Hospitals & Asylums 








February 2013


By Anthony J. Sanders


A meteor entered the atmosphere in Russiaís Ural mountains and broke up over the city of Chelyabinsk, on Feb. 15, generating powerful shockwaves that slammed into the city, blowing out windows, causing 1,500 injuries and millions of dollars of damage.This was the largest meteor strike since 1908.The 10,000 ton meteoroid disintegrated in the atmosphere.Volunteer skiers traversed 31 miles of its debris field, picking up more than 100 pieces, the largest of which weighs about 2.2 pounds. Some chunks are being sold online for as much as $16,000, though they haven't been authenticated. Scientists like to rule out that a piece of asteroid 2012 DA14, estimated to weigh 40,000 tons, that was passed extremely close by the Earth on Feb. 15, within 17,200 miles, closer than satellites in geosynchronous orbit, because the trajectory is extremely different indicating that the meteor came from an entirely different source, the Apollo group, and the meteor exploded 16 hours before the closest passage of the asteroid by Earth.Did the new North Korean space launch shoot a big piece off 2012 DA14 or drop another rock, while under cover of the passage of 2012 DA14, as the premonition in the Western news media suggested?Probably not, it seems most logical that the close approach to Earth reduced the orbital period of 2012 DA14 from 368 days to 317 days and perturbed it from the Apollo class to the Aten class of near-Earth asteroids.I theorize that the gravitational force of the Earth, that so dramatically changed the asteroidís orbit, caused it to break and 20-25 percent of its mass fell to the Earth.Astronomers donít have any good pictures from before February 15 and just think of all the research grants a mass media mystery might bring the Sentry Risk Table Ė our planetís meteor defense. Just this week, a $25 million Canadian-built satellite known as NEOSSat was launched to look for small asteroids in Earth-threatening orbits. Until last year, NASA spent about $4 million a year to track near-Earth objects, or NEOs. About 95 percent of the potentially threatening asteroids bigger than a kilometer (half-mile) wide have been detected. However, now NASA is working on charting the asteroids down to a width of 100 meters (330 feet). To fund that more difficult task, the annual funding level for NEO research was raised to $20 million a year including the Asteroid Terrestrial-impact Last Alert System, or ATLAS, which is due to get $5 million over the next five years. Less than a million dollars a year is going toward studies aimed at figuring out what to do if a threatening asteroid is found. The potential strategies range from diverting it gently with the aid of gravity tractors or space paintball guns, to blasting it with nukes.


Caveat emptor Ė No one should trust us, anyone who does is a fool.As the result of recent political shenanigans in Washington D.C. the Divine Father has forsaken us and we must go and live in peace with Earth Mother.This seems to be the reason underlying the heightened need for human kindness and generosity in the Aquarian Age, which began in 2011, and will continue for some time into the future.At the dawn of the Aquarian Age the conflict is clearly between his-story written by the democratic victors but socio-economic losers and her-story of merit based scientific socio-economic observation by citizen keepers of the truth.The federal deficit seems to be an accurate measure of this deviance between his-story and her-story.The British Court observed collusion between politicians and media monopolies.The Supreme Court seems intent on striking down Section 5 of the Voting Right Act of 1964 which required federal supervision of electoral amendments in certain states.States do need to be free to take anti-trust action as independent parties against franchises of the national Democratic-Republican (DR) two party system, but in light of the separation of powers crossed in Marbury v Madison (1804) this is a coup, and a bloody one at that.But is it bloody enough to prevent the creditors from downgrading U.S. securities?The Sandy Hook Elementary school shooting was used to conceal a $75 billion delinquency in disaster relief for Hurricane Sandy.After he voted for the Republican defense perpetrator in flagrant violation of the Berne Convention, and contempt of my stake of the censorship in U.S. v B.P., and payment of disaster relief by stabilizing the Education and Transportation budgets, I have taken the liberty to terminate Senator Sandersí (V-I) free subscription to the quarterly.Pardon Rod Blagojevich!!!

Walking Pneumonia to Salem for the Affordable Health Care for All Oregon Plan HA-4-2-13


On February 4, the first day of the 2013 Oregon legislative session, nearly 1,000 Health Care for All - Oregon advocates converged on the Capitol steps in Salem, to support Rep. Michael Dembrow's Affordable Health Care for All Oregon Plan (HB 2922). Sec. 1(8) promises: A health care provider must accept payment from the plan as payment in full and may not bill a patient for an amount exceeding the payment made by the plan.This satisfactorily abolishes the medical b(k)ill.HB2922 is well written and instantly achieves universal single payer health insurance, however, Sec. 12 (9) is technically flawed, negating itself, stating: [Nothing in this section applies to basic health services, but basic health services do not include] This section applies to: as the author Dembrowe must decide whether certificates of need apply or donít apply to non-basic services, and whether he wishes to cure the source of his mental distress and delete (i) inpatient psychiatric services, from this otherwise honorable list.I must grieve about the significant $250 cost of a family size medicine cabinet and demand to benefit immediately and indefinitely from OHP both as patient and medicine-giver adhering, much more strictly than the Oregon State Hospital, to Sec. 1(2)(f) Prescription drugs according to a drug formulary. Because Risperdal (Risperidone) is the only antipsychotic drug that has not caused neuromuscular tics in clinical trials it should be the only such antipsychotic drug prescribed by Oregon, without a very well written reason. Oregon must make Amantadine (Symmetrel) available to all people antipsychotic and childhood stimulant drug prescriptions to eliminate the risk of neuromuscular side-effects and should sponsor a drug trial to see if a half dose for children and quarter dose for infants will permanently cure autistic tics.Just think: how many autistic children a school nurse might heal with one package of Amantadine (Symmetrel) and how many more with a state sponsored manufacturing of Cogentin (Benztropine mesylate)? The rate of fatal drug overdose from narcotic opioids, such as oxycontin, vicodin and methadone has gone up for 11 straight years.The disclosure of patient residential address by the pharmacy to the breaking and entering of the state office of the Drug Enforcement Administration (DEA) is probably the greatest aspect of opioid overdose risk, that can be reduced by state law abolishing the DEA reporting requirement of patient address under the Health Insurance Protection and Portability Act Pub.L. 104Ė191, 110 Stat. 1936, enacted August 21, 1996; and possibly eliminated by transferring the agency to the state Department of Health and Food and Drug Administration (FDA) federally.Narcotic Antagonists prevent or abolish excessive respiratory depression caused by the administration of morphine or related compounds. Naltrexone (Narcan) became clinically available in 1985 as a new narcotic antagonist. Its actions resemble those of naloxone, but naltrexone is well absorbed orally and is long acting, necessitating only a dose of 50 to 100 mg.  The State of Oregon must ensure that Narcotic Antagonists are provided as rescue medicine with all opioid prescriptions.But will Oregon restock my $250 family size medicine cabinet? Done February 28, 2013


Neurology HA-21-2-13


In an average adult human the weight of the brain (about 3lb) is approximately 2% of the body weight.But its energy demands are so great that it received about 14% of the heartís output and consumes about 18% of the oxygen absorbed by the lungs Ė enough to light a 25-watt bulb.Neurologic illness affects many millions of people in the United States.In the general population, per 1,000, the 1-year prevalence for migraine was 121, 160 for osteoarthritis, 150 for back pain, 7.1 for epilepsy, and 0.9 for multiple sclerosis. Among, the prevalence of Alzheimer disease was 67 and that of Parkinson disease was 9.5. For diseases best described by annual incidence per 100,000, the rate for stroke was 183, 101 for major traumatic brain injury, 4.5 for spinal cord injury, and 1.6 for ALS.Per 1,000 children, estimated prevalence was 2.4 for cerebral palsy, 1.5 for Downís syndrome; 5.8 for autism spectrum disorder, for Tourette syndrome, the data were insufficient.The antiviral Amantadine (Symmetrel) is the FDA approved, but untried replacement for the anticholinergenic Cogentin (benztropine mesylate) that cured the extra-pyramidal side-effects of antipsychotic and Tourette syndrome of childhood stimulant drugs, in minutes with just one dose, that should be tried in half dose for small children and quarter dose in infants presenting autistic tics.Neuroleptic antipsychotic and sleep aid drugs are the leading cause of fatal drug overdose; neurologists need to pass their own psychological tests and refer their patients to a licensed social worker so the psychiatric specialty and institutions, other than forensic, can be abolished.Failure to comply with epilepsy medicine is the leading cause of death from epileptic seizure.L-dopa is the gold standard for Parkinsonís treatment, although other drugs that reduce side-effects and extend effectiveness.Exacerbations of multiple sclerosis is treated with corticosteroids, adenocorticotrophic hormone (ACTH) and marijuana.Cholinesterase inhibitors slow the breakdown of acetylcholine to treat a person who has both Alzheimerís disease and Parkinsonís disease, or Myasthenia gravis (MG) other than Eaton-Lambert myasthenic syndrome that is treated with guanine and botulism paralysis that is treated with an antitoxin distributed by CDC, the U.S. Army and F.E.M.A.Ischemic strokes are treated with tPA to reduce disability by 40 percent in ischemic strokes (87%) caused by coronary artery disease that would be fatal in the 7-10 percent of hemorrhagic strokes, caused by high blood pressure, of which more than half are fatal.Statin drugs are well tolerated but supplemented with Coenzyme Q10 and discontinued at first sign of cancer or dementia.Cardiac drugs, other than statins, are the second leading cause of fatal drug overdose, Hawthorne is the supreme herb for the heart and what is good for the heart is good for the brain.Caffeine, coffee or tea, are the first line treatment for migraine, followed by NSAIDs, such as ibuprofen leaving physicians to administer ergotamine and methotrexate.There are a number of surgical interventions for back, sciatic, arthroscopic and peripheral nervous pain but the results are dubious and exercise is the cure for pain.Fatal drug overdoses from opioids increased for the 11th straight year and narcotic agonists Narcan and naltrexone need to be provided to methadone and opiate consumers.Marijuana has no known fatalities and is reported as successful in relieving symptoms of addiction, anxiety, tension, stress and depression, attention deficit hyperactivity disorder (ADHD), HIV/AIDS, post-traumatic stress syndrome (PTSD), insomnia, migraine, movement disorders, multiple sclerosis, digestive problems, inflammation, nausea and vomiting, cancer treatment side-effects, pain, spasms and convulsions, psoriasis and arthritis.Although corticosteroids are maybe more powerful pain relievers, long term use increases risk of excruciating osteoporotic fractures.Osteoporosis is mostly a matter of Calcium, Vitamin D and fluoride, there are bisphosphonates and 20-50% of white menopausal women get on Hormone Replacement Treatment (HRT) although only 40% take it for the 10 years recommended to prevent osteoporosis.Glucosamine and Chondroitin is a highly effective over-the-counter remedy for arthritis.Disease Modifying Antirheumatic Drugs (DMARDs) are effective medicines from different classes, such as antifungals, antimalarials and migraine treatment, that either cure the cause of the arthritis or ameliorate symptoms.Metronidazole (Flagyl ER) is an antibiotic that is uniquely indicated for the GI, bones and joints, and is particularly useful at avoiding unnecessary surgery, from appendectomy to knee surgery but somewhat contraindicated for the central nervous system whose spinal tumors from Stapholococcus aureus, with or without eruptions of S. dermidis, or Lyme disease are better treated with doxycycline, that causes permanent yellowing of developing children teeth until age 9, and bacterial meningitis and sinusitis with penicillin, ampicillin or erythromycin, if subject to anaphylactic allergic reaction to penicillin, that require probiotic supplementation.