Friday, 15 November 2019 18:03

A Stethoscope Is NOT A Prop

Stock photos of “healthcare workers” who attend patients—physicians are no longer distinguishable—usually feature a stethoscope draped around the neck.

But some, such as cardiologist Eric Topol, consider the stethoscope obsolete, nothing more than a pair of “rubber tubes.”

The most important part of the stethoscope is the part between the ears. But some think that will be replaced by artificial intelligence, and the rubber tubes by sophisticated electronic gizmos costing at least ten times as much as the humble stethoscope.

High tech is wonderful and increasingly capable, but if the stethoscope is dying, so is the art of clinical medicine.

The proper use of the stethoscope requires the doctor to touch, listen to the patient, and spend some time with a living person, not a computer. Patient and physician must cooperate: “Stop breathing,” “Take a big deep breath,” “Lean forward,” and so on.

It may be true, as Dr. James Thomas said, that graduates in internal medicine and emergency medicine miss as many as half of murmurs using a stethoscope. There are several reasons for this. One is not taking enough time to listen in a quiet room, and failing to perform the special maneuvers required to bring out an otherwise inaudible murmur (lean forward and exhale fully, turn onto your left side, squat then stand up, etc.).

The other is inadequate training. There are excellent recordings of heart sounds and murmurs, which of course would take time away from the time-devouring electronic medical record or “systems-based” medicine. And a recording is not the same thing as a live patient. Much of today’s teaching in physical diagnosis may be by “patient instructors”—paid actors pretending to be patients, who are evaluating the students as the students examine them. Rounds may be in a conference room, focused on the electronic record, instead of at the bedside.

In the old days, all the members of the team got to examine a real patient who had an interesting finding, with the patient’s permission and under the supervision of an attending physician. It seemed to me that patients usually enjoyed being the center of attention and the star of the show, and hearing the professor discuss their case. We learned how to help patients to sit up, and about hairy chests, layers of extra insulation, noisy lung sounds, shortness of breath, and other impediments to an easy examination.

The stethoscope is not just for heart murmurs. It’s for finding subtleties in careful, slow measurement of the blood pressure. It’s for extra or abnormal heart sounds. One can sometimes hear evidence of vascular problems inside the skull, or in the arteries supplying the brain, kidneys, or limbs. Or signs of intestinal obstruction. One can check to make sure a breathing tube is in the right place.

I don’t know of any bedside technologic wonders for examining the lungs. The stethoscope can detect sensitive signs of heart failure, pneumonia, fluid in the chest, collapsed lung, or airway obstruction. One can listen frequently to monitor changes in the patient’s status—much more efficiently than bringing the portable x-ray machine around.

The stethoscope works even when the power is off, the batteries are dead, the computer is down, or some circuit in the ultrasound device is malfunctioning. It works in facilities too poor to have the latest technology, or with patients who can’t afford to pay for a more expensive examination.

The stethoscope has tremendous capabilities in trained hands. Patients might want to evaluate whether they have a clinician who knows how to use it or is just carrying around a prop or status symbol. If you have symptoms suggestive of a heart or lung problem, does the doctor listen to all the lung fields—upper, mid, and lower, front and back? To at least four places for heart sounds? Are you asked to cough, say “e,” whisper something, take deep breaths or slow quiet ones, or do other maneuvers if something in the history or examination suggests a possible problem? Is the tv off, and are visitors asked to be quiet?

Everybody including doctors loves fancy technology. But before we toss out the old reliable tools, backed by two centuries of experience, how about some serious comparative studies like those the proponents of evidence-based medicine constantly demand?

 

Jane M. Orient, M.D. obtained her undergraduate degrees in chemistry and mathematics from the University of Arizona in Tucson, and her M.D. from Columbia University College of Physicians and Surgeons in 1974. Her views are her own. This is an edited version of her column that originally appeared in pennypress.com. Reprinted with permission. 

Published in Opinion
Friday, 15 November 2019 17:52

Will CNN tank AT&T's management?

Apparently, AT&T bought CNN thinking it was some kind of an entertainment outlet.

 

It is, but only to those of us who understand that Ted Turner’s creation has devolved into something which no longer resembles, in any way, journalism.

 

How bad is CNN’s coverage of the President?

 

Well, depending on who you choose to believe, studies from Harvard to the Media Research Center place the ratio of positive to negative coverage between 91% negative to 93%.  Every media analyst agrees.  CNN’s coverage is so biased that it can hardly be called coverage.

 

And it seems to be cheerfully brought to you by the American Telephone and Telegraph Company.  At 208 S. Akard Street in Dallas, Texas.  CEO Randall Stephenson and Chief operating Officer John Stankey.

 

When these guys bought Directv, I was a fan.  When they brought out Directv Now (Now ATT TV Now) as a streaming service I was and still am a fan.  When they bought Warner Media, I was OK with that.

 

I figured that CNN was already so screwed up, it had only one way to go—up.  I was wrong.

 

I was against the Justice Department’s antitrust action.  Still am.

 

That said, who knew that the two executives I listed above (along with their emails) were closet liberals?

 

My suspicion still is that they’re not.  What they, are, I think, is scared to death—like the dog which caught the car.  They have no idea what to do.  Owning HBO is one thing.  You can always disavow Bill Maher.

 

But a news outlet?  That involves editorial judgment and CNN already had less than none.  It needs grown-ups to instill some discipline.  Stephenson and Stankey are supposed to be those adults.  Only nobody told them.  They were too busy getting Hollywood elite sweet nothings blown up their skirts.

 

On one hand, they don’t want to make the left mad.  After all, the left controls show biz—right?  On the other hand, they really don’t want to have to choose up sides against a President who could easily be re-elected.  Much of their communications business is heavily regulated.  And, just to make things interesting, an activist management company, Elliott Management, took a $3.2-billion position in AT&T and wants change as well as seats on the Board.

 

So, wouldn’t the smart money be to make those clowns in Atlanta actually run a news outlet as opposed to taking virtually every opportunity to tilt to the radical left?

 

Apparently, Mr. Stephenson’s testicles were there when he bought into the entertainment business, but seem to have softened when it comes to making tough decisions regarding the content of his acquisitions which could ultimately send his share price plummeting.

 

Here’s a hint as to how another executive has handled it.

 

Apple’s Tim Cook—hardly a Trump fan—has kept an open channel to the President even though he supported Trump’s 2016 opponent.  

 

That makes sense, considering their common interests, especially where it comes to China, trade and intellectual property.

 

Do you really think Trump would refuse Stephenson’s call?

 

As long as his company is channeling Nancy Pelosi, it is probably a difficult call to have.

 

But if Stephenson and Stankey could say, with straight faces, that they are aiming to make CNN a “just the facts” news outlet, you can bet Trump would take that call.

 

It’s high time the folks on Akard Street in Dallas started worrying about their shareholder value.  They could fix CNN in two weeks.  Nobody is asking that they try and duplicate Fox.  Just be fair.  If they don’t, and 63,000,000 Trump voters take offense, well, they don’t make fallout shelters deep enough to protect them from the economic consequences.

 

 

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Fred Weinberg is a guest columnist and the CEO of USA Radio Network. His views and opinions are his own and do not necessarily reflect the opinions of GCN. Fred's weekly column can be read all over the internet. You can subscribe at www.pennypressnv.com. This is an edited version of his column, reprinted with permission. 

 

Published in Opinion

Taqiyya- Deception and Lying in Islam. Precautionary dissimulation or denial of religious belief. 

As many of you know, the state of Minnesota has a brand new attorney general, his name is Keith Ellison, and his Muslim name is Muhammad Hakim (Over the years, Ellison wrote under the pseudonyms Keith E. Hakim, mainly for his college paper in 89 and 90 but later, in the mid nineties he wrote under the name Keith X Ellison in defense of Farrakhan after the 1995 Million Man March.)  I know that there are many that say, "How stupid can Minnesotans be?" but in reply, I say, "Not that stupid."

There are many at the grassroots level and otherwise who are very aware of what is happening here.

Minnesotans are also very aware of the voter fraud taking place in this state, as well as the tactics being played out behind closed doors.

It has been accredited to dictatorial, tyrannical Communist Joseph Stalin “people that cast the votes don’t decide an election, the people who count the votes do."

Concerning the attorney general race, the end results were Ellison 1, 249, 407, and Wardlow with 1, 150, 459.

Furthermore, the same media that 94% of Americans do not believe and rightly so, are also in full operation here in Minnesota attempting to give cover for them that are in fact conspiring against the people of Minnesota. (Editor’s note: To be fair, I believe the poll Bradlee is referring to is the famous 2018 Axios / Pew Research and Gallop poll of 4000 people that says 92% of “Republicans and Republican leaning independents say that traditional news outlets knowingly report false or misleading stories at least sometimes..." The number drops sharply for Democrats and Democrat leaning independents to approx. 50% who believe that traditional  news outlets knowingly report false or misleading stories at least sometimes…” ) 

Without the mainstream media’s propaganda outlets attempting to breathe life into their agendas they are completely lifeless and without any credibility or support from the people that they claim to be speaking on behalf of.

How many times does the mainstream media need to get caught lying before Americans realize what they are dealing with.

Case in point: I don’t know of a single person that wants to see this state handed off to those who mean to destroy it.

The possible tax evader, cop-killer supporter, woman abuser and terror-tied funded Attorney General Keith Ellison means to illegally bring into Minnesota a 300% increase of Somalians.  I don’t know anyone in Minnesota advocating for that.

Woman accusing Keith Ellison of abuse, speaks out. 

Furthermore, this is treasonous and clearly illegally as to what he is attempting to do here in the state (8 US Code & 1424).

This should come as no surprise to anyone considering Keith’s betrayal of his "professed" Christian faith to that of Islam. (Luke 22:48; Romans 9:8).

It is also interesting to note that Keith Ellison has the full support of the governor in the state, as well as the first sodomite sheriff in Minnesota history.  Sound a little conspiratorial yet?

If Keith isn't feebly attempting to defend Louis Farrakhan, then, his sidekick Minnesota CAIR director and Minnesota Governor's transition board member Jaylani Hussein is attempting to create Christians to be what only the devil can produce (Matthew 7:16).

Believe it or not, and of all people to be doing so, Keith Ellison is busy trying to create criminals out of law abiders and law abiders into criminals. Yes, you heard me right, and that of all people to be doing so.

Keith Ellison Kept Breaking Traffic Laws as a Congressman. 

Keith claims that he wants to end hate crimes, not realizing, of course, that all crime is motivated by hate. 

So, in order for him to do that, he needs to create the hater and the victim (1 John 3:12). In his confusion, Keith even went so far as to expose himself (Revelation 12:10) by making reference to the Southern Poverty Law Center.

“Sometimes the press will describe us as monitoring hate crimes and so on … I want to say plainly that our aim in life is to destroy these groups, to completely destroy them.” – Mark Potok, director of intelligence at Southern Poverty Law Center

Of course, what Keith Ellison is doing is attempting to create law abiders (Hebrews 8:10) that expose the crimes of the law-breakers (Romans 3:20; 1 John 3:4), into enemies of the state.

Apparently Keith Ellison, Governor Tim Walz and the media and them that they are tied to are overlooking the crimes and criminals of them that they mean to protect.

After seeing what the media has been blacking out here in the state of Minnesota, I believe you will then ask as so many have, and are, whom Keith Ellison is working for. The answer is quite obvious. Here are some examples…

9 Minnesota Somali men sentenced on terrorism charges.

Media Blackout: A dozen somali teens use pipes and hammers to attack white people. (Editor’s note: I agree with Bradlee, this story should have been more widely reported; however, it does appear that in this case, and some of the other stories Bradlee cites, all the suspects are juveniles, which means their names and a lot of information about the crime is not released to the public, which makes reporting on it problematic. Here is a link to the original audio 911 call.) 

Man who tosses boy off Mall of America balcony was “looking for someone to kill.” 

Video of Minneapolis robberies, mob style beatings go viral.

MN State Fair Audio shows chaotic, violent final weekend.

If at this point you have any questions to the validity of what is starting to take place in Minnesota, take a look at the statistics of countries that are now being plundered and overtaken in Europe by the same people that are the likes of Ellison. 

  • Denmark: 450% more crimes committed by Muslims than non-Muslims.
  • Germany: Muslim migrants committed 142, 500 crimes in 6 months. This is 780 every day.
  • Sweden: 480,000 sexual assaults in one year. 77% of all rapes by less than 2% Muslim.
  • England and Wales: Over 56% of Syrian refugees committed severe crimes in less than 1 year etc.
  • Belgium: 35% of the prison population is Muslim who make up only 6% of the population.
  • UK: Muslims fill 44% of high-security prisons, out of a 5% population.
  • USA: 91.4 % of Muslim refugees are on food stamps, 68.3 % on cash welfare.

Muslim migration has doubled in the decade since 9/11 and 60% of migrants to America favor sharia law (Deuteronomy 28:15-68).

One more point: "Rep. Keith Ellison, D-Minn., a third-term congressman and a co-chair of the Congressional Progressive Caucus. On the Gay, Lesbian, Bisexual, and Transgender Rights page on his House website, Ellison notes that he is 'proud to be vice-chair of the Congressional Lesbian Gay Bisexual Transgender Caucus.'"

If you are paying attention to the Islamic community globally, you can see that they are in lock step using the same exact method as the sodomites are using (Leviticus 18:22; 20:13).  They are even going so far as to create self-inflicted hate crimes only to blame the innocent for them (Deuteronomy 19:19).

Remember, this is all predicated upon the use of totalitarian tactics (John 8:44) and playing the victim while at the same time perpetuating the crime by tearing down the law.

The resolve is that Keith Ellison must be called out, be impeached and indicted for his crimes (treason) against the United States (Article 2, Section 4, United States Constitution). There is no other option.

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Bradlee Dean is a guest contributor to GCN news. His views and opinions are his own and do not reflect the views and opinions of the Genesis Communication Network. Bradlee's radio program, The Sons of Liberty, broadcasts live M - Sat here at GCN. This is an edited version of an op-ed originally published by Sons of Liberty Media at www.sonsoflibertyradio.com. Reprinted with permission. 

Published in Opinion
Thursday, 07 November 2019 18:40

A summary of key problems we face, and what to do.

What are the main social, political and economic problems we face today?

I think they fall into two groups, economic-political and cultural.

The economic-political issues are the continuing and still growing over-reach of government, both domestically and in international affairs.  Domestically, this means excess spending, taxing and borrowing by government at all levels since about 1960 – an excess that keeps growing every decade.  These fiscal problems are enabled to some extent by the federal monetary policy of printing excess dollars and thus inflating the currency.

It also includes the ever-growing excess in regulation of all kinds – health, safety, environmental and economic.  Plus government expansion into ever more sectors of the economy as a direct provider of services that would better be served by private markets.

The growing regulatory and intervention excess together make up the bulk of the modern administrative state; combined with excess government spending, it depresses economic growth.  Slowing economic growth means people on average are less well-off than they would be without these excesses.  That is, government excess diminishes aggregate human wellbeing – and also fairness.

Thus, from the 1960s to the Great Recession, we had real per-person growth in incomes of about 2 to 2.5 percent per year.  During that time, the growing government excess was offset by favorable trends in population growth, labor force participation, debt both public and private, foreign trade and international economic growth.  These trends are somewhat organic, but also greatly influenced by public policy.

In this century, all those favorable trends have reversed or slowed, and growth in government spending, regulation, etc. has continued.  So, for the last decade, our per-person income growth has been less than half of what we all grew up with.

Per person real growth at 2 to 2.5 percent per year means that incomes, wealth and overall wellbeing double each generation.  That’s a recipe for real progress – new medical cures, better diets, living standards of all kinds – and for general human happiness.

Growth at less than half those rates is a recipe for unhappiness, economic stagnation, political polarization and social upheaval such as we’ve seen in recent years.  It will continue for as long as we have slow growth.  And with continued government excess and the other problems driven by public policy, these problems may last for a long time.

A particular aspect will exacerbate these problems in the future.  Generous payouts for social security, Medicare, and pension and benefits systems constitute a transfer of income from young people to older folks.  These Ponzi schemes are, like all such schemes, unsustainable.  They will breakdown or blow up in the future, damaging many people, families and businesses, and producing more social and political upheaval.

What’s the government excess in foreign affairs?

With the collapse of the Soviet evil empire – which, thank goodness, we helped precipitate – our foreign and intelligence Deep State looked for new adventures to keep its numbers employed and growing.  The Deep State is the illegitimate child of the modern administrative state.

Certainly, Islamic-fascism is a major problem, but it doesn’t justify our continuous involvement in war in the Mideast and elsewhere, as favored by the Deep State. 

It’s also promoting more strategic responses to our next major international problem, the ever-aggressive Chinese state.  However, despite Chinese theft of intellectual property and similar aggressions, a trade war and tariffs are not the answer.  They diminish overall human wellbeing here and in China.

Cultural problems?

Participation trophies, trigger warnings, safe spaces, etc. get more attention than they deserve.  But they are the tip of the spear, reflecting a softening of society, a cult celebrating victim status, corrosive identity politics, and a deep sense of entitlement.  These, coupled with government over-reach in social and political matters, are leading to an inversion of fundamental historic values and rights such as freedom of speech and religion, due process and the presumption of innocence, and Second Amendment self-defense.

What to do?

First, live a good life as a spouse, parent, friend, neighbor and citizen.  Second, stay politically active to leave all our children and heirs a better legacy and life.  For their sake, don’t give up.

 

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Ron Knecht is a contributing editor to the Penny Press - the conservative weekly "voice of Nevada." You can subscribe at www.pennypressnv.com. This is an edited version of his column which has been reprinted with permission. 

 

Published in Opinion

The big story at the beginning of the week was the chilling deaths of nine American citizens in Mexico—apparently at the hand of either one or two drug cartels.

 

And we’re worried about ISIS?

 

And the Democrats want open borders?

 

Now, let’s put this in context. This was a group of people who are part of the Fundamentalist Church of Jesus Christ of the Latter Day Saints.  They are at war with the state of Utah over polygamy and I’m not personally a fan of their interpretation of LDS orthodoxy because I covered the arrest of Warren Jeffs and the aftermath when I was with a national TV network.

 

That said, they were residents of Mexico, American citizens,  not taking welfare from either Arizona or Utah and didn’t deserve to be caught in a drug cartel ambush.

 

And, frankly, the silver or lead philosophy which is prevalent in our neighbor (that is, take our silver or our lead) to the south is killing many Americans because that is where heroin and fentanyl comes from and flows to those “sanctuary” cities and states where the so-called leadership does everything possible to protect these thugs from deportation.

 

This just happens to be such an egregious case that it screams for extraordinary action.

 

My solution?

 

Drone strikes.  Let’s wipe them out the same way we wiped out ISIS.

 

Those folks at Creech Air Force Base in Indian Springs, Nevada (40 miles North of Las Vegas) can take out a terrorist halfway across the world with a Hellfire missile launched from a Predator drone.  

 

I can hear our so-called “State” department screaming now, but why should we let some scumbag like El Chapo (or his son) wreak horrifying violence on United States citizens when we’re perfectly willing to use our military resources to wipe out a scumbag like Abu Bakr al-Baghdadi in Syria.  The fact is that no matter how nicely we discuss the concept of sovereignty the Mexican government has been bought and paid for by the drug cartels just as surely as ISIS became a state unto its own in the Middle East.

 

If we’re going to place the lives of young American soldiers, sailors and airmen in harm’s way, at least they should be protecting the lives of Americans.

 

And if the cartels wish to fight back…they’ll discover exactly what we spend over $700-Billion a year on.

 

Now, theoretically Mexico is a sovereign nation.

 

So we need to give them fair warning.

 

President Trump can tweet that warning and then act on it the next time we see a problem.

 

What’s going to happen?

 

The Mexican Army will come across the border?  They’ll cut off our access to Cabo?  Cancun?  

 

To steal a line from W.C. Fields, “On the whole, I’d rather be in Philadelphia”.  

 

The truth is that Mexico has long been a nation which is at a level of corruption that even Bugsy Siegal's Las Vegas never approached.  Even Chicago has never been quite as corrupt as Mexico. Even Joe Biden’s son apparently hasn’t taken any money from them.

 

The only thing stopping the President might well be the Obama holdovers in the State Department.  Just like those clowns who testified against the President in secret, performing for Adam Schiff.

 

To hear them tell it, the President shouldn’t be allowed to set our foreign policy.

 

I’d like to see the President at this exact time, go to Congress and ask for a declaration of war not against Mexico but the drug cartels.  Let’s see who votes against that.

 

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Fred Weinberg is a guest columnist and the CEO of USA Radio Network. His views and opinions are his own and do not necessarily reflect the opinions of GCN. Fred's weekly column can be read all over the internet. You can subscribe at www.pennypressnv.com. This is an edited version of his column, reprinted with permission. 

 

Published in Opinion

The FDA has disclosed a new E. coli romaine lettuce outbreak, that has supposedly ended.

23 people from 12 states have become ill due to this recent outbreak of E. coli. 

No deaths have been reported.

The Shiga toxin-producing E. coli O157:H7 sickened 23 people and hospitalized 11 between the dates July 12 and September 8th, with cases occurring in Arizona, Florida, Georgia, Illinois, Maryland, North Carolina, Nevada, New York, Oregon, Pennsylvania, and South Carolina, with the majority of cases in California.

The FDA emphasizes that they believe the outbreak is over.  However many wonder why they this wasn’t disclosed earlier.

The CDC did appear to begin its investigation earlier this Fall, and forward their concerns to the FDA, but jointly the disclosure didn’t come until now.

 
 
On their website, the FDA reports the following:
 
TODAY, THE U.S. FOOD AND DRUG ADMINISTRATION IS SHARING NEWS OF A RECENT E. COLI O157:H7 OUTBREAK, INVOLVING 23 ILLNESSES, THAT WAS LIKELY ASSOCIATED WITH ROMAINE LETTUCE. NO DEATHS WERE REPORTED. THE ACTIVE INVESTIGATION HAS REACHED ITS END AND THE OUTBREAK APPEARS TO BE OVER. THE FDA AND THE U.S. CENTERS FOR DISEASE CONTROL DID NOT IDENTIFY ACTIONABLE INFORMATION FOR CONSUMERS DURING THIS INVESTIGATION. ADDITIONALLY, WHEN ROMAINE LETTUCE WAS IDENTIFIED AS THE LIKELY SOURCE OF THE OUTBREAK, THE AVAILABLE DATA AT THE TIME INDICATED THAT THE OUTBREAK WAS NOT ONGOING AND ROMAINE LETTUCE EATEN BY SICK PEOPLE WAS PAST ITS SHELF LIFE AND NO LONGER AVAILABLE FOR SALE. THE FDA IS COMMUNICATING DETAILS ABOUT THE OUTBREAK AT THIS TIME TO HELP ENSURE FULL AWARENESS BY THE PUBLIC AND TO HIGHLIGHT THE ONGOING IMPORTANCE OF INDUSTRY ACTIONS TO HELP ENSURE THE SAFETY OF LEAFY GREENS. FEDERAL HEALTH OFFICIALS DO NOT BELIEVE THERE IS A CURRENT OR ONGOING RISK TO PUBLIC HEALTH.
CDC NOTIFIED THE FDA OF THIS ILLNESS CLUSTER IN MID-SEPTEMBER 2019 AND THE AGENCY PROMPTLY INITIATED A TRACEBACK INVESTIGATION. THE FDA, CDC, ALONG WITH STATE AND LOCAL PARTNERS, INVESTIGATED THE ILLNESSES ASSOCIATED WITH THE OUTBREAK. A TOTAL OF 23 PEOPLE INFECTED WITH THE OUTBREAK STRAIN OF E. COLI O157:H7 WERE REPORTED FROM 12 STATES: ARIZONA (3), CALIFORNIA (8), FLORIDA (1), GEORGIA (1), ILLINOIS (2), MARYLAND (1), NORTH CAROLINA (1), NEVADA (1), NEW YORK (1), OREGON (1), PENNSYLVANIA (2) AND SOUTH CAROLINA (1). ELEVEN PEOPLE WERE HOSPITALIZED AND NO DEATHS WERE REPORTED. ILLNESSES STARTED ON DATES RANGING FROM JULY 12, 2019 TO SEPT. 8, 2019. NO ILLNESSES WERE REPORTED AFTER CDC BEGAN INVESTIGATING THE OUTBREAK ON SEPT. 17, 2019.
INVESTIGATORS WERE SENT TO VISIT FARMS LOCATED IN CALIFORNIA’S CENTRAL COAST REGION WHICH WERE IDENTIFIED THROUGH THE TRACEBACK INVESTIGATION. THEY COLLECTED AND TESTED MANY ENVIRONMENTAL SAMPLES, AND THE OUTBREAK STRAIN WAS NOT IDENTIFIED. WHILE ROMAINE LETTUCE IS THE LIKELY CAUSE OF THE OUTBREAK, THE INVESTIGATION DID NOT IDENTIFY A COMMON SOURCE OR POINT WHERE CONTAMINATION OCCURRED. SINCE THE OUTBREAK STRAIN WAS NOT DETECTED IN SAMPLES COLLECTED FROM FARMS DURING THE TRACEBACK INVESTIGATION, AND THERE HAVE BEEN NO NEW CASES SINCE SEPT. 8, 2019, THE OUTBREAK APPEARS TO BE OVER.
THE FDA REMAINS COMMITTED TO IMPROVING THE SAFETY OF LEAFY GREENS AND TRACEABILITY FROM FARM TO FORK.

Symptoms of E. coli poisoning can occur anywhere from 1-10 days after ingestion.

They include:

  • Nausea
    Vomiting
    Diarrhea, may be bloody
    Fever
    Chills
    Body Aches
    Abdominal Cramps

And if progresses, can cause

  • Shortness of Breath
    Nose bleeds
    Anemia
    Dehydration
    Seizures
    Renal Failure
    Death

Exposure to E. coli may occur from exposure to contaminated foods (from human or animal waste) or undercooked meats.

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Daliah Wachs is a guest contributor to GCN news, her views and opinions, medical or otherwise, are her own. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

Published in Health

What if purchasing medical products and services were like buying peanut butter? Grocery stores have several brands and varieties: smooth, chunky, old-fashioned, natural, organic, no added sugar, reduced fat, no-stir, and pre-mixed with jelly with clearly marked prices ranging from $1.75 for the store’s generic brand to $7 for the over-priced Yuppie brand. After carefully examining the labels, our shopper chose a 16-ounce, $5 jar of no-added-sugar peanut butter. She paid the cashier $5 for the peanut butter and went home.

If our shoppers were transported to the universe of medical billing with the $5 jar of peanut butter, the shopper with Medicare would pay $1.00 but her grandchild will be presented with a bill for $4. When the shopper with private health insurance attempts to pay, the cashier becomes unglued. The shopper cannot say whether she met her deductible or has a co-payment, and whether the brand of peanut butter is approved by the network. She really wants the peanut butter so she grabs the generic from the shelf and pays the $1.75. Our privately insured shopper was pleasantly surprised at the generic’s good taste and healthful ingredients, her wallet was happy for the cost savings, and she was glad not to have the middleman hassle.

Comparison shopping is one pillar of bringing sanity to the high cost of medical care, but the opacity of the pricing system for medical costs limits the value of posting list prices to encourage lower costs through shaming, competition, and choice. In addition to research and development, manufacturing, and distribution costs, drug costs are affected by additional layers of middlemen: pharmacy benefit managers (PBMs) and insurers. Using a “trade secret” process, PBMs negotiate discounts and rebates for private and government insurers. The money saved is supposed to go back to the government (taxpayers) or to insurers to lower premiums or otherwise benefit patients. PBMs typically are paid by a percentage of the rebate or discount off the list price. The higher the price, the bigger the rebate. Thus, the rebate system gives an incentive to raise list prices rather than placing the lowest-priced drug on the insurer’s formulary. (This same system is used by Group Purchasing Organizations (GPOs) for hospital product purchases.)

An analysis of the effect of California’s 2-year old drug price transparency law illustrates the complexity of pricing. Despite being compelled to post list prices, pharmaceutical companies raised the list price for wholesalers by a median of 25.8 percent but the data did not indicate the “price” that consumers actually paid. Moreover, with medical services and products the simple What the Market Will Bear (WTMWB) pricing method works because either the medication is essential (e.g., Epi-Pen®), has no alternative, is in short supply, or the medical consumer is not paying directly for the services.

Similarly, publishing hospital the charge description master (“chargemaster”). i.e., the standard industry price does not give consumers enough information to make a rational choice regarding elective medical services. The data necessary to make price comparisons depends on an individual’s circumstances. More relevant than the chargemaster price, a self-pay patient needs to know the lowest possible cash price. A patient with health insurance must know (1) whether the hospital is in the insurance network, (2) the price negotiated between the health care provider and insurer (including Medicare), (3) the amount and method of calculating cost-sharing, (4) the amount Medicare or other insurer will pay for services performed in a physician’s office in contrast to the hospital which tags on a “facility fee.”

Transparency is one tool for lowering costs through choice. As one of many studies on hospital consolidation noted, “The Sky’s the Limit” on prices where there is lack of competition. But the difficulties of achieving useful price transparency must not be a cue for the government to initiate bureaucratic band-aids. As we have seen with Obamacare, forcing insurers to pay more of the costs leads to higher premiums, deductibles, and/or co-pays.

Nor should the government impose price caps. President Nixon’s 1971 wage and price freeze brought product shortages—which we are already facing with certain drugs, including anesthetics and chemotherapy agents. If the government sticks to enforcing anti-trust laws, a competitive market will thrive. The court house door anti-trust settlement by Northern California’s Sutter Health sends a message to big hospital chains to stop using their market share to inflate prices or require insurers to join their networks on an all-or-nothing basis to prevent insurers from negotiating lower prices at individual hospitals.

If we can get to the point of direct exchange of money for goods and services and reserve health insurance for major expenses, we can see costs decrease just as we have seen with the Surgery Center of Oklahoma over the last 10 years.

 

Dr. Singleton is a board-certified anesthesiologist. She is Immediate Past President of the  Association of American Physicians and Surgeons (AAPS). Her opinions, medical or otherwise, are her own. She is a guest columnist and this is an edited version of her article originally written for pennypress.com, reprinted with permission.   

 

Published in Opinion

United States Attorney General Bill Barr recently spoke at Notre Dame University.  Last week I quoted from the first half of that speech.  Today, from the second half.  I add no commentary because he says it all so well:

“The call comes for more and more social programs to deal with the wreckage.  While we think we are solving problems, we are underwriting them.

“Interestingly, this idea of the State as the alleviator of bad consequences has given rise to a new moral system that goes hand-in-hand with the secularization of society.  It can be called the system of “macro-morality.”  It is in some ways an inversion of Christian morality.

“Christianity teaches a micro-morality.  We transform the world by focusing on our own personal morality and transformation.

“The new secular religion teaches macro-morality.  One’s morality is not gauged by their private conduct, but rather on their commitment to political causes and collective action to address social problems.

“This system allows us to not worry so much about the strictures on our private lives, while we find salvation on the picket-line.  We can signal our finely-tuned moral sensibilities by demonstrating for this cause or that.

“Something happened recently that crystalized the difference between these moral systems.  I was attending Mass at a parish I did not usually go to in Washington, D.C.  At the end of the Mass, the Chairman of the Social Justice Committee got up to give his report to the parish.  He pointed to the growing homeless problem in D.C. and explained that more mobile soup kitchens were needed to feed them.

“This being a Catholic church, I expected him to call for volunteers to go out and provide this need.  Instead, he recounted all the visits that the Committee had made to the D.C. government to lobby for higher taxes and more spending to fund mobile soup kitchen.

“A third phenomenon … is the way law is being used as a battering ram to break down traditional moral values and to establish moral relativism as a new orthodoxy.

“First, either through legislation but more frequently through judicial interpretation, secularists have been continually seeking to eliminate laws that reflect traditional moral norms.

“More recently, we have seen the law used aggressively to force religious people and entities to subscribe to practices and policies that are antithetical to their faith.

“The problem is not that religion is being forced on others.  The problem is that irreligion and secular values are being forced on people of faith.

“[M]ilitant secularists today do not have a live and let live spirit – they are not content to leave religious people alone to practice their faith.  Instead, they seem to take a delight in compelling people to violate their conscience.

“For example, the last Administration sought to force religious employers, including Catholic religious orders, to violate their sincerely held religious views by funding contraceptive and abortifacient coverage in their health plans.

“This refusal to accommodate the free exercise of religion is relatively recent.  Just 25 years ago, there was broad consensus in our society that our laws should accommodate religious belief.

“Ground zero for these attacks on religion are the schools.

“The first front relates to the content of public school curriculum.  Many states are adopting curriculum that is incompatible with traditional religious principles according to which parents are attempting to raise their children.  They often do so without any opt out for religious families … [or] even warn[ing] parents about the lessons they plan to teach on controversial subjects relating to sexual behavior and relationships.

“A second axis of attack in the realm of education are state policies designed to starve religious schools of generally-available funds and encouraging students to choose secular options.  [Cites Montana action based on anti-Catholic Blaine provision in its constitution.]

“A third kind of assault on religious freedom in education have been recent efforts to use state laws to force religious schools to adhere to secular orthodoxy.  [Cites suit to force Catholic schools to employ teachers in same-sex marriages.]

“[A]s long as I am Attorney General, the Department of Justice will … fight for the most cherished of our liberties: the freedom to live according to our faith.”

 

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Ron Knecht is a contributing editor to the Penny Press - the conservative weekly "voice of Nevada." You can subscribe at www.pennypressnv.com. This is an edited version of his column which has been reprinted with permission. 

 

Published in Opinion

Until last Sunday night, I was still an agnostic World Series fan.

 

I have had connections with the Kansas City Royals and the Anaheim Angels over the years I have owned radio stations and I grew up between the Cubs and the Cards.

 

I have absolutely zero connections with either the Washington Nationals or the Houston Astros.  When they both got into the series, I looked forward to a “may the best team win” kind of series.

 

But when the President attended Game 5 in Washington’s taxpayer-built stadium, he was introduced.  And booed.

 

Those self-entitled Washington dumbasses weren’t actually booing the President as much as they were booing the 63,000,000 of us in real America who elected him.

 

Washington is a town which is packed with people who want things one way.  Their way.  They don’t want us interrupting their making a fine living at our expense.  Even if it comes down to a baseball game.

 

Now the President took it very well.  He wasn’t the first President to be booed and certainly won’t be the last.

 

But I’m still more than a little bit pissed off.

 

Not for the disrespect to the office, which I would have resented for any President.

 

But for the disrespect to America.  That America which is called “flyover country” by those who were doing the booing.

 

Who, exactly, do these idiots think they are?  It looked to me like Washington, D.C. giving the rest of America—at least that part west of the Hudson River, East of the LA County line and South of the Cook County line—an upraised middle finger.

 

Now, if it were simply about baseball, well, where I grew up, you had to choose up sides between the Cubs and the Cards.  I could take it.  But we all know it’s not.  It’s about the swamp.  It’s about people who make a lot of money on our backs both in and out of government but almost always with money which comes from the very people they were booing.

 

These are the people who—like fired FBI Agent Peter Strzok—say things like “Just went to a Southern Virginia Walmart. I could smell the Trump support.” Which he texted on an FBI cell phone, which we paid for, to his illicit lover, FBI lawyer Lisa Page, prior to the 2016 election.

 

Truth be told, they think that Houston is flyover country.  Just another place where you could “smell” the Trump support.

 

Baseball is thought of as our national pastime.  Apparently everywhere but Washington DC, where politics is a blood sport and anything which advances those politics goes.  In my media life—which started as a sportswriter—I have only seen umpires booed at a baseball game.

 

And I would have a hard time enumerating the baseball games I have seen save to say it is a very large number. Into five figures.

 

It’s just not a sport which lends itself to that sort of behavior.

 

Which makes what happened enough to want to see the Nationals move—perhaps to Las Vegas.  D.C. doesn’t deserve a team.

 

As this is being written, the Nationals have forced a game seven and the series will be won or lost in Houston.

 

Understand that the players were not booing the President or us.  Baseball players can be traded, sent down to the minors or cut at the whim of a General Manager.  Indeed, some Washington players GREW UP in Houston.

 

That said, the Nationals would perform just as well if not better with Las Vegas or any other city except the swamp emblazoned on their jerseys.

 

And any more stupidity from the so-called “fans” of the Nationals should tell Major League Baseball that such a move would probably not offend the 63,000,000 people who voted for this President.

 

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Fred Weinberg is a guest columnist and the CEO of USA Radio Network. His views and opinions are his own and do not necessarily reflect the opinions of GCN. Fred's weekly column can be read all over the internet. You can subscribe at www.pennypressnv.com. This is an edited version of his column, reprinted with permission. 

Published in Opinion

“What country can preserve its liberties if their rulers are not warned from time to time that their people preserve the spirit of resistance? Let them take arms.  The remedy is to set them right as to facts, pardon & pacify them. What signify a few lives lost in a century or two? The tree of liberty must be refreshed from time to time with the blood of patriots & tyrants. It is its natural manure.” –President Thomas Jefferson

Jesus said, “And ye shall know the truth, and the truth shall make you free" (John 8:32).

 “Liberty is the right to do what the law permits.” - Charles D. Montesquieu-Exodus 20

“Wherever Law ends, tyranny begins.” -John Locke

If you are tired of man’s ten thousand commandments, then get back to God's Ten (Exodus 20).

In making a distinction between licentiousness and liberty, Fisher Aimes, the architect of the First Amendment, set the record straight by stating:

“…Licentiousness (Un-restrained by Law or Morality) which the ambitious call, and ignorant believe to be liberty.”

Let me say it this way, “Freedom was given not to do what we wanted to do, but to do what we ought to do."

As America’s treacherous politicians are doing their best to undo what our forefathers established through a clear violation and transgression of their sworn oaths (1 John 3:4), it is amazing to see the number of people in this country today that are willing to submit (Deuteronomy 28:68) to the tyrannies that our forefathers had taught us, by their examples, to resist and to throw off.

Because King George III did not submit to the Lord (Deuteronomy 17:15-20) in his administration and obligations as God’s magistrate towards men (Romans 13:4), our forefathers opposed him.

John Hancock, first signer of the Declaration of Independence said, “Resistance to tyranny becomes the Christian and social duty of each individual… Continue steadfast and, with a proper sense of your dependence on God, nobly defend those rights which Heaven gave, and no man ought to take from us.” (History of the United States of America, Vol. 2 p. 229)

Did they practice what it was that they were preaching (Exodus 20:7; James 2:14-26)? Absolutely they did!  Just look to what it was that they would no longer submit to when dealing with the usurpations of the tyrannical king that refused to be ruled by God (Romans 12:21).

The Declaration of Independence...

The history of the present King of Great Britain is a history of repeated injuries and usurpations, all having in direct object the establishment of an absolute Tyranny over these States. To prove this, let facts be submitted to a candid world.

He has refused his Assent to Laws, the most wholesome and necessary for the public good.

He has forbidden his Governors to pass Laws of immediate and pressing importance, unless suspended in their operation till his Assent should be obtained; and when so suspended, he has utterly neglected to attend to them.

He has refused to pass other Laws for the accommodation of large districts of people, unless those people would relinquish the right of Representation in the Legislature, a right inestimable to them and formidable to tyrants only.

He has called together legislative bodies at places unusual, uncomfortable, and distant from the depository of their Public Records, for the sole purpose of fatiguing them into compliance with his measures.

He has dissolved Representative Houses repeatedly, for opposing with manly firmness his invasions on the rights of the people.

He has refused for a long time, after such dissolutions, to cause others to be elected, whereby the Legislative Powers, incapable of Annihilation, have returned to the People at large for their exercise; the State remaining in the meantime exposed to all the dangers of invasion from without, and convulsions within.

He has endeavoured to prevent the population of these States; for that purpose obstructing the Laws for Naturalization of Foreigners; refusing to pass others to encourage their migrations hither, and raising the conditions of new Appropriations of Lands.

He has obstructed the Administration of Justice by refusing his Assent to Laws for establishing Judiciary Powers.

He has made Judges dependent on his Will alone for the tenure of their offices, and the amount and payment of their salaries.

He has erected a multitude of New Offices, and sent hither swarms of Officers to harass our people and eat out their substance.

He has kept among us, in times of peace, Standing Armies without the Consent of our legislatures.

He has affected to render the Military independent of and superior to the Civil Power.

He has combined with others to subject us to a jurisdiction foreign to our constitution, and unacknowledged by our laws; giving his Assent to their Acts of pretended Legislation:

For quartering large bodies of armed troops among us:

For protecting them, by a mock Trial from punishment for any Murders which they should commit on the Inhabitants of these States:

For cutting off our Trade with all parts of the world:

For imposing Taxes on us without our Consent:

For depriving us in many cases, of the benefit of Trial by Jury:

For transporting us beyond Seas to be tried for pretended offences:

For abolishing the free System of English Laws in a neighbouring Province, establishing therein an Arbitrary government, and enlarging its Boundaries so as to render it at once an example and fit instrument for introducing the same absolute rule into these Colonies

For taking away our Charters, abolishing our most valuable Laws and altering fundamentally the Forms of our Governments:

For suspending our own Legislatures, and declaring themselves invested with power to legislate for us in all cases whatsoever.

He has abdicated Government here, by declaring us out of his Protection and waging War against us.

He has plundered our seas, ravaged our coasts, burnt our towns, and destroyed the lives of our people.

He is at this time transporting large Armies of foreign Mercenaries to compleat the works of death, desolation, and tyranny, already begun with circumstances of Cruelty & Perfidy scarcely paralleled in the most barbarous ages, and totally unworthy the Head of a civilized nation.

He has constrained our fellow Citizens taken Captive on the high Seas to bear Arms against their Country, to become the executioners of their friends and Brethren, or to fall themselves by their Hands.

He has excited domestic insurrections amongst us, and has endeavoured to bring on the inhabitants of our frontiers, the merciless Indian Savages whose known rule of warfare, is an undistinguished destruction of all ages, sexes and conditions.

In every stage of these Oppressions We have Petitioned for Redress in the most humble terms: Our repeated Petitions have been answered only by repeated injury. A Prince, whose character is thus marked by every act which may define a Tyrant, is unfit to be the ruler of a free people.

Nor have We been wanting in attentions to our British brethren. We have warned them from time to time of attempts by their legislature to extend an unwarrantable jurisdiction over us. We have reminded them of the circumstances of our emigration and settlement here. We have appealed to their native justice and magnanimity, and we have conjured them by the ties of our common kindred to disavow these usurpations, which would inevitably interrupt our connections and correspondence. They too have been deaf to the voice of justice and of consanguinity. We must, therefore, acquiesce in the necessity, which denounces our Separation, and hold them, as we hold the rest of mankind, Enemies in War, in Peace Friends.

We, therefore, the Representatives of the united States of America, in General Congress, Assembled, appealing to the Supreme Judge of the world for the rectitude of our intentions, do, in the Name, and by Authority of the good People of these Colonies, solemnly publish and declare, That these united Colonies are, and of Right ought to be Free and Independent States, that they are Absolved from all Allegiance to the British Crown, and that all political connection between them and the State of Great Britain, is and ought to be totally dissolved; and that as Free and Independent States, they have full Power to levy War, conclude Peace, contract Alliances, establish Commerce, and to do all other Acts and Things which Independent States may of right do. — And for the support of this Declaration, with a firm reliance on the protection of Divine Providence, we mutually pledge to each other our Lives, our Fortunes, and our sacred Honor. Hebrews 13:7

President Thomas Jefferson (1 of the 5 architects of the Declaration of Independence) also said: “Resistance to tyrants is obedience to God.”

What about the fathers of the faith (Hebrews 11)?

If you have read your Bibles correctly, you must then remember that Moses, the meekest man alive, refused to submit to the Pharaoh by confronting him, as well as commanding him to let the Lord's people go (Exodus 8:1).

After the death of Moses, Joshua was then ordained to bring the children of Israel into the Promised Land by dispossessing the corrupt kings of the land (Joshua 10:16-43).

What about Gideon throwing off the oppressors and their Kings? Judges 8:1-9

What about Samson, again throwing off the Philistines? Judges 16:23

What about Saul and the Philistines? 1 Samuel 14:52

What about David’s victories over the corrupt kings? 1 Chronicles 18

What about Elijah confronting King Ahab and Jezebel on Mount Carmel? 1 Kings 18:16-45

What about Nehemiah and Sanballat and Tobiah? Nehemiah 4

Jeremiah was appointed to confront the powers that were found in Jeremiah 17:19. What was Jeremiah confronting? Corruption!

You must remember the account of Shadrach, Meshach and Abednego, where they all refused to bow down to Nebuchadnezzar and his golden image.  Because they did not bow, they did not burn and the country was converted to the Living God (Daniel 3).

What about the prophet Daniel, who was thrown into the lion’s den for not submitting to the king's decree and instead prayed to the Living God (Daniel 6:10)? What was the outcome? The Lord sent an angel to protect Daniel (vs.22) while the accusers were thrown into the lion’s den where Daniel's God was, once again, exalted (Daniel 6).

What about Amos who confronted corruption within both entities of Church and government? Amos 5:12; 7:10

What about Jonah who was commanded by the Lord to go to Nineveh to preach repentance to that nation? Starting from the top to the bottom, they were commanded to repent (Jonah 1:2).

Because John obeyed the Lord and confronted the corrupt king, he taught the people a lesson about what their duties were before God and man (Luke 3:19). In the end, John was decapitated and was liberated in the presence of the Christ whom he loved.

In extreme cases, where the powers that rule were in full force against the children of God, the Lord would even send angels to break them out of prison (Acts 12:5-17).

Paul and Silas, while praising God, experienced an earthquake that would loose them and set them free (Acts 16: 25-26).

Speaking of those who have gone before we look to the price that was paid to liberate us through their sacrifices (John 15:13).

  • Matthew suffered martyrdom by being slain with a sword at a distant city of Ethiopia. 
  • Mark died in Alexandria, after being cruelly dragged through the streets. 
  • Luke was hanged upon an olive tree in Greece.
  • John was put in a cauldron of boiling oil, but escaped in a miraculous manner and was afterward banished to Patmos, where he died of old age. 
  • Peter was crucified in Rome with his head downward. 
  • James the Greater was beheaded in Jerusalem. 
  • James the Less was thrown from a lofty pinnacle of the temple, stoned and beaten to death with a fuller's club while praying for his persecutors. 
  • Bartholomew was cruelly beaten and crucified. 
  • Andrew was bound to a cross where he preached to his persecutors until he died. 
  • Thomas was run through the body with a lance (a spear) at Coromandel in the East Indies.
  • Jude was crucified at Edessa. 
  • Matthias was first stoned and then beheaded. 
  • Barnabas of the Gentiles (non-Jew) was stoned to death at Salonica. 
  • Paul, after various tortures and persecutions, was at length beheaded in Rome by the Emperor of Nero.

Such was the fate of the apostles, according to the traditional statements.

It is important to remember that every apostle of Christ, except John, was killed by hostile civil authorities that opposed God's government.

Christians have been imprisoned, tortured, or killed by civil authorities for refusing laws that contradicted the Lord's.

I end with a question: What if our forefathers would have submitted to tyranny the way that their posterity has in the present? We would not have the freedom to stand up and right wrongs the way that we still can today.

Published in Opinion
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