by Rose Rohloff
Each person, in each individual situation, needs evaluation regarding whether a medication is necessary or not, and safe/appropriate. It is up to that person to make decisions with their clinician, not by the medical staff - or worse, an AI computer - without full data. Before a clinician gives a drug or writes a prescription for someone, the following questions should be answered to obtain true informed consent or refusal. Informed Consent1- What is the drug classification, the exact mechanism of action = what exactly is it doing in my body or the body of my loved one? 2- Was this researched, efficacy tested with chimera = baby organs cut out while they're alive, to be put into mice for drug/shot testing which is violating our religious right to not participate with child sacrifice/anything that is an abomination to God? [Read my blog Modern Child Sacrificing Continues] 3- List all side effects and contraindications, including immediate, short AND long-term. 4- List all causations to my condition or that of my loved one, and how have they been addressed or ruled out, including: lifestyle changes; diet; possible heavy metal/chemical exposure; parasites; imbalance of micronutrients, especially copper, iodine, selenium, manganese, magnesium, zinc, Iron (Fe2 vs Fe3); Vitamins D, Bs ... etc. 5- What are all the natural alternatives? 6- What are the latest independent studies not from pharmaceutical companies or those on the payroll or in bed with Pharma? 7- Where are all the primary Pharma and independent studies to show that the condition is not from the Covid Spike Protein, known to not be excreted by the body, and/or other shots or drugs? If situations involve your body, your health, your SOUL integrity, no true clinician upholding an oath to do no harm would get defensive by discussing any of the above. Time to DecideA very important element not discussed, and often violated by hospitals and MDs is the concept of time to make a decision, and giving of all necessary information listed above. Emergent: something must be done within an hour (< 1 hour) to prevent mortality (death) or morbidity (severe injury). An example is an aneurysm that is leaking or about to burst, etc. Urgent: something must be done within < 24 hours to prevent mortality (death) or morbidity (severe injury). An example is a severe break that needs setting, or excessive bleeding, etc. Elective/Selective/NonEmergent/NonUrgent: As the list refers to, nothing imminent and people can take days/weeks to research to make good decisions for themselves after becoming fully informed. Examples include joint replacements, general maintenance medications, 'vaccines" and other shots. Informed RefusalIn a previous blog, I reviewed being proactive with a document listing any and all things already fully researched with informed, established refusal. Read with this link.
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by Rose RohloffToo often, media or public figures convolute issues with complex over/misinformation. Below is a high-level, brief overview to hopefully simplify the issue of COVID-19/SARS-CoV-2. Timeline - the Tale of Ralph Baric
Let's take a break to clarify definitions ...
Humanized Mice defined as "mice engrafted with functional human cells or tissues ... in various areas of biomedical research." Link Basically, government & pharma buying fresh baby tissue, stem cells or organs to put into or on an animal to test shots and drugs. Wait, in 2010 he co-authored how these viruses are stopped, so there was no need for a vaccine, the research ... correct? And exactly who funded it ... ? In review, GOF are "experiments that modify pathogens—such as viruses—to enhance their transmissibility, virulence". Taking a spike protein that one engineers, and inserting into the backbone of an already engineered virus is experimenting with a pathogen to make it more virulent, correct? Along with many other conspirators-organizations ... Freedom of Information (FOI) documents on origins of Covid-19, gain-of-function research and biolabs, including but not limited to many Universities, US Gov, China, etc. Link to read the documents Included is an email from one scientist to another, "Peter (head of EcoHealth Alliance) and his crazy ideas. This is so risky, how exciting." Hold on, what exactly is an ACE2 receptor, |
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by Rose RohloffOn July 12, 1974, the National Research Act (Pub. L. 93-348) was signed into law, there-by creating the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. One of the charges to the Commission was to identify the basic ethical principles that should underlie the conduct of biomedical and behavioral research involving human subjects. |
- Dr. Hideyo Noguchi of the Rockefeller Institute for Medicine in Manhattan, New York City injected 146 hospital patients (some were children) with a syphilis extract (1911);
- Cancer Experiments, various government and civilian hospitals The Rockefeller Institute for Medical Investigations infected human subjects with cancer cells. Dr. Cornelius Rhoads established U.S. Army Biological Warfare facilities in Maryland, Utah, Panama, and conducted radiation exposure experiments on patients (1931);
- Pellagra Study, the U.S. Public Health Service acted to curb pellagra, a dietary deficiency, admitting it had known the causes for over two decades (1935);
- Malaria Experiments, Chicago, Illinois 400 prisoners were infected with malaria to test experimental drugs (1940);
- Mustard Gas Experiments, 4,000 servicemen, mostly Seventh-day Adventists who were conscientious objectors (1942);
- Dichlorodiphenyltrichloroethane (DDT) wide use (1940s-1972);
- Fluoride in water (1945-2024);
- Nuremberg War Tribunals (1947);
- U.S. Navy sprayed large quantities of the bacteria serratia marcescens over the city of San Francisco, as part of Operation Sea-Spray (1950s);
- Mentally disabled children at the Willowbrook State School in Staten Island, New York, were intentionally infected with viral hepatitis, for research purposes, to help "discover a vaccine" (1950s - 1972);
- Thalidomide with massive birth defects (1950s-60s) which led to the Kefauver Amendment (1962) "... to the Food, Drugs, and Cosmetic Act, also known as the Drug Efficacy Amendments of 1962, was signed by President John F. Kennedy and requires that all new drug applications demonstrate substantial evidence of the drug’s efficacy for the marketed indication, in addition to the existing requirement of demonstrating the drug’s safety ... In addition, the Amendment required drug advertising to disclose accurate information about side effects and efficacy of treatments.;
- Lysergic Acid Diethylamide (LSD) experiments (1950s-60s);
- the Radiation experiments (injection of radioactive elements, including polonium, plutonium, and uranium, into civilian patients around the country, (April 1945 and July 1947);
- Biological Agent Field Tests at 239 populated areas including New York City, San Francisco, Washington, D.C., Key West, Panama City, Minneapolis, Alaska, and St. Louis. U.S. military & intelligence agencies conducted field experiments with biological agents (1949-1969);
- Operation Ranch Hand Location : Vietnam (Mekong to the DMZ) Details : Defoliants, including Agents Green, White, Pink, Purple, Blue, and Orange, were sprayed (1961-1964);
- Tuskegee Syphilis Experiment (1930s-70s);
- Tularemia Experiments, Vietnam, Seventh-day Adventists serving as non-combatants were exposed to airborne tularemia by Fort Detrick personnel and developed acute tularemia (1960s);
- Radioactive Iodine, Atomic Energy Commission Reactor Testing Station, Idaho - released deliberately 7x (1963-1970);
- Senate Hearings in 1977, Intelligence & military acknowledged the field experiments on at least 239 populated areas with biological agents (1949 - 1969);
- Asbestos, ? SV40 in "vaccine" shots, refer to Dr. Jack Kruse (1970-1990, 2003);
- Declaration of Helsinki in 1964 (updated 2000) built upon the Nuremberg code as the basis for Good Clinical Practices;
- Chester M. Southam, MD, a noted immunologist at Sloan-Kettering Institute, obtained funding from the government and injected live cancer cells into 14 patients with advanced cancer and into healthy convicts at Ohio State Prison, and injected live cancer cells into 22 elderly patients at Jewish Chronic Disease Hospital in Brooklyn (1954-1963) “Every human being has an inalienable right to determine what shall be done with his own body. These patients then had a right to know the contents of the syringe: and if this knowledge was to cause fear and anxiety or make them frightened, they had a right to be fearful and frightened and thus say NO to the experiment. (Oxford Textbook of Clinical Research Ethics, 2008)”
- Ricin Exposure, FEMA inadvertently exposed nearly 10,000 firefighters, paramedics & other responders to a lethal form during simulated bioterrorism drills (2017);
- Operation Crimson Mist, Rwanda (1994) electromagnetic augmentation (5G++);
- Gain-of-function spike proteins & NANOTECH, with mRNA/mmRNA/modRNA/saRNA/Viral Vectors injections, does not fall under any legal definition of vaccine, with gross morbidity & mortality (2019 - ...);
- Chemtrails with toxic materials and weather terrorism (? - 2025 ...).
| The law may not be negated, overwritten, or manipulated to force participation in experiments - by the government, employers, or companies, especially pharmaceutical companies - for whom the law was written to protect us; especially by labeling Emergency Use (EU). EU is for emergency circumstances with Informed Consent as part of Right to Try, if there are no other options for a patient. EU cannot supersede or try to negate the law especially regarding being fully informed with the Right To Say No - and the Right to Try alternative treatments.
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1- Autonomous agents, individuals capable of deliberation about personal goals and of acting under the direction of such deliberation. The Government and companies have to give weight to autonomous persons' considered opinions and choices, and cannot obstruct their actions and judgments, nor deny individual freedom to act on considered judgments, and cannot withhold information necessary to make a considered judgment. Necessary information includes - but not limited to - all medical opinions by established, industry experts, health status, the necessary assessments, labs, with close monitoring of physical lab and test follow ups of each and every autonomous persons as part of clinical research and testing, along with full documentation of testing, efficacy, use of chimera for research and testing, any and all conceivable side effects, and interactions of conditions.
2- persons with diminished autonomy are entitled to ADDED protections.
Violators to the law have been marketing to the most vulnerable, including the immature and the incapacitated who were in need of extra, added protections, even to the point of excluding them from any injections or procedures which may harm them; violating added safety precautions for children, elderly, or those with diminished capacity.
Informed consent - must include full disclosure of ALL contents to be injected, any and ALL possible side effects (which can be several pages long), how those persons are individually to be closely monitored, safety guidelines, and above all the right to say no before or at any time, and full reporting of all individuals regarding their safety monitoring/labs/assessments, and any and all side effects. By promoting COVID shots all still under clinical trial/research, and coercing with careers/jobs, inability to travel, etc. in order to take the shots, this law is being violated through: lack of informed consent, lack of protections of autonomous persons, and/or illegally acting as IRB safety board members marketing to those not autonomous and capable of self-determination, with higher standards of protection to be invoked, and assuming the role for their safety.
The maxim "do no harm" has long been a fundamental principle of medical ethics. Claude Bernard extended it to the realm of research, saying that one should not injure one person regardless of the benefits that might come to others.
An agreement to participate in research constitutes a valid consent only if voluntarily given. This element of informed consent requires conditions free of coercion and undue influence.
Undue influence also includes offers of an excessive, unwarranted, inappropriate or improper reward or other overture in order to obtain compliance. Also, inducements that would ordinarily be acceptable may become undue influences if the subject is especially vulnerable as in the case of targeting children, persons with limited capacity, and elderly with elements of mental defect, or instilling fear.
Short term morbidity and mortality cases from the shots are well reported and known, such as death, myocarditis along with spontaneous cardiac arrest with no warning, debilitating neurological conditions, etc. And, there is no means yet to determine mid and long term effects because Phase I trials have not been competed, let alone Phase II and III - which is vital information in order to determine informed consent.
Injustice has been performed with companies and government representatives, by involving vulnerable subjects, including the young, those unable to fully comprehend with all necessary information, and scaring parents with compromised capacity for free consent. In addition to lack of individual, tightly scheduled, continual monitoring and follow ups, autopsies of all persons involved in this trial participation should be conducted for reporting by the pharmaceuticals companies for any and all persons who received the shots, as well as labs determining efficacy and detriments (as examples, antigen creation, D-dimer, Pulse Cardiac and Troponin Tests) for all those who were coerced or unduly influenced to participate in research.
This law was created to protect people from government abuse through experimentation. The government cannot arbitrarily dismiss components, create resolutions or stipulations to supersede the law, as to invalidate its protection of individuals from them, including, but not limited to Health and Human Services (HHS) Center for Disease Control (CDC), Food and Drug Administration (FDA), National Institute for Health (NIH), etc. and pharmaceutical companies, etc.
Persons have been illegally acting as members of, or bypassing, IRB safety review and monitoring of each and every person receiving injections, with open undue influence and coercion, to participate in Covid injections. Coercion has been especially directed to the diminished autonomous, children and elderly, through TV ads, library recordings, verbal encouragement, schools or other public venues acting as government agents, and/or clinical researcher recruiting participants, and/or illegally as untrained IRB member who is not following up to ensure safety of the people they recruited, coerced or used undue influence.
Overall lack of informed consent has become too often common practice across the healthcare industry, including people being given consent forms hours or minutes prior to surgery; no alternative treatments or lifestyle-nutrition changes prior to medications begin prescribed, and undue influence to intubate or perform surgery on patients in lieu of alternative treatments.
Dismantling PREP ACT pages 96-98 Kaiser, Newsom Court Case |
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Lawsuits for unconstitutional
violation of laws regarding shots
Guess what? Defendants in our lawsuits no longer argue that they had a right to mandate EUA drugs due to their state's at-will employment doctrine. That the EUA drugs can be mandated. That they had the authority to even issue the mandate. Why? Read the 127 pages, and then you'll understand that it was a legal lie from the beginning, but due to the novelty of the laws, no one knew of them. As courts have stated, "sometimes laws take naps," and these laws never showed up for work until now. https://coloradomedicalfreedom.com/wp-content/uploads/2023/08/Stamped-Final-Complaint.pdf
full document https://coloradomedicalfreedom.com/wp-content/uploads/2023/08/Stamped-Final-Complaint.pdf
page 127
C. the Secretary has no “authority to require any person to carry out any activity that becomes lawful pursuant to an authorization under this section…” 549. In 2005 Congress passed the PREP Act94 which provided the following regarding preemption of state law: (8) During the effective period of a declaration under subsection (b)…no State or political subdivision of a State may establish, enforce, or continue in effect with respect to a covered countermeasure any provision of law or legal requirement that— (A) is different from, or is in conflict with, any requirement applicable under this section; and (B) relates to the…administration…of the covered countermeasure, or to any matter included in a requirement applicable to the covered countermeasure under this section or any other provision of this chapter, or under the Federal Food, Drug, and Cosmetic Act [21 U.S.C. 301 et seq.]. 550. Therefore, via the PREP Act and 21 U.S.C. §360bbb-3, Congress expressly prohibits Defendants from: A. interfering with the authority of the Secretary, B. establishing a condition not authorized by the Secretary, C. establish conditions contrary to the Secretary and the congressional statute under 21 U.S.C. §360bbb-3, D. mandate participation in any 21 U.S.C. §360bbb-3 product or PREP Act activity, E. interfere with an individual considering participation in a 21 U.S.C. §360bbb-3 product or PREP Act activity, F. penalize a person refusing to participate in a PREP Act product or activity or 21 U.S.C. §360bbb-3 product. 551. The executive branch of the United States Government purchased all COVID-19 licensed and EUA drugs using federal funds. Congress expressly prohibits the federal government
Breaking…Gov Gavin Newsom and Kaiser have been sued in federal court for requiring healthcare workers to inject an experimental drug into their bodies as a condition to sell their labors in the marketplace. The requirement violated the workers’ Equal Protection of Laws and Due Process rights. Moreover, Kaiser signed a contract with the CDC promising not to mandate participation but did so anyway. Kaiser and Newsom fraudulently concealed the fact that nurses would be required to forfeit litigation rights if they incurred an injury from the use of the experimental drug. The California Nurses union stood by and refused to stop Newsom’s tyranny, leaving members without representation. Governor Newsom perpetuated the greatest assault on the US Constitution in the state’s history and the CA AG did nothing to prevent it. Worse yet, is that CA and Kaiser already had an agreement with HHS promising to never place an individual under a sanction for refusing to inject federally funded experimental drugs into the body.
Last edited10:55 AM · Nov 10, 2023
| Governor Inslee and PeaceHealth hospital sued for requiring nurses to inject experimental drugs into their bodies without their free will and voluntary consent. It's like a real-life episode of Jekyll and Hyde. Read the lawsuit here: https://coloradomedicalfreedom.com/wp-content/upl The National Council of State Boards of Nursing and the Ohio Board of Medicine are requiring students to hand over their private identifiable biometric scans as a condition to take the nursing test. Notice the deflection in the message. They present facts as if they are lawful, meant to place fear in the hearts of nurses. But, they never say it's a lawful requirement, only why do you not want to give your scan. One does not have to answer this question. | Dr. David Martin: under 21 Code of Federal Regulations § 50.23 and 24 – Exception from General Requirements, it is illegal to make anybody participate in an experimental program using coercion. |
Legal Fact: Any state that penalized citizens or denied unemployment benefits to an individual terminated for the sole reason of refusing to inject an unlicensed investigational drug into their body violated the individual's Fourteenth Amendment Equal Protection and Due Process rights. The U.S. Congress conferred legal authority onto an individual to either accept or refuse an EUA product. Both options were enacted by a valid act of Congress and must be equally protected. Moreover, the Supremacy Clause of the Constitution denied that state authority from interfering in the chosen option. The state established what courts call an Unconstitutional Condition. SCOTUS said: "But the power of the state in that respect is not unlimited; and one of the limitations is that it may not impose conditions which require the relinquishment of constitutional rights. If the state may compel the surrender of one constitutional right as a condition of its favor, it may, in like manner, compel a surrender of all. It is inconceivable that guaranties embedded in the Constitution of the United States may thus be manipulated out of existence." Governors and state agency directors violated their oath of office & the Constitution the moment they required COVID-19 EUA participation and or penalized an individual's federally protected option. They deprived citizens of their interest in liberty and property and, unfortunately for some, their very lives, all without due process. They did so by applying the law unequally demoting those who refused to that of a second-class citizen.
12:45 PM · Aug 29, 2023
BREAKING: LA Superior Court requiring LAPD to reinstate an officer terminated for refusing the vax mandate. Full back pay too! This is under a Writ of Mandamus, which is rare.
2:18 PM · Aug 21, 2023
Last edited9:28 PM · Aug 2, 2023
The VERY first EUA issued was in 2005 for the Anthrax investigational drug for service members and civilian employees of the DoD. The EUA stated: A. Individuals (service members and civilians) who refuse anthrax vaccination will not be punished. (Emphasis added) B. Refusal may not be grounds for any disciplinary action under the Uniform Code of Military Justice. C. Refusal may not be grounds for any adverse personnel action. Nor would either military or civilian personnel be considered non-deployable or processed for separation based on refusal of anthrax vaccination. D. There may be no penalty or loss of entitlement for refusing anthrax vaccination, E. This information shall read in the trifold brochure provided to potential vaccine recipients as follows: You may refuse anthrax vaccination under the EUA, and you will not be punished. No disciplinary action or adverse personnel action will be taken. You will not be processed for separation, and you will still be deployable. There will be no penalty or loss of entitlement for refusing anthrax vaccination. Nothing in law has changed to negate the authority of DoD members to refuse EUA COVID-19 drugs except the 6 civilian appointees engaged in willful misconduct against our Armed Forces.
11:51 PM · Sep 3, 2023
What should you be aware of regarding Vancomycin?
| Vancomycin (Vanco) is an antibiotic, in the classification of Glycopeptide used for gram (+) bacteria, typically used for: Methicillin Resistant Staphylococcus Aureus (MRSA); Clostridium Difficile (commonly called C-diff), a potentially deadly infectious |
Clinicians (nurses, doctors, physician assistants, etc.) are supposed to do comprehensive history and physicals (H&Ps) before using any drugs or treatments. And, it is important to know underlying conditions before using Vanco, because it can raise glucose levels, especially in diabetics, and/or cause kidney (renal) insufficiency, especially in elderly.
"I don't know what the average "lay person" does when they don't have all this information, and without a medical person to look out for them."
"This article is exactly why they stopped Vanco when he had his MRSA infection. His kidneys were starting to get compromised, so they immediately stopped it and started him on a different antibiotic, Daptomycin, which worked just as well and had less side effects for his kidneys and diabetes. Thankfully they caught it very early because of the blood tests they were doing to see what was happening. The new antibiotic was infused only once a day as opposed to twice a day Vanco, and there weren't all the extra blood draws to make sure the kidneys and glucose were doing okay. God is really in control and watching out for us, because the medical field doesn't always do that, even with a fellow medical person."
Vanco and high glucose/hyperglycemia
Vanco and kidney (renal) failure
Abstract A progressive increase in vancomycin resistance with consequent treatment failure has been observed in staphylococci. Therefore, new dosing guidelines advocating much higher vancomycin doses have been issued. Target trough levels of 15-20 microg/ml are proposed. Whether and how these targets can be achieved in patients with chronic kidney disease or those on dialysis are still under evaluation. The higher vancomycin doses to achieve these treatment targets carry a substantial risk for nephrotoxicity. This risk is incremental with higher trough levels and longer duration of vancomycin use. Critically ill patients, patients receiving concomitant nephrotoxic agents, and patients with already compromised renal function are particularly at risk for vancomycin-induced nephrotoxicity.
Acute kidney injury during daptomycin versus vancomycin treatment in cardiovascular critically ill
by Linda Lybert
President/ Healthcare Surfaces Expert, Founder/Executive Director Healthcare Surfaces Institute
A 40-year old mother went to the doctor after treating herself holistically for some laryngitis, stuffy nose, congested sinus, with continued symptoms after five days. After an exam, the doctor stated, “I am not going to give you antibiotics. You do not have a fever; your lungs sound clear. It looks like a little virus with severe allergies. I recommend an antihistamine.” The patient told him, “Thank you for not putting me on antibiotics when they are not needed, that makes me happy.” He responded, “I am glad you are glad.”
This story is sadly too often the new normal, numerous instances of patients and their caregivers stating issues of diagnosing with medication prescription, or misdiagnosis; the doctor or nurse having no idea of pre-existing conditions or a full list of medications currently being taken, a lack of care coordination or care planning because the time was not taken to simply read the chart (whether written or electronic), and ensuring a comprehensive history followed by the necessary physical assessment.
No physician or nurse should walk in to care for a patient without first having read the patient’s record, knowing all current information, the last visit/healthcare encounter, chronic conditions/comorbidities, and all medications; then, asking for updates of changes. Unfortunately, even without having to decipher poor handwriting, being able to read clean typed text, clinicians are not simply reading the basics of information they should before doing any diagnosing, planning and delivering of care - especially prescribing of medications.
A middle aged male was recently experiencing severe abdominal pain, subsequently prescribed three (3) medications in two (2) weeks from three (3) different sources (an Emergency Room, a primary care doctor, a Gastroenterologist). There was no diagnosis, no care coordination within an established plan of care, no thorough instruction in the medications, with the last prescription based on a guessed misdiagnosis which worsened his pain. One prescription was a steroid with the patient being instructed to take as he needed it; the second was an offering by the office secretary blindly asking if he wanted an Epipen when he called to actually speak with the physician for worsening abdominal pain, swelling and to discuss his lab work.
The common standard operating procedure (SOP) in medicine has become symptom and write a prescription, another symptom and write another prescription, etc. This SOP has lent to the opioid crisis, antibiotic resistance, as well as many other drugs being dispensed routinely with side effects causing secondary prescriptions for the side effects of the existing medications being taken.
Several variables cause the use of this SOP beginning with the lack to get a full, detailed history - taking time to speak with patients - to establish a diagnosis and then plan of care, determining if simple steps are first needed such as icing and therapy for pain before opioids, or to remove foods and medications isolating side effects or allergies. Last week, I attended the HIMSS conference, the largest healthcare conference in the country, with attendees from around the world. One executive stated, "I just returned from Finland where they have an effective health system, because people live healthy, and the doctors appropriately tell their patients NO when seeking a simple, quick fix of a drug that is not needed."
Reasons for the mainstream SOP?
I think there are always multiple reasons for issues within healthcare. The symptom=prescription issue can be: Doctors are processing patients through with 'factory-care', Physicians receiving kickbacks from pharmaceutical companies; The lack of proper clinical training; Protocols blindly being followed without individual evaluation (e.g. Vanderbilt University study on Plavix standard for all Cardiac Cath Patients); as well as the alliance of public policy and pharma, direct consumer marketing without proper education.
A healthcare executive summarized the situation well last week when stating to me, "I ultimately make the decision for my own care, with the advice of the physician. It is the doctor's role to diagnosis, and then we discuss all options, along with a plan of care, coordinated with speaking with all other involved physicians." It is important for consumers to understand the need to champion their own care working with physicians, determining what options should be used before medications (diet and some of the old fashioned home remedies still hold true), addressing underlying issues versus only symptoms, and removing or changing medications to eliminate side effects when there are alternatives. Questions to have answered:
An example of direct consumer marketing lacking in education: In 2016, there was broad publication when the company Mylan raised the prices of the Epipen after State Law was passed to stock it in every school. Many individuals and groups were upset because there is not a generic offering. With proper information, the public would be educated that Epipen is the patented delivery system, not the drug epinephrine. The generic already existed in the form of a $15-$18 sterile needle. It is also necessary to establish where and when is it appropriate to stock epinephrine, not specifically the Epipen.
Why are you prescribing this medication, what is it specifically doing in my system?
What are non-medication alternatives, what are other medication alternatives?
How long should I take this, what is the outcome? How does it interact with my other medications?
What should be monitored for an outcome, side effects?
| Dr. Lee Beecher and David Racer in their book Passion for Patients wrote, "Dr. Kübler-Ross … called me to her office … “Ach, you’ve got a problem.” She said I needed to more clearly communicate... You have to learn about how to be a good son-of-a-bitch.” Pritzker (medical school at University of Chicago) taught me how to be a problem solver ... No one told me what I had to believe or how I had to think. They taught me how to think and apply what I learned to help my patients." (pages 55-57) Today I read someone describing the Forbes article by Brent Gleeson, “Apparently, during SEAL training, peer reviews are a weekly event. They have a process called top five, bottom five. Every week you anonymously rank the top five performers in the class as well as the bottom five.” Unfortunately, with political correctness and mandating diversity in healthcare, leaders and peers cannot or choose not to do ranking and hiring based upon performance. I have seen in the health industry that no one is allowed to hurt a doctor/nurse's feelings because they are being incompetent or under-performing, with patient's lives at stake. | It is a wonderful idea of ranking on performance so everyone pushes each other to excellence. But when a 30 year veteran nurse is told to shut up because she was holding accountable the new doctors and nurses not performing, competency rating (especially by knowledgeable veterans) was a great practice that worked 20-30 years ago - but one that is not tolerated today. The result, medical errors are now the #3 cause of death. The industry is killing people with our focus on kindness versus caring competency. Personally, I want a well trained, experienced, compassionate son-of-a-bitch taking care of me, as opposed to someone who is being nice while not knowing what they are doing. I want a doctor and nurse who takes care of me so I can go home and I don’t have to see them again because they are my quality clinicians, not my pals. |
Elisabeth Kübler-Ross, Passion for Patients, (page 62)
Day’s statements exemplify an important component that has been lost in healthcare training - that of muscle, or specifically, movement memory. Clinicians are supposed to be trained in school regarding the need and proper technique for handwashing. More importantly, clinicians used to have extensive clinical time working in patient areas developing the movement memory for proper hand washing, and automatically keeping in mind what is clean vs. dirty, where established sterile fields are located with maintaining of sterile gloved hands. The training was extensive and repetitive, for clinicians to automatically move appropriately in fast paced, life threatening situations - to not have to think and just act. One common, simple example is the insertion of IVs for fluid administration or needles for drawing blood. The needle or IV cannula (the needle with covered sheath inserted into the vein) is sterile, with clinicians wearing nonsterile gloves. The skin is typically wiped with alcohol to clean, and then all too often clinicians press nonsterile gloved fingers on the cleaned skin to feel for the vein; thus, contaminating the cleaned surface of the patient’s skin where insertion directly into their vein will occur. Even though the nurse/doctor is wearing clean gloves, they are not sterile, and worn to protect the clinician. With repetitive movement training, clinicians would press to find the vein before properly cleaning the skin, and clean their gloved fingers at the same time as the patient’s skin.
Two frequent complaints often heard from patients, "They dug around in my arm and could not find the vein, it was so painful." "They poked me five times because they did not know what they were doing." Blood draws and starting IVs is a skill, just like shooting at a target or in high stress a gun fight, that requires proper training of technique, and more importantly, repetitive practice - especially with the understanding when someone's life depends upon it. Additionally, the conditioned good technique should be second nature to purge ALL air from needles and tubing, including from the side ports of IV tubing, to prevent the potentially fatal embolus as a hospital acquired condition (HAC).
With the great reduction of hands on clinical time in schools (with replacement of online theory, population/global health, writing, and shadowing nurses), this movement memory training has been lost, with the shift of cost to hospitals for training, buying expensive monitoring equipment, or addressing the subsequent HAIs/HACs. Bringing the ingrained, repetitive movement training back to school training would instill within clinicians and CNA/PCT caregivers the instinctual, reactionary awareness of dirty versus clean or sterile, and proper IV/needle insertion, while delivering care; whether normal daily care or imminent life versus death situations – because they just do what they are trained to do without having to stop and think through quality actions.
| Realistically, physicians are pulled in multiple directions, and in many cases overloaded with patients: This does not mean that physicians lose sight of how to respond with patients, keeping them the focus, nor should the needs of reimbursement and learning electronic medical records supersede the patient. [read more] How care can quickly go off the rails without having a patient champion June 23, 2017 [read more] Published Becker's Hospital Review | |
“I spoke to more than 40 people for the story and heard many of the points you raise, unfortunately I could not include every nuance in a 700-word story. All the best, Anna” WSJ journalist
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