Hospitals & Asylums 








Summer 2011


Vol. 11 No. 2


Anthony J. Sanders


Readership is down to two Latinos.  Americans still refuse to bow to their royalties this bicentennial of the Naval Hospital Act of 1811, 222 years from the ratification of the Constitution.  An Indian economist respected my balanced FY2011 budget.  Why can’t Americans and Europeans read and write and do simple arithmetic?  Some published authors who solicit their email addresses can respond to defend their own work but don’t reciprocate.  Otherwise the Food and Drug Administration (FDA) is the only agency that is polite enough to respect copyright, but their propriety is limited.  Social networking sites sold their 400 million profiles for $20 billion once or twice on the Security Exchange.  Prescriptions must be all that fit in an iPhone.  Social networking is completely intolerable to anyone with anything to say. 


My Flood and Tornado Insurance withdrawal from the Deepwater Horizon Overpayment seems to have siphoned a little from the stock market but it was definitely the Middle Class Tax Relief Act of December 2010 that withdrew so much, $90 billion, for such a stupid reason, employment growth declined in January 2011.  Middle class employees and self-employed people were given a 2% reduction in OASI taxation.  I was defrauded $69 a month SSI and assaulted with bacterial, fungal and radiological devices and sentenced to another three years at $666 a month, if we get our 5.2% COLA in December 2011 after 1.6% inflation in 2010 and 3.6% so far this 2011.  I am legislating a fixed 3% COLA unless inflation exceeds 3% and two year term for the Commissioner.  It sucks being the sole proprietor of the federal budget.  I have a few more days work on the brief to appoint Stanley Friendship, an African American social worker who has 30 years’ experience working with the Social Security Administration and is the Seattle Regional Commissioner. The trial makes calculus difficult and racial non-discrimination theory but a paragraph.  The OASDI tax rate needs to be adjusted to pay for the DI deficit and put some of the $2.5 trillion of interest bearing securities to work without creating a deficit. 


The only decent press this quarter was the resignation of Secretary of Defense.  On the bright side, around 60°F, while it was in the 90ºs in the rest of the country, I did 1,000 push-ups and 1,000 sit-ups one day and am training on 100 consecutive pull-ups and the 26 mile marathon.  Too bad the free cinnamon roll gave me thrush (Candida albicans), turning me into a nocturnal bat with white nose syndrome (WNS).  WNS must be an excruciating cancerous death.  The athlete’s foot crème, 1% clotrimazole, an azole, in my $1 totally tubular collection, worked overnight smeared on the cheeks, but after a bag of cake I got my cavities oral analgesic gel, 20% benzocaine.    


Anti-Viral Medicine for the Treatment of Chronic Disease HA-24-4-11


Viruses are the smallest infectious agents.  Outside living cells, viruses are wholly inert.  Their sole activity is to invade the cells of other organisms, which they takeover to make copies of themselves, using genetic information.  Viral infections range from warts, the common cold and other minor respiratory tract infections and hepatitis, to extremely serious diseases, such as rabies, AIDS, and at least 18% of all types of cancer.  Highly effective vaccines prevent poliomyelitis, measles, mumps, rubella, hepatitis, yellow fever, human papilloma, rotavirus and post-exposure rabies.  AIDS drugs have reduced HIV infection and mortality worldwide.  The rotavirus vaccine (2006) reduced childhood ER visits for gastroenteritis by 85%.  LigoCyte is beginning phase II trials of an intranasal norovirus vaccine.  Teva Pharm is authorized to manufacture the adenovirus vaccine, discontinued in 1996, after epidemics took 5 lives.  The FDA removed 600 cold and flu remedies and approved Allegra OTC.  Corticosteroid inhalers discontinued for fluorocarbon concerns can substitute Flovent.  Acyclovir, topical and pegylated interferon alpha-2B, Foscarnet sodium and Immune Globulin IV treat a broad spectrum of the viral vectors of chronic disease surveyed.


Family Opinions on the Patient Physician Relationship HA-14-4-11


To better respect the AMA Code of Medical Ethics 10.00-10.05 Opinions on the Patient-Physician Relationship, Opinions 10.06-10.10 are appended to espouse the ideals of family medicine, caregiving, social work, family law and victim compensation.  The Secretary of State instantly got the AMA Code of Medical Ethics back online after a report of censorship was made in 2009.  Whereas she has spared her husband adultery on several memorable occasions, the Secretary of State may opt to oversee this e-Motion regarding the hypocrisy of the “Personal Medical Home” of the American Academy of Family Practitioners in elaboration upon the Patient-Physician Relationship as it pertains to the Family to the AMA Council on Ethical and Judicial Affairs by law (1 Timothy 3:2), (Proverbs 5:8)  and (Mark 10).  I adjure you by God, do not torture us (Mark 5:7).While writing this document I achieved 50 non-consecutive pull-ups, to compliment 100 push-ups, 100 sits ups and 4 mile run daily, took a short course of Ampicillin 500 mg, ordered Doxycycline 100 mg, the once a day antibiotic, for 15 cents a pill, and stopped eating sugar in 2011, after giving up animal products in 2010.  Said the wisdom teeth to the first maxillary molar, “drink your coffee black or not at all” like my mother, the unemployed family physician, who paid for my recent visit to the dentist.  To honor the will of her father I wish to dedicate this document to the free, automatic and permanent use of the Maiden name for professional practice after divorce as commanded by Moses in (Exodus 20:7 & 12) and (Deuteronomy 5:11 & 16) directed in (Deuteronomy 24:1-4) and inspired by the Good News regarding the Virgin Mary (Mathew 1:18-21) (Luke 1: 26-55) (Matthew 28), (Mark 16) and (Luke 24).


Tornado Relief HA-5-5-11


The United States encountered an estimated 875 tornadoes in April 2011, the most in any month in history. Normally, the average number of tornadoes in April is 161.  May is usually the most active month.  The average annual number of tornadoes is 1,274.  Most of this increase is due to two unusually large outbreaks.  The first tornado storm was from April 14-16 when 320 tornadoes swept across Oklahoma, Arkansas, Mississippi, Alabama and North Carolina claiming an estimated 45 lives.  In the second storm from April 25-28 another 305 tornadoes swept through Louisiana, Mississippi, Alabama, Georgia, Tennessee and Virginia claiming 318 lives, mostly in Alabama, 309 April 27-28, the fifth deadliest day of tornadoes since records began being compiled in 1680.  Normally tornadoes cause an average of 70 fatalities and 1,500 injuries in the U.S. each year.  The Tuscaloosa-Birmingham tornado during the April 2011 event caused at least 65 fatalities. This tornado had a maximum width of 1.5 miles and a track 80 miles long.  Records indicate tornadoes are more numerous and destructive between the Rocky and Appalachian Mountains than in any other part of the world.  The devastation wreaked by the April 2011 tornadoes compels NOAA National Weather Service Prediction Monthly and Annual U.S. Tornado Summaries to begin to account for the injuries and property damage, as well as death, caused by more tornadoes than anywhere else in the world.  The April 2011 page does not even account for the damage caused by the April 14-16 outbreak. Reconstruction estimates of individual counties range from $3.5 million to $57 million and there may be a hundred counties affected.  It would be safe to estimate a one billion dollar private insurance settlement and another one billion dollar public settlement.  This of course includes unemployment, survivor, disability and Medicare benefits, as well as FEMA assistance. 


Doxycycline 100 mg adults only Monograph HA-8-5-11


Sidebar 1: Contents: Doxycycline Hydrochloride. Front: Doxycycline 100 mg adults only; 10 Once a Day Broad Spectrum Tetracycline Class Antibiotics; Effective as powder against Methicillin Resistant Staphylococcus Aureus (MRSA) with topical Acne vulgaris cream. Back: Take no more than twice a day for bacterial infections:   pneumonia, meningitis, endocarditis, syphilis, chlamydia, anthrax, plague, acne, Rickessetsial.  Side effects: for antibiotic associated colitis C. difficile and candidiasis C. albicans take Flagyl ER; tetracyclines cause permanent yellowing of developing child teeth.  Broad spectrum antibiotics are the best medicine of the 20th century.  The only inventions that increased longevity longer than antibiotics are clean water and sanitation. This might change if the effectiveness of antibiotics for the treatment of endocarditis, in conjunction with a vegan diet and daily cardiovascular exercise, was properly understood.  The discoveries of the sulphonamide (1939), penicillin (1945) and streptomycin (1952) classes of antibiotics won the Nobel Prize for Medicine. The edict of Frederic II of 1240 separated the pharmacy and medicine professions however American colonists blended Native American Indian and European medicine and practiced “self-medication”. The purpose of these monographs is for the U.S. Food and Drug Administration Division on Drug Information at to permit the Over-the-counter sale of life saving, nosocomial infection curing, antibiotics under 21CFR§330.10.  Generic antibiotics and much more, can be imported in personal quantities without prescription from the online pharmacy        


A Treaty of Freedom with the Rogue River Tribes: Table Rocks Wilderness Camping Powwow Petition HA-12-5-11


To (1) post “$5 a night wilderness camping, Native Americans and indigents camp free, camping and campfires in designated areas only, no firearms”, (2) use the revenues to subsidize RVTD Route 60 to White City to go the extra 6 miles to Table Rocks for $2 twice a weekday, and (3) Promote White City S.W.A.T. obstacle course instruction and competition for the public for a $5 fee.  The Table Rocks are remnants of lava flows that filled the canyons over 7 million years ago and rise dramatically 800 feet above the Rogue River Valley. 155 years have passed since the Takelma surrendered on July 8, 1956 and agreed to be moved from the Table Rock Reservation to reservations on the coast in abrogation of the Treaty of Peace concluded on September 8, 1853, Treaty for Sale of Land on September 10, 1853 as well as the land sharing agreement on November 11, 1854.  The Table Rocks are now owned and collaboratively managed by the Nature Conservancy and the Bureau of Land Management (BLM), which has designated its holdings as an Area of Critical Environmental Concern.  The wildflower dwarf woolly meadowfoam (Limnanthes floccosa ssp. Pumila) grows on the top of Upper and Lower Table Rock and nowhere else on Earth.  A federally listed species of fairy shrimp has also been discovered inhabiting the vernal pools.  The slopes below the rocks support Oregon white oak, madrone, ponderosa pine woodlands and Rogue Valley chaparral.  Oak woodlands and chaparral provide the blue-gray gnatcatcher's northernmost known nesting site.  Spring wildflowers begin to bloom in February and reach their peak during April and May. The Federal Government has compensated the descendants of the Takelma Indians - the Confederated Tribes of Siletz.  The State of Oregon recognizes Siletz City.  It remains to be seen if the descendants of the Rogue Valley volunteers are ready to be forgiven.  To make the terms of this treaty absolutely clear the Confederated Tribes of Siletz, with the permission of the Jackson County Sherriff, shall be granted no less than the entire wilderness camping revenues levied on those nights they host a weekend powwow on the Table Rocks. 


Flood and Tornado Insurance from the Deepwater Horizon Overpayment HA-16-5-11


Flooding, caused by snowmelt and rain from the severe storms that spawned a record number of tornadoes in April, has occurred mostly in the lower Mississippi River in Illinois, Missouri, Arkansas, Tennessee, Mississippi and Louisiana and also to a lesser extent in the northern Missouri River in North and South Dakota.  Tens of thousands of people have been evacuated. The state has ordered evacuations throughout the region that is being flooded from the opening of the Morganza Spillway.  25,000 have been evacuated in the Atchafalaya River Basin alone.  Some towns in the flooded Atchafalaya River Basin, like Melville appear to have levees, banks built up to stop flood waters, but other settlements like Butte La Rose, do not have levees, leaving them completely unprotected from rising waters, expected to be 15 feet deep.  Near its height, the Mississippi town of Vicksburg is expecting a forecasted 57.5-foot (17.5-meter) flood crest on May 19, topping the 56.2-foot historic crest set 84 years ago this month.  The Great Mississippi and Missouri Rivers Flood of 1993 caused $15 billion in damage to homes, businesses and crops.  The actual spot where the 2,541-mile Missouri River flows into the 2,320-mile Mississippi River is 10 miles to the north of St. Louis at Confluence Point State Park.  The 2011 floods have occurred on the northern Missouri River in North and South Dakota, but they subside in Missouri, and the Mississippi does not swell until it converges with the Appalachian snowmelt flooding the Ohio River, that jeopardizes the Lower Mississippi as we speak.  It seems wise for the federal government to defray their costs from the Deepwater Horizon Settlement that rose from $20 billion to $40 billion, now that Gulf seafood has been declared safe to eat.   


New investigational animal drugs for the amelioration of the WNS and EHM epidemics HA-25-5-11


The Department of the Interior has bathed every waterfowl in the Gulf with Dawn, now it is time for the Fish and Wildlife Service (FWS) to disinfect every bat cave with Lamisil AT.  Funds allocated to Department of the Interior for Gulf cleanup, that are now unecessary, can be transferred to the adoption of an antifungal regime for the treatment of WNS hibernating bats and other worthy projects.  In May 2011 the U.S. Fish and Wildlife Service released a National Plan for Assisting States, Federal Agencies, and Tribes in Managing White-Nose Syndrome (WNS) in Bats caused by the fungus Geomycetes destructans that has taken the lives of over a million hibernating bats in affected caves Connecticut, Delaware, Indiana, Kentucky, Maryland, Massachusetts, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Vermont, Virginia, West Virginia, and the Canadian provinces: New Brunswick, Nova Scotia, Ontario, and Quebec since it was first detected in caves near Albany, New York in the winter of 2006-2007. An outbreak of potentially fatal equine herpesvirus myeloencephalophy (EHM) caused by equine herpesvirus-1 (EHV-1) began at a horse show in Ogden, Utah, April 29-May 8, with at least 41 suspected cases, 21 confirmed cases and 7 deaths, across 18 states. New animal drugs for investigational use for the treatment of animal epidemics of known etiology are (1) Lamasil AT (micanozole nitrate), or safer and more effective antifungal spray, to sterilize bat caves in danger of WNS and/or bat weight specific doses of oral Ketoconazole (Nizoral) 200 mg tablets, around 1/100 of 1 mg a day for two week to a year (2) Valacyclovir (Valtrex) 30-40 mg/kg twice to three times daily for 7 days to treat EHM.


Radioactive Polygraph HA-3-6-11


Purple spiderwort turns from blue to pink a few weeks after exposure to as little as 1.5 mSv. Symptoms of radiation exposure are convulsions, vascular damage, cardio vascular collapse, keloids, cancers and birth defects.  In light of the Fukushima accident the global community has resolved to phase out, abolish and replace nuclear reactors with alternative energy sources; preferably the solar home and computer, although wind and hydroelectric are more practical in many climates; that must be budgeted in the next few decades.  The World Health Organization (WHO) has classified cellular phones as possibly causing cancer.  Hospitals & Asylums (HA) and the U.S. Food and Drug Administration (FDA) Center for Devices and Radiological Health (CDRH) have concurred that CD/DVD laser writers emit radiation and hypothesize that remotely sabotaged can be made to emit a dose of radiation as high as 5 mSv per hour.  A dose of 100 mSv can be sickening and a 1 Sv dose is known to cause the vomiting indicative of mild radiation sickness, 2-4 Sv moderate, 4-6 Sv severe, 6-8 Sv very severe and >8 Sv 100% lethal.  Please remove the CD/DVD writer from your computer if dissatisfied with its performance or your health.  Buy a netbook.  Radiation emission tables must be re-published for lasers under 21CFR(I)(J)§1040.10 (h)(ii)(2) and for cellular phones §1050.10(e)(1) and 47CFR§1.1307(b)(2).  Both products demand the component or circuit failure tests that limited the maximum amount of radiation that could be emitted by sabotaged televisions to 0.005 mSv per hour at a distance of five (5) centimeters under 21CFR§1020.10(c)(3)(iii).  Mandatory minimum schemes must be eliminated and “remote control” restored to unlawful radiological dispersal devices under 18USC(113B)§2332h.  The Nuclear Regulatory Commission (NRC) should reinvest funds allocated to new nuclear plants to refinance the Low Energy Income Assistance Program (LEAP) as a tax credit of  Department of Energy (DoE) utility licensees under 42USC(94)§8621


Book 1 Military Diplomacy (MD)


To transfer Chapter One Navy Hospitals, Naval Home, Army and other Naval Hospital, and Hospital Relief for Seamen and Others §1-40 to Chapter 10 Armed Forces Retirement Home §400-435 and write a whole new Chapter on military democracy.  This Chapter shall change the name of the Department of Defense (DoD) to the Military Department (MD).  The US Military employs an estimated 2.8 million US citizens including 600,000 civilian employees.  In FY 2011 military spending rose to $723 billion one half of global military spending and will decline to $654 billion in FY 2012 after the war supplemental is terminated. Under the Nuclear Non Proliferation Treaty (NPT) the US, who has an estimated 10,000 warheads, must reduce their arsenal to no more than 1,700 to 2,200 nuclear warheads by 2012.  Elimination of various Cold War weapons systems can save $50 billion from maintenance, redeployment from Iraq and Afghanistan can save another $50 billion.  For a balanced federal budget the military spending limit for the next decade is $400  - $500 billion annually. Since its foundation the US military has suffered nearly 1.3 million casualties in 13 wars.  There are reported to be 26.4 million US veterans.  To military must carefully prohibit the use of force, thermal oceanic dumping, biological experimentation and damaging environmental modification programs; carbon emissions must be capped.  Military spending must be limited to not more than $400 billion annually.  Surplus military bases shall be legitimately sold to the most peaceful bidder and surplus funds returned to the Treasury.  To earn lower cost humanitarian status for US missions the US shall veto UN Chapter VII missions and instead promote humanitarian missions that pay payroll taxes and corporate profits, less social insurance and deductibles, to the general treasury of any developing democratic nation they occupy.  The US must purchase rights to African Command, Iraq Reconstruction Fund, US/Afghan Peace Treaty and Balanced Federal Budget from the Author; as well as elect a new, civilian Secretary for the Department.  Democratic peace theory holds that liberal democracies tend to be more peaceful than authoritarian or totalitarian states because they don’t make war upon other democratic nations or torture their own people…51


Book 3 Health and Welfare (HAW)


To amend Chapter 3 National Home for Disabled Volunteer Soldiers §71-150.  To pass a Balanced Budget Amendment replacing the second amendment right to bear arms in the U.S. Constitution it is necessary to respect that in a democracy the people are sovereign and ensure their human rights are fulfilled.  Socialism is explained to appoint licensed social workers Administration Law Judges (ALJs) enabled to adjudicate medical malpractice liability and relegate agency lawyers to Court.  Cardiovascular disease is added to the Disability Quick List. The name of the Centers for Medicare, Medicaid and SCHIP (CMS) is changed to National Health Insurance (NHI) and is transferred to SSA along with other mandatory benefit programs held by the Public Health Service.  Medical cost increases are limited to less than 3% annually.  Patients shall be enabled to refuse to pay for unnecessary, overpriced or harmful medical treatment with judgments of sovereign immunity.  The U.S. is the only nation that does not have universal health insurance and health expenditures are the most in the world, consuming more than 16% of the GDP.  The U.S. shall evolve a universal single payer health insurance system and then a national health service that is free for everyone.  During 2008, an estimated 162 million people had earnings covered by Social Security and paid payroll taxes.  One-in-six Americans received a Social security benefit, 51 million people, 35 million retired workers and dependents of retired workers, 6 million survivors of deceased workers, and 9 million disabled workers and dependent of disabled workers.  Total benefits paid in 2008 were $615 billion, total revenues were $805 billion and assets grew to $2.4 trillion.  Together Medicare and Medicaid served 87 million people at a combined cost of $702 billion.  In 2009 38 million people used food stamps at a cost of $53.6 billion.  In 2000 125 million people were covered by unemployment insurance and in 2010 there are around 42.4 million beneficiaries.  The number of Temporary Assistance for Needy Family beneficiaries has decreased from 14.2 million in 1993 to less than 5 million in 2003 at a cost of roughly $20 billion to the federal government.  In 2001, 6.9 million custodial parents were due an average of $5,000, $34.9 billion was due and $31.9 billion (62.6%) received, averaging $3,200 per custodial family and another $900 million was paid voluntarily.  Ultimately social security will enact a 1% social security payroll tax for international development and eliminate the income cap on SSA contributions to create a welfare system that will complete eliminate poverty…370


Book 4 State Mental Institution Library Education (SMILE)


To amend Chapter 4 St. Elizabeth’s Hospitals §161-230 incorporating Chapter 9 §321-329 Hospitalization of Mentally Ill Nationals Returned from Foreign Countries at §189-194 therein, 6th draft.  This work changes the name of the Substance Abuse Mental Health Services Administration (SAMHSA) to the Social Work Administration (SWA) to administrate professionally competent review tribunals of hospitalizations for mental illness and substance abuse by licensed social workers.  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.  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 bought by the Department of Homeland Security and in 2011 the statute amended to recognize “Customs” as the inheritors of Title 6 of the USC and CFR.  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 state mental institutions, private psychiatric hospitals and general hospital psychiatric wards are terminated.  Funds shall be reinvested in social worker supervised group homes and forensic hospitals.  The Diagnostic and Statistical Manual DSM-V must recognize the diagnosis sado-masochism (dsm) to reverse the rise of this abusive class to its highest levels of incompetence. MIRROR form…545


Book 9 Public Health Department (PHD)


To amend Chapter 9 Hospitalization of Mentally Ill Nationals Returned from Foreign Countries §321-329 that was transferred to Chapter 4.  Common infectious diseases accounted for 40% of all deaths in 1900 but they accounted for only 4% of all deaths in 2000. Cardiovascular disease (CVD; heart disease and stroke) accounted for 14% of all deaths in 1900 and for 37% in 2000. Cancer accounted for only 4% of all deaths in 1900 but for 23% in 2000.  In 1900, infant mortality was 162 per 1,000 live births and life expectancy at birth was only 47 years. In 1940, infant mortality was 63 per 1,000 live births and life expectancy was 55 years. In 2000, infant mortality was 7 per 1,000 and life expectancy was 77 years.  In the 20th century considerable progress was made eradicating communicable diseases, in the 21st century medical science must begin to communicate about the laboratory pathogens that are theoretically causing the vast majority of non-communicable diseases for which institutional Ethics Committees are a more promising cure than science.  People suffering from chronic illnesses must throw away their war-robes and death beds, eat a vegan diet of fruits, vegetables and whole grains and exercise regularly.  Medical residency rotations must be limited to less than 60 hours per week.  Payments to highly paid specialists must be reduced and primary care promoted.  To secure people against the dangers of the Public Health Service (PHS) and at long last, graduate from the Department of Health Education and Welfare (HEW) the Centers for Medicare, Medicaid and SCHIP (CMS) shall change their name to National Health Insurance (NHI) and be transferred with all other Mandatory Benefit programs to the management of the Social Security Administration (SSA). Children’s Health insurance shall be financed with 100% of the proceeds of the Attorney General’s Master Tobacco Settlement.  The Substance Abuse Mental Health Services Administration (SAMHSA) shall change its name to Social Work Administration (SWA) and in time become an independent social work agency also responsible for the Agency on Aging and Children and Family Services.  The Drug Enforcement Administration (DEA) shall change its name to the Drug Evaluation Agency (DEA) and be transferred to the Food and Drug Administration (FDA).  Whereupon the DHHS may adopt the name Public Health Department (PHD) on the condition that an Education Division (ED) to the Agency for Toxic Substances and Disease Registry (ATSDR) be created to secure toxic laboratory supplies.  Epidemiologic statistics shall be improved.  The abuse of bio-medical research and laboratory supplies, is prohibited and trans-fats banned…1243