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Viral Post December 10th, 2021: More and more Vaccination

It has been 18-1/2 months since our world was essentially turned upside down by the spread of a relative of the common cold virus.  During this period, for better or worse, given my job as a pulmonary physician, I have attempted to write truthfully on the coronavirus situation.

A lot of the things I wrote in the early going have been lost.  The articles disappeared; around the time I changed the format of my website.  I have approximate copies of them, but most were edited after posting, so they are different.

I want to first discuss the current status of the vaccines that are being forced upon us.  All 3 are being given under an Emergency Use Authorization or EUA.  The FDA defines an EUA as:

FDA may allow the use of unapproved medical products, or unapproved uses of approved medical products in an emergency to diagnose, treat, or prevent serious or life-threatening diseases or conditions when certain statutory criteria have been met, including that there are no adequate, approved, and available alternatives.” 

Under this rule, the FDA has issued EUA’s for 3 vaccines, the PfizerBioNTech, Moderna, and the Johnson & Johnson products.  This EUA comes with essentially blanket immunity for the drug companies for any liability due to adverse events.

So, let us talk about adverse effects.  Now I have been reluctant to cast aspersions on the vaccines in these articles. This is because at least for specific risk groups, I thought the “jabs” were advisable.  I did not wish to suppress their use

Discussing adverse effects, however, becomes important when we discuss the blatant rule manipulation by the FDA.

According to the CDC’s Vaccine Adverse Effects Reporting Site (VAERs) as of November 26, 2021, there have been 927,740 adverse events, and 19,532 related deaths reported for the 3 vaccines in the 12 months since they were introduced. These deaths do not include roughly 6000 deaths that were erased from the site back in July. There have been 859,919 adverse effects and 93199 related deaths reported for all of the 25 other vaccines listed in the database over the last 20 years. This means that the 3 Covid vaccines have the highest side effect profile of any vaccines ever produced.  Keep that in mind.

You may say, well, they have given over 400 million doses of vaccine just in the United States.  No wonder there are so many problems.  That might be correct.  So, let us look at deaths per million doses.  Again, as of November 26, there were 19.51 deaths per million doses for the 3 vaccines.  The vast majority of other vaccines are between 0 and 4 deaths per million doses.  Only mumps and measles come anywhere in the vicinity of the Covid vaccines with 9 and 14.7 deaths per million respectively.  It is noted on the database that these 2 vaccines have been given significantly smaller numbers than the others.

So where is the FDA-approved vaccine Comirnaty?  Shockingly, it is unavailable, Pfizer, Moderna, and J and J are allowed to continue distribution of their previous products which continue to be mandated.  The FDA has a very confusing statement on this:

“Comirnaty has the same formulation as the FDA-authorized Pfizer-BioNTech COVID-19 vaccine and can be used interchangeably to provide the COVID-19 vaccination series without presenting any safety or effectiveness concerns. The products are legally distinct with certain differences that do not impact safety or effectiveness.

There are no data available on the interchangeability of Comirnaty with either Moderna COVID-19 Vaccine or Janssen COVID-19 Vaccine.”

Then why the hell are they still being distributed?

In this case, “legally distinct” means among other things that the vaccines maintain their legal immunity whereas Comirnaty would not. 

In fact, by the FDA’s original rules, once approved only Comirnaty should be available, none of the 3 original vaccines should be distributed. The others should be withdrawn until they also obtain FDA approval.

So, with this FDA sleight-of-hand, people are being mandated to take an “experimental” (the FDA’s own term for EUA drugs) vaccine. It is providing a legal shield for vaccines with an unprecedented rate of adverse events and deaths.

There is a document called the Nuremberg Codes. They were written as a reaction to the Nuremberg trials of among others, doctors accused of barbaric medical experimentation on their captives. These codes are considered seminal guidance for medical experimentation. The very first code reads:

“The voluntary consent of the human subject is absolutely essential. This means that the person involved should have the legal capacity to give consent; should be so situated as to be able to exercise free power of choice, without the intervention of any element of force, fraud, deceit, duress, overreaching, or other ulterior form of constraint or coercion”

Tell that to the military, and to other federal employees.

So with all this mandated vaccination, we must be doing great this year, right? According to the state health department, 58% of Pennsylvanians are fully vaccinated. Yet statistically we seem to be on a very similar numeric path to last year’s infection numbers during December, prior to the availability of vaccines. My own hospital is seeing a lot of cases, as many or more than last year.

The suggested solution: more vaccines.

Let us move on to some new information on natural immunity. Shortly after I published the last essay, I became aware of a letter published in the New England Journal of Medicine from the Weill-Cornell Medical Center in Doha, Qatar. It described a large study involving approximately 353,000 documented nonvaccinated Covid recovered between February 2020 and April 2021. They looked at the incident of reinfection, particularly with an eye toward severe disease, and death.

 There were 1304 cases of reinfection which was .03%. Compared to primary infections the percentage of severe illness as defined by the WHO in the reinfected was 0.12% there were no cases of critical illness and no deaths in the reinfection group. The study concluded that based on this data, natural immunity was roughly 85% effective or better.

Interestingly Trump-appointed federal judge Terry Doughty, from the Western District of Louisiana quoted this study and others in a memorandum. It was written to support an injunction placing a nationwide halt to the Biden administration’s attempts to mandate vaccination for all healthcare workers. The fact that there was no exception for previously infected healthcare workers was one issue for him. He wrote:

these studies overwhelmingly conclude that natural immunity provides equivalent or greater protection against severe infection than immunity generated by COVID-19 vaccines.”

 It’s good to see this recognized by the court.

The Omicron variant continues in the news. It is spread to over 20 countries, including the US. It is so far producing milder disease, and less resource utilization, than previous variants despite its increased infectivity. Obviously, we will need to watch this closely, but once again these characteristics would be consistent with a virus that is evolving to coexist with its host (us).

I don’t want to be too cavalier, but a rapidly spreading, but mild coronavirus might be just the thing to push us into true “herd immunity”. Whether it is this variant or a future even milder mutation, this does suggest a way we can exit out of this cycle of disease.

I have gotten a lot of criticism for my lack of fealty to the vaccine cult.  I started out back in March 2020 much like everyone else.  I was intimidated by this new pathogen, especially as I was going to have to care for afflicted patients.  I was open to the restrictions given the need to protect the population, particularly the elderly.  When the prospect of vaccines became real, I became as excited as anyone.

My current “evolved” attitude comes from watching Fauci et al lie, manipulate, contradict themselves. I saw them suppress clearly effective repurposed medications, seemingly in the interests of big Pharma.  I have watched these bureaucrats say that there is no need for masks, only then to mandate masks, then even suggest multiple masks.  I have watched them maintain harmful restrictions on commerce long after it would appear to have been necessary.  I have heard them dismiss the idea of vaccine mandates, and then vigorously enforce them.  I have seen a disconnect between the apparent vaccine loss of effectiveness and their increased zeal for even more doses.

I have been a physician for almost 40 years.  All of my training tells me that we have been lied to at every turn. This leaves me dejected for my profession and concerned for the future.

You do not need to be a physician, however, to feel in your gut that this is all nonsense.

And I think increasingly, people sense this.

As always I’d be honored if you would share this post

Header image: Corn in Snow (Fujifilm X Pro 2, XF 56mm f1.2)

Viral Post November 27, 2021: Covid Info is Changing Fast

It has been 21 months of social upheaval and weirdness since the gift of love from the NIH and the Wuhan Institute of Virology.  In that time period, we have seen a widespread loss of faith in our government health apparatus based on contradictory, illogical, and frankly nefarious behavior.

I’ve divided this article into two parts:

Part number one was intended to be published on 18 November, but frankly, for a variety of reasons, including sloth, I didn’t get around to it.

Part two is being written today. I’m doing this in part because of new developments that are significant, and also as a bit of “I told you so”.

Part one: November 18

Overall U.S. Covid “cases” are falling, particularly in the South, while some isolated northern states are having surges.  We have seen this seasonal pattern before, with the arrival of the outdoor recreation season in some climates, while others seek shelter as temperatures drop.

If you look at recent data, the percentage of hospitalizations and death, as a percentage of the total “cases” has also been falling. This is likely due to multiple factors, including vaccination, increasing natural immunity, and better care particularly in the ICUs.  It may also be due in part to the more benign characteristics of the current “delta” variant which is now dominant in the population.

A virus can be thought of as a small biological machine.  They are not considered as living entities, but more as mechanisms.  The spread and dominance of variants tend to occur when mutations cause a particular set of useful characteristics:

1.  The virus evolves to be more infectious.  This could mean that smaller numbers of viruses are needed to institute an infection, and/or the virus changes characteristics to survive better between hosts.  The virus can also evolve to create symptoms in the host that facilitate spread, such as coughing or diarrhea.

2.  The virus becomes less lethal.  These little mechanisms derive no benefit from killing their host.  Arguably the virus can spread more rapidly if the symptoms are mild, and the host remains in contact with others.  Decreasing lethality will also be caused by an increase in acquired immunity in the population (and perhaps their offspring).  In other words, we and the virus evolve so that we can coexist.

Other than the outlier viruses SARS CoV, MERS Co-V, and SARS-CoV2, there have been four coronavirus types that typically circulate in the population and cause respiratory infections.  These typically cause mild to moderate symptoms though they too can be the cause of pneumonia, and ultimately death, in vulnerable populations.    They are estimated to be responsible for 10 to 30% of viral respiratory infections.

Now here’s the thing. Because they are generally benign, and there has been no therapy identified specifically for these viruses, we generally do not test for them.  And we certainly do not isolate or vaccinate. But we do for Covid.  And at some point, that is going to have to change.

Coronaviruses in general have been endemic in the human population for thousands and thousands of years.  Acquired immunity to them tends to be “relative” in that people tend to be reinfected multiple times in their lives, but typically with modest symptoms.

That may explain the performance of the current vaccines.  At this point, they do not seem to prevent infection and spread but do seem to blunt the severity of the illness that results (though this effect is also waning).  The point is, that SARS-CoV2, will likely become an endemic virus, and any expectation that you will not be reinfected at some point is probably unrealistic.  At some point, we will need to normalize our behavior towards this infection and cease with all the isolation and dramatics.

There is some hope.  As much as I despise Pharma, and their actions regarding hydroxychloroquine and Ivermectin, Merck, and now Pfizer, have introduced oral medications for Covid.  Happily, these drugs are patented, so the pharmaceutical companies will make a lot of money and so happily promote their use.

 Pfizer claims that their medication Paclovid, reduced hospitalization by 89% and death by 100% in their clinical trials.  If this bears out, it would definitely be a significant development, with the potential to change both the epidemiology and psychology of this illness.  Merck claims that their new medication Molnupiravir, was roughly 50/100% effective using the same criteria.

In case you wondered, in several meta-analyses, Ivermectin is about 65% for early treatment, with similar numbers for late treatment. It’s about 87% effective for prophylaxis.

I wonder, given these new medications, and the growing sense that the vaccines seem both relatively risky and ineffective, that Pharma will deemphasize the “jabs” for their new therapeutics.  This may be especially true now that monoclonal antibody cocktails given subcutaneously, have recently been shown to have potential as COVID-19 prophylaxis for as long as eight months.

Part two:

So that was written on November 15-17. It is now 2 weeks later and there have been significant developments since.

The number one development would be the continual deterioration in vaccine performance. We are now seeing significant numbers of fully vaccinated people admitted to ICUs, in some cases never discharged. Both director Walinsky, and Dr. Fauci have been forced to acknowledge this. Their answer: inject patients with even more spike protein mRNA.

There is an abstract published in the Journal Circulation that studied the body’s release of certain biomarkers predictive of cardiac complications after receiving the mRNA vaccine. It concluded:  “that the mRNA vacs dramatically increase inflammation on the endothelium and T cell infiltration of cardiac muscle and may account for the observations of increased thrombosis, cardiomyopathy, and other vascular events following vaccination.”

Now, remember back in 1998. A paper was published by one study group investigating the effect of hormone replacement therapy for postmenopausal females on the heart. It concluded surprisingly, that cardiac outcomes were worse in females who were receiving HRT. In an instant, HRT ceased as an option for women.

Let’s see whether this Circulation article has a similar effect on these vaccines (I doubt it).

Poor Merck. They spent the last year impugning their old drug Ivermectin for the treatment of Covid 19. Shockingly they then released their new oral therapeutic, Molnupiravir which they initially reported as having a 50% reduction in illness and death when used treatment of SARs-CoV2. This made Dr. Fauci very excited.

Fun fact: Molnupiravir works by inserting errors into the viral genetic code. Apparently, during the trials, subjects were required to refrain from heterosexual sexual intercourse, and in the case of females, be using birth control. What could go wrong?

Earlier this week they downgraded that effectiveness number to roughly 30%. This is a problem when Pfizer is reporting 89% effectiveness of their new oral medication Paclovid. If this data bears out I would imagine Molnupiravir will be a bust. Karma is a bitch.

Just so you know, the geniuses in our government have already arranged to buy $1.7 billion worth of this apparent loser. Oops.

  By the way, the much more effective Pfizer drug uses a similar mechanism of action to… You guessed it… Ivermectin.

And now we have the Omicron variant emerging from South Africa. This apparently has the World Health Organization in a tizzy, which the press is dutifully reporting. This variant is said to carry multiple mutations including changes to the spike protein (you know, where the vaccines work). It is said to be more infectious than Delta, but there are indications that symptoms are generally mild. There is obviously great hand wringing that it will be vaccine-resistant (like delta already is?).

Maybe they can lock us down again this Christmas.

To close this up, let me review the facts we need to remember to avoid being manipulated by the hype.

  1. SARs-CoV2 is a respiratory virus, much less severe than SARs1, and over time, roughly as deadly as a bad influenza season.
  2. We are being pushed to take multiple doses of hastily developed, still investigational monovalent vaccines. We are vaccinating during a pandemic which generally a bad idea. The vaccines over time do not really appear to be very effective.
  3. The new variant is  likely doing what viruses are supposed to do; evolving to become more infectious but less virulent. It is frightening to the medical establishment, because its spike protein mutations threaten to completely discredit their entrenched “vaccine only “policies.
  4. Given the large percentage the population with pre-existing Coronavirus exposure, and ongoing SARs-CoV2 infections, there is likely a high percentage of the population with broad-based immunity, even to new variants.
  5. There are effective IV and now oral medications. Some are repurposed, but there is a new oral med they may actually allow us to use to treat this infection when it occurs.

I apologize for the length of this. I confess that writing these articles helps me to disperse the toxic degree of cognitive dissonance I experience when ingesting Covid information from the government and the media.

I very much appreciate your interest, your shares, and your comments.

Header image: Deer Camp near Sullivan Falls (Fujifilm X-T10, XF 18-55mm f2.8-4)

Viral Post, October 26, 2021: A Tapestry of Deceits

It is been a year and 7 months since a viral pandemic exposed the craven liars who are in charge of our public health organizations, their absolute fealty to “Big Pharma” and disregard for the welfare of the common man. 

The indoctrination of the citizenry into fear of a viral respiratory infection has been accomplished through a supplicant news media.  The more weak-minded individuals who are their acolytes, are now in conflict with more skeptical folks, who notice the discrepancies in what they’re being told, and refuse to submit.  I guess at this point, I stand with the latter group.

I am absolutely infuriated over the draconian vaccine mandates imposed by the current administration.  Both Anthony Fauci, and CDC head Dr. Rachel Walinsky have publicly stated that the vaccine does not prevent spread.  In multiple reports, viral titers in vaccinated patients with recurrence, are as high as, or higher than those of unvaccinated patients.  As I have stated multiple times, the value of the vaccine is to reduce the severity of your illness, which may get you safely through a Covid infection, towards much more potent natural immunity.

Over the last several weeks, I have been touched by this in my personal life.  The small community where I live has a social organization and a fairly lively schedule of events.  One of my favorites is a dinner that occurs in early October, which serves as a fundraiser.  Typically, my wife and I will invite 3 other couples to join us, filling a table.  The event could not occur last year, and we were excited to see it return.

Unfortunately, when the invitation came out, it was accompanied by a new rule: Vaccinated only.

Now people involved with this dinner, read my articles.  They are aware that I have been infected and thus have not been vaccinated (my wife who was never infected, has had her two inoculations).

So, my group and I were not invited.  I know some others in the community who, based on this rule, were also excluded.  A couple of days ago, the dinner, apparently not a draw this year, was canceled.  What is sad is that, given the failure of the vaccine to prevent spread, making it mandatory for the event was useless and counterproductive.

The problem is you can’t reason with people.  When I am in the Adirondacks, I enjoy stopping into a small private club in town.  I was there a couple of weeks ago and stopped off only to find a sign on the front door, with a “vaccination only” message”.  I was told that the Board of Directors had decided on this policy.  Later in the week, I encountered one of the board members (a pretty nice guy by the way).  I made the argument above, which I think frustrated him.  He finally ended the discussion by saying: “We had to do something about Covid!”. 

There you go.  I moved on to another topic.

Dr. Fauci is really in need of retirement (and indictment?) at this point.  His arrogance and his blatant dishonesty are constantly on display in the media.  He was recently asked by Margaret Brennan, moderator of “Face the Nation”, whether we can “gather for Christmas, or it is just too soon to tell?’  Now this is a stupid question on a lot of levels.  His reflexive answer was “it’s just too soon to tell”.   This to me speaks volumes about the control these people believe they should have on our behavior.  Now in fairness, he has backpeddled rather aggressively after a nasty response on social media, but for a minute we caught a glimpse of his mindset.

A much more infuriating comment was made in an interview with Dr. Sanjay Gupta at CNN. Fauci was asked a question, referencing recent data out of Israel suggesting that natural immunity is much more potent than that induced by the vaccination.  He responded: “I don’t have a really firm answer for you on that” he went on to question the durability of natural immunity versus that from “the jab”.

This is literally unbelievable.  This is a man who is in charge of all responses to Covid.  He would, or at least should have knowledge of the published material on this topic.  No really firm answer?  If that is not a deliberate lie, then he is incompetent.

  The CDC estimates there are likely as many as 120 million people that have recovered from Covid.  These people deserve a well-reasoned answer to the question of whether to be vaccinated.  Given the amazing amount of data, from well-designed well-controlled studies that consistently show more complete and durable immunity can be achieved naturally, one is definitely available.  He is undoubtedly the reason why, the NIH and CDC recommend post-infection vaccination even though there is a large increase in adverse effects, many serious, in this group.

I do think the vultures are circling for the good doctor. First, Francis Collins, Fauci’s boss and the longtime head of the NIH resigned. Then the NIH releases a letter to the House Committee on Oversight and Reform, essentially admitting to the fact that indeed they funded indirectly, gain-of-function research on bat viruses in the Wuhan lab. This directly contradicts testimony given under oath by both Fauci and Collins.  Here’s the story, from that notorious right-wing publication Vanity Fair.

Finally, there is the topic of molnupiravir, Merck’s new antiviral currently in trials for the treatment of Covid 19.  In a preliminary study of 385 early Covid patients (vs 377 placebo), it dropped hospitalization rates from roughly 14 to roughly 7% credited as a 50% improvement.  The tablet, which is said to cost $70 a tablet, and was given as 4 tablets, twice a day for 5 days.

Enter Dr. Fauci again.  After the results of a single Merck-sponsored study, he proclaimed: “the results of the trial that were just announced yesterday and the day before are really quite impressive”.  Think back now to spring 2020, and his skepticism of promising early results on cheap and readily available hydroxychloroquine.  Not much difference in the quality of data but a big difference in his enthusiasm.

Of course, there is Merck’s old off-patent drug Ivermectin, or in CNN usage book: “horse dewormer”.

A recent meta-analysis in the American Journal of Therapeutics rigorously evaluated the 60 or so available Ivermectin papers and ended up screening down to 24 randomized control trials, looking at mortality as an outcome.  On average the studies showed a 62% decrease in mortality for ivermectin versus placebo.  There were also improved severity outcomes also though they were not a primary endpoint.  What was the reaction from Dr. Fauci… crickets?

 The cost of Ivermectin?  The drug is somewhat in demand now and has gotten more expensive.  I looked on GoodRx and found that the standard course for treatment of Covid costs between $29 and $60 depending on the pharmacy, and whether you had coupons. In developing countries, the cost of a course is under 2 dollars

Here’s the best part. The government has committed to purchasing $1.7 billion of molnupiravir, should it get past the FDA. This is after spending billions more on its development. This was done despite the fact that we have a cheap, safe, repurposed drug that appears to be just as if not more efficacious.

It should be clear now, that this tapestry of lies woven by public health officials, Pharma, our elected officials, and the press, is rather obviously unraveling:

The vaccines are not really vaccines, and they don’t prevent spread. At best, they function as marginally effective therapeutics.

 Our monovalent (one protein) vaccines are likely facilitating the emergence of new variants.                                                                                                                                                                             SARS-CoV-2 was a product of gain-of-function research at the Wuhan Lab and was funded illegally, by the NIH/NIAID.

Federal and state governments continue to impose draconian vaccine mandates, despite the fact that they are useless, likely unconstitutional, and immoral.

And perhaps worst of all Big Pharma used its extraordinary influence to suppress cheap, effective therapy for this pandemic, costing likely hundreds of thousands of lives for the sake of profit.

What scares me the most is that as a society, I don’t know whether we will ever have enough insight, and integrity, to sort through all of this, and to punish those who are responsible.

If not, God help us.

As usual, I’d be honored if you’d share this post

Header image : Fisherman on Black Pond (Fujifilm XE3, XF 18-55mm f2.8-4)

Viral Post September 9th, 2021: Can’t Handle the Truth?

It has been a year and 5 months since we first experienced the work product of the Wuhan Institute of Virology.  I must admit, that if you would have asked me on March 16, 2020, the date we originally locked down, I would have assumed the issue of the virus would be well and truly over by this time.  It looks like I underestimated things. 

It appears that we are expected to become overwrought with each new variant. Unfortunately, there are 24 letters in the Greek alphabet. We are only on #4. 

Given that this is the end of Summer, we are dealing with controversies regarding school openings.  School boards were in a difficult position.  They were stuck trying to placate both sides of a fierce debate.   In general, it seems logical to let individual districts, with the input of parents, decide the issue.  

 Though it is unclear to me that masks do anything in the school environment, the decision to require them should be made based on the case burden locally.  What is appropriate for a rural district in, for instance, Potter County may be very different than an urban school district in Pittsburg.   

Now, the state Department of Health has stepped in and mandated masks for all schools in the state, taking the decision out of local hands.  I am sure school boards everywhere are sighing in relief. Still, this seems like Harrisburg overreach…again. 

The CDC has recently announced guidelines that support masking children in schools. They are citing an observational, retrospective study they sponsored, using data from multiple school districts in Georgia. 

The study was conducted on data from November and December 2020, prior to vaccine availability. It showed that improving ventilation in schools and the masking of teachers and staff (i.e.: adults, who are more susceptible to infection) resulted in a decreased incidence of infection. Improved ventilation as it turned out was statistically the much more effective intervention. It was a sloppy study with a lot of inconsistencies which reduces the power of the data. 

 Here is a paragraph from the article’s conclusion:  

 In the current study, the lower incidence in schools requiring mask use among teachers and staff members is consistent with research on mask effectiveness (6), and investigations that have identified school staff members as important contributors to school-based SARS-CoV-2 transmission (7). The 21% lower incidence in schools that required mask use among students was not statistically significant compared with schools where mask use was optional.  

Now, with teachers likely vaccinated, I’m not sure this data is valid. As evidence, this seems like a very “thin gruel” to require masks for entire student populations. 

Let’s turn now to a curious set of facts surrounding the FDA approval of the Pfizer vaccine.  It turns out that the current product, the Pfizer-BioNTech Covid vaccine, is not legally the FDA-approved product.  That vaccine is the Pfizer “Comirnaty” vaccine.  The original vaccine is still under “emergency use authorization”.  Interestingly, very little of the new product has been manufactured, but there is plenty of stock of the Pfizer/BioNTech product, which will continue to be given.   

Why would this be, you ask?  Well, remember that these vaccines have had a significant number of adverse events according to the VAERS data. The older product under EUA is immune from legal action, whereas Comirnaty recipients can sue Pfizer for any complications. 

I’m not trying to discourage vaccine use.  Again, let me say that I believe each person, with the input of their physician, should make this decision based on their particular risk-benefit ratio. 

Pfizer is obviously manipulating the situation, which doesn’t surprise me. I do find it very disturbing that the FDA seems to be cooperating with its efforts.  Pfizer clearly benefits from the P.R. generated by the approval without giving up its legal immunity. 

This manipulation also works for those in government that seek to mandate vaccinations.  Meanwhile unknowingly, we will still receive a product that is still experimental.  

Interestingly, two of the most senior people in the FDA involved with vaccine approval just suddenly resigned. Apparently, they were very unhappy with the rushed vaccine approval. 

 More to come on that, I suspect. 

Finally, I once again return to the matter of natural immunity.  2 articles caught my eye recently.  The first is an immunologic study from Cell Reports Medicine. This looked at the immune responsiveness over time (8 months) to Covid in 254 subjects who had contracted the disease early in the pandemic.  They studied serial blood samples, measuring antibodies and other immunological markers. They conclude that: Taken together, these results suggest that broad and effective immunity may persist long-term in recovered COVID-19 patients. 

Then there is a very large study in preprint from a group in Israel. They studied data from 700,000(!) patients. The study looked at recent infections with the delta variant. It compared those with natural immunity without vaccination, natural immunity with a subsequent dose of vaccine, versus Covid-naïve patients who have been vaccinated. All the previous Covid infections or vaccinations were in the January/February 2021 timeframe. 

  They came to several conclusions.  #1.  Vaccinated Covid-naive patients were 13 times more likely to have a breakthrough infection with the delta variant, than those with natural immunity. They were 27 times more likely to get significant symptoms.  Those results were among patients who had been infected in January–February 2021.  They then looked at a broader group of previously infected subjects whose illnesses go back as far as March 2020.  Those patients were still at an advantage with 5.7 times more infections in the vaccinated group.  They did find that a single dose of vaccine (Pfizer) seemed to have a slightly positive effect on those with previous infections but the data did not reach statistical significance.  

Still, with more and more data reinforcing the strong immunity of recovered patients, the CDC and the NIH ignore the issue and want to mandate “the jab” for the recovered. It is important to remember that the incidence of side effects of these vaccines is much higher in those previously infected. Those of us who are in that situation clearly have no ethical obligation to be vaccinated and are rightfully wary to do so. 

By the way, very quietly in the last week or so, the CDC changed its definition of vaccination. Here’s what things look like in late August:

Immunity: Protection from an infectious disease. If you are immune to a disease, you can be exposed to it without becoming infected.

Vaccine: A product that stimulates a person’s immune system to produce immunity to a specific disease, protecting the person from that disease. Vaccines are usually administered through needle injections, but can also be administered by mouth or sprayed into the nose.

Here’s what it looks like now:

Immunity: Protection from an infectious disease. If you are immune to a disease, you can be exposed to it without becoming infected.

Vaccine: A preparation that is used to stimulate the body’s immune response against diseases. Vaccines are usually administered through needle injections, but some can be administered by mouth or sprayed into the nose.

Lowered expectations?

One last topic. It is become fashionable among my vaccine-obsessed friends to use the term” horse wormer” to describe ivermectin. I believe this was pioneered by Rachel Maddow to mock its use. Ivermectin is a WHO essential medication, given to literally millions of people for treatment of parasitic infections. It is very inexpensive and very safe. Obviously, it is also used in veterinary circles.  

It has been known for some time to have antiviral properties.  There is now a significant amount of data to suggest that it is useful in the treatment and prophylaxis of Covid 19. I’ve been easily able to acquire the tablet form at my local pharmacy. The problem is medical boards that are suppressing its use, in concert with the NIH and Pharma. Remember, if Ivermectin works, there’s no EUA for any vaccines, per CDC policy.  

Interestingly, I understand Pfizer and Merck are coming out with a ”Covid treatment pill”. This will be on-patent, and likely fairly pricey. I wonder if they’ll call it Newvermectin.

It’s just a thought. 

If there is an overriding theme to this post, and to my previous posts, it is that this very real pandemic, has resulted in the unmasking of the players: public health authorities, and big Pharma who are not working for our welfare but for their own. They manipulate facts, ignore others, and create rules meant to increase their power and wealth, often at our expense. They deny us early treatment despite the data supporting it. Their partners in the media assist in their subterfuge. As a physician, this has caused me to question almost everything I have happily gone along with in the past. The scales have fallen off my eyes. 

I believe our best bet is to study closely the real data, to utilize vaccines, and medications when they will be efficacious, and remain very skeptical of the “facts” as presented, by government health agencies, and the pharmaceutical industry. 

Quite honestly, we’re on our own. 

As always, I’d be honored if you’d share this post.

Header image: Monarch Feeding (Fujifilm XE4, XF 55-200 f3.5-4.8)

Viral Post July 22nd,2021: Why I’m Not Vaccinated

It is week 3 since the return of normal commerce and culture to the Commonwealth of Pennsylvania. It is wonderful to freely socialize, shake hands, and gasp, even hug family and friends that have been absent for so long.

In fact, the only place where I have to wear a mask is during work, at our VA hospital where the Federal Government still requires face covering.

There are some sad sequelae from the pandemic. For instance, in my case, I had close friends who avoided contact with me for the entire pandemic. Hopefully, this was because of my job, which involved caring for Covid-stricken veterans. Last November, I was infected and recovered. Recently it became clear that these friends still shun me, even though they are vaccinated. They claim it is because I am not.

I have written before about this. When vaccines were first available, doses were limited, I felt ethically, that since I had been infected and very likely was immune, I ought to hold back until more vulnerable people had been immunized. Now with vaccines widely available, I continue to hesitate. Because of this, some people choose to keep their distance.

My reasons for not being vaccinated basically fall into 2 categories:

#1. At least for now, I don’t believe it’s necessary for recovered patient’s to be immunized.

#2. I have concerns over the technology of the new vaccines and the reports of scary side effects, including roughly 11,000 vaccine-linked deaths reported in the CDC’s Vaccine Adverse Effect Reporting System (VAERS).

I have been watching the literature closely regarding the question of the post-recovery immunity of COVID-19 patients. Early on, there were several studies looking at antibody levels post-recovery. The consensus seems to be that antibody levels are quite high immediately post-infection. There was a point where they appeared to fall which was an early concern, but it now appears that they plateau at a healthy level. So far, since the first infections were seen, this continues to be true.

 A recent study out of New York University looked at the characteristics of the immune response in recovered patients, versus those who are vaccinated. It concluded that “Both the natural infection and mRNA vaccination-induced robust innate and adaptive responses but the authors noticed material differences in the two cohorts”. It was noted that the Pfizer vaccine activated fewer portions of the immune system, whereas natural immunity had a broader response.

Getting any of the vaccines basically exposes you to one small protein on the virus, the “S” or spike protein. This makes up a small percentage of the antibody “targets” on the virus. It does currently confer immunity.  Should the spike protein mutate sufficiently ( which does happen), then these mRNA vaccines could well be rendered ineffective. Natural immunity exposes your body to the whole virus. This includes many more antibody targets creating redundancy to protect from new strains.

In April 2021 researchers from the Israel Institute of Technology, The Hebrew University of Jerusalem, and Sheba Medical Center studied the effectiveness of immunity derived from the Pfizer vaccine, versus natural immunity in recovered patients. They found that in terms of percentage effectiveness they were essentially equal in terms of recurrence and hospitalization. They tried to compare deaths, but there were no deaths in the natural immunity arm of the study.

Even more convincing was COVID 19 data from May 2021, to the present, compiled by the Israeli Health Ministry to analyze their most recent outbreak (delta variant). It also compared those who were vaccinated to unvaccinated patients who had recovered from Covid. The data suggests that in Israel you were 6.7 times more likely to be reinfected if you were merely vaccinated, versus recovered from infection. From this data, Israel is trying to decide whether another round of boosters will be necessary.

Even the NIH appears to support post-recovery immunity. In this article from their website, they describe a study done in the La Jolla Institute for Immunology in California that was actually funded by Dr. Fauci’s own agency, the NIAID. Here’s a quote from the article dated 1/21/2021 “our studies showed that natural infection induced a strong response, and this study now shows that the responses last,” Weiskopf says. “We are hopeful that a similar pattern of responses lasting over time will also emerge for the vaccine-induced responses.”

Of course, I am also aware of the availability of cheap, available and effective anti-Covid therapy in the form of ivermectin, and hydroxychloroquine. I have had a rather dramatic reversal of my own Covid symptoms last November after taking the latter medication.

Given all of this evidence, and the controversies surrounding the vaccine, I have elected to pass for now. If natural immunity is shown to wane in the future, I would of course be vaccinated, especially as I’m aware that there are several conventional inactivated-virus type immunizations in the pipeline.

This is not meant to be a rant against vaccination. What I wish to get across, is that the products currently offered are not completely benign and still not FDA approved. The decision to be vaccinated should be based on your risks of serious illness, versus the risk of vaccine complications. A 75-year-old obese diabetic should certainly get the “jabs”. An 18-year-old healthy college student… probably not.

As I have written in the past, I feel it’s important for people to do their own research before acquiescing to the government’s recommendations. There is a larger agenda here, one that likely involves unhealthy relationships between government health officials, and big Pharma.

I’ll keep my own counsel for now.

As always I would Be honored if you’d share.

Header Image: Elizabeth’s View( Samsung Galaxy S 20 5G UW)

More Photography with the Samsung G20.

Smartphone fine art photography? After two months with my Samsung Galaxy S 20, I have to admit it appears to be a real option. Though I am not sure, that all of my work qualifies as “fine art” I would say that in 2021, a state-of-the-art phone camera module is no longer severely limiting.

I’m writing this follow-up article to demonstrate what I’ve been able to capture with my new phone.

First, let me say that these images are not all intended to be jaw-droppers. Some of them were shot rather specifically to reveal the sensor’s abilities/limitations. Others were shot with somewhat higher aspirations Hopefully, they are somewhat pleasing.

Suna nd Snow Shower ( Samsung Galaxy S20 EW 5G)

In 2015, Samsung introduced a brand-new line of cameras called the NX series. It was Samsung’s first foray into a mirror list interchangeable lens camera, and it hit the market with a splash. It was beautifully constructed, extremely well-featured, and came with very fine newly designed lenses.

Most interestingly, it also featured a Samsung-manufactured, very high-quality 28-megapixel sensor. This was shockingly competitive with sensors made by the dominant manufacturer’s Sony and Canon. It was for a time, highly promoted. Samsung hired a number of very well-known photographers for this purpose. I shot with a loaner camera at a photo expo in Seattle and was very impressed.

Then suddenly, the Samsung NX series was no more. Apparently, Samsung decided that cameras “weren’t their bag” and they dropped the product line rather abruptly. It’s actually a shame because there was clear potential for this product.

Bridge ( Samsung Galaxy S20 EW 5G)

Apparently, they didn’t forget how to make sensors. As you saw perhaps in the last article I wrote about the S20 weeks ago, despite the diminutive size and tiny pixels, it can produce very high-quality files. Given this, I decided to keep it in service.

Sign in at Ampersand ( Samsung Galaxy S20 EW 5G)

For the most part, I shot it entirely in raw which is available in “pro” mode. Shot this way the camera produces a .dng file in a 4/3 format and a wide format JPEG. The latter is processed by the phone’s software. Very typically the results of the processing are fairly pleasing and pleasant to look at on the small screen. Details in the JPEG files are definitely smoothed out by the processing and don’t appear useful for anything beyond digital display.

In early March my wife and I spent a week in the Adirondacks. I brought my typical travel kit including my Fujifilm X100V and my XE3 with a variety of lenses. I never got them out of their bags. When skiing or snowshoeing, I would merely take my small Manfrotto tripod and the smartphone mount, and shot with the Samsung exclusively. I have been doing that ever since, in part with this article in mind.

Chairs at the Pub ( Samsung Galaxy S20 EW 5G)

I have to say that I didn’t really miss my Fujis. Part of this, however, is that I’ve been photographing the high peaks region in early March for so many years, it’s hard to find novel scenery. This was thus an interesting new challenge.

Once home, I continued with the exercise playing with the bleak, early spring scenery as our snow finally melted away.

The last Bit of Snow ( Samsung Galaxy S20 EW 5G)

This is a really good sensor. Many of these images you will note, were shot into the sun with prominent shadows. Better digital sensors have several qualities. One of them is dynamic range, which in part feeds into their true resolution.

Dynamic range describes the ability of the sensor to capture very bright scenes, and deep shadows, but still retain detail when the images are edited. Small pixel phone sensors have traditionally been terrible at this. This sensor handles it brilliantly, certainly as good as for instance my 2009 vintage Panasonic GH1, a much larger sensor interchangeable lens camera (also 12 megapixels).

March Barrens Morning ( Samsung Galaxy S20 EW 5G)

Another attribute of a good sensor is tonality. This describes the subtle gradations shades of gray, and of color. Earlier technology recorded shades in discrete steps makes the image look more like a painting than a photograph, especially when viewed in detail. More sophisticated sensors have much more subtle gradations. I would say this Samsung sensor does surprisingly well in this regard.

Melt out at Lake Flower ( Samsung Galaxy S20 EW 5G)

I’ll offer one more thought. No one really talks about the lenses in these tiny camera modules, but in the case of this Samsung S20, there is little to criticize. There is some lens flare, and given the lack of any lens shading, but it is pretty well controlled. And if there other lens distortions that can be measured, they are well hidden in normal usage

April First on the Pocono Plateau ( Samsung Galaxy S20 EW 5G)

At any rate, I think I’m done with this experiment. I’m going back to my more serious gear as the Spring season presents more photographic opportunities.

But it’s nice to know I’ll have the Samsung just in case.

As always, I’d Be honored if you’de share.

Header image: Wind and Snow( Samsung Galaxy S20 EW 5G)

Reopening for Business: Viral Post 3/18/2021

It’s hard to believe, but it’s been 1 full year since rising COVID-19 infections inspired the policy of “3 weeks to flatten the curve”. In that period of time, we have been living our lives subject to the whims of our public servants. They have wielded, what many would consider unconstitutional power. They have imposed draconian, and often capricious rules and regulations, ostensibly to protect us from an increasingly manageable viral infection.

One year ago, I remember feeling a fair amount of anxiety. We assumed that no one was immune to this novel virus. We did understand that mortality increased with increasing age. I remember the nervous joking in the room as I taught a course for my non-pulmonary colleagues on how to run ventilators. This was set up out of concern that I and my fellow pulmonologists, all of us in our 60s, might fall ill, or worse, and be unavailable.

Yikes.

Caution was certainly warranted at that stage. We were hearing reports out of Italy of legions of sick people and overwhelmed hospital facilities. New York City was starting to have problems. Here in Pennsylvania, we had our first reported case. This was the point where Governor Wolfe shut down schools, and most businesses, other than those deemed “essential”.

 Nonessential businesses, including haircare salons, bars, restaurants car dealers, and other retailers were either fully or partially shuttered. Because of unemployment benefits that were offered, many people out of fear of the virus chose not to work. This affected many of the businesses allowed to open. It was a circumstance unprecedented in our lifetime. I think most people accepted the restrictions as necessary. Many of us, however, assumed that the disease and the lockdown would disappear by late spring.

As I have written before, we are in an entirely different place in March 2021. First off we know much more about this virus. We know that something like 40% of the population (based on blood bank studies from blood drawn before the pandemic) have pre-existing T-cell immunity. This is probably due to previous exposures to other Coronaviruses.

We have much better therapeutics including two inexpensive generic regimens that appear to have activity against the virus (ivermectin, and HCQ/azithromycin. Mortality rates are falling, and hospitals are non-stressed. Importantly, caregivers and most of the elderly population have been immunized.

I think my biggest fear now, is that even though it is only been a year, I see signs that people remain devoted to the illogical dogma that has been cultivated by media hype and governmental overreaction. If they cling to this. we may struggle to return to an open, welcoming society.

I’m concerned about the psychology of this. People tell me that their memories of our pre-Covid lifestyle are fading into the mists, as we grow ever more habituated to the lockdown life. We have been steeped in the belief that both family, friends and strangers, are potential vectors for Covid and must be kept at a distance. Greeting kisses and embraces for many are unthinkable. When people do gather, there is a wariness in personal interactions that I do not remember prior years. I see this, even in those who have recovered or have been immunized.

We need to get over this mentality. If you have recovered from the illness, or have been vaccinated, you are at best immune from further infection, and at worst, unlikely to become very sick if reinfected. You certainly do not need a mask. The fact that public health organizations will not admit this, suggests to me an inappropriate zeal for control.

I for one, welcome the relaxation of regulations scheduled for April 4 here in Pennsylvania. I am watching the data from states such as Texas where restrictions are almost completely eliminated. So far, after nine days there has been little change in their infection/mortality rates which continue to decline.

It should be clear I think to all of us, that going forward, that lockdowns are not a long-term strategy for dealing with this pandemic. If cases increase again sometime over the summer or in the fall, we need to recognize the virus may be endemic. We need to react to the disease burden, and not just positive PCR tests. Remember, people have been contracting coronaviruses for millennia, and a few become critically ill. A small number die. This is nothing new.

We should focus now on immunization and therapeutics, rather than curtailing our lives and liberty.

As always, I would be honored if you would share this post.

Header Image: Dying Spruces at Brady’s Lake ( Fujifilm XE3, XF 18-55mm f2.8-4).

Cheapskate curmudgeon forced to buy a new phone… The Samsung Galaxy S20 Review.

A reluctant

It was a Friday afternoon in the Adirondacks. I had been out with some friends cross-country skiing on a snowy afternoon. After skiing, on the way back to town, I made a few phone calls to home. I stopped for gas, then we proceeded to a nearby brewpub to enjoy some of the local libations.

After some sampling the pub’s offerings, I dropped my friend off at his home and proceeded to mine. Reflexively I patted my clothing searching for the familiar rectangular density of my Galaxy S8. Failing to locate it, I searched the car, including all the little crevices, for the device. No luck.

In my living room, I opened my laptop and went to the Verizon locate app. This usually works like a charm, and usually find that my phone is somewhere nearby. Unfortunately, on this occasion, the app could not connect.

Uh oh.

I ended up returning to the brewpub and was assured that no phone had turned up. I called my friend, who confirmed he had not taken it by mistake.

Oh, crap.

As near as I can tell, I dropped it at the gas station but given the snow cover, I never heard the thud. I suspect I then drove over it on the way out.

Driving the 350 miles home the next day without a communications device was really odd. Arriving back in Pennsylvania in midafternoon, I made a beeline to the local Verizon store to acquire a new device.

Now I’m typically a cheap, refurb kinda guy. But as there were none on hand, I was forced to purchase new. I have always liked the Samsung Galaxy phones and was aware that a new phone, the Galaxy S21 was to be introduced in slightly more than a week. There was no way I was going to wait that long. I purchased one of the current flagship models, the Galaxy S20 5G UW.

So as much as I was unhappy to buy a new phone, the situation offered an opportunity. The Samsung I purchased is known to have a very high-performing camera module, competitive with the other flagship phones. So at least this purchase gives me the opportunity to find out whether smartphone photography has advanced to a point where it can produce interesting image files.

Piling Up (Samsung Galaxy G20 UW 5g)

So how about the phone? In general, it works great and has a beautiful screen with snappy graphics. It’s responsive, slightly more so than my previous device. It’s made of metal and Gorilla Glass 6, so it is presumably pretty rugged. It has a very long battery life compared to my old phone which is certainly convenient.

I noticed that external sensors, such as heart rate and oxygen saturation have been eliminated. Thoughtfully, they are now available on a Galaxy Watch 3 which one can purchase for roughly $400 more. Thanks, Samsung.

So, in summary, it’s a nice phone, but damn expensive. I understand that Samsung understands this and that the S21 will be further de-contented and significantly less expensive. Hopefully, this phone will last me a long time.

But then there is the camera module. The S20 appears to share similar if not identical photography capabilities with the newer S 21. in this case, this device is 3 generations more advanced than my previous Galaxy. I was obviously curious to assess the improvements.

The specifications are certainly interesting. This camera has 3 sensors. The main camera has a 12-megapixel chip and an F1.8 fixed aperture lens. The native focal length however appears to be equivalent to a normal lens unlike the default wide-angle focal length seen in most earlier cameras. This makes it much more useful in my style of photography. There is another 12-megapixel sensor for an ultra-wide lens. Both of these sensors were apparently redesigned with larger pixels, which will reduce noise, and improve low light performance (there is a “low light” mode).

The third sensor is a 64-megapixel sensor serving a telephoto lens. Though it has 30 X combined optical and digital zoom capability (digital zoom is generally a bad thing) It has 3x lossless zoom. This is, it retains a full 12 megapixel of data up to a 3X magnification. This really opens up possibilities for photography on a smartphone. The S20 also shoots raw images in the Adobe proprietary .dng format which simplifies processing in their software.

Late winter Turkey jpg (Samsung Galaxy S20 UW 5G 3X )

There also seems to be a capable video section, with a 4K resolution. I don’t shoot much video, but I did capture some footage that looked significantly better than anything seen on previous cameras. This camera appears to have stabilization though I’m not sure whether it is electronic or mechanical (sees probably the former).

I tried the low light (Night) mode. It’s a jpg-only mode and lets the shutter speed drift pretty slow. This was shot in my dark workshop with my lights off but minimal window lighting.

Drills (Samsung Galaxy S 20 UW 5G)

My initial landscape efforts looked pretty promising. The images, at least on screen actually appeared to have enough dynamic range and micro-contrast that it occurred to me that I might want to get more serious.

Winter walk at Farmstead jpg (Samsung Galaxy S 20 UW 5G)

Now, I find shooting images with a smartphone extremely awkward as they are difficult to hold, and it’s hard to trigger the shutter without camera movement.

I found a possible solution on Amazon. I purchased an inexpensive cell phone holder with threads for a tripod puck. Included in the package was a simple Bluetooth remote with a lanyard allowing it to be permanently attached to the mount. This was simple to connect to my phone, allowing me to take shake-free images, and truly explore this camera’s potential.

Phone Holder (Samsung Galaxy S 20 UW 5G)

Another nice improvement in the new phone regards the treatment of raw (.dng) files. I preferentially shoot this format in my cameras because of the flexibility it gives you in editing. It was available on my previous phone, but the files were difficult for Photoshop to read. It requiring me to import the files to the computer before they could be sorted and edited. This phone allows Photoshop to read them directly, and records and displays them in a 4/3 format rather than the wider format JPEG’s, so they can be quickly identified. This is also a more photographic format in my view.

So I begin carrying the S20 alone, without any backup camera gear on my outdoor outings. At first, I had the settings wrong, and the camera only took jpegs. These look promising on the screen.

Back at the computer, however, Samsungs processing algorithms are revealed. They feature high contrast, over-sharpening, and at the same time smoothing of details. This may be great for an 18-year-old’s cleavage squeezing puckered-up selfie shot, but it’s lousy for landscape.

“Winter Walk” 100%

But then I set the camera up on the tripod, and put it into Pro mode, shooting raw files. Suddenly things were different. I took these two shots one in .jpg, one in .dng both on the tripod to assess the difference. For reference, I then mounted and shot my pocket camera, the Sony RX100 Mark III which is not the most current model of the camera and has more resolution than the Samsung ( 20 megapixels versus 12). I processed them as closely as I could in Adobe Camera Raw.

Duckbox jpg.(Samsung Galaxy G20 UW 5G )
Duckbox 100% jpg (Samsung Galaxy G20 UW 5G)
Duckbox 100% DNG ((Samsung Galaxy G20 UW 5G)
Duckbox 100% ARW (Sony RX100 MarkIII)

The “pro mode” shoots with the main sensor and lens, there are no zoom capabilities. It allows you to adjust, shutter speed, iso, white balance (the aperture is fixed. Because of the small sensor, the depth of field is significant, even at an open aperture. As you can see above, the issues seen in the jpg files go away, and the results are impressive, approaching those of the much more sophisticated Sony. This is a much better result than was achieved by the S8 which I tested in a similar fashion some years ago.

I wanted to see how much adjustment flexibility, the Samsung .dng files would have given that one of the main that we shoot in “raw” modes is to have the flexibility to adjust them later in Photoshop. The image below I’d like to say was deliberately overexposed. The native file was completely blown out with no detail particularly in the snow, but it recovered nicely upon processing.

Out my Window .dng (Samsung Galaxy G20 UW 5G)
Edited in Adobe Camera Raw)

So what does it all mean? Basically, the Galaxy S20 sports pleasant jpg image quality for small screen viewing but suffers from over-processing when more critically evaluated. Shoot in “pro mode” and image quality is much improved, but you must deal with the fixed focal length and aperture. Still, the “normal” field of view is useful and because of the small sensor, the depth of field is probably a good compromise.

Am I going to stop carrying my Fujifilm equipment?…no.

Am I going to play with this some more? …absolutely.

As always, I would be honored if you would share this with your friends.

Header Image: Clearing the Storm ((Samsung Galaxy G20 UW 5G)

Another Viral Post, 1/28/2021: The Cult of Covid

It is the 38th week of our battle with the Wuhan modified “gain of function” Bat virus known as SARSCoV-2 and the cult of obedience it has spawned. Overall, in the United States, we are just coming out of our second peak of “cases” and hospitalizations. Deaths have also begun to fall. There are significant regional differences, however.

In Pennsylvania for instance, we are clearly past peak with daily “cases” roughly 2/3 of those seen in the third week of December. Hospitalizations have seen a similar decline. Deaths too are on the downslope but as always, are lagging the other indicators. This rise and fall of cases seems to be occurring independently of other factors. My sense is that there was little impact, for instance, from the tightening of restrictions over the holidays.  

Also notice that this outbreak is declining in the dead of winter. Last spring, when we assumed that the warming conditions were responsible for the reduction in cases but there’s no warming now. This further suggests that the virus is on its own schedule, not ours.

Still the current number of new “cases” is formidable, in most cases far higher than the spring. Thankfully there is generally far less hospital utilization.

I am disturbed by several developments. First is the sudden change of heart among governors and mayors who have had a miraculous epiphany and now realize that remaining in lockdown will destroy what’s left of their economies. Funny thing that with a new president inaugurated, that suddenly their positions have changed.

I am disturbed by this on multiple levels. With the possible exception of Illinois, where cases clearly have bottomed out, all of the involved states still have significant disease burdens. New York in particular has just probably rounded the curve. So, with numbers the same or worse than in late November and December but with the electors counted and accepted, now we can reopen our restaurants and businesses. Don’t get me wrong, I think this is the right decision. But it should absolutely destroy any remaining trust between our elected officials, and the citizens who have suffered under their capricious dictates.

Now let’s turn to the newest utterance from the venerable Anthony Fauci, who has essentially supported the wearing of two, yes count them, two masks. Asked by Savannah Guthrie on The Today Show as to the advisability of “doubling up” Dr. Fauci responded: “It likely does because this is a physical covering to prevent droplets and virus to get in. If you have a physical covering with one layer and you put another layer on it, it just makes common sense that it likely would be more effective”.

 Not so fast.

First off, “America’s doctor” is up to now been a devout adherent to empiric data, first noted when he rejected case reports suggesting hydroxychloroquine might be useful for the virus (it is). Now we’re going with common sense? I could find no empirical data to support that two masks are better than one.

Secondly, I think, the good Doctor is unfamiliar with the dynamics of respiratory devices. The more you increase the resistance of air penetration through the masking material, the more likely the air will seek an alternate route. Most of the masks currently in use fit poorly to the face and thus tend to leak. With 2 masks, during inhalation one is more likely to “entrain” air from around the mask and then reverse the process when exhaling. Thus, you will be inhaling and exhaling more unfiltered air. How is this helpful?

By coincidence I had a gentleman enter my clinic office today with 2 masks on, one paper, and one cloth. I could watch the sides of the masks flare as he breathed. It looked like a fish’s gills.

There is also the issue that we refer to in pulmonary medicine as “work of breathing”. For people who have reduced pulmonary reserve, increasing the airflow resistance with a second mask would likely result in significant increases in shortness of breath. I know this because I do have respiratory problems, and wearing a single mask makes it difficult for me during any exertion. Two masks for some could be extremely uncomfortable.

It’s also worth remembering that this is the same Dr. Fauci who suppressed the use of masks in the initial phases of the pandemic, so to preserve the limited supply of the PPE’s. I hope we have lots of supply now because his words could double facemask consumption.

My final point will be an “I told you so”. Very quietly on January 20, the World Health Organization released new guidelines for Covid testing. They finally addressed what we have known all along: that the PCR test has been incorrectly used, which has inflated the number of cases. They now recommend, a decrease in the amplification cycles (sound familiar?) and the use of other confirmatory evidence such as actual symptoms and a second, different diagnostic study, such as an antigen test,

Just how many “cases” have been diagnosed incorrectly is anyone’s guess; but let me try. I’m thinking…a lot (between 60 and 90% according to the August 29th New York Times article).

I received an email today from the Feds on the topic of COVID-19 immunization. the email explains that the vaccine does not confer immunity, but the antibodies and immunity derived, merely help those who are vaccinated to fight off the virus (We knew this, though). It states that “guidelines for masking, social distancing all remain in place and should be adhered to regardless of vaccination or antibody status”.

In other words, there is no end in sight for this truncated, stilted lifestyle that we have all been forced to adopt. Even if 100% of people are vaccinated, there will likely always be vulnerable people that need to be protected. You know, the same way it has been with influenza over the years.

The pandemic was real. But it was shamefully manipulated by people in power for their own benefit. Yes, people have died from this virus much as people have been dying from respiratory virus infections for centuries. But the illogical, emotion-based restrictions placed upon us, are also causing financial, educational, and emotional devastation which may have very long-term effects.

It’s time to leave the cult, and return to life.

As always, I would be honored if you would share this post.


Header image: St William’s at Raquette Lake (Fujifilm XE2, XF 18-55mm f2.8-4)

Merry? Christmas 2020

Christmas-Bench

Well, here we are at Christmas, 2020. Like everything else in this godforsaken year, it trends toward joyless. My wife and I are spending it alone as our children are essentially trapped in the Pacific Northwest by current circumstances. We will have a small dinner at the family homestead, but attendance is limited. Those of us who work in healthcare, (and have not, like me, recovered from Covid) have chosen not to attend given my father’s advanced age. All agree that this is prudent.

We had hoped for a white Christmas given the roughly 13 inches of snow that fell last week. My little Victorian hamlet looked like the background of a Norman Rockwell Christmas painting. But it’s 2020. Yesterday temperatures warmed into the 50s, and we had roughly 3 inches of rain. The high winds that accompanied this trough were sufficient to knock down a strategically placed tree, wiping out power for our little village about 8 PM. Power did eventually return overnight. I awakened this morning to green lawns, and with temperatures plummeting, freezing rain. Down in the Susquehanna River Valley, given the rain and the snowmelt, they’re making preparations for the river to crest above flood stage in a day or so.

Merry Christmas.

Still, I don’t want my seasonal affective disorder to completely overwhelm this Christmas posting. My family has much for which to be grateful. Despite several of us working in healthcare, my case of Covid 19 made me the only one affected. Despite misery of the lockdowns, we remain gainfully employed which cannot be said for many of our friends. My father, at 94 years old, still fully functional. I love having a beer with him at the end of the day.

For my Christmas gift to you, I offer a pleasant discovery I made this year. From Branson Missouri, I give you The Petersons, a wonderful bluegrass band that I found in my YouTube lineup. They are a very traditional family with a wonderful back story well worth reading. They are also, as a clan I think, an almost freakishly musical.

And here in the east… try to ignore the weather.

So Merry Christmas to one and all. Indulge yourself in the joy of friends and family. Stay safe. Eat a little, drink a little more.

As always, I would be honored to share this post.

Header Image: Christmas Bench (Fujifilm XE3, XF 18-55 f2.8-4)