Sep. 18th, 2021

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Michaelmas

I’m being rude and shoehorning this in here up top because I want to ensure other NC readers see it and give their input. It strikes me as pretty questionable, but maybe I’m missing something. As follows —

I’ve just been reading the paper ‘A Prothrombotic Thrombocytopenic Disorder Resembling Heparin-Induced Thrombocytopenia Following Coronavirus-19 Vaccination’ which is the German study released on Monday arguing for a correlation between the AZ-Oxford COV19 adenovirus vector vaccine and blood-clotting.

Link is here, w. option to download PDF —
https://www.researchsquare.com/article/rs-362354/v1

Six researchers have co-authored it. I read their conflicts of interest statement down at the bottom.

[A] Two of the six co-authors make the following statements —

Dr. Thiele reports grants from Deutsche Forschungsgemeinschaft, during the conduct of the study; personal fees and other from Bristol Myers Squibbpersonal fees and other from Pfizer , personal fees from Bayer, personal fees and other from ChugaiPharma, other from Novo Nordisk, personal fees from Novartis, other from Daichii Sankyo, outside the submitted work

Dr. Eichinger reports personal fees from Bayer, Bristol Myers Squibb, Daichii Sankyo, and Pfizer, and Pfizer, all of which are outside the submitted work.

[B] One co-author makes the following statement —

Dr. Greinacher reports grants and non-financial support from Aspen, Boehringer Ingelheim, MSD, Bristol Myers Squibb (BMS),Paringenix, Bayer Healthcare, Gore Inc., Rovi, Sagent, Biomarin/Prosensa, personal fees from Aspen, Boehringer Ingelheim, MSD, Macopharma, BMS, Chromatec, Instrumentation Laboratory, Portola, Ergomed, GTH e.V. outside the submitted work.

———

Me again. it’s sometimes inevitable that a limited number of experts exists in certain areas and at some point many of them have taken money from the obvious big players.

Nevertheless, is this level of conflict of interest — three of the six co-authors have taken or are now taking money from Pfizer and Bristol Myers Squibb (a latecomer to the COV19 vaccine game, with their own candidate on the way) — really considered acceptable and legitimate?

 
  1. IM Doc

    If you look at every member of the FDA advisory panel that approved the Pfizer and Moderna and J&J EUA – you will find more conflicts of interest than you could write in a novel. This would have never been tolerated a generation ago. And that is just one example.

    What I am saying is it is not just the journals and the medical literature – the corruption is everywhere at the highest and lowest levels.

    I have many friends and colleagues who work in our large national medical agencies – when I talk to them I often become nauseous. The exact same is true in our great medical universities and centers everywhere. All corrupted by Big Pharma and Big Hospital and Big Insurance bucks. This fact is a large reason why I personally am no longer in academic medicine. My forebears on this planet instilled in me the idea that I am going to have to stand and account for my life one day when I meet my maker – and I could no longer fathom working in that environment. The corruption is tentacled everywhere in ways you could never imagine.

    Sorry to be so depressing – but it is truth.

 DJG, Reality Czar

Trends in COVID infections. I am highly concerned that we are going into a new wave.

Last weekend, Illinois had inched up to 1,800 to 2,000 new cases a day. Two days ago, the number reported was 2,500 new cases. Now I see that yesterday’s report is 3,500 cases.

Something is going seriously wrong. Are people just dropping their masks and going to indoor dining? Is it some false sense of security? Is one of the vaccines that much less effective than reported?

 
  1. savedbyirony

    It is the effect of variants and especially B.1.1.7, at least in Ohio. Our numbers are rising, quickest up north by the Michigan boarder. Virus fatigue and slight loosening of some restrictions are not helping but the B.1.1.7 is spreading here, becoming the most common strain detected.

     
  2. IM Doc

    I really hate to say this – but I believe you are correct. It is all of a sudden happening in my little area of the world. Very slowly – just like it did before. Until we have better clarification – I would urge all to continue taking precautions and be safe.

    There is a voice in the back of my head that is becoming increasingly worried about one little piece of data that seems to be missing from all these press reports.

    I have seen several releases today from Michigan and the NorthEast that are discussing that the case numbers are going up substantially. I have a very simple question. Are these mostly vaccinated or unvaccinated people that are involved in this surge? It is actually a very important question to be asking right now.

    I worry that the fact that this is not being discussed anywhere in these news reports is a bad sign that there are more vaccinated patients becoming ill than our media/political/health leaders would like to admit.

    I am very untrusting of anything that has to do with Big Pharma – and increasingly our national health agencies – you can call it thirty years of very hard lessons.

    I will reiterate. I feel this is a very important question for EVERYONE to know. I have no knowledge of this one way or the other. However, I fear that if this was mainly unvaccinated people, we would be hearing this blasted from the rooftops. The fact that this is not being discussed out loud – is concerning at best.

    And again – this just may be my PTSD from Big Pharma paranoia speaking.

  1. antidlc

    “I have seen several releases today from Michigan and the NorthEast that are discussing that the case numbers are going up substantially. I have a very simple question. Are these mostly vaccinated or unvaccinated people that are involved in this surge?”

    https://www.beckershospitalreview.com/public-health/young-unvaccinated-adults-fuel-covid-19-hospitalization-surge-in-michigan.html

    COVID-19 hospitalizations are steadily increasing in Michigan, largely driven by a jump in cases among younger adults who have not been vaccinated yet, the Michigan Health & Hospital Association said March 24.

     
    1. IM Doc

      I HAve read this article just now.

      Unfortunately, this is a standard issue example of a strategy used repeatedly by those trying to obscure things.

      Raw numbers please.

      So the 30-39 age group has increased 500% and the over 80 has just gone up 30% according to this article.

      The baseline in this situation of hospital patients would be very low in the 30s but high in the 80s.

      The latest data I can find suggests that overall hospitalization for Covid is about 100 times more likely for 80 year olds than 30 year olds. The actual number is 82.9 times but using 100 makes my following example much easier to understand.

      I have no raw numbers but we will pretend there were 10 hospitalized thirty somethings in the state 2 weeks ago. That would make the 80 year olds at 1000.

      The 10 have increased by 500% for a total of 50 so 40 more.

      The 1000 80 year olds have increased by 30% or 300 more.

      40 likely non vaccinated young patients vs 300 likely vaccinated old patients. Now we have a much worse story for the vaccines than the headline would suggest.

      I have simplified this greatly with the 10 and the 1000 but this was derived from the fact that the difference between the age groups is really right at 100 times.

      These pharma people really know how to manipulate numbers to make things really benefit them – I have watched it for 30 years.

      I have done journal clubs my entire career to expose this for students. When raw numbers are not given – just percentages – the likelihood of games being played rises exponentially. When you see anything from medicine expressed in just percentage forms without raw numbers your skepticism red alert should go off.

      Until a news outlet is telling us the actual raw numbers of vaccinated or not, it is really difficult to know what to make of the situation.

      In this situation, it would also be helpful to see case numbers as well not just hospitalization numbers. Limiting to just hospital numbers leads to other obscuring issues.

       
Here, a full write-up first:

Christian Nationalism Is a Barrier to Mass Vaccination Against COVID-19

Posted on April 2, 2021 by 

Yves here. I’m running this post with its original headline, although the article doesn’t make terribly clear what “Christian nationalism” is. The author defines is at extreme evangelism but I’m at a loss to understand what makes that “nationalism”. The reason I am running this article is that it discusses an specific issue that IM Doc mentioned back in early February.

And even though we are discussing different subcultures in America, we might as well be talking about different countries. One of the lessons I learned by virtue of deciding to see the world on the McKinsey plan, was that virtually without exception, US companies entering a foreign market would royally screw things up. Even if they’d managed to hire good managers from the new market, the top brass would reject recommended changes to the product or branding to cater to local tastes: “They can’t possibly want that! Of course they’ll prefer our superior dog food!” They almost always had to fail before they’d listen to how the locals thought about things and understand why they wanted what they wanted.

I had sent a link from the Ghion Journal, which was and is pretty up in arms about the Covid vaccines, as an example of vaccine alarmism in the black community. IM Doc said then that he was hearing a lot of reports from doctors in his network in big cities of vaccine hesitancy among blacks and if anything more so among Latinos at that point. But he was the first to alert me to opposition among conservative Christians, beyond those based on the mistaken belief that fetal cells had somehow been used in vaccine development (true in a very strained sense with the J&J vaccine). From his e-mail:

We are seeing all this rage and rush to get vaccinated right now. It is easy to assume there is widespread demand. That is not true…. And then the fun will begin. If you think the anti-mask, anti-lockdown people have been ridiculed and shamed – you have not seen anything yet. I know my Big Pharma and it is obvious they have a stranglehold on our agencies and politicians. They have gotten so used to complete acquiescence that they are becoming supremely over-confident. Trust me, if they think they will get away with forced vaccination of kids for school, they have no idea what they are stepping in. Also, I can think of no quicker way to bankruptcy for airlines and cruise companies then to demand a vaccine passport. They will instantly cut their customer base by 30-40%.

It is not just blacks and Latinos. Our medical and public health elites have their head so far up their ass that they are missing critical cultural and religious issues going on all over this country with regard to the vaccine. For example, my oh so Protestant family members and all their friends back home have zero intention of taking this vaccine. All the talk of vaccine passports and vaccine cards to get in and out of stores and restaurants and events have convinced them that this is the first manifestation of the long anticipated Mark of the Beast. To take the Mark of the Beast is a certain trip to Hell for Eternity….And because of our elites’ complete bungling insensitivity, they have already completely and permanently alienated these people. Again, this is being preached from their pulpits, and no amount of coercion or threats is going to work. I grew up in that environment. I know what I am talking about. They will starve to death before they take The Mark of the Beast.

I have no idea how large this population is. IM Doc gave an estimate for rural America and the South that struck me as high, having lived in the rural upper Midwest, Oregon, and spent a lot of time in Maine. But the point is this is a cohort that is not trivial in size, and its existence has finally gotten the attention of some in the officialdom, too late in the game for them to change course. You’ll see the out-of-touch recommendation in the piece:

…faith leaders can guide their followers and use their pulpits to encourage parishioners that the vaccine is safe and in line with religious doctrines.

That could work with concerns that are based on misinformation, but not ones based on views that see social control/surveillance as evil. There’s no way of prettying up the more heavy-handed schemes to get citizens to take the shot.

And IM Doc, then as now, argued that the bureaucrats have done a terrible job with general practitioners by failing to give the information needed to give honest answers and “best available data” assessments of outcomes and risks:

And again, I will remind you – as a primary care physician I have been tasked with educating patients about these vaccines. I have little if any information about safety. I have zero information on how these vaccines will help death or hospitalizations. I have zero information on how long the immunity will last. I have zero credible and often wildly disparate information about whether it will work on these variants, which are now this month’s panic porn topic on the news. I have very educated patients who come to ask questions all day every day. I will not lie to them, nor will I smile and pass out happy horse shit like so many of my colleagues seem to be doing. The medical elites have put the normal PCPs of this country in a very difficult if not impossible situation.

I hope and pray that all goes well. I, like everyone else, want this to be over. However, if something goes majorly wrong with this gamble, God help us.

By Monique Deal Barlow, Doctoral Student of Political Science, Georgia State University. Originally published at The Conversation

While the majority of Americans either intend to get the COVID-19 vaccine or have already received their shots, getting white evangelicals to vaccination sites may prove more of a challenge – especially those who identify as Christian nationalists.

A Pew Research Center survey conducted in February found white evangelicals to be the religious group least likely to say they’d be vaccinated against the coronavirus. Nearly half (45%) said they would not get the COVID-19 shot, compared with 30% of the general population.

Some evangelicals have even linked coronavirus vaccinations to the “mark of the beast”– a symbol of submission to the Antichrist found in biblical prophecies, Revelation 13:18.

As a scholar of religion and society, I know that this skepticism among evangelicals has a background. Suspicion from religious conservatives regarding the COVID-19 vaccine is built on the back of their growing distrustof science, medicine and the global elite.

‘Anti-Mask, Anti-Social Distance, Anti-Vaccine’

Vaccine hesitancy is not restricted to immunization over COVID-19. In 2017, the Pew Research Center found that more than 20% of white evangelicals – more than any other group – believed that “parents should be able to decide not to vaccinate their children, even if that may create health risks for other children and adults.”

Meanwhile, there are concerns that many white evangelicals are becoming more radical. Faith is not in itself an indication of extremism, but the attack on the Capitol on Jan. 6 showed that there is a problem when it comes to some evangelicals also holding extreme beliefs. White evangelicalism, in particular, has been susceptible to Christian nationalism– the belief that the U.S. is a Christian nation that should serve the interests of white Americans.

Those who identify as Christian nationalists believe they are God’s chosen people and will be protected from any illness or disease.

This proves problematic when it comes to vaccinations. A study earlier this year found Christian nationalists were far more likely to abstain from taking the COVID-19 vaccine. It builds on research that found Christian nationalism was a leading predictor of ignoring precautionary behaviors regarding coronavirus.

Christian nationalists tend to place vaccinations within a worldview that generally distrusts science and scientists as a threat to the moral order. This was seen in the response of many on the religious right to guidance on masks and social distancing as well as, now, vaccines.

And in some cases it was driven by church leaders in the wider conservative evangelical community. For example, Tony Spell, a minister at the Life Tabernacle Church in Baton Rouge, Louisiana, defied authorities in holding mass church gatherings even after the state deemed them illegal. He has also rejected warnings that the pandemic is dangerous, stating, “We’re anti-mask, anti-social distancing, and anti-vaccine.”

He believes the vaccine is politically motivated and has used his pulpit to discourage church members from taking the vaccine.

This anti-vaccine attitude fits with the anti-government libertarianism that predominates among Christian nationalists. Many within the movement place this belief in freedom from government action within a traditional religious framework.

They feel that COVID-19 is God’s divinely ordained message telling the world to change. If the government tells them to go against that idea and vaccinate, many of them they feel they are either going against God’s will or that the government is violating their religious freedom.

Such a view was also seen before the vaccination rollout. White evangelicals were the least likely religious group to support mandated closures of businesses, for example.

Countering Misinformation

The problem isn’t just that Christian nationalist beliefs will be a considerable barrier to herd immunity. To dispel myths about the COVID-19 vaccination among conservative religious communities, church leaders need to be enlisted to communicate facts about the vaccine to their parishioners – who may trust church leaders more than scientists and the government.

For vaccination rates to be increased, messages must come from trusted people in the community. The opinion of a government official will in many instances matter far less to a Christian nationalist than advice from a church leader.

As such, I argue, faith leaders can guide their followers and use their pulpits to encourage parishioners that the vaccine is safe and in line with religious doctrines.

To enable this, church leaders need to both understand and communicate to parishioners the origins of the vaccine. Many evangelicals are under the mistaken impression that vaccines were developed using fresh fetal tissue and are immensely troubled by that fact.

In reality, none of the vaccinations for COVID-19 available in the U.S. was manufactured using new fetal stem cells, but the Johnson & Johnson one was developed using lab-created stem cell lines derived from a decades-old aborted fetus. Many evangelical churches have determined that it is ethical for anti-abortion Christians to take the other vaccines when there are no other options for the preservation of life.

Some within the wider evangelical movement have begun sounding the alarm over the influence of radicalized Christian nationalism.

After the Jan. 6, 2021, attack on the Capitol, a coalition of evangelical leaders published an open letter warning: “We recognize that evangelicalism, and white evangelicalism in particular, has been susceptible to the heresy of Christian nationalism because of a long history of faith leaders accommodating white supremacy.”

And many high-profile evangelical leaders acknowledge that they can maintain their personal and biblical integrity while also supporting scientific breakthroughs by connecting what they see as the wonders of God’s universe to science.

For example, Francis Collins, head of the National Institutes of Health and a devoted evangelical Christian, has said: “The church, in this time of confusion, ought to be a beacon, a light on the hill, an entity that believes in truth.”

“This is a great moment for the church to say, no matter how well intentioned someone’s opinions may be, if they’re not based upon the fact, the church should not endorse them.”

The Pale Scot

Every infected animal is an unguided experiment for the virus, like monkeys typing. I don’t know where the idea that viruses become less virulent as time goes on. Certainly didn’t happen to Small Pox, Measles or Ebola. More likely treatments become more effective resulting in less harm. Flu viruses are unstable enough to mutate themselves away (Spanish Flu). In the big picture there are models that indicate that a quick killing virus will die out simply because victims are dead before they can effectively shed large amounts virions so theoretically the disease will moderate. That goes out the window when there is a large reservoir of unidentified asymptomatic infected people. Every infection results in billions of virions being created, each an individual genetic experiment. Despite the optimistic talk that COVID has a slow rate of mutations, quantity has a quality all it’s own. 130 million infected globally times billions of virions made in each individual are a countless number of experiments.

A none significant number of young previously healthy people are getting intubated. Coolidge athletes that tested positive but were asymptomatic are presently lung and heart anomalies. Some of the vaccinated will get infected, some of those will shed. But the number of experiments/mutations will go down the more widespread vaccinations become, making it less likely that a more harmful variant will emerge.

Don’t let perfection be the obstacle to effective. Get vaccinated and keep wearing surgical masks. You won’t get sick, and there’s little chance of you infecting someone else

 
  1. Larry Gilman

    Well said. It’s simple: we should just get the damn vaccine, not because the demigods of authority say so but because the scientific data are copious, supportive, and publicly available. Complaints that we are being told to obey blindly baffle me: the opposite is true. Studies are being released daily into the peer-reviewed literature, and reported in the scientific and general press, on every aspect of vaccine efficacy and safety. The journal Nature summarizes key papers as they appear: https://www.nature.com/articles/d41586-020-00502-w Also of current note: “CDC Real-World Study Confirms Protective Benefits of mRNA COVID-19 Vaccines” — https://www.cdc.gov/media/releases/2021/p0329-COVID-19-Vaccines.html . The information problem is glut, not dearth.

     
    1. IM Doc

      I would love if someone – anyone – in our federal agencies or media could begin to explain this to the American public rationally and without panic or fear or crying.

      I am not seeing it. What I see is chaos, confusion, walk backs, lies, statistical contortions and distortions. I get to listen to my patients every day, many very bright people, struggle with this and what they should do.

      I never dreamed I would live to see the day that our CDC and other agencies were such a cluster. I literally heard the very same official say something on one station today and the exact opposite on another station.

      It has been gross incompetence. I was looking forward to this getting better with Biden. I am seeing no indication that is happening.

IM Doc

As far as the family members I have talked to they could care less about passports and foreign travel.

We use the word passport unfortunately in our conversation today about entering stores restaurants and events. A restriction of buying and selling. That is their concern – and it is in black and white in the 13th chapter of the revelation of St. John.

And FYI also ingrained in this theology is the concept that this will be a time of great coercion.

These Bobos in our public health leadership have truly hit all the marks. Having grown up in it,
I often get triggered when I hear theses officials talking.

The whole foreign travel issue means nothing to them. They view it as just one more way the elites are condescending. So continuing to talk about that issue further by the national media will just drive the wedge further. But when do they care about that?

  1. flora

    “getting rid of the Unvaccinated is not a question of ideology. It is a question of cleanliness,” …or something like that. (Did I read this in a history book? )

     
    1. IM Doc

      I know exactly to what you refer –

      And so do my family members. And they are feeling it every day.

      Here is the thing that most people do not understand. They have been getting ready for what they perceive as their “time of trials” as long as I have been alive. (And hint – so have others – similar things are going on right now in Amish/Mennonite and even more rural Mormon communities – hell I have even heard Catholic patients say things that have frozen my eyeballs). It is not just the vaccine. They view their culture and their way of life as under full frontal assault.

      And who can blame them? Most of these people live in the exact same areas that our public health officials and medical establishment have let rot with opiates while the Sacklers were laughing their way to the bank. We have allowed their economy and jobs to be shipped overseas. We are now telling them – many of them as dirt poor as I have ever seen – get over it ass wipe – leave your white privilege at the door. We have all got to watch the spectacle of our culture this year celebrating WAP and gay rappers being sodomized by Satan while doing lap dances on a stripper pole to hell. All of this has been foretold by their spiritual leaders to be the signs to get ready – here it comes. And you just have to trust me – they are getting ready.

      The elites of this country can laugh and condescend and make fun and name-call all they want – it is being duly noted. They are completely ignoring you at this time.

      I have been a liberal Dem most of my adult life. I thought they represented the little guy and the common man. Those days are now over. The left wing in this country today seems to be congenitally unable to pull their heads out. I certainly am not enamored of the GOP. It is a true indication of where we are that our polity is getting worse as the need for it to be functional grows every day.

      I may not believe with my family anymore – but I can certainly see their perspective in life. How hard would it have been to find folks that understood them – and were able to talk to them at their level? I am afraid that time has passed. Trying to get their preachers on board at this late stage is LOL funny and is evidence of what I am talking about – these officials and pundits literally have no clue.

      This is not going to go down without a fight – and threats of coercion and authority are only going to make it worse. There is a reason that guns and ammunition have been selling like hotcakes for the past year or so. This is not going to be the same story as Nazi Germany and the Jewish people. I am sensing a much closer correlation to the French Revolution and the rot of the elites during that time frame.

      I may not like it – I may personally abhor it. But to ignore it, to try to talk over it, to try to sweet talk is just not going to work. To try to “woke” our way out of it like this article above is the last thing we should be doing. The sooner the officials learn that the better.

      Sorry about the rant. I have deep respect for my family members – even with how much I disagree with them. I feel strongly that their voices need to be heard in any conversation like this.

  1. IM Doc

    As if we needed more evidence of the severe emotional strain that our young people are under – and that I have been seeing all year – Everyone should look at the tweets put out recently by the young man who assaulted the Capitol today.

    His name is Noah X – and he is apparently a follower of Luis Farakkhan. But he referenced in his tweets Elijah Muhammad (Jesus) – and the Beast and the End of Time.

    How ironic that this post was put up this AM.

    I am telling you, I have never seen anything like this in the 30 years of medicine. The extreme mental stress this pandemic and all the issues surrounding it have placed on our young people. I am seeing it every day of my life. I am many days as dark as I ever felt in my life. If you want to know why many health care workers are at the breaking point – this is why. I would not at all be surprised when this whole story comes out that there is a physician or provider somewhere who saw this young man – and his suffering. And felt powerless to do a thing about it. All I can say is that after awhile – it really begins to get to you.

    What gets me is that so many older and more well off seem to be totally blind to what is going on. What is more deeply disturbing in the face of a tragedy like this that all sides are rushing to politicize this on our broadcast and social media. WINNING!

    Last night was Holy Thursday. We watched as the feet of the lowest among us were washed. Man, do we all ever need to absorb that lesson in our souls.

    As I have said many times – I appreciate this website – it allows thinking people of all stripes to vent, to explain, to learn from one another with respect and dignity – I wish the rest of the country were like that.


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Good Friday and Easter Church Raid Attempts by Police Over Covid Intensify Conservative Christian Vaccine Hesitancy

Posted on April 5, 2021 by 

Yves here. We didn’t expect to return to a heated topic so soon, that of conservative Christian resistance to Covid 19 vaccines, which we discussed late last week. As the post described, they have two grounds for concerns. One is the use of fetal stem cell lines. The connection to the vaccines may seem pretty strained to those not sensitive to this issue, but it isn’t fabricated.1

The second is that the proposed vaccine passports sound like the Mark of the Beast. Lambert found the relevant section in Revelation 13:

11 And I beheld another beast coming up out of the earth; and he had two horns like a lamb, and he spake as a dragon….

16 And he causeth all, both small and great, rich and poor, free and bond, to receive a mark in their right hand, or in their foreheads:

17 And that no man might buy or sell, save he that had the mark, or the name of the beast, or the number of his name.

18 Here is wisdom. Let him that hath understanding count the number of the beast: for it is the number of a man; and his number is Six hundred threescore and six.

In the last three days, as the post explains below, two heavy handed police actions against Catholic churches, both outside the US, have heightened vaccine concerns in some conservative parts of America. While the plural of anecdote is not data, IM Doc said they were major topics in his part of flyover…when vaccinations had already fallen off sharply.

Biden as a Catholic could speak to his fellow believers and Catholic leaders to try to repair the damage. But is he too far removed from ordinary people in the heartland to have the foggiest idea what is happening?

I am not able to ascertain how prevalent these attitudes are. I don’t see it in Birmingham, but this is a small city where the medical industry is the dominant employer, and Baptists are the largest religious group, followed by Methodists and Catholics. 5% are Pentecostals and we have roughly as many Mormons as Jews, both under 1%. That is a long winded way of saying that evangelicals are not a significant force here, although I imagine that varies widely in cities across the South. Since we are near the dead bottom on vaccination rates (they’ve only recently opened up vaccinations to everyone 55 or over, and distribution outside mass vaccination centers is still pretty limited), I doubt we’ve hit saturation of those keen to get a shot.

More generally, we are in the midst of a collision of religions: traditional sects versus the cult of experts. Economist and Biden supporter Paul Romer warned of the dangers of elite authoritarianism last October, and Lambert thought it important enough to devote an entire post to it. The Covid topic then was contact tracing but the same general principles apply:

 

 

By IM Doc, an internal medicine doctor working in a rural hospital in the heartlands

My worst nightmare concerns are starting to come true and the media will not be able to hide this for much longer. Today, I am not concerned about the SCIENCE of medicine – I am concerned about the ART of medicine.

The ART can best be summarized as encouraging patients to do the right thing for THEM. With regard to COVID 19, that would be to meet the patient at whatever level they are and find ways to encourage social distancing rules, masking and to correctly guide them on vaccine choice. It would also include encouraging them to be engaged in the healthiest behaviors possible during this time of crisis. Eat well, exercise, sleep and de-stress.

The ART is often much more important to a physician’s medical outcomes than the SCIENCE – something our society and our medical establishment has long ago forgotten. ART requires as a foundation explicit trust and honesty between a patient and the physician. There is no other way.

Yves, I appreciated your post the other day on the Christian Nationalism aspect of COVID 19. I made a comment on the post about this not just being an Evangelical problem. I even suggested in the comment that there could be issues brewing among Roman Catholics, based on what I had been hearing as a physician.

As of Easter Sunday, there are now multiple videos being widely circulated and they all speak to the issue better than I could ever type out in a comment. I have been seeing this problem slowly brewing for weeks and it has largely been completely ignored by our mainstream media.

These videos have both gone viral on our social media in the past 24 hours:

 

This video is from a Polish Catholic church somewhere in London. To say that it reminded me of a Dalek invasion straight out of Dr. Who is an understatement. Also – it appears that Big Brother has now arrived in our Good Friday mass.

Oh but this one is even better – This is from Calgary Alberta Canada. And in my rural parish this Easter morning, this was the main event being talked about by everyone.

 

At the time I put this tweet here – there were 1.2 million views – and I am certain many of them were at our Easter Mass this AM. There is a phrase used here to express the people’s reaction that is so apropos – “whomper-jawed”.

I will state for the record officially today – the public health authorities have lost the narrative. They apparently have also lost their minds. If they think this type of behavior on the most Holy Days of the Church is not going to go unnoticed – they have rocks for brains. This kind of thuggishness is not going to help their cause in any way; rather, it will make these people dig in more. And trust me – as of this Easter Sunday AM – they are digging in. Bunker-style. A clarion call has gone out and it could not be more clear. And I am talking about Roman Catholics – not my Evangelical family – they went off the reservation long ago. Now even my Orthodox friends have taken notice.

As I have been stating over the past few days – the authorities have repeatedly allowed discredited, hypocritical and lying Hoohahs to be their voice in the national media. Outside of our big blue cities and states – NO ONE AMONG MY PATIENTS COULD GIVE A RAT’S ASS WHAT THESE PEOPLE HAVE TO SAY ANYMORE ABOUT THIS PANDEMIC. I hear this refrain constantly every day. The lying, dissembling, crying, misstatements, backtracking and hypocrisy have taken their final toll. If they are not careful, they will soon be public enemy #1.

We have made many errors as a society in the past 12 months, but probably the most important mistake is hardly ever mentioned. One which our forbears in public health, like my father, worked to eradicate for decades. It is very simple – national “one-size-fits-all” narratives and plans in public health do not now nor have they ever worked. Never have. Never will.

There is a very good reason we have local health departments with trusted and elected figures to run things and to communicate. These people have their ears to the ground in their communities. They are trusted neighbors, often elected. That means there is accountability.

Over the past generation, we have largely decided that this is a system that we could no longer afford. So instead we have installed a national “one size fits all” bureaucratic octopus – and this fiasco is what has been wrought. And obviously not just in the USA. Combatting a pandemic in urban blue America is very difficult to do as we have all seen this year. But combatting a pandemic in the Rockies, or in the South is not even closely the same.

As just one example of many, who in rural America could forget our hospitals standing empty for a good 6 weeks last Spring with zero patients in many places while NYC was in a crisis? It was just a sign of mass disorganization which likely would never have happened a generation ago. Trust me – I could go on and on with examples for an entire novel-length discussion. The centralized bureaucracy “model” has been a complete bomb. I am not suggesting there should not be a CDC or an NIH. I am however suggesting that my people in my county should be much more attuned to their local authorities rather than Rachel Maddow or Dr. Fauci.

The tenor of what I am hearing from the MSNBC types, the UMC, the professionals, has become deeply disturbing. To wit, just call these stragglers names – yeah – then they’ll take the shot and willingly comply with orders. They’re just stupid after all. Or better yet, just let the dullards die. “Science” is telling us to take the vaccines – and only morons don’t get it. I have absolutely had to remove dailykos.com from my toolbar because it is obvious those people really do not have a clue. The partisans in our country have completely lost the gift of empathy for the other side. Those of us in the middle are left to just shake our heads and “fan ourselves” as my grandma used to say.

One of the founding tenets of public health is that shaming and name-calling have no place, certainly not in an emergency. I hope we are all beginning to understand this simple concept. I had the opportunity to speak with someone from the CDC this week. He asked me about vaccine hesitancy and loss of stringency in social distancing and masking that is becoming apparent in my area. I told him – and I will tell you all – the strategy must change and do so now if there is any hope of salvaging this situation. The MSNBC crowd have largely been the ones lining up to get vaccines. Most of them have now gotten their shots. Our agencies must immediately yank the HooHahs off the air – and get someone else to reach the rest of this country without all the backtracking and theatrics. I just do not know who that would be, nor do I know if the damage is already permanent. In my opinion, a big move like firing Dr. Fauci would likely do wonders. At this point – who cares what the MSNBC crowd thinks?

A few data points to consider out here in flyover country.

My wife has decided to take the J&J vaccine. I have too. We are going to take them on separate weekends so someone will always be well to take care of the kids. The J&J vaccines are available in our county. My wife called the pharmacy early thinking there would be a wait for an appointment. Not at all, just show up anytime. And we were there yesterday AM. The pharmacist informed us that this was only the 10th COVID vaccine of any brand administered the whole week. They have boxes of vaccines – and no one is taking them. The rush about a month ago is long over.

During the homily this AM, the guest Roman Catholic priest, an emigre, showed the above videos on the monitors and informed the crowd to be prepared to “fight for the faith”. He never thought he would see behavior like this in the West – behavior that was very common when he was a young priest in his home country.

He also suggested to think twice before taking the vaccines – they had all been tainted with fetal abortion cells. I know this is true of the J&J vaccine.1 I am also aware the Catholic Bishops have said it is OK to take the vaccine. In the minds of the majority of Catholics out here in the netherlands these days – they also remember that the Catholic Bishops vehemently said that raping boys by priests was supremely uncommon and when found would be taken care of with an iron fist. We all know how that worked out.

In brief – I am finding it ever more fascinating to live in a culture where everyone is trying their best to do the right thing – but the level of trust in our institutions is now approaching ZERO. That includes political, health, medical, media/entertainment and now sports – just about everything. I never thought I would be living in these days in America – but here we are. Our elites have been working diligently on this banquet for decades – now, the feast of consequences is being served.
 

James P.

First this from the author:
“The partisans in our country have completely lost the gift of empathy for the other side.”

Followed by:
“At this point – who cares what the MSNBC crowd thinks?”

Ironic. Clearly the author has taken a side. The new popular approach: pick a tribe but decry tribalism.

 
  1. IM Doc

    I am most definitely not on any side. I find both sides grotesque. What I meant there and what is clearly stated in a clumsy fashion is that one group has largely complied. If this is as critically important as we are being told we should be concentrated on the other side which has up until now by anyone viewing this with a fair lens been given short shrift by our media and leaders.

Kurt Sperry

Are dissenting opinions actually welcome here or is this another bubble? I guess we’ll soon find out.

The anti-vaxxers (and I am deliberately avoiding misleadingly anodyne euphemisms like vaccine-skeptical or vaccine hesitant) are going to pay no more attention to what I or anyone outside their hermetic ideological bubble think than frankly I will to their batty opinions. This is intrinsically a tribal binary divide with very little middle or shared ground to work in. Either you believe in and take the vaccine or you refuse it; pick a side, there’s no equivocating this time.

Anyone who’ll voluntarily get into a car to drive across town to do something unnecessary and not tremble in fear at the danger yet will at the same time pause before the unambiguously far lesser danger of getting a vaccine quite likely not only to save their life but to protect those of their family, friends, neighbors, and fellow citizens is manifestly incapable of assessing relative risks in a rational manner. And this is leaving out the pure selfishness of thinking and acting this way.

 
  1. Yves Smith

    You clearly did not read the post, or at least not with care. These are religious objections, and they go beyond assembling.

    We mentioned at the top The Mark of the Beast concern. The vaccine passport threat is now being bandied about as a compliance measure. That’s despite the fact that many of its promoters have not checked on its legal status (you cannot require people to take a vaccine approved only under an EUA under Federal law, so not in any Federal or governmental context, as well as in employment).

    Some commentators claim that private businesses can still impose them under the “no shirt, no service” standard. But that fails because this isn’t a status you can ascertain based on public/visible information. It runs afoul of civil rights and privacy statutes in many state and even cities (no way is this legal in Denver, for instance).

    So we have a lame-assed idea that at most could be imposed only in certain states in a pretty narrow context. Yet this is being bandied about in the US as something imminent, when it triggers evangelicals who otherwise might be persuadable (they don’t have issues with fetal stem cells).

     
    1. Kurt Sperry

      “Mark of the beast concerns” are for me as an agnostic on a par with “invisible unicorn concerns”, “disembodied voice in my head concerns”, or “alien lizard people concerns”.

      I have no opinion on the legality of “vaccine passports”, a subject I never broached in my post, but I’m hoping they are found legal as I think they might likely help nudge some fencesitters over to the vaccinated side if they allow access to events, travel, and recreational opportunities that cannot otherwise be responsibly held. Plus I’ll feel a lot more confident having the freedom to choose attending events and traveling knowing I’m not sharing enclosed spaces for hours with anti-vaxxers, as even after I’m fully vaccine-protected some small contagion risk will inevitably remain.

      Additionally, and perhaps most importantly, the anti-vaxxers, if sufficient in numbers, will unnecessarily keep the pandemic ongoing far past the time it should and as a direct result cause a lot of completely needless and gratuitous death, life-long disability, and massive economic harms that will inevitably disproportionately effect the poorest and most vulnerable among us.

       
  2. IM Doc

    I will tell you that anti Vaxxers do not bother to talk to me about this. The people I see all the time are folks who have dutifully taken vaccines for years and this one has them concerned.

    I would urge everyone not to conflate these two groups. Completely different

Tom Stone

When you are dealing with the morally and intellectually inferior firmness is a necessity.
And so is the occasional “Noble lie” for the common good.
The deplorables can either get in line or get hurt, it’s traditional.

 
  1. IM Doc

    For 30 years in my professional career, I walked among those with credentialed education and Ivy League paticulars. Our PMC has decided that that intelligence and wisdom only flow from those with such a background. Yet another almost daily mistake I see being made by our media figures.

    I believe, and I may be wrong, that it was Noam Chomsky who several years ago wrote a nice long passage about this very issue – indeed he suggested that it was actually easier to prove that intelligence and wisdom were mainly to be found in the non-credentialed.

    Now that I have been out among the “deplorables” as you call them – and as so often they are referred by the credentialed class – I can assure you that I cannot agree with the good Dr. Chomsky more vigorously.

    Non-credentialed does not equal moral and intellectual inferiority. Indeed, I have learned the past 3 years that if I was ever stuck on an island Survivor-style, I would want to be surrounded with the folks I stand with now – and not the ones I spent the past 30 years with. And most certainly I am so relieved that my children are learning values from these deplorables rather than the educated fools that populate our cities.

    Our move to the hinterlands has been probably the most illuminating journey in our lives.

occasional anonymous

“Non-credentialed does not equal moral and intellectual inferiority.”

No, it doesn’t. But being a petulant Karen or manchild who aggressively refuses to do something as simple as wearing a freaking mask does.

I’m breaking hard with NC on this. Yes, our leaders, the media, and our ‘healthcare’ industry have failed over and over and over again over the last year. But that doesn’t excuse the fact that an apparently significant portion of our population have chosen to act like fools. In the end personal responsibility is a thing, and I’m tired of us trying to come up with systemic reasons to excuse the idiocy of individuals. As Lambert has said repeatedly: Russian roulette is risking your own life, while American roulette is risking other people’s lives. I actively resent these morons; they’re putting everyone else at risk.

IM Doc

These morons as you call them are the ones who risk life and limb dealing with animals so you can eat – and with oil pipelines and down the mines so you can heat your home.

We seem to lose sight of this constantly.

Their day to day life and jobs are so incredibly physically difficult and complete disaster is always around the corner – that many of them do indeed have the attitude of “What is a virus going to do to me that these bulls have not already done?”

They are not morons. They are not going out of their way to inconvenience you or anybody. They laugh out loud at this kind of preening. Many of them stare death and dismemberment straight in the face daily. And have the scars to show for it.

I used to think like you do. Those days are long gone. I deal with these people every day. Maybe you should get out into the rural areas of this country a bit more. It has sure changed my perspective.

 
  1. IM Doc

    I do not know who you are. I do not want to come off as harsh on you either. Believe me I understand. I have learned over the past year to deal with people where they are. It is my job. It is my profession. There are thousands like me all over this country doing their very best to deal with this situation.

    I have learned a lot about how to deal with these “morons.” It has been a whole year of a step forward with me and then three steps back with the chaos in our media. I have been able to make great strides with many of them. But it has certainly not been done by name-calling or virtue signaling.

    Indeed, I have found this to be the best way to live life outside of medicine as well. Time and experience teach us quite a bit if we keep our minds open.

     
  2. occasional anonymous

    I work on a farm. Don’t give me this ‘so I can eat’ crap. Being a laborer doesn’t necessitate someone to be a stubborn fool.

    Good job just throwing all workers under the bus like that though. So in your mind ‘covidiot’ equals ‘working class’?

     
    1. IM Doc

      Not at all – I usually do not refer to anyone as a covidiot. It does not get one far in my business.

      All I can say I am relieved I am the one trying to deal with these people. Not all of whom are farmers, ranchers, or roughnecks by any stretch of the imagination.

      People with your attitude have been dealing with them all year on the legacy and social media – and you can see where it has gotten us.

       
      1. occasional anonymous

        My frustration is one created by a year of observing and trying to interact with these Cro-Magnons who are not just stupid, but aggressively stupid. Being polite to them hasn’t worked. Trying to handle them like children and talk down to their level hasn’t worked. No, continuing to insult them isn’t going to work, but freaking nothing else is working either.

        Here, can we please stop the pretense that the reason many people are are being idiots about this epidemic has anything to do with the (many) mistakes of the WHO, CDC, etc etc? Compiling a list of the many elite and institutional errors misses the key point that many people who refuse to even do basic things like wear masks aren’t even aware of those many errors, because they were never paying attention to official pronouncements to begin with. They were getting their news from Fox and Facebook groups. They were refusing to wears masks from jump. And in fact if you go back to the Spanish flu epidemic a century ago we see literally the same kind of stubborn stupidity.

        I’d throw up my hands and say ‘just let them kill themselves’, but unfortunately diseases don’t work like that.

IM Doc

I cannot say it enough – the people are no longer listening.

To the federal public health authorities – The people are no longer listening. At least enough of them to make any difference. This has been caused by many things – but not the least of which has been the outright bumbling incompetence you have so expertly displayed repeatedly this past 12 months. It will be fodder for management, marketing, and communication classes for a generation – as in how not to do things.

I am not sure what to make of this. Thankfully, this event is largely outdoors with an open roof so hopefully lots of ventilation.

If I were you – I would be moving to PLAN B. And I would be getting input from as many local health authorities and providers as I could.

I cannot say this loud enough – you have completely lost the narrative.
 

2:00PM Water Cooler 4/5/2021

Posted on April 5, 2021 by 

nimmpau

It’s almost as if, when they say the vaccine is 92% effective, that means it is also 8% non-effective.

 
  1. IM Doc

    This is a classic example of the way that Big Pharma manipulates data for public consumption. The entire 92 and 8 and 95 and 100 % effectiveness reporting is very much not what the average person thinks it is. It is the old ABSOLUTE vs RELATIVE schtick. The RELATIVE numbers are much higher – 92 95 etc – and much easier for the vast majority of people to digest – but it is actually not representative of what most people think it is.

    I have literally had to explain this hundreds of times since the vaccines came out to my patients in person. Pharma has been using this statistical contrivance since way before I was an intern in their ads and glossies – one of the very first lessons in medical epidemiology class is how to cut through this to get to the real numbers.

antidlc

Interviews on the news last night re: sold out Rangers game.

Granted, it was just a couple of people who were interviewed.

The people who were interviewed said they felt “safe” going to the Rangers game because they were vaccinated. One also mentioned that since they would be outdoors, they would be OK. (Hope they didn’t have to use the restroom.)

From my own experience, I had to explain to a family member that going to a restaurant for Easter was probably not a good idea even though said family member was vaccinated.

Response was, “Well, I’ve been vaccinated.” I tried to inform said family member that large groups should really be avoided (like going to a restaurant on Easter).

Response was, “Well, I’M GOING.” (very emphatic)

I think people have this feeling of invulnerability once they have been vaccinated and either don’t understand or just don’t want to hear about the risks of going out in large groups.

I really think there are a lot of people who think their lives can return to “normal” once they’ve been vaccinated and they can resume their pre-pandemic activities and go back to doing whatever they want. I don’t think they understand (or just choose to ignore) the risks that we still face.

My two cents.

 
  1. IM Doc

    I must add that last night was a real epiphany for me with my Facebook friends.

    I have quite a few physician contacts in the DFW area. Some of them have been repeatedly on Facebook loud and proud since December, showing off all their lovely masking efforts, putting up videos to shame and humiliate social distancing scofflaws, showing themselves getting the vaccines, shouting down anyone in their comments asking legitimate questions about safety and efficacy. You get the point and probably have your own to follow.

    Yesterday evening right before bed I glanced over my Facebook feed. There were two of these self-same physicians at that game. No masks, hugging others around them and they were proudly posting these pics. When confronted about the fact that indeed masks and social distancing were supposed to be employed at that game by commenters ( their own family members and in one case an actual patient) , the commenters were loudly screeched down – WE ARE VACCINATED – BUG OFF! GO GET VACCINATED, DULLARD- and THEN YOU CAN HAVE FUN TOO! – Those are not exact words – but that was the general message.

    I want no one to have the impression that I feel it is just our national medical leaders who have exhibited issues during this pandemic. I have come to realize that my profession is slowly but surely taking up almost cult-like behavior. And actually believing it. I am waiting to see who will be the Jim Jones figure that blows it all up.

    2 thoughts that kept going through my mind as I was going to sleep last night –

    I know personally the old professors who trained these people and they would be hanging their head in shame. I really do not fit into this old world anymore.

    More importantly –
    I hope this all works out with the vaccines the way they believe it will and that we are all hoping. If not, GOD HELP US!

     
    1. Lambert Strether

      > WE ARE VACCINATED – BUG OFF! GO GET VACCINATED, DULLARD- and THEN YOU CAN HAVE FUN TOO!

      Well, if that’s the baseline, and it’s a pretty low baseline, the vaccination numbers should keep steadily rising, hopefully outrunning the variants. And one has to admit that, stupid as “you can have fun” might seem to an introvert like me, peer pressure will result from it, and cut down on the hesitancy.

       
      1. IM Doc

        Again, I am hoping that these early good-looking numbers will hold and also hold up with the variants. I would just not be so cocky and arrogant about this type of thing.

         
        1. Lambert Strether

          No, neither would I, but if previously hesitant Joe Sixpack gets vaccinated because he wants to have a few beers with his friends, I’ll take the win. Perhaps, also, the great unwashed are showing us a better form of messaging than weeping or shaming.

           
IM Doc

One little observation that is tangential but very germane to this article.

Our health officials and Big Pharma seem hell-bent on vaccinating teens and kids as soon as possible. Despite the fact that kids have just a miniscule chance of getting ill. I believe the numbers from the CDC in the past week revealed a total of less than 150 serious illness or death in kids in America out of 85 million kids.

It seems completely absurd – and I feel unethical – to be contemplating vaccinating kids in this country before every old or infirm (in other words high risk for death/morbitity – but also high risk for variant production) person in this entire world has been vaccinated.

I have seen this concern repeatedly stated by epidemiologists in this country accompanied with a face palm – it is just they are not the medical “experts” pumping Pfizer stock on the TV.

This problem is going to have to be solved by the world – not individual countries. If that advice is not heeded – the consequences may be severe.

Furthermore, as it was nicely pointed out by someone on CNBC this AM – the average blockbuster drug in this decade in this country is a 20 billion dollar generator over 5-10 years. This vaccine has already put SIXTY BILLION or so into Pfizer’s coffers – risk free. They are going to do everything they can to keep that cash coming – whether it improves the health of the world or not. Hell – three boosters a year – why not?

The corporate money grubbing – what is it going to take to reach its event horizon?

 


temporaryreality: (Default)
Short one this time because the next one is lengthy.

 I'm unsure what article this first poster is remarking on:

  1. Geof

    A very large percentage of the population is hip to this wide-spread institutional rot, and he is practically oblivious to the fact his esteemed profession may well be deeply affected. Physician heal thyself.

    I very much agree. From the article:

    The problem with that establishment, as Mr. K. sees it, is not just its drug pushing and profiteering, but its censoring of people who disagree. For instance, in July . . . social media companies removed a viral video of physicians suggesting (misleadingly) that hydroxychloroquine was an effective treatment for Covid-19

    The article describes this as “his perception that people questioning medical dogma are censored” and “these instances of so-called censorship.”

    The removal of videos about hydroxychloroquine and ivermectine, and suppression of challenges to WHO dogma, such as early calls for masks, concern about aerosols, and the lab leak hypothesis, was not “so-called” censorship. It was censorship.

    Even an article like this, calling for empathy and understanding, is unable to face the facts of censorship and the catastrophically poor choices of health officials. I have tremendous sympathy for many in the anti-mask anti-vax brigade. Our health elites have demonstrated time and again that they are not honest – this suggests they are not even honest with themselves.

    My lack of trust does not push me into automatic rejection of the vaccines. I am much more concerned about the (large) risk of long covid than the possibility than the (real, but probably very small) risk that these novel vaccines might trigger something nasty. I look forward to getting vaccinated at the earliest opportunity. But every time I read something clueless like this, my general disinclination to trust anything the experts have to say increases.

     
  2. IM Doc

    I have said this before – and will say it again. My profession has tolerated unethical and criminal nonsense from pharma, hospital and insurance companies far too long.

    The overwhelming problems are now just old hat – and the physicians especially the younger ones – behave as if they are cult members.

    They have no awareness of the extreme damage this system is doing to individual people and our society in general.

    What you point out is completely true. I would guess 80% of physicians have little or no self-awareness – and are just mind-numbingly trudging along as if the profession still had Marcus Welby esteem in the wider society.

    Those of us able to recognize the Naked Emperor have no idea how to wake our colleagues up. After 20 years or so of trying in every possible way, I have largely given up and resigned myself to the future brick wall. It is definitely on the way.

RockHard

Re: Always Read the Methods Section

>The first question, always, should be: did the reporter read and understand the methods section?

I want to say that Probability & Statistics should be a required subject for all Journalism students, but it’s not like it would matter. Editors write headlines to get clicks because that’s really all that matters, and nobody wants to try to understand math or statistical methods, that doesn’t generate ad impressions.

——
Don’t apologize, Yves. This crew will be fine for a while, you take care of what you need to.

 
  1. IM Doc

    I am not sure taking classes in stats would help,

    As a faculty member for years at a Med school where epidemiology and stats are critical to understand, Med stats was one of the hardest for the kids to pass and these are bright kids.

    I would say about a tenth are able to fully get it and this is evidenced by the abysmal thinking on display for all to see right now.

    Who seemed to really get it? Kids that spent a lot of time with sports stats especially baseball and golf and kids whose parents played the ponies. I only wish I was kidding.

    There is a reason someone like Nate Silver got their start in sports.

The entirety of this might be of interest (before I get to IM Doc's comment):

Welcome to the Age of Hysteria

Posted on April 17, 2021 by 

Yves here. Synchronicity strikes! Lambert and I were discussing some of the extreme views expressed in comments yesterday. He attributed it to hysteria in the zeitgeist finally getting to the site. And now we have a theory as to why! It’s a neoliberal infestation.

By Marc Schuilenburg, assistant professor at VU University Amsterdam, the Netherlands. Originally published at openDemocracy

In 1980, hysteria died. That was the year it was removed from the Diagnostic and Statistical Manual of Mental Disorders (DSM) handbookand ceased to be considered a medical condition. But we need only look around us to see that hysteria has never been more alive – just consider the run on toilet paper at the beginning of the COVID-19 pandemic. Or the consumer hysteria every Black Friday, or the overheated discussions taking place on Facebook and Twitter every day.

We all recognise hysteria – the display of over-the-top emotions – when we see it. In fact, no sooner than it left the DSM handbook, hysteria seems to have migrated to every other sphere of our lives. No longer a medical condition, it is our era’s defining sociological phenomenon. What lessons can hysteria teach us about the societies we live in today?

Sociological Key to the World

Medical and historical researchers, psychoanalysts and philosophers, religious and gender studies scholars, as well as painters and writers, have all grappled with hysteria and tried to unravel its mysteries. From ancient Egyptian times until deep into the 18th century, hysteria was diagnosed as a convulsive disorder affecting women, caused by a ‘wandering womb’, which was believed to move freely through the body all the way into the head, emitting toxic fumes that led to hysteria.

Sigmund Freud’s work popularised the study of hysteria from a psychoanalytic perspective. Ideas like the Oedipus complex – in which hysterical behaviour is caused by a girl’s guilty feelings about her sexual attraction to her father – have become irrelevant. But a theory of Freud’s that still resonates is that hysteria is caused by traumatic events that cannot be put into words and are expressed instead through bodily complaints.

In the 1970s and 80s, feminist thinkers such as Hélène Cixous and Luce Irigaray turned sexist views of hysteria on their heads, rebranding hysteria as a female system of meaning outside official languages and cultural conventions. They considered hysterical symptoms to be a rebellion against the social and institutional order that restricts women’s freedom.

Although there are countless possible explanations for hysteria, we tend to ignore the sociological link between individual stories and the big picture. Yet hysteria has as much to do with wider political, economic and cultural changes as it does with the individual. Examining the hysteria we are seeing now and how it is being fuelled by societies that not only encourage and enjoy but also abuse and reward it, can tell us something about why people seem increasingly to fall prey to it.

A ‘Black Plague of Degeneration and Hysteria’

In 1892, the Austrian physician Max Nordau wrote in his book ‘Entartung’(degeneration) that the growing number of cases of hysteria were down to exhaustion caused by the rapid development of modern society. He argued that Western society was haunted by a ‘black plague of degeneration and hysteria’.

Nordau described an unhealthy fin-de-siècle (end of an era) feeling marked by the acceleration of technological change. Age-old traditions and stories were being pushed out by new media such as the telephone and the telegraph, which brought together people who had previously been far apart. Daily life was further intensified by the invention of the steam train, the gramophone and film, as well as the spectacular growth of cities, all of which put people in touch with new sounds, images and worldviews.

Everything that had once been small and familiar became large and overwhelming, creating a void of security and belonging, against which the body revolted through hysteria.

Who Am I, Where Do I Belong?

We are again seeing a steep decline of a primal sense of security, the social glue of society. Globalisation has cranked the speed of life into a new gear. In many countries, Anglo-Saxon neoliberalism has replaced social democracy since the 1970s, leading to a loss of solidarity and over-individualisation, raising questions such as: who am I, where do I belong, how important is my culture?

At the same time, there is ever less space in our societies for community or communal identity. Corporate chains have replaced social meeting places, ranging from public libraries to corner shops. These ‘palaces for the people’, as sociologist Eric Klinenberg calls them, reinforce public familiarity in a neighbourhood by allowing people to make connections, help one another, and offer refuge to those who feel excluded or diminished elsewhere.

The lack of a sense of belonging – often accompanied by feelings of fear, frustration and anger – is a recurrent factor in outbreaks of hysteria. In that respect, life has arguably returned to how it was in late-19th-century Europe. Not that society is the same as it was at the time of Nordau – too much has changed since then – but there are undoubtedly some very striking similarities.

Twitter Goes Bankrupt Without Hysteria

Where hysteria used to be a medical condition, we can now think of it as our era’s business model. It works by playing on these feelings of lack and insecurity. Social media is probably the most obvious case in point. Facebook’s business model is focused on offering a platform to frustration and anger, emotions that are infectious and in combination with uncertainty often lead to extreme reactions. The more hysterical your post, the more clicks and views you generate and the greater the advertising revenue for Facebook. This also goes for other social media including Twitter, which would surely go bankrupt tomorrow without hysteria.

Facebook and Twitter are increasingly viewed as addictive, and with good reason. Research shows that the chemical dopamine, also known as the happy hormone, is released in our brains when we are successful on social media. Getting lots of likes or followers activates the reward circuit of the brain, while uncertainty strikes when we are unfollowed on social media, making us feel empty.

War on Everything

The same is true for politics. We might not think of politics as having a ‘business model’ as such, but politicians constantly draw on society’s potential for hysteria, ‘selling’ citizens both the hysteria itself and their solutions to it.

Take the issue of public safety. Citizens are liable to get incredibly worked up about the issue of security and respond with vehemence to what is seen as a non-committal attitude to crime characterising their country. As a consequence, political discussions about public safety tend to end in the unanimous conclusion that more decisiveness is needed to solve all problems for good.

Such policies are spoken of in hysterical terms and with a preference for a macho military vocabulary: ‘war on coronavirus’, ‘war on drugs’, ‘war on terror’. Former President Donald Trump threatened to send in the militaryto quell the unrest in American cities sparked by the brutal killing of George Floyd by police officers on 25 May 2020.

Once the diagnosis of a ‘law and order problem’ has been made, we are flooded by a veritable tsunami of new punitive measures – only for the cycle to be repeated. Any politician suggesting that crime rates in Western countries have fallen spectacularly for years or that it is impossible to create a risk-free society, is accused of ‘looking the other way’.

The Experience Economy

It’s possible that a void, or a feeling of lack, is inherent to the human condition. Indeed, it’s this sense of lack that has driven human development, bringing us wealth and progress. But the market economy thrives off and magnifies this feeling of a void in our existence that cries out to be filled. Nothing is ever enough: four words that summarise today’s neoliberal economic order.

The experience economy, which is based on the premise that reality is the way people perceive it, expertly deploys advertising and exposure to stimulate consumers’ desires by creating a feeling of need. The launch of every new iPhone sends us running to Apple Stores in a crazed frenzy, even though everyone knows the difference between the old and new versions in no way justifies the expense.

I can’t get no satisfaction,” as a wise man once said. Even if we obtain the thing we desire it will only satisfy us temporarily because no single object, experience or person can fully satisfy the lack that lies at the root of our desire, which is constantly recreated in the consumer economy.

Getting Hysterical About Hysteria

When exploited as a business model, hysteria brings misery. But hysteria can also have the power to turn the world upside down, just as the hysterical, uncontrolled laughter of the Joker in Todd Phillips’ film becomes a call to finish off today’s rampant neoliberalism after the Joker loses his medication and counselling because of budget cuts.

In the 19th century, women started politicising their bodies to revolt against the suffocating conventions of the Victorian era. While this ‘hysteria’ led to many of its ‘sufferers’ being institutionalised, it also produced social reforms aimed at giving women the same rights and opportunities as men. The tightly laced corset disappeared, making space for more liberal views on marriage, sexuality and the right to work.

This is not hysteria in its most destructive, sinister form, in which people tear off their clothes and pull out their hair. I am talking about a constructive hysteria which sets things in motion. Constructive hysteria is an engine for change, a way of making a contribution to the world. It acts for the greater good rather than out of self-interest.

House on Fire

It seems to me that certain issues should be treated with a little less hysteria, while others could do with some more. No one is raising the alarm over the fact that 14.3 million of the UK’s 66.4 million inhabitants live in destitution, including 4.6 million children. Nor does anyone seem too worried about a large part of this group being homeless.

At the same time, eco-barbarism is running rampant. Roughly 1,000,000 of the estimated eight million plant and animal species on Earth are threatened with extinction, in many cases within a time frame ranging from a few years to a couple of decades. As journalist David Wallace-Wells puts it in his bestseller ‘The Uninhabitable Earth’, ‘Here, the facts are hysterical.’

While the planet is hurtling towards its demise, the debate about global warming revolves around how much it will cost to go on living the way we are now, and includes painstaking calculations of exactly how much money needs to be spent on measures to preserve the planet as well as our lifestyles. This reduces an ecological issue to a bookkeeping problem, to be resolved by a flight tax here, an energy subsidy there. The real issue, that we need to develop a completely new ecological awareness as well as a new and more inclusive understanding of such matters as ‘damage’, ‘care’ and ‘responsibility’, is not addressed.

You could argue instead that the sheer scale and disastrous effects of both issues should justify a hysterical gesture – one fueled not by profit and power but by the human need for survival and togetherness. Silence and inaction are no longer options. We do, after all, live in a hysterical world – and we know it.


This article is adapted from the new book ‘Hysteria: Crime, Media, and Politics‘ (Routledge 2021)

  1. IM Doc

    Dr. Nordau’s book “Degeneration” is mentioned in the very beginning of this article.

    I had to look twice at the publication date 1892.

    I do not believe it to be a coincidence that year is exactly the year at the end of the first wave of the last great Coronavirus pandemic. It continued on wave after wave for several more years.

    This has all happened before and will all happen again.
     

temporaryreality: (Default)
 

The CDC’s VAERS and Vaccine Complications: The System is Broken

Posted on April 19, 2021 by 

Yves here. As IM Doc indicates in passing in this post, he’s been keeping Lambert and me (and the other members of our Covid brain trust) updated on what he is seeing in the field, via the CDC’s Vaccine Adverse Event Reporting System (VAERS) and hearing from MDs at a major teaching hospital and in his network about the Covid vaccines. Recall that IM Doc was early to warn that vaccinations would soon hit a wall after those eager to take them had gotten their shots. He saw that in his area (which has a substantial wealthy/PMC population) before the J&J “pause”.

IM Doc has also been regularly describing his frustration and that of other physicians with the dearth of data and official advice. An example from a recent e-mail:

Is it not interesting that all of the press releases and information online and on TV continually refer to “a very rare condition”, “blood clots”, “blood disorder” in very nebulous terms. That could literally encompass hundreds of different diagnoses. As one of the other docs [on an internet conference] stated out loud:

There was a time when our federal medical folks would have this kind of situation and front and center would be an EXACT description of the problem and some kind of messaging to the physicians of America of what would we should be on the lookout for – and what we can do to treat…So far NOTHING about either issue – indicating they could not give 2 fucks about patients and physicians – this is now all about protecting Big Pharma and the money machine.

Indeed, this is most unusual, extraordinary as a matter of fact. Something has drastically changed in our federal agencies in just the past few years.

The last big issue involving the CDC was the vaping/lung damage issue and I was getting daily e-mails. I am definitely on their email list. I have not received a word about any of this – nor at this point do I really expect to. I have found nothing that is an exact clinical description of what is happening to these patients and what to expect. What I am able to glean from off-handed comments in a very few of the medical articles is that the use of any anti-coagulation agents especially heparin and lovenox, make things much worse. There is also apparently great concern about the newer agents like Eliquis and Xarelto. In other words, we have no treatment options. I am not exactly sure what we are supposed to do.

To say that I find it very concerning to not be informed of what exactly is going on is unprecedented and deeply concerning.

Now to IM Doc’s overview of the sorry state of vaccine deployment. This Administration is following the established Team Dem practice of treating every problem as if it can be solve with better PR. We are seeing that in a pandemic results in bad science, bad PR, and bad outcomes.

By IM Doc, a internal medicine doctor working in a rural hospital in the heartlands

I am the son of a public health officer.  As a young child, I saw my father struggle through the swine flu of 1976 and the vaccine debacle that accompanied that era.

As I grew older, and especially once I entered medicine, he had several heart-to-heart talks with me about a career in medicine and by extension public health.  I can summarize what he told me in two large thrusts.

1)  Integrity, truth, and honesty is EVERYTHING in public health.  Once squandered, it will never return.

2)  Public health is 10% science and 90% psychology.  Do not ever forget that.  You will get nowhere by screaming SCIENCE SCIENCE SCIENCE and you will certainly get nowhere by flashing credentials.  And you must have an acute awareness of panic, fear and anxiety.  They change everything and your response must always take that into account.

I have done everything I can as an Internist and Primary Care Physician to conduct myself with honesty and integrity and to respect the emotions and thoughts of my patients and my community.  To conduct myself any other way would be a fool’s errand.

So it came as no surprise to watch this Bill Maher segment on Friday night with my wife. 

 

 

And as if right on cue, the CEOs of both Moderna and Pfizer made statements this week that further vaccinations will be required.  I am not certain that anyone on the anti-vaxxer side is making more effective arguments in people’s mind than all of these official medical people.

I hear it every day all day from my patients.  We are already in a bad situation in this country with trust of our officials.  And then the safety bomb went off this week.

I am going to share the story of a very grim task I have had to do this week.  I have given pertinent details to Yves & Lambert, but to protect the complete confidentiality of the patient and her family, I will not be nearly as specific here.

I am going to talk about safety.  From the inception of this vaccine strategy, we have been told these vaccines were as safe as the other vaccines we use all the time.  We were also assured that because they were not yet approved, and under emergency use only, safety issues would be stringently followed.  I want to share my experience and my patient’s experience with this safety net.

It is very important to start this discussion with a federal system known as VAERS (Vaccine Adverse Event Reporting System).  I have used this system yearly in my career since its advent.  It has been invaluable to follow complications with the usual vaccines given in a PCP office – most usually the flu shots.  During flu shot season, I keep my eyes on it frequently to monitor any complications that may be arising in that year’s flu shot.  In December, I had noted that there were a few dozen deaths noted on the VAERS around the 2020 flu shots – which was right in line with previous years.  No practicing physicians take these numbers as 100% accurate, the system is flawed in multiple ways – but it is very helpful to follow overall stats/ratios and specific medical issues.  We all know these are not totally investigated cases – but benchmarks to guide our practice around vaccines.  In other words, it is now and always has been an invaluable resource.

In early January of this year, in my own patients, I began to notice in COVID vaccinated patients a small number who were having significant complications from various blood clotting issues.  These were very strange things that do not happen in the normal practice of medicine.  I emailed Yves and Lambert back then that I was becoming a bit concerned that this was happening.   

As has been my usual practice when there is a problem like this, I began following the VAERS system very carefully.  And to my great concern, I saw a very large number of cases of death and complications similar to what I was seeing.  The ratio of complications was quite startling – 100-200 times or so more than the control group of 2020 flu vaccines.   The VAERS system is currently reporting over 3000 deaths related to the Pfizer and Moderna COVID vaccines.  The numbers in the European registries are almost exactly in line with this as well.  I would guess from a simple perusal that about half these reports – both death and morbidity – are directly related to blood clotting issues.

VAERS was never a system meant to be perfectly accurate – but having a 100-200X difference in mortality rates should be attention-getting to everyone in medicine.  And yet instead of addressing this issue head-on, our medical leaders continued right on with the party line that EVERYTHING IS SAFE and GOING SWIMMINGLY – nothing to see here.   There were days that I felt like I was living in The Twilight Zone.

Because the nation’s medical officials were not addressing the problems, others noticed the VAERS reporting failures and started to publicize them. Of course, within weeks, we had articles like this one in Vice showing up and completely mischaracterizing the entire VAERS system and process.

When you start your article by lionizing an individual who has happily and admittedly committed both a federal crime (by placing fake reports) and a nasty breach of medical ethics, you literally can only go down from there. And they do. Such is “journalism” in America today. I do not like to call people liars – but that article reports more misrepresentations than I have seen in this entire year of COVID reporting. And the writers revealed a complete misunderstanding of the entire system. Like so many other things in our world today, research is optional.

The VAERS system is very cumbersome to use – both reporting and data presentation.    Every step of the way, you are reminded it is a federal crime to put false information.  It is also clear as a clinician that there are false reports there but they are a very distinct microscopic minority.  You can easily tell that most are submitted by fellow clinicians and it is very helpful to quantify issues in a general way and see if there are similar threads with your patients and the other reported ones.

Because of the novel nature of these vaccines, an app based system, VSAFE, was developed and widely implemented to report safety and side effect issues.  Unfortunately, I cannot even express the number of times patients in my office demonstrated that the app does not work – all that happened was the spinning blue ball.  In fact, when my own wife tried to report her side effects through the app, she gave up after 4-5 attempts. Never able to connect.  The whole experience reminds one of the last time the Feds tried computer apps – the disastrous Obamacare sign up.

My grim job this week was to report a vaccine related death to the authorities.  I have had to do this type of reporting on other occasions in my career, with other drugs, both approved and research trials, with both deaths and morbid complications.  In every single instance in the past, without exception, I have been contacted within 1-2 hours by either the FDA or the CDC.  They questioned me, discussed the particulars with me, and a collaboration was begun.

This death was much different.

A little about the patient situation. She had her vaccine about 8 AM on a weekday. It was the 2nd shot. Very soon thereafter, she felt electric shocks over her entire body. Later, she was having trouble speaking and could not stand up. She began having severe problems swallowing. I advised to go immediately to the ER. I will not go into details here but suffice it to say, she was having a profound neurologic problem. It was not a simple stroke nor was it a blood clotting issue. Because of the timing of symptom initiation, it was clear to me that the vaccine was likely involved. She was diagnosed with a condition that is very very unusual and is often associated with vaccine administration. She had 5 weeks of very severe pain and did not recover. She was eventually placed on hospice and passed away. Before she died, she told me to make sure that everyone knows that these vaccines are not as safe as advertised. Believe you me, her family is doing everything they can to make sure that this story is known all over the community. The patient herself was a very well-loved individual here – and this has been a blow to the entire area.

I am a licensed physician in a US state.  I am board bertified in Internal Medicine.  I made every effort to immediately report this death to the federal officials.  I called the FDA and ended up in voicemail hell.  I called the CDC and was literally hung up on twice.  Again, please contrast that reception to what I describe above in previous “non-crisis” years. 

After multiple attempts, I finally decided to report to VAERS.  This was almost a week ago.  To date, the VAERS has no record of my patient.  All that I have received is an email to confirm my submission.  No one from any agency has made any effort to contact me in any way.  It was of little comfort to note in in the New York Times, that the physicians trying to report one of the sentinel J&J stroke cases got a similar “hang up in your face” response from the FDA/CDC.

I want to reiterate – a patient has died.  A board-certified internist feels this is likely vaccine-related.  And no one has made any effort to contact me.  None. A complete departure from the past.  And this is a stringent safety-reporting system?

What am I trying to say?  The system is broken.  Therefore, we have no idea what is the actual safety profile of these vaccines.  The patients who have been affected know it.  Word is getting out that there are problems.  Social media is filled with all kinds of stories.  And our federal officials keep right on with the same “All is well – everything is safe” mantra.  We have media figures everywhere spouting out safety numbers that I can assure you are not accurate.  All in an environment when they are trying to convince as many as possible to take this vaccine.

This is all so sad.  The early efficacy numbers are looking good (we do not know how long that will last nor if they are effective against the variants).  But because of the bumbling of the federal response, and now the safety concerns, large swathes are turning their backs.  This environment is perfect for the creation of all kinds of conspiracy theories.  And believe me, they are out there and multiplying every day.  Things like this happen in the absence of trust and credibility.  It is simple human nature.  Just like my father said – public health is 90% psychology.

The primary care practitioners of this country and their patients are in a terrible situation.  It did not have to be this way.

IM Doc

As I stated in the piece – it is very critical to remember that the purpose of the VAERS is not to be 100% accurate. It, however, can be used as an early warning sign that things are amiss. It has in the past been vital in previous vaccine issues – such as Gardasil and RSV.

There were basically 20 vaccine deaths for the influenza virus in the 2020 year. If you look back for the past dozen years or so – that is right in line – a few dozen reports each year. Other sources tell me that approximately 130,000,000 doses of influenza vaccine were given in the year 2020. This too is not accurate – but is basically in line with previous years – even a bit higher than usual – there was a huge push if you recall to vaccinate everyone with the flu shot – thinking it would be a co-morbidity with COVID.

So the flu shot ( a good control cohort for another respiratory virus vaccine ) had deaths of about 20 in a dosing cohort of 130,000,000 making that ratio – 1 death in 6.5 million vaccine doses.

It is difficult to know where to cut off the COVID vaccine – because it is an ongoing process – so as of today – the VAERS is up to date as of APRIL 2. As of that day – the best info I can find is that 179,000,000 doses of COVID vaccine had been given around that date. And as of that date in VAERS we have 2700 or so vaccine related death reports. That is 1 death in 66296 vaccine administrations.

The COVID ratio for reported deaths/vaccine administered to the 2020 flu shot season with reported deaths is right at 98.

That is a startling differential. It is certainly not 100% accurate – but it is a very severe variance from a normal well-known vaccine like the flu shot. As I have indicated in the piece – the system is way behind, who knows what all is being processed at this time.

The point of the VAERS system is not to be 100% accurate. It is to be an early warning system – and to guide clinicians with their own witnessed complications and side effects.

It should be obvious to all that we have a problem.

It is my contention – that if the powers that be would just be straight and level with the American people that yes there is a huge safety problem associated with this vaccine – and we are doing everything we can to help and get us through this – that they would be light years ahead of where they are now. But that is not what they are doing.

The point is – in times past – the media would be jumping all over this – it is a huge discrepancy. Instead, the media is taking every opportunity to bash the VAERS system. It is telling a concerning story that they cannot fit into the SAFE SAFE SAFE narrative – and instead of dealing with the problem, they are bashing what system we have left.

I am certain that a young reporter could make his/her life’s reputation with this story like Woodward & Bernstein – but they seem to be nowhere to be found.

So people like me have to report this confidentially. Sorry – I know it is not ideal. The owners of this blog know exactly who I am – and I have been straightforward with them from Day 1. I cannot at this time risk being identified – we live in a nasty cancel culture. Maybe one day I can let it all be known – but not today.

I find it so interesting – that people dismiss things from anonymous sources that do not fit into their narratives – but are willing to soak it all in with things like Russiagate.

We live in an amazing world.

 
  1. Taunger

    I appreciate you breaking out the numbers and clarifying that the 100x number is in fact deaths, not just complications. Sobering material. It would be wonderful if our society could directly engage in the value of vaccination, if any, in light of these findings.

    Thank you again for your response. I did not doubt your earnestness, but the weight to assign the statements was hard to discern without some additional context.

     
    1. IM Doc

      You make another point that is important.

      The numbers above are just actual DEATHS.

      The number of morbid complications when compared to the flu shot is equally overwhelming if not more so – now numbering into the tens of thousands. And no – we are not just talking about fever and chills.

      Please go read through the case reports for yourselves.

  1. Hana M

    IM Doc, I couldn’t make head or tail of the VAERS database so I appreciate your breaking out these numbers. Could the deaths be heavily skewed because the earliest people vaccinated were frail elderly in nursing homes, and older, sicker individuals in later tranches? Thanks for commenting.

     
    1. IM Doc

      That is a good thought; however, the controlled group of flu shots is heavily skewed to the same group – there may be some variance but not enough to account for the severe discrepancy.

Basil Pesto

If I may, I think the main takeaway here is not that the vaccines are bad and no one should take them at all (though IM Doc can certainly correct me if I’m wrong), but that they have a risk profile all their own and the obfuscation of this fact, in the interest/at the behest of the pharmaceutical companies, or for whatever reason, is bad for a few salient reasons (in my own, potentially meagre understanding):

1. It weakens trust, which ought to be a sine qua non of public health

2. By downplaying, minimising, or obscuring the risks, or just pretending they don’t exist at all and you’re an anti-vax nut if you even entertain the possibility, it makes it difficult not just for patients, but apparently physicians, to adequately understand and assess the risks and make informed decisions about these vaccines, including on how to treat patients if serious adverse effects are experienced.

3. In a similar fashion, by presenting the vaccines as some kind of miracle cure that will see normalcy restored to the world in a matter of weeks/months, instead of adequately reckoning with the real-world shortcomings of these vaccines, it has the potential to undermine genuinely effective measures that reduce individual infection and communal transmission alike, such as masking, ventilation, etc., or lockdowns and border shutdowns for those jurisdictions that use those strategies. This could have serious long term consequences on a large scale.

 
  1. IM Doc

    You are correct in every way in my opinion.

    I am not anti-vaccination –
    However – I am very much attuned to people’s risk profiles. And we should be much more clear with people that this is not a “risk-free” endeavor.

and the take of another MD:

RM MD

Thank you for the IM Doc post. I was a board certified internist who practiced in the Midwest for 35 years before retiring 22 years ago. A longer perspective than the present pandemic is necessary to understand what is and has happened in medicine and public health. My first semester in medical school the tuition was $500 which was the same as the last semester at my undergrad private liberal arts alma mater. The Midwestern state in which I grew up and had all my graduate and medical training had in the early 1960’s an understood policy that the state was responsible to provide a medical education for the medical care of its residents. That education was superb and highly individualized with several mentors and covered nine years. It served me well in Vietnam and then in private practice. Beginning roughly 25 years ago the Dean’s letter requesting donations noted that state funds provided less than 5% of the medical schools operating budget. And that hasn’t changed.
The states obligation had dropped out of sight and as it did tuition sky-rocketed. Then in the 1980’s states decided public health funding could decrease and it did at the state and national level which along with the financial crises of 2000 and 2008 ended up with fewer funds for public health. Then with the Trump administration the CDC was further marginalized, the FDA corrupted and science in general demeaned in government.

As the pandemic exploded here in the US the information we got from the President and Fox was idiotic and the info from CNN and MSNBC with dozens of epidemiologists, ER docs, pulmonologists who were not explaining to me why the protean aspects of Covid-19 were occurring particularly the clotting issue. Renal dialysis machines clotting off was particularly striking. By April 2000 I had not seen a pathology study of the lung or any other organ which in medicine has been the foundation of beginning to understand a new disease.
The idea of a “storm” inflammatory and clotting factors by its simplicity was too easy. The fact that the endothelium (the lining cells of all arteries, arterioles, capillaries, veins, the heart and lymphatics) might be involved seemed like a significant step forward. In the lung the alveolus (air sac) becomes partially fluid filled from the infection and its partner capillary necessary for oxygen exchange clots might well explain the precipitous fall in oxygen levels. I kept wondering where is the Dr. Don Seldin, the Dr. John Hickam, other Deans and heads of Dept of Medicine? These were the real critical thinkers in medicine and I didn’t hear such a voice.

It has become clear that the pandemic of early 2020 is not the pandemic of late 2020 and 2021. The moveable parts of the pandemic change and keep changing including infectivity, age distribution of the infected, hospitalizations and deaths, the attempt to develop a vaccine infrastructure on the run with its increasing evident defects as IM Doc points out.

My conclusions follow:
1. The loss of the sense of health as “the public good” for medical education and public health has corrupted health care and a significant cause of outrageous cost.
2. My hat if off to those medical personal on the front line in the doctors office, ER, ICU who have worked to the point of complete exhaustion mentally and physically
3. The loss of a sense of trust will be difficult to and may not change as IM Doc points out
4. The media has failed to educate the public by poor choice of interviewers and interviewees. A doctor held with the respect of a Dr. Don Seldin or Dr. John Hickam should be asking the tough and unfortunately many times unanswerable questions to those physicians best able to respond. Forget the happy talk that has been epidemic during the pandemic. Anything less than honesty is a problem.
5. Profiteering should be criminal whether with a vaccine, masks or other necessary equipment to deal with a public health emergency. Financial penalties and jail time required.
6. Covid-19 is teaching us much about the infection however this is just the beginning and there will be much yet to be learned. Save the happy talk for when hundreds and thousands are not dying of the infection each day. Remember: Nature bats last.
 

  1. IM Doc

    I could not recommend this more highly – I listen to these two on their podcast every week. I do not think there has been a single one that has not made me think hard about all kinds of various issues. And that is very rare these days.

Re: Just published @nature
The largest study of post-covid sequelae, >70,000 hospitalized, >13,000 out-patients, with controls, characterizing the significant risks across all organ systems #LongCovid https://t.co/xdapBBqvt7 pic.twitter.com/CUhdGyF51U

— Eric Topol (@EricTopol) April 22, 2021

IM Doc

I will add my two cents about the above tweet. Having been informed by a patient experience I had this week.

I think it is critical to note the huge number of nursing home workers that are young women under 40 – both nursing and support staff. I do not have exact numbers but just from experience over 3 decades – I would say that demographic is 50-75% of the employees in nursing homes and rehab centers.

The NYTimes tweet above places the blame of the outbreak of COVID among vaccinated patients and staff at the doorstep of a young unvaccinated female worker. Of course – it is all the fault of the young rube making a disastrous decision. No one ever talks about the actual reasons why she is making that decision.

I have heard all these stories of the menstrual problems after the vaccine for weeks. Because I am an internist, that topic does not come up very often. However, I had my first patient encounter this week with a custodial staff member in a local nursing home. She has had a Mirena IUD in place for the past 12 months. She had minimal but appropriate menstrual flow with the device until late February. She had her 2nd Pfizer shot in late Feb – and then 1 day later began to have profound and severe menstrual flow. Way way worse than ever in her life. She has Obamacare – so she has a $10000 deductible – so she avoids doctor visits like the plague. Her husband finally dragged her in, tired of paying for literally boxes of pads every 2-3 days. She had bled her hemoglobin down to 6. My initial impression was the IUD had become somehow dislodged and damaged her. NOPE – No evidence of that found on exam by OBGYN. Perfect working order. No infections. No nothing – just a very profoundly hypertrophied endometrium. She is going to be fine and getting taken care of. Interestingly, I have NEVER not once seen this kind of thing with an IUD. I have no explanation why this or any other menstrual issues are happening with these vaccines.

BUT she has shared this finding with all the other women at work – and informed me yesterday a not so small number of them had very strange menstrual issues after their shot. Including a 60 something who had her first period in 20 years starting 2 days after her Pfizer 2nd dose.

I would make this point – there were enough women in the vaccine trials – to have noted this problem during the trials. And yet nothing was said. Was it noticed? Was it documented? I have learned from my OB GYN colleagues this week that indeed they have been seeing this issue – not in huge numbers – but definitely a phenomenon.

So you have young women with a problem like this going on at enough frequency that the rumor mill is engaged in a big way. Many know personally women who have stories.

And as usual – crickets chirping – from our federal officials. And they wonder why there is no trust.

You see – as a PCP – I deal with human nature – the human condition. One of the fundamental issues of young people is having children – especially women. You start having this issue occur and no one in authority is even making an attempt to address it – and what do you think is going to happen?

The older I get – the more I am beginning to believe that these elites are really not humans – they may be lizards in disguise after all.

And even more importantly – these young women are critical in the vaccination effort because of their jobs – as documented in the tweet above.

And unfortunately – one has not far to look to see how far the medical elites have their heads up their asses.

Dr. Gawande – I know you live in an ivory tower – and love to make proclamations from on high. Those of us who work with real patients and real people know that if you keep talking like that – the staffs of the nursing homes are just going to walk. Indeed, it has already started – talk to the HR folks in any of them across this country. You pay them so well – that they could just as easily be working at Burger King.

Keep it up – and we will have an even bigger problem than you can even possibly imagine.

My God – a little bit of trust and credibility goes along way. My profession has learned this over decades – and the medical elite in charge have just shat all over that decades of hard work in no time.

Rant off.

IM Doc

There is literally a betting pool among my academic medicine colleagues on how long it will be before Rachel Maddow begins referring to these vaccines as “Trump’s Vaccines”.

I am not a betting man. But it is intriguing to think about.
 

zagonostra

>Whatever. Focus on getting them to everyone who wants them more than trying to convince MAGA chuds

MAGNA Chuds? I didn’t know that Robert F. Kennedy Jr. was a MAGNA. Marginalize those with have criticisms of WHO, Bill Gates, vaccine immunity liability, and all those other tin-hat wearing conspiracist theory aficionados and you will never get a majority to vaccinate. Yeah, concentrate on those who you can convince to get it.

I have friends/family on both sides of the issue of getting vaccinated. If you can’t be respectful, and all you can do is virtue signal, than good luck Mr. Eschaton. The true Eschaton will see who was right.

 
  1. IM Doc

    I have been saying this for weeks – and will say so again.

    All that were freely willing to be vaccinated have been. We are now left with the doubtful, the skeptical and the downright hostile.

    Some counties in America have been lucky enough to get to 50% vaccinated rates. Some are still in the 20s. All are closing their vaccine centers because that time has now passed.

    I talk to these hesitant folks all the time. I absolutely assure you the LAST thing that will change their mind is haughtiness and name-calling like these people like Eschaton and others are doing. It will do far more to cement their position in place. As far as MAGA – you would be shocked at the number of blue liberals who are refusing the vaccine as well. This is really not all about politics. There are a myriad of things rolling around people’s brains and souls.

    I had one in my office today – a former state health department leader. The comment she made that stuck with me – was “I notice that there are now vaccine ads all over the place. Have you ever wondered why there is not a rushed 30 second list of all the side effects at the end like all the other pharmaceutical ads are forced to do? It makes you wonder doesn’t it?”

    If anyone out there can help me with an answer to that question, please do so. And believe me – equally probing questions are coming right and left all day for me.

    My patients are not dumb. They are not “chuds”. They are people concerned about their own lives and the lives of their community. Many of them feel like they are being lied to. These are people who would line up at blood drives and do anything for their community. They are very likely to have taken all required vaccinations in the past. I am not sure how I will ever convince any of them. The conspiracy theories are running at a fever pitch – and the most concerning thing about that is I see no one in any position of authority doing a thing about it.

    We do indeed live in interesting times.

  1. grayslady

    IM Doc, I suspect your reasoning is correct for the area in which you live–which you have previously indicated is reasonably well-to-do. However, there are many people who can’t take off work, or don’t have transportation to a vaccination site, or don’t have someone to look after their kids while they get the shot. Others, who don’t have green cards, may still not entirely believe that someone isn’t going to find out about them and deport them. Too many people still believe it’s easy to get a vaccine now, but even here in the Chicago area we’ve seen how Walgreens has managed to discourage people by having a completely unworkable system. There has also been, imo, far too much dependence on computer-driven information. The poor and many of the elderly don’t depend on computers the way we commenting at NC do. I still believe there are many who could be vaccinated if we took a more human approach to them and understood their limitations.

     
    1. IM Doc

      I agree.

      These issues are not common in my area. But this is an entire bag of worms which my colleagues back in the big city have been screeching about for weeks. I think the most frustrating thing to them is no effort seems to be happening to help the situation.

      There is some movement with the locked-in elderly. But all the other issues you describe are real and ongoing.
       

cocomaan

As a Pennsylvanian, I can understand the bizarre reporting error. Vaccine distribution in my state has been an embarrassment. Huge surpluses of vaccines in rural mountain counties, with the collar counties of Philadelphia whining about how they couldn’t get any. Have to wonder how many went in the trash.

Most of the people I know that have gotten one has virtually gotten it by accident (showing up and seeing if they have any extra at EOB) or lying and saying that they’re a cigarette smoker (know more than one person who did this).

I know 90 year olds who couldn’t get it and 45 year olds who did because they were payroll desk jockeys for an ‘essential’ corp. Dumb.

Now, all of a sudden, there’s huge amounts of vaccine all over the place and outlets like Penn Medicine are begging people to come.

Welcome to Pennsylvania, where we’re neither #1 or #50 on any measure, but somehow manage to do things worse than everyone else.

 
  1. cocomaan

    Don’t want to clutter up the comments section, so I’m replying to myself, but I wondered if the reason that we’re seeing cases/deaths going down at the same time as vaccine uptake is that all the extroverts and restaurant-goers have all gotten their vaccines. So the people doing the most hobnobbing and such are set with their vaccine and thus not spreading it anymore.

    The inspiration for this idea was a meme I saw recently. It went something like this: “It took the pandemic for me to realize that many people’s entire personality was based around going to restaurants.”

    Someone should institute a quick Myers Briggs at the door to see if the I or E’s are getting vaccinated.

     
  2. IM Doc

    Please correct me if I am recalling this incorrectly.

    One of the most hilarious stories coming out of COVID so far I believe happened in Philadelphia. Early on in the vaccine push, the county had handed over the vaccine logistics to a company of millenials. The ensuing fiasco was just hilarious to read. The fact that it was ever allowed is staggering.

    I think that was in Philly – I may be incorrect.

    It appears things started in PA with a bomb and never turned around.

     
    1. cocomaan

      Yep, you got it. 22 year old (might even qualify as a Gen Z at that point).

      https://www.npr.org/2021/01/29/962190196/why-philadelphia-gave-a-22-year-olds-startup-a-vaccine-contract-then-canceled-it

      And here’s the article about the shortchanging of the Philadelphia counties:

      https://www.msn.com/en-us/news/us/lawmakers-say-southeastern-pa-shortchanged-by-100k-vaccine-doses/ar-BB1enoKI

      And if you’re really masochistic, here’s a great incidence of “Grifters gonna grift” when it comes to wealthy Chester County and their thousands of useless testing kits. https://www.dailymail.co.uk/news/article-9312803/Pennsylvania-county-blocks-workers-sharing-job-related-info-COVID-scandal.html

      PA is the poster child for incompetence. Somehow, we have managed not to have the absolute worst numbers in the country, but it isn’t for lack of trying.

       

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