#The Goldfarb Clinic

[coochiequeens]

Babies are not props to be used to validate gender feelz. And unfortunately this is just the start of a long list of why this guy should not be around kids

By Genevieve Gluck February 26, 2024

A trans-identified male residing in Canada who claims to be HIV positive and inserts progesterone rectally has been allegedly “breastfeeding” his child with the support of established medical clinics. Former men’s rights activist Murray Pearson, 52, who uses the name Margaret (Margie) Fancypants on social media, has been criticized after he shared an image of himself at a lactation clinic holding a young infant.

The photo was first posted three months ago on Reddit community titled r/TransLater, a board dedicated to males who transition later in life. In a post titled, “Milk, baby, milk! MTF 52,” wherein Pearson appears ecstatic that one “benefit of being transfemme” includes “that you can be pregnant and get drunk” with no undue problems.

“I have a baby almost 9 months old… I cannot wait to connect through feeding. And yes, I will stop drinking before it negatively affects anything they drink!” said Pearson

“This is a wish I have had for decades. My egg cracked a year ago on December 12 and I realized I could nurse my baby already on the way. That lit a fire under me, and I have gone from having lean pectoral muscle in March to full B-cups now and growing fast,” he added.

Pearson continues on to claim to have the assistance of “medical expertise,” including “five physicians in three clinics in two world class hospitals,” with one of the clinics named as the Goldfarb Clinic in Montreal.

“Two endocrinologists, Newman and Goldfarb, created a protocol to induce lactation in adoptive mothers,” Pearson explained in the comments. “It works for trans women as well, it works best when breast growth is mature but I am taking domperidone while my primary breast growth is underway. By an astonishing coincidence, I live right next to their breastfeeding institute!”

According to statements Pearson has made on social media, he began identifying as transgender in December 2022, and the following year, began taking progesterone. Approximately eight months ago, Pearson announced that he had found his “true self” as a result of performing in a drag show for a friend’s birthday celebration.

Earlier this month, Pearson described the first moment he believed he was a woman after trying on used women’s clothing at a thrift store. “I realized that the beautiful curvy woman in the mirror was the real me and I could be her every day… after more than two decades of stealth resistance. 87 days later I started spiro, 14 days after that estradiol, and now I am looooooving my boobs. Having curves without fakery is AMAZING.”

In a post made to the TransLater community last week, Pearson described how to insert the female hormone progesterone rectally, as a suppository, rather than swallowing it as a tablet.

“My breasts get a wonderful plumpness and pleasing jiggliness when I have had progesterone the night before…. You’ll need some lubricant (personal lube such as K-Y jelly or similar, or silicone personal lube which may be overkill, or some sort of non-irritating oil; I use my own mixture of cocoa butter and shea butter) to allow free clearance for the capsule… Some people simply pop the capsule in their mouth to use saliva, but I like a more effective lube,” he commented.

Pearson has also shared images of himself in a blue and pink wig attempting to eat ice cream containing the hormone in a seductive manner.

Disturbingly, Pearson has also revealed that he is HIV positive and is aware that the deadly virus can be transmitted through breastfeeding.

“I am HIV+, continuously controlled for 18.5 years now,” said Pearson in a Reddit post six months ago. “The viral suppression into undetectability [sic] makes sexual transmission impossible. But transmission through milk IS possible if viral load becomes detectable so I will test viral load monthly (opposed to semiannually) to keep a VERY close eye on that.”

In a shocking display of further disregard for the child’s health, Pearson speculated as to whether his experiment would qualify him as a candidate for the participation in academic research.

“Fortunately, Dr Lenore Goldfarb, creator of the protocol, has her clinic at the same hospital we birthed our baby in. I may even end up in the medical literature.” While again discussing his HIV status in relation to ‘breastfeeding’ a child, Pearson alleges that his case is being documented by infectious diseases researcher Dr. Marina Klein, who is affiliated with McGill University.

Pearson in a “before” picture posted to Reddit tracking his transitioning progress.

Reduxx reached out to Dr. Klein to request information on her involvement in Pearson’s experimental lactation, and she confirmed that she had been monitoring Pearson for his HIV infection at the Chronic Viral Illness Service of the McGill University Health Centre. However, she stated she had not been involved in his transition nor had she been consulted on his induction of lactation.

“It’s important to emphasize that we do not recommend breast feeding for people with HIV as this is the only way to be certain that no HIV transmission will occur after a baby is born,” Dr. Klein said in her response. “However, guidelines have evolved over time with the recognition that the risk of transmission is very low when HIV infection is undetectable with effective therapy … If, after informed discussion, a person expresses a wish to breastfeed they may chose to do so provided they are willing to follow a close protocol of viral monitoring and have their baby followed closely with pediatric specialists who would generally recommend that they receive preventive medication.”

Dr. Klein further states that Pearson had expressed a desire to breastfeed and then had been referred to an endocrinologist.

Prior to identifying as transgender, Pearson was involved in politically advocating for the US-based, anti-feminist men’s rights non-profit A Voice for Men (AVFM).

The organization was founded in 2009 by Paul Elam, who has said that there would no longer be “any place to hide on the internet” for “lying bitches,” and members associated with the group have previously published personal information about women who opposed their activities.

Pearson has linked to the organization’s website on his YouTube channel biography, where he has uploaded videos of himself advocating positions held by AVFM, such as accusing women of lying about sexual violence.

In one video shared in July 2013, titled “Rape, Posters, Traffic Lights and Consent,” Pearson claims that he was previously drugged and raped by a woman on the University of Alberta campus.

He also encourages discussion of posters produced by Men’s Rights Edmonton which featured the headline, ‘Don’t Be That Girl’, created with the intention of parodying an anti-rape campaign designed by a women’s rape crisis shelter, Sexual Assault Voices of Edmonton (SAVE), which used the slogan, ‘Don’t Be That Guy.’

Pearson has also been active in a Facebook group for “trans lesbians,” a term which labels men who call themselves transgender as same-sex attracted women.

Criticism of Pearson’s claims to be “lactating” and “breastfeeding” have focused on concerns that he is “motivated… to experience sexual arousal from lactation,” as one X user, Lulu Solomon, said.

“Because it is not motivated by what is best for the baby it’s automatically risky because the baby becomes a prop in the fantasy,” she stated, alongside a photo of Pearson at the Goldfarb clinic.

This is not the first controversy that has involved trans-identified males breastfeeding babies, with a number of recent examples triggering concern over the past year.

Last year, a lactation professional in Australia along with a women’s rights campaigner were warned that they had broken the law after criticizing a trans-identified male who had boasted of breastfeeding his infant. Shortly after, a trans-identified male in the UK dismissed critics of the practice as “transphobes” after he posted images of himself with a baby latched to his nipple.

UPDATE 02/26/24: The article has been updated to include comment received from Dr. Klein.

[religion-is-a-mental-illness]

By: Stanley Goldfarb

Published: May 2, 2023

For better or worse, I have had a front-row seat to the meltdown of twenty-first-century medicine. Many colleagues and I are alarmed at how the DEI agenda—which promotes people and policies based on race, ethnicity, gender, religion, and sexual orientation rather than merit—is undermining healthcare for all patients regardless of their status.

Five years ago I was associate dean of curriculum at the University of Pennsylvania’s Perelman School of Medicine, and prior to that, codirector of its highly regarded kidney division. Around that time, Penn’s vice dean for education started to advocate that we train medical students to be activists for “social justice.” The university also implemented a new “pipeline program,” allowing ten students a year from HBCUs (historically black colleges or universities) to attend its med school after maintaining a 3.6 GPA but no other academic requirement, including not taking the MCAT (Medical College Admission Test). And the university has also created a project called Penn Medicine and the Afterlives of Slavery Project (PMAS) in order to “reshape medical education. . . by creating social justice-informed medical curricula that use race critically and in an evidence-based way to train the next generation of race-conscious physicians.” Finally, twenty clinical departments at the medical school now have vice chairs for diversity and inclusion. 

Although some discussion of social ills does belong in the medical curriculum, I’ve always understood the physician’s main role to be a healer of the individual patient. When I said as much in a Wall Street Journal op-ed in 2019, “Take Two Aspirin and Call Me by My Pronouns,” a Twitter mob—composed largely of fellow physicians—denounced my arguments as racist. Over 150 Penn med school alumni signed an open letter condemning me. Meanwhile, my name has since been scrubbed from the university’s website and I’ve been excised from a short history of the kidney division. 

Similar outrage greeted the outgoing president of the Society of Thoracic Surgeons, John Calhoon, when, in a speech to members in January, he encouraged them always to “search for the best candidate” and noted “affirmative action is not equal opportunity.” Within 24 hours, the society denounced Calhoon’s speech for being “inconsistent with STS’s core values of diversity, equity, and inclusion,” and its incoming president announced, “We are going to do what we can to re-earn the trust of our members who have been hurt.” Apparently no one thought to ask the 170,000 Americans who annually undergo a coronary bypass—the most common form of thoracic surgery—if they, too, might prefer to be operated on by “the best candidate.” 

After my drubbing by the Penn med school alumni, I didn’t stay quiet. At the onset of the Covid-19 pandemic, I noticed that trainees were unprepared to care for critically ill patients. It was becoming clear to me that discriminatory practices—such as reserving monoclonal antibodies against Covid-19 for minority patients, and preferential hospital admission protocols based on race—were infiltrating medicine as a whole. I responded with another Wall Street Journal op-ed, “Med School Needs an Overhaul: Doctors should learn to fight pandemics, not injustice.”

I retired as I’d planned in July 2021, my honorific status as professor emeritus intact, though I haven’t been asked to teach. In March 2022, I published a book, Take Two Aspirin and Call Me By My Pronouns, and started a nonprofit called Do No Harm with some acquaintances to combat discriminatory practices in medicine. We began a program to inform the public and fight illegal discrimination. We demand that any proposed changes in medical school admissions or testing standards require legislative approval and a public hearing—and we are getting results.

Our argument is that medical schools are engaging in racial discrimination in service to diversity, equity, and inclusion. We have filed more than seventy complaints with the U.S. Department of Education’s Office for Civil Rights (OCR), which exists in large part to investigate schools that discriminate based on race, color, ethnicity, sex, age, and disability. Surely the radical activists never expected anyone to turn the administrative state against them, but that’s what we did. And it worked—even under the Biden administration. Do No Harm has filed complaints through OCR over scholarships, fellowships, and programs with eligibility criteria that discriminate based on race/ethnicity (Title VI of the Civil Rights Act of 1964) and/or sex/gender identity (Title IX of the Education Amendments of 1972). Many of these are described as programs for students who are “underrepresented in medicine” (UIM). 

For example, we brought the OCR’s attention to a Diversity in Medicine Visiting Elective Scholars Program (archived page) at the University of Texas at San Antonio’s Long School of Medicine, which excluded white and Asian students. This is illegal under Title VI of the Civil Rights Act, which made all racial discrimination associated with government programs illegal. As a result of our action, the OCR opened an investigation. However, Long School of Medicine took down the program page and scrubbed all evidence of it from its website, prompting OCR to close the investigation as “corrected.” While the original scholarship was meant for individuals from disadvantaged backgrounds, that worthy goal can and should be met without racial discrimination.

Or consider the University of Florida College of Medicine, which offered a scholarship solely to those who were “African Americans and/or Black, American Indian, Alaska Native, Native Hawaiian, Hispanic/Latinx, and Pacific Islander.” We asked the OCR to investigate, and the university eliminated the race requirement. Likewise, we filed a complaint against the Medical University of South Carolina over eight scholarships excluding applicants who did not qualify as “underrepresented in medicine.” The OCR opened an investigation, after which the school dropped the exclusionary policy. 

* * *

Racially discriminatory scholarships are not the only sign of the decline of American medical schools. A colleague at Do No Harm and I examined the trend of resegregating medicine, including the idea that black physicians provide better healthcare to black patients than physicians of other races. There is no question disparities exist in health outcomes for minority communities. But no valid studies support the rationale of creating a corps of minority physicians, and last month Do No Harm filed a complaint with the OCR against Duke University’s School of Medicine’s Black Men in Medicine program for race- and sex-based discrimination. 

Even the highly touted New England Journal of Medicine is pushing for race-based segregation in medical schools. Last month, the journal published an article by several doctors and academics at the University of California–San Francisco and UC–Berkeley, calling for the expansion of “racial affinity group caucuses,” or RAGCs, for medical students. “In a space without White people,” the authors write, “BIPOC participants can bring their whole selves, heal from racial trauma together, and identify strategies for addressing structural racism.” The RAGCs include a caucus for white-only medical trainees, as if this would lessen objections to an agenda that has nothing to do with healing and everything to do with identity politics.

Do No Harm is also pushing back against the tide of race-based programs in the corporate world. In February, in the wake of a lawsuit we filed against Pfizer last September claiming a violation of Title VI of the Civil Rights Act, the pharmaceutical company ended a requirement that college junior applicants to its Breakthrough Fellowship program—which offers guaranteed employment—be black, Hispanic, or Native American. 

At Do No Harm we have publicly and repeatedly pointed out that the likeliest basis for healthcare disparities is not racism, but patients presenting late in the course of their illness, too late to achieve best outcomes. Therefore, we push for better access for minority patients and encourage healthcare institutions to improve outreach to minority communities. We believe that focusing on racial identity will harm healthcare, divide us even more, and reduce trust between patients and physicians, all of which will lead to even worse outcomes.

We have heard from dozens of physicians, nurses, and medical students who feel prevented from speaking out. My advice to my colleagues, young and old, is this: fight back using every tool at your disposal. Highlight the damage that follows the lowering of standards. Call out discrimination done in the name of “equity” and “anti-racism.” Recognize that the majority of your peers may share your views, even if they stay quiet. 

[nurseeden]

The Top Missouri Nursing Schools: Your Guide to Launching a Successful Nursing Career

**Title: The Top Missouri Nursing Schools: Your Guide to Launching a Successful Nursing Career**

**Introduction:** Embarking on a career⁤ in nursing is both rewarding and challenging. To ensure‍ you receive the best ⁤education and training‍ possible, it is essential to choose the right nursing school. In Missouri, there are several top-notch nursing schools that⁤ offer ⁢excellent ⁤programs to help ⁢you kickstart your nursing career. In this guide, we will explore the top Missouri⁣ nursing schools and provide you with all the ​information ‍you need‍ to make ⁤an informed ‍decision.

**Top Missouri Nursing Schools:**

**1. ⁣University of Missouri⁢ – Columbia** – The Sinclair School of Nursing at​ the University of Missouri -‍ Columbia is renowned for‌ its ‍high-quality nursing programs. – The ‌school offers a variety of undergraduate, graduate, and doctoral programs to suit students ​at⁣ all levels. – Nursing ‍students have access⁤ to state-of-the-art facilities⁢ and⁢ cutting-edge research opportunities.

**2. Saint Louis University** – Saint ⁤Louis University’s School of Nursing has ​a long-standing reputation for excellence in nursing‍ education. – The ⁢school offers a wide range of programs, including BSN, MSN, and DNP programs. – Students benefit ‌from ‍hands-on clinical experience and internship opportunities at top hospitals and healthcare facilities.

**3. Barnes-Jewish College Goldfarb School of Nursing** – Barnes-Jewish College Goldfarb School ⁣of Nursing⁤ is affiliated with Washington University in St. Louis and Barnes-Jewish Hospital, ‍providing students with ⁤unparalleled clinical ⁤experiences. – The school offers BSN, MSN, and DNP programs, as well as online and accelerated options⁢ for busy⁣ students. – Graduates from Goldfarb School of Nursing ⁢are highly sought after by ‍employers in ‍the healthcare industry.

**Benefits of Attending a Top Nursing School in Missouri:** – Rigorous curriculum that prepares students for real-world challenges. – Access to cutting-edge ⁣research and technology. – Opportunities for hands-on clinical experience⁣ at​ top hospitals and healthcare facilities. – High job placement rates and competitive salaries for graduates. – Networking opportunities with ⁤experienced professionals in the field.

**Practical Tips⁢ for Choosing a​ Nursing School:** – Research each school’s accreditation‍ and reputation‍ in the ‍nursing ⁣community. – Consider⁤ the location, facilities, and program offerings of⁢ each‌ school. – Evaluate the⁣ cost of‍ tuition and ⁣financial aid options available. – Speak with current students⁤ and alumni to get firsthand ⁣insights into the programs. -​ Visit the campus and attend information sessions to⁢ get a feel for the school’s culture and⁣ atmosphere.

**Conclusion:** Choosing the right nursing school is a crucial step in launching​ a successful ⁤nursing career. By selecting one​ of the top Missouri nursing‍ schools⁢ mentioned⁣ in this guide, you can ensure that you receive a high-quality⁤ education and training that will prepare you for a fulfilling career in the healthcare⁣ industry. Remember to research each school thoroughly, consider ⁣your own personal preferences and goals,⁢ and make ​an informed decision that aligns with your career aspirations. Good luck​ on your journey to becoming a nurse!

https://nursingcertificationcourses.com/the-top-missouri-nursing-schools-your-guide-to-launching-a-successful-nursing-career/

[cftreatmentohio]

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[itsmassivecollectionpatrolus]

Life under Fire: The Wages of Apostasy

(Presented at the Eleventh IHR Conference, October 1992.)

Thank you, United States, for letting me come and speak. I mean that seriously because the fight is now getting quite creepy. For two years now, in country after country, I have been conducting this international Campaign for Real History. During this period, in country after country, I’ve come up against an international campaign against real history — an international campaign full of lies, an international campaign to suppress the truth. The truth of this campaign is quite clearly something that I had previously not wanted to believe: there is, in fact, an international force out there with an influence that transcs frontiers. Day after day, country after country, month after month, I come up against this international force.

 In my apartment in London, I’ve accordingly opened a file titled “Jewish Harassment.” This should not be taken to mean, in the slightest, that I am anti-Jewish, because I’m not. The fact that many Jews are anti-Irving does not mean to say that I am anti-Jewish. There’s no paradox in that statement. Week after week, month after month, they are causing me immense harassment, embarrassment and distress. But journalists come to me, again and again, and ask me: “Mr. Irving, are you anti-Semitic?” And I reply, “Not yet.”

 For two years now, I have been the target of this worldwide campaign — in Germany, France, Spain, South Africa, the United States, Canada, Argentina, Brazil, and England. Let me tell you a little about what has been happening in some of these countries.

 In Germany, I’m now technically a prohibited person. I can’t go there because the German authorities have ordained that David Irving shall no longer cross their frontier. A free democracy, and yet that’s the only way they can fight against me: by forbidding me to come in. That edict was issued in March 1990. But since then, I’ve been in and out of Germany 60 times. I’m not going to tell you how I’ve done it — but there are ways of doing it.

 In Austria, there’s an arrest warrant out against me, but no entry prohibition (whereas in Germany there’s the entry prohibition but no arrest warrant). So between the two of them you can find a way of getting in. As I said to the Germans the last time I spoke to a mass meeting of 7,000 people in Passau: there are enough people here in plain clothes taking notes for the Ministry of the Interior, and tonight they’ll be asked: how did he get in again? To this I can only say: “Go ask your colleagues in Austria how David Irving got in this time.”

 Banned in South Africa

 Besides Germany and Austria, officially I am not permitted to get into Italy or South Africa. Last January and February, I spoke for two months in South Africa, this time visiting 15 towns and cities. Two weeks after I returned to England, a letter arrived from the South African government in Pretoria. It told me: “Mr. Irving, as an Englishman you normally do not require a visa to enter South African territories. For you we are going to make an exception.” I reported this ban to the South African newspapers, which discovered in a matter of days that this unique embargo was being placed on me by the South African government at the request of South African Jewish organizations. This was followed by an outcry by other South Africans who wanted to hear me on radio and television, and in person. It was another encroachment on freedom of speech.

 Of course, I am able to come and speak here in the United States because you have something very important, your First Ammendment guaranteeing freedom of speech. It is very unlikely, I think, that the United States government would actually stoop to trying to prevent me from coming here to speak. It would be a very, very serious day indeed if that should happen.

 In Canada, I have a big speaking tour lined up that is due to start on October the 26th. Yesterday, here in this very hotel [in Irvine, Califronia], I was handed an express letter from the Canadian government informing me that I would not be allowed to enter Canada. Once again, pressure has been exerted by these international groups to keep me from speaking. In this case it was the Simon Wiesenthal Center in Los Angeles, but the reason given me was this: “Mr. Irving, under the immigration act, a person is not permitted to enter if he has committed a criminal offense in another country, or if he is likely to commit a criminal offense in Canada. We may consider you likely to commit a criminal offense.”

 After receiving this, I straight away instructed my attorney in Canada to point out that I’ve been to Canada some 30 times since 1965, and not once have I committed a criminal offense. So, prima facie, I am unlikely to commit a criminal offense on the 31st occasion. [On October 26, Irving legally entered Canada. He was illegally arrested — after lecturing on freedom of speech — at Victoria, B.C., and deported on November 13 after a three week court battle. He is appealing.]

 Detention in Rome

 In June of this year, I went to Italy. I arrived in Rome, after a stop in Munich, from Moscow, where I had been working for two weeks in the former Soviet government’s secret state archives. As I got off the plane in Rome, six Carabinieri police cars were waiting for me at the airfield, and as I got into the airport bus, the police stormed the bus, rifles drawn, and called out my name, “Mr. Irving.” Ladies and gentlemen, now that’s embarrassing! Under the circumstances, I tried to make it look as if this was my VIP escort!

 They held me there in the police station at Rome’s airport for four hours until the plane turned round and flew back to Munich. And half way through, they let in the Italian student who had arrived to meet me there. (I had been invited by a university professor.)

 During the police interrogation, I “hadn’t understood” a word of Italian, and I made them speak English to me. But when the students came in, I spoke with them in Italian, explaining how sorry I was. Seeing this, the police colonel became very indignant and said: “Silenzio, Don’t Speak.” So I said, “Where does it say that I can’t speak?” He repeated, “Silenzio, Don’t-a speaka.” And I repeated: “Excuse me, but nowhere do I see a sign that says Silenzio.” At that, he seized a thick felt- tip pen, and in a blind, Italian temper he went to the magnificently painted wall inside this beautiful, brand new police station, saying “You can’t-a see-a? Here!,” and wrote the letters S I L E N Z I O on the wall, and then shouted: “Silenzio!”

 Last October [1991], I spoke in Argentina. On the morning of the first day, I took part in a two-hour television program. (I also speak Spanish.) I was on with a man named Maurizio Maro, but whose real name turned out to be Goldfarb. If only they had told me beforehand! But too late.

 Goldfarb asked me questions like: “But Adolf Hitler, he was crazy wasn’t he?” And I said: “No, he wasn’t.” “But of course he was crazy,” he retorted. I responded by saying:

     There’s no evidence for that at all. The evidence is that we — the British and Americans — captured seven of Hitler’s doctors. We interrogated all seven of them on that specific point: Hitler’s own physicians were asked if they considered him clinically sane or out of his mind. All of them came to the conclusion that, even until the very last moments of his life, he was totally sane. And not only that, I have personally found Hitler’s medical diaries — the diaries kept by his doctor, Theodor Morrell, which I found in the archives in Washington, DC. After transcribing them, I published them. These diaries also confirm, without a doubt at all, that Hitler was perfectly sane and physically normal.

 Now considerably agitated, Goldfarb responded: “But the man must be totally crazy because he killed forty million human beings.” The first time he threw out this figure, I let it pass, but the second time round, I stopped him, saying: “Forty million? Excuse me, where does this figure come from then?” Goldfarb then said: “A person who kills even one man is a criminal.” In this case, then, I said, President Bush is a major criminal because of the damage he did in the Gulf War this very February.

 At this point, the interview was dramatically cut short. And the very next day, all the other interviews that had been lined up by my publisher in Argentina were cancelled. Newspaper and television interviews, and a Belgrano University appearance — all were cancelled. It was an object lesson on the influence that certain people have. The day after that (October 18, 1991), a major daily newspaper, La Nación, published a communique issued by Argentina’s Jewish governing agency, with a headline calling me an “International Agitator.” Well, I’m sorry that the Jews get so easily agitated. But it’s not my fault. My job is to go there and lecture on the historical truth as I see it.

 The Right to be Wrong

 I admit that we may be wrong. Each of us in this room may be wrong on this or that matter. But I demand the Right to be Wrong! That is the essence of freedom of speech in any country.

 No one is going to define for us what the received version of history is or should be. But that is what they are trying to do now in Germany, and all around the world.

 Every other aspect of world history is open to debate and dispute — except one. Anyone who challenges this one aspect of history is automatically, ipso facto, described as an anti-Semite. Jewish leaders are now saying that anyone who questions any aspect of the Holocaust is an anti-Semite. Of course, that’s not true. We are just lovers of the truth, and determined to get to the bottom of what actually did and did not happen.

 I do not insist that what I tell you here today is necessarily the only version of the truth, and that thou shalt have no other truth than this. I’m not as arrogant as that. I do say that this is the best that I can do, given limited resources, and against the harassment that I’ve come up against in the last few years.

 That harassment has gotten worse and worse, particularly with the recent Focal Point publication of the new edition of Hitler’s War. This new edition contains material never seen before. If you want to see a photograph showing what it looks like when 17,500 people are killed in 30 minutes, here it is. Everyone’s heard about Hiroshima and Dresden, but no one knows about what happened in Pforzheim, a small German town in Baden-Württemberg, where one person in four was killed in the most horrible manner in mid-February 1945. We have photos of that crime. I’ve shown this photograph to audience after audience.

 On the previous page of Hitler’s War are the well-known photographs of Dresden, where a hundred thousand people were killed in a period of twelve hours by the British and Americans. So many were killed so quickly that there weren’t enough living left to bury the dead. So the corpses had to be burned on these huge funeral pyres in the Dresden Altmarkt. I published the photographs in 1963 in my first book, The Destruction of Dresden and, now, in Hitler’s War, I publish them for the first time in color.

 Window Smashing

 There are 60 color photographs in this book, a work that no other publisher could have published so lavishly. Of course, our traditional enemies are absolutely livid because of this book, which is very sought-after in Britain. We published it ourselves, and personally delivered 5,000 copies to 800 book shops up and down the country and around the world.

 Our traditional enemies have been fighting back. Their local cells, branches and agents have been visiting — patiently and methodically, one by one — every book shop that stocked this book, demanding that it be “un-stocked.” Because most book shop managers are not open to intimidation in the way newspapers are, they get their windows smashed. As result, there’s been a campaign of window smashing throughout Britain during the last three or four months.

 During the night, the big plate-glass windows of the book stores are smashed, and the next morning the stores receive a letter on letterhead of the local synagogue, or the local Jewish Board of Deputies. The letters say “we are very sorry that your windows were smashed, but what can you expect? We promise that if you stop stocking David Irving’s books, you will find that this kind of problem ceases.”

 This campaign — smashing the windows of book stores, big and small, including chain book stores in Britain such as Waterstone’s and Dillon’s — has been reported in all the local newspapers. I subscribe to a press clipping service, so I get all these clippings. But there’s been nothing in the British national newspapers.

 And why not? Well, the answer is that these wondered where these journalists come from, these spineless, nasty little creeps such as Bernard Levin of The Times of London.

 I am philosophical about newspapers. I remember one Monday morning ten years ago when my secretary came to me, saying: “David, how can you stand for it? Have you read what they’ve written about you yesterday in the Sunday Times? It’s only a short thing, but you now might as well pack up. You’re finished.” He read from the article: “David Irving, who appears substantially to have over-estimated his mental stability this time …” “They’re calling you mad!”

 Recycled Lies

 I responded by saying, “Okay, so what? Are they going to assign me to some kind of psychiatric gulag archipelago? That’s from the Sunday Times, and this is Monday.” That’s the difference between being an author and being a journalist. When I write a book it goes into a library and stays there — especially if it’s on acid-free paper. What a journalist writes for the Sunday Times appears on Sunday, but by Monday it’s wrapping fish ‘n chips! So who cares? Or if it’s not wrapping fish ‘n chips, the paper’s being recycled to be made into new newsprint for new lies.

 One South African journalist wrote to me during the height of my South African tour in March 1992. I was speaking at meeting after meeting, addressing packed halls. In Pretoria, as usual, 2,000 people came to hear me. In Cape Town, another huge audience turned out to hear me at the Goodwood Civic Centre. The next day, I received a fax letter from a Cape Times journalist named Claire Bisseker who earlier had bombarded me with questions about what I thought about President de Klerk, the prospects for South Africa, the ANC, and all the rest of it. This time her letter was quite brief:

     Mr. Irving, the Cape Times would like to have your response to the following allegations made by a Capetonian who atted your meeting at Goodwood [Centre] on March 8. The source said that the meeting was of a neo-Nazi nature. Complete with Nazi banners and Nazi salutes. We would appreciate it very much if you could fax back to us your response as soon as you are able.

 So I turned this matter over in my mind. “Remember,” I told myself, “you’re dealing with a journalist — a journalist who will twist whatever you say. If I say that I have no comment, they will print the lies and say that Mr. Irving had no comment. If I deny it, they will print the lies and say that Irving denied it. They will print lies whatever you do.” So after some thought, I sent this brief letter to Claire Bisseker:

     Dear Clair,

     Thank you for your fax, and I appreciate your inquiry. Yes, you do have excellent sources. Neo-Nazi nature, Nazi banners, and Nazi salutes — the lot. As I marched in, an orchestra struck up the Slaves’ Chorus from Verdi’s opera, “Aida.” Later, the orchestra played the first bars of Franz Liszt’s “Les Préludes,” and it concluded with Liszt’s Opus 63 String Quartet. Meanwhile, searchlight batteries stationed around the Goodwood Civic Centre lit up, their crystal beams joining in a cathedral of ice ten thousand feet above the site; a thousand hands were once more flung aloft in the holy salute, and a thousand throats roared the Horst Wessel anthem. A video is available, directed by Leni Riefenstahl.

     I hope the above material suffices for what you have in mind.

 That’s the way to deal with journalists! I have developed my own techniques in dealing with them.

  David Irving

[bluewatsons]

Richard M. Hays, The Rise and Fall of Authoritarianism in the Teaching of Medicine, 29 Einstein J Biol Med 49 (2013)

The spring of 1903 arrived in Baltimore on schedule, and the trees and flowers on the campus of the Johns College of Medicine were already in bloom. But the medical students scurrying to the amphitheater hardly noticed. Sir William Osler was waiting with a patient, and heaven forbid they should be late.

Sir William was a remarkable figure in the history of American medical education (Geyman, 1983). Born and educated in Canada, he did his graduate work in England, Scotland, Germany, and Australia. Following his arrival at Johns Hopkins, he reorganized the curriculum, combining the English system and the German internship and residency systems. There were two years of clinical clerkships, with small-group teaching at the bedside. Central to his teaching was his textbook: The Principles and Practice of Medicine (Osler, 1892). That day, he planned to discuss a section on cardiac dilatation. He had already mastered the lecture; he had written virtually every word of the book.

The students had spent the night memorizing the section, which focused on history and physical manifestations, since little was known at the time about disease mechanisms, laboratory findings, or treatment. Osler may have taken this avoidance of therapy to the extreme; indeed, Hogan (1999) wondered whether Osler had “paranoia antitherapeuticum baltimorensis.” Still, Osler remains among the immortals.

Osler eventually turned over the updating of his textbook to Henry Christian, who continued the practice of writing the entire text himself. Christian argued that “there is an advantage in presentation by a single author, who has studied the reports of others in the light of his personal knowledge and experience, and presents the various subjects with a unity of critical thought as is not possible in multiple authorship.” Authoritarianism indeed! Edition after edition appeared, with no outside contributors. Principles and Practice lost value, and finally ran aground.

Fortunately for American medical education, a new, multiauthored book under the editorship of Russell Cecil, Textbook of Medicine, appeared in 1927. Experts in their fields wrote each chapter, and disease mechanisms and therapy were in abundance. With Cecil’s work as a model, Harrison’s Principles of Internal Medicine (Harrison, 1950) was published. Harrison’s book and similar texts are now used throughout the world.

Students and Residents

With the advance of the materials of medical education, we might ask about the students themselves. Here, a paradox appears: students at many schools continued to be subject to professorial authority, receiving rigorous and sometimes ruthless questioning and contributing few of their insights during the rituals of teaching. Dr. Sam Ziegler, Einstein Class of 2002, showed me the memoirs of his grandfather, Dr. Samuel R. Ziegler, who entered Case Western Reserve Medical School in 1936, and recalled the following experience (Ziegler & Ziegler, 1999):

I had another of those real hair-raising experiences to start off my sophomore year. One of the subjects we took was Pathology. Dr. Harold Karsner was the instructor. Dr. Karsner had the reputation of being very hard on students. I was again afraid that I was going to be the first to be called on with my name beginning with a “Z”. I prayed he would start with the “As” when we walked into the amphitheater for our first class. But what did he do? He started with the “Zs”. He called out “Ziegler!” And asked me a question that had something to do with syphilis and serology.

I finally replied, “Dr. Karsner, I don’t know.” I then stammered out some half-assed answer after a short pause during which Dr. Karsner continued to look in my direction. Dr. Karsner took another long drag on his cigarette, inhaled deeply and said “Ziegler, I don’t see how you can be so goddamn dumb.” You could have heard a pin drop in the amphitheater.

This state of affairs went on in our schools—perhaps not so colorfully—for a surprisingly long time. I, like many of my contemporaries, recall professors who were brilliant but seemed to delight in demolishing students. Students were not the only victims; interns and residents were driven to exhaustion by long hours of service and relatively little supervision. Indeed, it could be argued that when reform came, it started with the plight of the members of the house staff.

In 1957, interns and residents in New York City’s public hospitals took leave of their roles as underpaid and over- worked apprentices in what has been termed one of the “last great sweatshops in America” (Duncan, 1996), and founded the Committee of Interns and Residents (CIR). In 1969 they were joined by house staffers in the private sec- tor. In 1999 the CIR won a National Labor Relations Board decision guaranteeing residents in private teaching hospi- tals the right to form unions. The CIR went on to negotiate contractual limits for on-call schedules, benefit plans, and higher pay.

Figure 1. The learning studio at the University of Virginia School of Medicine. This is a building designed to accommodate students gathered around conference tables, and conferring with each other on the answers to questions projected on the screens above. Permission to reprint granted by Norman Shafer (University of Virginia Magazine, spring 2011, pp. 36–37).

The movement gained strength following a tragic event in 1984, in which Libby Zion, an 18-year-old girl with a complex history of drug use, was admitted to a New York hospital with fever and agitation. The admitting intern was beset with other patient problems, and Libby died of cardiac arrest. Her father, Sidney Zion, a journalist, took up her cause and “set in motion a series of reforms, notably work hour limitations instituted by the ACGME that have revolutionized modern medical education” (Lerner, 2006). Dr. Bertrand Bell of Albert Einstein College of Medicine headed a panel of experts that recommended that residents could not work more than 80 hours a week or more than 24 consecutive hours.

The Medical Curriculum

There has been a profound and heartening change in the approach to teaching medical students, brought about by a deeper understanding of the teaching process and a greater respect for the ability of the students to teach themselves and each other. After all, they are college graduates, and have already gone through a meaningful pro- cess of achievement and reflection. One need only survey the home pages of our medical schools to appreciate the variety and imagination that have gone into their curricular design. A list of some of the newer programs would include the following:

Earlier encounters during the preclinical years with patients, who share their stories with students.

Problem-based learning, in which students work in small groups to deal with scenarios designed to simulate real-life cases.

Evidence-based medicine, in which students learn to evaluate new drugs and new findings in the search for effective therapies.

Students-as-teachers programs, in which third- and fourth-year students take on the role of teachers for small groups of first- and second-year students. This program has been in use at Einstein, and has been favorably reviewed by both teachers and students.

The opportunity for students in their clinical training periods to return to basic science in the form of class- room teaching during their work on the wards. Also, at Einstein, under the guidance of Dr. Jeffrey Avner, students taking pediatrics are asked to include a “basic science paragraph” in their admission writeups. This serves not only as a reminder of their preclinical studies, but as a means of giving their preceptors and attending physicians an update on the latest in the basic science of the disease at hand: the student as professor, if you will.

The opportunity for students to take an extra year or two to obtain advanced degrees in areas such as public health and business administration.

Team training, moving the student “toward being an effective and competent team player and not an individual achiever” (Morrison, Goldfarb, & Lanken, 2010), in preparation for the growing need for cooperative approaches to healthcare management (Figure 1).

Finally, the Internet. Many of our current students may have come from colleges where the Internet has played a major role in their education. At least two articles in the New York Times have surveyed the role of the Internet in today’s college education (Parry, 2012; Lewin, 2012). At the extreme, the Internet has supplied much of the information that students receive, has influenced their choice of courses, and has even identified appropriate partners for them in the learning process. Inevitably, the Internet is now having an impact on medical education. For example, the syllabus, a printed document so carefully assembled each year as the central source of information for each course, is on the Internet in many schools, and is only part of a flood of sources of information. And, as already noted, it plays an important role in the clinical years.

Some of the programs listed above should, in theory, increase the collegiality among students and the attending physicians and house staffers responsible for their education. But it appears that this is not entirely the case. A recent nationwide poll conducted by the Association of American Medical Colleges (2012) showed that a substantial percentage of students still encountered what they regarded as mistreatment, including public humiliation and gender-based discrimination. More work must be done in this area, which may extend beyond the limits of medical education.

Conclusion

This brief commentary has taken us from the early days of medical education, when a few authorities dominated the source of medical knowledge, to the computer age, when students and teachers share the information provided by the Internet. But rest assured: teachers still have much to contribute in terms of experience, perspective, and examples of kindness toward patients seeking their help. Sir William Osler would be grateful to know this.

References

Association of American Medical Colleges. (2012). Medical school graduation questionnaire. Retrieved from https://www.aamc.org/data/gq

Bell, B. M. (2003). Reconsideration of the New York State laws rationalizing the supervision and the working conditions of residents. Einstein Journal of Biology and Medicine, 20(1), 36–40.

Cecil, R. L. (1927). A text-book of medicine, by American authors. Philadelphia, PA: W. B. Saunders.

Christian, H. A. (1942). Principles and practice of medicine, originally written by Sir William Osler, designed for the use of practitioners and students of medicine (14th ed.). New York, NY: Appleton-Century.

Duncan, D. E. (1996). Residents: The perils and promise of educating young doctors. New York, NY: Scribner.

Geyman, J. P. (1983). The Oslerian tradition and changing medical education: A reappraisal. Western Journal of Medicine, 138(6), 884–888.

Harrison, T. R. (1950). Principles of internal medicine (1st ed.). New York, NY: McGraw-Hill.

Hays, R. M. (2004). Students as teachers: An idea whose time has come. MedEd @AECOM, 7(1), 1–3.

Hogan, D. B. (1999). Did Osler suffer from “paranoia antitherapeuticum baltimorensis”?: A comparative content analysis of The Principles and Practice of Medicine and Harrison’s Principles of Internal Medicine, 11th edition. Canadian Medical Association Journal, 161(7), 842–845.

Lerner, B.H. (2006). A case that shook medicine. Washington Post. November 28: Special Section.

Lewin, T. (2012). Universities reshaping education on the Web. New York Times, July 17, A12.

Morrison, G., Goldfarb, S., & Lanken, P. N. (2010). Team training of medical students in the 21st century: Would Flexner approve? Academic Medicine, 85(2), 254–259.

Parry, M. (2012). Please be eAdvised. New York Times Education Life, July 22, 24–27.

Osler, W. (1892). The principles and practice of medicine, designed for the use of practitioners and students of medicine (1st ed.). New York, NY: D. Appleton.

Ziegler, S. R., & Ziegler, I. H. (1999). For the soul is dead that slumbers—A memoir: The adventures of a surgeon and his family in northern New Mexico (1946– 1996). Shreveport, LA: K’s KopyIt.

[bigyack-com]

Coronavirus May Keep California’s Nursing Students From Graduating

Ms. Joseph, the nursing student, was scheduled this spring to complete her preceptorship in labor and delivery, which is now canceled. Her disappointment at the delayed graduation quickly turned to frustration. She said that she could play a useful role at a clinic without directly treating coronavirus patients — helping the triage nurses take patient vitals, distributing masks, assisting with screening questions, communicating with patients’ families and visitors. Instead, she is in her apartment, wondering when she will be able to return to work.Paige Hilt, 24, another nursing student in California, was set to graduate in May. “Of course it’s scary, but as nurses we encounter people with different illnesses all the time,” she said. “We don’t know how bad this is going to get, and we need as many people as possible. Not to mention a lot of nurses are older, and what happens when they get sick?”Joanne Spetz, a professor at the Philip R. Lee Institute for Health Policy Studies at the University of California, San Francisco, said her research indicated that patient numbers would far outstrip hospital staff capacity in the coming months, as coronavirus cases continue to rise. There are nearly four million registered nurses in the United States, but only 20 percent work in critical care. More nurses will need to be freed to move into intensive care units, meaning others will need to be ready to take their places.Dr. Spetz said that states and nurse licensing boards should be preparing by easing licensing requirements for registered nurses who need to cross state lines, and ensuring medical workers have emergency child care. In the meantime, the need is simple: to prepare as many nurses and nursing students as possible to help.“Students of all health professions have knowledge and training already,” Dr. Spetz said. “There are going to be many roles they’ll be useful in as we rapidly deploy in an emergency.”Each day on her way to the office, Dr. Goldfarb passes a poster with the face of a smiling World War I nurse. “Wanted: 20,000 nurses,” it reads. A sense of duty is ingrained in the nursing profession, she said. Even during the 1918 Spanish flu pandemic, student nurses were called to hospitals to care for the ill.“We walk toward what most people walk away from,” Dr. Goldfarb said. Now she wonders: Will her students be able to do the same? Read the full article

[kiwibest]

Coronavirus May Keep California’s Nursing Students From Graduating

As many as 14,000 students may be unable to complete their rotations, making them unavailable to help. For Sharon Goldfarb, a nurse educator in California, crisis care is second nature: She worked at a Harlem H.I.V. clinic during the AIDS epidemic, at ground zero after Sept. from Pocket https://ift.tt/2U69QDN via IFTTT

[mongoose232323]

It’s Sad When Anyone Dies

But, Isn’t Ironic Don’tcha Think

A Lil Too Ironic..

Sept. 21, 2019

Chef Carl Ruiz Spent His Time Glorifying Meat

And Bashing Vegetarians And Vegans.

Well, He Died Of A Heart Attack..

From The Article

In a statement to USA TODAY Wednesday, Bruce Goldfarb of the Maryland Department of Health confirmed, "the cause of death is atherosclerotic cardiovascular disease, natural causes."

According to the Mayo Clinic, atherosclerotic cardiovascular disease is when there is a "buildup of fats, cholesterol and other substances in and on your artery walls (plaque), which can restrict blood flow."

Wonder How That Happened?

https://amp.usatoday.com/amp/4000647002

[larrytcamp]

IV Lounges Want to Cure Hangovers, but at What Cost?

Carrying offerings named “Jet Lag Eraser,” “Hydrofix,” and “Epic Hangover Recovery,” concierge intravenous (IV) lounges are popping up in cities around the country and offer bold promises for consumers looking for a quick fix from a hangover, jet lag, or someone looking for a beauty boost, or to build their resistance against colds or flu.

Patrons receive fluids, such as vitamins and/or anti-nausea medications via IV injection. The claim is that the fluids drip directly into the bloodstream, which take effect faster than taking pills or drinking water or an electrolyte beverage. Rihanna, Cindy Crawford, and Simon Cowell have all reportedly tried them, and recently, The Real Housewives of Beverly Hills personality Lisa Rinna reportedly tossed her bag of vitamins and medications and embraced IV treatment, saying it accommodates her “busy” schedule.

As these services grow and attempt to become more mainstream, concerns among the medical community abound about their safety and effectiveness, particularly given that most of these services and products are unregulated, much like the supplement industry. Costs for services provided by walk-in “clinics” or via house call range from roughly $80 to $875 per visit. Companies claim the process can deliver hydration, a quicker hangover recovery, an immunity boost, energy, and even anti-aging effects in less than an hour. But Richard F. Demers, RPh, MS, FASHP, the chief administrative officer of Ambulatory Pharmacy Services, is not sold on these bold promises.

“You wouldn’t want to say, ‘this place is [available], so I’m going to go out and spend multiple nights drinking, or multiple sleepless nights and use these services on a regular basis,’” said Demers. “That can be very dangerous for your system. It’s possible that one of these places could help once – but it’s only possible, not probable.”

Much of Demers’ concern surrounds those staffing the operations.

“Ideally, there should be doctors and nurses there to make sure if something were to go wrong, there is appropriate care and the infrastructure to respond effectively,” Demers said. “Even in the best clinical environment, any time you put an IV into someone, you open them up for possible infection or for other things to possibly go wrong. This is not something medical practitioners do for frivolous requests.”

Demers adds that part of the feeling some get from using these services is likely the simple placebo effect of believing you’re doing something to make yourself feel better. Anecdotal accounts suggest some people have found relief, but limited research on the effectiveness of these injectable therapies exists. For example, two studies tested IV vitamin use in fibromyalgia patients – one showed no improvement and the other, which tested a group of only seven patients, reported only short-term relief. Neither study had a placebo group.

The origins of these lounges is built on the “Myers Cocktail” – an IV formula of magnesium, calcium, B vitamins, and vitamin C developed over a decade ago following the research of a Baltimore physician named John Myers, MD. In a 2002 review, Alan R. Gaby, MD, a past president of the American Holistic Medical Association, claimed that the concoction is effective against acute asthma attacks, migraines, fatigue, and other conditions. Today’s lounges offer broader services, such as selections like “vitamin treats… that dig deeper, providing proven solutions that recharge, relieve, and revitalize your mind and body.”  

In some cases, though, clinicians say these IV lounges fail to address the real root of a problem.

David Aizenberg, MD, an associate professor of Internal Medicine, said in a TIME article that there is no perfect hangover cure. “Nothing treats the entire hangover,” Aizenberg said. “There is no ‘magic cure’ where one remedy will get rid of every single hangover symptom.”

“Dehydration is not the basis for a hangover, but rather it is the toxic metabolites of alcohol that are responsible,” said Stanley Goldfarb, MD, a professor of Renal Electrolyte and Hypertension. “It is unlikely that they will be excreted in the urine more rapidly with intravenous fluid; they are filtered very effectively by the kidney as long as an individual is not so ill that their blood pressure is low.”

Goldfarb added that if users are acutely alcohol poisoned and develop diarrhea and vomiting, then IV fluids delivered in a proper medical environment, may help. However, “The idea that someone who has not been vomiting a great deal or who has not had severe diarrhea has become significantly depleted of much of any minerals after alcohol ingestion is pretty silly, but does explain the prices that these services are charging for replacing substances that aren’t really missing.”

Encouraging alcohol toxicity by developing a “cure” is arguably unethical, Goldfarb adds, which could partly explain why such limited research exists in this area.  

“If you drink, just drink in moderation,” Goldfarb said. “It really isn’t that complicated.”

The article “IV Lounges Want to Cure Hangovers, but at What Cost?” was first appeared on Penn Medicine News by Greg Richter

In Toronto? The IV Lounge is a full service IV vitamin therapy specialist offering intravenous infusions such as Myers cocktail, Hangover IV, and high dose vitamin C just to mention a few.

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Have you seen our beautiful clinics? Our CEO, Dr. Kahl Goldfarb, PT, DPT spends a lot of time designing and building our state of the art locations! #waterandsportspt #pt #physicaltherapy #sdathletes #sdfit #sdfitness #physicaltherapist #pttransforms #missionbeach #carmelvalley #utc #lajolla #coronado #downtown #scrippsranch #poway https://www.instagram.com/p/Bsa3jA0g4Vp/?utm_source=ig_tumblr_share&igshid=1sopgnstg87q2

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9 individuals on how Germany effectively dealt with the coronavirus pandemic

The majority stated they were positive in the federal government handling of the virus and stated they felt safeguarded by the country’s robust health care system.

Nevertheless, others said that some German states are not prioritizing more vital aspects of society while reopening, choosing to resume the Bundesliga, the German football league, over pre-schools.

See Service Expert’s homepage for more stories

It’s the second weekend of May and Berlin remains in full swing. Public parks are covered in picnic blankets and sunbathing locals, and the city’s much-loved beer gardens are buzzing with people as they collect to consume and mingle in the hot afternoon sun.

Sebastian Wenz, an accounting professional who resides in the capital, is likewise there, watching neighboring television screens in anticipation as his house soccer group, Hertha BSC, returns to action for the very first time considering that the coronavirus outbreak.

” You wouldn’t believe that simply seven weeks back, Germany was going through a lethal pandemic,” Wenz informed Service Insider.

Eight weeks from the height of its coronavirus break out, Europe’s most populated nation has actually emerged relatively unscathed compared to the rest of the world.

Germany’s effective response to the coronavirus is credited to key elements including an early lockdown, a comprehensive testing program, and a working healthcare system, Organisation Expert formerly reported.

To date, the country has seen more than 183,000 verified coronavirus cases, but just 8,594 deaths To put this into viewpoint, New york city City alone, which has a tenth of Germany’s population, has around double that death toll.

Visitors sit at tables of dining establishments on the Neumarkt in front of the Frauenkirche in Dresden on May 22,2020

Robert Michael/picture alliance through Getty Images.

Unlike other European countries, including Spain or the United Kingdom, Germany managed to preserve its low death rate while still keeping lockdown steps fairly relaxed.

Each of its 16 federal states executed their own sets of lockdown guidelines, which varied in seriousness.

Now, as the country resumes and life gradually goes back to regular, Germans reviewed how they think the nation carried out in the face of the pandemic.

” In March all of it occurred really rapidly, from one day to the next. But then it also ended truly quickly and now we’re just trying to get back to regular,” said Wenz.

The 35- year-old and his family are slipping back into their old regimens. His 11- year-old child is back in school, his other half is operating in the workplace 3 times a week, and he recently enjoyed a weekend excursion to a museum with his in-laws.

” I’m an extremely logical person, so I remained calm throughout, although I think that’s also because in basic, the federal government seemed to have things under control,” he added.

A worker wearing a face shield talks with a customer at his coffee shop in Berlin on May 15,2020

Kyodo News/Getty Images.

Wenz is not the only one who feels in this manner.

” Their overall method was to say: ‘These are the guidelines, please stick to them.

Reitz also believes the federal government avoided an even worse break out by going into lockdown fairly early, although notes that this wasn’t an opinion shared by everyone.

” We have local governments who were doing their own thing.

Georgiana Ci, 28, who is originally from Romania however lives in Berlin, stated: “I felt safe that I am in Germany.

” I thought she made sense.

German Chancellor Angela Merkel holds a press conference at the Chancellery on May 20, 2020 in Berlin.

Omer Messinger-Pool/Getty Images.

During the crisis, Merkel got global acknowledgment for being level-headed. As a former research scientist with a doctorate in quantum chemistry, the German chancellor was typically seen on television breaking down stats, describing why certain procedures were taken, and calling for nationwide unity.

One video which revealed Merkel describing the clinical basis behind her lockdown technique during a press conference on April 16, was shared countless times on social networks.

The chancellor has actually been rewarded with her greatest approval scores because July 2017, according to a survey mentioned in Deutsche Welle. Her celebration, the Christian Democratic Union Party (CDU), shared the success, with their approval ranking up 5%from last month.

Every individual Service Expert spoke to likewise stated they were extremely impressed by and grateful for Germany’s healthcare system For lots of, it is the crucial factor in blunting the impact of the coronavirus.

Dagmar, 61, a relaxation therapist from Hennef, a city just outside Bonn, said: “I was positively surprised by our health care system. It is strong and functions well. It’s something Germans can do effectively.”

” I do not think we must undervalue how abundant and resourceful Germany is,” Goldfarb stated.

The 25- year-old adds that her mother, who works in a lab in a hospital in neighboring Bamberg, hasn’t been extremely busy for weeks.

” The huge state medical facilities prepared themselves so much.

Individuals spend Dad’s Day on the Elbe beach in Övelgönne, Hamburg, on May 21,2020

Bodo Marks/dpa by means of Getty Images.

Germany’s spending on health care per capita is among the greatest on the planet and it has the 2nd most critical-care beds per capita in Europe, Company Insider reported.

From the very beginning, the country took the hazard of COVID-19 seriously. By the time it taped its first coronavirus case in February, laboratories throughout the nation had actually developed a stock of test kits, The New york city Times reported. In the very same week, a national crisis group was formed and ICU capability increased by 12,000 to 40,000 beds.

On April 26, the nation’s lead epidemiologist, Christian Drosten informed The Guardian: “We are seeing half-empty ICUs in Germany. This is since we started diagnostics early and on a broad scale, and we stopped the epidemic– that is, we brought the reproduction number below 1.”

Germany’s rigorous testing system garnered appreciation from all over the world. With a population of around 83 million, the country can perform approximately one million diagnostic COVID-19 tests a day.

” We trust our health care system. If I feel terrible and my physician tells me to remain at home, I’m going to stay home,” stated Goldfarb.

The medical student’s view shows a cultural norm that also played an important function in the nation’s success: Germans listen to the rules.

Augsburg’s assistant coach Tobias Zellner offers an interview after the German very first department Bundesliga football match on May 16, 2020 in Augsburg.

Tobias Hase/Pool/Getty Images.

Matthias Veith, 31, who works in insurance coverage in Düsseldorf, said: “Maybe this is a more cultural thing, however when there is a guideline, Germans follow it.

” During the lockdown, it worked.

Veith remembers how at the peak of the pandemic, the city was deserted despite reasonably relaxed lockdown limitations.

However as Germany has seen a decrease in cases, people are not scared to reenter society.

Bettina von Hengstenberg, 72, who lives in Hamburg, states that even senior people are beginning to socialize once again, although they stay cautious.

” I’m not terrified to leave the house any longer, however I believe that’s due to the fact that the numbers in Hamburg are so low.

” I asked my neighbor for four weeks to go to the supermarket for me. After 4 weeks, I put my mask on and said: ‘Right, I’m going to go now due to the fact that I can no longer be afraid,” von Hengstenberg included.

A waiter serves beer in the Park Cafe in Munich on May 18,2020

Andreas Gebert/Reuters.

The one thing that does stress Germans, nevertheless, is the economy.

But while most people Service Insider spoke to support the resuming of the nation, some were cautious it was premature and could set off a 2nd wave of infection.

Sebastian Mihãilã, 27, who lives in Berlin, said: “I absolutely disagree with opening bars and clubs. I do not mind at all if there are 5 individuals in the park who are being in a circle, 2-meters apart, and just talk.”

But I do mind when I see these type of gatherings in front of a bar where individuals likewise get intoxicated and within two hours are all over each other, dancing and hugging. It’s meaningless,” he included.

A demonstrator wearing a mask holds up signs during a protest versus the government’s limitations, in Berlin on May 23,2020

Christian Mang/Reuters.

Stephan Brunnhuber, 29, who operates in IT in Munich, recently returned to the city after waiting out the pandemic with his parents in the countryside. The southern state tape-recorded the first coronavirus case in the country and, unlike other places, had a much more stringent lockdown.

” I think it’s great that we’re reopening however in other cases, I think it’s still prematurely. For instance, in Bavaria, they resumed the beer garden prior to kindergarten. I think in some cases it makes good sense but in this case, it doesn’t. Their top priorities are wrong,” he said.

The resumption of the Bundesliga, Germany’s soccer league, on May 16, also stimulated a great deal of debate in the country.

” The other leagues and seasons have been canceled. Why them? It’s so dangerous,” Brunnhuber said.

While there was extensive acceptance of a lockdown, some Germans also felt that the country overreacted In the last couple of weeks, the country has seen a boost in anti-lockdown demonstrations, which have suddenly end up being the leading edge of an international anti-vaxxer motion.

” The demonstrations are embarrassing. I feel mad when I see them since the only thing we are expected to do is to watch out for each other. It makes me wonder where the typical individuals remain in the world,” stated Goldfarb, the medical trainee from Nürnberg.

Because the peak of the break out, the country has had a great deal of time to reflect. Although it has been praised for its effective coronavirus action, the experience has still left a considerable effect on people’s lives. They are increasingly conscious that things won’t go back to normal– a minimum of for a while.

Goldfarb reflected: “I think there’s a big opportunity in this entire scenario to evaluate our lives, so I do think things will change a bit, and I hope that we will not simply go back to typical since that would imply we found out nothing from this.”

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[itslucycarter-blog]

Muscle Soreness, Explained

For what reason do my thighs throb during light action?

Q: I've been turning out reasonably reliably for about 1.5 years. I do quality preparing about two times every week and cardio 5 times each week. I've seen that my thighs, especially my quads, consume constantly with a limited quantity of effort, for example, climbing a flight stairs. For what reason do my thighs consume such a great amount with negligible effort? – Kim, 29 Texas

A: Let's discussion about muscle irritation. Postponed beginning muscle irritation, or DOMS as it is regularly called, is the normal – one could even say essential – aftereffect of an exercise. On the off chance that you do an action you're not used to, for example, taking another sort of wellness class, assaulting a slope on your bicycle when you're accustomed to riding on level ground, or running a far longer separation than you are acclimated with – the distinction in muscle use can cause small scale tears in muscle filaments and connective tissue. As your body attempts to fix itself, you may feel some poor quality torment in the territory.

In any case, this is the place the expression "no torment, no increase" comes in: those tears and the consequent fix help make the muscle more grounded – and that improves by and large wellness. In any case, it accompanies some hurt en route.

Specifically, developments that incorporate "whimsical muscle constrictions," which happen when the muscle must agreement even as it is being extended (running downhill or strolling down the stairs, for instance) may cause some deferred beginning torment. Yet, why?

"Consider it like the most vulnerable connection," says Allan Goldfarb, Ph.D., a teacher in the Department of Kinesiology at the University of North Carolina, Greensboro and an individual of the American College of Sports Medicine. "Muscle proteins hold that more fragile piece together and if there is an excessive amount of power or pressure [from exercise] on those muscle strands or proteins, they are defenseless against getting marginally harmed."

With an end goal to fix the harm, the body can in reality over fix clarifies Goldfarb, and that can enact torment receptors. Additionally, the muscles can experience the ill effects of some low-level aggravation that can add to the agony.

DOMS can be relieved by moderate, consistent extending works out, says Goldfarb. Furthermore, late examinations have proposed that ice showers can likewise help improve irritation.

However, that doesn't really solid like what's happening on account of this inquiry. First off, it appears as though you're encountering muscle torment simultaneous with the movement, instead of hours after. We asked Dr. Lynn Snyder-Macker, PT, ATC, SCS, ScD, an educator in the Department of Physical Therapy and the Center for Biomedical Engineering Research's Interdisciplinary Graduate Program in Biomechanics and Movement Sciences at the University of Delaware for her feeling.

"It doesn't sound solid to me (one trip of stairs!)," she wrote in an email to HuffPost Healthy Living, highlighting the consuming sensation, which is unique in relation to an irritated muscle's throb. "It sounds increasingly like nerve or patellofemoral torment or alluded torment from the hips." That joined with your young age cause her to accept this isn't work out related all things considered.

Numerous sicknesses could cause this sort of torment: fibromyalgia is one determination that fits in with unexplained muscle irritation, as per Goldfarb. Saying this doesn't imply that that unexplained muscle consuming or irritation is an indication of genuine sickness, however it might be worth further assessment by a clinical master, similar to a games medication specialist.

[ihtspirit]

Take Care of Yourself in Quarantine or Isolation, Starting Right Now

Take Care of Yourself in Quarantine or Isolation, Starting Right Now Originally published March 20, 2020 in The New York Times. By Anna Goldfarb “Trying to preserve some sense of normalcy is really important for people’s well-being,” said Dr. Russell G. Buhr, a pulmonologist at U.C.L.A. Health. Maintaining a routine, he said, like getting up and getting dressed and doing what you usually do, can positively affect mental health. https://ihtusa.com https://ihtusa.com/take-care-of-yourself-in-quarantine-or-isolation-starting-right-now/ Originally published March 20, 2020 in The New York Times. By Anna Goldfarb “Trying to preserve some sense of normalcy is really important for people’s well-being,” said Dr. Russell G. Buhr, a pulmonologist at U.C.L.A. Health. Maintaining a routine, he said, like getting up and getting dressed and doing what you usually do, can positively affect mental health. “And good mental health promotes good physical health,” he added. [caption id="attachment_20354" align="alignright" width="500"] New York Times graphic[/caption] But there’s more to do. Dani Johnson, a physical therapist at the Mayo Clinic Healthy Living Program, encourages people who are staying home to get creative. “Every little bit of movement counts,” she said. “So when we’re confined to our home, move, move, move.” You don’t need fancy equipment or a lot of time; you just need to weave exercise into your schedule. The American Heart Association recommends adults engage in at least 150 minutes (two and a half hours) per week of moderate-intensity aerobic activity, or 75 minutes per week of vigorous aerobic activity. A combination of both would work too, preferably spread throughout the week. Let’s start with six things you can do every day to maintain your physical and mental health if you’re isolating at home.

Right now, start bringing movement into tiny moments

Next time you watch a TV show, get up and do some squats during the commercials, Ms. Johnson said. Do heel raises when you’re washing dishes. Do side lunges when you’re throwing clothes in the dryer. Knock out some push-ups when you’re waiting for a pot of water to boil. Dancing is also a great way to move your body. Turn on some music and boogie with your partner or children.

Improvise for tools — they’re all around you

There are ways to add resistance even when lacking proper gym equipment. Ms. Johnson recommends tossing cans of food in a bag: “Suddenly, that becomes a weight for you.” Come up with games you can play with children. Anything where you’re crawling, jumping and skipping could work. “If you have stuff in your house and you have a body, you’ve got a great exercise tool,” she said. (You can read more about how to get strong here.)

Get your heart rate up, multiple times a day

“Stairs can be your cardiovascular best friend,” Ms. Johnson said. If you have access to stairs in your home or apartment, going up and down those stairs is a great way to get your blood pumping. For a great full-body home workout, you can do an entire circuit sequence for up to 30 to 45 minutes. If you are working movement into your daily tasks, she also suggests creating more activity while doing things you already need to get done. For example, if you’re carrying laundry upstairs, take an extra lap or two up and down the stairs to work in extra steps. “Every little bit counts toward a healthier you,” Ms. Johnson said. Dr. I-Min Lee, a professor of medicine at Harvard Medical School, recommends simple fitness exercises like marching in place, doing jumping jacks or jogging in place with high knees.

Get out and walk, even for just 15 minutes

“As long as the public health practitioners haven’t suggested a total lockdown, as long as you’re able to maintain a reasonable amount of distance and you’re being good about hand hygiene and especially if you’re staying completely home if you’re having any signs of illness, then getting outside for a walk is good,” Dr. Buhr said. “It clears your mind, and it keeps you active.” Everyone should all aim for 150 minutes of physical activity every week, he said, but the amount of time you walk each day can vary. What counts is that you’re moving your body.

Stretch it out for at least 30 seconds

Stretching is essential, Dr. Lee said, because it helps maintain flexibility. Here are six simple barre stretches you can do in your home or outside. Ms. Johnson also likes the warrior pose stretch and the prayer stretch, which targets the lower back. In a Zoom meeting? Stretch right now. The Mayo Clinic says you should be stretching at least two to three times a week. And you should hold each stretch for 30 seconds for most areas and up to 60 seconds for sore or problem areas. Don’t bounce, which can cause injury. Expect to feel tension while you’re stretching, but not pain.

Work on your breathing, because anxiety is real

Ms. Johnson recommends a technique called diaphragmatic breathing. Lie down on your back and put your hands on your abdominal region. When you breathe in, make your belly rise. And when you breathe out, your belly should fall. Stay in that position and take 10 deep breaths. “It’s really important that we take a few moments and pause and really just sort of relax ourselves and our nervous system,” Ms. Johnson said. (Read more about how to breathe to feel better.) Make sure you clean up after yourself. Dr. Buhr said that even if you’re doing activities in your home, you still need to observe the same kind of hygiene practices that health officials are advising. You should wash your hands carefully and try not to touch your face. If you need to touch your face, he recommends using a clean towel. And if you’re using any kind of gym equipment at home, clean it with soap and water or any household cleaner before and after so that if you’re sharing it with others, you’re not spreading germs around.

Exercise equipment that’s great to have at home

Jump rope Jumping rope gets your heart rate up and burns a lot of calories. Wirecutter, a New York Times company that reviews and recommends products, likes the XYLsports Jump Rope. It’s affordable enough that everyone in your household can have their own. Weighted hula hoops If the weather is crummy or you have a few minutes to spare while watching YouTube videos, whip out a hula hoop. A recent study showed that six weeks of weighted hula-hooping for an average of 13 minutes a day significantly decreased both waist circumference and body fat, and increased muscularity, compared to a period of walking. Foam rollers They help reduce muscle stiffness, and you can use a foam roller as a basic exercise tool. Wirecutter has options here. Resistance bands Ms. Johnson suggests ordering a package that includes a variety of resistance intensities because you will progress. Wirecutter likes the Bodylastics Stackable Tube Resistance Bands.

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[craigbrownphd]

R Packages worth a look

Loglikelihood Adjustment for Extreme Value Models (lax) Performs adjusted inferences based on model objects fitted, using maximum likelihood estimation, by the extreme value analysis packages ‘evd’ https://…/package=evd>, ‘evir’ https://…/package=evir>, ‘extRemes’ https://…/package=extRemes>, ‘fExtremes’ https://…/package=fExtremes>, ‘ismev’ https://…/package=ismev>, ‘POT’ https://…/package=POT> and ‘texmex’ https://…/package=texmex>. Adjusted standard errors and an adjusted loglikelihood are provided, using the ‘chandwich’ package https://…/package=chandwich> and the object-oriented features of the ‘sandwich’ package https://…/package=sandwich>. The adjustment is based on a robust sandwich estimator of the parameter covariance matrix, based on the methodology in Chandler and Bate (2007) . This can be used for cluster correlated data when interest lies in the parameters of the marginal distributions, or for performing inferences that are robust to certain types of model misspecification. Univariate extreme value models, including regression models, are supported. Simulates SPSO and Efftox Phase 12 Trials with Correlated Outcomes (Phase12Compare) Simulating and conducting four phase 12 clinical trials with correlated binary bivariate outcomes described. Uses the ‘Efftox’ (efficacy and toxicity tradeoff, https://…/2> ) and SPSO (Semi-Parametric Stochastic Ordering) models with Utility and Desirability based objective functions for dose finding. Client for the Open Citations Corpus (citecorp) Client for the Open Citations Corpus (http://…/> ). Includes a set of functions for getting one identifier type from another, as well as getting references and citations for a given identifier. Stochastic Limited Memory Quasi-Newton Optimizers (stochQN) Implementations of stochastic, limited-memory quasi-Newton optimizers, similar in spirit to the LBFGS (Limited-memory Broyden-Fletcher-Goldfarb-Shanno) algorithm, for smooth stochastic optimization. Implements the following methods: oLBFGS (online LBFGS) (Schraudolph, N.N., Yu, J. and Guenter, S., 2007 http://…/schraudolph07a.html> ), SQN (stochastic quasi-Newton) (Byrd, R.H., Hansen, S.L., Nocedal, J. and Singer, Y., 2016 ), adaQN (adaptive quasi-Newton) (Keskar, N.S., Berahas, A.S., 2016, ). Provides functions for easily creating R objects with partial_fit/predict methods from some given objective/gradient/predict functions. Includes an example stochastic logistic regression using these optimizers. Provides header files and registered C routines for using it directly from C/C++. Interface to USDA QuickStats Data with Mapping Capabilities (tidyUSDA) Provides a consistent API to pull United States Department of Agriculture census and survey data from the National Agricultural Statistics Service (NASS) QuickStats service https://quickstats.nass.usda.gov>. http://bit.ly/39RQyrN

[maxihealth]

The Rise of Social Determinants of Health in Healthcare is Just Real Life Stuff for People, Patients, Consumers

Based on the influx of research studies and position papers on social determinants of health flowing into my email box and Google Alerts, I can say we’re past the inflection point where SDoH is embraced by hospitals, professional societies, health plans and even a couple of pioneering pharma companies.

PwC published a well-researched global-reaching report this week appropriately titled, Action required: The urgency of addressing social determinants of health. The “wheel of determinants” illustrates potential partners for collaborating in communities to address SDoH factors. The collaborators include governments, health care providers, payors, life science and pharma, tech and telecomms, policy and research, community-based organizations, and employers.

I would add more granularly retail, education, and faith-based organizations. The latter may be classified as “community organizations,” but they can play an intimate, trusted role in many peoples’ health-and-wellness both spiritually and socially.

The report calls out “financial and biological metrics” which are really impactful to patients, particularly in the U.S., who are bearing more financial risks for paying for medical care. Concepts such as cost-per-health-condition and social return-on-investment are especially salient in this environment, which calculate positive externalities beyond a medical outcome and embody quality of life for the person, social connectedness, and community economic development aspects that can speak to “flourishing” beyond “survival.”

[Sidebar: this JAMA Viewpoint on Reimagining Health – Flourishing informs my view here – “the concept of flourishing has the potential to capture health more broadly than existing wellness measures for both patients and populations…could open a national conversation that reframes and reimagines traditional concepts of health”].

JAMA featured research earlier this month showing that, while there is “swelling momentum for addressing social needs,” most physicians and hospitals are not screening across 5 key social needs associated with health outcomes (interpersonal violence, transportation, food security, housing stability and utility needs). The key barriers to screening were identified as lack of time available to spend with patients to discuss social factors, information and evidence on the SDoH, and money – that is, reimbursement to cover addressing social needs in the health care system.

Research published in Medical Care in June 2019 looked into clinician experiences and attitudes for screening SDoH in a large health system, and found the vast majority of clinicians supported efforts to incorporate social needs into clinical care — agreeing, too, that screening for social needs should become a standard part of care. However, lack of time, resources to channel people to social services, and lack of training about how to respond were indeed barriers to undertaking SDoH screening among providers.

To cap these stories, I had the honor of being a judge last week at the Robert Wood Johnson Foundation Social Determinants of Health Innovation Challenge competition to select an innovator incorporating social determinants of health into a technology solution, convened at the Health 2.0 Conference. There were dozens of entries vetted before the final three were chosen, which demo’d live at the session. My fellow judges, Adam Dakin, Managing Director of Healthtech with Dreamit Ventures and Pamela Garmon Johnson, National VP in the Health Equity Impact and Partnership program of the American Heart Association, and I wrestled with three great concepts. The winner was finally selecting the Social Impact AI Lab. The project brings together MercyFirst of New York City with Augmented Intelligence, a tech company that enables the human services agency network to scan and digest case notes using natural language processing AI. The team is developing the platform that can be scaled to other agencies beyond New York. This solution helps streamline Old School social workers’ notes by applying AI that parses the words in countless pages of therapy notes and pulls out key social determinant factors — such as job loss, domestic violence, substance use, homelessness, and other challenges people face.

As I mindfully wrote in the title of this post — social determinants are just real life for Everyday People.

Health Populi’s Hot Points:  There’s been a tweet-storm of a debate spawned by an editorial in the Wall Street Journal published 12th September 2019, written by a former dean of the Medical School at the University of Pennsylvania, Dr. Stanley Goldfarb, titled “Take Two Aspirin and Call Me By My Pronouns.” The subtitle of the piece was, “At ‘woke’ medical schools, curricula are increasingly focused on social justice rather than treating illness.”

Dr. Eric Topol launched a conversation in response to the op-ed which has a long thread you can review if you want to read the fine print of the debate. Suffice it to say there is a lot more discussion to be had on the roles of social science, social justice, health equity, and bias in academic and community medicine.

Over 150 graduates from Penn Medicine wrote this letter, published in Medscape, in response to the Wall Street Journal essay.

My own addition to the Twitter dialogue focused on this map image taken from my book, HealthConsuming, featured in the chapter, “ZIP Codes, Genetic Codes, Food and Health,” covering the impact of social determinants on all of our individual and communities’ health status.

This image is a map illustrating the “short distances to large gaps in health” in Philadelphia, my home town. If you live by the Liberty Bell in ZIP code 19106 (look at the southeastern portion of the map), you can live to the ripe age of 88 years. If you reside northwest in ZIP code 19132, you may live on average 20 fewer years, dying at 68. This risk of mortality happens within a mere few miles’ difference in the City of Brotherly Love.

It’s ironic that Dean Goldfarb led a medical school in Philly. But we’d find similar mortality risks influenced by SDoH whether in New York City, Los Angeles, Miami, or Chicago.

Social determinants are all of our business, and patients/consumers/health citizens want to engage in health across all industry sectors.

   The post The Rise of Social Determinants of Health in Healthcare is Just Real Life Stuff for People, Patients, Consumers appeared first on HealthPopuli.com.

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