“The moral test of a government is how it treats those who are at the dawn of life, the children; those who are in the twilight of life, the aged; and those who are in the shadow of life, the sick and the needy, and the handicapped.” – Hubert Humphrey
passionate pachyderms
Pharmacist Steve steve@steveariens.com 502.938.2414
Does this mean that TWITTER no longer considers CDC a valid medical information source and/or health experts ?
Years ago, I use to do ultra specialty computer coding as a “side gig” and it would appear to me that TWITTER’S algorithm or so called Artificial Intelligence (AI) apparently can only READ WORDS and no real “intelligence” to read context or content within just a sentence .
Ivermectin was a “Trump promoted medication” so it was automatically vilified as “not meeting the science” – even though it has been a FDA approved med and safe for human use.
It comes as a paste and in a syringe… and contains many more mgs of invermectin than the 12 mg dose tablet that is commercially made for human use.
As one person put it… horses eats carrots… so is carrots “horse food” ?
I read this week where COVID-19 pts with lung/breathing problems are getting good recovery rates by taking VIAGRA – that’s right – the med that has been used/approved by the FDA for erectile dysfunction.
You take this narrative from this law firm/attorney and substitute pain management for vaccinations and denial of pain management for mandatory vaccinations by various bureaucracies… It would pretty much read THE SAME. So if all these law suits are successful in shutting down all the bureaucrats down in mandating vaccinations …could the inverse/reciprocal be applied to the limiting/denial of pain management as being ILLEGAL ? Could the CDC opiate dosing guidelines and Civil Asset Forfeiture Act and some of the functions of the DEA BE SHUT DOWN ?
New data reveals that the vaccinated are more likely than the unvaccinated to contract Covid-19 from the Omicron strain. The evidence continues to mount that the vaccines are not nearly as effective as expected. Meanwhile, the infusion of mRNA which produces what may be dangerous levels if spike proteins in the vaccinated body should cause alarm, according to this article’s author. Yet companies still are forcing vaccines on employees.
My partner Gwyneth K. Murray-Nolan and I own the Murray-Nolan Berutti LLC law firm. We are challenging New York City’s vaccine passport mandate in the federal courts, and are building a network of attorneys nationally who work with us to assist individuals with vaccine mandate exemptions, and vaccine-related litigation. Several groups of active and terminated employees, and even some employers have approached us to bring litigation seeking to end vaccine mandates. We maintain that the US Supreme Court ultimately will agree with us that all current public and private COVID-related vaccine mandates are illegal and unconstitutional. If you or someone you know is faced with a job loss or other discrimination related to vaccines, please feel free to reach out to us. We will do our best to help to vindicate your civil rights. And if you support our cause, please feel free to connect with both of us.
Rep. Alexandria Ocasio-Cortez, D-N.Y., was recorded without a mask in a densely packed bar in Miami, according to footage that emerged Sunday, but the mainstream media has largely given her a pass for the “hypocrisy.”
The large crowd at the drag bar, most of whom were also without a mask, applauded the congresswoman as she waved to them, as first reported by Florida’s Conservative Voice.
“For those of you with zero sense of humor: the whole point of this post is to expose hypocrisy. We don’t actually care she’s maskless. We care she fear mongers about Florida but then has the audacity to vacation here,” Brendon Leslie, the reporter who first tweeted the video, wrote.
The New York Times opted not to cover Ocasio-Cortez’s maskless trip to the bar, according to a search of the paper’s archives. The Washington Post didn’t cover it, either, according to a search of the paper’s website.
CNN covered Ocasio-Cortez on Monday morning but not the whole maskless trip to a crowded bar.
Instead, the liberal network dedicated a segment to the “Squad” leader’s recent tweet accusing Republicans of being motivated by “sexual frustrations” when they criticize her. Analyst Mary Katharine Ham questioned if AOC’s trip was “dangerous” to her health during the segment, but CNN failed to air the viral images of the maskless bar scene or even specifically mention she ditched her mask in the Sunshine State.
CNN did not mention AOC since the viral photos emerged other than the “New Day” segment that ignored the mask hypocrisy, according to a search of transcripts via Grabien Media.
Ocasio-Cortez was spotted in Florida with her boyfriend amid a coronavirus spike in New York City, in a photo published by National Review. (National Review/Anonymous)
Over on MSNBC, Ocasio-Cortez’s name was not even uttered once from the time the viral images of the maskless bar trip emerged through 9 a.m. ET Monday morning, according to Grabien Media. The Miami trip came as Ocasio-Cortez’s home state of New York has seen a record surge in COVID-19 cases amid the spread of the omicron variant.
While mainstream news organizations have declined to cover AOC’s maskless bar outing, others haven’t gotten a pass for similar actions during the ongoing pandemic.
The mainstream media has largely given Rep. Alexandria Ocasio-Cortez, D-N.Y., a pass for mask “hypocrisy.”
The Washington Post and New York Times bothmanaged to report that “thousands of maskless” Tampa Bay Buccaneers fans hit the streets if Florida to celebrate last season’s Super Bowl victory. The Post even covered the adult son of Republican Arizona Gov. Doug Ducey ditching his mask to attend a party last year, while the Times harped on then-First Lady Melania Trump voting in 2020 without a mask.
Another New York Times headline simply read, “Queens Republicans Under Fire for Maskless ‘Covid Conga Line’ Party.”
for nearly the last two years, the medication Ivermectin has been vilified as “horse medicine” and useless for treating COVID-19… Yet once, one the “darlings” from the “SQUAD” in the House of Congress… is diagnosed with COVID.. all of a sudden the FDA approved medicine for other uses in humans was no longer just “horse medicine” and approved by the CDC as a valid treatment for COVID-19 in humans and not totally only “HORSE MEDICINE”. Her Congressional district is in New York city – which has returned to so many mask mandates and business lock downs. While she tracked off to Florida to enjoy the warm/sunny weather over the New Year’s holiday and being seen in public without wearing a mask and hugging mask less people at a crowded bar.
I guess that we are seeing a huge SWING from Trump hating SCIENCE to POLITICAL SCIENCE… how many other people have died because of denial of being able to have access to invermectin earlier in the epidemic ? Could this be consider a form of political GENOCIDE ?
“The guideline is intended to ensure that clinicians and patients consider safer and more effective treatment, improve patient outcomes such as reduced pain and improved function.”
“Clinicians should consider the circumstances and unique needs of each patient when providing care.”
“Clinical decision making should be based on a relationship between the clinician and patient, and an understanding of the patient’s clinical situation, functioning, and life context.”
“This guideline provides recommendations for primary care clinicians who are prescribing opioids for chronic pain outside of active cancer treatment, palliative care, and end-of-life care.”
“The guideline is intended to ensure that clinicians and patients consider safer and more effective treatment, improve patient outcomes such as reduced pain and improved function.”
“Clinicians should consider the circumstances and unique needs of each patient when providing care.”
“Clinical decision making should be based on a relationship between the clinician and patient, and an understanding of the patient’s clinical situation, functioning, and life context.”
“This guideline provides recommendations for primary care clinicians who are prescribing opioids for chronic pain outside of active cancer treatment, palliative care, and end-of-life care.”
Published equianalgesic ratios are considered crude estimates at best and therefore it is imperative that careful consideration is given to individualizing the dose of the selected opioid. Dosage titration of the new opioid should be completed slowly and with frequent monitoring.
Conversion ratios in many equianalgesic dosing tables do not apply to repeated doses of opioids.
The amount of residual drug in the patient’s system must be accounted for. Example: fentanyl will continue to be released from the skin 12 to 36 hours after removal of the patch. Residual effects from discontinued long-acting formulations should also be assessed before converting a patient to a new opioid.
Review the concept of incomplete cross-tolerance:
D. McAuley: “Incomplete cross-tolerance relates to tolerance to a currently administered opiate that does not extend completely to other opioids. This will tend to lower the required dose of the second opioid. This incomplete cross-tolerance exists between all of the opioids and the estimated difference between any two opiates could vary widely. This points out the inherent dangers of using an equianalgesic table and the importance of viewing the tabulated data as approximations. Many experts recommend – depending on age and prior side effects – reducing the dose of the new opiate by 33 to 50 percent to account for this incomplete cross-tolerance. (Example: a patient is receiving 200mg of oral morphine daily (chronic dosing), however, because of side effects a switch is made to oral hydromorphone 25 – 35mg daily – (this represents a 33 to 50 percent reduction in dose compared to the calculated 50mg conversion dose produced via the equianalgesic calculator). This new regimen can then be re-titrated to patient response. In all cases, repeated comprehensive assessments of pain are necessary in order to successfully control the pain while minimizing side-effects.”
The use of high but ineffective doses of a previous opioid may result in overestimation of the converted opioid.
Ideally, methadone conversions (especially patients who were previously receiving high doses of an opioid) should only be attempted in cooperation with a pain specialist or a specialist in palliative medicine.
The authors make no claims of the accuracy of the information contained herein; and these suggested doses and/or guidelines are not a substitute for clinical judgment. Neither GlobalRPh Inc. nor any other party involved in the preparation of this document shall be liable for any special, consequential, or exemplary damages resulting in whole or part from any user’s use of or reliance upon this material. PLEASE READ THE DISCLAIMER CAREFULLY BEFORE ACCESSING OR USING THIS SITE. BY ACCESSING OR USING THIS SITE, YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS SET FORTH IN THE DISCLAIMER.
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call the Supreme Court to share your public opinion of the mandates and freedom, ahead of the hearing on Friday. Call one of these Supreme Court of the United States phone numbers to leave your message: Clerk’s Office: 202-479-3011 or Public Information Office: 202-479-3211 Choose to leave ONE of these messages (or make your own brief message) with the Supreme Court:
Message 1: I would like the Court Justices to know, with the utmost of respect, that I am concerned about the infringement of Americans’ Constitutional freedom that imposing vaccine mandates presents. Please let them know that Americans desire our guaranteed freedom.
Message 2: On Friday, the Justices will be hearing about the vaccine mandates. I wish to respectfully register my concern about the infringement of personal and religious freedom that these mandated medical treatments have trampled on.
Message 3: Please relay to the Justices that I am praying for each one of them by name as they hear a critical religious freedom, medical freedom and personal freedom case of the vaccine mandates.
It cannot be the least bit surprising that there is another Covid variant in the news. I wrote about this several weeks ago and wondered, since the next Greek letter is pi, whether it would be given the name American Pi should it be first detected in the US.
My viral prognosticative powers are not what they should be; not only was the new kid on the block not discovered in the US, but it didn’t even get the proper name!
The World Health Organization naming system for variants has been a joke. In order to avoid “causing offense to any cultural, social, national, regional, professional or ethnic groups,” the WHO decided to use Greek letters to name the variants. How well did that work out? Not very.
For example, the original virus from Wuhan was called just about everything except the Wuhan variant. The press settled on the bland and meaningless term “novel coronavirus,” which is rarely used anymore. Then the Greek letters started (1):
Alpha (UK)
Beta (South Africa)
Gamma (Brazil)
Delta (India)
Omicron (South Africa and multiple other countries)
(While it may seem that South Africa is no more than a virus spawning ground, this is dead wrong. As I recently wrote, the country got punished (border closings) because its scientists did a superlative job of isolating and identifying new variants, which were almost certainly circulating in other countries, but missed. See Dear Clueless Media: S. Africa Deserves Praise, Not Blame.)
A few observations
First, it is clear that there are missing letters. This is partly because not all variants rose to the level of Variant of Concern (VOC), so while epsilon, theta, etc. did exist, they shamefully faded away, becoming nothing more than another piece of historical detritus of woefully inadequate variants, a humiliation they will never live down. The last variant to “earn” a name was the mu variant, which stuck around just long enough to generate some press hysteria and then entered the virus witness protection program, never to be heard from again.
The next two variants were supposed to be nu and xi, but these were skipped in favor of the next letter, omicron. Why? The WHO claimed that nu sounded too much like new and xi is a very common last name in China. This explanation does not exactly ring true. In fact, it brings to mind a word rhyming with “wool knit.”
But it got worse. Since the Greek letter system, even if it had been scrupulously followed, is inherently confusing, we began to see things like “the Delta variant, which originated in India…” If you understand how this destigmatizes India, please leave a comment with your explanation. Completing the circle of inanity, the original virus that started the gigantic mess which the world is still mired in is now routinely referred to as the “Wuhan strain.” Can’t make this s##t up.
The self-aggrandizing French
With the exception of bakers, the use of the letter pi, which is supposedly reserved for the next (and inevitable) variant, is unlikely to offend anyone. So it is only logical (as if anything is right now) that pi would assume its role as the variant du jour. Yet, this is not the case. Another variant, this one with 46 mutations, which was detected in someone who traveled to Cameroon and returned to France, was identified by the IHU – Méditerranée Infection in Marseilles. Did they name it pi? No, they named it after themselves, leaving us with a variant called the B.1.640.2 aka the IHU variant, aka the “not pi but should be” variant. Some nerve! Will the Greeks be offended that a bunch of French scientists disrespected their alphabet?
“The mutation set and phylogenetic position of the genomes obtained here indicate based on our previous definition a new variant we named “IHU”’
I hate to burst “le balloon” but these guys, even though they may be the first to name it after themselves, are hardly the first group to sequence a variant. Not even close. As of December 2021, six million variants have been sequenced and entered into the GSAID database (short for Global Initiative on Sharing Avian Influenza Data), and to my knowledge, there are no examples of scientists naming another variant after their place of employment, themselves, or their parakeets.
I made this post just last night and I shared it on TWITTER
