Hospitals & Asylums 

 

 

Medicine

 

2^nd Ed. HA-5-12-13, HA-17-3-21

 

By Anthony J. Sanders

 

This second edition full-length medical textbook is currently the only downloadable online version available to teach this art to those who desire to learn it, without fee and written covenant, in order to use remedies for the benefit of the ill and keep them from harm and injustice pursuant to the Hippocratic Oath.  To end the COVID-19 and influenza pandemics eucalyptus and lavender soap is needed in public restrooms so people can treat allergic rhinitis from coronavirus exposure. After being closed in 2020 swimming pools have been approved by the Center for Disease Control (CDC).  The Food and Drug Administration Coronavirus Product Advisory Committee must rule hydrocortisone, eucalyptus, lavender or peppermint help vaccines cure coronavirus.  Mentholyptus is the frontline treatment for both coronavirus and influenza, with a little nose washing.  Coronavirus is the only cold with a cure. Vaccine monographs and public health advisories are unconstitutionally vague regarding the allergic rhinitis leading to severe acute respiratory syndrome (SARS) of coronavirus and instead overemphasize the wet cough, fever and fatigue of influenza, the vaccine for which is notoriously ineffective. Combination tests test positive for “coronavirus” whether coronavirus or influenza. It is true – eucalyptus or lavender cure both coronavirus and influenza. The two shot COVID-19 vaccines may reduce severe infection and death but are only an estimated 30% effective at reducing the contagious state of coronavirus allergic rhinitis and the must continue to treat their Pinocchio nose.  Put away the dusty air filters that should not have been prescribed by public health authorities. Menthol cigarettes cure coronavirus, but are ill-advised for influenza. To ensure a coronavirus free release from intensive care unit (ICU) and return to school - eucalyptus essential oil scented humidifiers (diffusers) are wanted. Topical hydrocortisone treats coronavirus, carcinogenic aspergillosis and many inflammatory conditions. Pneumovax 23 is recommended for working age adults to prevent pneumococcal infection of heart, lung and brain damage, otherwise ampicillin is indicated for Azithromycin resistance. Co-occurring Streptococcus and Staphylococcus cause excruciating toxic shock syndrome. Epsom salt bath, saline or chlorine swim, doxycycline or clindamycin for pregnant women and children, treats methicillin resistant Staphylococcus aureus (MRSA). Hawthorn, the supreme herb for the heart, may eliminate sterile Staph lesions on the heart. Onions, garlic and Gingko giloba help stimulate insulin production in diabetics. Metronidazole, not for use during the first trimester of pregnancy, treats antibiotic resistant Clostridium difficile and Helicobacter pylori. Stonebreaker (Chanca Piedra) cures urinary and gallstones.

 

Cancer HA-17-3-21

 

The skin is the largest organ. No one calls insect bites or chickenpox tumors, but by strict medical definition they are.  About 15 million people in the United States have some form of eczema, including 10 to 20 percent of babies.  In about half of these babies, the condition will largely clear up between the ages of 5 and 15.  Acne vulgaris is a very common skin condition; it is treated by washing with water and Dial soap, Benzoyl peroxide, resorcinol, Retin-A or Accutane for severely scarring cases, for infection topical clindamycin or erythromycin ointment or oral doxycycline.  This condition usually appears during infancy.  About 5 percent of the U.S. population has foot infections, including athlete's foot, other fungal infections and warts every year.  Psoriasis affects more than 7 million Americans, about 2.6 percent of the population, it is usually treated with corticosteroids such as hydrocortisone creme.   About 1 to 2 percent of the world's population, 40 to 50 million people, suffer from vitiligo, 2 to 5 million in the U.S.   About 1.5 million Americans have a form of lupus.  Lupus is much more prevalent among people of color, and 90 percent of cases occur in women.  Systemic lupus usually develops between ages 15 and 45. Keratosis are pre-cancerous skin lesions mostly found in people over 40 when the skin begins to dry out and becomes sun sensitive, requiring moisturizer, sunscreen, avoidance of the sun between noon and 3 pm, best treated with the topical antineoplastic exfoliator 5-fluourouracil (5-FU).  The three kinds of malignant skin cancer are squamous cell carcinoma, basal cell carcinoma and malignant melanoma, which has lethal metastatic potential, are best treated by avoiding sunlight and wide surgical excision.  Most skin cancer is non-melanoma cancer, such as basal or squamous cell carcinoma.  More than 1 million of these cases are diagnosed every year.  About 54,000 melanomas are diagnosed every year, causing 7,500 deaths.  About 2,000 die from non-melanoma skin cancer.  Skin cancer is the most common cancer.   

 

Cancer is the second leading cause of death.  More than 1.6 million new cancer cases are diagnosed each year in the United States, and more than 550,000 die. Diagnosis are expected to rise to 2.3 million new cancer diagnoses per year by 2030.  According to estimates from the International Agency for Research on Cancer (IARC), in 2018 there were 17.0 million new cancer cases and 9.5 million cancer deaths worldwide. The overall age-adjusted cancer death rate rose during most of the 20th century, peaking in 1991 at 215 cancer deaths per 100,000 people. As of 2017, the rate had dropped to 152 per 100,000 (a decline of 29%) because of reductions in smoking and asbestos, as well as improvements in early detection and treatment. Between 1991 and 2017, there has been a steady decline in death rates for the four most common cancer types – lung, colorectal, breast, and prostate while cancers of the liver, esophagus and malignant melanoma have increased.  When an initial diagnosis of cancer is made, the pathologist who examines the cancer biopsy attempts to determine the state of cancer growth and prognosis by staging. Cancer is treated by surgery, radiation, chemotherapy, corticosteroids and other drugs.  Surgical treatment can result in a complete cure if the surgeon is able to remove every single cancer cell, this is easiest to achieve if the cancer is completely confined to a single tumor.  Although radiation treatment is often successful, patients whose cancer was caused by radiation exposure swiftly die from radiation treatment. Chemotherapy has been shown to greatly increase the cure of certain types of cancers.  The side-effect of these chemotherapeutic and radioactive agents are alarming.  Bone marrow transplantation treats the myelosuppression.  Corticosteroids, hormone therapy, anti-hormone, aromatase and other inhibitors, antiangiogenesis and monoclonal antibodies are all useful in the treatment of certain types of cancer.  

 

Chest HA-27-7-20

 

Disease of the chest are the leading cause of death.  793,840 people died of heart and cerebrovascular disease, 28%, and 215,873 people died of chronic lower respiratory disease, influenza and pneumonia, 7.7% of 2,813,503 total deaths in 2017, not including 150,000 primary lung cancer diagnosis.  Treatment of heart disease involves, fresh air, fabric and vegan diet, no trans-fats; antibiotics cure endocarditis, statins reduce cholesterol, Hawthorn is the supreme herb for the heart, sage help digest fats. Patients must run the minimum three miles of the Marine Corp Physical Fitness Test (PFT) daily rather than 1 ½ mile run perpetuating the struggle with the Army Weight for Height Chart.  Lung diseases are treated with corticosteroids to cure coronavirus and mold allergies, Oseltamivir (Tamiflu), Zanamivir (Relenza) and Amantadine (Symmetrel) to treat influenza, Ampicillin (Principen) or Azithromycin (Z-pack), for people with penicillin allergies to treat resistant pneumonia, sinusitis and meningitis.  Pneumovax 13 and 23 are important for people of all ages to prevent pneumococcal infection of heart, lung and brain damage. Epsom salt bath to treat methicillin resistant Staphylococcus aureus (MRSA). 

 

Convention on Pandemic Treatment: Recognizing that since February 2020 everyone on the planet has probably been exposed to, and at one time or another, contracted the highly contagious COVID-19 disease, that begins with an infected nose that can descend down the airways and cause death when the lungs fill with fluid.  Differentiating this from influenza symptoms of a wet cough, fever and fatigue.  Recalling as of July 26, 2020 there have been an estimated 16.1 million confirmed cases, 9.27 million recovered and 645,000 deaths from COVID-19.  Resolving to prescribe HELP – Hydrocortisone crème, and essential oil of Eucalyptus, Lavender and Peppermint aromatherapy to cure coronavirus and mold allergies.  Hall’s mentholyptus cures both coronavirus and influenza. To sterilize popular indoor social environments, such as schools, against the highly contagious and potentially lethal coronavirus, aromatherapy using essential oils of eucalyptus, lavender and peppermint is advised to be dispensed by humidifier. These humidifiers should be placed at the entrance to ensure everyone is treated as they enter the building. The public must be informed that these essential oils are non-toxic and non-allergenic by nature, they cure coronavirus.  Soaps and cleansers containing essential oils of eucalyptus, lavender and peppermint may be used. 

 

Children HA-8-12-16

 

United States population estimates are disputed between the Census and Social Security Administration regarding a total US population between 324 million and 330 million, respectively, a difference of 2 percent, in 2015 and 2016. The under age 18 population is estimated between 73.7 million by the American Children Brief , 74.1 million by the US Census and 77.8 million by SSA.  74.9 million Baby Boomers were born 1946-64.  77 million children is the number.  The Census has clearly erred with the 22.9% under age 18 revision in 2015 that destroyed the population pyramid and must return to 24% under age 18 used in the 2010 Census.   Net population-growth is bolstered by 1 million annual net migrants. The United States has the highest birth rate (12.5 per 1,000 population), infant mortality rate (6.1 infant deaths per 1,000 live births and 8 under age 5 deaths per 1,000 ) and maternal mortality rate (32 deaths per 100,000) of any industrialized nation.  Since the 1989 the annual estimate of about 4 million births is less than 4 million during Democratic administrations and more than 4 million during Republican administrations under the Convention on the Reduction of Statelessness (1961).   More boy than girl babies have been issued social security cards every year since 1940. In 2015 51.2% of babies were boys and 48.8% were girls. However 50.9% of the 2010 census population are female and 49.1% are male.   25% of the world population attend school. 70-100 million people attend school in the United States. 22 - 33 percent of all children live in families with incomes below the federal poverty level Р$23,550 a year for a family of four. 

 

FDA Category A drugs that pose no fetal risks in human studies are penicillin, Ampicillin (Principen), cephalosporins, aminoglycosides, clindamycin (Cleocin Oral, Cleocin T), nitrofurantoin (Furadantin, Macrobid, macrodantin, and acyclovir (Zovirax). Amantadine (Symmetrel) for the flu and antipsychotic tic should probably be added to the short list of safe drugs for pregnant women and children.  Ethosuximide seems to the safest anticonvulsant drug for pregnant women with epilepsy.  Hydralazine (Apreoline) is often the initial antihypertensive medication of choice, given in 5 mg increments intravenously until an acceptable blood pressure response is obtained.  Other antihypertensive drugs used in emergencies are Nifedipine 10 mg po q 4-8 hr.  Calculating the correct pediatric dosage of medicine is a ratio of the child's weight to average adult weight of 70 kg or 150 lb. Clark's rule is that the child's dose = adult dose x child's weight in kg / average adult weight 70 kg.  Clindamycin (Cleocin) 350 mg pills for the treatment of Staphylococcus aureus in pregnant women and children under the age of 8 who cannot take doxycycline. The pediatric dose for Cleocin is estimated in the monograph to be in the 8-16 mg / kg/ d range. So a 20 kg child would want 160 mg to 320 mg of medicine daily in three or four divided doses of 40 mg to 100 mg. In that same time period an adult would want 1.2 g to 1.8 g in three or four doses of the 350 mg pill. For a 20 kg child the pill could be cut into quarters, and given three or four of the quarters daily, for 5 days. Antibiotic resistant Clostridium difficile can be treated in children with metronidazole (Flagyl ER) 200 mg or 400 mg tablets, but pregnant women cannot take metronidazole because it causes neural tube defects in the first trimester. Stonebreaker (Chanca piedra) treats gall and urinary stones overnight but cannot be used in pregnant women because it might be abortificent. Ampicillin (Principen) 250 g or 500 mg is the preferred drug for the treatment of pneumonia and meningitis in children under the age of 6 months. In the case of penicillin allergy or price Azithromycin (Zithromycin), the world's best selling broad-spectrum antibiotic, is safe for pregnant women and children over the age of 6 months for the treatment of Streptococcus spp. The rest of the disease modifying anti-rheumatic drugs (DMARDs) every family should have to cure painful infections include Amantadine (Symmetrel) 100 mg for influenza Type A and anti-psychotic tic, 1% clotrimazole (athlete's foot creme) for infections of the foot and shin and 1% hydrocortisone for allergies, rashes and aspergillosis.

 

Digestion HA-24-10-19

 

Humans require 0.7 to 3.7 liters of distilled or filtered water for drinking and cooking daily per person. The adult bladder holds about 400 mL of urine and the kidneys produce 1 liter of urine a day. Each 24 hours about 100-200 grams of stool is evacuated. The more fruit and vegetables eaten, the more feces excreted per bowel movement. Increasing the proportion of that food group can raise the weight of a bowel movement from the average 3 ½ to 7 ounces (100 to 200 grams) to as much as 178 or 18 ounces (500 grams) per day. Only 1 in 100 Western citizens have fewer than three bowel movements a week or more than three per day (Jones et al '85: 301).   A calorie is the heat required to raise the temperature of 1 gram of water 1ºC. The energy value of food and human energy requirements are expressed as caloric equivalents. Infants should be exclusively breast fed on a demand feeding schedule averaging 4 oz. six times per day at 1 month to 4.2 oz five times per day at 6 months when solid foods are introduced. Sedentary calorie requirements for children 2-3 years is 1,000 calories, children 4-8 years 1200-1400 calories. Girls 9-13 1600 calories. Boys 9-13 1800 calories. Girls 14-18 years 1800 calories. Boys 14-18 years 2200 calories. Females 19-30 years 2000 calories. Males 19-30 2400 calories. Females 31-50 years 1800 calories. Males 31-50 2200 calories. Females 51+ years 1600 calories. Males 51+ years 2000 calories. Good nutrition is the foundation of health and well-being for all.  Everyone needs four basic nutrients – water carbohydrates, proteins and fats – as well as vitamins, minerals and other micronutrients. The human body is two-thirds water. Fatty acids are used by the body as a source of energy and are provided for in our diet by animal fat and vegetable oils that when metabolized supply 9 cal/g. Carbohydrates are complex compounds made up of sugars that when metabolized yield 4 cal/g. Proteins, are complex chains of amino acids, supplied in our diet chiefly by animal proteins –meat, milk, cheese and eggs – and plants such as rice and legumes and nuts, that when metabolized yield 5 cal/g. Protein requirements vary, with pregnant and lactating women, children, teenagers and young adults and men undergoing strenuous exercise requiring larger amounts. Beyond infancy a child requires about 10% of his caloric intake in protein. Protein deficiency, especially during the first year of life, has been associate with decreased brain development and lowered IQ. The amount of protein in a mother’s breast milk is 5 percent of calories. According to the World Health Organization (WHO) the human minimum protein requirement is 5 percent of total calories, according to the US Recommended Dietary Allowance for adults 10 percent of total calories. For optimum protein intake WHO recommends 10-15 percent of calories. Total fat intake should be less than 30 percent of total energy intake, Saturated fatty acid intake should be less than 10 percent of total energy intake. Trans-fatty acid intake should be less than 1 percent of total energy intake. At least 1 percent of calories should come from fat. Therefore, 55-75 to 94 percent of calories in the diet should come from carbohydrates. Calcium + vitamin D + phosphorus = Apatite. Bones and teeth contain 99 percent of all the body’s calcium and phosphorus, that is where the body gets it. For osteoporosis therapeutic and preventive measures should emphasize adequate intake of calcium (1500 mg/day), vitamin D (400-800 IU/day) and 1,000-1,250 mg/day of phosphorus.  Calcium supplementation is recommended for postmenopausal women, to promote the formation of calcium, vitamin D and phosphorus into apatite, to reverse osteoporosis and heal bones and tooth enamel.

 

Approximately 20% of patients who visit a primary physician's office have urologic problems (Alpers '10: 906). Gastrointestinal (GI) disease accounts for about 10% of general practitioner consultations, 8.5% of prescriptions and 8.3% of the cost of inpatient treatment. The GI is responsible 8.8% of days of certified incapacity to work and 10% of all deaths. In 2015 SSA estimated a total 8.1% of permanent disabilities were diseases of the digestive system (2.1%), genitourinary system (2.5%), endocrine, nutritional and metabolic diseases (2.7%) and infectious and parasitic disease (0.8%).  Chronic abdominal disease is often first noted as colic that is intolerably painful with exercise, forcing the patient to curtail their athletic endeavor. Because of the complicated overlapping functions of the abdominal organs, lymphatic, biliary, urinary and digestive system clinical diagnosis begins by pinpointing the part of the abdomen where pain if felt, e.g. upper right quadrant pain (liver, gallbladder), epigastric pain (transverse colon, duodenum, stomach), left upper quadrant pain (pancreas, spleen), bladder pain, or flank pain (kidneys).  Stone Breaker™ (Chanca piedra) cures urinary and gallstones overnight. Ingredients: Stonebreaker herb (Phyllanthus niruri), Hydrangea root (Hydrangea arborescens), Celery seed (Apium graveolens), Burdock seed (Arctium lappa); and other Ingredients: certified organic grain alcohol & distilled water. Stonebreaker costs around $10 bottle. Caution: Do not take during pregnancy and keep out of reach of children. Shake well before taking 40 drops in a full cup of water, three times per day.  Metronidazole (Flagyl ER), patented in 1960, longtime generic antibiotic, is uniquely useful in the treatment of diarrhea and intra-abdominal infections (including ulcers, peritonitis, intra-abdominal abscess, liver abscess), because it is effective against antibiotic resistant Clostridium difficile and Helicobacter pylori and is the only antibiotic that is well-tolerated by the gut. Caution: do not take in the first trimester of pregnancy because it may cause neural tube defects. Metronidazole is a broad spectrum antibiotic and antiprotozoal is useful in the treatment of bone and joint infections, vaginalis, endocarditis, non-gonococcal urethritis, rosacea, tetanus and trichomoniasis. Metronidazole possesses bactericidal, amebicidal, and trichomonacidal action and has direct anti-inflammatory effects and effects on neutrophil motility, lymphocyte transformation, and some aspects of cell-mediated immunity. Spectrum of activity includes most obligately anaerobic bacteria and many protozoa. Inactive against fungi and viruses and most aerobic or facultatively anaerobic bacteria. Gram-positive anaerobes: Clostridium, C. difficile, C. perfringens, Eubacterium, Peptococcus, and Peptostreptococcus. Gram-negative anaerobes: Active against Bacteroides fragilis, B. distasonis, B. ovatus, B. thetaiotaomicron, B. vulgatus, B. ureolyticus, Fusobacterium, Prevotella bivia, P. buccae, P. disiens, P. intermedia, P. melaninogenica, P. oralis, Porphyromonas, and Veillonella. Active against Helicobacter pylori, Entamoeba histolytica, Trichomonas vaginalis, Giardia lamblia, and Balantidium coli. Acts principally against the trophozoite forms of E. histolytica and has limited activity against the encysted form. Resistance has been reported in some Bacteroides and T. vaginalis. Metronidazole must be prescribed to prevent deaths from E. coli, Salmonella and before fecal transplant, rather than some new antibiotic that has wormed its way into the literature. Doxycycline to treat Methicillin resistant Staphylococcus aureus and Ampicillin for pneumonia and meningitis are the only other antibiotic.  Anthelmintics eliminate parasitic worms.  Schistosome and soil-transmitted helminth (roundworms, hookworms and whipworms) infections are among the most common infections in developing countries and can cause internal bleeding, leading to anemia. They can also cause malabsorption of nutrients, diarrhea and vomiting, and loss of appetite, further damaging nutritional status. Preventive chemotherapy (deworming), using annual or biannual single-dose albendazole (400 mg) or mebendazole (500 mg), is recommended as a public health intervention for all young children (12–23 months of age), preschool (24–59 months of age), school-age children (5–12 years) and non-pregnant women (15-49) living in areas where the baseline prevalence of any soil-transmitted infection is 20% or more among children, in order to reduce the worm burden of soil-transmitted helminths. Anthelminthic medicines must not be given during the first trimester.

 

Disability HA-27-2-17

 

Statistics relating to disability beneficiaries must recognize the existence of two programs - DI and SSI. The number of beneficiaries in both programs have never been publicly added together to explain official estimates regarding 16-17 million disability beneficiaries receiving 19 million social security benefits, the sum of 10.6 million DI benefits plus 8.3 million SSI benefits. Without any new taxes on the rich, the total number of disability beneficiaries in calendar year 2017 is estimated to be 8.3 to 8.4 million SSI beneficiaries + 10.6 million DI beneficiaries = 18.9 Р19.0 million social security disability beneficiaries. SSA also paid a total of 43 million retired workers and dependents of retired workers + 6 million survivors of deceased workers = 49 million OASI beneficiaries. At a high 4% rate of population growth, due to the retirement of the Baby Boomers who nearly bankrupted the DI trust fund, the OASI population is expected to increase to 51 million OASI beneficiaries in 2017, a year from the annual report of January 22, 2016. Therefore, 51 million OASI beneficiaries + 19.0 million disability beneficiaries = a total of 70 million SSA benefits for more than 67 million beneficiaries. The International Classification of Functioning, Disability and Health (ICF) checklist provides a fair estimate of the disabled worker.  As of 2011, the prevalence of chronic pain in the general population of the United States has been estimated to be as high as 116 million adult. Arthritis and rheumatic conditions affected an estimated 43 million Americans in the late 1990s and this number is expected to increase to an estimated 60 million by the year 2020, about half of all painful conditions. Approximately 21 million people have osteoarthritis (OA), 3.7 million have fibromyalgia and 2.1 million have rheumatoid arthritis (RA). Rheumatoid arthritis is associated with a high rate of disability, more than one-third of working persons who develop RA are unable to work after five years. 

 

Musculoskeletal diseases are the leading cause of disability and absence from work in the United States. SSA reports the rate of musculoskeletal and connective tissue disabilities has increased from 24.7% in 2009 to 33.6% in 2015. Between 2001 and 2016, the prevalence of musculoskeletal procedures drastically increased in the U.S, from 17.9% to 24.2% of all operating room procedures performed during hospital stays.  In a study of hospitalizations in the United States in 2012, spine and joint procedures were common among all age groups except infants. Spinal fusion was one of the five most common OR procedures performed in every age group except infants younger than 1 year and adults 85 years and older. Laminectomy was common among adults aged 18и4 years. Knee arthroplasty and hip replacement were in the top five OR procedures for adults aged 45 years and older.  Autologous chondrocyte implantation (Carticel, MACT) is much less invasive than total knee replacement.  Every year more than 15 million people in the U.S. have surgery and some 40 million people will undergo a procedure requiring an anesthetic. Some 2,000 of these patients will die from causes related to their anesthesia care. An anesthesia death rate of 1 in 20,000.  The U.S. surgical death rate is estimated that 1.14 percent of patients who go in for surgery never leave the hospital.  Researchers in the United Kingdom looked at more than 46,000 patients in 28 European countries who underwent non-cardiac surgery. They found that 4 percent of them died before they could make it out of the hospital. Nearly 75 percent of patients in Europe who died did not get admitted to an intensive care unit (ICU). The surgery death rates that the researchers found in other countries ranged from Latvia, which at 21.5 percent had the worst death rate, to Iceland with a rate of 1.2 percent. Disease modifying Anti-rheumatic Drugs (DMARDs) of least resistance are methotrexate an anti-neoplastic drug approved by the FDA for the treatment of arthritis that costs $1 a week; $1 clotrimazole (athletes foot creme) and hydrocortisone creme; Amantadine (Symmetrel) for flu, Ampicillin (Principen) for pneumonia, Doxycycline or Clindamycin (Cleocin) under age 8 for Staph, Metronidazole (Flagyl ER) for infectious diarrhea and joint infections. Studies dating back to the 1980s recommend glucosamine and chondroitin sulfate 1,000 mg to 2,000 mg of glucosamine and 800 mg to 1,600 mg of chondroitin sulfate every day.  Because the pills are so large probiotic supplementation is needed for gastrointestinal health. Following dextrose prolotherapy patients experienced statistically significant decreases in pain, sustained improvement of over 75% was reported by 85% of joint pain patients. Dextrose prolotherapy ameliorates chondromalacia of the patella, shoulder, groin, hip and elbow and improves physical ability.