The spinmeisters, CNN—Jake Tapper

Dr. Fauci exposed CNN's spin on Trump and mitigation. “The first and only time that Dr. [Deborah] Birx and I went in and formally made a recommendation to the president to actually have a, quote, ‘shutdown’ in the sense of not really [a] shutdown, but to really have strong mitigation … the president listened and went to the mitigation. The second time that I went with Dr. Birx into the president and said 15 days are not enough, we need to go 30 days … at that time the president went with the health recommendations and we extended it another 30 days.”

If you listen to CNN's spin, you are a sucker. Freedom of the press doesn't mean you have to believe them.

https://www.cnsnews.com/article/washington/melanie-arter/dr-anthony-fauci-hypothetical-questions-can-get-you-some

Official guidelines for the Covid19 pandemic

Here are the official Coronavirus guidelines:

1. Basically, you can't leave the house for any reason, but if you have to, then you can.
2. Masks are useless, but maybe you have to wear one, it can save you, it is useless, but maybe it is mandatory as well.
3. Stores are closed, except those that are open.
4. You should not go to hospitals unless you have to go there. The same applies to doctors, you should only go there in case of emergency, provided you are not too sick.
5. This virus is deadly but still not too scary, except that sometimes it actually leads to a global disaster.
6. Gloves won't help, but they can still help.
7. Everyone needs to stay HOME, but it's important to GO OUT.
8. There is no shortage of groceries in the supermarket, but there are many things missing when you go there in the evening, but not in the morning. Sometimes.
9. The virus has no effect on children except those it affects.
10. Animals are not affected, but there is still a cat that tested positive in Belgium in February when no one had been tested, plus a few tigers here and there…
11. You will have many symptoms when you are sick, but you can also get sick without symptoms, have symptoms without being sick, or be contagious without having symptoms. Oh, my..
12. In order not to get sick, you have to eat well and exercise, but eat whatever you have on hand and it's better not to go out, well, but no…
13. It's better to get some fresh air, but you get looked at very wrong when you get some fresh air, and most importantly, you don't go to parks or walk. But don’t sit down, except that you can do that now if you are old, but not for too long or if you are pregnant (but not too old).
14. You can't go to retirement homes, but you have to take care of the elderly and bring food and medication.
15. If you are sick, you can't go out, but you can go to the pharmacy.
16. You can get restaurant food delivered to the house, which may have been prepared by people who didn't wear masks or gloves. But you have to have your groceries decontaminated outside for 3 hours. Pizza too?
17. Every disturbing article or disturbing interview starts with " I don't want to trigger panic, but…"
18. You can't see your older mother or grandmother, but you can take a taxi and meet an older taxi driver.
19. You can walk around with a friend but not with your family if they don't live under the same roof.
20. You are safe if you maintain the appropriate social distance, but you can’t go out with friends or strangers at a safe social distance.
21. The virus remains active on different surfaces for two hours, no, four, no, six, no, we didn't say hours, maybe days? But it takes a damp environment. Oh no, not necessarily.
22. The virus stays in the air - well no, or yes, maybe, especially in a closed room, in one hour a sick person can infect ten, so if it falls, all our children were already infected at school before it was closed. But remember, if you stay at the recommended social distance, however in certain circumstances you should maintain a greater distance, which, studies show, the virus can travel further, maybe.
23. We count the number of deaths but we don't know how many people are infected as we have only tested so far those who were "almost dead" to find out if that's what they will die of…
24. We have no treatment, except that there may be one that apparently is not dangerous unless you take too much (which is the case with all medications).
25. We should stay locked up until the virus disappears, but it will only disappear if we achieve collective immunity, so when it circulates… but we must no longer be locked up for that?

**Copied & Pasted**

Aerosol-generating procedures—the guidelines

I haven't seen the pre-Covid guidelines for aerosol-generating procedures, but maybe Trump haters could tell me why these guidelines weren't being written and followed BEFORE anyone had been hospitalized or died of Covid? Were they in the Bush and Obama pandemic/bioterrorism guidelines?

Why shouldn't a businessman/president know more than the doctors?

https://wexnermedical.osu.edu/-/media/files/wexnermedical/features/covid-resources/clinical-guidance/inpatient-clinical-care/guidance-regarding-aerosol-generating-procedures-for-suspect-or-confirmed-covid-19-patients.pdf?

I saw these guidelines in an OSU e-mail and wondered why they were just now being issued, and why did I need to know?

So if it took 69 not 68 or 67 minutes (does someone have a stop watch?  Is there an alarm?) , I thought I should look up AGP, in case someone hasn't been following guidelines:

Endotracheal intubation and extubation
Tracheostomy suctioning and changing a trach
Bag mask ventilation (manual ventilation)
Non-invasive positive pressure ventilation (BiPAP, CPAP)
Bronchoscopy/bedside NP scope
CPR unless the patient is invasively ventilated and connected to a ventilator

We need to re-open soon to save the country, guest blogger Glenn K. Beaton

"My generation had it easy compared to our parents and grandparents. After a lifetime of comfort, it’s not too much to ask me and my old friends to avoid crowds. To wash our hands frequently. To use hand sanitizer.

If against all odds, I still get the virus, I’ll deal with it. If against even greater odds, I die from it, I’ll deal with that too.

The one thing I cannot deal with is destroying the country I love, the world I cherish and the opportunity for the next generation to similarly love and cherish.

So re-open our country soon. Re-open your lives. Re-open the world. A hunkered down life is no life at all."  The Aspen Beat

There are many ways to die from Covid19—listen to the other experts

By listening only to the "experts" in certain fields of health, the President and Governors--like DeWine of Ohio--are not listening to experts in other fields that do count the health costs for those with early or obvious signs of other health problems that need attention and can't get care, the health costs to the mentally fragile and poor, the health costs of shortages, the health costs of careers interrupted that might have solved future problems, the health costs of shifting billions of tax dollars to every department in government itself rather than basic needs of workers. The big winner--big government. The big loser--the people.

A call for plasma

Today I read "that Ohio State researchers and clinicians have found a way to take plasma from someone who has recovered from COVID-19 and deliver it to patients who are currently battling the virus to aid in their treatment and recovery." Hey, that's great news. But in that e-mail people who'd had Covid19 and been symptom free for 28 days were urged to donate plasma. Huh? Don't we have a billion dollars worth of EMR in Ohio and the other 49 plus DC and territories so some researcher can data mine our health records even if our MD has to call for it? Doesn't Dr. Brix always say, "the data show?" If the first known death was Feb. 29 in the U.S. and it wasn't in Ohio and many had it and didn't know it, maybe even me or you, should everyone who's had a mysterious cold or cough since the fall be tested?

Ohio has had less than 8,000 confirmed cases and barely over 2,000 were hospitalized. Doctors' offices are swamped with calls from clients who can't even be tested without all the signs. Surely somewhere in all those computers there's a record of the people to contact.

And President Trump will probably be blamed for OSU not knowing where to look for donated plasma. After all, isn't it his fault he didn't close down the economy before anyone had died?

Government the big winner of CARES

Government, not businesses and workers, is the big winner in the stimulus package. Out of $2 Trillion I’m thinking about ¼ goes right back to government agencies—federal, state, local. I saw two very minor examples in the last 5 minutes just looking through my mail.

1) The Dean of the Library School at U of I (my school, and it has a different name now) Eunice Santos did a study published as a chapter in a technology proceedings in 2013 on the 2009 pandemic which originated in Mexico (and from her photo and name she is Hispanic), and it has been resurrected as some sort of modeling technique for this covid pandemic. https://www.spiedigitallibrary.org/conference-proceedings-of-spie/8711/1/Modeling-emergent-border-crossing-behaviors-during-pandemics/10.1117/12.2018201.short?SSO=1 What this has to do with libraries, I have no idea, but I do know there will now be more funding.

2) And here’s another: “April is National Child Abuse Prevention Month.  Child abuse takes place in every part of the population and takes many forms.  Children suffer from neglect, endure physical and sexual abuse, are exploited by pornographers and sex traffickers, and become collateral victims of drug abuse and other types of maltreatment every single day in America.  Fortunately, Children’s Advocacy Centers (CACs) across the nation are providing critical services to these young victims and helping to safeguard their legal rights, especially during this national COVID-19 pandemic.”

Obviously, this tragedy of child abuse and sex trafficking takes place every day and night, but there will be more money to study the other studies because of Covid19. And Mexicans fleeing Mexico during the 2009 pandemic will somehow be considered relevant to a model of the Covid19 pandemic—although no one will ever read it—it will be funded as part of this package.

Please, Mr. President, stop the insanity and put people back to work and get them off the government dole before the government sops up all the aid.

https://www.ncsl.org/ncsl-in-dc/publications-and-resources/coronavirus-stimulus-bill-states.aspx

Covid19—when I realized we’d turned the corner

A week or so ago there was a sign covid19 was coming under control. What did I see? The task force noted it was time to start throwing more time and energy at racial disparities. So much of our medical research dollars have been spent the last 30-40 years looking at poverty, obesity, sexual promiscuity of gays, family dynamics, educational achievement, smoking, drugs, and now transgenderism, it's no wonder CDC and NIH don't get the viruses and bacteria under control.

Today I saw: "Columbus Mayor Andrew Ginther and Columbus Public Health Director Dr. Mysheika Roberts have opened the Center for Public Health Innovation to address racism as a public health issue. The new center seeks to reduce health inequities to increase life expectancy and improve quality of life. The center will also address racial disparities related to COVID-19 in Columbus and around the country." This is regurgitating epidemiology, social sciences and public health research that has been going on since the 1960s, and some earlier pieces are classics, still true. Behavior affects health, whether white, Asian, Hispanic or black. More money to advance careers and enhance resumes.

We don't prevent or cure AIDS by studying how gay men think about the size of their penises, yet that research has been on going for years. You don't solve diabetes by measuring the girth of Filipino Americans compared to Swedish Americans. You can't end nicotine addiction by more funding of support groups on-line paid for by Medicare. And concluding that LaTisha and LaToya had too many "daddies" in their home growing up, isn't going to make them want to exercise when they are 50 and overweight. Bridget and Bonnie are also overweight and their parents were married and faithful.

There are thousands, maybe millions of these articles stuck deep in data bases now--we don't need more to tell us behavior matters in keeping us healthy and happy. If anyone, of any race or culture, eats too much, smokes and drinks too much, sleeps around, and only exercises long enough to change the channel, he or she is not going to be healthy based on statistical studies and grandma's advice.

There. I could have saved the tax payers billions, although no one will take my advice because it's too lucrative for academics and politicians.

On Pascha, sermon by St. Melito of Sardis (d. 180)

"One of the greatest sermons ever written is titled On Pascha (Easter), written by Melito of Sardis in just the second century. In the sermon Melito asks us to recognize that from the beginning God has been working through the failures of humanity to complete His plan for us in Christ. Here is a brief excerpt of this beautiful sermon. . ." from Pastor Thomas Cowell, St. John's Lutheran, Burt, Iowa, Newsletter March-April 2019. https://www.stjohnsburt.org/uploads/8/5/6/4/85643360/messenger_mar_apr_2019.pdf

69. This is the Pascha of our salvation:
this is the one who in many people endured many things.
This is the one who was murdered in Abel,
tied up in Isaac,
exiled in Jacob,
sold in Joseph,
exposed in Moses,
slaughtered in the lamb,
hunted down in David,
dishonored in the prophets.
70. This is the one made flesh in a virgin,
who was hanged on a tree,
who was buried in the earth,
who was raised from the dead,
who was exalted to the heights of heaven.
71. This is the lamb slain,
this is the speechless lamb,
this is the one born of Mary the fair ewe,
this is the one taken from the flock,
and led to slaughter.
Who was sacrificed in the evening,
and buried at night;
who was not broken on the tree,
who was not undone in the earth,
who rose from the dead and resurrected humankind from the grave below. […]

To read more of this glorious sermon, which continues, see the link above:

103. “So come all families of people,
adulterated with sin, and receive forgiveness of sins.
For I am your freedom.
I am the Passover of salvation,
I am the lamb slaughtered for you
I am your ransom,
I am your life,
I am your light,
I am your salvation,
I am your resurrection,
I am your King.
I shall raise you up by my right hand,
I will lead you to the heights of heaven,
there shall I show you the everlasting father.”

(Melito of Sardis, On Pascha, trans. Alistair Stewart-Sykes (Crestwood, New York: St. Vladimir’s Seminary Press, 2001).

When did I realize something was very wrong? When Ohio began posting stats

April 12 COVID-19 snapshot for Ohio:
Data provided by ODH as of 2 p.m. April 12

Confirmed cases in Ohio: 6,518
Number hospitalized in Ohio: 1,948
Number of deaths in Ohio: 248
Number of cases in Franklin County: 943

My husband was in Riverside Hospital in Columbus (the largest) from Thursday evening  through Saturday noon—taken by squad after minor testing at our house (squad wouldn’t come in—he had to go outside). He got excellent care, and every test known for cardiac problems. He also said the hospital was virtually empty and staff had little to do. I’m sure they pounced on him as a paying customer. In some states hospitals are closing, medical staff are being fired or furloughed. So a problem created by the fear that some hospitals in major cities might be swamped has created another problem. A small medical practice close to our family will receive $183 in “government stimulus” thanks to the wrangling of the Democrats who are grabbing every imaginable piece of pork in sight, and also a rather strange regulation that if a doctor doesn’t take Medicaid patients, they don’t get the goodies. Small offices can’t afford Medicaid patients because the reimbursement is so paltry.

Look at those numbers. Ohio has many major cities all over the state (not confined to one like Illinois and Indiana). Cleveland, Youngstown, Akron, Toledo, Columbus, Cincinnati, Dayton, but only 248 deaths. We probably get that many shootings on a week-end, or falls by the elderly. Or opioid deaths (we were the epicenter of that a few years ago due to the pipeline from Mexico which covers several states using Ohio). Most of these 248 are elderly, with heart problems, diabetes, pulmonary, etc. conditions. By the time my husband got to Riverside to be tested his LV function was at 35, and over 55 is “normal.” Another day and it might have been over—and some media investigative reporter probably would have claimed Upper Arlington architect dies of Covid19.

We are cowering in our homes afraid to even talk to neighbors. “Essential” businesses like Home Depot and Wal-Mart are up and running in Ohio, but the churches were closed for Easter. It’s ridiculous.

$1200 and a subscription to Netflix

Note: Diane McDermott (originally from Mt. Morris and I bought my horse from her family in 1952)  posted this on Facebook and she  says she is among those unable to get medical treatment needed for a cardiac problem at the moment.

Read this chilling commentary from
MARK LEVIN:

"To be clear. President Trump hasn't shut down a single business. The Governors did."

We’re seeing the most draconian measures enforced at all levels of government that we've ever seen in our lifetimes, and yet rather than being alarmed by the things going on, so many of you applaud.

People are being arrested for spending too much time outside, and you applaud. Pastors are being arrested for daring to hold church services, and you applaud. A child's birthday party is raided by police, and you applaud. A young woman is ticketed for going on a leisurely drive alone because it's deemed "non-essential travel", and you applaud. A parade of school teachers and administrators who wanted to drive through neighborhoods and wave at children is busted up by cops because they were "nonessential," and you applaud. A lone paddleboarder in the ocean on a beach without any other people around is arrested because he's violating quarantine orders, and you applaud.

People are being denied life saving medical treatments because they're not a priority right now (not "essential" as deemed by the government) as the entirety of our medical system is focused on one thing, and you applaud.

Businesses are beings forcibly closed and padlocked and owners arrested for refusing to shut down, and you applaud. Dairy farmers (and soon, other farmers) are being incentivized to stop dairy farming and to sell their herds, and you don't seem to understand the implications.

You're being told to use hotlines and online forms provided by your local governments to report your neighbors who don't obey, and you comply. You scold people day after day for not obeying government edicts, and if any of us dare to question what's happening, you lecture about how we're a danger to society and and we just don't care about people dying.

You've somehow managed to convince yourselves that the people whose lives are affected by a virus are MUCH more important than the people whose lives are being destroyed (and in many cases, leading to death) by the effects of a worldwide economic shutdown and impending worldwide depression the likes of which no one has ever seen before.
At what point will you start QUESTIONING what's going on? How far does the government have to push before you're jolted awake from your slumber? How far are you willing to go with this?

If they told you to load your families onto train cars so that you could be taken to Virus Protection Facilities for your own safety, would you do it?

YES. Yes, you would.That much has become painfully obvious to me. And the whole time, you'd be shaking your finger and yelling at those of us who refused, accusing us of being "a danger to society" and "not caring if people die."

But they don't have to load you onto train cars and take you to Virus Protection Facilities, or force you to comply, because you do that voluntarily. They control your mind. They control you through fear. They control you by convincing you that the world is a scary dangerous place, but they're here to protect you, care for you, and keep you safe, just as long as you OBEY.

They know that as long as you're locked inside your comfortable home with Netflix, Hulu, Facebook, Twitter, Instagram, and a cell phone, while dangling a $1200 check in front of you like a carrot on a stick, you'll comply. No force is necessary for the majority of the herd.

YOU ARE IMPRISONED, willingly, and you're too blind to see it.

Sowing fear and distrust about hydroxychloroquine

While the media, including NPR, try to frighten people about "unproven" emergency use of Hydroxychloroquine and chloroquine here's what CDC says about therapeutic options:

https://www.cdc.gov/coronavirus/2019-ncov/hcp/therapeutic-options.html? which links to the authorization of its use while clinical trials are performed. It won't harm anyone, and could help many based on trials in other countries. The media hate Trump so much they will try anything:

"On February 4, 2020, pursuant to Section 564(b)(1)(C) of the Act, the Secretary of the Department of Health and Human Services (HHS) determined that there is a public health emergency that has a significant potential to affect national security or the health and security of United States citizens living abroad, and that involves the virus that causes COVID-19.3 ,4 Pursuant to Section 564 of the Act, and on the basis of such determination, the Secretary of HHS . . . Based upon limited in-vitro and anecdotal clinical data in case series, chloroquine phosphate and hydroxychloroquine sulfate are currently recommended for treatment of hospitalized COVID-19 patients in several countries, and a number of national guidelines report incorporating recommendations regarding use of chloroquine phosphate or hydroxychloroquine sulfate in the setting of COVID-19. FDA encourages the conduct and participation in randomized controlled clinical trials that may produce evidence concerning the effectiveness of these products in treating COVID-19. FDA is issuing this EUA to facilitate the availability of chloroquine phosphate and hydroxychloroquine sulfate during the COVID-19 pandemic to treat patients for whom a clinical trial is not available, or participation is not feasible. "

Also notice the date. Feb. 4. While Democrats and their media arms were calling Trump a racist for attempting to limit entry to our country by infected people.

Jesus has gone ahead of us—Reflections from Lakeside’s pastor

Read Mark 16:1-7 The Easter story is recorded in all four Gospels, but each tells the story differently. It’s like learning about the contemporary crisis via Fox News, CNN, NBC and ABC. Each tells the story with a slightly different bias. In Mark’s version, the women rise early on the first day of the week and take spices to anoint the (supposed) dead body of Jesus. On their way, they worry: who will roll away the stone from the entrance to the tomb? Certainly, they’re not going to be able to do it. When they arrive, they find the stone, which is very large, has already been rolled away! The problem that they were worrying about has already been taken care of. God has been one step ahead of them! God has already provided a solution to their problem. How many times do we worry about things that God has already handled? How will we get through the current pandemic? Rest assured, my friends, God has a solution. God knows our need. God is able to deal with this, and every other crisis we face in life. When the women see the place where Jesus is supposed to be, and an angel sitting there instead, they become alarmed. Again, God is one step ahead of them! Instead of a dead body, they’re told that Jesus has been raised. He is not here. (Mark 16:6) The angel tells the women that the risen Christ will meet them in Galilee. Galilee is their home. In other words, when they go back home, to the place where they live and work, Jesus will be there with them. Not only will Jesus be with them, the angel says that the risen Christ will “go ahead” of them. (Mark 16:7) This verse underscores a central truth of the Christian faith: Jesus is always ahead of his faithful followers. His mind is quicker; his vision larger; his spirit more adventuresome; his convictions more sure; his courage more firm. Easter challenges us to move forward. We have the assurance of the Scriptures and the record of the faithful down through the centuries that Christ will be with us in the future, just as he has accompanied thousands upon thousands in the past. Wherever he calls us, we do not go alone. Not only is Christ with us, he goes ahead of us. The Risen Christ is on the scene before any of us arrives! We need not fear the future, even death, for the risen Christ has already gone ahead of us to prepare a place for us. What’s our future as individuals and at Lakeside Chautauqua? What’s next for us amid this crisis as a nation, a world community? Whatever it is, Jesus is with us, and he will go ahead of us. Thanks be to God! --- Rev. Dr. Charles Yoost, Lakeside Chautauqua Director of Religious Life

An Easter poem

How the Virus Stole Easter

By Kristi Bothur With a nod to Dr. Seuss

Twas late in '19 when the virus began Bringing chaos and fear to all people, each land.

People were sick, hospitals full, Doctors overwhelmed, no one in school.

As winter gave way to the promise of spring, The virus raged on, touching peasant and king.

People hid in their homes from the enemy unseen. They YouTubed and Zoomed, social-distanced, and cleaned.

April approached and churches were closed. "There won't be an Easter," the world supposed.

"There won't be church services, and egg hunts are out. No reason for new dresses when we can't go about."

Holy Week started, as bleak as the rest. The world was focused on masks and on tests.

"Easter can't happen this year," it proclaimed. "Online and at home, it just won't be the same."

Maundy Thursday, Good Friday, the days came and went. The virus pressed on; it just would not relent.

The world woke Sunday and nothing had changed. The virus still menaced, the people, estranged.

"Pooh pooh to the saints," the world was grumbling. "They're finding out now that no Easter is coming.

"They're just waking up! We know just what they'll do! Their mouths will hang open a minute or two, And then all the saints will all cry boo-hoo.

"That noise," said the world, "will be something to hear." So it paused and the world put a hand to its ear.

And it did hear a sound coming through all the skies. It started down low, then it started to rise.

But the sound wasn't depressed. Why, this sound was triumphant! It couldn't be so! But it grew with abundance!

The world stared around, popping its eyes. Then it shook! What it saw was a shocking surprise!

Every saint in every nation, the tall and the small, Was celebrating Jesus in spite of it all!

It hadn't stopped Easter from coming! It came! Somehow or other, it came just the same!

And the world with its life quite stuck in quarantine Stood puzzling and puzzling. "Just how can it be?"

"It came without bonnets, it came without bunnies, It came without egg hunts, cantatas, or money."

Then the world thought of something it hadn't before. "Maybe Easter," it thought, "doesn't come from a store. Maybe Easter, perhaps, means a little bit more."

And what happened then? Well....the story's not done. What will YOU do? Will you share with that one Or two or more people needing hope in this night? Will you share the source of your life in this fight?

The churches are empty - but so is the tomb, And Jesus is victor over death, doom, and gloom.

So this year at Easter, let this be our prayer, As the virus still rages all around, everywhere.

May the world see hope when it looks at God's people. May the world see the church is not a building or steeple. May the world find Faith in Jesus' death and resurrection, May the world find Joy in a time of dejection. May 2020 be known as the year of survival, But not only that - Let it start a revival.

Don’t wait for a vaccine

I've heard several politicians say we'll have to go very slow to reopen the economy until we have a vaccine. Hogwash.

There is no vaccine for AIDS; the vaccine for shingles only works for some; there are promising vaccines in the works for malaria which kills and cripples over a million a year, but nothing completely acceptable (and environmentalists removed the only safe protection, DDT, with no vaccine in sight); thousands of parents follow the advice they see on the internet and won't even accept measles, mumps and polio vaccines. Between the excruciatingly slow and thick government red tape and the outrage from various special interest groups about disparities and availability, it could be decades to get approval. The first black child who contracts covid19 after receiving a vaccine would have the 9th circuit throwing the whole thing out.

We don't have time, Governor DeWine and Dr. Amy Acton, to wait for approval of a vaccine. Democrats would call it racist, sexist, and homophobic if Trump even got it close to the finish line--and you know it!

You can go to Wal-Mart, but not church. Guest blogger, Michael Smith

“In Kentucky, you can go to Walmart or Target anytime you want without sanction but if you go to church, you'll be sentenced to 14 days of home confinement.

This is nuts.

Our elected leaders are flexing their tyrant muscles.

The WHO widely praised (and continue to praise) the Chinese for their clampdown in Wuhan - but what they did was to ban domestic travel to prevent the spread of the virus to Beijing and Shanghai - but curiously, the continued to allow international flights to Vancouver, San Francisco, LA and New York City.

With tyrants, you need to watch what they do rather than just listen to what they say.

Same with the government and elected officials here in our country. One should really question why unlimited travel and congregating at a Walmart is allowed and yet church congregations are not.

If government requires me to wear a mask and gloves when I am in public, I can accept that - but when they start telling me where I can and can't go, especially if it is to church, or I have to have papers signifying I have the right antibodies, we are going to have a problem.”

https://www.dailywire.com/news/democrat-governor-recording-license-plates-of-easter-sunday-churchgoers-ordering-them-to-14-day-quarantine?

We’ve gone too far

My son is in a hospital bed in my home office with a brain tumor, and my husband is in a hospital bed at Riverside Hospital with an undiagnosed heart problem (2 days of testing so far), and neither condition is caused by the virus. The draconian measures by the President's and Governor's task forces has dramatically impacted the health of both men and reduced my financial ability to care for them. It has shut out the people who could be helping me. We've gone too far; your family may be next.

OPINION - We've Gone Too Far
Apr 04, 2020 at 11:20 AM / By Steve Hallstrom

“I've gotten to the point where I feel that we've gone too far in playing it safe against the Coronavirus. Don't get me wrong. Some caution and personal responsibility are a good thing. But we are creating millions of people who sit at home shivering in fear as they lose their jobs, fitness, socialization and savings. There is a tremendous societal cost to this with the resulting addiction, suicide, hopelessness and isolation. These are harder to quantify but calls to suicide lines are up 3x. Read up on plasma and hydroxychloroquine. Great early results, and Cuomo said this morning that 20% of the ventilators in NY are sitting idle not being used. Most of us won't get it and if we do we won't know. If we DO get it, likely we'll get better. Listen to me. I'm not saying this is nothing. Never have. But you "all or nothings" out there have to realize there is a balance point here. 25% of small business people tell US Chamber they're on the verge of closing for good.

I'm biased here cause I'm in ownership but even if you hate small business owners, how about those who got a call last week saying your job is gone?

Unemployment? Please. That's no model for the dignity of doing your job well and won't make you whole financially. If Walmart can be open today with spacing restrictions then so can Kohl's. Let gyms set up new schedules, max 10 people and close every hour to clean. Let restaurants open with space between tables. Let theaters sell half the tickets with chairs in between.
There are ways to do this responsibly. Losing lives is awful. But remember comorbidity. Many of those dying were dying from other things before this came along. Losing freedom, health, commerce, savings, and opportunity is awful too. In a societal context, we understand we are part of a system. If I'm susceptible to something, I have the freedom to say don't come to visit me I might catch something or I might give it to you. In a free society we let the people make these decisions, not the government. You also have the right to dig a hole in your backyard and jump in it where you have no risk. If you're scared to go out to eat then don't do it. When government limits your constitutional rights, you stand in a danger zone, and that's what is happening.

Not saying anyone has to agree with me. And there are good points on both sides. But we've swung the balance too far. New York Mills should not be run like New York City. We've set a new world record in playing it safe. We need to have something to come back to after this is over.”

HT Diane McDermott for the article.

Ejection fraction—what is measured and what does it mean?

Bob had an echocardiogram on Friday and the LV ejection fraction was below 50%.  What does that mean?  According to Mayo clinic web page, https://www.mayoclinic.org/ejection-fraction/expert-answers/faq-20058286

“Ejection fraction is a measurement of the percentage of blood leaving your heart each time it contracts.

The heart contracts and relaxes. When your heart contracts, it ejects blood from the two pumping chambers (ventricles). When your heart relaxes, the ventricles refill with blood. No matter how forceful the contraction, the heart can never pump all blood out of a ventricle. The term "ejection fraction" refers to the percentage of blood that's pumped out of a filled ventricle with each heartbeat.

The ejection fraction is usually measured only in the left ventricle (LV). The left ventricle is the heart's main pumping chamber. It pumps oxygen-rich blood up into the upward (ascending) aorta to the rest of the body.

• An LV ejection fraction of 55 percent or higher is considered normal.
• An LV ejection fraction of 50 percent or lower is considered reduced.
• An LV ejection fraction between 50 and 55 percent is usually considered "borderline."

Ejection fraction is just one of many tests your doctor may use to determine how your heart works. But even with a normal ejection fraction, your overall heart function may not be normal. Talk with your doctor if you have concerns about your heart.

Some things that may cause a reduced ejection fraction are:

• Weakness of the heart muscle, such as cardiomyopathy
• Heart attack that damaged the heart muscle
• Heart valve problems
• Long-term, uncontrolled high blood pressure

Ejection fraction can be measured with imaging techniques, including:

• Echocardiogram. This is the most common test used to measure ejection fraction. During an echocardiogram, sound waves are used to produce images of your heart and the blood pumping through your heart.
• Cardiac catheterization. During cardiac catheterization, a thin, plastic tube (catheter) is inserted into an artery in your arm or leg and then gently guided to your heart. Images taken during catheterization can measure the ejection fraction of your heart.
• Magnetic resonance imaging (MRI). An MRI uses magnetic field and radio waves to create cross-sectional images of specific parts of your body. When an MRI is used to study the heart, it's known as a cardiovascular MRI.
• Computerized tomography (CT). During a CT scan, a special X-ray technique is used to create cross-sectional images of specific parts of your body. When a CT scan is used to study the heart, it's known as a cardiac CT.
• Nuclear medicine scan. During a nuclear scan, trace amounts of radioactive material are injected into your bloodstream. Special cameras then detect the radioactive material in your blood as it flows through your heart and lungs.”

More testing today, and we hope he’ll be home soon.

How is it treated? According to Healthline https://www.healthline.com/health/ejection-fraction#treatment

“There are a variety of treatment options for abnormal EF, including:

• Angiotensin converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs), or beta-blockers. These medications can reduce the amount of hormones that weaken your heart muscle. They can also slow the progression of heart disease.
• Diuretics. These drugs can help get rid of excess fluid that’s causing swelling and shortness of breath.
• Eplerenone or spironolactone. These agents help you eliminate excess fluid and can help decrease stiffening of your heart.
• Biventricular pacemaker. This pacemaker helps to synchronize the contractions of your left and right ventricles so they’re working to their highest capacity.
• Implantable cardiac defibrillator. This device can be directly implanted into your chest. It sends small electrical triggers to your heart to keep it beating regularly.
• Hydralazine-nitrate. These two drugs have been successful in lowering blood pressure in people who still have symptoms when taking ACE, ARBs, and beta-blockers.”

Why an echocardiogram?

Bob was taken to the ER last night after a week or two if discomfort, and in my non-medical opinion, his primary care physician dropping the ball.  If this were ordinary times he probably would have seen her as soon as he felt shortness of breath.  A call back after his EKG on Tuesday might have helped his anxiety.   It was determined he was in A-fib, and this morning he had an echo.  So I looked that up, and this is what Sanjay Gupta says about that, and why those with a-fib should have one.

“It is painless, harmless, readily available in most hospitals and can give a large amount of very useful information about the structure and function of the heart.

As atrial fibrillation can be caused by a structural problem with the heart such as heart valve disease or heart muscle weakness, the echo can help to elucidate the underlying cause of the AF.

Secondly, the echo can help assess the size of the atria. If the atria look very enlarged then it makes it more unlikely that the heart can be restored to a normal rhythm.

Thirdly, one important risk factor for strokes in patients with AF is the presence of heart failure. The echo can easily identify if the heart is weak and therefore help with risk assessment.

Fourthly, sometimes when the heart rate is excessively fast due to AF and not adequately controlled, the heart itself can start weakening. This is called a tachycardia-induced cardiomyopathy. The echo can identify a tachycardia induced cardiomyopathy and therefore guide appropriate treatment. The good news is that with appropriate rate control treatment, a tachycardia induced cardiomyopathy can easily be reversed.

Finally, some heart rhythm control medications such as Flecainide should not be used in patients with structural heart disease. A normal echocardiogram is reassuring with this regard and allows such medications to be used.”

https://drsanjayguptacardiologist.com/blog/why-everyone-with-afib-should-have-an-echocardiogram/

Tom Cotton on the Afghanistan War and draw down

“Nineteen and a half years after the War in Afghanistan began, President Trump is moving forward with a plan to draw down the number of American forces there. The longest U.S war in history began October 7, 2001 when the U.S. and allies drove the Taliban from power. The Islamic extremist group had allowed al-Qaeda to operate and plan the September 11 terrorist attacks in Afghanistan. I recently spoke with Senator Tom Cotton who is on the Armed Services Committee. He served in Afghanistan while in the Army in 2008.”

https://sharylattkisson.com/2020/04/watch-troop-drawdown-in-afghanistan/?

http://fullmeasure.news/news/terrorism-security/afghanistan-troop-drawdown