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 with definitionsGain-of-function (GOF) research refers to scientific experiments that modify pathogens—such as viruses—to enhance their transmissibility, virulence, or host range. BioWeapon refers to a living organism or a toxic product manufactured from it, used to kill or incapacitate. Furin Cleavage Site refers to ability for the virus to be more efficient at entering human cells by facilitating binding to receptors like ACE2 Definitions AI search of multiple sources, general accepted definitions Wait, in 2010 he co-authored how these viruses are stopped, so there was no need for a vaccine, the research ... right?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, |
| The HPA axis is a neuroendocrine system that is part of the body's fight-or-flight reaction in times of stress or emergency = Hypothalamus, the Pituitary and the Adrenal glands. |
Many people are not being diagnosed with this condition by MDs and are simply put on dangerous drugs (antidepressants/SSRIs/benzos) with issues not being addressed:
- Spiritual Health: align with God, pray, give praise and thanks to God, and use healing frequencies to calm.
- Spike proteins and nanotech targeting organs (read https://www.delphinehc.com/blog/what-exactly-are-in-the-shots)
- Heavy metal toxicity: we are being sprayed with glyphosate, chemtrails with mercury, aluminum, cadmium, etc. etc. DETOX heavy metal to eliminate neurotoxins. "The primary heavy metal neurotoxins for humans are lead (Pb), mercury (Hg), arsenic (As), cadmium (Cd), and aluminum (Al)." (This list is not all-inclusive.)
- Micronutrient imbalances: Usually low but can be high (e.g. with Roundup chelating with copper in the soil, tattoos, etc.) Copper, Selenium, Iodine, Magnesium, and Manganese are examples and not being addressed by MDs. The perfect balance of the whole endocrine system is essential. When one hormone is messed with, it is a cascading effect.
- Virus or Parasite infections Link to read.
- Nitric Oxide (NO), glutamine/glutathione productions:
- NO regulates all of our essential body functions, including neurocommunication, heart, ovaries, etc ... "Nitric oxide (NO) plays a significant and multifaceted role in the endocrine system, influencing hormone secretion, endocrine axis function, and systemic homeostasis. It is produced in various endocrine tissues and acts as a key regulator in the hypothalamic–pituitary–gonadal and hypothalamic–pituitary–adrenal axes, mediating neuroendocrine function and influencing the secretion of hormones such as oxytocin, vasopressin, and luteinizing hormone-releasing hormone (LHRH).
- Glutamine (symbol Gln or Q) is an α-amino acid that is used in the biosynthesis of proteins. Glutamine plays a significant role in the endocrine system, particularly in the regulation of hormone secretion and metabolism within pancreatic islets and intestinal enteroendocrine cells.
- Glutathione plays a critical role in maintaining the health and function of the endocrine system, primarily through its actions as the body's master antioxidant and a key facilitator of detoxification processes. The endocrine system, which regulates hormones that control metabolism, growth, reproduction, and mood, is highly susceptible to damage from oxidative stress and environmental toxins. Glutathione helps protect endocrine cells, which are among the most metabolically active and thus vulnerable to oxidative damage, by neutralizing free radicals and preventing cellular dysfunction and premature cell death."
- focus on spiritual health regardless of any issue;
- do major detox of heavy metals, for example chlorella, milk thistle, celery, etc.;
- support the immune system with natural antimicrobials, zinc+copper+ionophore, or anthelmintics;
- rebalance micronutrients with healthy foods, and supplements;
- make sure of proper balance of nitirc oxide, glutamine and glutathione.
| There are many classifications of drugs used for cardiac and vascular (CV) issues. A 2007 report is cited below, with his overviews by drug classification. The full article can be read with this link. |
Neuropsychiatric Consequences of Cardiovascular Medications
by Dr. Jeff C. Huffman
Associate Professor of Psychiatry at Harvard Medical School and the Director of the Cardiac Psychiatry Research Program in the Massachusetts General Hospital (MGH) Division of Psychiatry and Medicine.
Angiotensin-converting enzyme inhibitors
https://pharmaceutical-journal.com/article/news/from-snake-venom-to-ace-inhibitor-the-discovery-and-rise-of-captopril
Beta-adrenergic blocking agents or Beta (β)-Blockers
Calcium channel blockers (CCBs)
Diuretics
Doctors should always monitor electrolyte levels (sodium/Na and potassium/K+) of their patients taking diuretics.
Centrally acting agents - Antiadrenergic agent
Bottom line: Methyldopa is clearly associated with fatigue and sedation. In contrast to early studies linking methyldopa with depression, later reviews and studies have found this association to be relatively weak. Other neuropsychiatrie symptoms are uncommon.
Bottom line: Reserpine is associated with both sedation and daytime fatigue. Incidence of depression may be elevated among patients taking reserpine. However, other (generally more recent) reports question this association."
α-Adrenergic agents
Vasodialtors
Antiarrhythmic medications
Bottom line: Class III Amiodarone is associated with thyroid abnormalities in 15% of patients, and untreated thyroid dysregulation can lead to a variety of mood, cognitive, and psychotic symptoms. In contrast, direct neuropsychiatrie effects of amiodarone are uncommon.
Bottom line: Digoxin is associated with delirium and other cognitive effects, especially in toxicity. Visual changes and hallucinations may also occur with digoxin use, even at normal serum levels."
Conclusion by Author
Patients and their families know the cognitive baseline of individuals being prescribed medications, and therefore, should always monitor for any neuropsych impact seen if CV drugs are used, on an individual basis for what is safe per person. Any and all side effects should be know, along with contradictions to other drugs, for all medication being taken.
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.
The June 29, 2018 BECKER'S Hospital Review article shares the viewpoint "Froedtert CEO Cathy Jacobson: Not every patient needs a primary care physician" (PCP). The article is the perspective from the viewpoint of a health system CEO. The following is a perspective, counterview from patients, the individuals in the population.
Many people have expressed utter frustration from lack of a good Primary Care Doctor, warranting unnecessary ER visits because a doctor will not call back; the lack of one doctor in charge who would simply LISTEN to them, who knows them - not as personal friends, but with an in-depth professional relationship.
I have been asked several times in various states, "Do you know of any good Primary Care Doctors? I cannot find one." Universally, I am hearing: a gross lack of comprehensive assessments from doctors; clinicians not taking the time to get to know and listen to what is going on, causing the passing through of patients to specialists versus a primary care doctor creating a plan of care and focused tests for getting an actual diagnosis; lack of avoidance for hospital visits with increasing costs that could and should be avoided because conditions allowed to worsen; and doctors simply writing prescriptions for symptoms.
Her quote continues, "... insight further into consumer driven wants, we are finding that a substantial sector of the population does not want or need a primary care physician relationship. People need primary care but not necessarily a physician relationship." The issue is the primary care physician practices have been acquired by the hospital-health systems, with the biggest complaint from people in the population not being able to find a PCP; and those now under health systems, the doctor only giving 10-15 minutes of time, before passing off to specialists with no plan of care, and/or simply writing another prescription. Many in the public just find it faster, or are being told to just go to the ER. From the perspective of health system CEOs, it would appear primary care is not wanted or needed, which drives up the hospital ER and inpatient business. When actually speaking with individuals across the country, it is the opposite, people complain lack of care coordination, and "the doctor doesn't know me and is not taking the time to listen to me - I want them to actually figure out a diagnosis of what is wrong."
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?
| Healthcare can leverage existing solutions with proven value from other industries, by adopting and adapting them with successful strategies. And, what has shown to be more successful than palliative care (PC) team coverage in healthcare, and Navy SEALs in the military, for team coordination with a singular mission focus. |
By rebranding PC teams and the team process, expanding with additional SEAL successful methods and approaches, we can create the Healthcare version of SEALs (sea, air, land), as APAC Teams (acute, post-acute, and community) - expanding the process to operate in every environment versus only in facilities, for enhancing the quality of care of high risk patients versus limiting to end-of-life cases.
The following chart displays characteristics of SEALs, obtained from several former SEAL, special operation personnel, and military officers; with several of the attributes emulating characteristics regarding the successful palliative care (PC) team process.
| From Brent Gleeson, (BG) Navy SEAL, combat veteran, national speaker, leadership training consultant | Rose Rohloff, palliative care success as a process - rebranding away from end-of-life association |
Why were SEAL Teams created? | Why were PC Teams created? |
| “The origin of SEALs began in WWII as underwater demolition teams. As the years progressed through Vietnam, the need was recognized for unconventional, special operation assets. And so, the SEAL program combined the best resources, tactics and training from the various branches of the military; as Tier One special operations units, learning from current and past experiences.” BG | The teams began as comfort care for end-of-life patients to supply pain relief. With the growth of hospice to address comfort care for the dying, PC matured with specialty trained teams for coordinating care based on individual patient wishes. PC teams, like SEAL teams, consist of specialists from various disciplines across departments - usually a nurse (RN)/nurse practitioner (NP), social worker (SW)/case manager (CM), dietician (RD), pastoral care, a pharmacist (PhD), and sometimes a physician; all working with the primary care physician (PCP), determining patient’s desired quality of life outcomes, planning care, coordinating and communicating with the family/power of attorney – being a team advocate at the ground level for avoiding under/over/mistreatment. |
Why are SEAL Teams needed? | Why are APAC Teams needed? |
| “To transform from old school hierarchy, to a needed organizational culture with vertical silos removed across departments. The culture is an adaptive network ecosystem, with a mindset shift to operate decentralized, to move swiftly and to learn fast.” | As with SEALs, healthcare needs to transform from old school hierarchy, to culture without vertical silos across departments – and more importantly the continuum. Expanding and rebranding PC teams to APAC teams would enable a culture that is an adaptive network ecosystem, with a mindset shift to operate decentralized, to move swiftly, and to learn fast with delivering personalized best practice, quality care. |
What is unique about SEAL teams, their composition & mission?“The teams are small and nimble for direct action and rescue. The program has a very well-defined culture, by design, with a difficult program that is totally focused on how to reach objectives, be adaptive, and based on learned lessons from the past; and, failure is not an option." BG "Another important distinction is that post 9/11, there was an increase in the level of hard training, instead of easier, with a widening of the pool. The program was made harder to ensure that teams are even more well trained with tighter controls.” BG SEALs are also experts at collecting information and intelligence through reconnaissance.* | What is unique about PC teams, their composition & mission?The teams are small and nimble for direct action, coordination and follow through. The program has a very well-defined culture, by design, and certified programs focus on how to reach objectives, be adaptive, and based on learned lessons from the past. The PC process needs the support to expand across continuums, so failure is not an option regarding the prevention of readmissions. Another important distinction is that healthcare needs to learn from the SEAL training regarding nursing, physician, and pharmacy programs, to again increase the level of hard training, instead of easier, with decreased credits and clinical experiences, while being able to graduate. The education needs to be made harder for clinicians, to ensure that they are quality, patient advocates. APAC teams are then elite trained for complex, chronic cases with tighter controls. APAC teams can be utilized for being proactive in care with collection and coordination of information for high risk patients defined as complex, chronic conditions. |
How are SEALs effective at trouble shooting at ground level?“There is a single mission narrative, ground level accountability to get the job done." SEALs work in all environments: desert and urban areas, mountains and woodlands, jungle and arctic conditions**; successfully operating across spectrums - sea, air and land. | How are PC teams effective at trouble shooting at patient level?There is a single mission narrative, with ground level accountability for individual care based on the patient's quality of life desires. What needs to be expanded is the seamless transition/hand-off of the PC process with regards to high risk patients, so APAC teams effectively function throughout the continuum for health – acute, post-acute and within the community. |
** http://www.nsonswmentor.com/Navy-SEAL.html
| A great target population, as one example, is the increased volume of individuals with dementia. While speaking with a retired executive, who has a family member with 10 years of progressive dementia, she stated, “Doctors are focused on performing all procedures or surgeries for them, oftentimes doing over treatment because the family members have a high emotional investment: | The Palliative Care Process rebranded BECKER’S Hospital Review Rebranding the Primary Care Physician (PCP) October 7, 2016 along with new APAC Team approach - process, is redefining palliative care teams as medical care coordination using interdisciplinary teams, for achieving individual patient’s quality of life outcomes, in any environment. |
APAC teams would also address the necessary information gathering for determining the real issues of consumers, for example, who needs dietary changes or removal of drugs with side effects before being prescribed new medications by physicians, causing even more side effects or noncompliance, and self medicating or opiate abuse.
PC teams can be expanded to APAC teams utilizing the successful palliative care process across the care and health continuum, eliminating the end-of-life association, and differentiating from the terminally ill care of hospice. Just as SEALs operate in every environment (air, sea and land), APAC teams can be an extension of PC teams to be the quick, nimble action teams in all settings, especially the community, for patients with complex and chronic conditions.
| 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 | |
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