Jimjamesak
Already insane, UAA making it worse
Probably won’t happen. “I was following a lawful order from the National Command Authority” is pretty good defense in this case.
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POTUS 45.65: I'm Just Here For The Lincoln Project Ads
- Thread starter MissThundercat
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Kepler
Si certus es dubita
I asked Dr. Mrs. about this and got a painfully long seminar on how policy is scoped against subject matter expertise -- the medical application is dramatic but it follows from the same discussion.
Way oversimplifying, it comes down to this: a commander, let alone a President, has enormous leeway in executing policy against the expert advice of technical advisors, to the point that you would essentially need to declare Dump unfit for his duties to override his direct wishes in a case centering on his own care. Typically these kinds of situations are resolved by bumping along up the chain until you hit a senior level that is so risk averse it sh-t cans the rogue request and sides with the expert because that's the safest career move.
Every once in a while you hit something so politically charged it goes all the way to the top. When Bush's people were fabricating their rationale for attacking Iraq they mischaracterized intelligence to the point of overt lying, and there was a lot of push back up the chain until you hit senior staff who were in on the con. This was basically that situation in microcosm: Dump says "I wanna do this incredibly reckless and asinine thing," the doctors say "no," maybe even the senior administration at Walter Reed says "no," but then you escalate to the level where somebody says, "The answer is 'yes.' You experts can demand your advice be noted and logged. You can write up all your objections but (1) it won't affect anything, (2) that's the end of your careers in a hundred indirect ways, and (3) we won't allow them to be made public, given HIPAA and national security.
tl; dr: Of course nobody can stop you from Pulling an Archie -- throwing the badge at the desk sergeant and walking out -- but it won't make a shred of difference, and people who devote their lives to medicine and care likely will not do that over one malignant narcissist who has a 1-in-14 chance of not making it to his next cheeseburger and who is about to lose an election by the largest margin since Mondale.
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Jimjamesak
Already insane, UAA making it worse
Yeah, and this situation really isn’t one where you absolutely need to throw your career away. This isn’t Jack Ryan at the end of Sum Of All Fears trying to stop the President from launching a nuke or the commander of an aircraft carrier desperately trying medical help for his crew (remember that?), it’s just fat man riding around in a van. Yeah it’s highly irresponsible of the fat man, so let him take the heat.
mookie1995
there's a good buck in that racket.
Kepler keeps thinking the election is over, but mookie still looking at 53/47 odds for a creep victory....
busterman62
I got a pocket full of kryptonite
It's a slow night so here's my $0.02I am not a doctor, or a nurse, or a pharmacist, but could someone explain to me how this combination, given all together over such a short weekend, is a good thing?
*edit* I mean, I'm well aware that Zinc, Vitamin D, and Melatonin were likely administered in his daily Centrum Silver tablet, but the rest.
https://twitter.com/RVAwonk/status/1312827046825992192
Remdesivir:
An antiviral agent. Not FDA approved but showed enough shortening of the duration of COVID related illness in the approval trials that the FDA allowed Emergency Use Authorization. Minimal side effects are listed.
Regeneron:
Handy is correct. This is reportedly a cocktail of recombinant antibodies being used to boost ones own antibody response to virus. Similar to the practice of transfusing plasma to the Pt from those who have already survived the infection. This has anecdotally been beneficial and the recombinant approach theoretically might eliminate some of the risks involved with a transfusion of any type. Experimental and unavailable to the public. As such, little is known about it. Apparently it is early on in the trials but theoretically could be very useful. Side effects and risks are known only to the company.
Dexamethasone:
A steroid that has proven to decrease 28 day mortality rate. Thought to diminish the "Hyper-immune Response" that many feel is one of, if not the main reason COVID is so lethal.
Oxygen:
This requires no explanation. Things go better with O2. (However, too much O2, if it is not necessary, can actually be a bad thing.)
Zinc/Vitamin D/Melatonin:
These are supplements that, IMO, are in the "chicken soup" category. They can't hurt. Zinc deficiency is thought by some to be a risk factor for developing viral infections and has been thought to decrease cold Sx. Pt's with sufficient Vitamin D reportedly have less complications than those with a Vitamin D deficiency. I am unaware of anything showing that supplements help in Pt's with adequate levels. Melatonin is reportedly an anti-inflammatory and has been shown to limit viral-related diseases and may help here. There are no formal studies that have been done (that I'm aware of) that have shown benefits in it's use with COVID. All that being said, using these meds has little to no risk and some theoretical benefit. Why not give them a try.
Famotidine:
This is a H2-antagonist used to decrease stomach acid. The "H" is Histamine that also has a role in the immune response and has been shown to be associated with less deaths in Pt's receiving this than those not receiving it. Once again the reason is thought to be a blunting of the so-called "Hyper-immune Response".
ASA:
I assume this is to help with a possible hypercoagulable state. I'm unaware of studies proving it's benefit with COVID, but again, a low risk/high potential reward scenario
Why is tDonald getting all these? He may be much sicker than they are letting on or they be empirically "blasting" him with all they have in order to try and stop progression to a severe case. Your guess is as good as mine. Based on his recent drive by, I am assuming a little bit of both more of the later.
As far as the "drive by" is concerned. Any competent Patient* can leave the hospital at any time they choose. Any competent Pt can choose not to follow their Physicians advice. There is little doubt in my that his Physician told him that he shouldn't do the drive by but it is his right to ignore that advice. Even in a quarantine situation, the doctor can't keep a competent Pt in the hospital against their will. I believe that the physician could contact the health dept. who then in turn could issue a warrant for the Pt's arrest for endangering others but they can't force him to stay. FWIW, malpractice has absolutely nothing to do with this scenario.
* The argument concerning tDonald's overall competency is clearly a matter of perspective but there is little question that he currently be deemed competent enough to be allowed to make his own medical decisions
ETA:
GET YOUR FLU VACCINE!!!!! ALL OF YOU
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Kepler
Si certus es dubita
The election isn't over.
For one thing, we're dealing with Nazis. They're going to cheat plus they might burn the Reichstag or nuke Uzbekistan and cancel the election.
For another thing, if we're up 8 I want to win by 10. If we're up 10 I want to win by 12. I want the blue wave to drown so many Nazis there won't be enough left in Congress to run a decent train on Melania after she divorces Dump.
mookie, which bookie is your source? RCP average had Biden up over 60% even before the "God level genes" of Dear Leader were exposed as mythical.
https://www.realclearpolitics.com/elections/betting_odds/2020_president/
FadeToBlack&Gold
Microlot Marxist
He's bored and wants to get back to his Nuremberg rallies, so that he can claim he's all healed and ready to go, unlike SLEEPY BASEMENT JOE. They're obviously going to oblige him.
WisconsinWildcard
The plural of anecdote is not data
Don't forget that too much zinc causes copper deficiency. Denture powder is a well known risk factor to developing copper deficiency neuropathies and myopathies.
In fact, at a national meeting, a group presented a patient who looked like textbook CJD (prion disease). It appeared end stage and the patient was sent to hospice. However they improved to basically back to normal and it was found out they were taking heavy daily zinc supplements prior to hospitalization.
unofan
Well-known member
This is one of those times where the bookie is setting the line to get even money on both sides, not setting them in line with what the real chances are.
dxmnkd316
Lucia Apologist
Wait, CJD as in Crutzfeld Jakob (sp)? Isn't there a test for that specifically?
Edit: TIL CJD isn't always mad cow.
D
Deutsche Gopher Fan
Guest
And big tax cuts.
imagine what it takes to vote for him. I wonder if people who do look in the mirror or if thry just can’t
cF[Authentic]
southpaw
Nobody is going to listen or believe it outside of his base.
WisconsinWildcard
The plural of anecdote is not data
Yes. There was 14-3-3, but now we have RT-QuIC which is like ~99% sensitive and 99% specific for sporadic CJD. It has lower sensitivity for familial and other prion disease like Mad Cow, CWD. I personally know many of the people involved with it as the national prion monitoring center is in Cleveland.
When we just used 14-3-3 (a far inferior test), there are also certain patterns on EEG and MRI (cortical ribboning) that are rather specific that this patient also had. Also when you "rule out" other causes of reversible rapidly progressive dementia you are usually left with a prion disease or something else that we probably do not understand completely.
cF[Authentic said:
The weird thing is that his base knows he's lying too, but they think it's all just the work of a master campaigner who is pulling more people aboard the suicide train, I mean trump train before he gets reelected and moves on with the real work that's too advanced for us to understand. But nobody, even his most fervent worshippers, think he's actually going to follow through on what he says. It's just a game show.
FadeToBlack&Gold
Microlot Marxist
In a lot of cases, I'll bet it's not so much a love for Dump as it is a fear of Biden croaking and then we get "dat uppity black b*tch" as POTUS.
Just sayin'.
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