself. I remember thinking that he sounded really tired, then I began concentrating less on what he was saying and more on how he sounded.He was coughing occasionally, talking like he was out of breath, and then I heard distinct wheezing that wasn’t audible at the beginning of our conversation. I abruptly interrupted him mid sentence and asked how he was feeling. He replied that he “felt tired today” but he was willing to finish our session. I began asking rapid fire questions concerning symptoms and risk factors for coronary artery disease. Being a guy who talked to others for a living, he tended to give long answers to any questions, but I rudely interrupted him several times when the answer to each of my questions came out. No, he had no history of asthma. Yes, he smoked. Yes, he was diabetic. Yes, his father and two uncles had died of heart disease. No, he wasn’t having any pain or nausea, but his left arm felt “a little numb”.When I had enough information, I told him in my best authoritarian voice, “Hang up now and call 911! Tell the 911 operator that you think you are having a heart attack! You need to be in the hospital! DO IT NOW!!” To his credit, he didn’t try to argue or ask why I said what I did. He knew that I was a physician, and took me at my word.For those reading this who might not be medically trained, the wheezing I heard was from “cardiac asthma”. It is not mediated by allergies or exercise like “true” asthma, but is a sign of left ventricular failure. The failure can be the result of blockage of the left anterior descending coronary artery which is normally the major pipeline for blood to the left heart muscle. In other words, he was having a myocardial infarction. When the muscle of the left heart can’t pump effectively, it fails and blood “backs up” in the lung circulation, causing wheezing.After he hung up, I wondered if I would ever hear from him again.A day later I got an email from someone with the company saying that my coach was hospitalized, and therefore wouldn’t be available to continue our sessions for some time. I was given the option of having my unused balance refunded to me. I responded, asking if he planned on returning to work eventually, and the reply was “We don’t know.”. I opted to do nothing but wait and see. A few days after the email, I received a phone call from the same person. She basically told me the same thing that was in the email, except she said that my coach had had “major heart surgery and things are serious”. I again said I would wait and see.Several weeks after the “call 911” conversation, my coach called me and wanted to tell me all about himself. He had called 911, and was transported to the local hospital in his area, and then taken by helicopter to a larger metropolitan hospital. (He was somewhere in Ohio, if I remember right.) He said things moved FAST. AMBULANCE, ER, HELICOPTER, ER, CARDIAC CATH, OR, ICU ALL IN ONE EVENING! He had received triple coronary bypass and aortic valve replacement. Several days in intensive care, more days in a hospital room, several weeks in cardiac rehab unit, and finally home! He was very proud that he had stopped smoking, (like he would be able to smoke during his hospitalization!!!!). I congratulated him on his will power.He said he had thought about me a lot during his hospitalization, and had just gotten in a position to call me. He was very grateful that I had told him to get to the hospital. He repeated several times “I could have died! They told me I might have died if I’d waited any longer!” I replied that I was glad to have done my part, and that it was lucky that we were on the phone at the exact time that he was exhibiting signs of his MI.I never finished the coaching. I got an email from the same woman as before, telling me that my coach had taken retirement and disability, and therefore wouldn’t be returning to work. They refunded me my entire fee, also, not just the unused portion, which I thought was nice.The last communication I received was another email, telling me that the company would no longer offer coaching. I suspected that my coach might have been the major income producer for the company.Alternately they may have been the entire company, one guy and one gal, possibly husband and wife. I never found out.ADDENDUM:Thank you to everyone who commented and had nice things to say about what I did. I really don’t feel like I “diagnosed him over the phone”. I had a sense that something was wrong with him. Recall that I had already spent several hours on the phone with him before that day, and I knew what he usually sounded like. The change in his voice was noticeable.I don’t really feel like I “saved his life”. I just helped to get the process rolling. Many more people were much more hands on with this man’s treatment than I was. They were EMT’s, nurses, pilots, technicians, cardiologists and surgeons. They actually saved his life.After rereading what I wrote initially, I might have made it appear that I was 100% sure about the diagnosis. I really wasn’t. I had a feeling, maybe like a strong hunch. When I heard how the man sounded, I had a flashback to a patient I had seen In the ER when I was a senior in med school. That patient sounded just like my coach did over the phone and was also having an MI. The cardiologist that I was following around that day even asked me “Do you know why he is wheezing?”. When I didn’t know, I got sent to the library. My instructions from the cardiologist were to “learn everything you need to know about this patient’s condition, and on tomorrow's rounds, tell us everything there is to know about it.”I didn’t know what the diagnosis was, but took the available hints. The patient was wheezing, was being evaluated by a cardiologist, and was being prepped to go to the cardiac cath lab. Wow, must be something about his heart, huh?Having been dismissed, I went to the library and grabbed the thickest cardiology textbook on the shelf. I turned to the index under “W” and looked for something like “Wheezing, causes of”. There, slightly farther down the list that started with Asthma, was Cardiac asthma. I used the copying machine in the library to copy the page from the book that dealt with the subject matter, took it home and read through it about 4 times. The next morning, I had it folded up and in the pocket of my white jacket.When my student group made rounds that morning, the patient that I had seen the day before had been moved to the ICU following coronary artery bypass surgery. After the usual report was given by the student and resident who were “following” the patient, the cardiologist looked at me and said “Now Doctor Pennington will tell us everything we need to know about how this patient presented yesterday.” So, I spoke for about 3 minutes about the patient’s presenting signs and symptoms, along with what I had found out about cardiac asthma.As I said before, I wasn’t entirely sure that my coach was having an MI, as he wasn’t describing the classical symptoms of chest pain, nausea, or sweating. As it turned out, his MI was atypical in this regard. (Diagnosing anything over the phone is difficult at best and dangerous at worst.) It was just that, in my recollection from years before, I could “see” that patient’s face and “hear” how he sounded. Even if my coach wasn’t having an MI, he sounded like he was ill. A trip to the ER to rule out an MI and diagnose something like bronchitis, pneumonia or other non-cardiac problem was justifiable, especially given his other health problems.So, in reality, my coach’s sudden entry into cardiovascular medicine/surgery began in the 1980’s when I saw that patient with that cardiologist who gave me that assignment to talk about that subject. I hadn’t thought about any of this in years, until it came flooding back to me during that phone conversation. I guess if I hadn’t had that exact experience, I may not have told my coach what I did.Incidentally, after I heard my coach tell me that he received surgery and had made it home, I had another flashback to when I was a student. This time I remembered the face of the cardiologist as he was looking at me after I had made my little presentation. I recalled that he smiled at me and said “Thank you, Dr. Pennington. Now you know everything you need to know about cardiac asthma.”Really.