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August 12 2017

18:31

I am opening a private internal medicine practice in Ellsworth, Maine

I hope to see patients with challenging disorders, those who wish to reduce their medications and/or use diet and lifestyle changes to improve health (especially diabetes and hypertension), and those with illnesses occurring after tick bites, or related to military service or anthrax vaccine.  I will also treat the range of illnesses seen in primary care internal medicine, and I love to work with patients to achieve optimal wellness.

Throughout my career, I have had patients referred to me who were not helped by standard western medicine. While I cannot help everyone, I often take a unique look at the illness, and have a broader palette of measures to use than most doctors.

I believe everyone deserves great healthcare, so have made my charges considerably lower than standard rates.  I also offer sliding scale fees for low income patients.  However, in order to make this practice work, I cannot accept any insurance plans, and patients must pay for my services, when services are rendered.

Appointment may be made at (207) 522-5229.

July 23 2017

19:37

WHO DREAMS UP US FOREIGN POLICY? In Syria, there is no answer that makes sense. Has our foreign policy been privatized?

from  What the demise of the CIA’s anti-Assad program means

Washington Post Opinion by David Ignatius
July 20, 2017


"What did the CIA’s covert assistance program for Syrian rebels accomplish? Bizarrely, the biggest consequence may be that it helped trigger the Russian military intervention in 2015 that rescued President Bashar al-Assad — achieving the opposite of what the program intended. 
Syria adds another chapter to the star-crossed history of CIA paramilitary action. These efforts begin with the worthy objective of giving presidents policy options short of all-out war. But they often end with an untidy mess, in which rebels feel they have been “seduced and abandoned” by the promise of U.S. support that disappears when the political winds change..." x
... Run from secret operations centers in Turkey and Jordan, the program pumped many hundreds of millions of dollars to many dozens of militia groups. One knowledgeable official estimates that the CIA-backed fighters may have killed or wounded 100,000 Syrian soldiers and their allies over the past four years.  
"...  The United States didn’t have a political strategy to match the CIA’s covert campaign. “There was no ‘there’ there, in terms of a clearly articulated national security objective and an accompanying strategy,”  said Fred Hof, a former State Department official who has followed the Syria story closely."
... Contrast the sad demise of the CIA’s anti-Assad program in western Syria with the rampaging campaign against the Islamic State in the east. What’s the difference? In the east, motivated, well-organized Syrian fighters are backed by U.S. warriors on the ground and planes in the sky. In this game, halfway is not the place to be. 

June 23 2017

03:57

Evidence based medicine manifesto for better healthcare/ BMJ

Here is a very good start at diagnosing inherent problems in the medical research enterprise, and suggestions for correcting them.--Meryl

BMJ 2017; 357 doi: https://doi.org/10.1136/bmj.j2973 (Published 20 June 2017)
  • Carl Heneghan, director1,
  • Kamal R Mahtani, deputy director1,
  • Ben Goldacre, director EBM DataLab1,
  • Fiona Godlee, editor in chief2,
  • Helen Macdonald, head of education2,
  • Duncan Jarvies , multimedia editor 2
    1. A response to systematic bias, wastage, error, and fraud in research underpinning patient care Informed decision making requires clinicians and patients to identify and integrate relevant evidence. But with the questionable integrity of much of today’s evidence, the lack of research answering questions that matter to patients, and the lack of evidence to inform shared decision how are they expected to do this? Too many research studies are poorly designed or executed. Too much of the resulting research evidence is withheld or disseminated piecemeal.1 As the volume of clinical research activity has grown2 the quality of evidence has often worsened,3 which has compromised the ability of all health professionals to provide affordable, effective, high value care for patients.” The BMJ and the University of Oxford’s Centre for Evidence Based Medicine have collaborated on Evidence Live, a yearly conference designed to “develop, disseminate, and implement better evidence for better healthcare.” Through this work and other projects, we know of substantial problems but also progress and solutions spanning the breadth of the evidence ecosystem, from basic research to implementation in clinical practice. The EBM manifesto offered here grew from that awareness. It is an open invitation for others to contribute to and join a movement towards better evidence by providing a roadmap for how to achieve the listed priorities and to share the lessons from achievements already made. Its aim is to complement and unite existing efforts as well as create new ones.

      Why can’t we trust the evidence?

      Serious systematic bias, error, and waste of medical research are also well documented (box 1).4 Most published research is misleading to at least some degree, impairing the implementation and uptake of research findings into practice. Lack of uptake into practice is compounded by poorly managed commercial and academic vested interests15; bias in the research agenda (often because of the failure to take account of the patient perspective in research questions and outcomes)1617; poorly designed trials with a lack of transparency and independent scrutiny that fail to follow their protocol18 or stop early19; ghost authorship20; publication and reporting biases5721; and results that are overinterpreted or misused,22 contain uncorrected errors,14 or hide undetected fraud.923

      Box 1: Problems with current evidence

      • A landmark review suggested that results from half of all trials are never published, and that positive trials are twice as likely to be published as results from negative trials5
      • The cost of clinical drug trials rose fivefold in one decade and is hindering the development of new medicines6
      • 85% of research spending currently goes to waste 4
      • In a study of systematic reviews, 86% of 92 Cochrane reviews did not include data from the main harm outcome 7
      • A systematic review of 39 studies found no robust studies evaluating shared decision making strategies8
      • From 2009 to 2014 the drug industry received fines totalling $13bn (£10bn; €12bn) for criminal behaviour and civil infringements—few systematic changes have occurred to prevent such problems occurring again9
      • “Despite repeated calls to prohibit or limit conflicts of interests among authors and sponsors of clinical guidelines, the problem persists”10
      • One third (34%) of scientists report questionable research practices, including data mining for statistically significant effects, selective reporting of outcomes, switching outcomes, publication bias, protocol deviations, and concealing conflicts of interest11
      • A 2012 survey of 9036 BMJ authors and reviewers found that of the 2782 (31%) who replied, 13% had witnessed or had firsthand knowledge of UK based scientists or doctors inappropriately adjusting, altering, or fabricating data during their research for the purpose of publication12
      • 8% of authors from 630 articles admitted they had lied in their authorship statements13
      Poor evidence leads to poor clinical decisions. A host of organisations has sprung up to help clinicians interpret published evidence and offer advice on how they should act. These too are beset with problems such as production of untrustworthy guidelines,10 regulatory failings,23 and delays in the withdrawal of harmful drugs.24 Collectively these failings contribute to escalating costs of treatment,25 medical excess (including the related concepts of medicalisation, overdiagnosis, and overtreatment)26 and avoidable harm.24

      Developing more trustworthy evidence: the EBM manifesto

      The steps required to develop trustworthy evidence (box 2) have been refined through a series of activities with stakeholders, including seminars, round table discussions, online consultations, and direct feedback. Tackling the problems will take time, resources, and effort. The evidence based medicine community should take responsibility for this. However, it is a vast project that is being led, and will be led, by disparate groups around the world. We hope to focus attention on the tools and strategies most effective at delivering change, so that we can all work together to improve healthcare using better quality evidence. The manifesto document and priorities are a living document and will evolve over time to advocate for trusted evidence for better healthcare. If you want to have your say and join the discussion then visit (http://evidencelive.org/manifesto/).

      Box 2: EBM manifesto for better health

      • Expand the role of patients, health professionals, and policy makers in research
      • Increase the systematic use of existing evidence
      • Make research evidence relevant, replicable, and accessible to end users
      • Reduce questionable research practices, bias, and conflicts of interests
      • Ensure drug and device regulation is robust, transparent, and independent
      • Produce better usable clinical guidelines
      • Support innovation, quality improvement, and safety through the better use of real world data
      • Educate professionals, policy makers, and the public in evidence based healthcare to make an informed choice
      • Encourage the next generation of leaders in evidence based medicine

      June 10 2017

      15:01

      Italy: “We will not poison our children” 130 families seek asylum in Austria

      Italy:  “We will not poison our children” 130 families seek asylum in Austria

      More than 130 families in the Italian province of South Tyrol are allegedly threatening to seek asylum in Austria, just days after the Italian president signed a decree requiring mandatory vaccinations for school admission.
      “The parents have already written to [Italian President] Mattarella, to the Austrian [President] Van der Bellen, as well as the United Nations Human Rights Council in Geneva,” anti-vaccination activist Reinhold Holzer told ANSA news agency.

      © Shannon Stapleton

      Italian govt makes vaccinations mandatory for schoolchildren amid measles outbreak

      It comes just two days after Mattarella signed a decree requiring children entering school to have 12 mandatory vaccinations, according to ministry sources.

      Unvaccinated school-age children will still be allowed to enroll in school, but their parents will be fined anywhere from €500 to €7,500 (US$559 to $8,386).

      Read more…

      The post Italy: “We will not poison our children” 130 families seek asylum in Austria appeared first on Vaccine Liberation Army.

      01:29

      Dyslexia Caused by Vaccines

       

      VLA Comment:  20% of the population are dyslexia.

      Excerpt:  Dyslexia and other learning disabilities have been linked to immunizations. This increase correlates with the time that the world began administering vaccines to children in the sixties. In the book that linked health problems to immunizations, DPT: A Shot in the Dark, Coulter and Fisher, the authors, estimated that 12,000 to 15,000 cases of severe neurological damage are caused by childhood vaccines each year Coulter went on to site the following: “One child in five or six is affected, to some degree, by the vaccination … about 20 percent of the population!

      Read more…

      The post Dyslexia Caused by Vaccines appeared first on Vaccine Liberation Army.

      June 08 2017

      00:26

      Preterm birth with vaccination associated with high increases in Neurological Disorders

       

      Summary of Findings

      The authors of the recently published study on premature birth, vaccination and neurodevelopmental disorders summarize their findings as follows:

      1. Preterm birth without vaccination was not associated with NDD
      2. Term birth with vaccination was associated with a 2.7-fold (270 percent) increase in the odds of NDD
      3. Preterm birth with vaccination was associated with a 5.4-fold increase in the odds of NDD compared to the odds of NDD given term birth and vaccination
      4. Preterm birth with vaccination was associated with a 12.3-fold increased odds of NDD compared to preterm birth without vaccination (not technically significant because no child in the sample with an NDD was both preterm and unvaccinated)
      5. Preterm birth with vaccination was associated with a 14.5-fold increased odds of NDD compared to being neither preterm nor vaccinated

      (read article)

      VLA COMMENT:  It is a regular practice to vaccinate premature babies as well to give them Vitamin K shot with 100mgs. of aluminum and to feed them through a tube with substance that also contains aluminum.

      The post Preterm birth with vaccination associated with high increases in Neurological Disorders appeared first on Vaccine Liberation Army.

      June 07 2017

      00:59

      June 04 2017

      21:22

      VLA Stickers recent photos and Where to get them!

      Rolls of Stickers can be purchased here

      And for the kids “THE SKULL”

      It take only one kid per middle school or high school to get rid of a roll of SKULLs…that is one kid to enlighten the whole school and one CAR to wake up a community. And Halloween is a great day to be popular at school!

      The post VLA Stickers recent photos and Where to get them! appeared first on Vaccine Liberation Army.

      June 02 2017

      14:30

      June 01 2017

      01:07

      TRUMP Prayer Watch-August Queen of Heaven 6/2/17 8:00PM LAUNCH

      TRUMP PRAYER WATCH

      Excerpt:  A contemporary Indian prophet, Sadhu Sundar, is apparently having
      conversations with Jesus. “Jesus appeared and spoke to Sundar as to what to tell the people about the nation of USA.

      “Surround the President with prayer. You need to organize a governmental “prayer watch” Pray that Trump completes his full term. For that is the period of Grace extended for this nation. His term should not be prematurely aborted. The witches have formed a prayer watch -witch craft – assignments against his life. Prayer by anyone who is on this soil whether a citizen, a visitor, a foreign student, a green card holder…who ever is here is blessed by this nation need to pray”.

      He also said:

      “A strong women’s movement will arise in this nation and when the women rise, they will have a sword in one hand, a tambourine in other, and prayer incense arising from their mouth. Out of this sons and daughters will be born an army of youths for the Kingdom of God. This movement is very important”.

      READ MORE… TRUMP PRAYER WATCH PROPOSAL

      WATCH VIDEO OF SUNDAR

      VLA Comment: There are occult-archontic/rajastic black magic assignments against his life. (Sounds like Podesta’s energy)

      August Queen of Heaven PRAYER (DOWNLOAD)

      The post TRUMP Prayer Watch-August Queen of Heaven 6/2/17 8:00PM LAUNCH appeared first on Vaccine Liberation Army.

      May 30 2017

      16:20

      Mothers Advocating Medical Marijuana for Autism (MAMMA)

      Mother’s Advocating Medical Marijuana for Autism (MAMMA) is an organization dedicated to promoting the medical use of cannabis for autism.

      Medicinal Cannabis has thousands of years of safety and efficacy.  Cannabis was listed in the US Pharmacopeia until 1942.  It medicinal use was common place. Cannabis is anti-bacterial, anti-viral, anti-inflammatory, anti-fungal, anti-psychotic and anti-epiileptic.

      The post Mothers Advocating Medical Marijuana for Autism (MAMMA) appeared first on Vaccine Liberation Army.

      04:33

      Zimbabwe's historic anthrax epizootic: new analysis

      A paper has been published here and, while in draft form, discussed at length here, which reanalyzes the features of Zimbabwe's anthrax epizootic, which began in 1978 and slowly tailed off after 1980.

      The authors include an MD and geography specialists from the University of Nevada, Reno.  The first author, James M. Wilson, MD, has founded a center to investigate and forecast epidemics.  From his bio:
      Director, Nevada State Infectious Disease Forecast Station @ the University of Nevada-Reno.This is the first operational infectious disease forecast station in the United States that operates at the state level. 
      The group has done a great job collecting information about weather (temperature, rainfall), soils, outbreak locations, possible means of spread, and number of animals and humans affected, as well as the evolving spread of the epidemic over time.  The group has done a great job pulling together the detail needed and creating maps and tables which detail how the epidemic evolved chronologically.

      They have, as I did, put to rest a number of theories as to the nature of the epidemic, and confirmed the the "hops" anthrax made could not be explained by natural occurrences, such as climate and rainfall conditions.  The authors confirm that anthrax cases extended to the borders of Zimbabwe, but remained confined within the legal boundaries of Zimbabwe. Adjoining countries experienced no similar epizootic.

      The authors agree that the vast majority of human cases were associated with exposure to anthrax-contaminated animals, hides or meat.

      Of interest, a number of anonymous commenters were extremely critical of Wilson's paper as it was in progress.  Their arguments were mostly specious, and I could knock each down if I had to,  What was interesting was the attack on Wilson, 38 years since the beginning of the epizootic, to deny it could have been due to biological warfare.  When of course there is no other logical explanation.

      Wilson reported that I had been living in Zimbabwe at the time of the epizootic.  Actually, I was living in the US.  I travelled to Zimbabwe to study the epizootic in 1992, and did a poster presentation on the epizootic in Nairobi at the International Society for Infectious Diseases in July 1992, making the argument that the epizootic could only be explained as an act of biological warfare.  Margarete Isaakson, a South African infectious disease scientist with likely connections to Project Coast, and an interest in Ebola, screamed at me in Nairobi for daring to present such rubbish.

      Nothing has changed.  Biowarfare is terrible, identifying it is controversial, and developing the scientific tools that allow one to definitively identify when an act of offensive biowarefare has been used, shifts the balance power from the perpetrators to the investigators and to those who were attacked.  That seems a very fair power shift, but it isn't to everyone's likeing.

      The attacks, mostly spurious, Wilson has received for his paper tell us there are still many people who would keep the whole subject under wraps.  Wilson has put to rest the nonsensical paper published by LLAN in 2015.

      Just remember, despite a 2010 paper by Fasanella et al that flys can carry anthrax, (and several similar earlier papers going back 30 years) the problem is their failure to transmit enough spores or viable vegetative forms to cause illness in the vast majority of livestock, which need roughly about one million spores to achieve an infectious dose.

      I am pleased this subject is getting the attention it deserves.  I wonder why it is getting it now?

      May 29 2017

      23:32
      21:27

      Int’l Vaccine News: Italy mandantes, Germany fines, Sweden rejects mandates

      Vaccine Injury Awareness Day /

      Italy Mandates / Germany Considers Fines / Sweden Rejects Mandates

      Secretary European Forum for Vaccine Vigilance (EFVV) London, United Kingdom

      May 27, 2017 — Saturday the 3rd of June 2017 is International Vaccine Injury Awareness Day. Demonstrations are being organized in cities all over Europe. To see the list and take part in a protest near you, please visit the official ‘Light a Candle’ website: http://lightacandle.eu/main, and while you are there, make sure to light the virtual candle by simply clicking on it. Many will also light real candles in their homes or in public places in sympathy and support for all victims of vaccination. Please make an effort to join us in this powerful event. Here’s why it is so important:

      Just as Jackson State University in Mississippi USA published a study this month revealing that the unvaccinated have much lower rates of chronic illness than the vaccinated (https://worldmercuryproject.org/news/unvaccinated-children-much-lower-rates-chronic-illness-jackson-state-study-finds/), the Italian government voted a law making vaccines mandatory for school attendance and exams (http://www.bbc.co.uk/news/world-europe-39983799): a shocking breach of fundamental human rights! The law is not yet applicable but will be soon, so now is the time to protest vehemently.

      The Germans are also clamping down on parents, not as severely as Italy but parents there may be fined for not seeking advice on vaccination for their children and daycare centres will be responsible for reporting parents who fail to seek vaccination advice, to the Ministry of Health: http://www.euronews.com/2017/05/26/germany-parents-face-fines-over-child-vaccinations.

      The Swedes on the other hand have recently rejected 7 motions that would have promoted forced vaccinations. The Swedish Parliament decided forced vaccination policies are contrary to their citizens’ constitutional rights:
      http://www.ageofautism.com/2017/05/sweden-votes-down-mandatory-vaccination.html

      So: well done to Sweden and it’s a sad day for Democracy and Freedom of Choice in Italy and Germany! Let’s hope the Italian people can make their government withdraw this outrage before too many children become the victims of unnecessary harm, and the German government will decide against imposing fines and mandates.

      Please attend a ‘Light a Candle’ event in your country!

      EFVV

      International Vaccine Injury Awareness Day
      International Vaccine Injury Awareness Day

      The post Int’l Vaccine News: Italy mandantes, Germany fines, Sweden rejects mandates appeared first on Vaccine Liberation Army.

      21:12
      20:50
      20:31

      Horror Story: Medical Kidnap (Australia) May 2017

      I

      Injured by vaccines. Then taken away by force from parents who choose to stop toxic medications and use organic alternatives and cannabis. See video in link.
      See story and video

      At the time, Chase was still on his seizure medication though he was still suffering with up to 100 seizures per day. At this point, Cini and Marc opted to try medicinal cannabis oil after hearing the success other parents had experienced. Within a matter of days, his seizures decreased. Despite the fact that they weaned him off of his pharmaceuticals, Chase’s seizures completely disappeared and to date, Chase’s seizures have reduced down to just 4 per week but he can go up to 50 days seizure free if his bowel movements are regular and his parents can get him to burp. He also started smiling, laughing, attempting to talk, holding his head up, following his mother’s gaze and trying to grasp objects, something his parents observed he had not done since his last lot of vaccines at 20 months of age.

      The post Horror Story: Medical Kidnap (Australia) May 2017 appeared first on Vaccine Liberation Army.

      May 24 2017

      04:03

      COMMENTARY Death By A Thousand Clicks: Leading Boston Doctors Decry Electronic Medical Records/ WBUR

      http://www.wbur.org/commonhealth/2017/05/12/boston-electronic-medical-records?utm_source=facebook.com&utm_medium=social&utm_campaign=npr&utm_term=nprnews&utm_content=20170512 By  Drs. John Levinson, Bruce H. Price and Vikas Saini It happens every day, in exam rooms across the country, something that would have been unthinkable 20 years ago: Doctors and nurses turn away from their patients and focus their attention elsewhere — on their computer screens. By the time the doctor can finally turn back to her patient, she will have spent close to half of the appointment serving not the needs of her patient, but of the electronic medical record. Electronic medical records, or EMRs, were supposed to improve the quality, safety and efficiency of health care, and provide instant access to vital patient information. Instead, EMRs have become the bane of doctors and nurses everywhere. They are the medical equivalent of texting while driving, sucking the soul out of the practice of medicine while failing to improve care. To fix them, hospital administrators and clinicians need to work together to demand better products from EMR manufacturers and to urge government to relax several provisions of the HITECH Act , the 2009 law that spawned many of the problems with EMRs. How did technology that has increased efficiency in every other industry become such a drag on health care? For starters, people who take care of patients did not design or choose these systems. They were foisted upon us. Doctors and nurses know that good diagnosis and treatment requires listening attentively to their patients. They spend years learning to parse the clues that patients offer, both the physiological and personal, in order to provide the right care. To do this well takes time and undivided attention. Making sense of a patient’s blood panel means knowing the patient’s work and eating habits, and where he or she may have traveled. We need to know if the patient is experiencing a traumatic life event, like the death of a parent or domestic abuse, in order to interpret an elevated blood pressure. Instead of making this easier, most EMRs create extra work. A lot of extra work, thanks to endless prompts with multiple choice answers that hardly ever fit the facts and that demand click after click to get anything done. Want to order a simple test? That requires getting through multiple prompts. Need to write a prescription -- an exercise that used to take less than 15 seconds? Another set of clicks. Typing, filing, mailing results and placing referrals all used to be done by assistants. Now, EMRs put that burden on clinicians, and we must do it during office visits, or “encounters,” as EMRs call them. And when the wrong button is clicked, the wrong test or drug is ordered, or it does not go through at all, delaying medical care. It’s death by a thousand clicks, and it happens every day. We are frustrated by EMRs because they pull us away from our patients. We are driven mad by the fact that EMRs in different locations do not talk to each other. And we think it’s just wrong that much of the EMR’s busywork is about optimizing billing for the hospital. Who is to blame? Start with EMR manufacturers, who lobbied Congress to require every hospital and doctor’s office to install an EMR system; hospital administrators who bought technology that conveniently pushed billing duties onto doctors and nurses; and federal regulators, who imposed on EMRs numerous quality metric requirements that do nothing to improve care. We do not want to go backward. We believe that computing is essential to the future of medicine. We simply want all EMRs to live up to their promise of improving care and making patient information readily available. Thousands of doctors in Boston and across the country are expressing the same frustration, through gritted teeth, between exasperated sighs, and in resignation letters. EMRs are driving too many health care providers to hang up their scrubs and white coats in search of work that is less infuriating and more fulfilling. As we continue to debate how our country will finance an equitable health care system for all, we need a long-term strategy to address this crisis in health care delivery. The public and private institutions of this city have long and illustrious histories of leadership in health care. Now is the time to embrace that tradition and do something about EMRs. We plan to hold town hall meetings to give providers, patients and community members a chance to discuss how to address the problems of EMRs. We invite executives and administrators from all our hospital systems to participate. The sound of medicine is not the click of a mouse. It is the human voice. Let’s bring it back, for the sake of our patients’ health and our own sanity.

      May 23 2017

      06:13

      Medical Cannabis: Legal home delivery in all states

      Medical Cannibas legal home deliveries in all states
      They have organized a legal structure based on the California Compassionate Care Act and the Obama Act re: Telemedicine.  They offer appointments via Telemedicine physicians in California.  You can either be a patient, a care giver or a member or all three.  They had such an overwhelming response since being on the Gary Franchi show that they had to go on a hiatus for 2 weeks.  But they now have a more expanded telemedicine service that should be on line at the end of next week.
      I am guessing that you should sign up

      Marijuana may be a miracle for Autism (Israel) (USA Today)

      Cannibas/Autism demonstration-Before and After Cannabis

      Use VLA affiliate #2072
      www.cannasense.com/waiting-list

      The above link is for your patients and friends to get an appointment for the California prescription.  There are 3000 already on the list…but they say they are going to go through pretty quickly.
      They also guarantee that if a patient gets a hard time from some locale that their legal team pays for the patients lawyer and consults to win the case all based on this as a constitutional and legal operation.  Read the details on the website.

      The post Medical Cannabis: Legal home delivery in all states appeared first on Vaccine Liberation Army.

      May 22 2017

      15:40

      Small Pox: 45 years of

      Forty-five years of registration statistics, proving vaccination to be both useless and dangerous. In two parts. [electronic resource]

      See in book form

      Read clearly…

      The post Small Pox: 45 years of appeared first on Vaccine Liberation Army.

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