Hughesair (Inflection Point)

Retired physician and air taxi operator, science writer and part time assistant professor, these editorials cover a wide range of topics. Mostly non political, mostly true, I write more from experience than from research and more from science than convention. Subjects cover medicine, Alaska aviation, economics, technology and an occasional book review. The Floatplane book is out there. I am currently working on Hippocrates a History of Medicine and Globalism. Enjoy!

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Location: Homer, Alaska, United States

Alaska Floatplane: AVAILABLE ON KINDLE

Friday, October 22, 2021

Either the End of Our Country or the Beginning

 

Saturday, September 25, 2021

Public Health Failure meets Rules Based Medicine Failure

Once upon a time, Public Health kept the water safe and enforced quarantine for highly contagious diseases. Physicians were highly educated, judgmental and organizationally disciplined.

Since the HIV epidemic, liberal planing introduced two changes. 1. Liberals passed legislation forbidding routine testing for HIV and tightened the rules insuring patient’s medical confidentiality to the point of stiffening both continuity of care and medical education. 2. An overgrown medical bureaucracy introduced rules based medical care based on guidelines with disciplinary measures against physicians not following those guidelines. 


If nothing else, the CoV2 pandemic exposed these failures. Firstly, the inertia of Public Health in reacting to the pandemic lead to a faster and broader spread of the disease. Rules based guidelines became obsolete by the time they are published. Contact tracing and quarantine was overwhelmed. Secondly, guidelines denied the use of treatments not supported by as yet incomplete double blind studies. 


Universal rules forgo regional variability and the magic of multiple trial and error, an end of the scientific method. Medical bureaucracy insisted on a negative interpretation of the relevance and validity of many published clinical trials, not completed and interpreted by themselves. These acronymous agencies, CDC, FDA, NIH, HHS and a plethora of others placed greater value on population wide studies, statistics and completion of years long studies. The inertia of time alone rendered their judgments irrelevant. This egregious denial of care from government entities resulted in many unnecessary deaths and continues to do so today. 


Traditionally, the consideration of multiple clinical trials and clinical judgment was the prerogative of individual clinicians viewing multiple variables. Any clinical physician knows that treatment is highly individual and enhanced by the presence of a trusted physician, and that most clinical studies contain a bias of one sort or another: independent variables, clinical bias, incompetence, statistical or just plain inertia. Then enters political bias. Hospital employers even licensing agencies got into the act threatening  consequences for any deviation from their negative guidelines.


The generations long history of treating Influenza included off label drugs with antiviral efficacy and support with multiple strategies including optimal treatment of underlying conditions and support of the immunize system. The same could apply to COVID19. With a death rate over 20% for patients over 70, physicians needed to be free to treat early and try options.


In the heat of the pandemic, with rigid guidelines, other serious conditions were neglected. Guidelines, algorithms and artificial intelligence fell far short of adequate management of the multiple problems and fast changing threats.

Friday, September 03, 2021

Renasance

 Fundamental religions and cultures come together in rejecting Liberal Globalism.

Wednesday, September 01, 2021

Afghanistan

Eighty seven generals and admirals sign a letter demanding the resignation of Defense Secretary Lloyd Austin and Army General Mark Milley, chairman of the Joint Chiefs of Staff.

Suicide would be an option, but the only honorable thing would be resignation and fading away in infamy.

Dr. Birx

 Deborah Birx, m.d. 

“You know, many of those issues around DPA were obviously also done under the Trump administration, and that's the way we got these vaccines made and we got therapeutics out, so from Remdesivir to supporting Gilead to Regeneron and Lilly and the companies working on monoclonal antibodies. And so I don't want to ever leave the impression that there weren't people at every level working every day within the Trump administration to ensure that testing was improved, that therapeutics and vaccines were available. I think they've done a remarkable job at putting together the federal level communication about what are the best public health interventions that we need to follow as a country in a very consistent manner. That radiates from the White House out through all the agencies, and I think that is critically important when you want people to change their behavior.“ April 2021 CSIS interview. 

Monday, August 30, 2021

Vaccine Logic, Alex Berenson


“Twitter Permanently Suspends Alex Berenson over Viral COVID-19 Tweets” the actual tweet:

“SARS-CoV-2-naive vaccines had a 13.06-fold increased risk for breakthrough infection with the Delta variant compared to those previously infected, when the first event (infection or vaccination) occurred during January and February of 2021,” the study reads. Those who were vaccinated, the study found, were also at a higher risk of being hospitalized compared to people who were previously infected.”

Berenson worked for The New York Times from 1999 until 2010, and this form of false logic has been present in many mainstream media headlines, a logic that insists that because this is true that is true also.


The NYT, CNN and others use this classic form of false logic almost routinely to advance a kind of perception management that borders on propaganda. With propaganda, the Nazis did not bother with false logic. Tell a lie enough times and most people will believe it. There’s some of that here too politically. The above example comes from a speech at  the Conservative Political Action Conference at the Hyatt Regency in Orlando, Fla., on Feb. 26, 2021. 


Note the two true statements, natural immunity working better than vaccination as well as natural immunity affording a lower risk of hospitalization. These true statements not so subtly imply a negative connotation about the vaccine’s efficacy when in fact the vaccine reduces the death rate from the Delta variant dramatically. Achieving natural immunity by contracting the disease is no way to prevent the disease and demands an unacceptable risk of death especially for older people.


COVID-19 Vaccination - Centers for Disease Control and ...

https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/adverse-events.html

Reports of death after COVID-19 vaccination are rare. More than 357 million doses of COVID-19 vaccines were administered in the United States from December 14, 2020, through August 16, 2021. During this time, VAERS received 6,789 reports of death (0.0019%) among people who received a COVID-19 vaccine.

 

The above CDC numbers suggest 3.9 COVID19 deaths per 100,000 vaccinated persons (assuming  all received two shots) compared to 199 COVID19 deaths per 100,000 in the general population. I doubt any statistics other than reported-deaths because case numbers, hospitalizations and incidence of positive tests, all have a wide latitude of independent variables. Comorbidity and unrelated age and illness distort the death tole too, but not as much, and death certificate remains a legal document. 

 



 

Wednesday, August 25, 2021

Architectural Clinic Isolation for Infectious Disease

 Infectious disease amounts to a larger fraction of any Family Practice or Pediatric office as it is in an Internal Medicine ID practice. Emergency Rooms pose a similar challenge, mixing other medical and surgical patients with the unwanted exposure to transmissible infections. Historically a fact of life, today’s pandemic experience suggests a major medical clinic redesign with separate waiting rooms and separate examining rooms, two wings with isolation procedures between. 

Looking at this architectural challenge from a private office small clinic perspective, the added cost must be offset by a broader and safer patient care and service. It may require separate IM from ID nursing, but doing so may both increase capacity and quality of care. Expect a higher laundry bill with a wash/changing room for gown and mask between suites. Experience presented many space utilization lessons during a varied medical career and architecture remains a first and neglected love. Patient flow and space utilization can offset the additional costs of design. Design and plan for circulation, plenty of room and patient safety, but make sure every square foot and every employee more than pays for itself.


January 6

 A more historical view of the so-called capital riots from a non political view might recognize a more legitimate cry from a free people disenfranchised by a socialist takeover. To the victor goes the spoils, however, including the official version of events and the characterization of the Capital demonstrations and break-in as a criminal insurrection. History could paint quite another picture if in fact, the socialist Technocracy does not prevail in the long run.

While progressive thinking abhors the poverty, capital divergence, and merit based capitalist economy, the Left seeks equality, healthcare, education and redistribution of wealth. However, the propaganda, censorship, and control necessary to achieve these goals turn authoritarian. Globalization was no small part in the socialist gain and paradoxically lead to the Technocracy that profited from and will continue to profit even more from the socialist outcome. So, which side deserves the title of insurrectionist? Maybe both.

The age old political economic tension between liberty and equality contributed to the failure of Democracy in Athens over two thousand years ago. Plato wrote that a Democracy would devolve into an Oligarchy. Ours devolved into a Socialistic Technocracy. For good or for bad, time will tell. Historians will write January 6 as a capital riot or to the contrary the people’s song charging and climbing the walls of the people’s house.

US political divergence rivals our capital divergence. A middle ground should not even require compromise, but politicians seeking power and wealth surely will. The right must embrace education, healthcare especially mental hospitals while the Left must embrace the marginal return, and productivity of capitalism. Call the agreement infrastructure that benefits them both. — And term-limits to reduce the greed.


False. logic and Fact Checking

 Fact checking, clinical trials, censorship and the news media suffer a similar problem in logic. Aristotle’s 13 Refutations comes as a start. Often times, the problem arises from asking the wrong question or assuming that a conclusion actually answers the question at hand. Scientific journals struggle with the interpretation of studies looking for independent variables and bias. The Journal may or may not ask the right question, but when fact checkers, government censors or the media attempt an interpretation, you can bet that they will not. Censorship of enthusiasts or doubters limits the very foundations of the scientific method, politicization of scientific discourse is even more so.. 

Thursday, August 12, 2021

FSMP (specialty boards) threatens physician license for posting falsehoods on social media

 A dangerous suppression of conjecture, FSMP risks further stifling of the very science they strive to protect. Two statements partially raise a concern: “Statements that the distributor knows are false,” and “scientifically grounded and concerns-driven for the betterment of public health.” 

The distributor, unless a panel of clinical physicians, has no capacity to determine facts, and the panel of clinicians can only offer opinion. Concerns-driven, offers only a broad political consensus, and we see how factual political consensus might be.

Common sense and the FDA, as it stands, supports a positive risk benefit for the US vaccines, but don’t pretend that a medical judgment is other than a medical judgment or that the distributor can know all the facts.

Delta Variant

 Hospital following WHO guidelines, that means the outpatient clinic doing so as well. Don’t treat until viral pneumonia sets in. Let the old folks die off, but collect the maximum revenue on the way out on the respirator. Better to follow the FLCCC protocol. 

Wednesday, August 11, 2021

War

 War has been called diplomacy by other means. War may also be economics by other means.

o   Colonialism

o   Pillage and plunder

o   Internal Fixation of a desired economic order by emotional appeal

o   Domination of international trade, banking and currency

o   Defense of any of above

Friday, July 30, 2021

Common Sense 21 #1 (3/21/21)

 

The end of Democracy arrived without a whimper. Scholars and historians will tell us that the final chain of compromises that the Marxist call dialectic materialism lead to rejection of American institutions, the law, the Constitution and Democracyitself. We did this to ourselves, but with help from the outsidefrom an internationalist elite and a new world Oligarchy of big technology and Communist billionaires and indeed communist brainwashing and propaganda. 

 

The mechanism was a pure Marxist subversion promoting class warfare, a victimization of minorities, women, workers  and immigrants. Victimization was taught in the schools at all levelsalong with communist ideation, but it was the new Oligarchy that kidnapped the Communist dialectic for their own ends of international totalitarianism with an apparatchik of teachers, government employees, judges, the news media and professors.

 

The new American Oligarchy along with the World Economic Forum, the Great Reset will find itself in conflict with World Communism, a conflict already expressing itself in the not so diplomatic confrontation between CCP representatives and US Secretary of State in Anchorage this weekend.

 

We remain, however, a defeated majority of American patriots, censured, monitored and vilified, lacking only the leadership for an uprising or succession from the Union.

 

A far better outcome might be for the US military with allegiance to the Constitution, to stage a military takeover, purge the country of foreign agents and illegals while insuring a new secure election. Military action would have to be completely non political. No political figure or other government agent could be involved. The new Pentagon chief of staff is a Biden appointee, but he does not have control authority over the chiefs of service.The Construction is all we have. 

 

As Citizens, we must find a way to exchange real news, information, free speech and communication — with ourselves and maybe the chiefs of staff — free of Oligarch censorship, tracing and intimidation or we will end up like the German people under Nazi control. These printed pamphlets, like those of the American Revolution will be a start.

Sunday, July 25, 2021

Moral Sentiments

 

I Circling the Drain

1.     Flip Flop

2.     Law

3.     Propaganda 

4.     Censorship 

5.     Rigged Elections

6.     Technocracy

 

II Seduction

7.     Trilateral Commission & Council on Foreign Relations

8.     Vietnam Protests

9.     An Ancient form of Bribery

10.  Selling America (wholesale for fun and profit)

11.  CCP & PLA Unrestricted Warfare

12.  Idealogical Subversion

 

III Renaissance

13.  The Orange Man & Russia

14.  Civilized Religion

15.  The backlash Common Sense

16.  State run Education Reform

17.  Term Limits

18.  Revive the Rule of Law 

 

 

Scary Thought

 As the arguments over the origins of CoV-2 continued, I assumed that the CCP weaponized the Covid virus to destabilize the West. Whether the release was accidental or deliberate, the spread of the virus proved China irresponsible at best. The coverup by China, the World Health Organization and our own CDC, seemed to confirm the suspicion of a laboratory source. Why was the NIH financing this research in Wuhan, China in first place and to what end?

Has the US created a monster? What could have been the motive for CDC and NIH to enhance an already dangerous virus for human to human transmission? They lied about it, and then, discouraged the use of effective early treatments like vitamins, hydroxycloroquin, convalescent serum and ivermectin. Our medical bureaucracy both censured and disbarred physicians for trying treatments with the first onset of the illness.

What if these public health czars were motivated by a power trip, an honorarium and praise from Chinese academia? Did they plan to prune back the population, cull the sick, the disabled, the elderly and reduce national healthcare cost? Had US Public Health gone rogue? Such a thought would have been unthinkable before the pandemic, but such actions would be very much in line with a Marxist mindset. Have our trusted instructions gone mad? 

This is a frightening question. I hope it’s not the case.