Hospitals & Asylums 








Spring Equinox Edition


By Anthony J. Sanders


The heavens are filled with marvels from 10,000 ton meteorites in Russia, to Comet Pan-Starr, observable in the southern hemisphere with another Comet Lemmon and in the northern hemisphere from where the sun sets, from March 7 to as long as the 20th, but no definitive binocular confirmed sightings in our valley and the bit event of the year is scheduled for November Comet ISON might be the brightest comet in living memory.  When is the global warming going to start?  I just wrote to convict Harvard law of their styrene alma mater with the motto “warm up the tub and frack” after not paying for the damages, only some delinquency, regarding their last little keg party, warming the polar ice-cap melt-off for Hurricane Sandy.  My nearly chronic rheumatoid arthritis cannot take any more of this cold, but at least I should be able to go jogging today, with only a slight twinge in my hip, now that I have thrown away my second pair of tights this winter.  These fascinating scrubs are so disposable they don’t have to be machine washable.  When I was struggling with the neurological pain of a stress fractured sesamoid bone, from tight Nikes for two early springs running, I found the best thing to do as a cripple was to stay home and burn the slash to clear the way for spring planting and summer irrigation, but contracted poison oak after blazing one trail.  The fire marshal prescribed boiled manzanita, it’s as good at itch relief as calamine lotion but doesn’t have a pink pigment, all over my sleeping bag, to give the illusion of skin healing, now we’ll see if the hydrocortisone that ran out before covering all my rashes once, cures overnight.  Being crippled, and without crutches, which are a vigorous cardiovascular exercise, I did not have the heart to do much work on my next book on cardiology, that probably won’t get done until next month.  As long as it gets done before the Hawthorne berries are ripe at first frost, the consumers will be informed - there is finally a safe heart tonic to gauge for its effectiveness at maintaining hygiene, a vegan diet and adequate daily cardiovascular exercise in comparison with statins and other more dangerous cardiac medicines.  Medical doctors generally take two years of study and two years of practical training, plus a four year residency.  I am still hoping to complete a textbook this year medicine seems to enjoy a freedom of speech, other fields don’t.  I was even offered a scholarship to medical school by a free clinic I volunteered at, before the politician came to church, but I think formal association with the medical establishment might b(k)ill me, and prefer the academic freedom and intellectual isolation of the medical library for my research and the outdoors and online pharmacy for my patients, but maybe don’t know my diagnostic laboratory from surgery without gainful employment as an licensed health professional like everyone else in my post-nuclear family. 


The Bar Between Wisdom and Wealth: Pardon Rod Blagojevich HA-19-1-13


U.S. government has not progressed since the Social Security Amendments of 1974 created the Supplemental Security Income (SSI). Over the last three decades those with low wages (in the bottom 90 percent) have seen a growth of only around 25 percent in their wages, while those in the top 1 percent have seen an increase of almost 150 percent and the top 0.1 percent of more than 300 percent. Even after the wealthy lost some of their wealth as stock prices declined in the Great Recession the wealthiest 1 percent of households had 225 times the wealth of the typical American, almost double the ratio in 1962 and 1983.  Even worse, the absolute social inequality of slavery has reemerged, and from 1970 to 2005, the Nation’s prison population increased by 700 percent. The 2010 Census found there were 46.2 million people living below the poverty line, the highest number in the 52 years the Bureau has published the statistic and at 15.1 percent the highest percent living in poverty since 1993 up from 12.5 percent in 2007.  At the very bottom, by 2011 the number of American families in extreme poverty – living on two dollars a day per person or less, the measure of poverty used by the World Bank for developing countries- had doubled since 1996 to 1.5 million.  The U.S. has the highest number of children growing up in poverty in any industrialized nation, 20-25 percent, significantly higher than the general population, Netherlands is next with around 10 percent. Guaranteeing 50 million Americans a $1,000 a month income floor would not cost more than $600 billion, a doubling of annual social security expenditures, that might be satisfactorily paid for by the removal the social security contribution cap $110,000 (2013), estimated at $250 billion. With 1.1 million applications approved out of 2.4 million applications and 7.7 million SSI beneficiaries in 2010 “mental disability for evidence of penal service” would only double the increase in costs by about 7% from 7% to 14% annually if done gradually aiming for 250 to 500 detainees per 100,000 residents by 2020.  OASDI assets are due penalty, for the cruelty and miserliness of the $666 SSI  for three years without COLA, reducing assets from over $2.6 trillion to $2.4 by 2020 by making SSA pay for SSI, rather than the General Fund, but the ace in the hole – the elimination of the income cap contributions – might bring in around $250 billion in new revenues annually to SSA without raising taxes for anyone but the rich, that must be invested directly in all those living below the poverty line with a healthy margin for the Baby Boomers to retire.  Note: OASDI is off-budget and reducing benefits will not balance the budget.  The Democratic minority organized opposition to the idea of SSA paying for SSI, but now that the ridiculous 2% OASI tax relief has been prohibited, and we feel safe in the equity of the elimination of the income cap on contribution, OASDI can take responsibility for SSI in FY 2013 retroactive to FY2012.  For his part, the black lawyer figurehead President must pardon his former master Rod Blagojevich for MLK day.


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 don’t 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. 104–191, 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 heart’s output and consumes about 18% of the oxygen absorbed by the lungs – 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 Down’s 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 Parkinson’s 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 Alzheimer’s disease and Parkinson’s 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. 


Book 4 State Mental Institution Library Education (SMILE)


To amend Chapter 4 St. Elizabeth’s Hospitals §161-230 transferring Chapter 9 §321-329 Hospitalization of Mentally Ill Nationals Returned from Foreign Countries to §189-194 therein.  Review in March. National Social Work month, to change the name of the Substance Abuse Mental Health Services Administration (SAMHSA) to the Social Work Administration (SWA) for licensed independent social workers to judge mental health courts.  District of Columbia Mental Health System statute reduced the inpatient psychiatric population of St. Elizabeth’s hospital from 7,000 to 600 and in 2009 the buildings were occupied by U.S. Customs. Globally mental illness and psychological disorders stemming from substance are estimated to affect a combined total of 450 million people, 7.3% of the population.  55% of Americans have suffered mental illness at some time in their life and 1 in 5 Americans experience a diagnosable mental disorder in any given year, about 5% suffer a serious mental illness.  In 1997 30,535 people died from suicide in the U.S. and it was the 11th leading cause of death in 2000.  The de-institutionalization movement has been successful in reducing the psychiatric inpatient population by half from 515,572 in 1970 to 198,195 in 1998.  During 1999 there were 1.7 million admissions to inpatient psychiatric treatment, 424,450 of those were involuntary commitments. Mental illness is the second leading cause of disability, costing disability insurance an estimated $24 billion and medical $65 billion annually, with mental health organization accounting for around $38 billion in expenditures.  Under deinstitutionalization the diagnosis of mental illness and psychiatric drug consumption have increased alarmingly particularly amongst juveniles.  Anti-psychotic and hypnotic drugs are the leading cause of prescription drug overdose.  Civil commitments and judge enforced medication are abolished.  The licenses of all private psychiatric hospitals, general hospital psychiatric wards and state mental institutions, other than forensic, are terminated.  Funds shall be reinvested in social worker supervised group homes and forensic hospitals for the criminally insane. The prescription of any antipsychotic medication but Risperidone (Risperdal) is presumed medical malpractice.  To cure the dangerous neuromuscular side-effects of antipsychotic and childhood stimulant medication the FDA approves the antiviral Amantadine (Symmetrel) as a substitute for Cogentin (benztropine mesylate) that cured symptoms with one dose in minutes.  The oral narcotic antagonist Naltrexone must complement opiate prescriptions (such as methadone, OxyContin, and Vicodin) to reverse respiratory depression.  Herbal alternatives for the treatment of anxiety and depression include St. John’s wort for mild cases and Valerian for more severe cases of nervous stress.  Lemon balm soothes hyperactive children.  Chamomile is useful for falling into a restful sleep, but some people are allergic. Coffee and tea are the frontline treatment for migraine MIRROR form; Quiz …546


Book 6 Judicial Delinquency (JD)


To amend Chapter 6 Freemen’s Hospital §261-270.  Freeman’s Hospital and Asylum cared for freed slaves in the Washington DC area during the civil war era.  In 2005 a record 7 million people, one in every 32 Americans, were in prison or jail, an increase of 2.7% over the previous year.  In 2009 the state prison population declined for the first time since 1973.  Reductions in prison population is a priority.  The prison population quintupled from 503,586 in 1980 (220 per 100,000) to 2,085,620 in 2004 (707 per 100,000).  The U.S. has the most and densest concentration of prisoners in the world comprising 24% of the 9 million global prisoners, more than Russia, the runner up, and more than China.  For the U.S. to achieve the legal limit of 250 detainees per 100,000 the total number of local jails and state and federal prison beds must be limited to less than 740,000.  One million is a good goal.  Nearly 650,000 people are released from prison to communities each year.  Each year the nation’s 3,200 jails release an excess of 10 million, 3% of the population back into the community.  Nearly two thirds of released State prisoners are expected to re-arrested for a felony or a serious misdemeanor within three years.  In 2005 7% of all prisoners were women, the number of women prisoners increased 2.6% while male prisoners rose 1.9%.  Racial disparities among prisoners persist, particularly in the 25-29 age group, 8.1% of black men, about one in 13, were behind bars, compared with 2.6% of Hispanic men and 1.1% of white men.  To uphold a legal limit of 250 prisoners per 100,000 residents SSI shall finance a halfway house system at  7% of SSI program costs, doubling program growth, the federal Justice Assistance Grant (JAG) and other extra-jurisdictional judicial financing shall be transferred to 59,000 halfway houses from foreclosure auctions over 10 years, and the retraining of 207,090 trained, full-time parole and probation officers and social workers; the only method nearly 100 percent effective at preventing recidivism, that is stubbornly 60 percent within three years after release, is the successful completion of a post-conviction college degree. Quiz…846