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